STRATEGY STUDIO / PUBLIC DATA EXPLORER

BALLENTINE HOME CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BALLENTINE HOME CORPORATION (EIN 54-1327568)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-09
IRS object ID
201302219349300800
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-09T08:12:47-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541327568EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE BALLENTINE HOME CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBALLNameControl
Phone7574407400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17211 GRANBY STREETAddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23505ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ BENJAMIN UNKLE JRName
TitlePRESIDENT & CEOTitle
Phone7574961104Phone
Date Signed2013-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ BENJAMIN UNKLE JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityVIRGINIA BEACHCity
StateVAState
ZIP Code23451ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7417497GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THEBALLENTINE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ASSISTED LIVING, MEALS, SPIRITUAL, SOCIAL AND OTHER SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees83TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year146508ContributionsGrantsPriorYear
Contributions Grants Current Year9552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3111652ProgramServiceRevenuePriorYear
Program Service Revenue CY1227179ProgramServiceRevenueCY
Investment Income Prior Year24627InvestmentIncomePriorYear
Investment Income Current Year1744377InvestmentIncomeCurrentYear
Other Revenue Prior Year-150363OtherRevenuePriorYear
Other Revenue Current Year-71191OtherRevenueCurrentYear
Total Revenue Prior Year3132424TotalRevenuePriorYear
Total Revenue Current Year2909917TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year154505GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY65251GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1541783SalariesEtcPriorYear
Salaries Etc Current Year616824SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1271827OtherExpensePriorYear
Other Expenses Current Year601388OtherExpensesCurrentYear
Total Expenses Prior Year2968115TotalExpensesPriorYear
Total Expenses Current Year1283463TotalExpensesCurrentYear
Revenues Less Expenses Prior Year164309RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1626454RevenuesLessExpensesCY
Total Assets BOY6143572TotalAssetsBOY
Total Assets EOY3885529TotalAssetsEOY
Total Liabilities BOY4048232TotalLiabilitiesBOY
Total Liabilities EOY4100TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2095340NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3881429NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE RELIGIOUS AND CHARITABLE PURPOSES OF OPERATING A RESIDENTIAL HOME FOR AGING PERSONS AND PROVIDING RELATED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense931258Expense
Revenue1227179Revenue
DescriptionOPERATES RESIDENTIAL ASSISTED LIVING FACILITY FOR ELDERLY INDIVIDUALS WITH AN AVERAGE OF APPROXIMATELY 66 RESIDENTS. SERVICES PROVIDED INCLUDES MEALS, NURSING CARE, SPRITUAL AND SOCIAL EVENTS. IN ADDITION, MONTHLY FELLOWSHIP ASSISTANCE, WHICH TOTALED $65,251 FOR THE YEAR, WAS AWARDED TO 7 INDIVIDUALS.Description
Total Program Service Expense931258TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees83NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSEPH F BELVEDERE JR CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7574961104TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityVIRGINIA BEACHCity
StateVAState
ZIP Code23451ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT MCFARLAND
CHAIR1.00XX000
REVERENT ALBERT G BUTZER III
TRUSTEE1.00X000
THE REV CANON WIN LEWIS
TRUSTEE1.00X000
BJ TAYLOR
TRUSTEE1.00X000
DONNA SHIVAR
TRUSTEE1.00X000
EMILY S WASHINGTON
SECRETARY/TREASURER1.00XX000
THE RT REV HOLLY HOLLERITH
EX-OFFICIO1.00X000
THE REV DR J RICHARD SHORT
EX-OFFICIO1.00X000
J BENJAMIN UNKLE JRSCH J-III
PRESIDENT/CEO40.00X037574740704
DANIEL C OETZEL
CFO/ASSISTANT TREASURER40.00X019285422431
DANIEL J NIMON
ASSISTANT SECRETARY40.00X020112017942
ROBERT A HEELY
VP-DEVELOPMENT AND COM.40.00013525322346X
LORRAINE D MAHONE
VP-HUMAN RESOURCES40.00013806420282X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1043038TotalReportableCompFrmRltdOrgs
Total Other Compensation123705TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1US FOODSERVICE INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 396AddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23501ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesFOOD SUPPLIERDescriptionOfServices
Compensation104188Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions9552AllOtherContributions
Total Contributions9552TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column1225842TotalRevenueColumn
Related Or Exempt Function Income1225842RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1337TotalRevenueColumn
Related Or Exempt Function Income1337RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1227179TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54276TotalRevenueColumn
Exclusion$54,276ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities137681Securities
Other6060000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities141023Securities
Other4366557Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3342Securities
Other1693443Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1690101TotalRevenueColumn
Exclusion$1,690,101ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON DEBTDescription
Business Code900099BusinessCode
Total Revenue Column-71191TotalRevenueColumn
Exclusion-$71,191ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-71191TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2909917TotalRevenueColumn
Related Or Exempt Function Income1227179RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,673,186ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total65251Total
Program Services65251ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total527081Total
Program Services460510ProgramServices
Management And General66571ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6635Total
Program Services6514ProgramServices
Management And General121ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total40572Total
Program Services35518ProgramServices
Management And General5054ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total42536Total
Program Services36571ProgramServices
Management And General5965ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total78929Total
Management And General78929ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total77881Total
Management And General77881ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4580Total
Management And General4580ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total67831Total
Program Services39196ProgramServices
Management And General28635ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total17037Total
Management And General17037ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34696Total
Program Services21529ProgramServices
Management And General13167ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total54575Total
Program Services54575ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total336Total
Program Services98ProgramServices
Management And General238ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total183Total
Program Services73ProgramServices
Management And General110ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total66029Total
Program Services66029ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total76161Total
Program Services76161ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total40932Total
Management And General40932ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COSTS6190761907
OTHER EXPENSES20311732612985

