2019-11-15T14:19:03-06:00 2018-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2018-01-01 112466996 CRYSTAL RUN VILLAGE INC CRYS 8456924444 420 SCHUTT RD EXT MIDDLETOWN NY 10940 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 8456924444 2019-11-14 1 BETTINA LIPPHARDT P00956232 3154227109 2019-11-14 66.109.44.162 2019-11-14 11:50:10 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F135B301DFC3E50CBE04174F77DDE068AA4B5401 2018 2020-03-31 21:24:44Z WILLIAM SAMMIS 420 SCHUTT RD EXT MIDDLETOWN NY 10940 39327725 0 X HTTP://CRVI.ORG/ X 1978 NY THE ORGANIZATION FOCUSES ON THE PRINCIPLES OF ENDOWMENT, OPPORTUNITY, DIGNITY AND INDEPENDENCE FOR PEOPLE WITH DISABILITIES AND ENSURES THE INDIVIDUALS IN ITS CARE HAVE AS SUCCESSFUL A LIFE AS POSSIBLE THROUGH MEANINGFUL PARTICIPATION IN THEIR COMMUNITIES. THE FUTURE EMPHASIS FOR THE ORGANIZATION IS TO CONTINUE PIONEERING AND EXPANDING THE SCOPE OF SERVICES AVAILABLE FOR PEOPLE IN THE HUDSON VALLEY AND CATSKILL REGIONS THROUGH A VARIETY OF RESIDENTIAL, VOCATIONAL, SKILLS DEVELOPMENT, SERVICE COORDINATION AND CASE MANAGEMENT PROGRAMS. 12 12 1013 27 0 9370 40 32183 37047293 38183165 22605 824229 102955 116584 37172893 39156161 0 0 0 0 28593893 30763517 0 0 0 8330353 8474667 36924246 39238184 248647 -82023 28120910 36714143 10849203 19512835 17271707 17201308 X TO PROVIDE SERVICES FOR THE INTEGRATION AND EMPOWERMENT OF PEOPLE WITH DISABILITIES. 0 0 29997068 33444820 RESIDENTIAL SERVICES - COMPREHENSIVE REHAB AND HABILITATION SERVICES TO PERSONS WITH DEVELOPMENTAL DISABILITIES AND/OR MENTAL ILLNESS INCLUDING PROVISIONS OF A HOME LIKE ENVIRONMENT. NUMBER OF CLIENTS SERVED: 303 2615880 3073032 COMMUNITY BASED SERVICES - PROVIDES RESPITE AND/OR SKILL BUILDING SUPPORT TO DEVELOPMENTALLY DISABLED INDIVIDUALS WITHIN THE COMMUNITY. NUMBER OF CLIENTS SERVED: 412 1615697 1666031 DAY SERVICES - PROVIDES SUPPORT AND TRAINING FOR DEVELOPMENTALLY DISABLED INDIVIDUALS WHILE THEY ARE WORKING IN THE COMMUNITY WITH ENDING RESULT AS JOB REPLACEMENT. NUMBER OF CLIENTS SERVED: 70 115866 OTHER RELATED REVENUE 115866 34228645 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 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 0 0 1 0 0 0 1 42 0 1 1013 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X WILLIAM BOGDAN 8456924444 420 SCHUTT RD EXT MIDDLETOWN NY 10940 JOHN DUNNE PRESIDENT 1.00 1.00 X X 0 0 0 BETH POST VICE PRESIDENT 1.00 1.00 X X 0 0 0 MICHAEL FLYNN TREASURER 1.00 1.00 X X 0 0 0 JAMES LAWLER SECRETARY 1.00 1.00 X X 0 0 1124 CHRISTOPHER PLUM DIRECTOR 1.00 1.00 X 0 0 0 PAM FANDL DIRECTOR 1.00 1.00 X 0 0 0 SUSAN KENNEDY DIRECTOR 1.00 1.00 X 0 0 0 LEWIS SIEGEL DIRECTOR 1.00 1.00 X 0 0 0 MICAH HOERNIG DIRECTOR 1.00 1.00 X 0 0 0 YVONNE D COMEAU DIRECTOR 1.00 1.00 X 0 0 0 CORINNE CODY DIRECTOR 1.00 1.00 X 0 0 0 SUMMER BALACACERES DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 50.00 5.00 X 302502 0 21975 WILLIAM BOGDAN CHIEF FINANCIAL OFFICER 50.00 5.00 X 163456 0 19499 STEVE RUBINSKY CHIEF OPERATING OFFICER 50.00 5.00 X 149889 0 9427 AUDRA COON DIRECTOR OF FINANCE 40.00 5.00 X 118027 0 23572 CHRIS FORTUNE CHIEF PROGRAM OFFICER 40.00 5.00 X 127992 0 11747 861866 0 87344 5 0 1 0 IQUARTERS LLC PO BOX 277 MONTGOMERY NY 12549 NETWORK ADMINISTRATION 414689 JASON T ANDERSON ARCHITECT PC 25 WALLKILL AVENUE MONTGOMERY NY 12549 ARCHITECTURE 188730 BARCLAY DAMON LLP 2000 FIVE STAR BANK PLAZA 100 CHES ROCHESTER NY 14604 ATTORNEY 184811 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 ACCOUNTING 137430 JACKSON LEWIS PC 666 3RD AVE 29TH FLOOR NEW YORK NY 10017 ATTORNEY 133161 7 32183 32183 MEDICAID 624200 33962776 33962776 PARTICIPANT FEES 624200 3471978 3471978 FOOD STAMP REVENUE 624200 574310 574310 PRIOR PERIOD REVENUE 624200 67409 67409 FEE FOR SERVICES 624200 66709 66709 39983 39983 38183165 36691 36691 959102 171564 787538 787538 787538 OTHER INCOME 900099 116584 116584 116584 39156161 38299749 0 824229 507432 507432 23840413 21568323 2272090 423958 386003 37955 3010574 2671021 339553 2981140 2752789 228351 107493 107493 436519 70597 365922 1116713 731324 385389 1934124 1781771 152353 892462 843944 48518 139025 27319 111706 222789 220372 2417 1373343 1281263 92080 446584 346284 100300 FOOD 815531 804567 10964 PARTICIPANT EXPENSE 286087 286087 EQUIPMENT 251913 233134 18779 BAD DEBTS 94090 94090 357994 129757 228237 39238184 34228645 5009539 0 194264 201706 7473693 7193466 2961390 3378299 17728 17728 446426 264989 42018296 19501042 12895066 22517254 4132343 3140701 28120910 36714143 5322802 5619023 