STRATEGY STUDIO / PUBLIC DATA EXPLORER

WESTMINSTER VILLAGE WEST LAFAYETTE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE WEST LAFAYETTE INC (EIN 31-1002846)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-09
IRS object ID
201223149349301022
Schema version
2011v1.2
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)
Timestamp2012-11-09T09:33:02-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311002846EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE WEST LAFAYETTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone7654637546Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12741 NORTH SALISBURY STREETAddressLine1
CityWEST LAFAYETTECity
StateINState
ZIP Code47906ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVICKI GREGORYName
TitleEXECUTIVE DIRECTORTitle
Phone7654637546Phone
Date Signed2012-10-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVICKI GREGORYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12741 NORTH SALISBURY STREETAddressLine1
CityWEST LAFAYETTECity
StateINState
ZIP Code47906ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14209273GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPROVIDES RESIDENTIAL FACILITIES DESIGNED TO MEET THE NEEDS OF THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees270TotalNbrEmployees
Total Nbr Volunteers112TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year92045ContributionsGrantsPriorYear
Contributions Grants Current Year113599ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13982511ProgramServiceRevenuePriorYear
Program Service Revenue CY13608659ProgramServiceRevenueCY
Investment Income Prior Year12188InvestmentIncomePriorYear
Investment Income Current Year-379InvestmentIncomeCurrentYear
Other Revenue Prior Year454844OtherRevenuePriorYear
Other Revenue Current Year483096OtherRevenueCurrentYear
Total Revenue Prior Year14541588TotalRevenuePriorYear
Total Revenue Current Year14204975TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY164824GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6200358SalariesEtcPriorYear
Salaries Etc Current Year6555289SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7023148OtherExpensePriorYear
Other Expenses Current Year7373857OtherExpensesCurrentYear
Total Expenses Prior Year13223506TotalExpensesPriorYear
Total Expenses Current Year14093970TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1318082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY111005RevenuesLessExpensesCY
Total Assets BOY42614098TotalAssetsBOY
Total Assets EOY54160302TotalAssetsEOY
Total Liabilities BOY35885459TotalLiabilitiesBOY
Total Liabilities EOY49076764TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6728639NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5083538NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES RESIDENTIAL FACILITIES DESIGNED TO MEET THE NEEDS OF THE ELDERLY AND PROVIDE FOR THE PHYSICAL, MENTAL AND FINANCIAL WELL BEING OF ITS RESIDENTS. FINANCIAL ASSISTANCE IS PROVIDED TO THOSE RESIDENTS UNABLE TO MEET THEIR LIVING EXPENSES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12243379Expense
Grants164824Grants
Revenue13608659Revenue
DescriptionWESTMINSTER VILLAGE WEST LAFAYETTE, INC. IS A NOT-FOR-PROFIT, CONTINUING CARE RETIREMENT COMMUNITY LOCATED IN WEST LAFAYETTE, INDIANA. FACILITIES INCLUDE 130 RESIDENTIAL UNITS (INDEPENDENT LIVING CENTER), 57 INDEPENDENT LIVING COTTAGES, A 55 BED COMPREHENSIVE CARE FACILITY (THE HEALTH CENTER), AND A 76 BED ASSISTED LIVING FACILITY. WESTMINSTER'S PRIMARY PURPOSE IS THE PROVISION OF CONTINUING CARE SERVICES TO THE CITIZENS OF WEST LAFAYETTE, INDIANA AND THE SURROUNDING COMMUNITIES.Description
Total Program Service Expense12243379TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Rltnshp1OfficerEntityWithBsnssRltnshp
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 With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees270NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE WEST LAFAYETTEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7654637546TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12741 NORTH SALISBURYAddressLine1
CityWEST LAFAYETTECity
StateINState
ZIP Code47906ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID LUHMAN
VICE PRESIDENT12.00XX000
PETER NEISEL
MEMBER5.00X000
MARILYN WHITSEL
SECRETARY5.00XX000
JOLENE MILLER
MEMBER5.00X000
THOMAS PEARSON
PRESIDENT15.00XX000
ROBERT WOERNER
TREASURER12.00XX000
JAMES ALMOND
MEMBER5.00X000
STEVEN HABBEN
MEMBER10.00X000
MARTHA CHISCON
MEMBER5.00X000
DAWN WALKER
MARKETING DIRECTOR40.0012671900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org126719TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KETTELHUT CONSTRUCTION
740 SAGAMORE PARKWAY SOUTHLAFAYETTEIN47903CONSTRUCTION3747000
CRSA LCS MANAGEMENT LLC
400 LOCUST ST SUITE 820DES MOINESIA47903MANAGEMENT SERVICES/ EMPLOYMENT854448
GORDON FOOD SERVICE
DEPT CH 10490PALATINEIL60055FOOD, SUPPLIES, CHEMICALS832969
HUSTON ELECTRIC
PO BOX 904KOKOMOIN46903ELECTRICAL SYSTEMS601078
THE TROYER GROUP
550 UNION STREETMISHAWAKAIN46544ARCHITECTURAL SERVICES550479
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations104824RelatedOrganizations
All Other Contributions8775AllOtherContributions
Total Contributions113599TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICE FEES6230001288821312888213
LIFE OCC. FEE AMORTIZA623000720446720446
FieldValueIRS element (for citing)
Total Program Service Revenue13608659TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3919TotalRevenueColumn
Exclusion$3,919ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4298Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-4298Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4298TotalRevenueColumn
Exclusion-$4,298ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
OTHER INCOME623000202198$202,198
PHARMACY INCOME62300077671$77,671
GUEST ROOMS/MEALS62300074305$74,305

