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FIRST COMMUNITY VILLAGE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FIRST COMMUNITY VILLAGE (EIN 31-0655502)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-09-13
IRS object ID
201132569349300013
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)
Timestamp2011-09-13T10:54:55-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD WERSHBALE & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line123240 CHAGRIN BLVDAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310655502EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FIRST COMMUNITY VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFIRSNameControl
Phone6143244457Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 Riverside DriveAddressLine1
CityColumbusCity
StateOHState
ZIP Code43212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namejudith naderhoffName
TitlecfoTitle
Date Signed2011-09-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMary Eileen Vitale CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANE TOMLINSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 RIVERSIDE DRIVEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22746491GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.firstcommunityvillage.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionA CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES A CARING ENVIRONMENT FOR ITS RESIDENTS AND IS DESIGNED TO OFFER QUALITY CONTINUUM OF CARE AND COMMUNITY OUTREACH SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees456TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year317ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21707714ProgramServiceRevenuePriorYear
Program Service Revenue CY22386499ProgramServiceRevenueCY
Investment Income Prior Year342630InvestmentIncomePriorYear
Investment Income Current Year169748InvestmentIncomeCurrentYear
Other Revenue Prior Year601414OtherRevenuePriorYear
Other Revenue Current Year124324OtherRevenueCurrentYear
Total Revenue Prior Year22652075TotalRevenuePriorYear
Total Revenue Current Year22680571TotalRevenueCurrentYear
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 Year12828678SalariesEtcPriorYear
Salaries Etc Current Year12775350SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14463104OtherExpensePriorYear
Other Expenses Current Year16662718OtherExpensesCurrentYear
Total Expenses Prior Year27291782TotalExpensesPriorYear
Total Expenses Current Year29438068TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4639707RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6757497RevenuesLessExpensesCY
Total Assets BOY93602850TotalAssetsBOY
Total Assets EOY84105146TotalAssetsEOY
Total Liabilities BOY107021025TotalLiabilitiesBOY
Total Liabilities EOY104209456TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13418175NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-20104310NetAssetsOrFundBalancesEOY
Mission DescriptionFIRST COMMUNITY VILLAGE IS A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY ESTABLISHED TO PROVIDE A CARING ENVIRONMENT FOR THE SPIRITUAL, INTELLECTUAL, EMOTIONAL, PHYSICAL AND SOCIAL ASPECTS OF ITS RESIDENTS. IT IS DESIGNED TO OFFER BOTH A QUALITY CONTINUUM OF CARE AND COMMUNITY OUTREACH SERVICES IN A FISCALLY RESPONSIBLE MANNER. IT IS FIRST COMMUNITY VILLAGE'S OBJECTIVE TO PROVIDE A FAIR AND SATISFYING WORKING ENVIRONMENT FOR ITS STAFF, AND TO CREATE A COOPERATIVE EFFORT BETWEEN RESIDENTS AND STAFF MEMBERS TO ACHIEVE A HARMONIOUS LIVING AND WORKING ENVIRONMENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense23985890Expense
Revenue22386499Revenue
DescriptionFIRST COMMUNITY VILLAGE IS A LICENSED NURSING HOME FOR THE AGING IN THE STATE OF OHIO THAT OPERATES A RETIREMENT COMMUNITY CONSISTING OF A 74 UNIT ASSISTED LIVING FACILITY AND 142 INDEPENDENT LIVING UNITS. THE ORGANIZATION PROVIDED 54,038 PATIENT DAYS OF CARE IN 2009 IN ITS NURSING CARE FACILITY.Description
Total Program Service Expense23985890TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees456NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJUDITH NADERHOFFNamePerson
Telephone Number6142733589TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12335 NORTHBANK DRAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PAUL ANDERSON
PAST CHAIRMAN1.0X000
EDWARD BOPE MD
EX OFFICIO1.0X000
DOUG MCCREADY
SPECIAL MEMBER APPOINTEE1.0X000
GREGORY B COMFORT
VICE CHAIRMAN1.0X000X
JERRY KUYOTH
COO1.0X000X
JODI NADERHOFF
ASSISTANT TREASURER & CFO1.0X000X
Joe Kasberg
Treasurer and CFO1.0X000X
James Balthaser
chairman1.0X000X
DIANE TOMLINSON
PRESIDENT & COO40.0135161028298X
BARBARA TURNER
SECRETARY40.05024609163X
JOHN SANDMAN
CEO40.0148338010769X
FieldValueIRS element (for citing)
Total Reportable Comp From Org333745TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation48230TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRADITIONS AT STYGLER ROAD
2335 NORTH BANK DRIVECOLUMBUSOH43220THERAPY & MARKETING445514
LEADERSTAT
8181 WORTHINGTON ROADWESTERVILLEOH43082CONSULTING SERVICES219153
ALLEN KUEHNLE STOVALL NEUMANN
17TH S HIGH STREET SUITE 1220COLUMBUSOH43215LEGAL SERVICES299240
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET HEALTHCARE CTR6230001021789410217894
NET CARE & SVC FEE62300079597347959734
OTHER MEDICAL SVCS62300036040713604071
AMORTIZATION OF ENTRANCE FEE623000604800604800
FieldValueIRS element (for citing)
Total Program Service Revenue22386499TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column169748TotalRevenueColumn
