BETA

Senior Homes Inc: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
Senior Homes Inc (EIN 23-7066357)
Tax period
2014-05-01 to 2015-04-30
Filed
2015-07-31
IRS object ID
201542129349300109
Schema version
2014v5.0
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)
Return2015-07-31T08:56:55-05:00ReturnTs
Tax Period End2015-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391658423PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBERROSE SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1115 E 5TH STAddressLine1Txt
CitySHAWANOCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54166ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-05-01TaxPeriodBeginDt

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 TitleBOARD PRESIDENTPersonTitleTxt
Phone9208224653PhoneNum
Signature2015-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLEAH J LASECKI CPAPreparerPersonNm
PTINP01576192PTIN
Phone7155269400PhoneNum
Preparation2015-07-16PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

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$138,460GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPROVIDE HOUSING FOR LOW INCOME ELDERY 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$135,881PYProgramServiceRevenueAmt
CY Program Service Revenue$137,765CYProgramServiceRevenueAmt
PY Investment Income$680PYInvestmentIncomeAmt
CY Investment Income$695CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$136,561PYTotalRevenueAmt
CY Total Revenue$138,460CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,189PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,088CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$132,039PYOtherExpensesAmt
CY Other Expenses$124,268CYOtherExpensesAmt
PY Total Expenses$156,228PYTotalExpensesAmt
CY Total Expenses$146,356CYTotalExpensesAmt
PY Revenues Less Expenses-$19,667PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,896CYRevenuesLessExpensesAmt
Total Assets BOY$1,259,110TotalAssetsBOYAmt
Total Assets EOY$1,226,275TotalAssetsEOYAmt
Total Liabilities BOY$1,293,950TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,269,011TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$34,840NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$42,736NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOUSING FOR LOW INCOME ELDERY AND HANDICAPPED PERSONSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$133,783ExpenseAmt
DescPROVIDED HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSDesc
Total Program Service Expenses$133,783TotalProgramServiceExpensesAmt
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
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
Other WebsiteYes (X)OtherWebsiteInd
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 (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LISA VOELKER
EXECUTIVE DI2.00Yes (X)Yes (X)$7,052$0$0
VICTORIA ROBOKOFF
PAST EXECUTI1.00Yes (X)$2,863$0$0
CHRIS BIALOZYNSKI
DIRECTOR1.00Yes (X)$0$0$0
ROSIE WIAND
SECRETARY2.00Yes (X)Yes (X)$0$0$0
LARRY PUZEN
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DOUG CLEMENTS
DIRECTOR1.00Yes (X)$0$0$0
GENE SCHROEDER
DIRECTOR1.00Yes (X)$0$0$0
ROBERT DETTMAN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,915TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
APARTMENT RENTAL INC$110,454$110,454
HAP INCOME$21,607$21,607
LAUNDRY REVENUE$2,894$2,894
OTHER RENTAL INCOME$2,810$2,810
FieldValueIRS element (for citing)
Total Program Service Revenue$137,765TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$695TotalRevenueColumnAmt
Related Or Exempt Func Income$695RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,460TotalRevenueColumnAmt
Related Or Exempt Func Income$138,460RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,915TotalAmt
Program Services$8,924ProgramServicesAmt
Management And General$991ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,603TotalAmt
Program Services$8,904ProgramServicesAmt
Management And General$699ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,570TotalAmt
Program Services$1,927ProgramServicesAmt
Management And General$643ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,888TotalAmt
Management And General$5,888ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,727TotalAmt
Program Services$32,727ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,091TotalAmt
Program Services$31,091ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,652TotalAmt
Program Services$36,719ProgramServicesAmt
Management And General$1,933ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,251TotalAmt
Program Services$8,251ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROPERTY TAXES$3,000$3,000
MISCELLANEOUS$2,954$1,449$1,505
SUPPLIES$1,705$791$914

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$146,356TotalAmt
Program Services$133,783ProgramServicesAmt
Management And General$12,573ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,301BOYAmt
EOY$5,229EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$146,715BOYAmt
EOY$147,010EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$1,757EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,760BOYAmt
EOY$7,951EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,596,291LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$531,963LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,100,934BOYAmt
EOY$1,064,328EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,259,110BOYAmt
EOY$1,226,275EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,804BOYAmt
EOY$6,652EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$61EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,277,621BOYAmt
EOY$1,255,423EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,475BOYAmt
EOY$6,875EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,293,950BOYAmt
EOY$1,269,011EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$34,840BOYAmt
EOY-$42,736EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$34,840BOYAmt
EOY-$42,736EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,259,110BOYAmt
EOY$1,226,275EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,896ReconcilationRevenueExpnssAmt
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$1,506,291OtherCostOrOtherBasisAmt
Depreciation$531,963DepreciationAmt
Book Value$974,328BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,064,328TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANTS SECURITY DEPOSITSDesc
Amt$6,875Amt
FieldValueIRS element (for citing)
Total Liability$6,875TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$138,460TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$138,460RevenueSubtotalAmt
Total Revenue Per Form990$138,460TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$146,356TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$146,356ExpensesSubtotalAmt
Total Expenses Per Form990$146,356TotalExpensesPerForm990Amt

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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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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