2011-08-15T16:13:48-05:00 2010-09-30 LarsonAllen LLP 101 N Tryon Street Suite 1000 Charlotte NC 28246 990 2009-10-01 541327568 The Ballentine Home Corporation BALL 7574407400 7211 Granby Street Norfolk VA 23505 robert McFarland 7574407400 2011-08-12 1 7049985200 2009 2016-02-24 21:20:13Z J Benjamin Unkle Jr 3100 Shore Drive virginia beach VA 23451 3093535 0 X www.theballentine.com X 1985 VA to Provide assisted living, meals, spiritual, social and other services for the elderly. 6 6 82 0 0 0 179429 155925 2748242 2789346 -43346 2183 27600 11500 2911925 2958954 170140 151161 0 1572075 1471740 0 0 1091458 1087373 2833673 2710274 78252 248680 6142544 6191762 4480006 4256536 1662538 1935226 The religious and charitable purposes of operating a residential home for aging persons and providing related services. 0 0 2015179 155161 2789346 Operates Residential assisted living facility for elderly individuals with an average of approximately 63 residents. Services provided includes meals, nursing care, spritual and social events. In addition, monthly fellowship assistance, which totaled $151,161 for the year, was awarded to 15 individuals. 2015179 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 82 1 0 0 0 0 0 0 0 0 0 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 VA X Daniel COetzel 7574961104 3100 Shore Drive virginia beach VA 23451 X Robert McFarland 1.00 X X 0 0 0 REVErent ALBERT G Butzer III 1.00 X 0 0 0 The Rev Canon Win Lewis 1.00 X 0 0 0 BJ Taylor 1.00 X 0 0 0 Donna Shivar 1.00 X 0 0 0 Emily S Washington 1.00 X 0 0 0 Hugh L Patterson 1.00 X 0 0 0 The Rt Rev Holly Hollerith 1.00 X 0 0 0 The Rev Dr J Richard Short 1.00 X 0 0 0 J Benjamin Unkle Jr 40.00 X 0 385855 35513 Daniel C Oetzel 40.00 X 0 214949 28968 Daniel J Nimon 40.00 X 0 70978 9202 Robert A HEALY 40.00 X 0 134134 26241 lORRAINE D MAHONE 40.00 X 0 142098 24033 Erle Marie Latimer 40.00 X 0 14530 101450 0 877036 114755 0 0 1 0 Optima Health Plan PO BOX 791148 BALTIMORE MD 21279 Health plan 168144 US Foodservice Inc PO BOX 396 NORFOLK VA 23501 Food supplier 100035 2 155925 155925 Resident Services 623000 2787286 2787286 2060 2060 2789346 14751 14751 11500 11500 11500 11500 122013 134581 -12568 -12568 -12568 2958954 2789346 0 13683 151161 151161 1213993 988305 225688 1465 197 1268 165681 165681 90601 74199 16402 115710 115710 139662 134014 5648 44899 44899 70700 46497 24203 107032 107032 1717 522 1195 68895 68895 210152 210152 61197 61197 food costs 154914 154914 112495 79291 33204 2710274 2015179 695095 0 352284 555036 81975 64611 6705 7590 20381 16182 9925375 5390953 4708744 4534422 802531 848226 169924 165695 6142544 6191762 198304 165696 4165000 3955000 116702 135840 4480006 4256536 X 1530013 1797937 132525 137289 1662538 1935226 6142544 6191762 X 0 1 1 X 0 X 127945 217436 169943 179429 155925 850678 2375778 2470150 2718044 2748242 2789346 13101560 2503723 2687586 2887987 2927671 2945271 13952238 0 0 0 13952238 19292 24121 34462 17047 2183 97105 19292 24121 34462 17047 2183 97105 1850 14800 27600 27600 11500 83350 2524865 2726507 2950049 2972318 2958954 14132693 0.98720 0.98640 0.00690 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 998717 998717 8072692 4875229 3197463 679146 410147 268999 174820 105577 69243 4534422 investments 848226 F 848226 Present Value of Interest rate swap 135840 135840 1 monthly fellowship assistance 15 151161 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Candidates complete an application, which is then reviewed by the Ballentine Home Administrator and Westminster Canterbury's VP of Resident and Health Services. Candidates who meet the qualifications for fellowship are approved based on available funds. Any concerns regarding the application are then addressed by the Ballentine Home Board of Trustees. X X X X X 0 0 0 0 0 0 0 0 0 J Benjamin Unkle Jr 0 265000 0 77500 0 43355 0 13329 0 22184 0 421368 0 0 Daniel C Oetzel 0 166233 0 769 0 47947 0 10112 0 18856 0 243917 0 0 Robert A HEALY 0 130513 0 769 0 2852 0 6882 0 19359 0 160375 0 0 lORRAINE D MAHONE 0 125196 0 769 0 16133 0 7141 0 16892 0 166131 0 0 Form 990, Part VI, Section B, line 11 The form 990 is made available to the Board of Trustees for their review before it is filed with the irs. Form 990, Part VI, Section B, line 12c Individuals who serve on the Board of Trustees are asked to read our conflict of interest policy and complete a conflict of interest questionnaire annually. If any potential conflicts are disclosed in the annual questionnaire, the situation is reviewed with the President and the Chair of the Board. If necessary, Board members recuse themselves from voting if there is a possibility of a conflict of interest. Form 990, Part VI, Section B, line 15 The organization engages a third party consultant that specializes in executive compensation to provide competitive market data to the Executive Committee, which serves as the Personnel Committee of the Board of Trustees. The third party consultant utilizes published survey data as well as data from expert survey sources. The data selected for comparison represents a comparable position in organizations of similar industries and similar revenue and budget size. The Executive Committee uses the information and recommendations of the third party consultant as a basis for salary actions. this process was last performed in 2009. Form 990, Part VI, Section C, line 19 the financial statements are made available to the public upon request. Form 990, Part XI, Line 2c: No changes for approving audited financial statements or selection of independent accountants have occurred from the prior year. Westminster Canterbury of Hampton Roads Foundation 3100 Shore Drive Virginia Beach NC 23451 541666603 support VA 501(c)(3) 509(a)(3) N/A Westminster Canterbury of Hampton Roads inc 3100 Shore Drive Virginia Beach NC 23451 541071734 services to the elderly VA 501(c)(3) 509(a)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 Westminster Canterbury of Hampton Roads inc L 115710 Westminster Canterbury of Hampton Roads inc O 60350