2022-10-24T15:50:25-05:00 2022-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2021-07-01 561782967 GASTON RESIDENTIAL SERVICES ICFMR INC GAST 7048619280 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 DARLENE NORTON PRESIDENT & EXECUTIVE DIRECTOR 7048619280 2022-10-03 1 DARLENE NORTON 999009999 MATTHEW MCKINNEY P01707028 8283222070 2022-10-03 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DARLENE NORTON 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 3620450 0 X WWW.GRSINC.ORG X 1992 NC INTERMEDIATE CARE FACILITIES PROVIDING RESIDENTIAL AND SUPPORT SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILITIES TO HELP THEM ACHIEVE THE GREATEST POTENTIAL. 11 11 119 0 0 0 0 0 3814811 3582140 3518 38310 0 0 3818329 3620450 0 0 0 0 2066919 2315011 0 0 0 1109285 1202354 3176204 3517365 642125 103085 1961902 1910302 339803 185118 1622099 1725184 TO SUPPORT & EMPOWER PERSONS WITH DISABILITIES SO THEY CAN LIVE THEIR LIVES AS RESPECTED MEMBERS OF THEIR COMMUNITY BY PROVIDING RESIDENTIAL AND PERSONAL NEEDS CARE, SUPPORTED EMPLOYMENT & RELATED SERVICES. 0 0 3303644 3541313 PROVIDED RESIDENTIAL SUPPORTS AND SERVICES FOR ADULTS WHO HAVE A DEVELOPMENTAL DISABILITY AND WHO MEET THE FEDERAL MEDICAID REQUIREMENTS FOR THIS SERVICE. ICF TEACHES, ENCOURAGES, AND SUPPORTS INDIVIDUALS TO PARTICIPATE IN MEANINGFUL COMMUNITY COMPETITIVE EMPLOYMENT, VOLUNTEER POSITIONS OR OTHER COMMUNITY ACTIVITIES OF THEIR CHOICE. GRS IS COMMITTED TO COMMUNITY INCLUSION FOR ALL PEOPLE RECEIVING SERVICES. 208428 40827 SUPPORTED EMPLOYMENT SERVICES PROVIDE ASSISTANCE WITH CHOOSING, ACQUIRING, AND MAINTAINING A JOB FOR APPROXIMATELY 15 ADULTS WITH DISABILITIES. SERVICES INCLUDE: PRE-JOB TRAINING AND/OR EDUCATION AND DEVELOPMENT ACTIVITIES TO PREPARE A PARTICIPANT TO ENGAGE IN MEANINGFUL WORK-RELATED ACTIVITIES. 3512072 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 119 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X DARLENE NORTON 7048619280 905 A NORTH NEW HOPE ROAD GASTONIA NC 28054 JAMES HOYLE MEMBER 0.20 0.20 X 0 0 0 SELINA W LEE MEMBER 0.20 0.20 X 0 0 0 ANNE BUCHANAN MEMBER 0.20 0.30 X 0 0 0 KAREN MORGAN MEMBER 0.20 0.20 X 0 0 0 ALICE B CARPENTER MEMBER 0.20 0.20 X 0 0 0 JOHN RUSSELL MEMBER 0.20 0.20 X 0 0 0 JOE GRIGG MEMBER 0.20 0.20 X 0 0 0 JOANNE M MITCHELL MEMBER 0.20 0.20 X 0 0 0 LYNETTE G DEMPERIO BOARD SECRETARY/TREASURER 0.20 0.30 X X 0 0 0 PAUL BRINTLEY VICE CHAIRMAN 0.20 0.30 X X 0 0 0 ZED BRADLEY CHAIRMAN 0.20 0.20 X X 0 0 0 DARLENE NORTON PRESIDENT 16.00 24.00 X 0 101826 15118 WENDY LEWIS HOUSER ASSISTANT SECRETARY 10.00 30.00 X 0 70261 14610 JENNIFER PUTNAM ASSISTANT SECRETARY 30.00 10.00 X 87226 0 10271 TOM DAVIS SECRETARY / TREASURER 16.00 24.00 X 0 87064 6612 87226 259151 46611 0 0 0 0 0 MEDICAID FUNDS 623000 3316998 3316998 RESIDENTS' SERVICES 623000 224315 224315 ANCILLARY SERVICES REV 623000 40827 40827 3582140 2373 2373 35937 0 35937 35937 35937 3620450 3582140 0 38310 X 93676 93676 1900881 1900881 27003 27003 145418 142453 2965 148033 148033 11905 11905 216238 216058 180 563 563 97070 97026 44 21566 21566 9084 9084 49021 48854 167 40331 40331 CENTRAL OFFICE OVERHEAD 430162 430162 SUPPLIES 145771 145771 CONTRACTED SERVICES 61900 61900 REPAIRS AND MAINTENANCE 54830 54655 175 63913 62151 1762 3517365 3512072 5293 0 1598414 527616 129151 0 101212 1181864 1440468 1239646 133125 200822 1961902 1910302 339803 185118 339803 185118 X 1622099 1725184 1622099 1725184 1961902 1910302 103085 0 X X 0 1 X 1 0 X 2824890 2811563 2856701 3814811 3582140 15890105 2824890 2811563 2856701 3814811 3582140 15890105 0 0 0 15890105 898 1205 5564 3722 2373 13762 898 1205 5564 3722 2373 13762 2825788 2812768 2862265 3818533 3584513 15903867 0.99910 0.99920 0.00090 0.00080 X 18144 18144 524073 485080 38993 10861 10115 