2016-11-07T17:48:29-06:00 2015-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2015-01-01 112284472 CABS NURSING HOME COMPANY INC CABS 7186380500 339 ELLERY STREET BROOKLYN NY 11206 ADOLFO ALAYON PRESIDENT/CEO 7186380500 2016-11-04 1 ERIC GOLDFARB P01277125 2128674000 2015 2017-02-10 21:41:12Z X ADOLFO G ALAYON 339 ELLERY STREET BROOKLYN NY 11206 25200832 0 X NONE X 1972 NY CABS NURSING HOME COMPANY, INC. (CABS) PROVIDED INPATIENT NURSING, MEDICAL REHABILITATIVE SERVICES AND RESIDENTIAL SERVICES TO 151 RESIDENTS IN ITS NURSING FACILITY. EFFECTIVE AFTER THE SALE OF ITS NUSING HOME, CABS'S MISSION IS TO CONTINUE AS A FOUNDATION TO SUPPORT SENIOR CARE. X 6 4 90 4 0 0 0 0 10834344 4472368 -2496 17945904 101060 63725 10932908 22481997 0 0 0 0 6255635 3297993 0 0 0 7800790 4200245 14056425 7498238 -3123517 14983759 6522678 17107110 4899410 497017 1623268 16610093 X CABS PROVIDED INPATIENT NURSING, MEDICAL REHABILITATIVE SERVICES AND RESIDENTIAL SERVICES TO 151 RESIDENTS IN ITS NURSING FACILITY. EFFECTIVE AFTER THE SALE OF ITS NUSING HOME, CABS'S MISSION IS TO CONTINUE AS A FOUNDATION TO SUPPORT SENIOR CARE. 0 1 6223167 4472368 SKILLED NURSING - CABS PROVIDED 25,585 DAYS OF SKILLED NURSING CARE TO RESIDENTS. 6223167 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 9 0 90 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 NY X HARRY W ALFORD 7186380500 339 ELLERY STREET BROOKLYN NY 11206 ADOLFO G ALAYON PRESIDENT/CEO 35.00 X X 112743 0 8575 WILLIAM G PERNISEK TREAS/DIR. OF PROGRAM DEVE 35.00 X X 74134 0 5984 LUCY VAZQUEZ SECRETARY 10.00 X X 0 0 0 WILLIAM ANDREWS DIRECTOR 10.00 X 0 0 0 SAMUEL DUNSTON DIRECTOR 10.00 X 0 0 0 JOSE MUNIZ DIRECTOR 10.00 X 0 0 0 DAVID WIEDER ADMINISTRATOR/EXEC VICE PR 36.30 X 118127 0 8977 HARRY W ALFORD CONTROLLER 36.30 X 66083 0 5334 371087 0 28870 2 0 0 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 580481 REHAB WORKSSYMPHONYVTA PO BOX 99341 CHICAGO IL 60693 THERAPY 454937 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 HOUSEKEEPING/LINEN 394380 STAFF BLUE 1418 65TH STREET BROOKLYN NY 11219 MEDICAL PRO STAFFING 224876 QUALITY CARE 3512 QUENTIN AVENUE BROOKLYN NY 11234 MEDICAL PRO STAFFING 150730 5 NURSING FACILITY REVENUE 623000 4472368 4472368 4472368 64739 64739 13061 0 13061 13061 13061 20600000 2718835 17881165 17881165 17881165 ADMINISTRATIVE SERVICES 561000 48201 48201 VENDING MACHINES/FOOD 722210 2153 2153 MISCELLANEOUS 900099 310 310 50664 22481997 4472368 0 18009629 X 399957 319966 79991 2010911 1608729 402182 142864 114291 28573 551583 441267 110316 192678 154142 38536 88617 88617 46930 46930 2564575 2492791 71784 384546 274321 110225 323789 307600 16189 2515 2515 43874 41680 2194 151754 144166 7588 256284 256284 NYS ASSESSMENT 324214 324214 DOH FEES 13147 13147 7498238 6223167 1275071 0 3000 319264 1824570 16557390 2026330 52415 48224 188263 178041 0 2366395 49993 15903 0 6522678 17107110 2594560 129766 1545914 221216 537720 367251 4899410 497017 X 1623268 16610093 1623268 16610093 6522678 17107110 14983759 3066 0 X X 0 1 X 1 0 X 15677587 15184389 13289954 10834344 4472368 59458642 15677587 15184389 13289954 10834344 4472368 59458642 0 0 0 59458642 142250 127267 105140 54122 77800 506579 142250 127267 105140 54122 77800 506579 92820 78235 75084 77917 50664 374720 15912657 15389891 13470178 10966383 4600832 60339941 0.98540 0.98550 0.00840 0.00850 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME VENDING MACHINES MISCELLANEOUS SALES OF MEAL TICKETS ADMINISTRATIVE