2021-11-08T13:23:14-06:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 161124314 MOZAIC CHAPTER NYSARC INC MOZA 3155395067 1083 WATERLOO-GENEVA ROAD WATERLOO NY 13165 ALLEN CONNELY EXECUTIVE DIRECTOR 3155395067 2021-11-04 1 ALLEN CONNELY XXX-XX-XXXX MICHAEL YANKLOWSKI P01375698 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X MOZAIC ALLEN CONNELY 1083 WATERLOO-GENEVA ROAD WATERLOO NY 13165 29854768 0 1256 X MOZAIC.ORG X 1949 NY TO IMPROVE THE QUALITY OF LIFE FOR PERSONS WITH DEVELOPMENTAL DISABILITIES IN EVERY MANNER POSSIBLE 16 16 688 16 0 0 1282959 1126877 23064828 27205888 100723 217251 243936 312185 24692446 28862201 0 0 0 0 16804691 16595352 0 0 219668 7409493 9448969 24214184 26044321 478262 2817880 15019687 22244035 7920095 9497424 7099592 12746611 X MOZAIC IS A NOT-FOR-PROFIT AGENCY COMPRISED OF PEOPLE DEDICATED TO ASSISTING INDIVIDUALS WITH DISABILITIES, THEIR FAMILIES, AND THE COMMUNITY. WE PROVIDE OPPORTUNITIES AND CHOICES FOR TREATMENT, EMPLOYMENT, EDUCATION, RECREATION, AND COMMUNITY LIVING TO ASSIST INDIVIDUALS WITH DISABILITIES TO REALIZE A PRODUCTIVE AND FULFILLING LIFE. 0 0 4959518 7290672 DAY SERVICES: ASSISTS DEVELOPMENTALLY DISABLED PERSONS BECOME PART OF THE COMMUNITY AND PROVIDES DIAGNOSTIC, TREATMENT & HABILITATIVE SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILIITIES. 300 CLIENTS SERVED. 4153541 4204575 VOCATIONAL: PROVIDES PEOPLE WITH OPPORTUNITIES TO WORK & EARN A PAYCHECK AT A SUPPORTED INTERNAL OR COMMUNITY SETTING, OR IN COMPETITIVE EMPLOYMENT. 132 CLIENTS SERVED. 9562329 11731111 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. 129 CLIENTS SERVED. 4002969 3979530 OTHER PROGRAM SERVICES: PROVIDES A FULL RANGE OF SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. CONSUMERS PARTICIPATED IN EDUCATIONAL, COMMUNITY HABILITATIONAL, CLINICAL, RESPITE AND OTHER SERVICES. 4002969 3979530 22678357 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 82 0 1 688 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 0 NY X TAMMY RAUB 3155395067 1083 WATERLOO-GENEVA RD WATERLOO NY 13165 MARY PAT HARRIS PRESIDENT 1.00 1.00 X X 0 0 0 DR NORMAN LINDENMUTH VICE PRESIDENT 1.00 1.00 X X 0 0 0 BOB ISZARD TREASURER 1.00 1.00 X X 0 0 0 GARY LAHR SECRETARY 1.00 1.00 X X 0 0 0 MARCIA HERRLING FINCH BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS ACKERLEY ASSISTANT TREASURER 1.00 1.00 X X 0 0 0 ANN MCMULLEN BOARD MEMBER 1.00 1.00 X 0 0 0 LYNDA KIMBALL BOARD MEMBER 1.00 1.00 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 SUE WILLSON BOARD MEMBER 1.00 1.00 X 0 0 0 EILEEN HOLGATE BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN STOLZFUS 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 ALLEN CONNELY EXECUTIVE DIRECTOR 40.00 1.00 X 161148 0 26447 TAMMY RAUB CFO 40.00 1.00 X 100755 0 7196 TAMMY SLAYTON SENIOR VP OF ADMINISTRATIO 40.00 1.00 X 111414 0 13328 373317 0 46971 3 0 1 0 EPLUS TECHNOLOGY INC PO BOX ATLANTA GA 30384 TECHNOLOGY CONSULTANT 447423 SOPHIA BEZIRGANIAN MD 206A DRYDEN ROAD ITHACA NY 14850 CLINIC CONSULTANT 162268 FIRSTLIGHT