2012-11-14T13:37:50-06:00 2011-12-31 593070669 MOORE STEPHENS LOVELACE PA 14400 NW 77TH COURT SUITE 306 MIAMI LAKES FL 330161507 990 2011-01-01 264468758 UNIVERSITY PLAZA PROPERTIES INC UNIV 3059170428 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 DR WILLIAM ZUBKOFF 3059170428 2012-11-14 1 LAWRENCE SCHIFF CPA P00479457 3058199555 2011 2016-02-24 21:20:13Z DR WILLIAM ZUBKOFF 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 0 0 X WWW.HEBREWHOMES.ORG X 2009 FL THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF RENTING A SKILLED NURSING FACILITY TO UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER, INC., A RELATED TAX-EXEMPT ENTITY, AND TO SUPPORT THE OVERALL MISSION OF THIS ENTITY. 13 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 129054 115854 129054 115854 -129054 -115854 2088533 26311756 2281518 27206221 -192985 -894465 THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF RENTING A SKILLED NURSING FACILITY TO UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER, INC., A RELATED TAX-EXEMPT ENTITY, AND TO SUPPORT THE OVERALL MISSION OF THIS ENTITY. 0 0 THE ORGANIZATION WILL RENT A SKILLED NURSING FACILITY TO UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER, INC., A RELATED 501(C)(3) ENTITY, FOR THE PURPOSE OF ASSISTING THIS AFFILIATED ENTITY IN ACHIEVING ITS TAX EXEMPT GOALS. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X HAL STERN 3059170428 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 X RUSSELL GALBUT 4.00 X X 0 0 0 DANIEL HOLTZ 4.00 X X 0 0 0 DR RAFAEL SOTO 10.00 X X 0 48000 0 BENZION KORF 1.00 X X 0 0 0 MARTIN W WASSERMAN 1.00 X X 0 0 0 JOAN BRENT 1.00 X 0 0 0 ALLAN HIRSCHFIELD 1.00 X 0 0 0 DR SANFORD ZIFF 1.00 X 0 0 0 DOV KONETZ 1.00 X 0 0 0 MICHAEL ALLER 1.00 X 0 0 0 ALAN G RANDOLPH 1.00 X 0 0 0 CASEY KLEIN 1.00 X 0 0 0 YOSSI DUCHMAN 1.00 X 0 0 0 DR WILLIAM ZUBKOFF 40.00 X 0 622000 20133 WILLIAM ECK 1.00 X 0 0 0 STEVEN BEAUJON 40.00 X 0 270992 29754 CAPTAIN MARVIN GREENWALD 40.00 X 0 166399 2277 JOYCE GALBUT 40.00 X 0 233600 15387 EYTA BRAFMAN 40.00 X 0 214101 28937 0 1555092 96488 0 0 1 0 STILES CONSTRUCTION CO 301 EAST LAS OLAS BLVD FT LAUDERDALE FL 33301 CONSTRUCTION 880907 ADD INC 311 SUMMER STREET BOSTON MA 02210 ARCHITECTURE & DESIGN CONSULTANTS 337842 CITY OF MIAMI 444 SW 2ND AVENUE MIAMI FL 33130 BUILDING PERMITS 243121 GREENBERG TRAURIG LLP 2101 L STREET NW SUITE 1000 WASHINGTON DC 20037 LEGAL FEES 165917 MIAMI DADE COUNTY 111 NW 1ST STREET 11TH FLOOR MIAMI FL 33128 DEVELOPMENT COSTS 125291 6 0 0 0 0 8278 8278 2223 2223 59 59 1467 1467 6434 6434 51484 51484 31911 31911 LICENSES AND FEES 13998 13998 115854 0 115854 0 1514 529459 843 97784 62239 8136540 0 0 8136540 896643 2086176 16589091 2088533 26311756 141180 870501 24000000 2140338 2335720 2281518 27206221 X -192985 -894465 -192985 -894465 2088533 26311756 X -115854 -585626 X X 0 1 1 X 0 X X X 0 0 0 UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER INC 300541840 9 1 1 1 0 1 0 4740000 4740000 3396540 3396540 8136540 CERTIFICATE OF NEED 1560000 ASSETS WHOSE USE IS LIMITED 15029091 16589091 DUE TO AFFILIATE 1750094 SWAP LIABILITY 585626 2335720 X X X 0 0 0 0 0 0 0 0 0 DR WILLIAM ZUBKOFF 0 550000 0 72000 0 0 0 4900 0 15233 0 642133 0 0 STEVEN BEAUJON 0 218992 0 52000 0 0 0 4640 0 25114 0 300746 0 0 CAPTAIN MARVIN GREENWALD 0 134399 0 32000 0 0 0 1803 0 474 0 168676 0 0 JOYCE GALBUT 0 201600 0 32000 0 0 0 4637 0 10750 0 248987 0 0 EYTA BRAFMAN 0 188101 0 26000 0 0 0 4282 0 24655 0 243038 0 0 GREENBERG TRAURIG LLP ENTITY OF WHICH THE ORGANIZATION'S ASSISTANT SECRETARY IS A PARTNER. 165917 LEGAL FEES. 0 PALMS CONVALESCENT CARE INC ENTITY OF WHICH THE ORGANIZATION'S CHAIRMAN IS A PARTIAL OWNER. 90000 IN 2010, UNIVERSITY PLAZA PROPERTIES ENTERED INTO AN AGREEMENT TO PURCHASE FOR $1,650,000, 110 BEDS FROM PALMS CONVALESCENT CARE, INC., AN ENTITY OF WHICH THE ORGANIZATION'S OFFICER (BOARD CHAIRMAN) IS A PARTIAL OWNER. IN AUGUST 2011, SUBSEQUENT TO THE END OF THE ORGANIZATION'S 2010 TAX YEAR, THE ORGANIZATION RECEIVED A CREDIT ADJUSTMENT OF $90,000. THE ADJUSTED AMOUNT OF THE TRANSACTION WAS $1,560,000. 0 ABRAHAM GALBUT PA OWNER OF ENTITY OF WHICH THE ORGANIZATION'S CHAIRMAN IS A BROTHER. 