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LAKE PRINCE CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAKE PRINCE CENTER INC (EIN 56-2151716)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-02-14
IRS object ID
201320459349301612
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)
Timestamp2013-02-14T15:47:28-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560571159EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERNARD ROBINSON & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19608AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code274199608ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562151716EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKE PRINCE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone8284658006Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1
CityNEWTONCity
StateNCState
ZIP Code28658ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLEE SYRIAName
TitlePRESIDENT/CEO OF RELATED ORGTitle
Phone8284658006Phone
Date Signed2013-02-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORY H KELLEYName
PTINP00431638PTIN
Phone3362944494Phone
Date Prepared2013-01-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDY RAYMONDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 ANNA GOODE WAYAddressLine1
CitySUFFOLKCity
StateVAState
ZIP Code23434ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10669678GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAKEPRINCEWOODS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers66TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year28254ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10006418ProgramServiceRevenuePriorYear
Program Service Revenue CY10553100ProgramServiceRevenueCY
Investment Income Prior Year322InvestmentIncomePriorYear
Investment Income Current Year8InvestmentIncomeCurrentYear
Other Revenue Prior Year234520OtherRevenuePriorYear
Other Revenue Current Year88316OtherRevenueCurrentYear
Total Revenue Prior Year10241260TotalRevenuePriorYear
Total Revenue Current Year10669678TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3882710SalariesEtcPriorYear
Salaries Etc Current Year3769701SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7305654OtherExpensePriorYear
Other Expenses Current Year7146242OtherExpensesCurrentYear
Total Expenses Prior Year11188364TotalExpensesPriorYear
Total Expenses Current Year10915943TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-947104RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-246265RevenuesLessExpensesCY
Total Assets BOY30462324TotalAssetsBOY
Total Assets EOY31064779TotalAssetsEOY
Total Liabilities BOY43538436TotalLiabilitiesBOY
Total Liabilities EOY44387156TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13076112NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13322377NetAssetsOrFundBalancesEOY
Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9523776Expense
Revenue10574206Revenue
DescriptionLONG TERM CARE FOR THE ELDERLY CONSISTING OF NURSING, MEALS, LAUNDRY, RECREATION, AND OTHER SERVICES FOR RESIDENTS.Description
Total Program Service Expense9523776TotalProgramServiceExpense
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 Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Liquidation0PartialLiquidation
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 With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY SHULLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8284658006TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1
CityNEWTONCity
StateNCState
ZIP Code28658ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEFFREY GILLIAM
CHAIR1.00XX000
J RAY DEAL
VICE CHAIR1.00XX000
ROBERT C CLAUD SR
SECRETARY1.00XX000
ANTHONY J BRANCH
TREASURER1.00XX000
DWIGHT L HEDRICK JR
MEMBER-AT-LARGE1.00XX000
GREGORY M ALCORN
PAST BOARD CHAIR1.00XX000
STEPHEN A BALOG
BOARD MEMBER1.00X000
DAVID BOONE
BOARD MEMBER1.00X000
DOUGLAS F BROWN
BOARD MEMBER1.00X000
JIM BUCHANAN
BOARD MEMBER1.00X000
MARK L BURNS
BOARD MEMBER1.00X000
DANIEL F DAGENHART
BOARD MEMBER1.00X000
BRENDA C ECKARD
BOARD MEMBER1.00X000
JOHN GUNDLACH
BOARD MEMBER1.00X000
WALTER HOFFMAN
BOARD MEMBER1.00X000
R LEROY HOWELL
BOARD MEMBER1.00X000
LINDA MORRIS
BOARD MEMBER1.00X000
CHARLES W MOSS
BOARD MEMBER1.00X000
MARK W SIGMON
BOARD MEMBER1.00X000
JUDY RAYMOND
EXECUTIVE DIRECTOR40.00X012753814199
DOUGLAS FLEEGLE
PRESIDENT/CEO OF RELATED ORG40.00X024529233032
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs372830TotalReportableCompFrmRltdOrgs
Total Other Compensation47231TotalOtherCompensation
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 Line1AEGIS THERAPIES INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17160 DALLAS PKWY STE 400AddressLine1
CityPLANOCity
StateTXState
ZIP Code75024ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPIESDescriptionOfServices
Compensation122474Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations28254RelatedOrganizations
Total Contributions28254TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column10553100TotalRevenueColumn
Related Or Exempt Function Income10553100RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10553100TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8TotalRevenueColumn
Exclusion$8ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4800Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4800Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4800TotalRevenueColumn
Exclusion$4,800ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCATERING/MEAL SERVICESDescription
Business Code722210BusinessCode
Total Revenue Column62410TotalRevenueColumn
Exclusion$62,410ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column21106TotalRevenueColumn
Related Or Exempt Function Income21106RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue83516TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10669678TotalRevenueColumn
Related Or Exempt Function Income10574206RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$67,218ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3102858Total
Program Services2602864ProgramServices
Management And General499994ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total418687Total
Program Services418687ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total248156Total
Program Services248156ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total649071Total
Program Services649071ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total238892Total
Program Services211892ProgramServices
Management And General27000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32087Total
Management And General32087ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total412810Total
Program Services412810ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7860Total
Program Services4911ProgramServices
Management And General2949ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6198Total
Management And General6198ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1329724Total
Program Services1329724ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2082428Total
Program Services2082428ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total168743Total
Management And General168743ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1054204100677847426
PROPERTY TAXES340876340876
EQUIPMENT/RENTAL MAINTE33973426742072314
BOND AMORTIZATION217751217751

