2013-08-14T11:12:07-05:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 223032483 GAN KAVOD INC GANK 3157973114 TILDEN AVE NEW HARTFORD NY 13413 CHRISTA SERAFIN 3157973114 2013-08-08 1 JOSEPH J SCHLEGEL P00301329 3154463600 2012 2016-02-25 16:41:14Z CHRISTA SERAFIN TILDEN AVE NEW HARTFORD NY 13413 4898111 0 X WWW.SITRIN.COM X 1989 NY TO PROVIDE A COMMUNITY RESIDENCE FOR THE DEVELOPMENTALLY DISABLED. 9 8 164 0 0 0 0 0 3459300 4896504 1814 296 436 411 3461550 4897211 0 0 0 0 2218287 3318927 0 0 0 1141731 1473105 3360018 4792032 101532 105179 3607014 4068952 2300233 2656992 1306781 1411960 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 3954964 4896504 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 2012, GAN KAVOD'S TOTAL RESIDENT DAYS WERE 12,968 AND 40 ADULTS WERE SERVED. 3954964 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 0 164 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JULIANNE CARDONE 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 X SHERRY GOLDSTONE 1.00 X 0 0 0 ERNEST BERKOWITZ 1.00 X 0 0 0 DR SUSAN BLATT 1.00 X 0 60000 0 VICTOR PEARLMAN 1.00 X 0 0 0 GARY PHILIPSON 1.00 X 0 0 0 EDWARD KOWALSKY 1.00 X X 0 0 0 HARVEY CRAMER 1.00 X X 0 0 0 SHEILA BAMBERGER 1.00 X X 0 0 0 DAVID GOLDBAS 1.00 X X 0 0 0 RICHARD WILSON 0.00 37.50 X 0 297850 5520 CHRISTA SERAFIN 0.00 37.50 X 0 129504 13800 PATRICIA HAYS 22.50 15.00 X 0 124502 5520 0 611856 24840 0 0 1 0 CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 MANAGEMENT SERVICES 967269 1 MEDICAID 900099 4393161 4393161 PARTICIPANT FEES 531390 355162 355162 NEW YORK STATE OPWDD 900099 148181 148181 4896504 1196 1196 900 -900 -900 -900 MISCELLANEOUS INCOME 900099 411 411 411 4897211 4896504 0 707 2778173 2331289 446884 14134 14134 357731 223668 134063 168889 165731 3158 114 114 15158 15158 139644 139644 102613 23998 78615 138337 66434 71903 86902 86902 175065 174650 415 88755 45712 43043 GENERAL PROGRAM EXPENSE 232455 188740 43715 FACILITY TAX ASSESSMENT 151707 151707 CONTRACTED SERVICES 148415 148415 FOOD 124642 124642 69298 69298 4792032 3954964 837068 0 1200 1520 964058 1016496 609227 785889 5220 9477 3548075 1346962 1975279 2201113 52030 54457 3607014 4068952 451877 653260 1449675 1448005 398681 555727 2300233 2656992 X 1306781 1411960 1306781 1411960 3607014 4068952 105179 0 X 0 1 X 1 0 X 44 44 2826155 2773623 3006180 3459300 4896504 16961762 2826155 2773623 3006224 3459300 4896504 16961806 0 0 0 16961806 5536 2739 2434 1906 1196 13811 5536 2739 2434 1906 1196 13811 32 20 71 436 411 970 2831723 2776382 3008729 3461642 4898111 16976587 0.99910 0.99840 0.00080 0.00140 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 80000 80000 2725435 874626 1850809 742640 472336 270304 2201113 CASH HELD IN TRUST FOR RESIDENTS 117917 DUE TO GOVERNMENTAL AGENCY 437810 555727 X 4897211 0 4897211 0 4897211 4792032 0 4792032 0 4792032 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2008 THROUGH 2012. X 1 1 X X 0 0 0 0 0 0 0 0 0 RICHARD WILSON 0 249880 0 44000 0 3970 0 0 0 5520 0 303370 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 11 THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE AUGUST 2013 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 OFFICERS ARE ALSO OFFICERS OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC. -RICHARD WILSON -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 9 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 9 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 9 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 11A, 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 9 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