102038 TITLE COSTS & SECOND MORTGAGE RECORDING. 0 FORM 990, PART VI, SECTION A, LINE 2 JOYCE GALBUT, THE ORGANIZATION'S CHIEF NURSING OFFICER, IS THE WIFE OF WILLIAM ZUBKOFF, THE CEO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIRMAN, PRESIDENT, DIRECTOR OF COMPLIANCE, COMPLIANCE COMMITTEE, CHIEF FINANCIAL OFFICER AND CONTROLLER CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICTS COMMITTEE MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE COMMITTEE REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGEMENT OFFICIALS. HOWEVER, THE COMMITTEE IS INDEPENDENT WITH RESPECT TO ALL COMPENSATION RELATED DECISIONS IN THAT COMMITTEE MEMBERS REFRAIN FROM VOTING ON THE COMPENSATION IF A CONFLICT OF INTEREST ARISES. THE COMMITTEE UTILIZES COMPARABILITY SURVEYS PROVIDED BY AND INDEPENDENT ACCOUNTANT. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. AVG. HOURS-PAID OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES FORM 990, PART VII, LINE 1A ALL OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES ARE COMPENSATED BY A RELATED ORGANIZATION, HEBREW HOMES MANAGEMENT SERVICES, INC., AND PERFORM SERVICES FOR ALL ENTITIES WITHIN THE CONSOLIDATED GROUP. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN VALUE OF INTEREST RATE SWAP -585,626. TOTAL TO FORM 990, PART XI, LINE 5: -585,626. AUDIT OF FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2B THE ORGANIZATION IS A SUBSIDIARY OF HEBREW HOMES HEALTH NETWORK, INC. ITS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. ARCH PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040917 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 AVENTURA PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 830500199 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOMES CAPTIVE SERVICES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040931 PROVIDES SELF-INSURANCE TO TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOMES HEALTH NETWORK INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040936 ORGANIZES THE ACTIVITIES OF ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II N/A 0 HEBREW HOMES HEALTH NETWORK FOUNDATION INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040934 CONDUCTS FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOME OF NORTH DADE INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040912 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOME OF SOUTH BEACH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040911 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOMES SINAI PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 134245879 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOMES OF MIAMI BEACH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 590825937 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 JACKSON PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040926 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 PLAZA NORTH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040910 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 PONCE PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040919 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 SOUTH BEACH NURSING & REHABILITATION CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 020755960 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 SOUTH BEACH PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 830500200 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 PONCE PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264233085 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11A, I HEBREW HOMES HEALTH NETWORK INC 0 UNIVERSITY REHABILITATION AND NURSING CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 300541840 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 ARCH PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264233346 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11A, I HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOMES MANAGEMENT SERVICES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040928 PROVIDES MANAGEMENT SERVICES TO ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0