2013-05-14T14:29:45-05:00 2012-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2011-07-01 580610059 THE WILLIAM BREMAN JEWISH HOME INC THEW 4043518410 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 HARLEY TABAK 4043518410 2013-05-13 1 JEFF T FUCITO P00120748 7709558600 X 2011 2016-02-24 21:20:13Z SIDNEY KIRSCHNER 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 14064223 0 X WWW.WBJH.ORG X 1949 GA SEE SCHEDULE O FOR COMPLETE MISSION STATEMENT.TO PROMOTE THE CAUSE OF CHARITY, EDUCATION AND RELIGION INCLUDING THE CARE OF THE ELDERLY OF THE JEWISH FAITH. 34 34 277 180 0 0 2368601 2032362 11033586 11637490 4134 5090 329348 234483 13735669 13909425 31160 0 0 0 7251267 9164339 0 0 182798 5304868 5614046 12587295 14778385 1148374 -868960 23393866 24288460 2620949 4380284 20772917 19908176 X PROVIDE FACILITIES AND SERVICES FOR THOSE ELDERLY AND DISABLED WHO NEED LONG AND SHORT TERM PHYSICAL, PSYCHOLOGICAL AND/OR SOCIAL CARE, IN A MANNER CONSISTENT WITH JEWISH VALUES; SERVE AS ONE OF THE PROFESSIONAL RESOURCES TO THE COMMUNITY REGARDING AGING, DISABILITIES AND HEALTH, AND THE DEVELOPMENT OF EFFECTIVE APPROACHES TO CARE AND SERVICES TO THE AGING AND DISABLED; PROVIDE SUPPORT SERVICES FOR FAMILY MEMBERS OF ELDERLY AND DISABLED EITHER ON OUR WAITING LIST AND/OR UTILIZING ANY SERVICE PROVIDED BY THE WILLIAM BREMAN JEWISH HOME. 0 0 9978958 9822332 WILLIAM BREMAN HOME MAINTAINS A 96 BED NURSING HOME FOR THE INDIGENT ELDERLY AND INCLUDES NURSING CARE, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, FOOD SERVICES, SOCIAL SERVICES AND ROOM SERVICES. 516421 534174 HOME MEDICAL SERVICES PROVIDES FOOD, LAUNDRY AND HOUSE-KEEPING SERVICES TO THE ELDERLY RESIDENTS OF ZABAN TOWER. 1156975 1280984 THE COHEN HOME IS LOCATED IN ALPHARETTA, GEORGIA AND PROVIDES ASSISTED LIVING TO OLDER ADULTS. THE COHEN HOME IS LICENSED BY THE STATE OF GEORGIA AS A PERSONAL CARE HOME. IN A NURTURING ATMOSPHERE, THE COHEN HOME PROMOTES PRINCIPLES OF FAMILY, COMMUNITY AND JEWISH VALUES. MEYER BALSER CENTER PROVIDES SERVICES, PROGRAMS AND RECREATIONAL CLASSES FOR THE METROPOLITAN JEWISH COMMUNITY. 11652354 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 7 0 1 277 1 0 0 0 0 0 0 0 0 0 0 X 34 34 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 GA X BETH LAXTON 4043518410 3150 HOWELL MILL ROAD ATLANTA GA 30327 ADAM S SKORECKI 0.50 X 0 0 0 ALICE SHAPIRO 0.50 X 0 0 0 ARLENE TAYLOR 0.50 X X 0 0 0 CAROLE KIRSCHNER 0.50 X 0 0 0 CHERIE AVIV 0.50 X 0 0 0 DEBORAH MASLIA 0.50 X X 0 0 0 ELAINE BLUMENTHAL 0.50 X 0 0 0 ETTA RAYE HIRSCH 0.50 X 0 0 0 FRED HALPERIN 0.50 X 0 0 0 GERALD HOROWITZ 0.50 X 0 0 0 H STEPHEN MERLIN 0.50 X X 0 0 0 HOWARD ZANDMAN 0.50 X X 0 0 0 JAY HALPERN 0.50 X 0 0 0 JEFF BERMAN 0.50 X 0 0 0 JERRY WEINER 0.50 X X 0 0 0 LUCI