MARGARET ANNA CUSACK CARE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARGARET ANNA CUSACK CARE CENTER INC (EIN 76-0847915)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-14
IRS object ID
201342879349300769
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)
Timestamp2013-10-14T15:04:33-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760847915EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARGARET ANNA CUSACK CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARGNameControl
Phone2016538300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1537 PAVONIA AVENUEAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07306ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS P SHEEHYName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2016538300Phone
Date Signed2013-10-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS P SHEEHYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1537 PAVONIA AVENUEAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07306ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13986564GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.CUSACKCARECENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionPROVIDING SKILLED NURSING CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees205TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year437192ContributionsGrantsPriorYear
Contributions Grants Current Year384894ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14483747ProgramServiceRevenuePriorYear
Program Service Revenue CY13464057ProgramServiceRevenueCY
Investment Income Prior Year193320InvestmentIncomePriorYear
Investment Income Current Year93154InvestmentIncomeCurrentYear
Other Revenue Prior Year18952OtherRevenuePriorYear
Other Revenue Current Year19786OtherRevenueCurrentYear
Total Revenue Prior Year15133211TotalRevenuePriorYear
Total Revenue Current Year13961891TotalRevenueCurrentYear
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 Year7893525SalariesEtcPriorYear
Salaries Etc Current Year7730821SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY45000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year175791TotalFundrsngExpCurrentYear
Other Expense Prior Year7009454OtherExpensePriorYear
Other Expenses Current Year6417763OtherExpensesCurrentYear
Total Expenses Prior Year14902979TotalExpensesPriorYear
Total Expenses Current Year14193584TotalExpensesCurrentYear
Revenues Less Expenses Prior Year230232RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-231693RevenuesLessExpensesCY
Total Assets BOY30753128TotalAssetsBOY
Total Assets EOY30903750TotalAssetsEOY
Total Liabilities BOY16910678TotalLiabilitiesBOY
Total Liabilities EOY16942361TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13842450NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13961389NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12368868Expense
Revenue13464057Revenue
DescriptionTHE MARGARET ANNA CUSACK CARE CENTER AT THE HISTORIC ST. JOSEPH'S HOME FOR THE BLIND WAS ESTABLISHED IN 1891 BY THE SISTERS OF ST. JOSEPH OF PEACE AS A HOME FOR BLIND CHILDREN AND ADULTS. TODAY THE CENTER PROVIDES SUB-ACUTE AND LONG-TERM SKILLED NURSING CARE TO 139 BLIND AND SIGHTED OLDER ADULTS AT ITS STATE-OF-THE-ART FACILITY IN JERSEY CITY, NEW JERSEY.THE CENTER OFFERS A COMPLETE RANGE OF MEDICAL AND NURSING SERVICES, SUPPORTED BY REHABILITATION THERAPISTS, REGISTERED DIETITIANS AND OTHER CLINICAL SPECIALISTS.OUR PASTORAL CARE SERVICE PROVIDES SPIRITUAL PROGRAMS AS WELL AS COMFORT AND SUPPORT RESIDENTS, FAMILY MEMBERS AND STAFF.OUR RECREATIONAL PROFESSIONALS PROVIDE A FULL RANGE OF ACTIVITIES FOR RESIDENTS OF ALL LEVELS AND INTERESTS INCLUDING SOCIAL, PHYSICAL, CREATIVE, EDUCATIONAL, CULTURAL, COGNITIVE/SENSORY AWARENESS AND COMMUNITY INTEGRATING PROGRAMS.DURING FY 2012, THE CENTER PROVIDED CARE AND SERVICES TO OVER 200 RESIDENTS.Description
Total Program Service Expense12368868TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 With109611NumberFormsTransmittedWith1096
Number W2 G Included2NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees205NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ERNEST CHESTER JRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2016538300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1537 PAVONIA AVENUEAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07306ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN PROUT JR
CHAIRMAN1.00XX000
JAMES CARON
VICE CHAIRMAN0.50XX000
JOHN LAPILUSA CPA
TREASURER1.00XX000
THOMAS P SHEEHY JR
ADMINISTRATOR, TRUSTEE40.00XX14695006495
CATHERINE YAXLEY
BOARD TRUSTEE0.50X000
GEORGE A POPKO
BOARD TRUSTEE0.50X000
GERARD COSTA PHD
BOARD TRUSTEE0.50X000
LLOYD R CURRIER
BOARD TRUSTEE0.50X000
JOSEPH DICRISTO
BOARD TRUSTEE0.50X000
SR SUZANNE GOLAS CSJP
BOARD TRUSTEE0.50X000
JOY L BARRY
BOARD TRUSTEE0.50X000
SR ROSEMARY COFFEY CSJP
BOARD TRUSTEE0.50X000
MARY ANN OLSEN ESQ
BOARD TRUSTEE0.50X000
BERNADETTE HOEHL
BOARD TRUSTEE0.50X000
REV JAMES PAGNOTTA STA
BOARD TRUSTEE0.50X000
ERNEST CHESTER JR
DIRECTOR OF FINANCE40.00X9429806112