Exclusion$169,748ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory115258GrossSalesOfInventory
Cost Of Goods Sold65920CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column49338TotalRevenueColumn
Exclusion$49,338ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GUEST MEALS7222105369$5,369
TELEPHONE REVENUE51700036094$36,094
LAUNDRY REVENUE81230016369$16,369

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column17154TotalRevenueColumn
Exclusion$17,154ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue74986TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22680571TotalRevenueColumn
Related Or Exempt Function Income22386499RelatedOrExemptFunctionIncome
Exclusion$294,072ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total333745Total
Program Services53649ProgramServices
Management And General280096ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9610504Total
Program Services7688403ProgramServices
Management And General1922101ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total322659Total
Program Services258127ProgramServices
Management And General64532ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1277857Total
Program Services1022286ProgramServices
Management And General255571ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1230585Total
Program Services984468ProgramServices
Management And General246117ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23931Total
Management And General23931ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total110192Total
Program Services110192ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total190614Total
Program Services152491ProgramServices
Management And General38123ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total988506Total
Program Services790805ProgramServices
Management And General197701ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2271Total
Program Services1817ProgramServices
Management And General454ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18346Total
Program Services14677ProgramServices
Management And General3669ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2547467Total
Program Services2037974ProgramServices
Management And General509493ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2732129Total
Program Services2185703ProgramServices
Management And General546426ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total386454Total
Program Services309163ProgramServices
Management And General77291ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS961095961095
DUES & SUBSCRIPTIONS4047440474
REPAIRS & MAINTENANCE19122615298138245
LICENSES & FEES1616116161
STATE FRANCHISE FEE715277715277

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7738575Total
Program Services6490147ProgramServices
Management And General1248428ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29438068Total
Program Services23985890ProgramServices
Management And General5452178ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY303999BOY
EOY1617543EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1511943BOY
EOY572321EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2612506BOY
EOY2647614EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY76653BOY
EOY76653EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY139794BOY
EOY79365EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY345762BOY
EOY246575EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis84984885LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15346254LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY75248239BOY
EOY69638631EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY161015BOY
EOY2EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13202939BOY
EOY9226442EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93602850BOY
EOY84105146EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9633872BOY
EOY13337180EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18171556BOY
EOY17559768EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY60986847BOY
EOY60986847EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY30741BOY
EOY53464EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17407085BOY
EOY11455471EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY790924BOY
EOY816726EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY107021025BOY
EOY104209456EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14311747BOY
EOY-20996867EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216853BOY
EOY215838EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY676719BOY
EOY676719EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13418175BOY
EOY-20104310EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93602850BOY
EOY84105146EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years124513CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57159CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5672CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year317CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total187661Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17937899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17360875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19216609CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21707714CurrentTaxYearMinus1Year
Current Tax Year22386499CurrentTaxYear
Total98609596Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18062412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17418034CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19222281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21708031CurrentTaxYearMinus1Year
