2013-04-08T18:33:11-05:00 2012-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-07-01 240860110 ALLIED HEALTH CARE SERVICES ALLI 5703481300 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 WILLLIAM CONABOY 5703481300 2013-04-08 1 JULIUS GREEN CPA P00350393 2159720701 2013-04-08 2011 2016-02-25 16:41:14Z WILLIAM CONABOY 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 65446610 0 X WWW.ALLIED-SERVICES.ORG X 1988 PA PROVIDE QUALITY HEALTH CARE SERVICES AND COMFORT TO THE ELDERLY AND MENTALLY CHALLENGED. 8 7 1295 0 99186 0 0 46261 69297516 63855803 39292 5361 545275 810000 69882083 64717425 604650 0 0 0 34043103 37977335 0 0 0 33570105 26937181 68217858 64914516 1664225 -197091 37689271 38630043 29803653 30961284 7885618 7668759 X OUR MISSION IS THAT WE ARE COMMITTED TO THE PEOPLE OF OUR COMMUNITY, TO HELP THEM OVERCOME CHALLENGES AND REACH THEIR GREATEST POTENTIAL BY PROVIDING QUALITY CARE, PEOPLE ORIENTED SERVICES, AND COMFORT. ALLIED IN-HOME AND ALLIED HOME HEALTH PROVIDE NURSING AND THERAPY SERVICES TO THE ELDERLY IN THEIR HOMES. ALLIED ICF/MR RESIDENCES PROVIDE INTERMEDIATE CARE FOR THE MENTALLY CHALLENGED. THE SCRANTON VOCATIONAL TRAINING CENTER INSTRUCTS PATIENTS IN WORK SKILLS. 0 0 13787618 19026268 MANAGEMENT AND ADMINISTRATIVE SUPPORT FOR ALL ALLIED SERVICES PROGRAMS IS HEADQUARTERED IN ALLIED'S HOME OFFICE, WHOSE FUNCTIONS INCLUDE HUMAN RESOURCES, PAYROLL, ACCOUNTING, INFORMATION SYSTEMS, MATERIALS MANAGEMENT, RISK MANAGEMENT AND THE LIKE. THIS CENTRALIZED ARRANGEMENT MAXIMIZES ADMINISTRATIVE EFFICIENCY, CONSISTENT POLICIES AND PROCEDURES, AND FREES PROGRAM PERSONNEL AND PROGRAM RESOURCES FOR MISSION-RELATED SERVICE TO THE AGED AND DISABLED. 12419835 17327166 THE IN-HOME & HOME HEALTH PROGRAMS HELP THE DISABLED, CHRONICALLY ILL AND FRAIL ELDERLY TO MAINTAIN INDEPENDENT LIVING IN THEIR HOMES. IN HOME SERVICES SUCH AS PERSONAL CARE (BATHING, GROOMING), LIGHT HOUSEKEEPING AND MEAL PREPARATION WERE PROVIDED TO OVER 680 INDIVIDUALS IN 22 COUNTIES; SOME 700,000+ HOURS OF SERVICE. HOME HEALTH, INCLUDING SPECIALIZED THERAPIES, WOUND CARE, MEDICATION MANAGEMENT, AND OTHER SKILLED NURSING RESPONSIBILITIES DELIVERED APPROXIMATELY 35,700 VISITS TO PATIENTS IN 7 COUNTIES. 8962415 12043971 ALLIED'S DEVELOPMENTAL SERVICES DIVISION PROVIDES A RANGE OF RESIDENTIAL CARE TO ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. OUR GOAL IS TO SUPPORT THESE CONSUMERS AS THEY GROW AND DEVELOP, TO MAKE THEIR OWN DECISIONS, TO ACHIEVE THEIR PERSONAL GOALS, TO DEVELOP RELATIONSHIPS AND TO ENJOY LIFE AS FULLY PARTICIPATING MEMBERS OF THE COMMUNITY. ALLIED'S SCRANTON ICF FACILITY IS HOME TO APPROXIMATELY 40 INDIVIDUALS WHO RECEIVE CONTINUOUS SUPERVISION, MEDICAL CARE AND ACTIVE THERAPY. AT OUR COMMUNITY RESIDENCES, CONSUMERS WHO ARE ABLE TO LIVE MORE INDEPENDENTLY ENJOY A HOME-LIKE ENVIRONMENT, WITH SHARED MEALS, SOCIAL AND VOCATIONAL OPPORTUNITIES. IN ALL, APPROXIMATELY 100 INDIVIDUALS RECEIVE RESIDENTIAL ACCOMMODATIONS AND SUPPORT FROM THESE PROGRAMS EACH DAY. 8247019 11322745 THE SCRANTON VOCATIONAL TRAINING CENTER (ONE OF ALLIED HEALTH CARE SERVICES' FACILITIES) INSTRUCTS PATIENTS IN WORK SKILLS. 