2014-11-12T13:18:04-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2013-01-01 043274643 AVIV ASSISTED LIVING INC F/K/A JRC ASSISTED LIVING INC AVIV 9784715100 240 LYNNFIELD STREET PEABODY MA 019605055 KIM JOYCE ASST TREASURER & CFO 9784715100 2014-11-10 1 ROBERT DILLAN P01688008 6179848100 2014-11-10 2013 2015-11-30 17:44:51Z WOODBRIDGE ASSISTED LIVING KIM JOYCE 240 LYNNFIELD STREET PEABODY MA 019605055 7740113 0 X WWW.AVIVLIVING.ORG X 1995 MA TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS SO THAT EACH MAY CONTINUE TO LIVE HIS OR HER LIFE WITH A SENSE OF MEANING AND PURPOSE. WE PROVIDE ASSISTED LIVING UNITS FOR OUR TENANTS. 7 6 185 9 0 0 0 0 7991527 7740080 51 33 0 0 7991578 7740113 0 0 0 0 3630866 3686251 0 0 0 3770221 3748285 7401087 7434536 590491 305577 18114927 18306578 17479656 17177019 635271 1129559 TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS SO THAT EACH MAY CONTINUE TO LIVE HIS OR HER LIFE WITH A SENSE OF MEANING AND PURPOSE. WE PROVIDE ASSISTED LIVING UNITS FOR OUR TENANTS. 0 0 6506276 7740080 PROVIDE 130 UNITS OF ASSISTED LIVING TO THE ELDERLY. 6506276 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 26 0 185 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 MA X KIM JOYCE CFO 9784715100 240 LYNNFIELD STREET PEABODY MA 01960 STEPHEN H NEFF PRESIDENT & CEO - UNTIL 4/2/13 0.00 40.00 X X 0 220189 130397 ERIC LEVY CHAIR 2.00 5.00 X X 0 0 0 DAVID VARSANO VICE CHAIR 1.00 3.00 X X 0 0 0 WAYNE SHERIDAN TREASURER 1.00 3.00 X X 0 0 0 NATALIE LEDERMAN SECRETARY 1.00 2.00 X X 0 0 0 KIM JOYCE ASST TREASURER & CFO 0.00 40.00 X X 0 160000 16231 DAVID PLINER DIRECTOR 1.00 3.00 X 0 0 0 NEAL MIZNER SECRETARY 1.00 3.00 X X 0 0 0 MEGIN HEMMERLING EXECUTIVE DIRECTOR - ASSISTED LIVING 40.00 0.00 X 117231 0 10664 MATTHEW WEINSTOCK ASST SECRETARY & COO - FORMER 0.00 0.00 X 0 166977 9471 117231 547166 166763 1 1 1 0 0 RESIDENT RENTAL FEES 623000 7434630 7434630 SERVICE INCOME 623000 171688 171688 OTHER INCOME 623000 133762 133762 7740080 33 33 7740113 7740080 0 33 3151850 2912219 239631 4780 4417 363 159012 146923 12089 370609 342432 28177 648000 648000 29780 29780 359656 359656 43618 43618 78886 78886 362840 362840 745 745 676450 676450 567282 567282 118000 118000 FOOD 587933 587933 SUPPLIES 269965 269965 MISCELLANEOUS 5130 5130 7434536 6506276 928260 0 456160 260557 93878 94913 1200 0 12893 27215 19150435 5982761 13461796 13167674 4089000 4756219 18114927 18306578 602129 655450 123050 165770 15508700 15338562 1245777 1017237 17479656 17177019 X 635271 1129559 635271 1129559 18114927 18306578 X 305577 188711 X X 0 1 X 1 0 X 7570859 7399271 7222895 7991528 7740080 37924633 7570859 7399271 7222895 7991528 7740080 37924633 0 0 0 37924633 7173 3603 843 51 33 11703 7173 3603 843 51 33 11703 7578032 7402874 7223738 7991579 7740113 37936336 0.99970 0.99910 0.00030 0.00090 X 1771258 1771258 15549103 4560033 10989070 1830074 1422728 407346 13167674 UNAMORTIZED MORTGAGE ACQUISITION CO 412500 DUE FROM RELATED PARTY 3090806 DEPOSITS 7283 FUNDED RESERVES 693059 SECURITY DEPOSITS 552571 4756219 SECURITY DEPOSITS 542501 ADMISSION DEPOSITS 4000 FAIR VALUE OF INTEREST RATE SWAP 470736 1017237 X PART X, LINE 2: AVIV ASSISTED LIVING, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AVIV ASSISTED LIVING, INC. FILES AS A TAX-EXEMPT