2017-11-15T10:51:41-06:00 2017-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2016-07-01 561782967 GASTON RESIDENTIAL SERVICES ICFMR INC GAST 7048619280 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 RITA THUOT PRESIDENT / CEO 7048619280 2017-11-15 1 VIRGINIA LOWDER P01609579 8283222070 192.80.76.153 2017-11-15 09:01:53 ES P 62B6F9D89139577DF3E924E6295A67728740EE54 62B6F9D89139577DF3E924E6295A67728740EE54 2016 2018-03-14 21:41:22Z RITA THUOT 905-A NORTH NEW HOPE ROAD GASTONIA NC 28054 2833268 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. 13 11 103 0 0 0 6143 0 2810455 2832289 1227 979 0 0 2817825 2833268 0 0 0 0 1625859 1705947 0 0 0 946629 960972 2572488 2666919 245337 166349 1136559 944009 481347 122448 655212 821561 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 2217583 2819703 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. 71749 12586 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. 2289332 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 11 0 1 103 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X JAIMEE WEIDERT 7048619280 905 A NORTH NEW HOPE ROAD GASTONIA NC 28054 DENA ANDREWS MEMBER 0.20 0.30 X 0 0 0 REV PAUL BRINTLEY MEMBER 0.20 0.30 X 0 0 0 JOHN RUSSELL MEMBER 0.20 0.30 X 0 0 0 ALICE CARPENTER MEMBER 0.20 0.30 X 0 0 0 LYNETTE DEMPERIO MEMBER 0.20 0.40 X 0 0 0 KRISTEN WILLIAMS MEMBER 0.20 0.30 X 0 0 0 KAREN MORGAN MEMBER 0.20 0.30 X 0 0 0 KATIE REESE MEMBER 0.20 0.30 X 0 0 0 JOANNE M MITCHELL PRESIDENT 0.20 0.30 X X 0 0 0 ZED BRADLEY VICE PRESIDENT 0.20 0.30 X X 0 0 0 JOE GRIGG SECRETARY / TREASURER 0.20 0.30 X X 0 0 0 RITA THUOT EXECUTIVE DIRECTOR 24.00 16.00 X X 0 121240 15548 JAIMEE WEIDERT FINANCE DIRECTOR 16.00 24.00 X X 0 69868 1131 JENNIFER PUTNAM ASSISTANT SECRETARY 20.00 20.00 X 0 49170 8306 DARLENE NORTON ASSISTANT SECRETARY 10.00 30.00 X 0 65557 9706 TONDA STILLWELL ASSISTANT SECRETARY 30.00 10.00 X 0 59456 4753 0 365291 39444 1 0 0 0 0 RESIDENTS' SERVICES 623000 2634771 2634771 ANCILLARY SERVICES REV 623000 184932 184932 MEDICAID FUNDS 623000 12586 12586 2832289 979 979 2833268 2832289 0 979 1408845 1408845 189426 189426 107676 107676 377587 377587 5629 5629 184869 184869 47340 47340 15969 15969 13388 13388 3514 3514 36154 36154 19485 19485 SUPPLIES 151117 151117 CONTRACTED SERVICES 41867 41867 UTILITIES 26092 26092 REPAIRS AND MAINTENANCE 16416 16416 21545 21545 2666919 2289332 377587 0 453432 423961 100772 101296 370620 211162 1678840 1471250 211735 207590 1136559 944009 410233 54715 71114 67733 481347 122448 X 655212 821561 655212 821561 1136559 944009 166349 0 X X 0 1 X 1 0 X 5841 3775 6143 0 15759 2710274 2713914 2673719 2810455 2832289 13740651 2716115 2717689 2673719 2816598 2832289 13756410 0 0 0 13756410 826 578 551 1227 979 4161 826 578 551 1227 979 4161 2716941 2718267 2674270 2817825 2833268 13760571 0.99970 0.99970 0.00030 0.00030 X 18144 18144 524073 459011 65062 9376 9376 0 422406 387691 34715 704841 615172 89669 207590 X 2833268 0 2833268 0 2833268 2666919 0 2666919 0 2666919 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 AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF THE END OF THE CURRENT AND PRIOR YEARS, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND 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 CORP. COMP. 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 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 357306 M,G&A OVERHEAD ALLOCATION GASTON RESIDENTIAL DEVELOPMENT INC K 28068 FMV REAL ESTATE LEASE