959264 9707978 748146 731819 2326248 2345486 1492743 1108529 10849203 19512835 X 17271707 17201308 17271707 17201308 28120910 36714143 -82023 11624 0 X X 0 1 X 1 0 X 74532 341798 70399 40 32183 518952 37891695 38185869 38462168 37047293 38183165 189770190 37966227 38527667 38532567 37047333 38215348 190289142 0 0 0 190289142 21928 22604 22111 22290 36691 125624 21928 22604 22111 22290 36691 125624 529680 95207 81905 102955 116584 926331 38517835 38645478 38636583 37172578 38368623 191341097 0.99450 0.99460 0.00070 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 3195854 3195854 20671446 15003470 5667976 6200426 4497572 1702854 11950570 11950570 22517254 CLIENT FUNDS 731819 DUE FROM AFFILIATES 1591838 DEBT SERVICE RESERVE FUND 636821 SECURITY DEPOSITS 30160 ASSETS LIMITED TO USE 123396 INVESTMENT IN HUDSON VALLEY SERVICE PROVIDERS, LLC 26667 3140701 DUE TO FUNDING SOURCES 428877 OTHER LIABILITIES 83514 LINE OF CREDIT 596138 1108529 39167785 11624 11624 39156161 0 39156161 39238184 0 39238184 0 39238184 X X X X 0 0 0 0 0 0 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 290502 0 12000 0 0 0 14381 0 7594 0 324477 0 0 0 WILLIAM BOGDAN CHIEF FINANCIAL OFFICER 156081 0 7375 0 0 0 2208 0 17291 0 182955 0 0 0 STEVE RUBINSKY CHIEF OPERATING OFFICER 149889 0 0 0 0 0 0 0 9427 0 159316 0 0 0 A ORANGE COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141603415 684595DR9 2006-06-15 3635000 FINANCING FACILITIES CONSTRUCTION 0 0 1 B SULLIVAN COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141651045 865272AY4 2006-06-15 1855000 FINANCING FACILITIES CONSTRUCTION 0 0 1 C ORANGE COUNTY FUNDING CORPORATION 273179651 000000000 2018-12-28 9200000 FINANCING FACILITIES CONSTRUCTION 0 0 0 A 3635000 363500 72700 3198800 2006 0 0 1 1 B 1855000 185500 37100 1632400 2006 0 0 1 1 C 9200000 295627 8904373 2018 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND SUBMITTED TO THE CHIEF EXECUTIVE OFFICER FOR ADDITIONAL REVIEW AND QUESTIONS. AFTER THEIR REVIEW IS COMPLETE, THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND QUESTIONS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO SIGN A CONFLICT OF INTEREST DECLARATION ANNUALLY. OVERSIGHT IS PROVIDED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER COMPLETES AN ANNUAL SELF-EVALUATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS COMPLETES AN ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE PRESIDENT OF THE BOARD OF DIRECTORS COMPILES THE RESULTS AND PRESENTS THE RESULTS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MEETS TO DISCUSS THE RESULTS AND PRESENTS THEM TO THE FULL BOARD OF DIRECTORS. AN INDEPENDENT ACCOUNTING FIRM PROVIDES THE BOARD OF DIRECTORS WITH COMPARATIVE SALARY DATA FROM SIMILAR ORGANIZATIONS IN THE REGION AND PROVIDES THE BOARD OF DIRECTORS WITH THEIR RECOMMENDATION FOR THE CHIEF EXECUTIVE OFFICER'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD REVIEWS THE RESULTS OF THE AUDIT AND HAS RESPONSIBILITY FOR FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS AS WELL AS APPOINTING OUTSIDE ACCOUNTANTS. CRYSTAL RUN VILLAGE FOUNDATION INC 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 141707425 SUPPORT NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 133578723 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION II 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 133646053 RENTAL NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION III 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 061391628 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 061461003 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION II 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 161521540 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION III 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 061565999 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION IV 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 061566006 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION V 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 061614498 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION VI 420 SCHUTT ROAD EXTENSION MIDDLETOWN NY 10940 542073371 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 CRYSTAL RUN OWNER CORPORATION K 175117 HUD APPROVED RATES CRYSTAL RUN OWNER CORPORATION V K 52839 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION K 78736 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION II K 56676 HUD APPROVED RATES CRYSTAL RUN VILLAGE FOUNDATION INC C 32183 FAIR MARKET VALUE