GADSDEN SENIOR SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GADSDEN SENIOR SERVICES (EIN 20-2779901)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-30
IRS object ID
201322119349300812
Schema version
2012v2.1
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)
Timestamp2013-07-30T12:59:06-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593204548EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES MOORE & CO PLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12477 TIM GAMBLE PLACE SUITE 200AddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code323084386ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202779901EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GADSDEN SENIOR SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGADSNameControl
Phone8506279758Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line179 LASALLE LEFALL DRIVEAddressLine1
CityQUINCYCity
StateFLState
ZIP Code32351ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameOFFICERName
TitlePRESIDENTTitle
Phone8506279758Phone
Date Signed2013-06-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRAE KERRName
PTINP00727717PTIN
Phone8503866184Phone
Date Prepared2013-06-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBERTA KEMPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line179 LASALLE LEFALL DRIVEAddressLine1
CityQUINCYCity
StateFLState
ZIP Code32351ZIPCode
FieldValueIRS element (for citing)
Gross Receipts814039GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE AN ARRAY OF SERVICES TO SENIOR CITIZENS THAT WILL ALLOW THEM TO STAY IN THEIR HOME AS THEY AGEActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees35TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year486160ContributionsGrantsPriorYear
Contributions Grants Current Year453239ContributionsGrantsCurrentYear
Program Service Revenue Prior Year303229ProgramServiceRevenuePriorYear
Program Service Revenue CY353484ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year13055OtherRevenuePriorYear
Other Revenue Current Year7316OtherRevenueCurrentYear
Total Revenue Prior Year802444TotalRevenuePriorYear
Total Revenue Current Year814039TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year472757SalariesEtcPriorYear
Salaries Etc Current Year499116SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year304879OtherExpensePriorYear
Other Expenses Current Year349204OtherExpensesCurrentYear
Total Expenses Prior Year777636TotalExpensesPriorYear
Total Expenses Current Year848320TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24808RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-34281RevenuesLessExpensesCY
Total Assets BOY257212TotalAssetsBOY
Total Assets EOY224683TotalAssetsEOY
Total Liabilities BOY41126TotalLiabilitiesBOY
Total Liabilities EOY42878TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY216086NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY181805NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AN ARRAY OF SERVICES TO SENIOR CITIZENS THAT WILL ALLOW THEM TO STAY IN THEIR HOME AS THEY AGE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense630357Expense
Revenue353839Revenue
DescriptionGADSDEN SENIOR SERVICES, INC. PROVIDES HOT LUNCHES FIVE TIMES A WEEK TO SENIORS AT CENTRALIZED LOCATIONS, AND DELIVERS HOT MEALS TO THE HOME BOUND. THE ORGANIZATION ALSO PROVIDES AN ARRAY OF OTHER SERVICES, INCLUDING HOME MAKING, PERSONAL CARE, RESPITE, AND COMPANIONSHIP. GADSDEN SENIOR SERVICES, INC. SERVED 359 CLIENTS DURING THE 2012 YEAR.Description
Total Program Service Expense630357TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees35NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8506279758TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line179 LASALLE LEFALL DRIVEAddressLine1
CityQUINCYCity
StateFLState
ZIP Code32351ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BERTA KEMP
PRESIDENT0.50XX000
JOHNNY SAILOR
SECRETARY0.50XX000
JILL MERCER
TREASURER0.50XX000
WILFORD KENNEDY
DIRECTOR0.50X000
EDNA HUSSEIN-FOREHAND
DIRECTOR0.50X000
STERLING DUPONT
DIRECTOR0.50X000
ETHLYNN EARNHART
DIRECTOR0.50X000
GWEN POWELL-ROBINSON
DIRECTOR0.50X000
AUDREY LEWIS
DIRECTOR0.50X000
TRAVIA CROMARTIE
DIRECTOR0.50X000
FLORENCE JACKSON
DIRECTOR0.50X000
FERT RICHARDSON
DIRECTOR0.50X000
LATOYA MOODY
EXECUTIVE DIRECTOR40.00X5481602890
JO HART
FISCAL MANAGER40.00X3900002586
FieldValueIRS element (for citing)
Total Reportable Comp From Org93816TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation5476TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants448477GovernmentGrants
All Other Contributions4762AllOtherContributions
Total Contributions453239TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID WAIVER624100343640343640
CO-PAYS62410098449844
FieldValueIRS element (for citing)
Total Program Service Revenue353484TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6961Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real6961Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6961TotalRevenueColumn
Exclusion$6,961ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column355TotalRevenueColumn
Related Or Exempt Function Income355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue355TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column814039TotalRevenueColumn
Related Or Exempt Function Income353839RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,961ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total99292Total
Management And General99292ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total339248Total
Program Services259151ProgramServices
Management And General80097ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27304Total
Program Services21520ProgramServices
Management And General5784ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33272Total
Program Services19968ProgramServices
Management And General13304ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18001Total
Program Services7830ProgramServices
Management And General10171ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22424Total
Program Services22424ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total44289Total
Program Services37663ProgramServices
Management And General6626ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25215Total
Program Services23879ProgramServices
Management And General1336ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15606Total
Program Services15606ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1345Total
Management And General1345ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEALS EXPENSE1079981079908
OTHER SENIOR SERVICE EX4564645646
MEDICAL EXPENSE4404044040
VEHICLE EXPENSE2464024640

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total848320Total
Program Services630357ProgramServices
Management And General217963ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY224422BOY
EOY185714EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY32790BOY
EOY29836EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10478LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1345LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY9133EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY257212BOY
EOY224683EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY3555EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41126BOY
EOY39323EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41126BOY
EOY42878EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY216086BOY
EOY181805EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY216086BOY
EOY181805EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY257212BOY
EOY224683EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-34281ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years683711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years858084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year486160CurrentTaxYearMinus1Year
Current Tax Year453239CurrentTaxYear
Total2481194Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years683711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years858084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year486160CurrentTaxYearMinus1Year
Current Tax Year453239CurrentTaxYear
Total2481194Total
FieldValueIRS element (for citing)
Public Support Total1702481194PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years5422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12730CurrentTaxYearMinus1Year
Current Tax Year6961CurrentTaxYear
Total43187Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year325CurrentTaxYearMinus1Year
Current Tax Year355CurrentTaxYear
Total680Total
FieldValueIRS element (for citing)
Total Support2525061TotalSupport
Gross Receipts From Admissions Etc671810GrossReceiptsFromAdmissionsEtc
First5 Years170XFirst5Years170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis784OtherCostOrOtherBasis
Depreciation52Depreciation
Book Value732BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9694OtherCostOrOtherBasis
Depreciation1293Depreciation
Book Value8401BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9133TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOMPENSATED ABSENCESDescription
Amount$39,323Amount
FieldValueIRS element (for citing)
Total Of Amounts39323TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING, THE COMPLETED FORM 990 IS REVIEWED BY THE BOARD PRESIDENT.
FORM 990, PART VI, SECTION C, LINE 19GADSDEN SENIOR SERVICES, INC. MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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