449507 933125 ALLIED PHARMACY PROVIDES PHARMACY SERVICES TO PATIENTS AND RESIDENTS AT ALLIED'S VARIOUS INPATIENT AND OUTPATIENT FACILITIES. 2396541 3202528 ALLIED COMMUNITY RESIDENTIAL REHABILITATION PROGRAM PROVIDES RESIDENTIAL LIVING FOR THE MENTALLY ILL AND HANDICAPPED IN NON-INSTITUTIONAL SETTINGS. 11093067 15458398 46262935 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 0 0 1 94 0 1 1295 1 1 1 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X DAVID ARGUST 5703481335 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 X THOMAS G SPEICHER 1.00 X X 0 0 0 WILLIAM W SCRANTON III 1.00 X X 0 0 0 MICHAEL ARONICA MD 1.00 X X 0 0 0 WILLIAM CONABOY ESQ 5.00 X X 511266 0 13638 DOUGLAS BOYLE CPA 1.00 X 0 0 0 GERALD B FRANCESKI 1.00 X 0 0 0 KENNETH J KROGULSKI 1.00 X 0 0 0 WILLIAM MCCABE 1.00 X 0 0 0 MICHAEL AVVISATO 5.00 X 276289 0 10161 JACQUELINE FLETCHER BROZENA 5.00 X 276090 0 6088 SUSAN MONTROSS 5.00 X 174942 0 2668 GREGORY BASTING 5.00 X 343662 0 12308 JOHN REGULA 5.00 X 169639 0 11221 KEVIN BOWMAN 40.00 X 151603 0 6700 DAVID ARGUST 5.00 X 144372 0 10662 MARTIN KENEHAN 5.00 X 131172 0 7419 ROBERT AMES 35.00 X 142659 0 9598 JAMES PUHALLA 1.00 X 130814 0 9713 2452508 0 100176 13 0 1 0 GEISINGER QUALITY OPTIONS PO BOX 822434 PHILADELPHIA PA 19182 EMPLOYEE HEALTH INSURANCE 8865556 AON RISK SERVICES INC OF PA 1650 MARKET STREET SUITE 1000 PHILADELPHIA PA 19103 RISK MANAGEMENT SERVICES 856045 MET LIFE PO BOX 360229 PITTSBURGH PA 15251 EMPLOYEE SHORT TERM AND LONG TERM DISABI 727288 UNITED CONCORDIA PO BOX 827399 PHILADELPHIA PA 19182 EMPLOYEE DENTAL INSURANCE 722034 FIRST FILM EXTRUDING STATE ROUTE 9 CHAMPLAIN NY 12919 TRASHBAG MATERIAL 688923 27 46261 46261 NET PATIENT SERVICE RE 623000 42195850 42195850 CORPORATE ALLOCATION 900099 10752752 10752752 PHARMACY SALES TO PATI 624100 7460480 7460480 MANAGEMENT FEE REVENUE 900099 2119733 2119733 RENT REV - AFFILIATES 900099 1326988 1326988 63855803 3080 3080 591328 492142 99186 99186 99186 239324 237043 2281 2281 2281 PRINTING REVENUE 900099 243632 243632 I/C PHARMACY CONSULTIN 900099 210294 210294 CAFETERIA REVENUE 722210 188353 188353 68535 68535 710814 64717425 63855803 99186 716175 1712881 1712881 28918824 18099258 10819566 436079 282288 153791 3858345 2497635 1360710 3051206 1975147 1076059 75095 75095 232081 232081 3953320 2861792 1091528 254374 3194 251180 9488495 8453718 1034777 2047636 1369135 678501 471119 243542 227577 137676 86526 51150 129420 129420 2204349 2204349 518362 518362 CORPORATE PURCHASED SER 2909063 2909063 RENT, MACHINERY & EQUIP 1803477 1240662 562815 TENANT ACTIVITIES 689899 689899 HOUSEKEEPING 676434 358967 317467 1346381 1145459 200922 64914516 46262935 18651581 0 3697 