Current Tax Year22386499CurrentTaxYear
Total98797257Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50998797257PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years354436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years376267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year342630CurrentTaxYearMinus1Year
Current Tax Year169748CurrentTaxYear
Total1404010Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years354436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years376267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year342630CurrentTaxYearMinus1Year
Current Tax Year169748CurrentTaxYear
Total1404010Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years186754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57665CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years517230CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year601414CurrentTaxYearMinus1Year
Current Tax Year124324CurrentTaxYear
Total1487387Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18410095CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17830135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20115778CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22652075CurrentTaxYearMinus1Year
Current Tax Year22680571CurrentTaxYear
Total101688654Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97157PublicSupportPercentage509
Prior Year Support Percentage0.97242PriorYearSupportPercentage
Investment Income Percentage0.01381InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01363PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance676719BeginningOfYearBalance
End Of Year Balance676719EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance676719BeginningOfYearBalance
End Of Year Balance676719EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis451246OtherCostOrOtherBasis
Book Value451246BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis63049756OtherCostOrOtherBasis
Depreciation8128271Depreciation
Book Value54921485BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9407221OtherCostOrOtherBasis
Depreciation6415759Depreciation
Book Value2991462BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12076661OtherCostOrOtherBasis
Depreciation802223Depreciation
Book Value11274438BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69638631TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS65585
BOND ISSUANCE COSTS, NET2068072
DEPOSITS1000
ASSETS RESTRICTED BY DONOR829129
ENTRANCE FEE FUND3557955
CAPITALIZED MARKETING COSTS2704701
FieldValueIRS element (for citing)
Total Book Value Other Assets9226442TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$808,444
OTHER LIABILITIES$8,282
FUNDS HELD FOR OTHERS$0
FieldValueIRS element (for citing)
Total Of Amounts816726TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DIANE TOMLINSON
1351610000077980205000163459000
JOHN SANDMAN
1483380000000107690159107000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
FRANKLIN COUNTY OHIO
132555119353180GM82005-03-3058705000REVENUE REFUNDING AND IMPROVEMfalsefalse
FRANKLIN COUNTY OHIO
132555119353180GS52005-05-201685000REVENUE REFUNDING AND IMPROVEMfalsefalse
CITY OF UPPER ARLINGTON
3164002399999999992004-11-24900000tax incentive financingfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
58705000115088353123552440726132008truefalsetruetrue
16850003370016513002008falsefalsetruetrue
9000009000002006falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Morgan Stanley
falsetruetrue5.falsefalsefalse
(no name)
falsetruefalsefalsefalsefalse
(no name)
falsefalsefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DOCUMENTS AVAILABLE TO PUBLICPAGE 6, PART VI, SECTION C, #19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 REVIEW PROCESSPAGE 6, PART VI, SECTION B, #11THE 990 RETURN IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. AN OFFICER REVIEWS THE 990 RETURN PRIOR TO SIGNATURE.
PROCESS FOR DETERMINING COMPENSATIONPAGE 6, PART VI, SECTION B #15AA REVIEW OF COMPENSATION IS PERFORMED BY AN INDEPENDENT AUDIT COMMITTEE
MONITOR AND ENFORCE CONFLICT OF INTEREST POLICYPAGE 6, PART VI, SECTION B, #12CONCE PER YEAR CONFLICT OF INTEREST QUESTIONNAIRES ARE MAILED TO ALL MEMBERS OF THE MANAGEMENT. THE FORM IS REQUIRED TO BE COMPLETED BY ALL AND SEEKS TO OBTAIN POSSIBLE CONFLICTS WITH OTHER EMPLOYEES, BOARD MEMBERS, VENDORS, OR OTHER RELATED ORGANIZATIONS. ASSOCIATES ARE ONLY REQUIRED TO DISCLOSE THE CONFLICT AND IT'S NATURE, IF ONE EXISTS. FORMS ARE MAINTAINED BY HUMAN RESOURCES AND RENEWED EVERY YEAR.
DELEGATION CONTROL OVER MANAGEMENT DUTIESPAGE 6, PART VI, #3FIRST COMMUNITY VILLAGE SIGNED A MANAGEMENT CONTRACT WITH NATIONAL CHURCH RESIDENCES HEALTHCARE (NCR HC) IN JUNE 2009. THROUGH THIS CONTRACT, NCR HC IS MANAGING THE DAY TO DAY OPERATIONS AND REPORTS DIRECTLY TO THE FIRST COMMUNITY VILLAGE BOARD OF DIRECTORS. NCR HC IS MANAGING FIRST COMMUNITY VILLAGE THROUGH IS FINANCIAL CONCERNS TO LONG TERM FINANCIAL STABILITY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FCV CORPORATION
1800 RIVERSIDE DRIVECOLUMBUSOH43212050590231inactiveOH501(C)(3)9N/A
FIRST COMMUNITY VILLAGE FOUNDATION
1800 RIVERSIDE DRIVECOLUMBUSOH43212202467451SUPPORTOH501(C)(3)11bFCV
FIRST COMMUNITY VILLAGE DEVELOPMENT CORP
1800 RIVERSIDE DRIVECOLUMBUSOH43212260311416SUPPORTOH501(C)(3)11bFCV
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1First Community Church FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved76653AmountInvolved