2022-11-15T12:07:17-06:00 2021-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2021-01-01 222263845 JEWISH SENIOR LIFE FOUNDATION INC JEWI 5854277760 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 DEBORAH MCILVEEN CFO 5854277760 2022-11-09 1 DEBORAH MCILVEEN 999009999 MARY MADONIA P00405803 7168472651 2022-11-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JULIAN GOLDSTEIN 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 26427421 0 X WWW.JSLFOUNDATION.ORG X 1979 NY THE PRIMARY PURPOSE OF THE FOUNDATION IS TO GENERATE FINANCIAL SUPPORT TO SUSTAIN THE MISSION OF JEWISH SENIOR LIFE AND ITS AFFILIATES, TO ENHANCE THE LIVES OF OUR RESIDENTS, PATIENTS, AND THEIR FAMILIES. 15 15 0 15 0 0 3302682 1345213 0 0 1512802 9433716 0 0 4815484 10778929 1709790 1970713 0 0 721552 429675 0 0 418624 992163 752374 3423505 3152762 1391979 7626167 59470268 59920342 10819055 8003528 48651213 51916814 X SEE SCHEDULE OTHE PRIMARY PURPOSE OF THE FOUNDATION IS TO GENERATE FINANCIAL SUPPORT TO SUSTAIN THE MISSION OF JEWISH SENIOR LIFE AND ITS AFFILIATES, TO ENHANCE THE LIVES OF OUR RESIDENTS, PATIENTS, AND THEIR FAMILIES. 0 0 348981 348981 DISTRIBUTION TO JEWISH SENIOR LIFE, INC., A PARENT COMPANY AND 501(C)(3) ORGANIZATION, THAT PROVIDES A CONTINUUM OF LONG TERM CARE FOR THE JEWISH COMMUNITY THROUGH THE COORDINATION OF ITS AFFLIATES 1640423 1607260 DISTRIBUTION TO JEWISH HOME OF ROCHESTER, A 501 (C)(3) ORGANIZATION. JEWISH HOME OF ROCHESTER, INC. PROVIDES TRANSITIONAL CARE FOR SHORT-STAY PATIENTS RECOVERING FROM HOSPITALIZATION; MEMORY CARE FOR RESIDENTS WITH MEMORY LOSS; AND LONG-TERM CARE FOR RESIDENTS IN NEED OF 24-HOUR NURSING CARE. IN ADDITION, JEWISH HOME OF ROCHESTER, INC. ALSO PROVIDES A MEDICAL MODEL ADULT DAY CARE PROGRAM FIVE DAYS PER WEEK WHICH SERVES APPROXIMATELY 80 PEOPLE PER DAY. 10520 10520 DISTRIBUTION TO JEWISH SENIOR LIFE COMMUNITY SERVICES INC. A SUBSIDIARY OF JEWISH SENIOR LIFE, INC. AND A 501(C)(3) ORGANIZATION, THAT PROVIDES A DAY RETREAT FOR THOSE WITH EARLY-TO-MILD STAGE ALZHEIMER'S DISEASE. 3952 3952 DISTRIBUTION TO JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC. A 501(C)(3) ORGANIZATION. JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC. (THE HOUSING) PROVIDES INDEPENDENT LIVING, AND OTHER RELATED SERVICES TO RESIDENTS, AS WELL AS LONG-TERM CARE SERVICES IN CONJUNCTION WITH JEWISH HOME OF ROCHESTER. THE HOUSING CONSISTS OF 90 INDEPENDENT LIVING UNITS. 