2011-11-15T16:43:19-06:00 2010-12-31 HERTZBACH & COMPANY PA 800 RED BROOK BOULEVARD SUITE 300 OWINGS MILLS MD 21117 990 2010-01-01 530246852 THE ARMY DISTAFF FOUNDATION INC ARMY 2025410400 6200 OREGON AVE NW WASHINGTON DC 200151543 ENRICO SANTOS 2025410400 2011-11-15 1 MARK STEINBERG 4103633200 2010 2016-02-24 21:20:13Z KNOLLWOOD ENRICO SANTOS 6200 OREGON AVE NW WASHINGTON DC 200151543 31129286 0 X WWW.ARMYDISTAFF.ORG X 1959 DC THE FOUNDATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY FOR ELDERLY RETIREDMILITARY OFFICERS AND THEIR CLOSE RELATIVES. 22 22 221 10 0 0 1306072 676649 16449369 16612986 512790 920736 86518 253273 18354749 18463644 0 0 0 0 8293315 8618921 0 0 166314 11139238 11276158 19432553 19895079 -1077804 -1431435 59211574 61134099 46113233 48726766 13098341 12407333 X THE FOUNDATION OPERATES A CONTINUING CARE RETIREMENT COMMUNITY. THE FOUNDATION PROVIDES THREE LEVELS OF HOUSING FACILITIES AND SERVICES SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF ELDERLY RETIRED CAREER MILITARY OFFICERS AND THEIR CLOSE RELATIVES. THE FOUNDATION PROVIDES INDEPENDENT LIVING FOR THOSE WHO ARE CAPABLE OF CARING FOR THEMSELVES, ASSISTED LIVING FOR THOSE WHO ARE NOT FULLY CAPABLE OF PROVIDING FOR THEMSELVES, AND HEALTH SERVICES FOR THOSE REQUIRING IMMEDIATE AND CONTINUING CARE. 0 0 6320563 6470379 PROVIDES INDEPENDENT LIVING FACILITIES FOR ELDERLY RETIRED MILITARY OFFICERS AND THEIR CLOSE RELATIVES 3914835 2347399 PROVIDES 43 ASSISTED LIVING APARTMENTS FOR ELDERLY MILITARY OFFICERS AND CLOSE RELATIVES. 7777988 6147435 PROVIDES A LICENSED 69 BED LONG TERM CARE CENTER, WHICH IS MEDICARE AND MEDICAID CERTIFIED. 1845887 PROVIDES A FULL SERVICE DINING ROOM FOR USE OF THE ABOVE RESIDENTS AND GUESTS.ADMISSION FEES AND CELL PHONE TOWER RENTAL 1845887 18013386 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 92 0 1 221 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X ENRICO SANTOS CFO THE ARMY DISTSA 2025410101 6200 OREGON AVE NW WASHINGTON DC 20015 LTG DAVID H OHLE USA RET 0.20 X X 0 0 0 CPT BRADLEY J SNYDER USA RET 0.20 X X 0 0 0 MG DONALD C HILBERT USA RET 40.00 X X 214378 0 9992 BG J FRANK HENNSSEE USA RET 40.00 X X 197397 0 9193 MRS GEORGE CASEY 0.20 X 0 0 0 BG GEOFFREY CHEADLE USAF RET 0.20 X 0 0 0 MG BARRY BATES USA RET 0.20 X 0 0 0 COL RUDOLPH H EHRENBERG USA RET 0.20 X 0 0 0 DR HURDIS GRIFFITH 0.20 X 0 0 0 MG DONNA F BARBISCH USA RET 0.20 X 0 0 0 MRS JAMES JACKSON 0.20 X 0 0 0 MRS JOSEPH KELLOGG 0.20 X 0 0 0 MRS JOHN S CALDWELL 0.20 X 0 0 0 COL MAXIM I KOVEL USA RET 0.20 X 0 0 0 COL WILLIAM LEMNITZER USA RET 0.20 X 0 0 0 MRS WILLIAM J LENNOX 0.20 X 0 0 0 MRS LEWIS A MOLOGNE 0.20 X 0 0 0 COL FREDERICK E PARKER III USA RET 0.20 X 0 0 0 COL RICHARD RICCIARDI PHD NP FAANP 0.20 X 0 0 0 MRS JOSEPH DEFRANCISCO 0.20 X 0 0 0 MRS JOHN KEANE 0.20 X 0 0 0 MRS DAVID H OHLE 0.20 X 0 0 0 ENRICO SANTOS 40.00 X 128741 0 6060 BARBARA D'AGOSTINO 40.00 X 138687 0 6582 PATRICIA JOHNSON 40.00 X 101561 0 10816 ARLETTE KESSENG A MBASSA 40.00 X 111332 0 11324 CRAIG P SACKETT 40.00 X 110051 0 5100 1002147 0 59067 7 0 1 0 SODEXO INC 1669 PHOENIX PARKWAY STE 210 COLLEGE PARK GA 30349 FOOD SERVICE 2621382 KAISER PERMANENTE PO BOX 64345 BALTIMORE MD 212644345 HEALTH INSURANCE 625289 HAMILTON INSURANCE AGENCY 4100 MONUMENT CORNER DRIVE STE 500 FAIRFAX VA 22030 BUSINESS INSURANCE 278977 MCKESSON MEDICAL-SURGICAL 8741 LANDMARK ROAD RICHMOND VA 23228 MEDICAL SUPPLIES 147748 ALESSANDRO HAIR SALONINC 13635 ANNAPOLIS ROAD BOWIE MD 20720 HAIR SALON 133677 8 676649 676649 INDEPENDENT LIVING 531110 6470379 6470379 HEALTH SERVICES 623000 6147435 6147435 ASSISTED LIVING 623000 2347399 2347399 ADMISSION FEES 531110 1647773 1647773 16612986 418327 418327 13115395 12612986 502409 502409 502409 107815 52656 55159 55159 CELL PHONE TOWER RENTA 531390 