STRATEGY STUDIO / PUBLIC DATA EXPLORER

CLARK-LINDSEY VILLAGE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CLARK-LINDSEY VILLAGE INC (EIN 37-1017284)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-09
IRS object ID
201101299349301030
Schema version
2010v3.2
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)
Timestamp2011-05-09T13:51:33-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371017284EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CLARK-LINDSEY VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLARNameControl
Phone2173442144Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1
CityURBANACity
StateILState
ZIP Code61802ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS B BERNSName
TitleCHAIRMANTitle
Phone2173442144Phone
Date Signed2011-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS B BERNSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1
CityURBANACity
StateILState
ZIP Code61802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15422249GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CLARK-LINDSEY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees283TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year73782ContributionsGrantsPriorYear
Contributions Grants Current Year21069ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11815435ProgramServiceRevenuePriorYear
Program Service Revenue CY12860979ProgramServiceRevenueCY
Investment Income Prior Year66236InvestmentIncomePriorYear
Investment Income Current Year888575InvestmentIncomeCurrentYear
Other Revenue Prior Year231793OtherRevenuePriorYear
Other Revenue Current Year195321OtherRevenueCurrentYear
Total Revenue Prior Year12187246TotalRevenuePriorYear
Total Revenue Current Year13965944TotalRevenueCurrentYear
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 Year6667232SalariesEtcPriorYear
Salaries Etc Current Year6643783SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5959435OtherExpensePriorYear
Other Expenses Current Year6219010OtherExpensesCurrentYear
Total Expenses Prior Year12626667TotalExpensesPriorYear
Total Expenses Current Year12862793TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-439421RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1103151RevenuesLessExpensesCY
Total Assets BOY25426555TotalAssetsBOY
Total Assets EOY26054770TotalAssetsEOY
Total Liabilities BOY13671274TotalLiabilitiesBOY
Total Liabilities EOY13547900TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11755281NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12506870NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11541858Expense
Revenue12860979Revenue
DescriptionCLARK-LINDSEY VILLAGE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HOUSING, SERVICES, AND HEALTHCARE TO THE ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. IN 2010, CLARK- LINDSEY VILLAGE PROVIDED HOUSING AND SERVICES TO 409 ELDERLY PEOPLE, RESULTING IN 81,062 DAYS OF CARE. IN ADDITION, CLARK-LINDSEY PROVIDED 169,000 MEALS, 148,500 HOURS OF NURSING CARE, 25,156 SESSIONS OF THERAPY, AND MORE THAN 400 SENIOR PROGRAMS DESIGNED TO PROMOTE CONTINUED LEARNING AND SUCCESSFUL AGING.Description
Total Program Service Expense11541858TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
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 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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees283NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DEBRA REARDANZ CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2173442144TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1
CityURBANACity
StateILState
ZIP Code61802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS B BERNS
CHAIRMAN1.00XX00655
GLEN C PAINE
VICE-CHAIRMAN1.00XX97300
CATHERINE A MURPHY
TREASURER1.00XX000
CHRISTOFER MOYER
MEMBER1.00X00596
E PHILLIPS KNOX
SECRETARY1.00XX000
CAMILLE S HARMON
MEMBER1.00X000
MICHAEL B PROVENZANO
MEMBER1.00X000
MICHAEL W LYON
MEMBER1.00X00115
ROLAND WHITE
MEMBER1.00X97200
DAVID W HOOD
MEMBER1.00X70900
ELIZABETH H TYLER
MEMBER1.00X000
DEBRA S REARDANZ
CEO40.00X179934029578
TIMOTHY P MAST
CFO40.00X7083704151
JASON RICE
DIRECTOR OF DINING SERVICES40.0084727018414X
FieldValueIRS element (for citing)
Total Reportable Comp From Org253425TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation35095TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
7733 FORSYTH BOULEVARD SUITE 2300ST LOUISMO63105THERAPY SERVICES486667
BARBER AND DEATLY INC
611 N GOODWINURBANAIL61801CONSTRUCTION SERVICES248838
MTK TECHNOLOGIES INC
701 DEVONSHIRE DRIVECHAMPAIGNIL61820TECHNOLOGY CONSULTING AND HARDWARE126947
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions21069AllOtherContributions
Total Contributions21069TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230001163500411635004
AMORTIZATION OF DEFERR62300010718281071828
MISCELLANEOUS PROGRAM900099154147154147
FieldValueIRS element (for citing)
Total Program Service Revenue12860979TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column206025TotalRevenueColumn
Exclusion$206,025ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2138855Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1448071Securities
Other8234Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities690784Securities
Other-8234Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column682550TotalRevenueColumn
Exclusion$682,550ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEAL REVENUE900099117460$117,460
HAIR SALON SERVICES90009971228$71,228
MISCELLANEOUS REVENUE9000996633$6,633
FieldValueIRS element (for citing)
Total Other Revenue195321TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13965944TotalRevenueColumn
Related Or Exempt Function Income12860979RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,083,896ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total284500Total
Management And General284500ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5311506Total
Program Services4834140ProgramServices
Management And General477366ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total148614Total
