SALEM COMMUNITY CORP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SALEM COMMUNITY CORP (EIN 04-2696489)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349305178
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T12:36:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042696489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SALEM COMMUNITY CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSALENameControl
Phone5088522670Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line165 BRIARWOOD CIRCLEAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01606ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ZOLTOWSKIName
TitleCEOTitle
Phone5088522670Phone
Date Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA J MORRISONName
Phone6179848100Phone
Date Prepared2011-11-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN ZOLTOWSKINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line165 BRIARWOOD CIRCLEAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20138120GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BRIARWOODRETIREMENT.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HOUSING, HEALTH, WELLNESS AND SUPPORTIVE SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees277TotalNbrEmployees
Total Nbr Volunteers99TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34705ContributionsGrantsPriorYear
Contributions Grants Current Year139899ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12103028ProgramServiceRevenuePriorYear
Program Service Revenue CY12785030ProgramServiceRevenueCY
Investment Income Prior Year440513InvestmentIncomePriorYear
Investment Income Current Year1194052InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year28032OtherRevenueCurrentYear
Total Revenue Prior Year12578246TotalRevenuePriorYear
Total Revenue Current Year14147013TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6937139SalariesEtcPriorYear
Salaries Etc Current Year7040245SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6779851OtherExpensePriorYear
Other Expenses Current Year6926111OtherExpensesCurrentYear
Total Expenses Prior Year13716990TotalExpensesPriorYear
Total Expenses Current Year13966356TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1138744RevenuesLessExpensesPriorYear
Revenues Less Expenses CY180657RevenuesLessExpensesCY
Total Assets BOY44791168TotalAssetsBOY
Total Assets EOY45615440TotalAssetsEOY
Total Liabilities BOY56009915TotalLiabilitiesBOY
Total Liabilities EOY58145402TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-11218747NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-12529962NetAssetsOrFundBalancesEOY
Mission DescriptionBRIARWOOD'S MISSION IS TO ENHANCE THE WELL-BEING, INDEPENDENCE AND PERSONAL FULFILLMENT OF ITS RESIDENTS AND OTHER SENIORS BY PROVIDING EXCELLENT HOUSING, HEALTH, WELLNESS AND SUPPORTIVE SERVICES CONSISTENT WITH THE CARING SPIRIT OF THE FOUNDING CHURCHES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12798106Expense
Revenue13672594Revenue
DescriptionOPERATION OF AN 82 BED SKILLED NURSING FACILITY AND A 198 UNIT CONTINUING CARE RETIREMENT & ASSISTED LIVING FACILITYDescription
Total Program Service Expense12798106TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees277NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRICHARD CALVERT CFONamePerson
Telephone Number5088522670TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line165 BRIARWOOD CIRCLEAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID DILL
PRESIDENT1.00XX000
ROBERT EVANS
VICE-PRESIDENT1.00XX000
PAUL WILLIAMS
TREASURER1.00XX000
FRANCIS HARVEY JR
CLERK1.00XX000
ERVA BERG
TRUSTEE1.00X000
JANICE BJORK
TRUSTEE1.00X000
NANCY BROWN
TRUSTEE1.00X000
ROBERT CHASE
TRUSTEE1.00X000
DIX DAVIS
TRUSTEE1.00X000
ELLEN FERRANTE
TRUSTEE1.00X000
RODNEY FERRIS
TRUSTEE1.00X000
ALLEN KRAUSE
TRUSTEE1.00X000
VALERIE LORING
TRUSTEE1.00X000
JULIA MARKS
TRUSTEE1.00X000
PATRICIA KEANE MARTIN
TRUSTEE1.00X000
DR E MALCOLM PARKINSON
TRUSTEE1.00X000
MARY SCHWARTZ
TRUSTEE1.00X000
SHARON SMITH VILES
TRUSTEE1.00X000
REV DR THOMAS MCKIBBENS
TRUSTEE1.00X000
REV MARK FRYKHOLM
TRUSTEE1.00X000
JOHN ZOLTOWSKI
CEO40.00X150248021350
RICHARD CALVERT
CFO40.0010320007928X
FieldValueIRS element (for citing)
Total Reportable Comp From Org253448TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29278TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MJK CARPENTRY
PO BOX 60716WORCESTERMA01606REMODELING510540
NORTON ASSOCIATES
24 ELM STREETCOHASSETMA02025REHAB SERVICES443250
DELPHI CONSTRUCTION
130 OVERLAND ROADWALTHAMMA02451CONSTRUCTION313770
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions139899AllOtherContributions
Total Contributions139899TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELADescription
Business Code623000BusinessCode
Total Revenue Column12717381TotalRevenueColumn
Related Or Exempt Function Income12717381RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column67649TotalRevenueColumn
Related Or Exempt Function Income67649RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12785030TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column306488TotalRevenueColumn
Exclusion$306,488ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6860751Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5896126Securities
Other77061Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities964625Securities
Other-77061Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column887564TotalRevenueColumn
Related Or Exempt Function Income887564RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events45952GrossIncomeFundraisingEvents
Fundraising Direct Expenses17920FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column28032TotalRevenueColumn
Exclusion$28,032ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14147013TotalRevenueColumn
Related Or Exempt Function Income13672594RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$334,520ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total171598Total
Program Services171598ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5858715Total
Program Services4948389ProgramServices
Management And General910326ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total520626Total
Program Services446318ProgramServices
Management And General74308ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total489306Total
Program Services402944ProgramServices
Management And General86362ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18557Total
Management And General18557ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78697Total
Management And General78697ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total123953Total
Program Services123953ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total96107Total
Program Services96107ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total292155Total
Program Services292155ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17481Total
Program Services17481ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2400618Total
Program Services2400618ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total269Total
Program Services269ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6456Total
Program Services6456ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1405570Total
Program Services1405570ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total103554Total
Program Services103554ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY784760784760
