Senior Homes Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Senior Homes Inc (EIN 23-7066357)
Tax period
2012-05-01 to 2013-04-30
Filed
2013-10-14
IRS object ID
201322879349300407
Schema version
2012v2.3
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)
Timestamp2013-10-14T08:27:55-05:00Timestamp
Tax Period End Date2013-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERBERROSE SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1115 E 5TH STAddressLine1
CitySHAWANOCity
StateWIState
ZIP Code54166ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237066357EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SENIOR HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSENINameControl
Phone9208223887Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLARRY PUZENName
TitleBOARD PRESIDENTTitle
Phone9208223887Phone
Date Signed2013-10-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEAH J LASECKI CPAName
Phone7155269400Phone
Date Prepared2013-10-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY PUZENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 121AddressLine1
CityPULASKICity
StateWIState
ZIP Code54162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts140257GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HOUSING FOR LOW INCOME ELDERY AND HANDICAPPED PERSONSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year21092ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year138706ProgramServiceRevenuePriorYear
Program Service Revenue CY139472ProgramServiceRevenueCY
Investment Income Prior Year17030InvestmentIncomePriorYear
Investment Income Current Year687InvestmentIncomeCurrentYear
Other Revenue Prior Year327OtherRevenuePriorYear
Other Revenue Current Year98OtherRevenueCurrentYear
Total Revenue Prior Year177155TotalRevenuePriorYear
Total Revenue Current Year140257TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30090SalariesEtcPriorYear
Salaries Etc Current Year23728SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year146566OtherExpensePriorYear
Other Expenses Current Year130567OtherExpensesCurrentYear
Total Expenses Prior Year176656TotalExpensesPriorYear
Total Expenses Current Year154295TotalExpensesCurrentYear
Revenues Less Expenses Prior Year499RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14038RevenuesLessExpensesCY
Total Assets BOY1330269TotalAssetsBOY
Total Assets EOY1297318TotalAssetsEOY
Total Liabilities BOY1331404TotalLiabilitiesBOY
Total Liabilities EOY1312491TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1135NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-15173NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HOUSING FOR LOW INCOME ELDERY AND HANDICAPPED PERSONSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense140380Expense
DescriptionPROVIDED HOUSING FOR LOW INCOME ELDERLY AND HANDICAPPED PERSONSDescription
Total Program Service Expense140380TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonVIKKI ROBOKOFFNamePerson
Telephone Number9208223887TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1231 MEMORIAL DRIVEAddressLine1
CityPULASKICity
StateWIState
ZIP Code54162ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHRIS BIALOZYNSKI
DIRECTOR1.00X000
ROSIE WIAND
SECRETARY2.00X000X
LARRY PUZEN
PRESIDENT2.00X000X
DOUG CLEMENTS
DIRECTOR1.00X000
GENE SCHROEDER
DIRECTOR1.00X000
ROBERT DETTMAN
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
APARTMENT RENTAL INC116763116763
HOUSING ASSISTANCE PROGRAM1687516875
OTHER RENTAL INCOME29822982
LAUNDRY REVENUE27752775
TENANT CHARGES7777
FieldValueIRS element (for citing)
Total Program Service Revenue139472TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column687TotalRevenueColumn
Related Or Exempt Function Income687RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column98TotalRevenueColumn
Related Or Exempt Function Income98RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue98TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column140257TotalRevenueColumn
Related Or Exempt Function Income140257RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21673Total
Program Services18935ProgramServices
Management And General2738ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2055Total
Program Services1541ProgramServices
Management And General514ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5618Total
Management And General5618ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total120Total
Management And General120ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34250Total
Program Services34250ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total33588Total
Program Services33588ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38577Total
Program Services36654ProgramServices
Management And General1923ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6948Total
Program Services6948ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS376719671800
PROPERTY TAXES30003000
TENANT RELATED EXPENSES27012701
SUPPLIES19987961202

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total154295Total
Program Services140380ProgramServices
Management And General13915ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8302BOY
EOY6656EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY142694BOY
EOY147336EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY400BOY
EOY400EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3770BOY
EOY3822EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1594710LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec455606LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1175103BOY
EOY1139104EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1330269BOY
EOY1297318EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6874BOY
EOY7325EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1318255BOY
EOY1298541EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6275BOY
EOY6625EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1331404BOY
EOY1312491EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1135BOY
EOY-15173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1135BOY
EOY-15173EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1330269BOY
EOY1297318EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-14038ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90000OtherCostOrOtherBasis
Book Value90000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1458339OtherCostOrOtherBasis
Depreciation416638Depreciation
Book Value1041701BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis46371OtherCostOrOtherBasis
Depreciation38968Depreciation
Book Value7403BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1139104TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTENANTS SECURITY DEPOSITSDescription
Amount$6,625Amount
FieldValueIRS element (for citing)
Total Of Amounts6625TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt140257TotRevenueEtcAuditedFinclStmt
Revenue Subtotal140257RevenueSubtotal
Total Revenue Per Form990140257TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt154295TotExpensesEtcAuditedFinclStmt
Expenses Subtotal154295ExpensesSubtotal
Total Expenses Per Form990154295TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
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 ALL STATE JURISDICTIONS 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, 2013. 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, 2010 AND 2009 FOR FEDERAL AND STATE INCOME TAX PURPOSES, RESPECTIVELY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR AND BOARD PRESIDENT REVIEW THE 990 PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST.

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