efile Public Visual Render
ObjectId: 202243059349301559 - Submission: 2022-11-01
TIN: 11-6042250
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
ADULTS AND CHILDREN WITH LEARNING
AND DEVELOPMENTAL DISABILITIES INC
Employer identification number
11-6042250
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
Yes
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
No
b
Any related organization?
.......................
5b
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
No
b
Any related organization?
......................
6b
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
Yes
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021
Page 2
Schedule J (Form 990) 2021
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
ROBERT C GOLDSMITH
STRATEGIC ADVISOR
(i)
(ii)
271,052
-------------
0
0
-------------
0
422,416
-------------
0
2,707
-------------
0
1,965
-------------
0
698,140
-------------
0
0
-------------
0
2
ROBERT JOHN CIATTO
EXECUTIVE DIRECTOR
(i)
(ii)
371,019
-------------
0
0
-------------
0
5,896
-------------
0
76,086
-------------
0
29,219
-------------
0
482,220
-------------
0
0
-------------
0
3
KIM ANNE LEONARD
CFO
(i)
(ii)
177,882
-------------
0
0
-------------
0
254
-------------
0
7,369
-------------
0
34,692
-------------
0
220,197
-------------
0
0
-------------
0
4
ANNE MARIE SIME
SENIOR DIRECTOR OF ADULT SERVICES
(i)
(ii)
188,484
-------------
0
0
-------------
0
389
-------------
0
7,222
-------------
0
341
-------------
0
196,436
-------------
0
0
-------------
0
5
GERARD F DIMURO
SENIOR DIRECTOR OF ADMINISTRATION
(i)
(ii)
183,229
-------------
0
0
-------------
0
702
-------------
0
7,176
-------------
0
965
-------------
0
192,072
-------------
0
0
-------------
0
6
SANDI MICHELE HOFFMAN
CONTROLLER
(i)
(ii)
133,537
-------------
0
1,800
-------------
0
487
-------------
0
5,329
-------------
0
30,179
-------------
0
171,332
-------------
0
0
-------------
0
7
DAWN IRENE MAHONEY
DIRECTOR OF FINANCE
(i)
(ii)
133,091
-------------
0
1,400
-------------
0
261
-------------
0
5,310
-------------
0
30,179
-------------
0
170,241
-------------
0
0
-------------
0
8
JEAN J FRANCOIS
DIRECT SUPPORT PROFESSIONAL
(i)
(ii)
142,178
-------------
0
1,000
-------------
0
0
-------------
0
3,408
-------------
0
12,524
-------------
0
159,110
-------------
0
0
-------------
0
9
RICHARD CHARLES VAN DYKE
DIRECTOR OF BUSINESS OPERATIONS
(i)
(ii)
150,690
-------------
0
1,200
-------------
0
541
-------------
0
5,577
-------------
0
965
-------------
0
158,973
-------------
0
0
-------------
0
Schedule J (Form 990) 2021
Page 3
Schedule J (Form 990) 2021
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
PART I, LINE 3
THE EXECUTIVE DIRECTOR HAS A WRITTEN EMPLOYMENT CONTRACT IN PLACE. THE ORGANIZATION USES A CONSULTING FIRM WITH EXPERTISE IN HUMAN SERVICES AGENCIES. THE COMPENSATION ANALYSIS INCLUDES A COMPENSATION SURVEY BASED UPON THE COMPENSATION AND FRINGE BENEFITS PAID TO EXECUTIVES OF COMPARABLE ORGANIZATIONS. THE EXECUTIVE DIRECTOR, ASSISTANT EXECUTIVE DIRECTOR AND CFO POSITIONS ARE ANALYZED. THE RESULTS OF THIS COMPENSATION ANALYSIS ARE PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHO REVIEWS THE ANALYSIS TO DETERMINE APPROPRIATE COMPENSATION LEVELS AND TO ENSURE COMPLIANCE WITH THE DUE DILIGENCE AND REASONABLENESS GUIDELINES AS OUTLINED IN IRC 4958 AND BEST PRACTICES. THE COMPENSATION DECISIONS ARE RATIFIED BY THE BOARD OF DIRECTORS BEFORE BECOMING EFFECTIVE.
PART I, LINES 4A-B
SCH J, PART I, ITEM 4(A): THE BOARD MAINTAINED AN AGREEMENT WITH ITS RETIRED EXECUTIVE DIRECTOR, ROBERT GOLDSMITH, TO PROVIDE SERVICES TO THE AGENCY FOLLOWING HIS RETIREMENT. IN DECEMBER 2021, THE BOARD AND MR. GOLDSMITH AGREED TO AN EARLY TERMINATION OF THE SERVICE RELATIONSHIP IN EXCHANGE FOR AN AGREED-UPON SEVERANCE PAYMENT OF $322,200. SCH J, PART I, ITEM 4(B): ROBERT CIATTO RECEIVED A CONTRIBUTION OF $41,941. THIS AMOUNT REPRESENTS A CONTRIBUTION MADE ON BEHALF OF THE EXECUTIVE DIRECTOR TO A SUPPLEMENTAL RETIREMENT PLAN, OR "SERP". THIS BENEFIT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE.
PART I, LINE 7
SCH J, PART I, ITEM 7. SEE ABOVE DESCRIPTION TO ITEM 4(A). THIRTY STAFF RECEIVED NON-FIXED PAYMENTS IN THE FORM OF BONUSES FOR THE YEAR ENDED 12/31/21 WHICH WERE APPROVED BY THE BOARD OF DIRECTORS.
SCH J, PART II, COLUMN (B)(III) (MR. GOLDSMITH)
SEE ABOVE DESCRIPTION TO ITEM 4(A).
Schedule J (Form 990) 2021
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