COMMUNITY INCLUSION INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY INCLUSION INC (EIN 31-1676018)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-09-05
IRS object ID
202522489349301202
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-09-05T09:38:28-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202954888PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BRYANS & GRAMUGLIA CPAS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 PINE WEST PLAZA SUITE 107AddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311676018EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY INCLUSION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7164832344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 DUNHAM AVENUEAddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDSAY VANDEVELDEPersonNm
Person TitleCEOPersonTitleTxt
Phone7164832344PhoneNum
Signature2025-09-04SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT GRAMUGLIAPreparerPersonNm
PTINP00454779PTIN
Phone5184528055PhoneNum
Preparation2025-09-04PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICH KIMBALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 DUNHAM AVENUEAddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,166,433GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTRCCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF COMMUNITY INCLUSION, INC., IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENTS' ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,000PYContributionsGrantsAmt
CY Contributions Grants$699,941CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$466,490CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$2CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,000PYTotalRevenueAmt
CY Total Revenue$1,166,433CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$772,237CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$572,133CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$1,344,370CYTotalExpensesAmt
PY Revenues Less Expenses$10,000PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$177,937CYRevenuesLessExpensesAmt
Total Assets BOY$20,000TotalAssetsBOYAmt
Total Assets EOY$1,062,819TotalAssetsEOYAmt
Total Liabilities BOY$10,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,216,889TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$154,070NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF COMMUNITY INCLUSION, INC., IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENTS' ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,134,233ExpenseAmt
Revenue$466,490RevenueAmt
DescDIAGNOSTIC & TREATMENT CENTER - TO PROVIDE DIAGNOSTIC AND TREATMENT PRIMARY CARE, DENTAL, PODIATRY, AND SCHOOL BASED HEALTH CENTER CLINICAL SERVICES TO INDIVIDUALS WITH DISABLING CONDITIONS AND THE GENERAL PUBLIC.Desc
Total Program Service Expenses$1,134,233TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee20EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLY DIMITRI CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7164854694PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 DUNHAM AVENUEAddressLine1Txt
CityJAMESTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATRICIA PERLEE
BOARD PRESIDENT 23/240.501.50Yes (X)Yes (X)$0$0$0
RICH KIMBALL
BOARD PRESIDENT0.502.50Yes (X)Yes (X)$0$0$0
RICHARD ERICKSON
BOARD VICE PRESIDENT0.502.50Yes (X)Yes (X)$0$0$0
DR TODD JACOBSON MD
TREASURER0.502.50Yes (X)Yes (X)$0$0$0
DAWN COLUMBARE DNP
SECRETARY0.502.50Yes (X)Yes (X)$0$0$0
ROBERT GOOLD
DIRECTOR0.501.50Yes (X)$0$0$0
BARBARA STEWART
DIRECTOR0.501.50Yes (X)$0$0$0
VICTORIA BARDO
DIRECTOR0.50Yes (X)$0$0$0
MAUREEN DONAHUE
DIRECTOR0.50Yes (X)$0$0$0
CHRISTINE SCHULYER
DIRECTOR0.50Yes (X)$0$0$0
AVA TURNQUIST
DIRECTOR0.50Yes (X)$0$0$0
SCOTT JAMES
DIRECTOR0.501.50Yes (X)$0$0$0
DOUG ANDERSON
DIRECTOR 23/240.402.60Yes (X)$0$710$0
DENISE JONES
CEO (1/1/24-6/30/24)0.5034.50Yes (X)$0$350,218$54,422
KELLY DIMITRI
CFO0.5039.50Yes (X)$0$245,511$71,369
LINDSAY VANDEVELDE
CEO20.0020.00Yes (X)$44,472$51,851$1,539
ADNAN MUNIR
PHYSICIAN22.7522.75$148,659$422,974$23,469Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$193,131TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,071,264TotReportableCompRltdOrgAmt
Total Other Compensation$150,799TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$19,190GovernmentGrantsAmt
All Other Contributions$680,751AllOtherContributionsAmt
Noncash Contributions$460,722NoncashContributionsAmt
Total Contributions$699,941TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDIAGNOSTIC & TREATMENTDesc
Business621498BusinessCd
Total Revenue Column$466,490TotalRevenueColumnAmt
Related Or Exempt Func Income$466,490RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$466,490TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2TotalRevenueColumnAmt
Exclusion$2ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,166,433TotalRevenueColumnAmt
Related Or Exempt Func Income$466,490RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$46,011TotalAmt
Management And General$46,011ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$598,052TotalAmt
Program Services$593,003ProgramServicesAmt
Management And General$5,049ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,162TotalAmt
Program Services$13,162ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$66,544TotalAmt
Program Services$62,053ProgramServicesAmt
Management And General$4,491ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$48,468TotalAmt
Program Services$44,697ProgramServicesAmt
Management And General$3,771ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$25,100TotalAmt
Program Services$20,100ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,526TotalAmt
Program Services$286ProgramServicesAmt
Management And General$3,240ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$101,485TotalAmt
Management And General$101,485ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$84,557TotalAmt
Program Services$84,388ProgramServicesAmt
Management And General$169ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,277TotalAmt
Program Services$5,277ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,263TotalAmt
Program Services$5,256ProgramServicesAmt
Management And General$7ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$42,790TotalAmt
Program Services$42,790ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$122,133TotalAmt
Program Services$120,676ProgramServicesAmt
Management And General$1,457ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$394TotalAmt
Program Services$394ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,508TotalAmt
Management And General$37,508ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,898TotalAmt
