Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 10-01-2010 , and ending 09-30-2011
G
Check all that apply:
Name of foundation
THE HOME FOR THE AGED
 

Number and street (or P.O. box number if mail is not delivered to street address)620 UNION ST   Room/suite
City or town, state, and ZIP code
HUDSON, NY12534
A Employer identification number

14-1436628
B Telephone number (see page 10 of the instructions)

(518) 828-3215
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,927,329
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 2,327
2 Check bullet
3 Interest on savings and temporary cash investments 7 7 7
4 Dividends and interest from securities...... 83,018 83,018 83,018
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 303,493
b Gross sales price for all assets on line 6a 1,338,742
7 Capital gain net income (from Part IV, line 2)... 303,493
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 264,978    
12 Total. Add lines 1 through 11........ 653,823 386,518 83,025
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 5,500      
14 Other employee salaries and wages...... 363,123      
15 Pension plans, employee benefits....... 15,000      
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 13,906 6,953 6,953 0
c Other professional fees (attach schedule)....        
17 Interest............... 27,129 27,129    
18 Taxes (attach schedule) (see page 14 of the instructions) 61,752 125 125 58,328
19 Depreciation (attach schedule) and depletion... 25,323    
20 Occupancy.............. 58,961      
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 187,279 4,094 4,094 77,655
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 757,973 38,301 11,172 135,983
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 757,973 38,301 11,172 135,983
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -104,150
b Net investment income (if negative, enter -0-) 348,217
c Adjusted net income (if negative, enter -0-)... 71,853
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 22,585 37,075 37,075
2 Savings and temporary cash investments.......... 77,733 136,670 136,670
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 1,622,891 Click to see attachment1,616,016 1,605,567
c Investments—corporate bonds (attach schedule)........ 597,974 Click to see attachment452,595 413,214
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet1,114,508
Less: accumulated depreciation (attach schedule) bullet379,705 760,126 Click to see attachment734,803 734,803
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,081,309 2,977,159 2,927,329
Liabilities 17 Accounts payable and accrued expenses.......... 0  
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 3,054,379 2,950,764
25 Temporarily restricted................ 2,136 1,601
26 Permanently restricted................ 24,794 24,794
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,081,309 2,977,159
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,081,309 2,977,159
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 3,081,309
2 Enter amount from Part I, line 27a...................... 2 -104,150
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 2,977,159
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 2,977,159
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P 2010-10-01 2011-09-30
b PUBLICLY TRADES SECURITIES P 2010-01-01 2011-09-30
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 98,608   108,031 -9,423
b 1,240,134   927,218 312,916
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       -9,423
b       312,916
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 303,493
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .
Bracket 3 -9,423
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2009 123,580 3,415,248 0.036185
2008 183,686 3,357,639 0.054707
2007 176,311 4,626,558 0.038108
2006 171,155 5,246,970 0.03262
2005 142,350 5,122,468 0.027789
2 Total of line 1, column (d) ...................... 2 0.189409
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.037882
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 3,230,123
5 Multiply line 4 by line 3....................... 5 122,364
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,482
7 Add lines 5 and 6......................... 7 125,846
8 Enter qualifying distributions from Part XII, line 4.............. 8 135,983
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 3,482
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 3,482
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,482
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,856
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,856
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,626
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletNY
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
     
    No
    Website addressbullet  
    14
    The books are in care ofbulletEDWARD P GINOUVES Telephone no.bullet (518) 828-3215
    Located atbullet502 UNION STREETHUDSONNY ZIP+4bullet12534
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
     
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    EDWARD P GINOUVES PRESIDENT
    0
    0    
    2 HARTWELL AVE
    HUDSON,NY12534
    CARL G WHITBECK JR TREASURER
    0
    0    
    436 UNION ST
    HUDSON,NY12534
    SUSAN KOSKEY SECRETARY
    0
    5,500 0 0
    PO BOX 194
    CLAVERACK,NY12513
    HILDEGARD THOMPSON VICE PRES.
    0
    0    
    PO BOX 728
    CLAVERACK,NY12513
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 OPERATION OF THE ELDERLY CARE FACILITIES 135,983
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,442,429
    b
    Average of monthly cash balances.......................
    1b
    102,081
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    734,803
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,279,313
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    3,279,313
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    49,190
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,230,123
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    161,506
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
     