3952 3952 2003876 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X DEBORAH MCILVEEN 5854277760 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 TED AXELROD BOARD VICE PRESIDENT (UNTIL MAY 2021) 0.30 X X 0 0 0 NORM BLAUSTEIN BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 STUART BOYER BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 RICHARD BROVITZ BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 MICHAEL COOPER BOARD PRESIDENT (UNTIL 5/21) 0.30 X X 0 0 0 DAVID CHAZAN BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 GAIL DREW BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 HEIDI FISHMAN BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 STEVE GERSZ BOARD MEMBER 0.30 X 0 0 0 JULIAN GOLDSTEIN BOARD PRESIDENT (FROM JUNE 2021) 0.30 X X 0 0 0 LAURENCE KESSLER BOARD MEMBER 0.30 X 0 0 0 MARK KOLKO BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 FRAIDA LEVINSON BOARD MEMBER 0.30 X 0 0 0 JEFF LEVINSON BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 BETTY OPPENHEIMER BOARD MEMBER 0.30 X 0 0 0 JOY PLOTNIK BOARD VP & TREAS (FROM JUNE 2021) 0.30 X X 0 0 0 RACHEL ROSEN BOARD MEMBER 0.30 X 0 0 0 DAVID ROSS SECRETARY (FROM JUNE 2021) 0.30 X X 0 0 0 CLARE ROTENBERG BOARD MEMBER (UNTIL MAY 2021) 0.30 X 0 0 0 EVAN SPINDELMAN BOARD TREASURER (UNTIL MAY 2021) 0.30 X X 0 0 0 FRAN STUDLEY BOARD MEMBER 0.30 X 0 0 0 MARGOT WEINBERG BOARD MEMBER 0.30 X 0 0 0 ROBIN WEINTRAUB BOARD SECRETARY (UNTIL MAY 2021) 0.30 X X 0 0 0 LISA AXELROD BOARD MEMBER (FROM JUNE 2021) 0.30 X 0 0 0 ROBERT BAKER BOARD MEMBER (FROM JUNE 2021) 0.30 X 0 0 0 DEBORAH GOLDMAN BOARD MEMBER (FROM JUNE 2021) 0.30 X 0 0 0 RICK GOLDSTEIN BOARD MEMBER (FROM JUNE 2021) 0.30 X 0 0 0 SUSAN HALPERN BOARD MEMBER (FROM JUNE 2021) 0.30 X 0 0 0 DEBORAH MCILVEEN SENIOR VP & CFO 4.00 X 274024 0 66015 TRACY SCHLEYER EXECUTIVE DIRECTOR 40.00 X 111388 0 3275 385412 0 69290 1 0 1 1 MARTS & LUNDY 160 CHUBB AVE STE 303 LYNDHURST NJ 07071 CONSULTING SVCS FOR DEV, INTERIM EXEC. 105125 1 1345213 131975 1345213 569850 569850 24512358 15648492 8863866 8863866 8863866 10778929 0 0 9433716 1970713 1970713 159091 39773 119318 165710 11362 38597 115751 104874 3669 19593 81612 12394 12394 15000 15000 130376 130376 30643 30643 299 299 8419 935 7484 20004 20004 411 411 189 189 18132 18132 5020 5020 PURCHASED SERVICES 485321 415158 70163 STATIONARY AND PRINTING 13951 13951 FOOD AND ENTERTAINMENT 9934 9934 DUES & SUBSCRIPTIONS 1572 1572 709 709 3152762 2003876 730262 418624 955005 494700 1538973 10813319 3865059 2351922 1660 35768814 30382962 14293647 12379908 3048770 3495871 59470268 59920342 63406 27117 12000 2210000 0 8545649 7964411 10819055 8003528 X 47985251 51236710 665962 680104 48651213 51916814 59470268 59920342 X 7626167 -4249562 -111004 X X 0 1 X 1 0 X 9416881 1487045 2260652 3302682 1345213 17812473 9416881 1487045 2260652 3302682 1345213 17812473 7340408 10472065 777444 714488 709025 405622 569850 3176429 20988902 0.49890 0.44650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360109 12000 23369 111404 284074 359665 644 200 360109 328307 30000 4352 2994 359665 294008 30725 4072 498 328307 146671 147422 115 200 294008 1.00000 1 0 0 THE CANYON VALUE REALIZATION FUND 1569996 F PAGOSA INVESTORS (CAYMAN), LTD 2209445 F NITORUM OFFSHORE FUND CL A 