3796 11986842 9686394 5122472 6954006 798457 835835 1377839 1976483 39398312 25170914 14030461 14227398 985878 4369503 3960253 37689271 38630043 6627898 4617199 140092 159850 3914774 3194224 19120889 22990011 29803653 30961284 X 7885618 7668759 7885618 7668759 37689271 38630043 X -197091 -19768 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1328652 1328652 24807265 15191418 9615847 13262395 9979496 3282899 14227398 RESIDENT FUNDS 159850 INTERCOMPANY RECEIVABLES, NET 3774028 DEFERRED FINANCING COSTS, NET 13294 ESTIMATED THIRD PARTY SETTLEMENTS 13081 3960253 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2107725 AMOUNTS DUE TO AFFILIATES FOR WORKING CAPITAL 15532707 WORKER'S COMPENSATION 5220449 INTECOMPANY PAYABLES 129130 22990011 64717425 64914516 -197091 -19768 -19768 -216859 65189799 -19768 -19768 65209567 -492142 -492142 64717425 65406658 492142 492142 64914516 0 64914516 PART IV, LINE 2B: THE ORGANIZATION OFFERS RESIDENT'S AN OPTION OF MANAGING THEIR PERSONAL FUNDS. THEY MUST SIGN AN AUTHORIZATION FORM GIVING US PERMISSION TO DEPOSIT THEIR MONEY. OUR RESIDENT TRUST BANK ACCOUNT IS NOT CO-MINGLED WITH ANY OTHER ALLIED SERVICES ACCOUNTS. IT IS AN INTEREST BEARING ACCOUNT THAT IS INSURED WITH A SURETY BOND FOR $450,000. THE BOND IS LISTED ON BEHALF OF THE ORGANIZATION, AS PRINCIPAL, AND IN FAVOR OF RESIDENTS OF THE ORGANIZATION, AS OBLIGEE. THERE IS A RESIDENT TRUST MODULE WITHIN OUR BILLING SYSTEM WHERE ALL OF THE RESIDENT'S FUNDS ARE TRACKED. RESIDENTS OR FAMILIES ARE SENT QUARTERLY STATEMENTS SHOWING ALL OF THE ACTIVITY WITHIN THEIR ACCOUNT. AS LONG AS A RESIDENT IS CAPABLE, THEY MAY OBTAIN THEIR PERSONAL FUNDS AT OUR RESIDENT TRUST OFFICE MONDAY THRU FRIDAY FROM 7:30 A.M. TO 4:00 P.M. AND THROUGH THE NURSING DEPARTMENT FOR ANY OFF HOURS REQUESTS. RESIDENTS ARE GIVEN RECEIPTS FOR ALL WITHDRAWALS. AFTER A RESIDENT EXPIRES, THE MONIES DISTRIBUTED TOWARDS FUNERAL EXPENSES AND ESTATES. ANY LEFT OVER MONIES ARE REFUNDED TO THE STATE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ALLIED ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. ALLIED'S FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS ENDED JUNE 30, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -492,142. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 492,142. X X X X X 0 0 0 0 0 0 0 0 0 WILLIAM CONABOY ESQ 511266 0 0 0 0 0 0 0 13638 0 524904 0 0 0 MICHAEL AVVISATO 276289 0 0 0 0 0 0 0 10161 0 286450 0 0 0 JACQUELINE FLETCHER BROZENA 276090 0 0 0 0 0 0 0 6088 0 282178 0 0 0 SUSAN MONTROSS 174942 0 0 0 0 0 0 0 2668 0 177610 0 0 0 GREGORY BASTING 343662 0 0 0 0 0 0 0 12308 0 355970 0 0 0 JOHN REGULA 169639 0 0 0 0 0 0 0 11221 0 180860 0 0 0 KEVIN BOWMAN 151603 0 0 0 0 0 0 0 6700 0 158303 0 0 0 DAVID ARGUST 144372 0 0 0 0 0 0 0 10662 0 155034 0 0 0 ROBERT AMES 142659 0 0 0 0 0 0 0 9598 0 152257 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF ALLIED HEALTH CARE SERVICES (THE "CORPORATION") SHALL BE THOSE PERSONS SERVING FROM TIME TO TIME AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ALLIED SERVICES FOUNDATION (THE "FOUNDATION"), IN EACH CASE TO SERVE IN SUCH CAPACITY AT THE DISCRETION OF THE FOUNDATION, AND SUBJECT TO REMOVAL BY THE FOUNDATION AT ANY TIME, WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7A AS DOCUMENTED IN THE CORPORATION'S BY LAWS, THE MEMBERS MUST SPECIFY THE NUMBER OF, AND ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B AS DOCUMENTED IN THE CORPORATION'S BY LAWS, IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE CORPORATION'S BY LAWS TO BE SUBMITTED TO A VOTE OF THE MEMBERS, ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING MUST BE SUBMITTED TO A VOTE OF THE MEMBERS (AS DEFINED ABOVE) FOR APPROVAL AND SHALL NOT BECOME EFFECTIVE UNLESS SO APPROVED BY THE MEMBERS OF THE CORPORATION: A.TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY, OR OBJECTIVES OF THE CORPORATION, OR TO CHANGE THE GENERAL STRUCTURE OF THE CORPORATION; B.TO AMEND THE CHARTER, ARTICLES OF INCORPORATION, OR BYLAWS; C.TO DISSOLVE, DIVIDE, CONVERT, LIQUIDATE OR WIND UP THE CORPORATION, OR CONSOLIDATE OR MERGE THE CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; D.TO SELL ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND E.AS PREVIOUSLY INDICATED ABOVE, TO SPECIFY THE NUMBER OF, AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED IN DETAIL BY THE CHAIRMAN OF THE BOARD AND THE CHAIR OF THE AUDIT COMMITTEE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALLIED SERVICES CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS DOWN TO DEPARTMENT HEADS AS WELL AS ANY STAFF THAT ARE INVOLVED IN THE PURCHASING PROCESS. ALL COVERED PERSONS MUST COMPLETE AN ANNUAL CONFLICT STATEMENT. IF A TRANSACTION IS PROPOSED INVOLVING A CONFLICT, THE BOARD INVESTIGATES ALTERNATIVES FOR THE TRANSACTION AND MAKES A DETERMINATION IF A MORE ADVANTAGEOUS ARRANGEMENT CAN BE MADE. MEMBERS INVOLVED IN THE CONFLICT MUST ABSTAIN FROM VOTING ON SUCH MATTERS. ANY VIOLATIONS OF THE POLICY ARE HANDLED AS NECESSARY FROM REPRIMAND TO TERMINATION FROM THE BOARD OR EMPLOYMENT, DEPENDING ON THE SEVERITY OF THE OFFENSE. COMPLIANCE WITH THIS POLICY IS MONITORED BY THE VICE PRSIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION B, LINE 15 ALLIED PARTICIPATES IN MULTIPLE REGIONAL SALARY SURVEYS TO DETERMINE MARKET COMPETITIVENESS, AND CONSIDERS THE EXTERNAL MARKET AS A FACTOR IN THE JOB EVALUATION PROCESS. COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED BY A COMPENSATION COMMITTEE OF THE BOARD. INCREASES ARE RECOMMENDED BY THE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE EXTERNAL SURVEYS AND INTERNAL REVIEWS. THIS PROCESS IS DOCUMENTED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. FOR ALL OTHER EMPLOYEES, ALLIED SERVICES FOLLOWS AN INTERNAL JOB EVALUATION PROCESS, ADMINISTERED BY A CROSS DIVISIONAL JOB EVALUATION