2018-11-05T11:49:42-06:00 2017-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2017-01-01 141364545 HUDSON VALLEY SENIOR RESIDENCE HUDS 8453310630 700 WHITE PLAINS ROAD NO 377 SCARSDALE NY 10583 LARAINE FELLEGARA CFO 9413656365 2018-10-31 1 ARIEL F AMMIRATO P01346991 5184644080 72.45.188.222 2018-10-31 11:39:09 ED P 965D4368A5CC4225FDFBF03B4402BB85A5BF21B8 0E405CA7D232DACFCCC1A783879504AD706269DC 2017 2018-06-14 16:35:46Z LARAINE FELLEGARA 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 1140986 0 X WWW.HVSRKINGSTON.ORG X 1919 NY HUDSON VALLEY SENIOR RESIDENCE IS A LICENSED ADULT HOME-ASSISTED LIVING RESIDENCE WITH A CAPACITY OF 48 RESIDENTS. 17 16 0 36 0 0 18454 10042 1277416 1130534 26 30 5207 380 1301103 1140986 0 0 0 0 529612 567750 0 0 0 912437 809181 1442049 1376931 -140946 -235945 461218 444156 417947 620830 43271 -176674 THE SENIOR RESIDENCE IS A NOT-FOR-PROFIT SERVING A MISSION OF PROVIDING QUALITY HOUSING IN A HOME-LIKE ATMOSPHERE. 0 0 1138330 1130874 LICENSED FACILITY WITH AN ASSISTED LIVING PROGRAM FOR ELDERLY RESIDENTS IN A HOME-LIKE ATMOSPHERE. CAPACITY - 48 RESIDENTS. 1138330 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 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 12 0 1 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 NY X LARAINE FELLEGARA CFO 9413656365 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 LOUIS ALBANO BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ANNETTE BALL BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ALEC DAVIS BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 REV DR ROBERT HARTWELL BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 CHRISTOPHER JONES BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 THOMAS KEON SECRETARY 1.00 X X 0 0 0 ANNA MAE KNOWLES BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 PETER MAZER BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 FR BRIAN MCWEENEY BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 JOHN MESLOH CHAIR 1.00 X X 0 0 0 RICHARD OLSON BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 BARBARA RACZAK BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 JOHN RUTH BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 JOHN SHANE BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 LYNETTE TAYLOR BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ARTHUR UPRIGHT VICE CHAIR 1.00 X X 0 0 0 FRANK TRIPODI BOARD MEMBER & PRESIDENT 1.00 34.00 X X 0 463481 32960 THOMAS MALDARELLI ADMINISTRATOR 35.00 X 57041 0 1332 LARAINE FELLEGARA CFO 2.10 34.00 X 0 328552 25971 57041 792033 60263 0 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 288607 1 10042 10042 RESIDENT SERVICE REVEN 532000 1130534 1130534 1130534 30 30 40 0 40 40 OTHER REVENUE 900099 340 340 340 1140986 1130874 0 70 58373 58373 433014 433014 6722 6722 69641 64981 4660 46047 46047 2500 2500 13175 13175 7522 7522 7117 7117 7891 7891 275602 270288 5314 967 967 1575 1575 7135 6350 785 87198 87198 FOOD 281809 281809 REPAIRS & MAINTENANCE 44952 44952 SUPPLIES 6142 6142 MISCELLANEOUS 5182 5182 14367 6891 7476 1376931 1138330 238601 0 76082 31519 16633 450 3219 3219 45780 30531 77138 14324 47348 62814 175335 191335 96821 124288 461218 444156 89538 133848 37730 29045 290679 457937 417947 620830 X -132064 -368009 175335 191335 43271 -176674 461218 444156 X -235945 16000 X X 0 1 X 1 0 X 46432 19636 29778 23441 10082 129369 1093941 1231681 1306107 1277636 1130874 6040239 1140373 1251317 1335885 1301077 1140956 6169608 0 0 0 6169608 58 70 42 26 30 226 58 70 42 26 30 226 1140431 1251387 1335927 1301103 1140986 6169834 1.00000 0.99990 0.00000 0.00010 X 77138 14324 62814 62814 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 191335 F 191335 CASH - RESIDENT DEPOSITS 124288 124288 RESIDENT DEPOSITS 124288 DUE TO RELATED PARTIES 333649 457937 1156986 16000 16000 1140986 0 1140986 1376931 0 1376931 0 1376931 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF PERPETUAL TRUST 16,000. 0 0 0 0 0 0 0 0 0 FRANK TRIPODI BOARD MEMBER & PRESIDENT 0 410951 0 0 0 52530 0 5400 0 27560 0 496441 0 0 LARAINE FELLEGARA CFO 0 323752 0 0 0 4800 0 5400 0 20571 0 354523 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED THE CFO AND CEO FUNCTIONS TO THE LUTHERAN CARE NETWORK, INC., ITS SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE LUTHERAN CARE NETWORK, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER PERSUANT TO THE ORGANIZATION'S BY-LAWS. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE BY-LAWS OF HUDSON VALLEY SENIOR RESIDENCE, DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY THE LUTERHAN CARE NETWORK, INC., THE ORGANIZATION'S SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD AT REGULAR MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND MANAGEMENT OF THE ORGANIZATION MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE APPLICABLE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST 16,000. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. LUTHERAN CENTER AT POUGHKEEPSIE INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 223408456 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 0 GOOD SAMARITAN LUTERHAN HEALTH CARE CENTER INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 0 KENWOOD MANOR INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141368178 LICENSED ADULT HOME FACILITY NY 501(C)(3) LINE 10 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 10 0 WARTBURG NURSING HOME 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237087284 DORMANT NY 501(C)(3) LINE 10 0 LUTERHAN HOUSING DEVELOPMENT CORPORATION AT CONCORD VILLAGE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 030436196 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF LONG ISLAND 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112574183 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 LUTERHAN HOUSING DEVELOPMENT OF PAWLING 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113269257 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 WARTBURG HOUSING DEVELOPMENT FUND 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 10 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112645255 TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIES NY 501(C)(3) LINE 10 0 WARTBURG LUTHERAN HOME FOR THE AGING INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 111631836 MANAGE SENIOR HOUSING PROGRAM NY 501(C)(3) LINE 10 0 THE LUTHERAN CARE NETWORK INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112896230 PROVIDE MGMT, DEVP & FUNDRAISING SERVICES TO RELATED 501(C)(3) NY 501(C)(3) LINE 10 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0