1977951 F OAK HILL DIVERSIFIED CREDIT STRAT FUND 2021104 F WGI EMERGING MARKETS FUND, LLC 1913539 F AFR CONCENTRATED VALU, LP 2687873 F 12379908 BENEFICIAL INTEREST IN PERPETUAL TRUST 3495871 3495871 DUE TO JEWISH HOME OF ROCHESTER 495302 CONTRIBUTIONS HELD ON BEHALF OF JEWISH HOME OF ROCHESTER, INC. 7260464 CONTRIBUTIONS HELD ON BEHALF OF JEWISH HOME OF ROCHESTER ENRICHED HOUSING 113649 CONTRIBUTIONS HELD ON BEHALF OF JEWISH SENIOR LIFE COMMUNITY SERVICES, INC 23475 DUE TO JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC. 6009 DUE TO JEWISH SENIOR LIFE COMMUNITY SERVICES 24842 DUE TO JEWISH SENIOR LIFE 40670 7964411 X 6529367 -4249562 -4249562 10778929 0 10778929 3152762 0 3152762 0 3152762 PART V, LINE 4: $5,000 IS THE MANSON BURIAL FUND ESTABLISHED TO PROVIDE PERPETUAL CARE FOR MR. MANSON'S FAMILY PLOTS. $250,000 WAS FOR THE ESTABLISHMENT OF A PALLIATIVE CARE PROGRAM HOWEVER THE DONORS RELEASED $111,004 FROM ENDOWMENT IN 2021 LEAVING A BALANCE OF $138,996. $12,000 WAS ESTABLISHED IN 2021 TO FUND THE APPLEBAUM FAMILY'S ANNUAL GOLDEN ALLIANCE CONTRIBUTION. DONORS HAVE ESTABLISHED AND FUNDED PERPETUAL TRUSTS WHICH ARE ADMINISTERED BY THIRD PARTIES WHEREBY THE FOUNDATION HAS AN IRREVOCABLE RIGHT TO RECEIVE A PORTION OF THE INCOME EARNED ON THE TRUST ASSETS, IN PERPETUITY, BUT WILL NEVER RECIEVE THE ASSETS HELD IN TRUST. THE FOUNDATION GRANTS THE INCOME TO THE JEWISH HOME OF ROCHESTER WHICH USES IT TO PROVIDE FOR THE COMFORT, MEDICAL TREATMENT, ENTERTAINMENT, AND OTHER SPECIAL SERVICES WHICH WOULD NOT OTHERWISE BE PROVIDED TO THE RESIDENTS OF THE HOME. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). THE FOUNDATION ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION FILES ITS RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX IN THE U.S. FEDERAL JURISDICTION AND THE ANNUAL FILING OF CHARITABLE ORGANIZATION IN NEW YORK STATE. NORTH AMERICA 0 0 INVESTMENT GLOBAL 0 0 INVESTMENT 12379908 0 0 0 0 0 0 12379908 0 12379908 0 0 1 1 1 0 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN F THESE AMOUNTS REPRESENT 12/31/2021 INVESTMENT BALANCE AT FAIR VALUE 1 JEWISH SENIOR LIFE 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 223409164 501(C)(3) 348981 0 GENERAL SUPPORT JEWISH HOME OF ROCHESTER 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 160743058 501(C)(3) 1607260 0 RESIDENT ACTIVITIES, FACILITY UPGRADE JEWISH SENIOR LIFE COMMUNITY SERVICES 2021 WINTON ROAD SOUTH ROCHESTER NY 14618 352404430 501(C)(3) 10520 0 RESIDENT ACTIVITIES 3 PART I, LINE 2: ALL GRANTS AND ASSISTANCE ARE STRUCTURED AS PART OF THE BUDGET PROCESS AND APPROVED BY THE FOUNDATION BOARD OF DIRECTORS. MONTHLY MONITORING OF THIS PROCESS TAKES PLACE AS PART OF THE MONTHLY FINANCIAL REVIEW AND APPROPRIATE RECONCILIATION AND REVIEW IS COMPLETED BETWEEN INTERCOMPANY TRANSACTIONS. X X X 0 1 0 0 0 0 0 0 0 DEBORAH MCILVEEN