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ObjectId: 202243169349301629 - Submission: 2022-11-12
TIN: 23-7071900
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
21
Open to Public Inspection
Name of the organization
JEWISH HOME LIFECARE HARRY AND JEANETTE
WEINBERG CAMPUS BRONX
Employer identification number
23-7071900
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)
JHL CORPORATE SERVICES
120 WEST 106TH ST
NEW YORK
,
NY
10025
26-3385174
HEALTH SERVICES
NY
501(C)(3)
LINE 12A, I
JEWISH HOME LIFECARE
No
(2)
156 WEST 106TH STREET
120 WEST 106TH ST
NEW YORK
,
NY
10025
27-0308650
HEALTH SERVICES
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
(3)
FUND FOR THE AGED
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-3603516
FUNDRAISING
NY
501(C)(3)
LINE 7
JEWISH HOME LIFECARE
No
(4)
GERIATRIC CAREER DEVELOPMENT PROGRAM INC
120 WEST 106TH ST
NEW YORK
,
NY
10025
46-2452619
HEALTH SERVICES
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
(5)
HARRY & JEANETTE WEINBERG GARDENS HDFC
120 WEST 106TH ST
NEW YORK
,
NY
10025
20-4981328
AFFORDABLE HOUSING
NY
501(C)(3)
LINE 10
HARRY & JEANETTE WEINBERG CAMPUS BRONX
Yes
(6)
HARRY & JEANETTE WEINBERG RIVERDALE HDFC
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-3865179
AFFORDABLE HOUSING
NY
501(C)(3)
LINE 10
HARRY & JEANETTE WEINBERG CAMPUS BRONX
Yes
(7)
JEWISH HOME LIFECARE
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-3267073
HEALTH SERVICES
NY
501(C)(3)
LINE 10
N/A
No
(8)
JEWISH HOME LIFECARE COMMUNITY SERVICES
120 WEST 106TH ST
NEW YORK
,
NY
10025
27-0158524
HOME HEALTH AGENCY
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
(9)
JEWISH HOME LIFECARE MANHATTAN
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-1624033
HEALTH SERVICES
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
(10)
JEWISH HOME LIFECARE SARAH NEUMAN CENTER
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-3620568
HEALTH SERVICES
NY
501(C)(3)
LINE 10
HARRY & JEANETTE WEINBERG CAMPUS BRONX
Yes
(11)
JEWISH HOME LIFECARE UNIVERSITY AVE ASSISTED LIVING
120 WEST 106TH ST
NEW YORK
,
NY
10025
27-3960910
ASSISTED LIVING
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
(12)
KENNETH GLADSTONE BUILDING HDFC
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-4078893
AFFORDABLE HOUSING
NY
501(C)(3)
LINE 10
HARRY & JEANETTE WEINBERG CAMPUS BRONX
Yes
(13)
KITTAY HOUSE
120 WEST 106TH ST
NEW YORK
,
NY
10025
13-2619576
AFFORDABLE HOUSING
NY
501(C)(3)
LINE 10
JEWISH HOME LIFECARE
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
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)
JEWISH HOME LIFECARE HOME ASSISTANCE
120 WEST 106TH STREET
NEW YORK
,
NY
10025
13-3267068
PERSONAL CARE WORKER
NY
N/A
C
No
(2)
JEWISH HOME LIFECARE SPECTRUM SERVICES
120 WEST 106TH STREET
NEW YORK
,
NY
10025
45-3563804
PERSONAL CARE WORKER
NY
N/A
C
No
(3)
2614 KINGSBRIDGE CORP
120 WEST 106TH STREET
NEW YORK
,
NY
10025
13-2749776
PARKING GARAGE
NY
N/A
C
No
(4)
102 WEST 107TH STREET CORPORATION
120 WEST 106TH STREET
NEW YORK
,
NY
10025
13-2760057
PARKING GARAGE
NY
N/A
C
No
(5)
JEWISH HOME LIFECARE MANAGEMENT LLC
120 WEST 106TH STREET
NEW YORK
,
NY
10025
32-0359277
PERSONAL CARE WORKER
NY
N/A
C
No
(6)
JHHA MEDICAL GROUP PC
120 WEST 106TH STREET
NEW YORK
,
NY
10025
13-3364558
HEALTH SERVICES
NY
N/A
C
No
Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
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
No
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
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
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
Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
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) 2021
Page 5
Schedule R (Form 990) 2021
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) 2021
Additional Data
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