Senior Homes Inc: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Senior Homes Inc (EIN 23-7066357)
Tax period
2013-05-01 to 2014-04-30
Filed
2014-07-08
IRS object ID
201421899349301452
Schema version
2013v3.1
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)
Return2014-07-08T16:28:58-05:00ReturnTs
Tax Period End2014-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBERROSE SCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1115 E 5TH STAddressLine1
CitySHAWANOCity
StateWIState
ZIP Code54166ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237066357EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SENIOR HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSENIBusinessNameControlTxt
Phone9208224653PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 917AddressLine1
CityPULASKICity
StateWIState
ZIP Code54162ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARRY PUZENPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone9208224653PhoneNum
Signature2014-06-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLEAH J LASECKI CPAPreparerPersonNm
PTINP01576192PTIN
Phone7155269400PhoneNum
Preparation2014-06-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY PUZENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 121AddressLine1
CityPULASKICity
StateWIState
ZIP Code54162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$136,561GrossReceiptsAmt
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 Employee2TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$139,472PYProgramServiceRevenueAmt
CY Program Service Revenue$135,881CYProgramServiceRevenueAmt
PY Investment Income$687PYInvestmentIncomeAmt
CY Investment Income$680CYInvestmentIncomeAmt
PY Other Revenue$98PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$140,257PYTotalRevenueAmt
CY Total Revenue$136,561CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,728PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,189CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$130,567PYOtherExpensesAmt
CY Other Expenses$132,039CYOtherExpensesAmt
PY Total Expenses$154,295PYTotalExpensesAmt
CY Total Expenses$156,228CYTotalExpensesAmt
PY Revenues Less Expenses-$14,038PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$19,667CYRevenuesLessExpensesAmt
Total Assets BOY$1,297,318TotalAssetsBOYAmt
Total Assets EOY$1,259,110TotalAssetsEOYAmt
Total Liabilities BOY$1,312,491TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,293,950TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$15,173NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$34,840NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOUSING FOR LOW INCOME ELDERY AND HANDICAPPED PERSONSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$142,877ExpenseAmt
DescPROVIDED HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSDesc
Total Program Service Expenses$142,877TotalProgramServiceExpensesAmt
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
Employee2EmployeeCnt
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 14AddressLine1
CityPULASKICity
StateWIState
ZIP Code54162ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CHRIS BIALOZYNSKI
DIRECTOR1.00Yes (X)$0$0$0
ROSIE WIAND
SECRETARY2.00Yes (X)$0$0$0Yes (X)
LARRY PUZEN
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
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)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
APARTMENT RENTAL INC$114,214$114,214
HOUSING ASSISTANCE PROGRAM$16,821$16,821
OTHER RENTAL INCOME$2,860$2,860
LAUNDRY REVENUE$1,979$1,979
TENANT CHARGES$7$7
FieldValueIRS element (for citing)
Total Program Service Revenue$135,881TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$680TotalRevenueColumnAmt
Related Or Exempt Func Income$680RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,561TotalRevenueColumnAmt
Related Or Exempt Func Income$136,561RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,694TotalAmt
Program Services$19,289ProgramServicesAmt
Management And General$2,405ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,495TotalAmt
Program Services$1,871ProgramServicesAmt
Management And General$624ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,740TotalAmt
Management And General$5,740ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125TotalAmt
Management And General$125ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,941TotalAmt
Program Services$37,941ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,377TotalAmt
Program Services$32,377ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,595TotalAmt
Program Services$36,665ProgramServicesAmt
Management And General$1,930ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,198TotalAmt
Program Services$8,198ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$4,477$2,570$1,907
PROPERTY TAXES$3,000$3,000
SUPPLIES$1,586$966$620

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,228TotalAmt
Program Services$142,877ProgramServicesAmt
Management And General$13,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,656BOYAmt
EOY$7,301EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$147,336BOYAmt
EOY$146,715EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,822BOYAmt
EOY$3,760EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,594,689LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$493,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,139,104BOYAmt
EOY$1,100,934EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,297,318BOYAmt
EOY$1,259,110EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,325BOYAmt
EOY$9,804EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$50EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,298,541BOYAmt
EOY$1,277,621EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,625BOYAmt
EOY$6,475EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,312,491BOYAmt
EOY$1,293,950EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$15,173BOYAmt
EOY-$34,840EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$15,173BOYAmt
EOY-$34,840EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,297,318BOYAmt
EOY$1,259,110EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$19,667ReconcilationRevenueExpnssAmt
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$1,458,764OtherCostOrOtherBasisAmt
Depreciation$453,475DepreciationAmt
Book Value$1,005,289BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,925OtherCostOrOtherBasisAmt
Depreciation$40,280DepreciationAmt
Book Value$5,645BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,100,934TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANTS SECURITY DEPOSITSDesc
Amt$6,475Amt
FieldValueIRS element (for citing)
Total Liability$6,475TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$136,561TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$136,561RevenueSubtotalAmt
Total Revenue Per Form990$136,561TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$156,228TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$156,228ExpensesSubtotalAmt
Total Expenses Per Form990$156,228TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE AND THE WISCONSIN JURISDICTION WHERE IT OPERATES. THE ORGANIZATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN TAX POSITIONS AT APRIL 30, 2014. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED BEFORE APRIL 30, 2011 AND 2010 FOR FEDERAL AND STATE INCOME TAX PURPOSES, RESPECTIVELY.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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