SERVICES 0 0 0 DUE TO THIRD PARTIES 367251 367251 X 22485063 3066 3066 22481997 0 22481997 7498238 0 7498238 0 7498238 PART X, LINE 2: CABS HAS ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2012 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. SALE OF NURSING HOME 2015-07-01 4431003 COST 464174612 NNRC LLC 691 92ND STREET BROOKLYN NY 11228 LIMITED LIABILITY COMPANY SALE OF NURSING HOME 2015-07-01 16168997 COST 464169879 NNRC PROPERTIES LLC 691 92ND STREET BROOKLYN NY 11228 LIMITED LIABILITY COMPANY 0 0 0 0 FORM 990, PART III, LINE 3 ON JULY 1, 2015 CABS SOLD ITS NURSING HOME OPERATIONS AND PHYSICAL PLANT. FORM 990, PART VI, SECTION A, LINE 8B THE COMMITTEES REPORT TO THE BOARD OF DIRECTORS. THE BOARD THEN VOTES ON EACH ISSUE. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS SUBMITTED TO THE PRESIDENT OF THE BOARD FOR REVIEW PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. ANY CHANGES ARE COMMUNICATED TO THE OFFICERS AND DIRECTORS. EACH OFFICER AND DIRECTOR IS REQUIRED TO ACKNOWLEDGE IN WRITING THAT HE OR SHE REVIEWED THE CONFLICT OF INTEREST POLICY. EACH YEAR THE DISCLOSURE FORM MUST BE FILLED OUT TO IDENTIFY ANY RELATIONSHIP THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. ANY MEMBER HAVING A CONFLICT OF INTEREST CANNOT PARTICIPATE IN THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. ADDITIONALLY, SUCH A PERSON CANNOT BE COUNTED FOR PURPOSES OF THE VOTE. THIS PERSON MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND CANNOT BE PRESENT IN THE ROOM WHERE THE VOTE IS TAKING PLACE. INELIGIBILTY TO VOTE SHOULD BE REFLECTED IN THE MINUTES OF THE MEETING. IF THE MEMBER FAILS TO DISCLOSE POSSIBLE CONFLICTS OF INTEREST, IT CAN RESULT IN THE BOARD TAKING DISCIPLINARY ACTION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DENTAL: PROGRAM SERVICE EXPENSES 15,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,300. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 263,597. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,597. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 259,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,566. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 33,379. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,379. MANAGEMENT CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 46,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,597. DATA PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,187. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 45,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,209. PHARMACIST: PROGRAM SERVICE EXPENSES 7,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,560. NURSING CONTRACT FEES: PROGRAM SERVICE EXPENSES 451,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 451,522. LAUNDRY: PROGRAM SERVICE EXPENSES 84,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,000. FOOD: PROGRAM SERVICE EXPENSES 913,493. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 913,493. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 310,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 310,380. SECURITY: PROGRAM SERVICE EXPENSES 108,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,785. FORM 990, PART XII, LINE 2C: THIS PROCESSS HAS NOT CHANGED FROM THAT OF PRIOR YEARS. ELLERY COURT SENIOR HOUSING DEVELOPMENT CORPORATION 545 BROADWAY BROOKLYN NY 11206 113444948 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT ELDERLY PEOPLE NY 501(C)3 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0