2023-10-31T14:09:54-05:00 2022-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2022-01-01 113211085 COBURG VILLAGE INC COBU 5183715000 COBURG VILLAGE WAY REXFORD NY 12148 ANTOINETTE WALLACE EXECUTIVE DIRECTOR 5183715000 2023-10-31 1 ANTOINETTE WALLACE 999009999 0 KENNETH MCGIVNEY P01324731 5184644080 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANTOINETTE WALLACE COBURG VILLAGE WAY REXFORD NY 12148 17478795 0 X WWW.COBURGVILLAGE.COM X 1999 NY A MINISTRY OF HEALING, HOSPITALITY, AND COMMUNITY THROUGH PARTNERSHIP AND CARING. 6 6 219 6 0 0 5352 12358 10301077 14348288 79008 19221 11085 12074 10396522 14391941 0 0 0 0 3156725 3541374 0 0 0 6570662 6914008 9727387 10455382 669135 3936559 43908610 43519375 33520191 26466149 10388419 17053226 A MINISTRY OF THE LUTHERAN CARE NETWORK, COBURG VILLAGE IS A NOT-FOR-PROFIT ORGANIZATION COMMITTED TO PROVIDING HIGH QUALITY, NON-DENOMINATIONAL RESIDENTIAL SERVICES AND RELATED PROGRAMS FOR OLDER ADULTS. 0 0 8795994 14298563 TO OPERATE A 288 UNIT INDEPENDENT LIVING COMPLEX FOR THE ELDERLY 11913 OPERATION OF A CONVENIENCE STORE TO FURTHER FACILITATE THE INDEPENDENT LIVING ENVIRONMENT OF COBURG VILLAGE. 8807907 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35 0 1 219 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X NANCY PALMER 5183715000 1 COBURG VILLAGE WAY REXFORD NY 12148 ARTHUR UPRIGHT CHAIR 1.00 X X 0 0 0 REV ADAM WIEGAND BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ED KLEINKE VICE CHAIR 1.00 X X 0 0 0 DAVE HAHN SECRETARY/TREASURER 1.00 X X 0 0 0 CHRISTOPHER JONES BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 GRACE HOKANSON BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 JOHN MESLOH BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 BISHOP DEREK LECAKES BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ANTOINETTE WALLACE EXECUTIVE DIRECTOR 40.00 X 171178 0 6212 NANCY PALMER CONTROLLER 40.00 X 73107 0 13428 244285 0 19640 1 0 1 0 SYSCO FOOD SERVICE OF ALBANY ONE LIEBICH LANE HALFMOON NY 12065 FOOD SERVICE 669129 THE LUTHERAN CARE NETWORK 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 MANAGEMENT FEES 497046 EASTERN HEATING & COOLING INC 880 BROADWAY ALBANY NY 122071316 CONSTRUCTION 428207 CENTIMARK CORPORATION PO BOX 536254 PITTSBURGH PA 152535904 ROOFING 353670 CAPITAL LAND FLOORING COMPANY LLC PO BOX 1414 CLIFTON PARK NY 12065 FLOORING 287016 15 6500 5858 12358 RESIDENT SERVICE REVENUES 623000 9897116 9897116 MISCELLANEOUS 623000 4098957 4098957 OTHER OPERATING 623000 352215 352215 14348288 81020 81020 3025055 3086854 -61799 -61799 -61799 COUNTRY STORE 900099 12074 12074 12074 14391941 14298563 0 81020 2955940 2443668 512272 585434 483977 101457 497046 497046 31436 31436 23100 23100 368298 368298 132260 132260 1250512 1137966 112546 998056 908231 89825 1609419 1464571 144848 221299 201382 19917 SUPPLIES AND OTHER EXPE 1094368 1002067 92301 FOOD EXPENSE 665487 665487 BANK CHARGES/FINANCING 22727 22727 10455382 8807907 1647475 0 98460 1872 10274749 6704928 8656 15704 301980 309364 57121746 24938135 32433257 32183611 3025055 791508 1278841 43908610 43519375 514988 520083 27178162 21765269 5827041 4180797 33520191 26466149 X 10388419 17053226 10388419 17053226 43908610 43519375 X 3936559 2728248 X X 0 1 X 1 0 X 8265 8117 23780 5352 4858 50372 10542388 10514363 10343428 10312162 14306063 56018404 10550653 10522480 10367208 10317514 14310921 56068776 0 0 0 56068776 9759 166910 134808 79008 81020 471505 9759 166910 134808 79008 81020 471505 10560412 10689390 