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
     
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
     
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    135,983
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    135,983
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    3,482
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    132,501
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus
    (b)
    Years prior to 2009
    (c)
    2009
    (d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7 0
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 0
    b Total for prior years:2008, 2007, 2006 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 142,350
    b From 2006....... 171,155
    c From 2007....... 176,311
    d From 2008....... 183,686
    e From 2009....... 123,580
    fTotal of lines 3a through e......... 797,082
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 135,983
    a Applied to 2009, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
     
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
     
    d Applied to 2010 distributable amount.....  
    e Remaining amount distributed out of corpus 135,983
    5 Excess distributions carryover applied to 2010.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 933,065
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
     
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    142,350
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    790,715
    10 Analysis of line 9:
    a Excess from 2006.... 171,155
    b Excess from 2007.... 176,311
    c Excess from 2008.... 183,686
    d Excess from 2009.... 123,580
    e Excess from 2010.... 135,983
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
    1995-01-19
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
    71,853 91,566 79,710 132,709 375,838
    b 85% of line 2a ......... 61,075 77,831 67,754 112,803 319,463
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
    135,983 123,580 183,686 176,311 619,560
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
    135,983 123,580 183,686 176,311 619,560
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ...... 2,927,329 3,364,688 3,580,077 4,050,197 13,922,291
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
            0
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
    107,361 113,841 111,921 154,219 487,342
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
            0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
            0
    (3) Largest amount of support
    from an exempt organization
            0
    (4) Gross investment income         0
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    Jo Tsouratos
    620 Union Street
    Hudson,NY12534
    (518) 828-3215
    bThe form in which applications should be submitted and information and materials they should include:
    CALL FOR INFORMATION
    cAny submission deadlines:
    CALL FOR INFORMATION
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CALL FOR INFORMATION
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Total .................................bullet 3a  
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 7  
    4 Dividends and interest from securities....     14 83,018  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 303,493  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aRESIDENT RENTS     16 224,834  
    bADMISSION FEES     16 40,000  
    cMISCELLANEOUS     16 144  
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   651,496  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13651,496
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    11C INCOME PROVIDES SOURCES OF PAYMENT FOR WAGES, FOOD, ETC. NECESSARY FOR RUNNING THE ADULT HOME.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 AccountingFeesSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 13,906      

