2022-11-14T11:52:19-06:00 2021-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2021-01-01 161124314 MOZAIC CHAPTER NYSARC INC MOZA 3155395067 1083 WATERLOO-GENEVA ROAD WATERLOO NY 13165 ALLEN CONNELY PRESIDENT AND CEO 3155395067 2022-11-07 1 ALLEN CONNELY XXX-XX-XXXX MARK L WATERSTRAM P00117271 5853811000 2022-11-07 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MOZAIC ALLEN CONNELY 1083 WATERLOO-GENEVA ROAD WATERLOO NY 13165 30120827 0 1256 X MOZAIC.ORG X 1949 NY TO PROVIDE LIFELONG OPPORTUNITIES THAT SUPPORT PEOPLE WITH DIVERSE ABILITIES ON THEIR PATH TO PERSONAL SUCCESS. 10 10 667 10 0 0 1126877 1312883 27205888 26625578 217251 590484 312185 365531 28862201 28894476 0 0 0 0 16595352 19384209 0 0 214345 9448969 9459611 26044321 28843820 2817880 50656 22244035 24080165 9497424 11179988 12746611 12900177 X TO PROVIDE LIFELONG OPPORTUNITIES THAT SUPPORT PEOPLE WITH DIVERSE ABILITIES ON THEIR PATH TO PERSONAL SUCCESS. 0 0 5290152 5695747 DAY SERVICES: ASSISTS DEVELOPMENTALLY DISABLED PERSONS BECOME PART OF THE COMMUNITY AND PROVIDES DIAGNOSTIC, TREATMENT & HABILITATIVE SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILIITIES. 231 CLIENTS SERVED. 4086596 3771158 CLINIC SERVICES: PROVIDES PERSONAL, ONE-ON-ONE AND GROUP TREATMENT TO PEOPLE WITH INTELLECTUAL AND OTHER DEVELOPMENTAL DISABILITIES THAT PROMOTES SELF-GROWTH AND POSITIVE SELF-IMAGE. OUR EXPERT CLINICAL STAFF ARE HIGHLY TRAINED IN THE FIELD OF DEVELOPMENTAL DISABILITIES AND AUTISM SPECTRUM DISORDERS AND ARE DEDICATED TO PROVIDING THE BEST TREATMENT POSSIBLE. SERVICES PROVIDED INCLUDE SOCIAL WORK, PHYSICAL THERAPY, VOCATIONAL REHABILITATION COUNSELING, OCCUPATIONAL THERAPY, PSYCHOLOGY, PSYCHIATRIC AND SPEECH AND LANGUAGE THERAPY. 698 CLIENTS SERVED. 10748342 12693877 RESIDENTIAL: A RESIDENCE PROGRAM WHICH PROVIDES A COMMUNITY LIKE SETTING FOR THE DEVELOPMENTALLY DISABLED. THIS IS ACCOMPLISHED THROUGH A GROUP SETTING WITH A MINIMUM OF SUPERVISION. 133 CLIENTS SERVED. 5369842 4464796 OTHER PROGRAM SERVICES: PROVIDES A FULL RANGE OF SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. CONSUMERS PARTICIPATED IN EDUCATIONAL, COMMUNITY HABILITATIONAL, VOCATIONAL, RESPITE AND OTHER SERVICES. 5369842 4464796 25494932 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 72 0 1 667 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X TAMMY RAUB 3155395067 1083 WATERLOO-GENEVA RD WATERLOO NY 13165 ALLEN CONNELY PRESIDENT AND CEO 40.00 1.00 X 250252 0 26409 TAMMY SLAYTON SENIOR VP OF ADMINISTRATIO 40.00 1.00 X 132550 0 11523 TAMMY RAUB CFO 40.00 1.00 X 118017 0 9573 DR NORMAN LINDENMUTH CHAIR 1.00 1.00 X X 0 0 0 MARY PAT HARRIS VICE CHAIR 1.00 1.00 X X 0 0 0 BOB ISZARD TREASURER 1.00 1.00 X X 0 0 0 THOMAS ACKERLEY ASSISTANT TREASURER 1.00 1.00 X X 0 0 0 GARY LAHR SECRETARY 1.00 1.00 X X 0 0 0 JENNIFER TAVARES BOARD MEMBER 1.00 1.00 X 0 0 0 