MARY RODRIGUEZ
DIRECTOR OF NURSING40.0010627904070X
FieldValueIRS element (for citing)
Total Reportable Comp From Org347527TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation16677TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED DIETARY SERVICE INC
PO BOX 272POMONANY10970FOOD SERVICE PROVIDER1493654
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL60680THERAPY1184834
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events30345FundraisingEvents
All Other Contributions354549AllOtherContributions
Total Contributions384894TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID62300068785616878561
PATIENT SERVICE REVENUES62300040775854077585
MEDICARE62300025079112507911
FieldValueIRS element (for citing)
Total Program Service Revenue13464057TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column93154TotalRevenueColumn
Exclusion$93,154ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events7645GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events30345CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses7826FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-181TotalRevenueColumn
Exclusion-$181ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming33695GrossIncomeGaming
Gaming Direct Expenses16847GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column16848TotalRevenueColumn
Exclusion$16,848ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column3119TotalRevenueColumn
Exclusion$3,119ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3119TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13961891TotalRevenueColumn
Related Or Exempt Function Income13464057RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$112,940ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total241248Total
Management And General241248ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5465388Total
Program Services4594860ProgramServices
Management And General766402ManagementAndGeneral
Fundraising104126Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total218349Total
Program Services201903ProgramServices
Management And General16446ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1289376Total
Program Services1197662ProgramServices
Management And General91714ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total516460Total
Program Services477559ProgramServices
Management And General38901ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total39580Total
Management And General39580ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46050Total
Management And General46050ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total45000Total
Fundraising45000Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1707985Total
Program Services1702119ProgramServices
Management And General5866ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27270Total
Program Services25145ProgramServices
Management And General2125ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2009088Total
Program Services1924316ProgramServices
Management And General58107ManagementAndGeneral
Fundraising26665Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total79578Total
Management And General79578ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total559973Total
Program Services517795ProgramServices
Management And General42178ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13549Total
Program Services475ProgramServices
Management And General13074ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total411339Total
Program Services380356ProgramServices
Management And General30983ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total965468Total
Program Services892747ProgramServices
Management And General72721ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total101064Total
Management And General101064ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionN.J. STATE ASSESSMENTDescription
Total452066Total
Program Services452066ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4753Total
Program Services1865ProgramServices
Management And General2888ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14193584Total
Program Services12368868ProgramServices
Management And General1648925ManagementAndGeneral
Fundraising175791Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY906086BOY
EOY624858EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1248820BOY
EOY1533450EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1230797BOY
EOY1551216EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY87268BOY
EOY108288EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35820727LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14849578LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21788173BOY
EOY20971149EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5491984BOY
EOY6114789EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30753128BOY
EOY30903750EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7107933BOY
EOY7419470EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9519388BOY
