2013-02-14T15:47:28-06:00 2012-09-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2011-10-01 562151716 LAKE PRINCE CENTER LAKE 8284658006 100 LEONARD AVENUE NEWTON NC 28658 LEE SYRIA 8284658006 2013-02-14 1 LORY H KELLEY P00431638 3362944494 2013-01-29 2011 2016-03-07 17:11:31Z JUDY RAYMOND 100 ANNA GOODE WAY SUFFOLK VA 23434 10669678 0 X WWW.LAKEPRINCEWOODS.ORG X 1999 NC CONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA. 19 19 0 66 0 0 0 28254 10006418 10553100 322 8 234520 88316 10241260 10669678 0 0 0 0 3882710 3769701 0 0 0 7305654 7146242 11188364 10915943 -947104 -246265 30462324 31064779 43538436 44387156 -13076112 -13322377 CONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA. 0 0 9523776 10574206 LONG TERM CARE FOR THE ELDERLY CONSISTING OF NURSING, MEALS, LAUNDRY, RECREATION, AND OTHER SERVICES FOR RESIDENTS. 9523776 1 1 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 0 1 22 0 1 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GARY SHULL 8284658006 100 LEONARD AVENUE NEWTON NC 28658 JEFFREY GILLIAM 1.00 X X 0 0 0 J RAY DEAL 1.00 X X 0 0 0 ROBERT C CLAUD SR 1.00 X X 0 0 0 ANTHONY J BRANCH 1.00 X X 0 0 0 DWIGHT L HEDRICK JR 1.00 X X 0 0 0 GREGORY M ALCORN 1.00 X X 0 0 0 STEPHEN A BALOG 1.00 X 0 0 0 DAVID BOONE 1.00 X 0 0 0 DOUGLAS F BROWN 1.00 X 0 0 0 JIM BUCHANAN 1.00 X 0 0 0 MARK L BURNS 1.00 X 0 0 0 DANIEL F DAGENHART 1.00 X 0 0 0 BRENDA C ECKARD 1.00 X 0 0 0 JOHN GUNDLACH 1.00 X 0 0 0 WALTER HOFFMAN 1.00 X 0 0 0 R LEROY HOWELL 1.00 X 0 0 0 LINDA MORRIS 1.00 X 0 0 0 CHARLES W MOSS 1.00 X 0 0 0 MARK W SIGMON 1.00 X 0 0 0 JUDY RAYMOND 40.00 X 0 127538 14199 DOUGLAS FLEEGLE 40.00 X 0 245292 33032 0 372830 47231 0 0 1 0 AEGIS THERAPIES INC 7160 DALLAS PKWY STE 400 PLANO TX 75024 THERAPIES 122474 1 28254 28254 RESIDENT SERVICES 623000 10553100 10553100 10553100 8 8 4800 0 4800 4800 4800 CATERING/MEAL SERVICES 722210 62410 62410 21106 21106 83516 10669678 10574206 0 67218 3102858 2602864 499994 418687 418687 248156 248156 649071 649071 238892 211892 27000 32087 32087 412810 412810 7860 4911 2949 6198 6198 1329724 1329724 2082428 2082428 168743 168743 SUPPLIES 1054204 1006778 47426 PROPERTY TAXES 340876 340876 EQUIPMENT/RENTAL MAINTE 339734 267420 72314 BOND AMORTIZATION 217751 217751 265864 71284 194580 10915943 9523776 1392167 0 1000 12754 251960 279182 114016 80594 14311 14655 20401 18745 46559041 22702856 24680194 23856185 2392834 2392835 2987608 4409829 30462324 31064779 969977 705568 16781287 18667918 25297040 24560975 490132 452695 43538436 44387156 X -13076112 -13322377 -13076112 -13322377 30462324 31064779 -246265 0 X 0 1 1 X 0 X 28254 28254 9716058 10138970 10274673 10006418 10553100 50689219 9716058 10138970 10274673 10006418 10581354 50717473 0 0 0 50717473 143769 48514 5156 5122 4808 207369 143769 48514 5156 5122 4808 207369 85173 102038 110549 233744 111770 643274 9945000 10289522 10390378 10245284 10697932 51568116 0.98350 0.98040 0.00400 0.00710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1725246 1725246 39587736 19259146 20328590 4411314 3346382 1064932 834745 97328 737417 23856185 DEFERRED COSTS, NET 1210523 DUE FROM AFFILIATES 3199306 4409829 DEPOSITS ON UNOCCUPIED UNITS 379375 RESIDENT ESCROW 71391 RESIDENTS' PERSONAL FUNDS LIABILITY 1929 452695 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IT 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. X X X X 0 0 0 0 0 0 0 0 0 DOUGLAS FLEEGLE 0 245292 0 0 0 0 0 29780 0 3252 0 278324 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SUFFOLK 541131047 86481MAM0 2006-08-30 28893246 TO REFUND PRIOR ISSUE OF BONDS AND TO FINANCE EXPANSION PROJECTS. 0 0 0 4195000 28893246 26097179 577865 2218202 2007 1 0 1 1 0 0 0 0 1 0 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, 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 15 COMPENSATION 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 19 THE 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. 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