EDIE SMITH BOARD MEMBER 1.00 1.00 X 0 0 0 EILEEN HOLGATE BOARD MEMBER 1.00 1.00 X 0 0 0 DONNA PASIK BOARD MEMBER 1.00 1.00 X 0 0 0 DR MICHELE BENNETT BOARD MEMBER 1.00 1.00 X 0 0 0 TERI TARSHUS BOARD MEMBER 1.00 1.00 X 0 0 0 NANCY THARP BOARD MEMBER 1.00 1.00 X 0 0 0 500819 0 47505 3 0 1 0 YATES TRANSIT SERVICE 240 NORTH AVE PENN YAN NY 14527 CONTRACTED TRANSPORTATION 230220 EPLUS TECHNOLOGY PO BOX 404398 ATLANTA GA 30384 IT CONSULTING 207844 SOPHIA BEZIRGANIAN 206A DRYDEN RD ITHACA NY 14850 CLINIC CONSULTANT 174979 TRENTON BARRY 7481 BAUER VAN WICKLE RD LYONS NY 14489 CLINIC CONSULTANT 170920 COMMERCIAL POWER SYSTEMS LLC 1127 CORPORATE DR E FARMINGTON NY 14425 GENERATORS 141844 13 38154 798000 476729 1312883 MEDICAID 900099 17729630 17729630 CONTRACT SALES 310000 3011443 3011443 OTHER PROGRAM REVENUE 900099 2572089 2572089 PARTICIPANT FEES 900099 1840256 1840256 TUITION FEES 900099 1472160 1472160 26625578 528791 528791 1271622 3949 1205815 8063 65807 -4114 61693 61693 5056 38154 12473 -7417 -7417 MISCELLANEOUS 900099 372948 372948 372948 28894476 26625578 0 956015 404251 404251 15339080 14259475 969952 109653 376571 365797 7814 2960 1548965 1405830 131830 11305 1715342 1481872 221176 12294 66373 66373 77719 77719 1425320 1096816 262895 65609 12152 4349 7383 420 833110 706367 123735 3008 848357 719700 128391 266 59202 44225 13860 1117 107853 34385 73468 111793 100901 10892 1635996 1553133 81728 1135 332638 304233 27987 418 RAW MATERIALS 974049 974049 BAD DEBT 716598 716598 REPAIRS AND MAINTENANCE 693637 612847 74630 6160 TRANSPORTATION PARTICIP 476482 473542 2940 0 1088332 640813 447519 28843820 25494932 3134543 214345 2969784 5141116 3326889 3789357 870980 753067 585141 409458 31731873 21734327 10295086 9997546 1949492 2153199 151724 151724 2094939 1684698 22244035 24080165 2171139 2535978 961256 1437088 3191866 2607312 1022160 2386225 2151003 2213385 9497424 11179988 X 12739154 12882966 7457 17211 12746611 12900177 22244035 24080165 50656 102910 0 X X 0 1 X 1 0 X 1649976 1262072 1282959 1126877 1282839 6604723 1649976 1262072 1282959 1126877 1282839 6604723 6604723 27422 29529 30031 389916 528791 1005689 31552 249297 281040 302804 864693 8475105 125163108 0.77930 0.86010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 994273 994273 20747897 14855491 5892406 9843112 6878836 2964276 146591 146591 9997546 CASH HELD IN TRUST 369726 DEBT SERVICE RESERVES 291981 DEFERRED COMPENSATION INVESTMENT 150508 OPERATING LEASE RIGHT-OF-USE ASSET 872483 1684698 DUE TO FUNDING SOURCES 245380 PARTICIPANTS TRUST LIABILITY 369726 DEFERRED COMPENSATION LIABILITY 150508 OPERATING LEASE LIABILITY 872483 PAYCHECK PROTECTION PROGRAM LOAN 575288 2213385 29167888 102910 158029 12473 273412 28894476 0 28894476 29014322 158029 12473 170502 28843820 0 28843820 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 12,473. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 12,473. GOLF TOURNAMENT 22490 17434 5056 590 4600 3168 DUCK RACE 20720 20720 1600 1216 1299 43210 38154 5056 2190 5816 4467 12473 -7417 X X 0 0 0 0 0 0 0 0 0 ALLEN CONNELY PRESIDENT AND CEO 227298 0 19000 0 3954 0 22389 0 4020 0 276661 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990CNA5 2017-02-15 2173432 FINANCED PURCHASE, RENOVATION, AND EQUIPPING OF A FOUR PERSON IRA FACILITY 0 0 0 B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 6499056K7 2011-01-27 3557656 FINANCED PURCHASE, RENOVATION, AND EQUIPPING OF A FOUR PERSON IRA FACILITY 0 0 0 C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649907GP1 2012-11-21 333003 FINANCED PURCHASE, RENOVATION, AND EQUIPPING OF A FOUR PERSON IRA FACILITY 0 0 0 D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990BTY9 2015-09-25 551019 FINANCED PURCHASE OF KNIT AND TEXTILE PRODUCTION FACILITY 0 0 0 A 2788666 147250 52174 2589240 2017 1 0 1 1 B 3694606 262280 102007 3330319 2010 0 0 1 1 C 475826 19174 8229 448423 2012 0 0 1 1 D 597710 29337 12821 555552 2015 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 D 0 0 0 0 1 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2017 ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2015 ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2015 ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2015 FORM 990, PART VI, SECTION A, LINE 6 NYSARC, INC. IS A UNITARY CORPORATION CONSISTING OF ITS 42 CHAPTERS. NYSARC, INC. MOZAIC COUNTY CHAPTER IS ONE DIVISION OF THE CORPORATION. THE CORPORATION AND CHAPTER'S GOVERNING BODY IS THE BOARD OF GOVERNORS REPRESENTING THE INDIVIDUAL MEMBERSHIP IN EACH CHAPTER'S JURISDICTION. EACH CHAPTER HAS ONE PRIMARY AND ONE ALTERNATE GOVERNOR WITH A WEIGHTED VOTE BASED ON MEMBERSHIP. THE CORPORATION THROUGH ITS BYLAWS DELEGATES DAY-TO-DAY OPERATING AUTHORITY TO THE CHAPTER'S BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE OF THE BOARD OF GOVERNORS (SEE PART VI, LINE 7A BELOW) COMPRISES THE CORPORATION'S ELECTED OFFICERS AND EXERCISES ALL POWERS OF THE BOARD OF GOVERNORS BETWEEN PLENARY MEETINGS OF THE GOVERNORS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBERS ELECT THE OFFICERS AND DIRECTORS OF THE CHAPTER ANNUALLY. IN TURN, THOSE CHAPTER BOARD MEMBERS NOMINATE THE OFFICERS AND DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF GOVERNORS DOES NOT REVIEW CHAPTERS' FORM 990S BEFORE THEY ARE FILED. EACH INDIVIDUAL CHAPTER SUBMITS A COPY OF ITS FORM 990 TO THE CORPORATION'S BOARD OF GOVERNORS WHEN THE FORM 990 IS FILED BY THE CHAPTER. EACH CHAPTER MUST HAVE A POLICY AND PROCEDURE PROCESS FOR ITS BOARD OF DIRECTORS TO REVIEW THE CHAPTER'S FORM 990. THE MOZAIC CHAPTER, NYSARC, INC.'S PROCESS IS AS FOLLOWS: THE FINANCE AND AUDIT COMMITTEE REVIEWS THE 990 PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF MUST