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column128922TotalRevenueColumn
Exclusion$128,922ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue483096TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14204975TotalRevenueColumn
Related Or Exempt Function Income13608659RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$482,717ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total60000Total
Program Services60000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total104824Total
Program Services104824ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5337761Total
Program Services4591628ProgramServices
Management And General746133ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33362Total
Program Services28699ProgramServices
Management And General4663ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total783092Total
Program Services673628ProgramServices
Management And General109464ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total401074Total
Program Services345010ProgramServices
Management And General56064ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total457129Total
Program Services457129ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4099Total
Management And General4099ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55221Total
Management And General55221ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total944182Total
Program Services932182ProgramServices
Management And General12000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total226076Total
Management And General226076ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total517943Total
Program Services407562ProgramServices
Management And General110381ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total54951Total
Program Services54951ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total656258Total
Program Services656258ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total113497Total
Program Services113497ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total300743Total
Program Services282656ProgramServices
Management And General18087ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2647073Total
Program Services2487984ProgramServices
Management And General159089ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total238930Total
Management And General238930ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD830130830130
EQUIPMENT AND MAINT122951122951
MISCELLANEOUS759853142644559
RESIDENT ENTERTAINMENT6286462864

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total65825Total
Management And General65825ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14093970Total
Program Services12243379ProgramServices
Management And General1850591ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2960370BOY
EOY4432909EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4034125BOY
EOY4018847EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY411909BOY
EOY189903EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY48441BOY
EOY57120EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11865BOY
EOY36025EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis69577763LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24595589LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34699234BOY
EOY44982174EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY448154BOY
EOY443324EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42614098BOY
EOY54160302EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1790192BOY
EOY1317689EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY19133408BOY
EOY22845246EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14843359BOY
EOY23804349EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY118500BOY
EOY1109480EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35885459BOY
EOY49076764EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6720138BOY
EOY5066262EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8501BOY
EOY17276EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6728639BOY
EOY5083538EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42614098BOY
EOY54160302EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses111005ReconcilationRevenueExpenses
Reconcilation Other Changes-1756106ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years86010CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92045CurrentTaxYearMinus1Year
Current Tax Year113599CurrentTaxYear
Total476875Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10123723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12109227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12603449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13982511CurrentTaxYearMinus1Year
Current Tax Year10582729CurrentTaxYear
Total59401639Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10209733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12191102CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12706795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14074556CurrentTaxYearMinus1Year
Current Tax Year10696328CurrentTaxYear
Total59878514Total

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 Total50959878514PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12188CurrentTaxYearMinus1Year
Current Tax Year3919CurrentTaxYear
Total256689Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12188CurrentTaxYearMinus1Year
Current Tax Year3919CurrentTaxYear
Total256689Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years359384CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years383577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years402801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year454844CurrentTaxYearMinus1Year
Current Tax Year483096CurrentTaxYear
Total2083702Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10711716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12642947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13139311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14541588CurrentTaxYearMinus1Year
Current Tax Year11183343CurrentTaxYear
Total62218905Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96240PublicSupportPercentage509
Prior Year Support Percentage0.96120PriorYearSupportPercentage
Investment Income Percentage0.00410InvestmentIncomePercentage
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 Basis2939505OtherCostOrOtherBasis
Book Value2939505BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56650982OtherCostOrOtherBasis
Depreciation21975786Depreciation
Book Value34675196BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6411408OtherCostOrOtherBasis
Depreciation2619803Depreciation
Book Value3791605BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3575868OtherCostOrOtherBasis
Book Value3575868BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44982174TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$129,000
FAIR VALUE OF INTEREST RATE SWAPS$980,480
FieldValueIRS element (for citing)
Total Of Amounts1109480TotalOfAmounts
Total Revenue14204975TotalRevenue
Total Expenses14093970TotalExpenses
Excess Or Deficit For Year111005ExcessOrDeficitForYear
Net Unrealized GL On Investments-15279NetUnrealizedGLOnInvestments
Prior Period Adjustments-1006121PriorPeriodAdjustments
Other-$734,706OtherAmount
Total Adjustments-1756106TotalAdjustments
Excess Or Deficit Per FS-1645101ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13350166TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-15279NetUnrealizedGainsInvestments
Other Revenues-734706OtherRevenues
Revenue Not Rptd F990-749985RevenueNotRptdF990
Revenue Subtotal14100151RevenueSubtotal
Other Revenues Not Included104824OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt104824RevenueNotRptdOnFinStmt
Total Revenue Per Form99014204975TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13989146TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13989146ExpensesSubtotal
Other Expenses Not Included104824OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt104824ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014093970TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE VILLAGE ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE VILLAGE DOES NOT CURRENTLY INCLUDE AN INCOME TAX PROVISION IN THE FINANCIAL STATEMENTS. MANAGEMENT MONITORS THE REPORTING OF UNCERTAIN TAX POSITIONS, WHICH COULD RESULT IN RECORDING OF AN INCOME TAX PROVISION IN THE FUTURE. WESTMINISTER VILLAGE WEST LAFAYETTE, INC. TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. THE TAX RETURNS FOR THE YEARS 2009 THROUGH 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED LOSS ON SWAP -734,706.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON SWAP -734,706.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANT EXPENSES NETTED WITH REVENUE ON F/S 104,824.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:GRANT EXPENSES NETTED WITH REVENUE ON F/S 104,824.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CITY OF WEST LAFAYETTE INDIANABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1609 NAVAJO DRIVEAddressLine1
CityWEST LAFAYETTECity
StateINState
ZIP Code47906ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient356001233EINOfRecipient
Amount Of Cash Grant60000AmountOfCashGrant
Purpose Of GrantPAYMENT IN LIEU OF REAL ESTATE TAXES AS PART OF COMMUNITY SUPPORT INITIATIVES.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients5NumberOfRecipients
Amount Of Cash Grant104824AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationFAIR MARKET VALUEMethodOfValuation