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1283463Total
Program Services931258ProgramServices
Management And General352205ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY342740BOY
EOY561577EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY110996BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7495BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6887BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4393974BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1208051BOY
EOY3323952EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY73429BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6143572BOY
EOY3885529EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY195320BOY
EOY4100EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3752500BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100412BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4048232BOY
EOY4100EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1966048BOY
EOY3807836EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY129292BOY
EOY73593EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2095340BOY
EOY3881429EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6143572BOY
EOY3885529EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1626454ReconcilationRevenueExpenses
Reconcilation Other Changes159635ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years169943CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years179429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year171135CurrentTaxYearMinus1Year
Current Tax Year60486CurrentTaxYear
Total736918Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2718044CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2748242CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2789346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3111652CurrentTaxYearMinus1Year
Current Tax Year1227179CurrentTaxYear
Total12594463Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2887987CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2927671CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2945271CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3282787CurrentTaxYearMinus1Year
Current Tax Year1287665CurrentTaxYear
Total13331381Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50913331381PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62062CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24627CurrentTaxYearMinus1Year
Current Tax Year50934CurrentTaxYear
Total208521Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62062CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24627CurrentTaxYearMinus1Year
Current Tax Year50934CurrentTaxYear
Total208521Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-150363CurrentTaxYearMinus1Year
Current Tax Year71191CurrentTaxYear
Total-79172Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2950049CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2972318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2971522CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3157051CurrentTaxYearMinus1Year
Current Tax Year1409790CurrentTaxYear
Total13460730Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99040PublicSupportPercentage509
Prior Year Support Percentage0.99690PriorYearSupportPercentage
Investment Income Percentage0.01550InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01330PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value3323952BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related3323952TotalOfBookValueProgramRelated

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationBALLENTINE HOME CORPORATION IS A NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). BALLENTINE FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD ANY STATUS BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF BALLENTINE. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR BALLENTINE. BALLENTINE HAVE ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantMONTHLY FELLOWSHIP ASSISTANCETypeOfGrant
Number Of Recipients7NumberOfRecipients
Amount Of Cash Grant62251AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
J BENJAMIN UNKLE JRSCH J-III
0269621078800027326022158018546041645100
DANIEL C OETZEL
0169558076902252708696013735021528500
DANIEL J NIMON
014000001476904635101703016239021906200
ROBERT A HEELY
01043150286810225707062015284015759900
LORRAINE D MAHONE
0129125070290191006861013421015834600

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATEMPORARY HOUSING IS PROVIDED AS PART OF RELOCATION ASSISTANCE.
PART I, LINE 1BAPPROVED EXPENSE REPORT ALONG WITH SUPPORTING RECEIPTS MUST BE SUBMITTED PRIOR TO REIMBURSEMENT.
PART IIISCHEDULE J, PART II, CEO COMPENSATION: TO DETERMINE COMPENSATION FOR THE PRESIDENT AND CEO, THE BOARD ENGAGES AN INDEPENDENT CONSULTANT WHO SPECIALIZES IN EXECUTIVE COMPENSATION. THE INDEPENDENT CONSULTANT UTILIZES SURVEY DATA FROM EXPERT SURVEY SOURCES. THE DATA SELECTED REPRESENTS A COMPARABLE POSITION IN ORGANIZATIONS OF SIMILAR INDUSTRIES AND SIMILAR REVENUE AND BUDGET SIZE. THE INDEPENDENT CONSULTANT PROVIDES THE COMPETITIVE MARKET DATA TO THE ORGANIZATION'S EXECUTIVE COMMITTEE, WHICH SERVES AS THE PERSONNEL COMMITTEE FOR THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE USES THE INFORMATION AND RECOMMENDATIONS OF THE INDEPENDENT CONSULTANT AS A BASIS FOR COMPENSATION DECISIONS. THE FIGURES INCLUDE RELOCATION EXPENSES SUCH AS THE VALUE OF TEMPORARY HOUSING ON-CAMPUS.SUPPLEMENTAL INFORMATION

