2011-11-04T10:20:46-05:00 2010-12-31 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2010-01-01 223032483 GAN KAVOD INC GANK 3157973114 TILDEN AVE NEW HARTFORD NY 13413 RICHARD WILSON 3157973114 2011-10-31 1 3154463600 2010 2016-03-07 17:11:31Z RICHARD WILSON TILDEN AVE NEW HARTFORD NY 13413 3016554 0 X WWW.SITRIN.COM X 1989 NY TO PROVIDE A COMMUNITY RESIDENCE FOR THE DEVELOPMENTALLY DISABLED. 9 9 90 0 0 0 0 44 2773623 3006180 2739 2047 20 71 2776382 3008342 0 0 0 0 1682626 1703050 0 0 0 971805 955464 2654431 2658514 121951 349828 1835575 2475250 980154 1270001 855421 1205249 X THE SITRIN CORPORATIONS STRIVE TO MEET THE NEEDS OF OUR COMMUNITY, WITH PROGRAMS AND SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. WE ARE DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO OUTPATIENTS, INPATIENTS AND RESIDENTS, AND ARE COMMITTED TO OUR EMPLOYEES - THE STRENGTH OF OUR FAMILY. 0 0 2163842 3006180 THE INTERMEDIATE CARE FACILITY IS A RESIDENTIAL PROGRAM THAT PROVIDES A COMMUNITY-LIKE SETTING FOR MENTALLY RETARDED AND DEVELOPMENTALLY DISABLED PERSONS THROUGH SMALL GROUP SETTINGS WITH CONTINUOUS SUPERVISION. IN 2010, GAN KAVOD'S TOTAL RESIDENT DAYS WERE 8,757 AND 28 ADULTS WERE SERVED. 2163842 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 6 0 90 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRISTA SERAFIN 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 X SHERRY GOLDSTONE 1.00 X 0 0 0 ERNEST BERKOWITZ 1.00 X 0 0 0 DR SUSAN BLATT 1.00 X 0 60000 0 VICTOR PEARLMAN 1.00 X 0 0 0 GARY PHILIPSON 1.00 X 0 0 0 EDWARD KOWALSKY 1.00 X X 0 0 0 HARVEY CRAMER 1.00 X X 0 0 0 SHEILA BAMBERGER 1.00 X X 0 0 0 DAVID GOLDBAS 1.00 X X 0 0 0 RICHARD WILSON 37.50 X 0 287008 5520 CHRISTA SERAFIN 37.50 X 0 120458 11400 PATRICIA HAYS 37.50 X 0 120739 5520 0 588205 22440 0 0 1 0 CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 MANAGEMENT SERVICES 604764 1 44 44 MEDICAID 900099 2813845 2813845 PARTICIPANT FEES 531390 192335 192335 3006180 2434 2434 7825 8212 -387 -387 -387 MISCELLANEOUS INCOME 900099 71 71 71 3008342 3006180 0 2118 1382998 1146200 236798 11842 11120 722 225245 162651 62594 82965 79338 3627 733 733 15423 15423 57805 57805 904 904 58005 8485 49520 121398 56446 64952 53539 53539 100124 99843 281 50168 28284 21884 FACILITY TAX ASSESSMENT 161221 161221 GENERAL PROGRAM EXPENSE 107185 69951 37234 CONTRACTED SERVICES 88358 88358 FOOD 84639 84639 PARTICIPANT ALLOWANCE 55962 55962 2658514 2163842 494672 0 880 882 396424 806364 328377 352232 456 2606 2365768 1100221 1052526 1265547 56912 47619 1835575 2475250 233581 264330 729073 897622 17500 108049 980154 1270001 X 855421 1205249 855421 1205249 1835575 2475250 349828 0 X 0 1 1 X 0 X 23 44 67 2681756 2694086 2826155 2773623 3006180 13981800 2681779 2694086 2826155 2773623 3006224 13981867 0 0 0 13981867 9998 7531 5536 2739 2434 28238 9998 7531 5536 2739 2434 28238 2991 32 20 71 3114 2691777 2704608 2831723 2776382 3008729 14013219 0.99780 0.99750 0.00200 0.00230 X 60000 60000 1507348 765144 742204 530092 335077 195015 268328 268328 1265547 CASH HELD IN TRUST FOR RESIDENTS 84916 DUE TO GOVERNMENTAL AGENCY 23133 108049 3008342 2658514 349828 0 349828 3008342 0 3008342 0 3008342 2658514 0 2658514 0 2658514 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: GAN KAVOD IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2007 THROUGH 2010. X 1 1 X X 0 0 0 0 0 0 0 0 0 RICHARD WILSON 0 236250 0 44000 0 6758 0 0 0 5520 0 292528 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF GAN KAVOD, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF GAN KAVOD, INC. FORM 990, PART VI, SECTION B, LINE 11 AT THE JULY 2011 BOARD MEETING, THE BOARD OF DIRECTORS DELEGATED RESPONSIBILITY TO THE FINANCE COMMITTEE TO REVIEW THE FORM 990. THE FINANCE COMMITTEE REVIEWED IT AT THE AUGUST 2011 MEETING PRIOR TO SUBMISSION. A COPY WAS PROVIDED TO THE REMAINING BOARD MEMBERS AT THE SEMPTEMBER 2011 MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEWS AND APPROVES THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER LIKE ORGANIZATIONS IS USED. THE MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. THE ADMINISTRATOR'S COMPENSATION IS REVIEWED AND APPROVED THROUGH THE ANNUAL REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING BODY MAKE ALL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 7, PART VII THE FOLLOWING OFFICERS ARE ALSO OFFICERS OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC: -RICHARD WILSON -CHRISTA SERAFIN CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 223100745 SKILLED NURSING/OUTPATIENT REHABILIATION NY 501(C)(3) LINE 9 N/A 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 CHILD DAY CARE CENTER NY 501(C)(3) LINE 9 N/A 0 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER ENTITIES NY 501(C)(3) LINE 7 N/A 0 CEDARBROOK VILLAGE INCORPORATED 2050 TILDEN AVE NEW HARTFORD NY 13413 200670083 ASSISTED LIVING FACILITY NY 501(C)(3) LINE 9 N/A 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 FOUNDATION NY 501(C)(3) LINE 11A, I N/A 0 GEORGIAN COURT ESTATES SENIOR HOUSING CORPORATION 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING COMPLEX NY 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0