Program Services128009ProgramServices
Management And General20605ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total477578Total
Program Services443028ProgramServices
Management And General34550ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total421585Total
Program Services371485ProgramServices
Management And General50100ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44400Total
Management And General44400ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42412Total
Management And General42412ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total52464Total
Management And General52464ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11950Total
Management And General11950ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total64451Total
Management And General64451ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13337Total
Program Services13337ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total170926Total
Program Services147655ProgramServices
Management And General23271ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total544536Total
Program Services538640ProgramServices
Management And General5896ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30237Total
Program Services3591ProgramServices
Management And General26646ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12144Total
Program Services4595ProgramServices
Management And General7549ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total226474Total
Program Services226474ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1558683Total
Program Services1541806ProgramServices
Management And General16877ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total232863Total
Program Services230342ProgramServices
Management And General2521ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
THERAPY, NURSING SUPPLI937068937068
DIETARY757001757001
MAINTENANCE AND GROUNDS4652744602365038
REAL ESTATE TAXES3862153820334182
CHARITY CARE EXPENSE186348186348

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total482227Total
Program Services336070ProgramServices
Management And General146157ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12862793Total
Program Services11541858ProgramServices
Management And General1320935ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1135247BOY
EOY1812851EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY545527BOY
EOY1125347EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY30658BOY
EOY27272EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY59150BOY
EOY133829EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30289037LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15458411LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15800064BOY
EOY14830626EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7855409BOY
EOY8124345EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25426555BOY
EOY26054770EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1251313BOY
EOY1312292EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6955413BOY
EOY7620867EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4351987BOY
EOY4215347EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY909500BOY
EOY318500EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY203061BOY
EOY80894EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13671274BOY
EOY13547900EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11392906BOY
EOY12130719EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY343289BOY
EOY357065EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19086BOY
EOY19086EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11755281BOY
EOY12506870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25426555BOY
EOY26054770EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1103151ReconcilationRevenueExpenses
Reconcilation Other Changes-351562ReconcilationOtherChanges
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 Years544272CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years253515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years354943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95282CurrentTaxYearMinus1Year
Current Tax Year21069CurrentTaxYear
Total1269081Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10286143CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12034438CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11626029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11951946CurrentTaxYearMinus1Year
Current Tax Year12860979CurrentTaxYear
Total58759535Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year195321CurrentTaxYear
Total195321Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10830415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12287953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11980972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12047228CurrentTaxYearMinus1Year
Current Tax Year13077369CurrentTaxYear
Total60223937Total

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 Total50960223937PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years322411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years236724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129044CurrentTaxYearMinus1Year
Current Tax Year206025CurrentTaxYear
Total1211525Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years322411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years236724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129044CurrentTaxYearMinus1Year
Current Tax Year206025CurrentTaxYear
Total1211525Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11147736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12610364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12217696CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12176272CurrentTaxYearMinus1Year
Current Tax Year13283394CurrentTaxYear
Total61435462Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98030PublicSupportPercentage509
Prior Year Support Percentage0.97900PriorYearSupportPercentage