746 341173 332837 8336 546217 411614 134603 200822 X 3620450 0 3620450 0 3620450 3517365 0 3517365 0 3517365 PART X, LINE 2: THE ORGANIZATION HAS IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST & PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE & TRANSITION. AS OF THE END OF THE CURRENT & PRIOR YEARS, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS & RECOGNIZED NO SUCH INTEREST OR PENALTIES DURING THE CURRENT OR PRIOR YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS COMPLETED BY AN OUTSIDE CPA FIRM. IT IS THEN REVIEWED BY THE BOARD CHAIR, THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS CORP. COMPLIANCE POLICY AND CONFLICT OF INTEREST POLICY ANNUALLY AND SIGNS OFF ON IT. IF THERE ARE ANY ISSUES, THEY ARE REPORTED TO THE BOARD OF DIRECTORS. ANY CONFLICTS OR POTENTIAL ISSUES ARE VETTED AT THE BOARD MEETING AND MEMBER IS RECUSED IF THERE IS A CONFLICT. THERE IS A CORPORATE COMPLIANCE OFFICER AND HOTLINE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE ANNUAL REPORT FROM THE EXECUTIVE DIRECTOR (E.D.). COMPENSATION IS BASED ON THE E.D. HAVING MET THE GOALS FOR THE YEAR AND ANY OTHER FACTORS THAT MAY BECOME PRESENT DURING THE YEAR. THEY LOOK AT THE E.D.'S CURRENT SALARY AND DETERMINE IF IT IS WITHIN A FAIR AND REASONABLE RANGE FOR THE NUMBER OF EMPLOYEES AND THE SIZE OF THE ORGANIZATION. THIS IS THE ONLY SALARY THE BOARD SETS. ALL COMPENSATION IS PAID FROM THEIR AFFILIATE, GASTON RESIDENTIAL SERVICES, INC. FORM 990, PART VI, SECTION C, LINE 19 ALL OF OUR POLICIES ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAID ASSESSMENT FEES : PROGRAM SERVICE EXPENSES 197,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,242. LICENSE FEES : PROGRAM SERVICE EXPENSES 5,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,069. PAYROLL PROCESSING FEE : PROGRAM SERVICE EXPENSES 13,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,747. BANK FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 180. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180. FORM 990, PART IX, LINE 24E NON-CAPITALIZED EQUIPMENT : PROGRAM SERVICE EXPENSES 17,265. MANAGEMENT AND GENERAL EXPENSES 35. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,300. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 9,962. MANAGEMENT AND GENERAL EXPENSES 1,727. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,689. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 11,580. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,580. EMPLOYEE BACKGROUND CHECKS : PROGRAM SERVICE EXPENSES 9,365. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,365. DAY PROGRAM EXPENSES : PROGRAM SERVICE EXPENSES 8,731. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,731. MEALS AND ENTERTAINMENT : PROGRAM SERVICE EXPENSES 3,574. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,574. LINEN AND BEDDING : PROGRAM SERVICE EXPENSES 948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 948. PERSONAL HYGIENE ITEMS : PROGRAM SERVICE EXPENSES 426. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 426. UTILIZATION REVIEW : PROGRAM SERVICE EXPENSES 300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. GASTON RESIDENTIAL SERVICES INC 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 510138261 PROVIDE RESIDENTIAL SERVICES/SUPPORT FOR DEVELOPMENTALLY DISABLED ADULTS NC 501(C)(3) LINE 10 GASTON RESIDENTIAL SERVICES INC 0 GASTON RESIDENTIAL DEVELOPMENT INC 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 561783959 PROVIDE LONG-TERM SPECIALIZED HOUSING FOR DEVELOPMENTALLY DISABLED ADULTS NC 501(C)(3) LINE 12A, I GASTON RESIDENTIAL SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 GASTON RESIDENTIAL SERVICES INC P 430162 M,G&A OVERHEAD ALLOCATION GASTON RESIDENTIAL DEVELOPMENT INC K 30000 FMV REAL ESTATE LEASE