STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

POMPERAUG WOODS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
POMPERAUG WOODS INC (EIN 06-1073286)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-08
IRS object ID
201112209349300326
Schema version
2009v1.7
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)
Timestamp2011-08-08T12:36:53-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUM SHAPIRO & COMPANY PC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line129 S MAIN STREET PO BOX 272000AddressLine1
CityWEST HARTFORDCity
StateCTState
ZIP Code061272000ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061073286EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1POMPERAUG WOODS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPOMPNameControl
Phone2032626555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 HERITAGE ROADAddressLine1
CitySOUTHBURYCity
StateCTState
ZIP Code06488ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN MOSHIERName
TitleEXECUTIVE DIRECTORTitle
Phone2032626555Phone
Date Signed2011-08-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8605614000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN MOSHIERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line180 HERITAGE ROADAddressLine1
CitySOUTHBURYCity
StateCTState
ZIP Code06488ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9606840GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.POMPERAUGWOODS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees166TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11050ContributionsGrantsPriorYear
Contributions Grants Current Year6090ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8992138ProgramServiceRevenuePriorYear
Program Service Revenue CY9541594ProgramServiceRevenueCY
Investment Income Prior Year-86223InvestmentIncomePriorYear
Investment Income Current Year-21069InvestmentIncomeCurrentYear
Other Revenue Prior Year13779OtherRevenuePriorYear
Other Revenue Current Year28867OtherRevenueCurrentYear
Total Revenue Prior Year8930744TotalRevenuePriorYear
Total Revenue Current Year9555482TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4640094SalariesEtcPriorYear
Salaries Etc Current Year4680095SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4846799OtherExpensePriorYear
Other Expenses Current Year4857488OtherExpensesCurrentYear
Total Expenses Prior Year9486893TotalExpensesPriorYear
Total Expenses Current Year9537583TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-556149RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17899RevenuesLessExpensesCY
Total Assets BOY24572905TotalAssetsBOY
Total Assets EOY24857290TotalAssetsEOY
Total Liabilities BOY27872149TotalLiabilitiesBOY
Total Liabilities EOY28138635TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3299244NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3281345NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7288582Expense
Revenue9570461Revenue
DescriptionPOMPERAUG WOODS IS A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 141 LIVING UNITS AND 37 NURSING BEDS. SERVICES PROVIDED INCLUDED MEDICAL CARE, FOOD, CLEANING AND LAUNDRY.Description
Total Program Service Expense7288582TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees166NumberOfEmployees
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
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1POMPERAUG WOODS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2032626555TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 HERITAGE ROADAddressLine1
CitySOUTHBURYCity
StateCTState
ZIP Code06488ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
EDWARD H WILLIAMS
DIRECTOR1.00X000
DR MARC J TAYLOR
VICE PRESIDENT1.00X000X
GERALD L GARAVEL
SECRETARY1.00X000X
WILLIAM B NEIL JR
DIRECTOR1.00X000
ANN M PROPPER
PRESIDENT1.00X000X
ALBERT S REDWAY
DIRECTOR1.00X000
LEONARD R VOLPE JR
TREASURER1.00X000X
JANE C CONNERY
DIRECTOR1.00X000
THERESA A FITZMAURICE
DIRECTOR1.00X000
KATHARINE KRANZ LEWIS
DIRECTOR1.00X000
JACK PRIOR
DIRECTOR1.00X000
JANET WALKER
DIRECTOR1.00X000
KEVIN MOSHIER
EXECUTIVE DIRECTOR50.00136751012765X
LANA SMOLITSKY
FINANCE DIRECTOR40.007752701118X
FieldValueIRS element (for citing)
Total Reportable Comp From Org214278TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13883TotalOtherCompensation
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
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MGMT CONSULTANT315868
HOME HEALTH CARE SERVICES LLC
PO BOX 402294ATLANTAGA30384HOME CARE SERVICE308205
SUNDANCE REHABILITATION
6549 PAYSPHERE CIRCLECHICAGOIL60674THERAPY SERVICES265621
ETHOS MARKETING & DESIGN
907 MAIN STREETWESTBROOKME04092MARKETING SERVICES182965
MUELLER HOME IMPROVEMENTS
157 OAK DRIVEWATERTOWNCT06795REMODELING SERVICES165672
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions6090AllOtherContributions
Total Contributions6090TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVEN62300055777925577792
HEALTH CENTER FEES62300022763072276307
AMORTIZATION OF ENTRAN62300016874951687495
FieldValueIRS element (for citing)
Total Program Service Revenue9541594TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13949TotalRevenueColumn
Exclusion$13,949ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other35018Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-35018Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-35018TotalRevenueColumn
Exclusion-$35,018ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory37790GrossSalesOfInventory
Cost Of Goods Sold16340CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column21450TotalRevenueColumn
Related Or Exempt Function Income21450RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column7417TotalRevenueColumn
Related Or Exempt Function Income7417RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7417TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9555482TotalRevenueColumn
Related Or Exempt Function Income9570461RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$21,069ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total245677Total
Program Services83058ProgramServices
Management And General162619ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3680503Total
Program Services3036139ProgramServices
Management And General644364ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27319Total
Program Services27319ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total428763Total
Program Services415341ProgramServices
Management And General13422ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total297833Total
Program Services258825ProgramServices
Management And General39008ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total174225Total
Management And General174225ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total70270Total
Management And General70270ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33213Total
Management And General33213ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42045Total
Program Services42045ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total136676Total
Program Services113896ProgramServices
Management And General22780ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5441Total
Program Services389ProgramServices
Management And General5052ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total331790Total
Program Services331790ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1205907Total
Program Services1205907ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total190322Total
Management And General190322ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UTILITIES645064645064
FOOD & SUPPLIES59666557152225143
PROMOTIONAL SALES40708017360389720
PROPERTY TAXES309078309078
THERAPY293495293495

