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ObjectId: 202133139349305313 - Submission: 2021-11-09
TIN: 65-1040928
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
Open to Public Inspection
Name of the organization
Hebrew Homes Management Services Inc
Employer identification number
65-1040928
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ARCH PLAZA INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040917
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(2)
AVENTURA PLAZA INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
83-0500199
RENTAL
FL
501(C)(3)
12B
HHH NETWORK
Yes
(3)
HEBREW HOMES CAPTIVE SERVICES INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040931
INSURANCE
FL
501(C)(3)
10
HHH NETWORK
Yes
(4)
HEBREW HOMES HEALTH NETWORK INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040936
SUPPORT ORG.
FL
501(C)(3)
12B
NA
Yes
(5)
HEBREW HOMES HEALTH NETWORK FOUNDATION
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040934
FUNDRAISING
FL
501(C)(3)
10
HHH NETWORK
Yes
(6)
HEBREW HOME OF NORTH DADE INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040912
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(7)
HEBREW HOME OF SOUTH BEACH INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040911
INACTIVE
FL
501(C)(3)
10
HHH NETWORK
Yes
(8)
HEBREW HOME SINAI INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
13-4245879
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(9)
HEBREW HOMES OF MIAMI BEACH INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
59-0825837
RENTAL
FL
501(C)(3)
10
HHH NETWORK
Yes
(10)
JACKSON PLAZA INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040926
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(11)
PLAZA NORTH INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040910
INACTIVE
FL
501(C)(3)
10
HHH NETWORK
Yes
(12)
PONCE PLAZA INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
65-1040919
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(13)
SOUTH BEACH NURSING & REHAB CENTER INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
02-0755960
INACTIVE
FL
501(C)(3)
10
HHH NETWORK
Yes
(14)
SOUTH BEACH PLAZA INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
83-0500200
INACTIVE
FL
501(C)(3)
10
HHH NETWORK
Yes
(15)
ARCH PLAZA PROPERTIES INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
26-4233346
RENTAL
FL
501(C)(3)
12B
HHH NETWORK
Yes
(16)
PONCE PLAZA PROPERTIES INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
26-4233085
RENTAL
FL
501(C)(3)
12B
HHH NETWORK
Yes
(17)
UNIVERSITY PLAZA REHAB & NURSING CENTER
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
30-0541840
ELDERLY CARE
FL
501(C)(3)
10
HHH NETWORK
Yes
(18)
UNIVERSITY PLAZA PROPERTIES INC
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
26-4468758
RENTAL
FL
501(C)(3)
12A
HHH NETWORK
Yes
(19)
PLAZA ADVANTAGE HEALTH CORP
16855 NE 2nd Ave Unit N400
N MIAMI BEACH
,
FL
33162
45-5518434
HEALTHCARE
FL
501(C)(3)
12B
HHH NETWORK
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Page 2
Schedule R (Form 990) 2020
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
HEBREW HOMES INSURANCE SERVICES LTD
PO BOX 69 FL 2 BUCKINGHAM SQ
GEORGE TOWN
KY1-1102
CJ
99-9999999
INSURANCE
CJ
HH CAPTIVE SVCS
C CORP
0
0
Yes
Schedule R (Form 990) 2020
Page 3
Schedule R (Form 990) 2020
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
HEBREW HOMES HEALTH NETWORK INC
E
467,876
HISTORICAL COST
(2)
Hebrew Home Sinai Inc
L
930,202
HISTORICAL COST
(3)
UNIV PLAZA REHAB AND NURSING CENTER INC
L
924,406
HISTORICAL COST
(4)
Ponce Plaza Inc
L
911,527
HISTORICAL COST
(5)
Jackson Plaza Inc
L
734,171
HISTORICAL COST
(6)
Arch Plaza Inc
L
582,940
HISTORICAL COST
Schedule R (Form 990) 2020
Page 4
Schedule R (Form 990) 2020
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2020
Page 5
Schedule R (Form 990) 2020
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2020
Additional Data
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