SUNSHINE 0.50 X 0 0 0 MARGIE STERN 0.50 X 0 0 0 MARTIN ISENBERG 0.50 X 0 0 0 MARTIN POLLOCK 0.50 X 0 0 0 ROBERT THOMPSON 0.50 X X 0 0 0 SAM L TUCK 0.50 X X 0 0 0 SANDY LONDON 0.50 X 0 0 0 SAUL LEVY 0.50 X 0 0 0 SIDNEY KIRSCHNER 0.50 X X 0 0 0 SIDNEY LEVY 0.50 X 0 0 0 JEFFREY SNOW 0.50 X 0 0 0 STEPHEN BERMAN 0.50 X 0 0 0 STEVE SCHWARTZ 0.50 X X 0 0 0 STEVEN GROSSWALD 0.50 X 0 0 0 VIKI FREEMAN 0.50 X 0 0 0 MICKEY GREENBERG 0.50 X 0 0 0 DULCY ROSENBERG 0.50 X 0 0 0 SHERRY HABIF 0.50 X 0 0 0 BETH LAXTON 40.00 X 155800 0 7095 HARLEY TABAK 40.00 X 264388 0 7720 NEELAM RAHATEKAR 40.00 X 102823 0 6454 REGINA FORD 40.00 X 107552 0 6512 630563 0 27781 4 0 1 0 REHABPARTNER PO BOX 2164 ROSWELL GA 30077 REHABILITAION SERVICE 466128 HERITAGE HEALTHCARE PO BOX 823424 PHILADELPHIA PA 19182 REHABILITAION SERVICE 436186 SODEXHO PO BOX 536922 ATLANTA GA 30353 FOOD AND HOUSEKEEPING MGT 408815 3 682020 1350342 2032362 MEDICARE/MEDICAID 623000 4941874 4941874 PRIVATE PAY REVENUE 623000 2786039 2786039 ANCILLARY GOVERNMENT R 623000 1740832 1740832 RENT REVENUE 623000 1099490 1099490 OTHER PROGRAM SERVICE 623000 912922 912922 156333 156333 11637490 5090 5090 77448 0 77448 77448 77448 44576 682020 136855 -92279 -92279 19499 17943 1556 1556 GUEST AND EMPLOYEE MEA 623000 247758 247758 247758 13909425 11637490 0 239573 557497 543576 13921 5406886 4589411 730548 86927 1608763 1286754 298098 23911 1086731 694112 363464 29155 504462 348244 148534 7684 7763 7763 50488 50488 1365657 1289193 76464 37359 34585 2774 30586 27666 2920 77503 71748 5755 468528 399396 63998 5134 17874 16547 1327 44305 41015 3290 878894 878894 293479 339 293140 SUPPLIES 998141 937399 60742 DIETARY EXPENSE 650275 650275 PROVIDER FEE 341205 341205 REPAIRS & MAINTENANCE 104662 104662 247327 132470 114857 14778385 11652354 2943233 182798 2731216 4478427 205000 0 1837835 1760263 3049675 3006723 26635321 12058331 14908467 14576990 629094 433478 32579 32579 23393866 24288460 2508449 4271534 112500 108750 2620949 4380284 X 20759566 19902547 13351 5629 20772917 19908176 23393866 24288460 X -868960 4219 X X 0 1 1 X 0 X 2073645 2108063 2524201 2368601 2032362 11106872 9054749 9469529 10745114 11002426 11701565 51973383 11128394 11577592 13269315 13371027 13733927 63080255 50941 32178 15054 91800 287516 477489 0 50941 32178 15054 91800 287516 477489 62602766 92112 17456 10051 71294 82538 273451 92112 17456 10051 71294 82538 273451 278580 268896 291911 301674 247758 1388819 11499086 11863944 13571277 13743995 14064223 64742525 0.96690 0.97030 0.00420 0.00310 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: GUEST AND EMPLOYEE MEALS SALE OF DIRECTORIES VENDOR REFUND RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32579 X 0 1583554 1583554 13712976 6606716 7106260 11088638 5342348 