ANCILLARIES683318683318
MAINTENANCE479326479326
BAD DEBTS138290138290
HOUSEKEEPING9434794347

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total202653Total
Program Services202653ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13966356Total
Program Services12798106ProgramServices
Management And General1168250ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY521839BOY
EOY1209EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY629612BOY
EOY961586EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20000BOY
EOY10000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1407356BOY
EOY1934907EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY81232BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY111963BOY
EOY216029EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48910340LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15263574LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33889903BOY
EOY33646766EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7491697BOY
EOY7688019EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY637566BOY
EOY1156924EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44791168BOY
EOY45615440EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1508374BOY
EOY1742168EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1786536BOY
EOY1930476EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27283974BOY
EOY27275000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25431031BOY
EOY27197758EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56009915BOY
EOY58145402EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11999161BOY
EOY-13477993EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY780414BOY
EOY457934EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY490097EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-11218747BOY
EOY-12529962EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44791168BOY
EOY45615440EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses180657ReconcilationRevenueExpenses
Reconcilation Other Changes-1491872ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47312CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years281122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34705CurrentTaxYearMinus1Year
Current Tax Year167931CurrentTaxYear
Total719541Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11667600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11778872CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12215399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12103029CurrentTaxYearMinus1Year
Current Tax Year12785030CurrentTaxYear
Total60549930Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11714912CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11967343CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12496521CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12137734CurrentTaxYearMinus1Year
Current Tax Year12952961CurrentTaxYear
Total61269471Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years242500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15600CurrentTaxYearMinus1Year
Current Tax Year122874CurrentTaxYear
Total380974Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years242500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15600CurrentTaxYearMinus1Year
Current Tax Year122874CurrentTaxYear
Total380974Total
FieldValueIRS element (for citing)
Public Support Total50960888497PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years414606CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years619399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years421360CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year323273CurrentTaxYearMinus1Year
Current Tax Year306488CurrentTaxYear
Total2085126Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years414606CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years619399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years421360CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year323273CurrentTaxYearMinus1Year
Current Tax Year306488CurrentTaxYear
Total2085126Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-6955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years128727CurrentTaxYearMinus3Years
Total121772Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12122563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12715469CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12917881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12461007CurrentTaxYearMinus1Year
Current Tax Year13259449CurrentTaxYear
Total63476369Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95920PublicSupportPercentage509
Prior Year Support Percentage0.95950PriorYearSupportPercentage
Investment Income Percentage0.03280InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03340PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance780414BeginningOfYearBalance
Contributions108784Contributions
Investment Earnings Or Losses66275InvestmentEarningsOrLosses
Other Expenditures7442OtherExpenditures
End Of Year Balance948031EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.51700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.48300TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1819250OtherCostOrOtherBasis
Book Value1819250BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42155501OtherCostOrOtherBasis
Depreciation12904295Depreciation
Book Value29251206BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3212005OtherCostOrOtherBasis
Depreciation925276Depreciation
Book Value2286729BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1420049OtherCostOrOtherBasis
Depreciation1165156Depreciation
Book Value254893BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis303535OtherCostOrOtherBasis
Depreciation268847Depreciation
Book Value34688BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33646766TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ENTRANCE DEPOSITS PAYABLE$22,137,381
FAIR VALUE OF INTEREST RATE SWAP$2,349,377
REFUNDABLE ENTRANCE FEES$2,711,000
FieldValueIRS element (for citing)
Total Of Amounts27197758TotalOfAmounts
Total Revenue14147013TotalRevenue
Total Expenses13966356TotalExpenses
Excess Or Deficit For Year180657ExcessOrDeficitForYear
Net Unrealized GL On Investments-704869NetUnrealizedGLOnInvestments
Other-$787,003OtherAmount
Total Adjustments-1491872TotalAdjustments
Excess Or Deficit Per FS-1311215ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14229147TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-704869NetUnrealizedGainsInvestments
Revenue Not Rptd F990-704869RevenueNotRptdF990
Revenue Subtotal14934016RevenueSubtotal
Other Revenues Not Included-787003OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-787003RevenueNotRptdOnFinStmt
Total Revenue Per Form99014147013TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13966356TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13966356ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013966356TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE RESIDENT ASSISTANCE FUND IS RESTRICTED TO HELPING RESIDENTS (NOT IN NH) PAY THEIR BILLS. THE WOODBURY FUND IS RESTRICTED FOR UNANTICIPATED CAPITAL EXPENDITURES. THE LOAN FUND IS RESTRICTED FOR HELPING A RESIDENT THAT MIGHT HAVE THE INCOME TO COVER THE MONTHLY FEE BUT NOT THE CAPITAL TO FUND THE ENTRY. THE STAFF DEVELOPMENT FUND WAS DONATED IN 2008 AND IS TOWARDS STAFF DEVELOPMENT.
