2013-05-07T11:19:38-05:00 2012-06-30 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2011-07-01 133841701 UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTHCARE CENTER UPPE 2125311300 123-125 WEST 124TH STREET NEW YORK NY 10027 WILLIAM MUILENBURG 2125311300 2013-05-06 1 MARTIN GREIF P00029738 2123721000 2011 2016-02-25 16:41:14Z KELSEY LOUIE 123-125 WEST 124TH STREET NEW YORK NY 10027 12127319 0 X WWW.HARLEMUNITED.ORG X 1995 NY THE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS. 9 8 237 8 0 0 855568 1949077 8610967 10160420 0 0 291 17822 9466826 12127319 0 0 0 0 5683965 5691688 0 0 0 4583100 5515355 10267065 11207043 -800239 920276 9166351 11452539 8633906 9999729 532445 1452810 X THE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS. 0 0 9808594 10160420 THE CENTER PROVIDES PRIMARY CARE, DENTAL, ADULT DAY HEALTH CARE, AND MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE MEDICALLY UNDERSERVED POPULATION TARGETING PEOPLE LIVING WITH AIDS, AND HOMELESS INDIVIDUALS IN HARLEM, NEW YORK. 9808594 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 0 0 0 1 X 0 0 237 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X XAVIER CHANG 2122223049 290 LENOX AVENUE 2ND FLOOR NEW YORK NY 10027 HENRIETTA LYLE - THRU 123111 1.00 X X 0 0 0 DOUGLAS DUKEMAN 1.00 X X 0 0 0 GILBERTO HINDS 1.00 X X 0 0 0 KARYN FABER 1.00 X X 0 0 0 STEVEN C BUSSEY 1.00 X 0 0 0 BEVERLY FRAZIER 1.00 X 0 0 0 JOYCE JONES 1.00 X 0 0 0 KENTAY MILLER - THRU 62312 1.00 X 0 0 0 MARY SINGLETON-CHRISTIANI 1.00 X 0 0 0 CARLISTLE ST MARTIN 1.00 X 0 0 0 RAHSAAN HARRIS 1.00 X X 0 0 0 HENRY WEAVER 1.00 X 0 0 0 ANTHONY ODOEMENA - FROM 11612 1.00 X 0 0 0 SARA GILLEN - THRU 122311 7.00 X 38459 153832 9066 KELSEY LOUIE - FROM 42312 10.00 X 52731 131828 10247 STEPHANIE HOWZE - THRU 42012 10.00 X 58784 146962 13171 L JEANNINE BOOKHARDT-MURRAY 25.00 X 139319 55727 1528 289293 488349 34012 1 0 1 0 WINSTON MEDICAL STAFFING 122 EAST 42ND STREET NEW YORK NY 10168 MEDICAL STAFFING PROVIDER 109535 1 1054802 894275 1949077 MEDICAID 900099 10100224 10100224 PROGRAM RENTAL INCOME 900099 60196 60196 10160420 MISCELLANEOUS 900099 17822 17822 17822 12127319 10160420 0 17822 285367 247585 37782 4444117 3855723 588394 95908 83210 12698 449093 389633 59460 417203 361966 55237 1463579 1269803 193776 18450 18450 33222 33222 235016 235016 740001 642026 97975 469202 407080 62122 257202 223149 34053 10122 8782 1340 340997 295850 45147 417825 362506 55319 51579 44750 6829 BAD DEBT 852268 852268 REPAIR & MAINTENANCE 281906 244582 37324 MISCELLANEOUS EXPENSES 165628 165628 BANK FEES 41157 41157 137201 119037 18164 11207043 9808594 1398449 0 12354 7565 896259 896349 414644 1084312 2060429 3504119 4524 6791 9644531 4022765 5405899 5621766 372242 331637 9166351 11452539 313699 128103 27552 27552 6369965 5582884 1922690 4261190 8633906 9999729 X 532445 1452810 532445 1452810 9166351 11452539 X 920276 89 X 0 1 1 X 1 1 X 96472 2370 618446 855568 1949077 3521933 96472 2370 618446 855568 1949077 3521933 83564 3438369 17960 6247 24207 43458 52910 274 291 17822 114755 3660895 42016980 0.93920 0.89090 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 3131970 1917537 1214433 4000018 1449292 2550726 1072626 655936 416690 479917 479917 5621766 DUE TO RELATED PARTY 501(C)(3) 4261190 4261190 12127319 11207043 920276 89 89 920365 42363945 30236626 30236626 12127319 0 12127319 41785523 30578480 30578480 11207043 0 11207043 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER, INC. ("URAM") WAS INCORPORATED AS