TEAM COMPRISED OF DIRECTORS AND ASSISTANT VICE PRESIDENTS. THE JOB EVALUATION PROCESS IS BASED ON A FOURTEEN POINT FACTOR SYSTEM AND INTERNAL ALIGNMENT WITHIN JOB CLASSIFICATION. THE PROCESS IS DOCUMENTED AND LABOR GRADE RECOMMENDATIONS BASED ON BOTH INTERNAL AND EXTERNAL RESULTS ARE MADE TO THE DIVISIONAL VICE PRESIDENT AND VICE PRESIDENT OF HUMAN RESOURCES FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, COLUMN B: CERTAIN INDIVIDUALS LISTED ON 990 PART VII SPENT TIME ON RELATED ORGANIZATIONS ACTIVITIES. THE FOLLOWING SUMMARIZES THOSE INDIVIDUALS AND THE ESTIMATED AVERAGE NUMBER OF HOURS SPENT ON RELATED ORGANIZATIONS ACTIVITIES: THOMAS G. SPEICHER - 4 HOURS MICHAEL J. ARONICA, M.D. - 3 HOURS JACQUELINE BROZENA - 35 HOURS MICHAEL AVVISATO - 35 HOURS WILLIAM CONABOY, ESQ. - 35 HOURS KENNETH KROGULSKI, CFA - 7 HOURS DOUGLAS BOYLE, CPA - 5 HOURS GERALD B. FANCESKI - 5 HOURS WILLIAM MCCABE - 1 HOUR SUSAN MONTROSS - 35 HOURS GREGORY BASTING - 35 HOURS JOHN REGULA - 35 HOURS DAVID ARGUST - 35 HOURS MARTIN KENEHAN - 35 HOURS ROBERT AMES - 5 HOURS JAMES PUHALLA - 39 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -19,768. ALLIED SERVICES CONTINUING CARE 100 TERRACE LANE SCRANTON PA 18508 204472148 PROVIDE INDEPENDENT LIVING SERVICES PA 501(C)(3) 11A ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES FOUNDATION 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523682 INVESTED FUNDS FOR RELATED ENTITIES TO SUPPORT THEIR MISSIONS PA 501(C)(3) 7 N/A 0 ALLIED PROJECT OPPORTUNITY 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523680 PROVIDE LOW INCOME HOUSING PA 501(C)(3) 9 ALLIED HEALTH CARE SERVICES 0 ALLIED NORTHEAST APARTMENTS 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523679 INACTIVE PA 501(C)(3) 9 ALLIED HEALTH CARE SERVICES 0 ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523395 PROVIDE REHABILITATIVE SERVICES PA 501(C)(3) 3 ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES PERSONAL CARE INC 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232862231 OPERATE A PERSONAL CARE FACILITY PA 501(C)(3) 3 ALLIED SERVICES FOUNDATION 0 ALLIED SERVICES SKILLED NURSING CENTER 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232523688 OPERATE A SKILLED AND INTERMEDIATE NURSING FACILITY PA 501(C)(3) 3 ALLIED SERVICES FOUNDATION 0 THE BURNLEY WORKSHOP OF THE POCONOS INC 4219 MANOR DRIVE STROUDSBURG PA 18360 231642528 OPERATE A VOCATIONAL REHABILITATION FACILITY PA 501(C)(3) 7 ALLIED HEALTH CARE SERVICES 0 JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 232262852 OPERATE A REHABILITATIVE HOSPITAL PA 501(C)(3) 3 ALLIED SERVICES FOUNDATION 0 RISK RETENTION GROUP 3 LOCKWOOD DRIVE SUITE 303A CHARLESTON SC 29401 201177431 PROVIDE INSURANCE, CLAIMS DEFENSE, ADMINISTRATION & INDEMNITY TO AFFILIATES SC 501(C)(3) 11C ALLIED SERVICES FOUNDATION 0 0 0 1 1 1 0 0 0 0 0 0 1 0 1 0 1 0 0 THE BURNLEY WORKSHOP OF THE POCONOS INC P 50804 CASH BASIS