EOY8878397EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY283357BOY
EOY644494EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16910678BOY
EOY16942361EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13842450BOY
EOY13961389EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13842450BOY
EOY13961389EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30753128BOY
EOY30903750EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-231693ReconcilationRevenueExpenses
Reconciliation Unrealized Invest533628ReconciliationUnrealizedInvest
Reconcilation Other Changes-182996ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1045347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years576440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years378699CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year437192CurrentTaxYearMinus1Year
Current Tax Year384894CurrentTaxYear
Total2822572Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13197927CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12969213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13242545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14483747CurrentTaxYearMinus1Year
Current Tax Year13464057CurrentTaxYear
Total67357489Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14243274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13545653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13621244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14920939CurrentTaxYearMinus1Year
Current Tax Year13848951CurrentTaxYear
Total70180061Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50970180061PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years191870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years165634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93320CurrentTaxYearMinus1Year
Current Tax Year93154CurrentTaxYear
Total654350Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years191870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years165634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93320CurrentTaxYearMinus1Year
Current Tax Year93154CurrentTaxYear
Total654350Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16092CurrentTaxYearMinus1Year
Current Tax Year16667CurrentTaxYear
Total93443Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2890CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2860CurrentTaxYearMinus1Year
Current Tax Year3119CurrentTaxYear
Total14484Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14454385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13748799CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13744052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15033211CurrentTaxYearMinus1Year
Current Tax Year13961891CurrentTaxYear
Total70942338Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98930PublicSupportPercentage509
Prior Year Support Percentage0.98740PriorYearSupportPercentage
Investment Income Percentage0.00920InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: MISCELLANEOUSGeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$493OtherActivitiesAmount
Total Lobbying Expenditures IIB493TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAID $9,865 TO LEADING AGE (FORMERLY NJAHSA) IN MEMBERSHIP DUES OF WHICH 5% IS USED FOR LOBBY ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2149754OtherCostOrOtherBasis
Book Value2149754BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29909716OtherCostOrOtherBasis
Depreciation11679125Depreciation
Book Value18230591BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis518389OtherCostOrOtherBasis
Depreciation282691Depreciation
Book Value235698BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3242868OtherCostOrOtherBasis
Depreciation2887762Depreciation
Book Value355106BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20971149TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED LIABILITIES DUE TO THIRD PARTIES$284,847
RESIDENT SEC. DEP. AND PERSONAL FUNDS$359,647
FieldValueIRS element (for citing)
Total Of Amounts644494TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14490533TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments533628NetUnrealizedGainsInvestments
Other Revenues24673OtherRevenues
Revenue Not Rptd F990558301RevenueNotRptdF990
Revenue Subtotal13932232RevenueSubtotal
Other Revenues Not Included29659OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt29659RevenueNotRptdOnFinStmt
Total Revenue Per Form99013961891TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14218257TotExpensesEtcAuditedFinclStmt
Other Expenses Included24673OtherExpensesIncluded
Expenses Not Rptd F99024673ExpensesNotRptdF990
Expenses Subtotal14193584ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014193584TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:UNCERTAINTY IN INCOME TAXES - THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:DIRECT COST OF SPECIAL EVENTS AND GAMING 24,673.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 29,659.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT COST OF SPECIAL EVENTS AND GAMING 24,673.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1CHANGING OUR WORLD INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1220 E 42ND STREET 5TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRASING CONSULTANTSActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor45000AmountRetainedByContractor