PART XI, LINE 8 - OTHER ADJUSTMENTS:INTEREST RATE SWAP - FMV ADJUSTMENT -787,003.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST RATE SWAP - FMV ADJUSTMENT -787,003.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event145952GrossReceiptsEvent1
Gross Revenue Event145952GrossRevenueEvent1
Non Cash Prizes Event12475NonCashPrizesEvent1
Rent Facility Costs Event16779RentFacilityCostsEvent1
Other Direct Expenses Event18666OtherDirectExpensesEvent1
Gross Receipts Total45952GrossReceiptsTotal
Gross Revenue Total Events45952GrossRevenueTotalEvents
Non Cash Prizes Total Events2475NonCashPrizesTotalEvents
Rent Facility Costs Total Events6779RentFacilityCostsTotalEvents
Other Direct Expenses Total Events8666OtherDirectExpensesTotalEvents
Direct Expense Summary Events17920DirectExpenseSummaryEvents
Net Income Summary28032NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJOHN ZOLTOWSKINamePerson
Base Compensation Filing Org150248BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org21350NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org171598TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042608195IssuerEIN
CUSIP Number57583F5P2CUSIPNumber
Date Issued2004-09-01DateIssued
Issue Price28310000IssuePrice
Description Of PurposeTO REFUND OUTSTANDING AMOUNT OF PREVIOUS BONDS, PAY OUTSTANDING DEBT,DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds28310000TotalProceeds
Refunding Escrow27106663RefundingEscrow
Issuance Costs From Proceeds1203337IssuanceCostsFromProceeds
Year Of Subst Completion2004YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1SOVEREIGN BANKBusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT WILL REVIEW A DRAFT OF THE FORM 990 UPON PREPARATION AND GIVE APPROVAL BEFORE IT IS FILED.
THE CEO SERVES AS COMPLIANCE OFFICER. ALL SERVICES INVOLVING CONTRACTS WITH THE CORPORATION WILL BE REVIEWED AND APPROVED BY THE CEO. ALL MEMBERS OF THE CORPORATION AND MANAGERS INVOLVED IN CORPORATE PURCHASES, WILL COMPLETE AN ANNUAL DISCLOSURE AND CONFLICT OF INTEREST DOCUMENT TO ASSURE ALL PROFESSIONAL, BUSINESS AND PERSONAL RELATIONSHIPS THAT MAY AFFECT PURCHASING OR SERVICE TO RESIDENTS ARE IDENTIFIED. ANY MEMBER OF THE CORPORATION OF MANAGER IDENTIFIED AS HAVING SUCH A PROFESSIONAL, BUSINESS OR PERSONAL RELATIONSHIP SHALL AT A MINIMUM, BE PROHIBITED FROM VOTING ON CONTRACTS. ISSUES THAT CAN NOT BE RESOLVED ON THE IMMEDIATE OPERATIONAL LEVEL WILL BE REFERRED TO THE ETHICS SUB-COMMITTEE OF THE BOARD'S HEALTH AND WELLNESS COMMITTEE. ISSUES REMAINING SHALL BE REFERRED TO THE BOARD'S EXECUTIVE COMMITTEE FOR A FINAL DECISION.FORM 990, PART VI, SECTION B, LINE 12C
THE PROCESS WAS USED IN 2008 TO DETERMINE THE COMPENSATION FOR CEO.FORM 990, PART VI, SECTION B, LINE 15A
FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -704,869. INTEREST RATE SWAP - FMV ADJUSTMENT -787,003. TOTAL TO FORM 990, PART XI, LINE 5: -1,491,872.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FOR THE COMMITTEE ASSUMING RESPONSIBILITY. THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.FORM 990, PART XI, LINE 2C

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