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total265864Total
Program Services71284ProgramServices
Management And General194580ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10915943Total
Program Services9523776ProgramServices
Management And General1392167ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1000BOY
EOY12754EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY251960BOY
EOY279182EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY114016BOY
EOY80594EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14311BOY
EOY14655EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20401BOY
EOY18745EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46559041LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22702856LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24680194BOY
EOY23856185EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2392834BOY
EOY2392835EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2987608BOY
EOY4409829EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30462324BOY
EOY31064779EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY969977BOY
EOY705568EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16781287BOY
EOY18667918EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25297040BOY
EOY24560975EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY490132BOY
EOY452695EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43538436BOY
EOY44387156EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-13076112BOY
EOY-13322377EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13076112BOY
EOY-13322377EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30462324BOY
EOY31064779EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-246265ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Year28254CurrentTaxYear
Total28254Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9716058CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10138970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10274673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10006418CurrentTaxYearMinus1Year
Current Tax Year10553100CurrentTaxYear
Total50689219Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9716058CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10138970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10274673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10006418CurrentTaxYearMinus1Year
Current Tax Year10581354CurrentTaxYear
Total50717473Total

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 Total50950717473PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years143769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5122CurrentTaxYearMinus1Year
Current Tax Year4808CurrentTaxYear
Total207369Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years143769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5122CurrentTaxYearMinus1Year
Current Tax Year4808CurrentTaxYear
Total207369Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85173CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110549CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year233744CurrentTaxYearMinus1Year
Current Tax Year111770CurrentTaxYear
Total643274Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9945000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10289522CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10390378CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10245284CurrentTaxYearMinus1Year
Current Tax Year10697932CurrentTaxYear
Total51568116Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98350PublicSupportPercentage509
Prior Year Support Percentage0.98040PriorYearSupportPercentage
Investment Income Percentage0.00400InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00710PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1725246OtherCostOrOtherBasis
Book Value1725246BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39587736OtherCostOrOtherBasis
Depreciation19259146Depreciation
Book Value20328590BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4411314OtherCostOrOtherBasis
Depreciation3346382Depreciation
Book Value1064932BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis834745OtherCostOrOtherBasis
Depreciation97328Depreciation
Book Value737417BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23856185TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COSTS, NET1210523
DUE FROM AFFILIATES3199306
FieldValueIRS element (for citing)
Total Book Value Other Assets4409829TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEPOSITS ON UNOCCUPIED UNITS$379,375
RESIDENT ESCROW$71,391
RESIDENTS' PERSONAL FUNDS LIABILITY$1,929
FieldValueIRS element (for citing)
Total Of Amounts452695TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationIT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2012 AND 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonDOUGLAS FLEEGLENamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs245292CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs29780DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs3252NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs278324TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SUFFOLKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN541131047IssuerEIN
CUSIP Number86481MAM0CUSIPNumber
Date Issued2006-08-30DateIssued
Issue Price28893246IssuePrice
Description Of PurposeTO REFUND PRIOR ISSUE OF BONDS AND TO FINANCE EXPANSION PROJECTS.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired4195000AmountRetired
Total Proceeds28893246TotalProceeds
Refunding Escrow26097179RefundingEscrow
Issuance Costs From Proceeds577865IssuanceCostsFromProceeds
Capital Expenditures2218202CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, AND EMPLOYEES OF THE ORGANIZATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO EVALUATE COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES SALARY SURVEYS OF SIMILAR ORGANIZATIONS ACROSS THE COUNTRY AS WELL AS THE USE OF COMPARABILITY DATA. COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS SUGGESTED BY THE CEO AND APPROVED BY THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ON FILE AT THE ADMINISTRATION OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.

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
UNITED CHURCH HOMES AND SERVICES
100 LEONARD AVENUENEWTONNC28658566056582CONTINUING CARE RETIREMENT COMMUNITYNC501(C)(3)LINE 9N/A0
UNITED CHURCH HOMES AND SERVICES FOUNDATION
100 LEONARD AVENUENEWTONNC28658562243082SUPPORTING ORGANIZATIONNC501(C)(3)LINE 11A, IN/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 Org1LoansOrGuaranteesToOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
UNITED CHURCH HOMES AND SERVICES
D3198660
UNITED CHURCH HOMES AND SERVICES
L649071
UNITED CHURCH HOMES AND SERVICES
N3102854