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Retained By Contractors45000TotalRetainedByContractors
Licensed StatesNJLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GENERATIONS LUNCHEONNameOfEvent1
Gross Receipts Event137990GrossReceiptsEvent1
Charitable Contributions Event130345CharitableContributionsEvent1
Gross Revenue Event17645GrossRevenueEvent1
Food And Beverage Event17826FoodAndBeverageEvent1
Gross Receipts Total37990GrossReceiptsTotal
Charitable Contributions Total30345CharitableContributionsTotal
Gross Revenue Total Events7645GrossRevenueTotalEvents
Food And Beverage Total Events7826FoodAndBeverageTotalEvents
Direct Expense Summary Events7826DirectExpenseSummaryEvents
Net Income Summary-181NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming33695GrossRevenueOtherGaming
Cash Prizes Other Gaming16847CashPrizesOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming33695GrossRevenueTotalGaming
Cash Prizes Total Gaming16847CashPrizesTotalGaming
Direct Expense Summary Gaming16847DirectExpenseSummaryGaming
Net Gaming Income Summary16848NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Own Facility0.05000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility0.95000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonSUSAN SIMS-DIRECTOR OF DEVELOPMENTNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1C/O MACCC 537 PAVONIA AVEAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07306ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonSUSAN SIMSGamingManagerNamePerson
Gaming Manager Compensation834GamingManagerCompensation
Gaming Manager Services ProvidedSUSAN SIMS IS THE SUPERVISOR OF ALL GAMING ACTIVITY AND RELATED MATTERS WHICH INCLUDES, PLANNING AND MANAGING THESE ACTIVITIES.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTHOMAS P SHEEHY JRNamePerson
TitleADMINISTRATOR, TRUSTEETitle
Base Compensation Filing Org140335BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org6615BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org2708DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org3787NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org153445TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11DRAFTS OF THE FORM 990 ARE FIRST REVIEWED JOINTLY BY THE AUDIT AND FINANCE COMMITTEES AND CHANGES, IF ANY, ARE MADE UNTIL FINAL FORM IS REACHED AND RECOMMENDED FOR SUBMISSION TO THE BOARD FOR FINAL REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE PRIMARY PURPOSE OF THE POLICY IS TO ENSURE THAT THE BOARD AND EXECUTIVE STAFF CAN MAKE DECISIONS IN AN OBJECTIVE MANNER WITHOUT UNDUE INFLUENCE BY INTERESTED PERSONS AND TO ENSURE THAT THE ORGANIZATION FULFILLS ITS CHARITABLE PURPOSES. EACH BOARD MEMBER AND PRINCIPAL OFFICER WITH BOARD DELEGATED POWER SHALL "ANNUALLY" SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSONS HAVE COMPLIED WITH THE FOLLOWING: 1)RECEIVED A COPY OF THIS POLICY,2)READ AND UNDERSTAND THIS POLICY,3)AGREED TO COMPLY WITH THIS POLICY,4)UNDERSTAND THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND, 5) DISCLOSED ACTIVITIES AND FINANCIALS INTEREST WHICH MAY RESULT IN A CONFLICT OF INTEREST. POTENTIAL CONFLICTS ARE DISCUSSED AT THE APPROPRIATE AUDIT COMMITTEE MEETING AND A DECISION ON HOW TO HANDLE IS VOTED ON IN THE ABSENCE OF THE INDIVIDUAL WHO HAS A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE REVIEWS COMPARABLE DATA FROM OTHER ORGANIZATIONS WHICH ARE OF SIMILAR NATURE AND SIZE TO DETERMINE COMPENSATION FOR THE CEO AND KEY EMPLOYEES. THE LAST SALARY DETERMINATION FOR THE CEO AND KEY EMPLOYEES TOOK PLACE IN DECEMBER 2012.
FORM 990, PART VI, SECTION C, LINE 18A COPY OF THE FORM 990 IS MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19EVERY REQUEST IS EVALUATED AGAINST LEGAL OBLIGATION AND IF DETERMINED TO BE NECESSARY A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIALS STATEMENTS ARE PROVIDED.
FORM 990, PART IX, LINE 11GSECURITY EXPENSE: PROGRAM SERVICE EXPENSES 72,018. MANAGEMENT AND GENERAL EXPENSES 5,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,884. CONSULTANTS: PROGRAM SERVICE EXPENSES 26,096. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,096. PASTORAL CARE: PROGRAM SERVICE EXPENSES 8,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,850. DIETARY EXPENSES: PROGRAM SERVICE EXPENSES 1,595,155. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,595,155.OTHER FEES
FORM 990, PART XI, LINE 9:PENSION ADJUSTMENT - TO REFLECT FUNDED STATUS ON BALANCE SHEET -153,337. PROVISION FOR BAD DEBTS -29,659.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART XII LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

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