10502016 10396522 14391941 56540281 0.99170 0.99250 0.00830 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1629362 1629362 50268798 22503566 27765232 5223586 2434569 2789017 32183611 INVESTMENTS 3025055 F 3025055 TENANT DEPOSITS 910058 DUE TO RELATED ORGANIZATIONS 490554 PENSION WITHDRAWAL LIABILITY 315866 CURRENT PORTION OF LONG TERM DEBT 1419165 LONG TERM DEBT OTHER 1045154 4180797 14391941 0 14391941 0 14391941 7727134 -2728248 -2728248 10455382 0 10455382 PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 16,223. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -2,744,471. 0 0 0 0 0 0 0 0 0 ANTOINETTE WALLACE EXECUTIVE DIRECTOR 171178 0 0 0 0 0 0 0 6212 0 177390 0 0 0 A CLIFTON PARK INDUSTRIAL DEVELOPMENT AGENCY 141648608 187124AA0 2006-04-25 17500000 COBURG VILLAGE SENIOR HOUSING PROJECT 0 0 0 B THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906PZ1 2011-12-19 19585000 COBURG VILLAGE EXPANSION PROJECT 0 0 0 A 17500000 350000 17150000 2007 0 0 1 1 B 19585000 292700 1004392 685433 17602475 2014 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 1 1 BERKSHIRE BANK 6.000000000000 0 0 0 0 0 B 0 0 0 0 1 1 BERKSHIRE BANK 7.000000000000 0 0 0 0 1 A 0 B 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED THE CFO AND CEO FUNCTIONS TO THE LUTHERAN CARE NETWORK, INC., ITS SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE LUTHERAN CARE NETWORK, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER PERSUANT TO THE ORGANIZATION'S BY-LAWS. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE BY-LAWS OF COBURG VILLAGE, INC., CERTAIN RESERVE POWERS ARE DELEGATED TO THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD AT REGULAR MEETING FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND ADMINISTRATORS ARE REQUIRED TO SIGN AND REPORT ANY CHANGES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: INTEREST RATE SWAP AGREEMENT 2,744,471. LOSS ON DISPOSAL OF FIXED ASSETS -16,223. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. LUTHERAN CENTER AT POUGHKEEPSIE INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 223408456 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 KENWOOD MANOR INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 141368178 LICENSED ADULT HOME FACILITY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 WARTBURG NURSING HOME 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 237087284 DORMANT NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION AT CONCORD VILLAGE 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 030436196 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF LONG ISLAND 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 112574183 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF PAWLING 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 113269257 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 WARTBURG HOUSING DEVELOPMENT FUND 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 112645255 DORMANT NY 501(C)(3) LINE 7 0 WARTBURG LUTHERAN HOME FOR THE AGING INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 111631836 MANAGES SENIOR HOUSING PROGRAM NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 THE LUTHERAN CARE NETWORK INC 700 WHITE PLAINS RD SUITE 377 SCARSDALE NY 10583 112896230 PROVIDE MGMT, DEVP & FUNDRAISING SERVICES TO RELATED 501(C)(3) NY 501(C)(3) LINE 10 THE LUTHERAN CARE NETWORK INC 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 THE LUTHERAN CARE NETWORK INC M 497000 LUTHERAN CENTER AT POUGHKEEPSIE D 490544