COMPLETE AND SIGN A CODE OF ETHICS AND CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON HIRE AND AT LEAST ONCE PER YEAR, EVERY MEMBER OF THE CHAPTER'S BOARD OF DIRECTORS AND EVERY MANAGEMENT STAFF PERSON WITH SUBSTANTIAL DISCRETIONARY AUTHORITY MUST COMPLETE AND SIGN THE SAME DISCLOSURE STATEMENT. THE CORPORATE COMPLIANCE DIRECTOR IS RESPONSIBLE FOR ENSURING THAT THIS IS DONE. FORM 990, PART VI, SECTION B, LINE 15 THE PRIMARY SOURCE THE CHAPTER USES IS THE PERSONNEL MANAGEMENT ASSOCIATION OF REHABILITATION FACILITIES OF NYS (PMA). THE PMA SURVEY INCLUDES 55 ORGANIZATIONS THROUGHOUT NY. DATA FOR THE EXECUTIVE DIRECTOR POSITIONS IS REVIEWED BY THE CHAPTER'S BOARD OF DIRECTORS COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC IS PROVIDED COPIES OF THESE DOCUMENTS UPON WRITTEN REQUEST MADE TO THE CHAPTER'S EXECUTIVE DIRECTOR. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 9: THE OFFICERS AND BOARD OF GOVERNORS OF NYSARC MAY BE REACHED AT NYSARC, INC., 29 BRITISH AMERICAN BLVD., LATHAM, NY 12110 AS FOLLOWS: ALLEGANY -STEUBEN: ARTHUR STILWELL THOMAS TALBETT BENEVOLENT SOCIETY D.C.: JEROME ISAACS MARY SULLIVAN BRONX D.C.: LAURA KEARINS IDA RIOS BROOME-CHENANGO-TIOGA: ELLEN FELDMAN NICKI FRENCH CATTARAUGUS-NIAGARA: MICHAEL WILLIAMS RAPHAEL SMITH CHAUTAUQUA: RICHARD ERICKSON REBECCA HAMLET-KAPPLE CHEMUNG SCHUYLER: HAROLD HOFFMEIER EILEEN REMEC CLINTON: JOANNA VALENTE ORR CYNTHIA LACKI COLUMBIA: DOROTHY WHEELER MARY ANNE VANDENBURGH COMMUNITY LEAGUE D.C.: ROSE MARY CELLA DONALD GEER DELAWARE: JAMES WARREN JOHNA PEACHIN ERIE: ELLEN SHANAHAN BECKER PETER MARTIN ESSEX: LAURIE KELLEY SHELLEY WINTERS FRANKLIN-HAMILTON: ROBERT KLEPPANG POLLY SULLIVAN FULTON-SCHOHARIE: MIKE OSTRANDER NANCY COOKE GENESEE-LIVINGSTON-ORLEANS-WYOMING: CHERYL ENGLERT JOHN HUBER HERKIMER: STEPHANIE DYER RONALD GEORGE JEFFERSON-ST. LAWRENCE: JENNIFER LOONAN MADISON-CORTLAND: MAUREEN LEWIS DEBORAH MCGOWAN MONROE: DAVID IRISH JOSEPH KELLY MONTGOMERY: PAUL DICAPRIO JOHN ROSE NASSAU: PAUL GIORDANO HARRIET TRAVERSA NEW YORK CITY: ANNE GORDON RAYMOND FERRIGNO ONEIDA-LEWIS: JOANNA GRECO RUTH RIDGWAY ONONDAGA: GORDON EYER JAMES CANNON ONTARIO: DEBORAH WILBUR MARIE O'HORO OSWEGO: RICHARD RIMA MARY ANN BARBARINO OTSEGO: WALTER HOGAN JOSEPH BRILL RENSSELAER: MARY MULLER SALLY DUNBAR ROCKLAND: JOHN SMITH KAREN FEINSTEIN ROME D.C.: VACANT SARATOGA: MARY JO HEBERT LAWRENCE FEIN SCHENECTADY: BARBARA KANIA PATRICIA ROSS SUFFOLK: DEBORAH PFLIEGER SULLIVAN-ORANGE: STEVEN DROBYSH SHARON RUSSITANO ULSTER-GREENE-PUTNAM: SHAREE CROSS ROBERT BOENING WARREN-WASHINGTON-ALBANY COUNTIES CHAPTER, NYSARC, INC.: DAN MARTINDALE ANNE MARIE LOCKHART WAYNE: SHARON BOYD PENNY BLOOMER WEST SENECA D.C.: JUDY O'ROURKE ELLEN OWENS WESTCHESTER: ROSA RODRIQUEZ KYLE O'LOUGHLIN-CAHILL PRESIDENT: DR. JOHN KOWALCZYK IMMEDIATE PAST PRESIDENT: SAUNDRA M. GUMEROVE, ESQ.