2013-09-27T12:54:57-05:00 2012-12-31 161170608 TOSKI & CO CPAS PC 300 ESSJAY RD SUITE 115 WILLIAMSVILLE NY 14221 990 2012-01-01 161663989 HOMECARE & HOSPICE FOUNDATION INC HOME 7163722106 1225 W STATE ST OLEAN NY 147602135 CHRIS HENZEL 7163722106 2013-09-11 1 JOHN T O'BRIEN MBA MST P01253588 7166340700 2013-09-11 2012 2016-02-25 16:41:14Z CHRIS HENZEL 1225 W STATE ST OLEAN NY 147602135 148959 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. 9 9 0 0 0 0 48335 71046 0 0 1917 1749 37675 53607 87927 126402 45000 25000 0 0 0 0 0 0 44987 39271 49777 84271 74777 3656 51625 336411 396044 56089 64097 280322 331947 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 25000 25000 COMMUNITY CARE AND TOTAL SENIOR CARE, INC. 25000 1 1 0 0 0 0 0 0 0 1 1 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 9 9 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 0.50 X X 0 0 0 DR VICTOR DESA 0.50 X X 0 0 0 MARY DRISCOLL 0.50 X X 0 0 0 MAUREEN MOONEY-MYERS 0.50 X X 0 0 0 CINDY HENDRICKSON 0.50 X 0 0 0 RICHARD SEYMOUR 0.50 X 0 0 0 KELLY KIEBALA 0.50 X 0 0 0 JANE MONAGHAN ESQ 0.50 X 0 0 0 EDMUND LEISING 0.50 X 0 0 0 CAROL L MAHONEY 1.00 X 0 120539 1180 SUSAN NELSON 1.00 X 0 77115 920 0 197654 2100 0 0 0 0 0 71046 71046 1749 1749 76106 22557 53549 53549 MISCELLANEOUS 900099 58 58 58 126402 0 0 55356 X 25000 25000 44387 2600 41787 1120 1120 ANNUAL GIVING CAMPAIGN 2190 2190 MISCELLANEOUS 1010 1010 BOARD MEETING EXPENSES 907 907 POSTAGE AND SHIPPING 163 163 74777 25000 4790 44987 16750 49156 313698 340145 5963 6743 336411 396044 5624 12492 50465 51605 56089 64097 X 230629 282254 49693 49693 280322 331947 336411 396044 51625 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 25000 1 25000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 145602 117476 5802 27500 55440 185940 0.17460 0.14970 0.67570 0 0 0 DUE TO AFFILIATE 51605 51605 X 148959 22557 22557 126402 0 126402 97334 22557 22557 74777 0 74777 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO PROMOTE THE GOALS AND OBJECTIVES RELATED TO HOMECARE AND HOSPICE DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2008, AND PRIOR. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 22,557. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 22,557. BOUQUET SALE 27646 27646 12514 HOSPICE WALK 22568 22568 2871 4 25892 25892 7172 76106 76106 22557 22557 53549 0 COMMUNITY CARE OF WNY 1225 W STATE STREET OLEAN NY 14760 160977698 501(3)(3) 25000 NONE TO PROVIDE HOSPICE CARE FOR THE TERMINALLY ILL FORM 990, PART VI, SECTION B, LINE 11 NO REVIEW WAS OR WILL BE CONDUCTED 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 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. OTHER FEES FORM 990, PART IX, LINE 11G AUDIT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,600. SUBCONTRACTED LABOR & FRINGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 41,787. TOTAL EXPENSES 41,787. FORM 990 PART XII LINE 2C: NO CHANGES HAVE TAKEN PLACE DURING THE FISCAL YEAR ENDED DECEMBER 31, 2012. 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 NURSING HOME CARE 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 25000 CASH VALUE COMMUNITY CARE OF WNY INC E 51605 FMV