2014-09-02T09:52:49-05:00 2013-12-31 161170608 TOSKI & CO CPAS PC 6390 MAIN STREET SUITE 200 WILLIAMSVILLE NY 14221 990 2013-01-01 161663989 HOMECARE & HOSPICE FOUNDATION INC HOME 7163722106 1225 W STATE ST OLEAN NY 147602135 CHRIS HENZEL PRESIDENT 7163722106 2014-08-21 1 JOHN T O'BRIEN MBA MST P01253588 7166340700 2014-08-21 2013 2015-11-30 17:44:51Z CHRIS HENZEL 1225 W STATE ST OLEAN NY 147602135 179301 0 X N/A X 2003 NY TO RECEIVE, HOLD, INVEST AND TRANSFER SUCH INCOME TO COMMUNITY CARE WNY, INC., THUS PROMOTING GOALS AND OBJECTIVES RELATED TO HOMECARE AND HOSPICE. 11 11 0 0 0 0 71046 96546 0 0 1749 1807 53607 57057 126402 155410 25000 47500 0 0 0 0 0 0 42612 49777 46745 74777 94245 51625 61165 396044 452270 64097 59158 331947 393112 TO RECEIVE, HOLD, INVEST AND TRANSFER SUCH INCOME TO COMMUNITY CARE WNY, INC., THUS PROMOTING GOALS AND OBJECTIVES RELATED TO HOMECARE AND HOSPICE. 0 0 47500 47500 COMMUNITY CARE AND TOTAL SENIOR CARE, INC. 47500 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 NY X SUSAN NELSON CFO 7163722106 1225 W STATE ST OLEAN NY 14760 CHRIS HENZEL PRESIDENT 0.50 X X 0 0 0 DR VICTOR DESA VICE PRESIDENT 0.50 X X 0 0 0 SCOTT KRUSE TREASURER 0.50 X X 0 0 0 MAUREEN MOONEY-MYERS SECRETARY 0.50 X X 0 0 0 ADREA ALDINGER DIRECTOR 0.50 X 0 0 0 RICHARD SEYMOUR DIRECTOR 0.50 X 0 0 0 KELLY KIEBALA DIRECTOR 0.50 X 0 0 0 JAY HACKEMER DIRECTOR 0.50 X 0 0 0 JOANNE WERT DIRECTOR 0.50 X 0 0 0 RICHARD SHEAR DIRECTOR 0.50 X 0 0 0 EDMUND LEISING DIRECTOR 0.50 X 0 0 0 CAROL L MAHONEY CEO 1.00 X 0 117727 749 SUSAN NELSON CFO 1.00 X 0 75529 1080 0 193256 1829 0 0 0 0 0 96546 96546 1807 1807 80625 23891 56734 56734 MISCELLANEOUS 900099 323 323 323 155410 0 0 58864 X 47500 47500 38342 2700 35642 385 385 ANNUAL GIVING CAMPAIGN 4445 4445 MISCELLANEOUS 2525 2525 BOARD MEETING EXPENSES 896 896 POSTAGE AND SHIPPING 152 152 94245 47500 4133 42612 49156 52873 340145 391501 6743 7896 396044 452270 12492 6233 51605 52925 64097 59158 X 282254 343419 49693 49693 331947 393112 396044 452270 61165 0 X X 0 1 X 1 0 X X 0 0 0 COMMUNITY CARE OF WNY INC 160977698 170(B)1(A)VI 1 1 1 47500 1 47500 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 331947 153603 1807 47500 42612 4133 393112 280322 124653 1749 25000 44987 4790 331947 276666 106187 1917 45000 59448 280322 264595 95074 476 25000 58479 276666 185940 159377 768 25000 56490 264595 0.20910 0.12640 0.66450 0 0 0 DUE TO AFFILIATE 52925 52925 X 179301 23891 23891 155410 0 155410 118136 23891 23891 94245 0 94245 PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO PROMOTE THE GOALS AND OBJECTIVES RELATED TO HOMECARE AND HOSPICE PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION HAS BEEN CLASSIFIED AS A PUBLICLY SUPPORTED ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. THE FOUNDATION PRESENTLY DISCLOSES OR RECOGNIZES INCOME TAX POSITIONS BASED ON MANAGEMENT'S ESTIMATE OF WHETHER IT IS REASONABLY POSSIBLE OR PROBABLE THAT A LIABILITY HAS BEEN INCURRED FOR UNRECOGNIZED INCOME TAXES. MANAGEMENT HAS CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT IN ITS FINANCIAL STATEMENTS. U.S. FORM 990 FILED BY THE FOUNDATION ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION IS NO LONGER SUBJECT TO TAX EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2009, AND PRIOR. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 23,891. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 23,891. BOUQUET SALE 26430 26430 12462 HOSPICE WALK 31409 31409 2662 3 22786 22786 8767 80625 80625 23891 23891 56734 0 COMMUNITY CARE OF WNY 1225 W STATE STREET OLEAN NY 14760 160977698 501(3)(3) 47500 NONE TO PROVIDE HOSPICE CARE FOR THE TERMINALLY ILL FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WILL BE REVIEWED AT THE NEXT REGULAR SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS REVIEWED AT MANAGEMENT MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILIABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART IX, LINE 11G AUDIT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,700. SUBCONTRACTED LABOR & FRINGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 35,642. TOTAL EXPENSES 35,642. FORM 990 PART XII LINE 2C: NO CHANGES HAVE TAKEN PLACE DURING THE FISCAL YEAR ENDED DECEMBER 31, 2013. COMMUNITY CARE OF WNY INC 1225 W STATE STREET OLEAN NY 14760 160977698 TO PROVIDE HOSPICE CARE FOR THE TERMINALLY ILL NY 501(C)(3) 170(B)1(A)VI N/A 0 TOTAL SENIOR CARE INC 1225 W STATE STREET OLEAN NY 14760 261346241 SEE SCH R, PART VII NY 501(C)(3) 170(B)1(A)VI N/A 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMUNITY CARE OF WNY INC B 47500 CASH VALUE COMMUNITY CARE OF WNY INC E 52925 FMV SCHEDULE R, PAGE 1, PART II, COLUMN (B): TOTAL SENIOR CARE, INC., PRIMARY ACTIVITY: TO PROVIDE A COMPREHENSIVE ARRAY OF MEDICAL SERVICES TO ADULTS AGE 55 AND OLDER WHO ARE MEDICALLY ELIGIBLE FOR NURSING HOME CARE.