Program Services$22,898ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,785TotalAmt
Program Services$5,785ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MINOR EQUIPMENT$50,071$50,071
OPERATING SUPPLIES$47,270$46,524$746
PROVISION FOR CREDIT LO$16,269$16,269
OTHER EXPENSES$1,807$604$1,203

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,344,370TotalAmt
Program Services$1,134,233ProgramServicesAmt
Management And General$210,137ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$294,928EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$149,086EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$5,106EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$440,457LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,898LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$417,559EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$187,124EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,016EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$1,062,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$114,028EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$1,102,861EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$1,216,889EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY-$154,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY-$154,070EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$1,062,819EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$177,937ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$13,867DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$10,000CurrentTaxYearMinus1YearAmt
Current Tax Year$699,941CurrentTaxYearAmt
Total$709,941TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$10,000CurrentTaxYearMinus1YearAmt
Current Tax Year$699,941CurrentTaxYearAmt
Total$709,941TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$709,941PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$2CurrentTaxYearAmt
Total$2TotalAmt
FieldValueIRS element (for citing)
Total Support$709,943TotalSupportAmt
Gross Receipts Rltd Activities$466,490GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,867OtherCostOrOtherBasisAmt
Depreciation$10,536DepreciationAmt
Book Value$330,331BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,562OtherCostOrOtherBasisAmt
Depreciation$5,524DepreciationAmt
Book Value$53,038BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,028OtherCostOrOtherBasisAmt
Depreciation$6,838DepreciationAmt
Book Value$34,190BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$417,559TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescEQUITY INVESTMENTSDesc
Book Value$187,124BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$187,124TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTYDesc
Amt$1,102,861Amt
FieldValueIRS element (for citing)
Total Liability$1,102,861TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,180,300TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$13,867DonatedServicesAndUseFcltsAmt
Revenue Not Reported$13,867RevenueNotReportedAmt
Revenue Subtotal$1,166,433RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,166,433TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,344,370TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,344,370ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,344,370TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ASC 740-10 WHICH REQUIRES ENTITIES TO DISCLOSE IN THEIR FINANCIAL STATEMENTS THE NATURE OF ANY UNCERTAINTY IN THEIR TAX POSITION. FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATION IMPLEMENTED FASB ASC 740-10 AND ITS CURRENT ACCOUNTING POLICY FOR EVALUATING UNCERTAIN TAX POSITIONS IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION HAS NOT RECOGNIZED ANY BENEFITS FROM UNCERTAIN TAX POSITIONS IN 2024 AND BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE STATEMENTS OF FINANCIAL POSITION DATE. THE ORGANIZATION EVALUATED ITS TAX POSITION AND CONCLUDED THAT ALL OF THE POSITIONS TAKEN BY THE ORGANIZATION WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION, BASED ON TECHNICAL MERITS. THE INFORMATION RETURNS OF THE ORGANIZATION FOR 2021, 2022, AND 2023 ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ADNAN MUNIR
PHYSICIAN$147,489$208,405$1,170$16,545$0$198,024$3,697$0$9,062$10,710$161,418$433,684$0$0
DENISE JONES
CEO (1/1/24-6/30/24)$0$341,560$0$3,000$0$5,658$0$30,840$0$23,582$0$404,640$0$0
KELLY DIMITRI
CFO$0$226,428$0$14,627$0$4,456$0$46,218$0$25,151$0$316,880$0$0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)FURNITURE, FIXTURES, EQUIPMENT, AND LEASEHOLD IMPROVEMENTS7$457,922FMV
Yes (X)OFFICE AND SUPPLIES4$2,800FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2ON JULY 1, 2024 COMMUNITY INCLUSION INC. BEGAN PROVIDING SCHOOL BASED HEALTH, PODIATRY, DENTAL, AND PRIMARY CARE CLINICAL SERVICES TO THE COMMUNITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS MEETS TO REVIEW, APPROVE, AND SIGN THE FORM 990 AND REQUIRED SUPPLEMENTARY SCHEDULES PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDESIGNATED STAFF (DESIGNATED STAFF SHALL MEAN ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AS WELL AS ANY EMPLOYEE WHO IS IN THE POSITION TO MAKE DECISIONS THAT INVOLVE PURCHASING GOODS OR SERVICES, OR THAT OTHERWISE MAY ENCUMBER THE ORGANIZATION), BOARD ADVISORY COMMITTEES AND THE BOARD OF DIRECTORS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE ORGANIZATION'S CORPORTATE COMPLIANCE OFFICER REVIEWS ALL FORMS AND REPORTS RESULTS TO THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE CEO SALARY IS APPROVED WITH THE AGENCY BUDGET THAT IS REVIEWED BY THE FULL BOARD OF DIRECTORS ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ON FILE WITH STATE REGULATORY AGENCIES REGULATING COMMUNITY INCLUSION, INC'S ACTIVITIES AND ARE AVAILABLE UPON REQUEST AT THE BUSINESS OFFICE OF THE MANAGING AGENT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
200 DUNHAM AVEJAMESTOWNNY14701160968914RESIDENTIAL AND OTHER SERVICESNY501(C)(3)7N/A0
OPPORTUNITIES FOR LIVING INC
200 DUNHAM AVEJAMESTOWNNY14701311647074HUD HOUSINGNY501(C)(3)70CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
CHAUTAUQUA COMMUNITY RESIDENCE INC
200 DUNHAM AVEJAMESTOWNNY14701222279175HUD HOUSINGNY501(C)(3)70CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
CHAUTAUQUA RESOURCES INC
200 DUNHAM AVEJAMESTOWNNY14701161472513RENTS PROPERTY TO OTHER TAX-EXEMPT ORGANIZATIONSNY501(C)(2)0CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
E$1,091,488COST
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
M$251,410COST
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
L$51,150COST
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC
I$447,984COST
CHAUTAUQUA RESOURCES INC
K$55,200COST

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