2012-10-15T10:12:41-05:00 2011-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2011-01-01 112284472 CABS NURSING HOME COMPANY INC CABS 7186380500 270 NOSTRAND AVENUE BROOKLYN NY 11205 DAVID WEIDER 7186380500 2012-09-06 1 FREDERICK H ROTHMAN P01275277 2128674000 2011 2016-02-24 21:20:13Z DAVID WEIDER 270 NOSTRAND AVENUE BROOKLYN NY 11205 15912657 0 X NONE X 1972 NY NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 6 4 134 6 0 0 274398 0 14873054 15677587 146561 123050 125548 105731 15419561 15906368 0 0 0 0 6342558 6704048 0 0 0 9203976 9922493 15546534 16626541 -126973 -720173 14235778 13236263 5001541 4719863 9234237 8516400 X NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 0 1 12235533 13316459 SKILLED NURSING - THE HOME PROVIDED 54,744 DAYS OF SKILLED NURSING CARE TO RESIDENTS. 2161011 2361128 LONG-TERM HOME HEALTH CARE PROGRAM - IN 2008 THE HOME OPENED A LONG-TERM HOME HEALTH CARE PROGRAM. THE PROGRAM SERVICED 81 CLIENTS IN 2011. 21932 ADULT DAY CARE - THE HOME PROVIDES A SOCIAL DAY CARE PROGRAM IN CONJUNCTION WITH THE NEW YORK STATE DEPARTMENT FOR THE AGING. 14418476 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 0 1 12 0 134 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 270 NOSTRAND AVENUE BROOKLYN NY 11205 WILLIAM ANDREWS 10.00 X 0 0 0 JOSE MUNIZ 10.00 X 0 0 0 SAMUEL DUNSTON 10.00 X 0 0 0 LUCY VAZQUEZ 10.00 X 0 0 0 ADOLFO ALAYON 35.00 X X 145660 0 23357 WILLIAM PERNISEK 35.00 X X 131031 0 22465 DAVID WIEDER 36.30 X 181698 0 26012 HARRY W ALFORD 36.30 X 113685 0 20902 BASIL ALFOR DOUGLAS 37.00 X 116004 0 20606 688078 0 113342 5 0 1 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 1857964 REHAB WORKSSYMPHONYVTA PO BOX 99341 CHICAGO IL 60693 THERAPY 836591 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 HOUSEKEEPING / LINEN 746296 STAFF BLUE 1418 65TH ST BROOKLYN NY 11209 PROFESSIONAL MEDICAL STAFFING 544258 ADVANCE MEDICAL STAFFING PO BOX 2392 BROOKLYN NY 11211 PROFESSIONAL MEDICAL STAFFING 267254 7 REVENUE FROM RESIDENTS 623000 13304104 13304104 LONG-TERM HOME HEALTH 623000 2361128 2361128 SOCIAL DAY CARE SERVIC 623000 12355 12355 15677587 123050 123050 19200 6289 12911 12911 12911 ADMINISTRATIVE CHARGES 561000 78879 78879 MISCELLANEOUS 900099 9432 9432 VENDING MACHINES 722210 3843 3843 666 666 92820 15906368 15677587 0 228781 664810 530223 134587 4087888 3377896 709992 300571 179295 121276 1283069 789426 493643 367710 227980 139730 5330 5330 48888 48888 2601983 2532619 69364 75 75 691397 581931 109466 62161 62161 604077 573814 30263 16269 7095 9174 336057 320531 15526 288321 288321 CONTRACTED SERVICES 4072860 4072860 NYS ASSESSMENT 660349 660349 BAD DEBT EXPENSE 502221 502221 DOH FEES 32505 32505 16626541 14418476 2208065 0 2192 2561 7836988 5977506 3265827 4126429 49051 39194 159758 304285 12130361 9459091 2778839 2671270 112940 81992 30183 33026 14235778 13236263 1697660 1841777 1744804 1445914 12006 1559077 1420166 5001541 4719863 X 9234237 8516400 9234237 8516400 14235778 13236263 X -720173 2336 X X 0 1 1 X 0 X 15883 411882 135142 274398 837305 13399963 13824325 14031049 14873054 15677587 71805978 13415846 14236207 14166191 15147452 15677587 72643283 0 0 0 72643283 495077 349088 218298 173793 142250 1378506 495077 349088 218298 173793 142250 1378506 4995 92046 92977 104605 92820 387443 13915918 14677341 14477466 15425850 15912657 74409232 0.97630 0.97230 0.01850 0.02320 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME VENDING MACHINES MISCELLANEOUS SALES OF MEAL TICKETS ADMINISTRATIVE CHARGES 0 0 0 0 0 0 0 0 1 613 613 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING ACTIVITIES 55106 55106 9600937 7460200 2140737 1964268 1661814 302454 510050 337077 172973 2671270 RESIDENT FUNDS HELD IN TRUST 209561 DUE TO THIRD PARTIES 1194230 ELLERY DEVELOPMENT FUNDS HELD IN TRUST 16375 1420166 15906368 16626541 -720173 2336 2336 -717837 15914993 2336 6289 8625 15906368 0 15906368 16632830 6289 6289 16626541 0 16626541 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOME 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, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSE 6,289. PART XIII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSE 6,289. X X 0 0 0 0 0 0 0 0 0 ADOLFO ALAYON 145660 0 0 0 0 0 10196 0 13161 0 169017 0 0 0 WILLIAM PERNISEK 131031 0 0 0 0 0 9172 0 13293 0 153496 0 0 0 DAVID WIEDER 181698 0 0 0 0 0 12719 0 13293 0 207710 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 ADULT DAY CARE PROGRAM DISCONTINUED AS OF JANUARY 31, 2011. 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 AND SIGNING PRIOR TO SUBMISSION. 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 OUR 990 FORM, GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,336. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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