185071 185071 MISCELLANEOUS 812900 13043 13043 198114 18463644 16811100 0 975895 540516 411775 128741 6637710 6027506 489207 120997 288705 239327 47342 2036 599257 583179 11726 4352 552733 464704 78773 9256 45351 45351 38400 38400 74014 74014 2465 2465 10605 10605 1025364 1004857 20507 1168113 1062983 105130 2896338 2622564 273774 378980 352424 26556 CONTRACT SERVICES 3513084 3442822 70262 REPAIRS AND MAINTENANCE 642320 584511 57809 SUPPLIES 597987 555093 42894 NURSING PROVIDER TAX 329656 329656 PHARMACY, RX & OTC DRUG 145683 145683 407798 186302 191823 29673 19895079 18013386 1715379 166314 888445 2028504 1614478 1003472 1069114 1442908 26789 36489 65500696 35052439 32597272 30448257 22496437 25683209 519039 491260 59211574 61134099 1286006 1593669 6550877 6943927 23254140 22676329 15022210 17512841 46113233 48726766 X 8785473 7607668 4312868 4799665 13098341 12407333 59211574 61134099 X -1431435 740427 X 0 1 0 X 0 X 1826866 3986142 532596 1306072 676649 8328325 11502153 12248116 13124023 16449369 16612986 69936647 13329019 16234258 13656619 17755441 17289635 78264972 0 0 0 78264972 626692 798739 633852 436139 418327 2913749 626692 798739 633852 436139 418327 2913749 104493 70985 80053 84914 253273 593718 14060204 17103982 14370524 18276494 17961235 81772439 0.95710 0.95340 0.03560 0.04150 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: CELL PHONE TOWER RENTAL MISCELLANEOUS ANNUAL GALA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1129203 1129203 55321641 27674429 27647212 9049852 7378010 1671842 30448257 UNEARNED ADMISSION FEES RESIDENTS 437075 ANNUITIES PAYABLE 226691 REFUNDABLE ADMISSION FEES 13310037 UNEARNED ADMISSION FEES OF NONRESIDENTS 513003 DERIVITATVE FINANCIAL INSTRUMENTS 3026035 17512841 18463644 19895079 -1431435 740427 740427 -691008 20042216 1606446 1606446 18435770 80530 -52656 27874 18463644 20733224 918675 918675 19814549 74014 6516 80530 19895079 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ASC 740 (FORMERLY FIN 48) FOOTNOTE DISCLOSURE: EFFECTIVE JANUARY 1, 2009, THE FOUNDATION ADOPTED FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY REFERRED TO AS FASB FINANCIAL INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES), WHICH CLARIFIED THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. BASED ON ITS EVALUATION, THE FOUNDATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS. NO INTEREST OR PENALTIES HAVE BEEN RECORDED AS A RESULT OF TAX UNCERTAINTIES. THE TAX YEARS DECEMBER 31, 2007 THROUGH DECEMBER 31, 2010 REMAIN OPEN TO EXAMINATION BY TAX JURISDICTIONS TO WHICH THE FOUNDATION IS SUBJECT. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED GAIN ON INVESTMENTS 1,606,446. PART XII, LINE 4B - OTHER ADJUSTMENTS: ANNAUL GALA EXPENSE -52,656. PART XIII, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED LOSS ON DERIVATIVE INSTRUMENTS 866,019. ANNAUL GALA EXPENSE 52,656. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BANK CHARGES 6,516. ANNUAL GALA 107815 107815 52656 107815 107815 52656 52656 55159 X 0 0 0 0 0 0 0 0 0 MG DONALD C HILBERT USA RET 214378 0 0 0 0 0 9992 0 0 0 224370 0 0 0 BG J FRANK HENNSSEE USA RET 197397 0 0 0 0 0 9193 0 0 0 206590 0 0 0 DISTRICT OF COLUMBIA 2006-11-15 24655000 REFINANCE EXISTING BOND AND CONSTRUCTION COSTS 0 0 0 1978671 24655000 177653 286215 11191132 13000000 2008 1 0 1 1 0 0 0 0 1 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY OUTSIDE ACCOUNTANTS FROM INDEPENDENTLY AUDITED FINANCIAL STATEMENTS AND REVIEWED BY CONTROLLER AND CFO. FORM 990, PART VI, SECTION B, LINE 12C DISCUSSED AT MEETINGS FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS HISTORICAL AND CURRENT MARKET DATA AND CPI AT THE TIME OF DELIBERATION. FORM 990, PART VI, SECTION C, LINE 19 FORMS ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 740,427.