2021-11-12T12:29:03-06:00 2020-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2020-01-01 223032483 GAN KAVOD INC GANK 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 CHRISTA SERAFIN CEO 3157973114 2021-11-11 1 CHRISTA SERAFIN 999009999 DEBORAH STUCK P01281391 3154463600 2021-11-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 13413 7338573 0 X WWW.SITRIN.COM X 1989 NY TO PROVIDE COMMUNITY RESIDENCES FOR THE DEVELOPMENTALLY DISABLED. 12 12 197 0 0 0 226157 367447 6125721 6965610 2841 -5522 2497 2396 6357216 7329931 0 0 0 0 3910569 3909574 0 0 0 2159954 2094191 6070523 6003765 286693 1326166 3909078 5056881 1332439 1154076 2576639 3902805 X THE SITRIN CORPORATIONS STRIVE TO MEET THE NEEDS OF OUR COMMUNITY, WITH PROGRAMS AND SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. WE ARE DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO OUTPATIENTS, INPATIENTS AND RESIDENTS, AND ARE COMMITTED TO OUR EMPLOYEES - THE STRENGTH OF OUR FAMILY. 0 0 5057180 6968006 THE INDIVIDUALIZED RESIDENTIAL ALTERNATIVE IS A RESIDENTIAL PROGRAM THAT PROVIDES COMMUNITY-LIKE SETTINGS FOR MENTALLY RETARDED AND DEVELOPMENTALLY DISABLED PERSONS THROUGH SMALL GROUP SETTINGS WITH CONTINUOUS SUPERVISION. IN 2020, GAN KAVOD'S TOTAL RESIDENT DAYS WERE 14,917 AND 49 ADULTS WERE SERVED. 5057180 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 197 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRISTA SERAFIN 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 X ERNEST BERKOWITZ DIRECTOR 1.00 1.00 X 0 0 0 DR SUSAN BLATT DIRECTOR 1.00 3.50 X 0 0 0 EDWARD KOWALSKY VICE CHAIRPERSON 1.00 5.50 X X 0 0 0 SHEILA BAMBERGER ASST SECRETARY 2.00 2.50 X X 0 0 0 DAVID GOLDBAS TREASURER 2.00 5.00 X X 0 0 0 MICHAEL COMINSKY VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 RANDY ROCKFORD DIRECTOR 1.00 1.50 X 0 0 0 CHET COHEN DIRECTOR 1.00 2.00 X 0 0 0 MARK SMITH CHAIRMAN 2.00 8.00 X X 0 0 0 ADELE SOSSEN DIRECTOR 1.00 2.00 X 0 0 0 LOIS SILVERMAN DIRECTOR 1.00 3.00 X 0 0 0 LORI KAPLAN-FELICE DIRECTOR 1.00 2.00 X 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 1.00 36.50 X 0 222841 14280 0 222841 14280 0 0 1 0 0 366432 1015 367447 MEDICAID 900099 6348226 6348226 SSI/SSA 900099 477245 477245 NYS OTDA/SNAP/SNYEBT 900099 70396 70396 NEW YORK STATE OPWDD 900099 69743 69743 6965610 3120 3120 8642 -8642 -8642 -8642 MISCELLANEOUS INCOME 900099 2396 2396 2396 7329931 6968006 0 -5522 3364082 3311729 52353 23610 23230 380 260224 256050 4174 261658 257632 4026 2116 2116 24746 22822 1924 528942 87997 440945 299 299 217818 36273 181545 10754 10754 203423 86017 117406 24998 24998 29520 29520 176089 176089 132515 60486 72029 FOOD AND SUPPLIES 318011 318011 CONTRACTED SERVICES 220091 154287 65804 SUPPORT SVCS AND SUPPL 165659 165659 39210 35327 3883 6003765 5057180 946585 0 275816 1127539 579476 308693 33720 807146 836658 12871 53590 4418950 1903434 2047263 2515516 152786 214885 3909078 5056881 510468 336104 602344 715733 219627 102239 1332439 1154076 X 2576639 3902805 2576639 3902805 3909078 5056881 1326166 0 X X 0 1 X 1 0 X 420 147 226157 367447 594171 5722379 5468724 5924718 6125721 6949751 30191293 5722379 5469144 5924865 6351878 7317198 30785464 0 0 0 30785464 1190 1649 879 2841 3120 9679 1190 1649 879 2841 3120 9679 2445 1360 1125 2497 2396 9823 5726014 5472153 5926869 6357216 7322714 30804966 0.99940 0.99930 0.00030 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 2,445. 2017 AMOUNT: $ 1,360. 2018 AMOUNT: $ 1,125. 2019 AMOUNT: $ 2,497. 2020 AMOUNT: $ 2,396. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 80000 80000 3416744 1476601 1940143 11565 206 11359 687902 426627 261275 222739 222739 2515516 CASH HELD IN TRUST FOR RESIDENTS 51216 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 51023 102239 X 7338575 0 7338575 -8644 -8644 7329931 6012409 8642 2 8644 6003765 0 6003765 PART X, LINE 2: GAN KAVOD IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2020 AND 2019, GAN KAVOD DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2017 THROUGH 2020. GAN KAVOD DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS -8,642. ROUNDING -2. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 2. X X 0 0 0 0 0 0 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 0 216859 0 0 0 5982 0 0 0 14280 0 237121 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF GAN KAVOD, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF GAN KAVOD, INC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE NOVEMBER 2021 BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEWS AND APPROVES THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER LIKE ORGANIZATIONS IS USED. THE MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. THE ADMINISTRATOR'S COMPENSATION IS REVIEWED AND APPROVED THROUGH THE ANNUAL REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING BODY MAKE ALL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 7, PART VII THE FOLLOWING OFFICER IS ALSO AN OFFICER OF THE RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC. -CHRISTA SERAFIN FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 223100745 SKILLED NURSING/OUTPATIENT REHABILIATION NY 501(C)(3) LINE 10 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 CHILD DAY CARE CENTER NY 501(C)(3) LINE 10 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER ENTITIES NY 501(C)(3) LINE 7 N/A 0 CEDARBROOK VILLAGE INCORPORATED 2050 TILDEN AVE NEW HARTFORD NY 13413 200670083 ASSISTED LIVING FACILITY NY 501(C)(3) LINE 10 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 FOUNDATION NY 501(C)(3) LINE 12A, I CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0