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Senior Homes Inc: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Senior Homes Inc (EIN 23-7066357)
Tax period
2015-05-01 to 2016-04-30
Filed
2016-08-11
IRS object ID
201622259349300617
Schema version
2015v2.1
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)
Return2016-08-11T11:07:49-05:00ReturnTs
Tax Period End2016-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464002911PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JMSC PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15000 WEST 36TH ST STE 240AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55416ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237066357EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENIOR HOMES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSENIBusinessNameControlTxt
Phone9208224653PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 917AddressLine1Txt
CityPULASKICityNm
State AbbreviationWIStateAbbreviationCd
ZIP54162ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARRY PUZENPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone9208224653PhoneNum
Signature2016-07-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL C CAVANAUGH CPAPreparerPersonNm
PTINP00410470PTIN
Phone9525404340PhoneNum
Preparation2016-07-29PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY PUZENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 121AddressLine1Txt
CityPULASKICityNm
State AbbreviationWIStateAbbreviationCd
ZIP54162ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$146,557GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPROVIDE HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$137,765PYProgramServiceRevenueAmt
CY Program Service Revenue$145,843CYProgramServiceRevenueAmt
PY Investment Income$695PYInvestmentIncomeAmt
CY Investment Income$714CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$138,460PYTotalRevenueAmt
CY Total Revenue$146,557CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,088PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,409CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$124,268PYOtherExpensesAmt
CY Other Expenses$120,999CYOtherExpensesAmt
PY Total Expenses$146,356PYTotalExpensesAmt
CY Total Expenses$143,408CYTotalExpensesAmt
PY Revenues Less Expenses-$7,896PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,149CYRevenuesLessExpensesAmt
Total Assets BOY$1,226,275TotalAssetsBOYAmt
Total Assets EOY$1,205,567TotalAssetsEOYAmt
Total Liabilities BOY$1,269,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,245,154TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$42,736NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$39,587NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$130,983ExpenseAmt
Revenue$145,843RevenueAmt
DescPROVIDE HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescPROVIDE HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$130,983TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLISA VOELKERPersonNm
Phone9208223887PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 S AUGUSTINE 14AddressLine1Txt
CityPULASKICityNm
State AbbreviationWIStateAbbreviationCd
ZIP54162ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LISA VOELKER
EXECUTIVE DI2.00Yes (X)Yes (X)$9,402$0$0
CHRIS BIALOZYNSKI
COMMISSIONER1.00Yes (X)$0$0$0
ROSIE WIAND
COMMISSIONER2.00Yes (X)Yes (X)$0$0$0
LARRY PUZEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DOUG CLEMENTS
COMMISSIONER1.00Yes (X)$0$0$0
GENE SCHROEDER
COMMISIONER1.00Yes (X)$0$0$0
ROBERT DETTMAN
COMMISSIONER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,402TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
APARTMENT RENTAL$113,363$113,363
HAP INCOME$25,067$25,067
OTHER RENTAL INCOME$7,413$7,413
FieldValueIRS element (for citing)
Total Program Service Revenue$145,843TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$714TotalRevenueColumnAmt
Related Or Exempt Func Income$714RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,557TotalRevenueColumnAmt
Related Or Exempt Func Income$146,557RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,402TotalAmt
Program Services$8,556ProgramServicesAmt
Management And General$846ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,007TotalAmt
Program Services$11,836ProgramServicesAmt
Management And General$1,171ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,199TotalAmt
Management And General$6,199ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,416TotalAmt
Program Services$30,416ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,727TotalAmt
Program Services$29,727ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,288TotalAmt
Program Services$36,374ProgramServicesAmt
Management And General$1,914ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,576TotalAmt
Program Services$7,576ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROPERTY TAXES$3,000$3,000
SUPPLIES$2,935$2,069$866
MISCELLANEOUS$2,858$1,429$1,429

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$143,408TotalAmt
Program Services$130,983ProgramServicesAmt
Management And General$12,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,229BOYAmt
EOY$87,495EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$147,010BOYAmt
EOY$7,955EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,757BOYAmt
EOY$1,534EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,951BOYAmt
EOY$1,685EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,621,188LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$570,250LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,064,328BOYAmt
EOY$1,050,938EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$55,960EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,226,275BOYAmt
EOY$1,205,567EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,652BOYAmt
EOY$6,065EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$61BOYAmt
EOY$17EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,255,423BOYAmt
EOY$1,231,867EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,875BOYAmt
EOY$7,205EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,269,011BOYAmt
EOY$1,245,154EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$42,736BOYAmt
EOY-$39,587EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$42,736BOYAmt
EOY-$39,587EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,226,275BOYAmt
EOY$1,205,567EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,149ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,000OtherCostOrOtherBasisAmt
Book Value$90,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,493,084OtherCostOrOtherBasisAmt
Depreciation$570,250DepreciationAmt
Book Value$922,834BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,104OtherCostOrOtherBasisAmt
Book Value$38,104BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,050,938TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANT SECURITY DEPOSITSDesc
Amt$7,205Amt
FieldValueIRS element (for citing)
Total Liability$7,205TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$146,557TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$146,557RevenueSubtotalAmt
Total Revenue Per Form990$146,557TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$143,408TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$143,408ExpensesSubtotalAmt
Total Expenses Per Form990$143,408TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(4)OF THE INTERNAL REVENUE CODE, AND THUS IS EXEMPT FROM INCOME TAXES. THE ORGANIZATION CONTINUALLY EVALUATES ITS TAX POSITIONS, CHANGE IN TAX LAW AND NEW AUTHORITATIVE RULINGS FOR POTENTIAL IMPLICATIONS TO ITS TAX STATUS. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED AND ITS STATE INCOME TAX RETURNS GENERALLY FOR FOUR YEARS AFTER THEY ARE FILED. THE ORGANIZATION HAS NOT IDENTIFIED ANY INCOME IT WOULD CONSIDER TO BE UNRELATED BUSINESS INCOME.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DPROVIDE HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONS
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR AND BOARD PRESIDENT REVIEW THE 990 PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. CONFLICT OF INTEREST FORMS ARE DISTRIBUTED AND COMPLETED ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST.

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