SENIOR VP & CFO 238465 0 35559 0 0 0 62400 0 3615 0 340039 0 0 0 PART I, LINE 4B DEBORAH MCILVEEN, CFO, ACCRUED DEFERRED COMPENSATION OF $42,900 UNDER THE SECTION 457(F) PLAN OF THE JEWISH HOME OF ROCHESTER, A NON-RELATED ORGANIZATION. PART VII, LINE 5 DEBORAH MCILVEEN, CFO, RECEIVES $226,321 OF COMPENSATION FROM THE JEWISH HOME OF ROCHESTER AND RELATED ENTITIES, ALL UNRELATED ENTITIES TO THE FOUNDATION. IN ADDITION, $47,703 OF HER COMPENSATION IS ALLOCATED TO THE JEWISH SENIOR LIFE FOUNDATION, INC. X 11 131975 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE FOUNDATION'S FINANCE DEPARTMENT. IT IS REVIEWED IN DETAIL BY AN INDEPENDENT OUTSIDE ACCOUNTANT AND BY THE AUDIT COMMITTEE PRIOR TO SUBMISSION. A COPY OF THE 990 IS AVAILABLE TO ALL BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND KEY EMPLOYEE, ANNUALLY SIGNS THE CONFLICT OF INTEREST POLICY. IF A CONFLICT ARISES AND DISCLOSURE OF THE FINANCIAL INTEREST IS MADE, THE INTERESTED PERSONS WILL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF APPROPRIATE, THE CHAIRPERSON OF THE BOARD OR COMMITTEE WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD WILL THEN DETERMINE, WITH THE ORGANIZATION, IF THEY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT WILL INFORM THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD HIM OR HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT COMPENSATE ITS BOARD MEMBERS. THE NON-BOARD OFFICERS ARE PAID THROUGH THE JEWISH HOME OF ROCHESTER, INC. (JHR), A NON-RELATED ENTITY. JHR IS REPRESENTED UNDER JSL, THE PARENT COMPANY, WHICH HAS FORMED A COMPENSATION COMMITTEE COMPRISED OF THE BOARD CHAIR, TREASURER, SECRETARY, AND AT LEAST TWO OTHER AT LARGE BOARD MEMBERS TO REVIEW AND DETERMINE THE ANNUAL COMPENSATION PACKAGES FOR THE SENIOR MANAGMENT TEAM. ON A REGULAR BASIS, THE COMPENSATION COMMITTEE OBTAINS FROM A THIRD PARTY CONSULTANT, A COMPENSATION SURVEY THAT DETERMINES THE MARKET RATES FOR EACH OF THE POSITIONS AND THEN DETERMINES WHAT, IF ANY, ADJUSTMENTS SHOULD BE MADE TO SALARIES. THIS SAME COMPENSATION COMMITTEE, ON AN ANNUAL BASIS DETERMINES WHAT THE VARIABLE COMPENSATION GOALS SHOULD BE AND WHETHER OR NOT THEY HAVE BEEN MET. THE LAST MEETING TOOK PLACE ON NOVEMBER 2, 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAY PROVIDE, UPON REQUEST, ITS CONFLICT OF INTEREST POLICY AS WELL AS ANY APPROPRIATE GOVERNING DOCUMENTS, OR APPROPRIATE FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: RE-DESIGNATION OF DONOR RESTRICTION -111,004. FORM 990, PART XII, LINE #2C AN AUDIT COMMITTEE APPOINTED BY THE FOUNDATION BOARD HAS BEEN CREATED TO SELECT AN INDEPENDENT AUDIT FIRM TO OVERSEE THE ANNUAL AUDIT AND TO ACCEPT OR AMEND THE AUDIT REPORT AS PRESENTED. THE AUDIT COMMITTEE MEETS INDEPENDENTLY WITH THE INDEPENDENT AUDIT FIRM ON AN ANNUAL BASIS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.