2017-08-25T14:07:18-05:00 2016-12-31 061009205 BLUM SHAPIRO & COMPANY PC 1 INTERNATIONAL PLACE 16TH FLOOR BOSTON MA 02110 990 2016-01-01 222575208 BETHANY HOME FOUNDATION INC BETH 4018312870 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 ELIZABETH SARRO EXECUTIVE DIRECTOR 4018312870 2017-08-01 1 LAURA J KENNEY P00202198 6172211944 2017-08-01 50.200.120.74 2017-08-01 14:17:28 ED P 1EAB3528AA1D164A312CA29E06AF0C3F5801D525 1C47EE70568CB479E8C03911EFFC375652E63B5B 2016 2021-01-29 14:40:06Z ELIZABETH SARRO 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 605050 0 X N/A X 1985 RI TO PROVIDE AN INDEPENDENT LIVING PROGRAM FOR THE ELDERLY AND TO SUPPORT BETHANY HOME OF RI, AN EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 15 15 0 15 0 0 0 0 500575 597623 13146 7427 0 0 513721 605050 0 0 0 0 106410 142302 0 0 0 513393 285583 619803 427885 -106082 177165 476437 647365 122094 98459 354343 548906 TO PROVIDE AN INDEPENDENT LIVING PROGRAM FOR THE ELDERLY AND TO SUPPORT BETHANY HOME OF RI, AN EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 0 0 239997 597623 BETHANY HOME FOUNDATION MANAGES A 30-UNIT CONDOMINIUM RETIREMENT COMMUNITY HOME TO INDEPENDENT OLDER ADULTS IN SUPPORT OF BETHANY HOME OF RI, A 501(C)(3) NURSING FACILITY. 239997 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 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 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X EILIZABETH SARRO 4018312870 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 X W PARISH LENTZ ESQ CHAIRMAN OF THE BOARD 0.50 0.50 X X 0 0 0 LYNN C HUNTER VICE CHAIR 0.50 0.50 X X 0 0 0 MARK CHAFEE TREASURER 0.50 0.50 X X 0 0 0 DORIS DONOVAN SECRETARY 0.50 0.50 X X 0 0 0 CLARE CONNELLY BOARD MEMBER 0.50 0.50 X 0 0 0 DONALD GARDNER BOARD MEMBER 0.50 0.50 X 0 0 0 VIRGINIA HOWARD BOARD MEMBER 0.50 0.50 X 0 0 0 LUCILLE JOHNSON BOARD MEMBER 0.50 0.50 X 0 0 0 FERDINAND JONES BOARD MEMBER 0.50 0.50 X 0 0 0 CAROLINE W KNOWLES BOARD MEMBER 0.50 0.50 X 0 0 0 ELIZABETH OLIVEIRA BOARD MEMBER 0.50 0.50 X 0 0 0 JANE G PARKER BOARD MEMBER 0.50 0.50 X 0 0 0 GAIL P PEET BOARD MEMBER 0.50 0.50 X 0 0 0 MERCEDES QUEVEDO BOARD MEMBER 0.50 0.50 X 0 0 0 RITA WARNOCK BOARD MEMBER 0.50 0.50 X 0 0 0 ELIZABETH SARRO PRESIDENT/ADMINISTRATOR 10.00 30.00 X 32496 112105 16615 32496 112105 16615 0 0 1 0 0 COMMON FEES 532000 480240 480240 APPRECIATION INCOME ON 531390 102983 102983 MEMBERSHIP MATCH INCOM 531390 12000 12000 PARKING FEES 531390 2400 2400 597623 7427 7427 605050 597623 0 7427 33698 33698 83895 83895 18510 18510 6199 6199 17773 17773 17260 17260 1412 1412 2325 2325 172630 172630 35077 31477 3600 CAPITAL PURCHASES 35890 35890 MISCELLANEOUS EXPENSE 2316 2316 PAYROLL PROCESSING 900 900 427885 239997 187888 0 56961 56520 97877 215315 2668 1334 10969 11741 307962 362455 476437 647365 1855 6163 120239 92296 122094 98459 X 354343 548906 354343 548906 476437 647365 177165 17398 0 X X 1 X 0 1 0 X X 1 BETHANY HOME OF RHODE ISLAND 050258941 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 SCHEDULE A, PART I, LINE 12G, COLUMN VI BETHANY HOME OF RHODE ISLAND PROVIDES MANAGEMENT SERVICES TO BETHANY HOME FOUNDATION, INCLUDING ADMINISTRATIVE, MAINTENANCE, AND SECURITY SERVICES. 