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetALL LAND, IMPROVEMENTS, AND PERSONAL PROPERTY LOCATED AT 7211 GRANBY STREET, NORFOLK, VIRGINIA.DescriptionOfAsset
Date Of Distribution2012-03-05DateOfDistribution
FMV Of Asset6060000FMVOfAsset
Method Of FMV DeterminationAPPRAISALMethodOfFMVDetermination
EIN364714693EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MCAP BALLENTINE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1534 EAST MAIN STREET SUITE BAddressLine1
CityCHARLOTTESVILLECity
StateVAState
ZIP Code22902ZIPCode
FieldValueIRS element (for citing)
IRC SectionLLCIRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3ALL LAND, REAL AND PERSONAL PROPERTIES AT THE PLACE OF OPERATION WAS SOLD TO COMMONWEALTH ASSISTED LIVING, LLC AS OF MARCH 5, 2012.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CINDIVIDUALS 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 15IT IS THE GOAL OF THE ORGANIZATION TO SET COMPENSATION AT MARKET PAY FOR EMPLOYEES WHO ARE FULLY COMPETENT IN THEIR POSITIONS. MARKET PAY IS DETERMINED BY INDEPENDENT, OUTSIDE COMPENSATION EXPERTS. TO DETERMINE COMPENSATION FOR THE PRESIDENT AND CEO, THE BOARD ENGAGES AN INDEPENDENT CONSULTANT WHO SPECIALIZES IN EXECUTIVE COMPENSATION. THE INDEPENDENT CONSULTANT UTILIZES SURVEY DATA FROM EXPERT SURVEY SOURCES. THE DATA SELECTED REPRESENTS A COMPARABLE POSITION IN ORGANIZATIONS OF SIMILAR INDUSTRIES AND SIMILAR REVENUE AND BUDGET SIZE. THE INDEPENDENT CONSULTANT PROVIDES THE COMPETITIVE MARKET DATA TO THE ORGANIZATION'S EXECUTIVE COMMITTEE, WHICH SERVES AS THE PERSONNEL COMMITTEE FOR THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE USES THE INFORMATION AND RECOMMENDATIONS OF THE INDEPENDENT CONSULTANT AS A BASIS FOR COMPENSATION DECISIONS. THE PRESIDENT AND CEO DETERMINES COMPENSATION FOR KEY EMPLOYEES, USING THE INFORMATION AND RECOMMENDATIONS OF THE INDEPENDENT CONSULTANT AS A BASIS FOR COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, DESCRIPTION OF HOURS FOR RELATED ORGANIZATIONS:OFFICERS AND KEY EMPLOYEES LISTED ON PART VII WORK AN AVERAGE OF 40 HOURS PER WEEK. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND OTHER RELATED ENTITIES LISTED ON SCHEDULE R.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 159,635.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PAGE 6, PART VI, SECTION C, LINE 20:DANIEL C. OETZEL RESIGNED FROM HIS POSITION OF CHIEF FINANCIAL OFFICER EFFECTIVE JANUARY 13, 2012. JOSEPH F. BELVEDERE, JR. WAS HIRED AS CHIEF FINANCIAL OFFICER EFFECTIVE FEBRUARY 27, 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
WESTMINSTER-CANTERBURY OF HAMPTON ROADS FOUNDATION
3100 SHORE DRIVEVIRGINIA BEACHVA23451541666603SUPPORTVA501(C)(3)509(A)(3)N/A0
WESTMINSTER-CANTERBURY OF HAMPTON ROADS INC
3100 SHORE DRIVEVIRGINIA BEACHVA23451541071734SERVICES TO THE ELDERLYVA501(C)(3)509(A)(2)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER-CANTERBURY OF HAMPTON ROADS INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeKTransactionType
Amount Involved36750AmountInvolved
Method Of Amt Determination% OF REVENUEMethodOfAmtDetermination