Investment Income Percentage0.01970InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02100PriorYrInvestIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1912590BeginningOfYearBalance
Contributions10100Contributions
Investment Earnings Or Losses143851InvestmentEarningsOrLosses
Other Expenditures77947OtherExpenditures
Administrative Expenses13068AdministrativeExpenses
End Of Year Balance1975526EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1651044BeginningOfYearBalance
Contributions10000Contributions
Investment Earnings Or Losses281355InvestmentEarningsOrLosses
Other Expenditures15567OtherExpenditures
Administrative Expenses14242AdministrativeExpenses
End Of Year Balance1912590EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.90950BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00960PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08090TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis225000OtherCostOrOtherBasis
Book Value225000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23521195OtherCostOrOtherBasis
Depreciation10852134Depreciation
Book Value12669061BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6542842OtherCostOrOtherBasis
Depreciation4606277Depreciation
Book Value1936565BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14830626TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
FUNDS HELD FOR OTHERS$21,233
DEFERRED COMPENSATION$59,661
FieldValueIRS element (for citing)
Total Of Amounts80894TotalOfAmounts
Total Revenue13965944TotalRevenue
Total Expenses12862793TotalExpenses
Excess Or Deficit For Year1103151ExcessOrDeficitForYear
Net Unrealized GL On Investments-351562NetUnrealizedGLOnInvestments
Total Adjustments-351562TotalAdjustments
Excess Or Deficit Per FS751589ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13570152TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-351562NetUnrealizedGainsInvestments
Revenue Not Rptd F990-351562RevenueNotRptdF990
Revenue Subtotal13921714RevenueSubtotal
Investment Expenses Not Included52464InvestmentExpensesNotIncluded
Other Revenues Not Included-8234OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt44230RevenueNotRptdOnFinStmt
Total Revenue Per Form99013965944TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12818563TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12818563ExpensesSubtotal
Investment Expenses Not Included252464InvestmentExpensesNotIncluded2
Other Expenses Not Included-8234OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt44230ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012862793TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ARMSEY BEAUTIFICATION FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR CLARK-LINDSEY RESIDENT GROUNDS AND GARDENS. THE THOMPSON LIBRARY FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE WEBBER EDUCATIONAL FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF CONTINUING EDUCATION FOR HEALTH CENTER STAFF. THE STEWART LIBRARY FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE KAULFERS FUND IS A BOARD DESIGNATED, QUASI ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR QUALITY OF LIFE IMPROVEMENTS INDCLUDING PROGRAMS AND FACILITIES ESPECIALLY DEVELOPED FOR SENIOR CITIZENS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE VILLAGE QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE VILLAGE IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE VILLAGE IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE VILLAGE QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE VILLAGE'S 2009, 2008 AND 2007 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS -8,234.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS -8,234.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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

FieldValueIRS element (for citing)
Name PersonDEBRA S REARDANZNamePerson
Base Compensation Filing Org171434BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org8500OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org11394DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org18184NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org209512TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZATION PROVIDED REIMBURSEMENT FOR COMPANION TRAVEL TO ITS BOARD MEMBERS. THE SPECIFIC INDIVIDUALS AND AMOUNTS ARE INCLUDED ON FEDERAL FORM 990, PART VII, SECTION A.
PART I, LINE 4ACLIFFORD INGERSOLL, FORMER CEO, RECEIVED HIS 457 PLAN DISTRIBUTION OF $131,211 DURING 2010, OF WHICH $39,038 WAS TAXABLE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF URBANA CHAMPAIGN COUNTY ILLINOISBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN376000524IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2004-05-20DateIssued
Issue Price5000000IssuePrice
Description Of PurposeIMPROVEMENTS TO HEALTHCARE FACILITYDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired784653AmountRetired
Total Proceeds5000000TotalProceeds
Issuance Costs From Proceeds100000IssuanceCostsFromProceeds
Capital Expenditures4900000CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding0CurrentRefunding
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
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
E PHILLIPS KNOX
BOARD SECRETARY52464INVESTMENT MANAGEMENT FEES PAID TO BUSEY WEALTH MANAGEMENT. MR. KNOX IS A DIRECTOR AT THE PARENT COMPANY, FIRST BUSEY CORPORATION.0
E PHILLIPS KNOX
BOARD SECRETARY350195LOAN PAYMENTS MADE TO BUSEY BANK. MR. KNOX IS A DIRECTOR AT THE PARENT COMPANY, FIRST BUSEY CORPORATION.0
DEBRA REARDANZ
PRESIDENT/CEO14921DUES PAID TO LIFE SERVICES NETWORK (LSN), ON WHICH, MS. REARDANZ IS A BOARD MEMBER.0
CURTIS FARELL
PRESIDENT'S BROTHER11682WAGES PAID FOR PART-TIME EMPLOYMENT0
(no name)
0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED.
THE BOARD DIRECTS THAT OFFICERS, DIRECTOR, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION.FORM 990, PART VI, SECTION B, LINE 15
CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -351,562.FORM 990, PART XI, LINE 5:
THE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS.FORM 990, PART XII, LINE 2C