307962 184403 24724 154634 362455 494069 83215 -23087 246235 307962 474019 166199 21543 167692 494069 580854 74778 40952 222565 474019 712755 177975 74713 384589 580854 1.00000 0 0 0 MEMBERSHIP DEPOSITS 74000 DUE TO AFFILIATE 18296 92296 X PART V, LINE 4: THE FUNDS ARE SET ASIDE FOR THE SUPPORT OF THE GENERAL OPERATIONS OF BETHANY HOME FOUNDATION. PART X, LINE 2: MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS. FOLLOWING IS THE TEXT OF THE FINANCIAL STATEMENT FOOTNOTE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES, IF APPLICABLE, AS A COMPONENT OF ADMINISTRATIVE AND GENERAL EXPENSES. X 0 0 0 0 0 0 0 0 0 ELIZABETH SARRO PRESIDENT/ADMINISTRATOR 32496 112105 0 0 0 0 0 5784 1202 9629 33698 127518 0 0 PART I, LINE 3 THE ADMINISTRATOR'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD TAKES INTO ACCOUNT THE COMPENSATION PAID TO SIMILAR ADMINISTRATORS AT COMPARABLE NON-PROFITS IN THE AREA. ADDITIONALLY, THE BOARD CONSIDERS THE ADMINISTRATOR'S SUCCESS IN ACHIEVING THE ORGANIZATIONAL GOALS. THE DISCUSSIONS AND DECISIONS OF THE ADMINISTRATOR'S COMPENSATION ARE DOCUMENTED BY THE BOARD OF DIRECTORS DURING THE BOARD MEETING. FORM 990, PART V, LINE 2A: COMPENSATION AND RELATED EXPENSES ARE PAID BY BETHANY HOME OF RHODE ISLAND. BETHANY HOME FOUNDATION REIMBURSES BETHANY HOME OF RHODE ISLAND FOR THE EXPENSES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND THE PRESIDENT/ADMINISTRATOR OF BETHANY FOUNDATION, INC. HAS THE AUTHORITY TO SIGN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE POLICY IS MAINTAINED AND UPDATED WHEN NECESSARY BY THE ADMINISTRATOR. THE ADMINISTRATOR MONITORS ANY POSSIBLE CONFLICTS AT ALL TIME IN PARTICULAR IF THERE ARE ANY CHANGES IN BOARD MEMBERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: ELIZABETH SARRO IS THE ADMINISTRATOR OF BETHANY HOME FOUNDATION, INC. SHE IS ALSO THE PRESIDENT/ADMINISTRATOR OF BETHANY HOME OF RHODE ISLAND. HER TIME IS SPLIT BETWEEN THE TWO ORGANIZATIONS. COMPENSATION AND BENEFITS ARE REIMBURSED BY BETHANY HOME FOUNDATION TO BETHANY HOME FOR THE TIME SPENT ON BETHANY HOME FOUNDATION. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL COMPILATION OF BETHANY HOME FOUNDATION'S FINANCIAL STATEMENTS. BETHANY HOME OF RHODE ISLAND 111 SOUTH ANGELL STREET PROVIDENCE RI 02906 050258941 PROVISION OF LONG TERM CARE FOR THE ELDERLY RI 501(C)(3) LINE 10 BETHANY HOME FOUNDATION INC 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 BETHANY HOME OF RHODE ISLAND INC O 58942 CASH BETHANY HOME OF RHODE ISLAND INC P 58942 CASH