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Nonprofiteer
← POLACK ADULT DAY CENTER

Form 990 for tax year 2022

Filed by POLACK ADULT DAY CENTER.

Totals

Total revenue
$53,186
Total expenses
$53,457
Contributions and grants received
$40,700
Grants paid
$0
Program service revenue
$12,486
Investment income
$0
Other revenue
$0
Total assets, end of year
$61,515
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$61,515
Program services expenses (Part IX)
$48,601
Management and general expenses
$4,856
Fundraising expenses
$0
Program service expenses (Part III)
$48,601

Program services were 90.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $39,000

  • 1f · All other contributions, gifts and grants

    $1,700

  • 2a · Program service revenue: MEALS ON WHEELS

    total $12,486 · related or exempt $12,486

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,296 · management and general $1,296

  • 7 · Other salaries and wages

    total $560 · program services $54 · management and general $506

  • 8 · Pension plan contributions

    total $92 · program services $2 · management and general $90

  • 9 · Other employee benefits

    total $1,522 · program services $1,355 · management and general $167

  • 10 · Payroll taxes

    total $261 · program services $124 · management and general $137

  • 11b · Fees: legal

    total $150 · management and general $150

  • 11c · Fees: accounting

    total $1,825 · management and general $1,825

  • 11g · Fees: other

    total $664 · program services $402 · management and general $262

  • 13 · Office expenses

    total $5,365 · program services $5,343 · management and general $22

  • 14 · Information technology

    total $326 · management and general $326

  • 17 · Travel

    total $24 · management and general $24

  • 19 · Conferences, conventions and meetings

    total $8 · management and general $8

  • 21 · Payments to affiliates

    total $15,773 · program services $15,773

  • 22 · Depreciation, depletion and amortization

    total $7,609 · program services $7,609

  • 23 · Insurance

    total $16,729 · program services $16,729

  • 24a · Other expenses: OTHER EXPENSES

    total $1,253 · program services $1,210 · management and general $43

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,411 · end of year $2,622

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,231 · end of year $3,403

  • 10a · Land, buildings and equipment: cost or other basis

    $92,883

  • 10b · Land, buildings and equipment: accumulated depreciation

    $67,988

  • 10c · Land, buildings and equipment, net

    beginning of year $32,504 · end of year $24,895

  • 15 · Other assets

    beginning of year $23,227 · end of year $30,595

  • 17 · Accounts payable and accrued expenses

    beginning of year $587

  • 27 · Net assets without donor restrictions

    beginning of year $61,786 · end of year $61,515

Mission and programs · 2022

Mission

POLACK ADULT DAY CENTER PROVIDES DAY CARE FACILITIES, MEALS, HEALTH MONITORING, RECREATIONAL AND SOCIAL ACTIVITIES FOR SENIOR ADULTS.

Activities or mission (Part I)

PROVIDES DAY CARE FACILITIES, MEALS, HEALTH MONITORING, RECREATIONAL AND SOCIAL ACTIVITIES FOR SENIOR ADULTS.

  • MEALS ON WHEELS PROVIDED 2,651 MEALS TO SENIORS.

    Expenses $48,601 · Revenue $12,486

As filed on the 2022 return.

Listed in Part VII

  • Jeff Cohen

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $810,375
    From this org
    $0
    From related orgs
    $752,083
    Other
    $58,292
    Hours/week
    0.4 + 39.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $703,056 related
    Bonus
    $0 + $40,557 related
    Other
    $0 + $8,470 related
    Deferred
    $0 + $35,750 related
    Nontaxable benefits
    $0 + $22,542 related
    Filer's total
    $0 + $810,375 related
  • Tracey Groscost

    CHIEF FINANCIAL OFFICER

    Total calculated
    $321,632
    From this org
    $0
    From related orgs
    $312,151
    Other
    $9,481
    Hours/week
    0.4 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $309,410 related
    Bonus
    $0 + $2,741 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $331 related
    Filer's total
    $0 + $321,632 related
  • Erin Sheridan

    CHIEF COMPLIANCE OFFICER AND GENERAL COUNSEL

    Total calculated
    $164,286
    From this org
    $0
    From related orgs
    $157,740
    Other
    $6,546
    Hours/week
    0.35 + 34.65 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,508 related
    Bonus
    $0 + $6,232 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,546 related
    Filer's total
    $0 + $164,286 related
  • Irene Fisher

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5 + 3 related
  • Robert Simon

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5 + 3 related
  • Jay Riffkin

    TREASURER

    Total calculated
    $0
    Hours/week
    0.5 + 3 related
  • Barbara Sulman

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5 + 3 related
  • Jack Almo

    PAST CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5 + 3 related
  • Jeanie Alhadeff

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Becky Benaroya

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • David Benoliel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Marc Bridge

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Marlene Burns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Michael Cohen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Lilly Dejaen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Lynn Dubey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • David Fain

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Steven Friedman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Lauren Jassny

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Mark Kane

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Irvin Karl

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Thomas Leavitt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Alvin Martin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Rabbi James Mirel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Michael Morgan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Sally Narodick

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Jeff Piha

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Brian Quint

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Ari Robicsek

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Douglas Rosen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Arthur Rubinfeld

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Gary Schwartz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Steven Schwartz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • David Shapiro

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Iantha Sidell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Allan Steinman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Doris Stiefel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0 + 0.5 related
  • Doug Wiviott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • Elana Zana

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

FORM 990, PART VII, SECTION A, LINE 4:
THE COMPENSATION AMOUNTS REPORTED IN PART VII WERE PAID BY KLINE GALLAND PAYROLL COMPANY LLC, WHICH SERVES AS THE MASTER PAYROLL COMPANY FOR THIS ENTITY AND THOSE RELATED ENTITIES LISTED IN SCHEDULE R PART II.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • KLINE GALLAND PAYROLL COMPANY LLC

    C · COMMON PAYMASTER · WA

    Directly controlled by KGC

Provenance

Return type
form_990
Tax year
2022
Filed
25 October 2023
IRS schema version
2022v5.0
Source object
202333049349301958

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