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total416217Total
Program Services246432ProgramServices
Management And General169785ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9537583Total
Program Services7288582ProgramServices
Management And General2249001ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY183853BOY
EOY75370EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3080390BOY
EOY5091545EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1697446BOY
EOY787600EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY43773BOY
EOY37770EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY174485BOY
EOY279192EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34533658LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15950932LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19297429BOY
EOY18582726EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY95529BOY
EOY3087EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24572905BOY
EOY24857290EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3420908BOY
EOY4485860EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18285394BOY
EOY18727285EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4950000BOY
EOY4350000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1215847BOY
EOY575490EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27872149BOY
EOY28138635EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3299244BOY
EOY-3281345EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3299244BOY
EOY-3281345EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24572905BOY
EOY24857290EOY
FieldValueIRS element (for citing)
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 Years60375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9519CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11050CurrentTaxYearMinus1Year
Current Tax Year6090CurrentTaxYear
Total92834Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7360200CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8054686CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9132713CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9027490CurrentTaxYearMinus1Year
Current Tax Year9579384CurrentTaxYear
Total43154473Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7420575CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8064205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9138513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9038540CurrentTaxYearMinus1Year
Current Tax Year9585474CurrentTaxYear
Total43247307Total

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 Total50943247307PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years164626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24950CurrentTaxYearMinus1Year
Current Tax Year13949CurrentTaxYear
Total393448Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years164626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24950CurrentTaxYearMinus1Year
Current Tax Year13949CurrentTaxYear
Total393448Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year7417CurrentTaxYear
Total7417Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7585201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8165975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9226666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9063490CurrentTaxYearMinus1Year
Current Tax Year9606840CurrentTaxYear
Total43648172Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99080PublicSupportPercentage509
Prior Year Support Percentage0.98700PriorYearSupportPercentage
Investment Income Percentage0.00900InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01280PriorYrInvestIncomePercentage
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 Basis962264OtherCostOrOtherBasis
Book Value962264BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28970502OtherCostOrOtherBasis
Depreciation12257596Depreciation
Book Value16712906BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4600892OtherCostOrOtherBasis
Depreciation3693336Depreciation
Book Value907556BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18582726TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ENTRANCE FEE DEPOSITS$16,500
OTHER CURRENT LIABILITIES$18,990
UNEARNED ENTRANCE FEES$540,000
FieldValueIRS element (for citing)
Total Of Amounts575490TotalOfAmounts
Total Revenue9555482TotalRevenue
Total Expenses9537583TotalExpenses
Excess Or Deficit For Year17899ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS17899ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9555482TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9555482RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909555482TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9537583TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9537583ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909537583TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE SERVICES LLC (LCS)BusinessNameLine1
FieldValueIRS element (for citing)
RelationshipKEVIN MOSHIER IS AN OFFICER OF THE ORGANIZATION AND A KEY EMPLOYEE OF LCSRelationship
Amount Of Transaction315868AmountOfTransaction
Description Of TransactionMANAGEMENT SERVICES PROVIDED BY LCSDescriptionOfTransaction
Sharing Of Revenues1SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3THE ORGANIZATION UTILIZED LIFE CARE SERVICES, LLC TO SUPERVISE OPERATIONS OF THE FACILITY. THE EXECUTIVE DIRECTOR OF POMPERAUG WOODS IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC.
Form 990, Part VI, Section B, line 11THE FORM 990 WAS REVIEWED BY ANN PROPPER, PRESIDENT OF THE BOARD, AND JANET WALKER, DIRECTOR, BEFORE FILING.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION PROVIDES ANNUAL EDUCATION REGARDING THE POLICY.
PART VI, SECTION B, LINE 15: THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC, WHICH PROVIDES MANAGEMENT SERVICES TO POMPERAUG WOODS. THE COMPENSATION OF THE FINANCE DIRECTOR IS DETERMINED BY THE EXECUTIVE DIRECTOR USING COMPARABLE DATA, AND IS APPROVED BY THE PRESIDENT OF THE BOARD.
Form 990, Part VI, Section C, line 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.