FIBER PO BOX 1301 WILLSTON VT 05495 TELEPHONE AND INTERNET SERVICE 155587 PORTICO PROPERTIES CO MARK CHAPLIN 115 FALLS STREET SENECA FALLS NY 13148 RENT 138385 4 19000 11835 750465 345577 1126877 MEDICAID 900099 20232185 20232185 CONTRACT SALES 310000 4230996 4230996 PARTICIPANT FEES 900099 1827310 1827310 OTHER PROGRAM REVENUE 900099 827486 827486 TUITION FEES 900099 87911 87911 27205888 389916 389916 810238 982903 -172665 -172665 -172665 40809 11835 9664 31145 31145 MISCELLANEOUS 900099 281040 281040 281040 28862201 27205888 0 529436 295546 295546 12844231 11433104 1305589 105538 308413 242468 63852 2093 1624728 1467436 144586 12706 1522434 1348364 162461 11609 86965 86965 87050 87050 1123507 953364 121491 48652 46412 18717 24998 2697 790022 666172 118906 4944 1023898 846154 177521 223 76846 62783 11989 2074 59937 11412 48430 95 216560 135340 81220 1403830 1289822 112810 1198 289010 272065 16270 675 RAW MATERIALS 1899928 1899928 REPAIRS AND MAINTENANCE 486254 408519 75321 2414 PARTICIPANT WAGES 415250 415250 TRANSPORTATION PARTICIP 278035 274201 3800 34 1165465 933258 207491 24716 26044321 22678357 3146296 219668 736241 2969784 2190730 3326889 897641 870980 81567 585141 31667474 21372388 7985789 10295086 1322820 1949492 75862 151724 1729037 2094939 15019687 22244035 1436368 2171139 5627 961256 3356105 3191866 258049 1022160 2863946 2151003 7920095 9497424 X 7099592 12739154 7457 7099592 12746611 15019687 22244035 X 2817880 305386 2523753 X X 0 1 X 1 0 X 1352805 1649976 1262072 1282959 1126877 6674689 1352805 1649976 1262072 1282959 1126877 6674689 6674689 25544 27422 29529 30031 389916 502442 21004 31552 249297 281040 582893 7760024 125239634 0.86010 0.93800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 994273 994273 21211972 14575500 6636472 9434244 6796888 2637356 26985 26985 10295086 CASH HELD IN TRUST 359331 DEBT SERVICE RESERVES 293488 DEFERRED COMPENSATION INVESTMENT 155519 OPERATING LEASE RIGHT-OF-USE ASSET 1286601 2094939 DUE TO FUNDING SOURCES 217683 PARTICIPANTS TRUST LIABILITY 359331 DEFERRED COMPENSATION LIABILITY 155519 BRIDGE LOAN PAYABLE 131869 OPERATING LEASE LIABILITY 1286601 2151003 29307356 305386 130105 9664 445155 28862201 0 28862201 26184090 130105 9664 139769 26044321 0 26044321 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS AND ACTIVITIES EXPENSES 9,664. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS AND ACTIVITIES EXPENSES 9,664. GOLF TOURNAMENT 30989 6967 24022 7935 DUCK RACE 21655 4868 16787 1729 52644 11835 40809 9664 9664 31145 X X 0 0 0 0 0 0 0 0 0 ALLEN CONNELY EXECUTIVE DIRECTOR 161148 0 0 0 0 0 17371 0 9076 0 187595 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 45 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 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 COUNTY CHAPTER, NYSARC, INC.: THOMAS TALBET DEBRA THOMPSON BENEVOLENT SOCIETY (STATEN ISLAND DC): JEROME ISAACS MARY SULLIVAN BRONX DC: IDA RIOS LAURA KEARINS BROOME-CHENANGO-TIOGA COUNTIES CHAPTER, NYSARC, INC.: ELLEN FELDMAN NICKI FRENCH CATTARAUGUS-NIAGARA