NOT-FOR-PROFIT UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). IN ADDITION, URAM IS NOT CLASSIFIED AS PRIVATE FOUNDATION. MANAGEMENT HAS EVALUATED THE URAM'S TAX POSITION AND CONCLUDED THAT URAM HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENT. GENERALLY, URAM IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009. PART XII, LINE 2D - OTHER ADJUSTMENTS: HARLEM UNITED COMMUNITY AIDS CENTER, INC. 23,839,953. HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION, INC. 265,921. THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. 5,057,284. NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORPORATION 1,073,468. PART XIII, LINE 2D - OTHER ADJUSTMENTS: HARLEM UNITED COMMUNITY AIDS CENTER, INC. 23,953,993. HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION, INC. 523,191. THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. 4,905,796. NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORPORATION 1,204,253. CONSOLIDATING ENTRIES -8,753. X X X 0 0 0 0 0 0 0 0 0 SARA GILLEN - THRU 122311 30908 123629 7551 30203 0 0 1124 4497 689 2756 40272 161085 0 0 KELSEY LOUIE - FROM 42312 41944 104861 10787 26967 0 0 1501 3751 1427 3568 55659 139147 0 0 STEPHANIE HOWZE - THRU 42012 46569 116423 12215 30539 0 0 1831 4576 1933 4831 62548 156369 0 0 L JEANNINE BOOKHARDT-MURRAY 139319 55727 0 0 0 0 0 0 1091 437 140410 56164 0 0 FILING OF EMPLOYMENT TAX RETURNS FORM 990, PART V, LINE 2B THE TAXPAYER HAS A RELATIONSHIP WITH COMMON PAYMASTER, HARLEM UNITED COMMUNITY AIDS CENTER, INC. (TAX ID #13-3461695) AND THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (TAX ID #13-3387630) WHO FILED 133 OF THE 237 FORM W-2'S AND PAYROLL TAX RETURNS FORM 941'S. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE CEO, CFO, COMPLIANCE OFFICER AND THEN BY THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE ORGANIZATION THAT ALL POTENTIAL INTERESTS ARE TO BE FULLY DISCLOSED, AS THEY ARISE, BY ANY INDIVIDUAL REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINED TO EXIST. ON AN ANNUAL BASIS, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS. IF A POTENTIONAL CONFLICT ARISES THE SUPERVISOR AND/OR HUMAN RESOURCES WILL RESOLVE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE PROVIDES SALARY RECOMMENDATIONS FOR CEO, OFFICERS AND OTHER KEY EMPLOYEES TO THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM MANAGEMENT. THE COMMITTEE'S RECOMMENDATION IS BASED ON READILY AVAILABLE COMPENSATION DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 89. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS FORM 990, PART VII STEPHANE HOWZE (THRU 4/20/12): WORKED 25 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 10 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SARA GILLEN (THRU 12/23/11): WORKED 21 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 7 HOURS FOR THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (FROST'D) WORKED 7 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER KELSEY LOUIE: WORKED 20 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 5 HOURS FOR THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (FROST'D) WORKED 10 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER L. JEANNINE BOOKHARDT-MURRAY: WORKED 10 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 25 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER THE ORGANIZATION HOURS NOTED ABOVE ARE BASED ON INDUSTRY STANDARD PAYROLL HOURS, ACTUAL HOURS ARE SUBSTANTIALLY HIGHER. 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