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2010 DepreciationSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    BLDG & LAND 1989-11-15 141,486   L          
    GENERATOR 1989-11-15 12,300 12,300 M5          
    STOVE 1990-01-15 2,985 2,985 M5          
    A/C WIRING 1990-01-15 3,945 3,945 M5          
    LIGHTS-DOWNSTAIRS 1990-06-15 2,233 2,233 SL 15        
    HEATING SYSTEM 1990-09-17 53,288 53,288 SL 20        
    DISHWASHER 1991-06-15 2,834 2,834 SL 5        
    BATH PLUMBING 1991-08-15 4,275 4,275 SL 15        
    COMPUTER SOFTWARE 1991-01-30 346 346 M7          
    RUG-LIVINGROOM 1991-06-24 1,763 1,763 SL 5        
    CLOTHES WASHER 1991-09-17 409 409 SL 5        
    STORM WINDOWS 1992-03-01 7,265 7,265 SL 15        
    WATER HEATER 1992-03-01 2,358 2,358 M5          
    REFRIGERATOR 1993-03-15 540 539 M5          
    FLOORING-CARPETS 1993-05-15 692 692 M5          
    FLOORING CARPETS 1993-07-15 423 423 M5          
    TOASTER 1993-08-15 523 523 M5          
    LINOLEUM 1995-01-15 1,924 1,924 M7          
    STAIR CARPET 1995-02-15 478 478 M5          
    WORKSTATION-HAIRDR 1995-02-20 875 874 M7          
    VACUUM 1995-02-15 600 600 M5          
    A/C-KITCHEN 1995-08-15 600 600 M5          
    2 DOOR COOLER 1996-04-15 1,985 1,985 M5          
    KITCHEN FIRE SYSTE 1996-09-15 1,234 1,162 SL 15 72      
    PATIO 1997-08-15 6,070 5,299 SL 15 405      
    DINING CHAIRS 1996-12-15 4,519 4,519 M5          
    FREEZER 1997-04-15 670 670 M5          
    LINOLEUM-DR 1997-03-15 3,998 3,998 M5          
    TV 1997-06-15 1,317 1,317 M5          
    FAX MACHINE 1997-08-15 376 375 M5          
    BATH ADDITIONS 1998-06-15 92,322 29,193 SL 39 2,367      
    BATH ADDITIONS-II 1998-09-30 45,344 13,956 SL 39 1,163      
    FREEZER 1998-04-15 665 665 M7          
    2 REFRIGERATORS 1998-09-10 1,120 1,120 M7          
    CARPETING 1998-09-15 858 858 M5          
    QUEEN BED & BEDDIN 1998-09-20 998 997 M7          
    ALARM SYSTEM 1999-03-31 5,600 5,600 M10          
    PRINTER 1999-04-30 368 368 M3          
    BUILDING IMPROVMNT 1999-03-31 932 932 M10          
    OFFICE FURNITURE 1999-10-15 1,825 1,825 M7          
    SIDEWALK 2000-07-15 45,962 32,730 M15   2,716      
    WASHER 2000-01-11 472 472 M5          
    REFRIGERATOR 2000-04-19 560 560 M5          
    WATER HEATER 1999-12-17 4,481 4,481 M7          
    SIDEWALK 2000-11-10 9,298 6,279 M15   550      
    CABINETS/COUNTERS 2001-08-10 7,459 5,037 M15   441      
    ROOF 2001-08-10 5,500 5,225 M15 10 275      
    BLDG IMPR-PAINTING 2001-05-15 20,500 13,845 M15   1,212      
    BLDG IMPR-RESTORE 2001-08-02 35,750 8,406 SL 39 917      
    BLDG IMPR-CHIMNEY 2001-03-02 8,083 1,984 SL 39 207      
    BLDG IMPR-2ND PROJ 2001-10-22 13,250 3,031 SL 39 340      
    BLDG IMPR-3RD PROJ 2001-11-20 36,500 8,268 SL 39 936      
    BLDG IMPR-PAINTING 2001-12-06 6,300 3,883 M15   372      
    BLDG IMPR-4TH PROJ 2002-01-03 26,500 5,942 SL 39 679      
    BLDG IMPR-5TH PROJ 2002-03-12 8,550 1,880 SL 39 219      
    BLDG IMPR-6TH PROJ 2002-05-01 18,900 4,082 SL 39 485      
    BLDG IMPR-7TH PROJ 2002-08-05 58,500 12,250 SL 39 1,500      
    BLDG IMPR-8TH PROJ 2002-09-25 55,500 11,384 SL 39 1,423      
    BLDG IMPR-MASONRY 2002-09-05 7,000 1,447 SL 39 179      
    BLDG IMPR-BRICK 2002-07-16 8,000 1,674 SL 39 205      
    BUILDING IMPR 2002-10-16 3,200 653 M39   82      
    EQUIPMENT 2004-02-12 3,983 3,983 M5          
    BUILDING IMPROVE 2005-05-26 107,900 14,757 SL 39 2,767      
    SUNROOM 2005-06-10 5,575 763 SL 39 143      
    BLDG IMPROVEMENTS 2005-03-15 100,300 14,254 M39   2,572      
    BLDG IMPROVEMENTS 2007-08-16 19,589 1,548 SL 39 502      
    BLDG IMPROVEMENTS 2007-09-15 41,030 3,244 SL 39 1,052      
    EQUIPMENT 2007-03-12 4,745 3,925 M5   547      
    BLDG IMPROVEMENTS 2007-10-16 5,682 426 SL 39 146      
    BLDG IMPROVEMENTS 2007-11-14 33,096 2,476 SL 39 849      

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VARIOUS CORPORATE BONDS 452,595 413,214

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VARIOUS STOCKS & MUTUAL FUNDS 1,616,016 1,605,567

