2011-08-11T12:52:06-05:00 2010-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2009-10-01 205096169 SEABURY AT HOME INCORPORATED SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 GUY CAMBRIA JR 8602860243 2011-08-08 1 ELIZABETH SOLECKI 8605614000 2009 2016-02-24 21:20:13Z GUY CAMBRIA JR 200 SEABURY DRIVE BLOOMFIELD CT 060022650 206744 0 X N/A X 2006 CT TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 9 9 0 0 0 0 0 37005 172813 836 756 1391 33175 39232 206744 0 0 0 0 0 321482 373789 321482 373789 -282250 -167045 1724769 3263608 2106285 3812169 -381516 -548561 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 0 0 252005 172813 TO PROVIDE, SPONSOR, INITIATE, DEVELOP, OPERATE AND MAINTAIN FACILITIES AND PROGRAMS FOR THE DELIVERY OF HEALTH CARE, PERSONAL CARE AND SUPPORT SERVICES TO THE ELDERLY DESIGNED TO PROMOTE AND EXTEND OPPORTUNITIES FOR INDEPENDENT LIVING AND PERSONAL HEALTH. 252005 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X STEVEN YANOFSKY CHURCH HOME VP FINANCE 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 X JAMES C ERVIN JR 0.30 X X 0 0 0 REV BORDEN W PAINTER JR 0.30 X 0 0 0 RAYMOND PAYNE 0.30 X X 0 0 0 GUY CAMBRIA JR 0.30 X X 0 0 0 DR DONNA R GALLUZZO 0.30 X X 0 0 0 DR H DAVID CROMBIE 0.30 X 0 0 0 REV JEFFREY S DUGAN 0.30 X X 0 0 0 WINIFRED GRANGER 0.30 X 0 0 0 DONALD F HARRIS JR 0.30 X 0 0 0 JOHN S MOBLEY 0.30 X 0 296327 55446 0 296327 55446 0 0 1 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 123913 1 HOME HEALTH SERV. FEES 621610 102426 102426 AMORT OF ENTRANCE FEES 621610 70387 70387 172813 756 756 MISCELLANOUES 900099 33175 33175 33175 206744 172813 0 33931 5400 5400 108945 108945 6174 3087 3087 1865 1865 15950 15950 3554 3554 CONTRACTED SERVICES 136358 136358 MISCELLANEOUS 70089 70089 REMOVAL SERVICES 6720 6720 TAXES AND LICENSES 5171 5171 TELEPHONE 3649 3649 9914 9211 703 373789 252005 121784 0 732810 1565755 173468 865583 3911 6766 854057 28553 814580 825504 1724769 3263608 698790 288 1407495 3811881 2106285 3812169 X -381516 -548561 -381516 -548561 1724769 3263608 X 0 1 1 X 0 X 37005 172813 209818 37005 172813 209818 0 0 0 209818 836 756 1592 836 756 1592 1391 33175 34566 39232 206744 245976 X 315692 315692 366894 26363 340531 20333 2190 18143 151138 151138 825504 DEFERRED REVENUE FROM ENTRANCE FEES 2187346 FUTURE SERVICE OBLIGATION 59407 LOAN PAYABLE TO RELATED PARTY 1565128 3811881 206744 373789 -167045 0 -167045 206744 0 206744 0 206744 373789 0 373789 0 373789 X X X X X 0 0 0 0 0 0 0 0 0 JOHN S MOBLEY 0 296327 0 0 0 0 0 39891 0 15555 0 351773 0 0 Form 990, Part VI, Section A, line 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. Form 990, Part VI, Section A, line 7a CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY AT HOME INCORPORATED. Form 990, Part VI, Section A, line 7b CHANGES TO BYLAWS AND ARTICLES MUST BE APPROVED BY MEMBERS. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. Form 990, Part VI, Section B, line 15a JOHN MOBLEY IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATON WAGE SURVEYS. Form 990, Part VI, Section C, line 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) SEABURY MEMORY CARE CENTER INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 200158017 PROVIDE HOUSING AND HEALTH SERVICES TO ALZHEIMER'S PATIENTS CT 501(C)3 509(A)(2) SEABURY CHARITABLE FOUNDATIONINC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO PROVIDE SUPPORT TO CHURCH HOME OF HARTFORD CT 501(C)3 509(A)(3) - TYPE I 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 CHURCH HOME OF HARTFORD INCORPORATED L 291030 CHURCH HOME OF HARTFORD INCORPORATED E 1565128