ORGANIZATION. THE 2010 THROUGH 2013 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 STEPHEN H NEFF PRESIDENT & CEO - UNTIL 4/2/13 0 102189 0 0 0 118000 0 0 0 130397 0 350586 0 0 KIM JOYCE ASST TREASURER & CFO 0 160000 0 0 0 0 0 0 0 16231 0 176231 0 0 MATTHEW WEINSTOCK ASST SECRETARY & COO - FORMER 0 166977 0 0 0 0 0 0 0 9471 0 176448 0 0 PART I, LINE 1A STEPHEN NEFF, PRESIDENT & CEO, RECEIVED A HOUSING ALLOWANCE OF $118,000 IN CALENDAR YEAR 2013 AS INCLUDED IN OTHER REPORTABLE INCOME ON FORM 990, PART VII AND SCHEDULE J, COL. B(III). PART I, LINES 4A-B STEPHEN NEFF, CEO, AND MATT WEINSTOCK, COO, RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (A '457(F)' PLAN) OF $105,933 AND $38,809, RESPECTIVELY. MATT WEINSTOCK ALSO RECIEVED A SEVERANCE PAYMENT OF APRROXIMATELY $166,977. A MASS DEVELOPMENT FINANCE AGENCY 043431814 57583UBR8 2011-04-29 15446112 TO REFUND OLD BONDS AND REPLACE EXISTING FACILITY. 0 0 0 A 15026111 15446112 230600 189401 2012 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 M&T BANK 5.000000000000 0 0 0 0 0 A 0 SCHEDULE K SUPPLENTAL INFORMATION THIS ORGANIZATION IS REPORTING THEIR RESPECTIVE SHARE OF THE $50M BOND ISSUED ON 4/29/11. SEE JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC. (EIN 04-2106768) FOR THE REMAINING PORTION. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS CPA PREPARED FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND EXECUTIVE MANAGERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST STATEMENT. STATEMENTS ARE REVIEWED BY A SUBCOMMITTEE OF BOARD MEMBERS AND THE CEO. MONTHLY COMPLIANCE COMMITTEE MEETINGS INCLUDE REVIEW AND MONITORING OF ANY POTENTIAL OR ACTUAL CONFLICTS. DETERMINING THE LEVEL OF CONFLICT FOR REVIEW IS BASED ON POTENTIAL FINANCIAL OR LEGAL RISK TO THE ORGANIZATION. IF A CONFLICT (ACTUAL OR POTENTIAL) IS RAISED FOR A BOARD MEMBER, HE/SHE IS REFRAINED FROM VOTING ON RELATED TOPICS. MANAGERS WITH CONFLICT (ACTUAL OR POTENTIAL) ARE BANNED FROM OVERSIGHT AND DECISION MAKING FOR THAT SUBJECT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT PERFORMS MANAGEMENT DUTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO, HIRING, FIRING,AND SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS OR FINANCIAL OPERATIONS, OR SUPERVISING EXEMPT OPERATIONS OR UNRELATED TRADES OR BUSINESSES OF THE ORGANIZATION FOR SEVERAL RELATED ENTITIES. MANAGEMENT CONTROL IS NOT CONSIDERED DELEGATED AND MANAGEMENT PERSONNEL ARE PAID FROM A CENTRALIZED MANAGEMENT ORGANIZATION, AVIV CENTERS FOR LIVING, INC. PLEASE SEE FORM 990, PART VII FOR COMPENSATION DETAIL. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 188,711. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT OVERSEES THE AUDIT AND SELECTS THE AUDITOR. AVIV FOUNDATION INC 240 LYNNFIELD STREET PEABODY MA 01960 223102199 FUNDRAISING MA 501(C)(3) LINE 7 AVIV CENTERS FOR LIVING INC 0 JEWISH REHABILITATION CTR FOR THE AGED OF THE NORTH SHORE INC 240 LYNNFIELD STREET PEABODY MA 01960 042106768 SKILLED NURSING CARE MA 501(C)(3) LINE 9 AVIV CENTERS FOR LIVING INC 0 AVIV CENTERS FOR LIVING INC 240 LYNNFIELD STREET PEABODY MA 01960 261244471 MANAGEMENT MA 501(C)(3) LINE 11B, II 0 JRC REALTY CORPORATION INC 240 LYNNFIELD STREET PEABODY MA 01960 043321272 REAL ESTATE MA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0