5746290 250153 109267 140886 14576990 PART III, LINE 4: ART SCULPTURE CELEBRATING JEWISH HERITAGE, GREETING GUESTS AND INSPIRING PATIENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION DOES NOT HAVE ANY UNCERTAIN LIABILITES REPORTED ON ITS CONSOLIDATED FINANCIAL STATEMENTS UNDER FIN 48(ASC 740-10). DEC 2012 GALA 726596 682020 44576 97477 18765 20613 726596 682020 44576 97477 18765 20613 136855 -92279 X 0 0 0 0 0 0 0 1 0 BETH LAXTON 148300 0 7500 0 0 0 0 0 7095 0 162895 0 0 0 HARLEY TABAK 239388 0 25000 0 0 0 0 0 7720 0 272108 0 0 0 PART I, LINE 7 EXECUTIVE MANAGEMENT RECEIVED BONUSES. FORM 990, PART VI, SECTION A, LINE 2 A FAMILY RELATIONSHIP EXISTS BETWEEN BOARD MEMBERS STEVEN AND JUSTIN BERMAN. FORM 990, PART VI, SECTION B, LINE 11 AFTER THE FORM 990 IS REVIEWED BY THE CONTROLLER FOR COMPLETENESS AND ACCUARCY, IT IS REVIEWED BY THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS POLICIES IN PLACE PROHIBITING ANY ACTIVITY THAT MAY BE CONSTRUED AS A CONFLICT OF INTEREST WITH BOARD OF DIRECTOR RESPONSIBILITIES. THESE POLICIES ARE REGULARLY COMMUNICATED TO BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE ACCOMPLISHMENTS OF THE CEO AGAINST GOALS ON AN ANNUAL BASIS AS WELL AS SALARIED DATA FOR COMPARABLE POSITIONS. THE CEO EVALUATES THE PERFORMANCE OF OTHER EXECUTIVES AGAINST GOALS AND SETS COMPENSATION ACCORDINGLY. THE SALARIES OF ALL NON-CEO EXECUTIVES SHOWN ON THE FORM 990 ARE RATIFIED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST THE WILLIAM BREMAN JEWISH HOME, INC. WILL PRODUCE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,219. FORM 990 PART XI, LINE 2C THERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS NOR THE REVIEW OF AUDITED FINANCIAL STATEMENTS. FORM 990. PART X, BALANCE SHEET THE ORGANIZATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REPORTED ON THE AUDITED FINANCIAL STATEMENTS UNDER FIN 48. BREMAN ASSISTED LIVING LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 ASSISTED LIVING FACILITY GA THE WILLIAM BREMAN JEWISH HOME INC THE AUXILIARY OF THE WILLIAM BREMAN JEWISH HOME LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 SUPPORT ELDERLY ACTIVITIES GA THE WILLIAM BREMAN JEWISH HOME INC JEWISH HOME FOUNDATION INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 204873372 CHARITABLE, EDUCATIONAL, & RELIGIOUS PURPOSES GA 501(C)3 509(A)(3) THE WILLIAM BREMAN JEWISH HOME INC 0 THE JEWISH HOME TOWER INC 3160 HOWELL MILL ROAD ATLANTA GA 30327 581287829 LOW INCOME ELDERLY HOUSING GA 501(C)3 509(A)(2) THE WILLIAM BREMAN JEWISH HOME INC 0 THE ZABAN TOWER INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 582288819 ELDERLY AND DISABLED HOUDING GA 501(C)3 509(A)(2) THE WILLIAM BREMAN JEWISH HOME INC 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0