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: THE FINANCIAL ASSISTANCE IS PROVIDED ON AN ANNUAL BASIS WITH THE REVIEW AND WRITE OFF OF THE ACCOUNTS RECEIVABLE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF WEST LAFAYETTE IN
356001233NONEAVAIL2010-08-268500000REPAY PREVIOUS MORTGAGE.000
CITY OF WEST LAFAYETTE IN
356001233NONEAVAIL2010-08-2617000000NEW CONSTRUCTION, RENOVATION OF EXISTING FACILITY, LAND PURCHASE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
1350008500000829981420018620100001
1700000035352220120001570709145151181560651

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
01001
01001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010000

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPAGE 1, PART III, LINE 2Identifier
ExplanationTHE INSTITUTION DOES REGULARLY "LEASE" OR MAKES PROPERTY AVAILABLE FOR USE BY THE ELDERLY AS PART OF ITS TAX EXEMPT MISSION.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSTEVE HABBENNamePerson
FieldValueIRS element (for citing)
RelationshipSTEVE HABBEN IS A MEMBER OF THE BOARD OF DIRECTORSRelationship
Amount Of Transaction3747000AmountOfTransaction
Description Of TransactionSTEVE HABBEN IS A MEMBER OF THE BOARD OF DIRECTORS AND HE IS ALSO AN EXECUTIVE AT KETTELHUT CONSTRUCTION, INC., WHICH PERFORMED CONSTRUCTION SERVICES FOR THE FACILITY DURING THE YEAR.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THREE KEY MANAGEMENT EMPLOYEES, THE EXECUTIVE DIRECTOR, CONTROLLER, AND THE HEALTH FACILITY ADMINISTRATOR ARE EMPLOYEES OF CRSA/LCS, THE MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS. THE FORM 990 IS APPROVED BY THE FINANCE AND MANAGEMENT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. IF A POSSIBLE CONFLICT OF INTEREST DOES ARISE, THE ISSUE IS VOTED ON BY ALL BOARD MEMBERS THAT DO NOT HAVE AN INTEREST IN THE OUTCOME.
FORM 990, PART VI, SECTION B, LINE 15REVIEW OF COMPENSATION FOR A SIMILAR POSITION IN THE GEOGRAPHIC AREA.
FORM 990, PART VI, SECTION C, LINE 19ALTHOUGH NOT REQUIRED, THE ORGANIZATION WILL PROVIDE PHOTOCOPIES OF ITS FINANCIAL STATEMENTS TO ALL WHO REQUEST THEM. A COPY OF THE FINANCIAL STATEMENTS IS ALSO LOCATED IN THE WESTMINSTER VILLAGE LIBRARY.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -15,279. PRIOR PERIOD ADJUSTMENTS: -1,006,121. UNREALIZED LOSS ON SWAP -734,706. TOTAL TO FORM 990, PART XI, LINE 5: -1,756,106.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PAGE 12, PART XII, LINE 2CTHE ORGANIZATION HAS A FINANCE AND MANAGEMENT COMMITTEE THAT IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT. THIS PRACTICE IS CONSISTENT WITH THE PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE FOUNDATION OF WEST LAFAYETTE INDIANA INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12741 N SALISBURY STREETAddressLine1
CityWEST LAFAYETTECity
StateINState
ZIP Code47906ZIPCode
FieldValueIRS element (for citing)
EIN351537414EIN
Primary ActivitiesSUBSIDIZE EXEMPT ACTIVITIESPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3), TYPE 1PublicCharityStatus
Controlled Org0ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
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 VILLAGE FOUNDATION OF WEST LAFAYETTE INDIANA INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved104824AmountInvolved