2017-09-11T16:46:18-05:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 223032483 GAN KAVOD INC GANK 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 CHRISTA SERAFIN CEO 3157973114 2017-09-07 1 DEBORAH STUCK P01281391 3154463600 2017-09-07 24.39.85.114 2017-09-07 13:21:05 ED P F2DA1F6750C88AB2A9B4F1EE63F15EFB0D07AC5D 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2021-01-29 14:40:06Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 13413 5726014 0 X WWW.SITRIN.COM X 1989 NY TO PROVIDE A COMMUNITY RESIDENCE FOR THE DEVELOPMENTALLY DISABLED. 10 9 169 0 0 0 0 0 5577956 5722379 16047 1190 4768 2445 5598771 5726014 0 0 0 0 3611229 3865139 0 0 0 1651846 1609769 5263075 5474908 335696 251106 4039345 4030560 1978898 1719007 2060447 2311553 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 4560378 5724824 THE INTERMEDIATE CARE FACILITY AND INDIVIDUALIZED RESIDENTIAL ALTERNATIVE ARE RESIDENTIAL PROGRAMS THAT PROVIDE COMMUNITY-LIKE SETTINGS FOR MENTALLY RETARDED AND DEVELOPMENTALLY DISABLED PERSONS THROUGH SMALL GROUP SETTINGS WITH CONTINUOUS SUPERVISION. IN 2016, GAN KAVOD'S TOTAL RESIDENT DAYS WERE 14,994 AND 42 ADULTS WERE SERVED. 4560378 1 0 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 12 0 1 169 1 0 0 0 0 0 0 0 0 0 0 X 10 9 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 0.50 X 0 0 0 DR SUSAN BLATT DIRECTOR 1.00 18.50 X 0 60000 0 EDWARD KOWALSKY DIRECTOR 1.00 6.00 X 0 0 0 SHEILA BAMBERGER VICE CHAIRPERSON 2.00 2.50 X X 0 0 0 DAVID GOLDBAS TREASURER 2.00 5.00 X X 0 0 0 MICHAEL COMINSKY SECRETARY 1.00 9.00 X X 0 0 0 MICHAEL SILVERMAN CHAIRMAN 2.00 9.00 X X 0 0 0 RANDY ROCKFORD DIRECTOR 1.00 1.50 X 0 0 0 CHET COHEN DIRECTOR 1.00 1.50 X 0 0 0 MARK SMITH DIRECTOR 1.00 1.00 X 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 1.00 36.50 X 0 226593 15000 RICHARD WILSON VP OF STRATEGIC PLANNING 1.00 36.50 X 0 118021 1840 PATRICIA HAYS ADMINISTRATOR 22.50 15.00 X 0 137607 6000 0 542221 22840 0 0 1 0 CHARLES T SITRIN HEALTH CARE CENTER IN 2050 TILDEN AVE NEW HARTFORD NY 13413 MANAGEMENT SERVICES 1059986 1 MEDICAID 900099 5060608 5060608 PARTICIPANT FEES 531390 553448 553448 NEW YORK STATE OPWDD 900099 108323 108323 5722379 1190 1190 MISCELLANEOUS INCOME 900099 2445 2445 2445 5726014 5724824 0 1190 3144013 2660704 483309 22766 22766 500468 412835 87633 197892 192592 5300 6569 6569 22104 22104 77124 77124 149132 43990 105142 763 763 131182 69945 61237 44829 44829 158740 158303 437 104217 47130 57087 GENERAL PROGRAM EXPENSE 374121 288409 85712 CONTRACTED SERVICES 208181 208181 FOOD 147383 147383 FACILITY TAX ASSESSMENT 119906 119906 65518 65518 5474908 4560378 914530 0 2662 2667 1146578 1169354 824862 879618 15149 18357 3693299 1750847 2028991 1942452 21103 18112 4039345 4030560 658900 693880 952793 858908 367205 166219 1978898 1719007 X 2060447 2311553 2060447 2311553 4039345 4030560 251106 0 X 0 1 X 1 0 X 4896504 5071645 5061515 5577956 5722379 26329999 4896504 5071645 5061515 5577956 5722379 26329999 0 0 0 26329999 1196 1250 1552 1293 1190 6481 1196 1250 1552 1293 1190 6481 411 158 574 4768 2445 8356 4898111 5073053 5063641 5584017 5726014 26344836 0.99940 0.99940 0.00020 0.00030 X 80000 80000 2824717 1223899 1600818 788582 526948 261634 1942452 CASH HELD IN TRUST FOR RESIDENTS 81283 DUE TO GOVERNMENTAL AGENCY 84936 166219 X 5726014 0 5726014 0 5726014 5474908 0 5474908 0 5474908 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, 2016 AND 2015, 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 2013 THROUGH 2016. GAN KAVOD DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHNAGE IN THE NEXT TWELVE MONTHS. 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 0 226593 0 0 0 0 0 0 0 15000 0 241593 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 SEPTEMBER 2017 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 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 GEORGIAN COURT ESTATES SENIOR HOUSING CORPORATION 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING COMPLEX NY 501(C)(3) LINE 10 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