    TY 2010 LandEtcSchedule2
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BLDG & LAND 141,486   141,486  
    GENERATOR 12,300 12,300    
    STOVE 2,985 2,985    
    A/C WIRING 3,945 3,945    
    LIGHTS-DOWNSTAIRS 2,233 2,233    
    HEATING SYSTEM 53,288 53,288    
    DISHWASHER 2,834 2,834    
    BATH PLUMBING 4,275 4,275    
    COMPUTER SOFTWARE 346 346    
    RUG-LIVINGROOM 1,763 1,763    
    CLOTHES WASHER 409 409    
    STORM WINDOWS 7,265 7,265    
    WATER HEATER 2,358 2,358    
    REFRIGERATOR 540 539 1  
    FLOORING-CARPETS 692 692    
    FLOORING CARPETS 423 423    
    TOASTER 523 523    
    LINOLEUM 1,924 1,924    
    STAIR CARPET 478 478    
    WORKSTATION-HAIRDR 875 874 1  
    VACUUM 600 600    
    A/C-KITCHEN 600 600    
    2 DOOR COOLER 1,985 1,985    
    KITCHEN FIRE SYSTE 1,234 1,234    
    PATIO 6,070 5,704 366  
    DINING CHAIRS 4,519 4,519    
    FREEZER 670 670    
    LINOLEUM-DR 3,998 3,998    
    TV 1,317 1,317    
    FAX MACHINE 376 375 1  
    BATH ADDITIONS 92,322 31,560 60,762  
    BATH ADDITIONS-II 45,344 15,119 30,225  
    FREEZER 665 665    
    2 REFRIGERATORS 1,120 1,120    
    CARPETING 858 858    
    QUEEN BED & BEDDIN 998 997 1  
    ALARM SYSTEM 5,600 5,600    
    PRINTER 368 368    
    BUILDING IMPROVMNT 932 932    
    OFFICE FURNITURE 1,825 1,825    
    SIDEWALK 45,962 35,446 10,516  
    WASHER 472 472    
    REFRIGERATOR 560 560    
    WATER HEATER 4,481 4,481    
    SIDEWALK 9,298 6,829 2,469  
    CABINETS/COUNTERS 7,459 5,478 1,981  
    ROOF 5,500 5,500    
    BLDG IMPR-PAINTING 20,500 15,057 5,443  
    BLDG IMPR-RESTORE 35,750 9,323 26,427  
    BLDG IMPR-CHIMNEY 8,083 2,191 5,892  
    BLDG IMPR-2ND PROJ 13,250 3,371 9,879  
    BLDG IMPR-3RD PROJ 36,500 9,204 27,296  
    BLDG IMPR-PAINTING 6,300 4,255 2,045  
    BLDG IMPR-4TH PROJ 26,500 6,621 19,879  
    BLDG IMPR-5TH PROJ 8,550 2,099 6,451  
    BLDG IMPR-6TH PROJ 18,900 4,567 14,333  
    BLDG IMPR-7TH PROJ 58,500 13,750 44,750  
    BLDG IMPR-8TH PROJ 55,500 12,807 42,693  
    BLDG IMPR-MASONRY 7,000 1,626 5,374  
    BLDG IMPR-BRICK 8,000 1,879 6,121  
    BUILDING IMPR 3,200 735 2,465  
    EQUIPMENT 3,983 3,983    
    BUILDING IMPROVE 107,900 17,524 90,376  
    SUNROOM 5,575 906 4,669  
    BLDG IMPROVEMENTS 100,300 16,826 83,474  
    BLDG IMPROVEMENTS 19,589 2,050 17,539  
    BLDG IMPROVEMENTS 41,030 4,296 36,734  
    EQUIPMENT 4,745 4,472 273  
    BLDG IMPROVEMENTS 5,682 572 5,110  
    BLDG IMPROVEMENTS 33,096 3,325 29,771  


    TY 2010 OtherExpensesSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    UTILITIES 27,027      
    INSURANCE 69,111     28,096
    HOSPITAL AND MEDICAL CARE 49,559     49,559
    OFFICE 8,188 4,094 4,094  
    ELEVATOR SERVICE 6,829      
    REPAIRS AND MAINTENANCE 26,565      


    TY 2010 OtherIncomeSchedule2
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ADMISSION FEES 40,000    
    RESIDENT RENTALS 224,834    
    MISCELLANEOUS 144    


    TY 2010 TaxesSchedule
    Name:
    THE HOME FOR THE AGED
    EIN: 14-1436628
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL 58,328     58,328
    NYS FEE 250 125 125  
    FEDERAL EXCISE TAXES 3,174