COUNTIES CHAPTER, NYSARC, INC.: MICHAEL MACWILLIAMS RAPHAEL SMITH CHAUTAUQUA COUNTY CHAPTER, NYSARC, INC.: RICHARD ERICKSON REBECCA HAMLET-KAPPLE CHEMUNG-SCHUYLER COUNTIES CHAPTER, NYSARC, INC.: HAROLD HOFFMEIER EILEEN REMEC CLINTON COUNTY CHAPTER, NYSARC, INC. JOANNA VALENTE ORR CYNTHIA LACKI COLUMBIA COUNTY CHAPTER, NYSARC, INC.: DOROTHY WHEELER MARY ANNE VANDENBURGH COMMUNITY LEAGUE D.C.: ROSE MARY CELLA DONALD GEER DELAWARE COUNTY CHAPTER, NYSARC, INC.: JAMES WARREN JOHNA PEACHIN DUTCHESS COUNTY CHAPTER, NYSARC, INC.: SHARON RUSSITANO LORRAINE COSTELLO ERIE COUNTY CHAPTER, NYSARC, INC.: ELLEN SHANAHAN BECKER PETER MARTIN ESSEX COUNTY CHAPTER, NYSARC, INC.: SHELLEY WINTERS LAURIE KELLEY FRANKLIN-HAMILTON COUNTIES CHAPTER, NYSARC, INC.: ROBERT KLEPPANG POLLY SULLIVAN FULTON-SCHOHAIRE COUNTIES CHAPTER, NYSARC, INC.: MIKE OSTRANDER NANCY COOKE GENESEE-ORLEANS COUNTIES CHAPTER, NYSARC, INC.: MARLENE HILL DEBRA FISCHER HERKIMER COUNTY CHAPTER, NYSARC, INC.: STEPHANIE DYER RONALD GEORGE JEFFERSON-ST. LAWRENCE COUNTIES CHAPTER, NYSARC, INC.: PATRICIA CAMPANELLA JENNIFER LOONAN LIVINGSTON-WYOMING COUNTIES CHAPTER, NYSARC, INC.: CHERYL ENGLERT ERIC PARKER MADISON-CORTLAND COUNTIES CHAPTER, NYSARC, INC.: JOSEPH ZIFCHOCK MAUREEN LOUIS MONROE COUNTY CHAPTER, NYSARC, INC.: DAVID IRISH JOSEPH KELLY MONTGOMERY COUNTY CHAPTER, NYSARC, INC.: PAUL DICAPRIO REV. DR. LISA VANDERWAL NASSAU COUNTY CHAPTER, NYSARC, INC.: PAUL GIORDANO HARRIET TRAVERSA NEW YORK CITY CHAPTER, NYSARC, INC.: ANNE GORDON SHARYN VANREEPINGHEN ONEIDA-LEWIS COUNTIES CHAPTER, NYSARC, INC.: JOANNA GRECO STEVE GASSNER ONONDAGA COUNTY CHAPTER, NYSARC, INC.: GORDON EYER JAMES CANNON ONTARIO COUNTY CHAPTER, NYSARC, INC. DEBORAH WILBUR MARIE O'HORO OSWEGO COUNTY CHAPTER, NYSARC, INC.: RICHARD RIMA MARY ANN BARBARINO OTSEGO COUNTY CHAPTER, NYSARC, INC.: WALTER HOGAN JOSEPH BRILL RENSSELAER COUNTY CHAPTER, NYSARC, INC.: MARY MULLER SALLY DUNBAR ROCKLAND COUNTY CHAPTER, NYSARC, INC.: JOHN SMITH KAREN FEINSTEIN ROME D.C.: VACANT SARATOGA COUNTY CHAPTER, NYSARC, INC.: MARY JO HEBERT LAWRENCE FEIN SCHENECTADY COUNTY CHAPTER, NYSARC, INC.: BARBARA KANIA PATRICIA ROSS STEUBEN COUNTY CHAPTER, NYSARC, INC.: ARTHUR STILWELL MISCHELLE SHATTUCK SUFFOLK COUNTY CHAPTER, NYSARC, INC.: DEBORAH PFLIEGER SULLIVAN-ORANGE COUNTIES CHAPTER, NYSARC, INC.: STEVEN DROBYSH JOANNE GRANT ULSTER-GREENE-PUTNAM COUNTIES CHAPTER, NYSARC, INC.: SUSAN LUCAS ROBERT BOENING WARREN-WASHINGTON-ALBANY COUNTIES CHAPTER, NYSARC, INC.: DANIEL MARTINDALE ANNE MARIE LOCKHART WAYNE COUNTY CHAPTER, NYSARC, INC.: SHARON BOYD WESTCHESTER COUNTY CHAPTER, NYSARC, INC. ROSA RODRIQUEZ KYLE O'LOUGHLIN-CAHILL WEST SENECA D.C.: ELLEN OWENS JUDY O'ROURKE PRESIDENT - DR. JOHN KOWALCZYK IMMEDIATE PAST PRESIDENT- SAUNDRA M. GUMEROVE, ESQ. 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 XI, LINE 9: CONTRIBUTION/TRANSFER OF NET ASSETS FROM YATES NYSARC 2,611,585. TRANSFER OF NYSED DEFICIT FROM YATES NYSARC AT 12/31/20 -87,832. FORM 990, PART XII, LINE 2C THE PROCESS HASN'T CHANGED FROM THE PRIOR YEAR.