Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
AMOS F & SARAH L HOLDEN HOME FOR
AGED WOMEN

Number and street (or P.O. box number if mail is not delivered to street address)70 DUBIOS STREET C/O J M CASSIDY   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEWBURGH, NY12550
A Employer identification number

14-1365995
B Telephone number (see instructions)

(845) 561-1342
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$913,015J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 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 Check bullet
3 Interest on savings and temporary cash investments 5,988 5,988 5,988
4 Dividends and interest from securities......      
5a Gross rents.............. 2,244 2,244 2,244
b Net rental income or (loss) 2,244
6a Net gain or (loss) from sale of assets not on line 10 37,597
b Gross sales price for all assets on line 6a 285,000
7 Capital gain net income (from Part IV, line 2)... 37,597
8 Net short-term capital gain......... 37,597
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)....... Click to see attachment 2,312,153   2,312,153
12 Total. Add lines 1 through 11........ 2,357,982 45,829 2,357,982
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 11,900   11,639 261
b Accounting fees (attach schedule)....... Click to see attachment 16,475   16,115 360
c Other professional fees (attach schedule)....        
17 Interest............... 13,392   13,099 293
18 Taxes (attach schedule) (see instructions)        
19 Depreciation (attach schedule) and depletion... Click to see attachment 4,453    
20 Occupancy.............. 14,576   14,257 319
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,307,558   2,257,043 84,212
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,368,354 0 2,312,153 85,445
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 2,368,354 0 2,312,153 85,445
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -10,372
b Net investment income (if negative, enter -0-) 45,829
c Adjusted net income (if negative, enter -0-)... 45,829
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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............... 138,578 121,962 121,962
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet530,463
Less: allowance for doubtful accounts bullet   535,925 530,463 530,463
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 instructions).....      
7 Other notes and loans receivable (attach schedule) bullet260,590
Less: allowance for doubtful accounts bullet     Click to see attachment260,590 260,590
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)........      
c Investments—corporate bonds (attach schedule)........      
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 bullet  
Less: accumulated depreciation (attach schedule) bullet   251,854    
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 926,357 913,015 913,015
Liabilities 17 Accounts payable and accrued expenses.......... 859,038 825,339
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 150,000  
22 Other liabilities (describe bullet) Click to see attachment338,915 Click to see attachment519,644
23 Total liabilities (add lines 17 through 22).......... 1,347,953 1,344,983
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... -421,596 -431,968
25 Temporarily restricted................    
26 Permanently restricted................    
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).................... -421,596 -431,968
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 926,357 913,015
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 -421,596
2 Enter amount from Part I, line 27a..................... 2 -10,372
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 -431,968
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 -431,968
Form 990-PF (2013)
Form 990-PF (2013)
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 SALE OF ASSETS P   2013-03-11
b
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 285,000 619,766 867,169 37,597
b
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       37,597
b
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 37,597
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 instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3 37,597
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))
2012 103,921 637,358 0.163050
2011 85,947 527,925 0.162802
2010 105,008 27,902 3.763458
2009 90,928 18,173 5.003467
2008 178,111 36,453 4.886045
2 Total of line 1, column (d) ...................... 2 13.978822
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 2.795764
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 907,503
5 Multiply line 4 by line 3....................... 5 2,537,164
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 458
7 Add lines 5 and 6......................... 7 2,537,622
8 Enter qualifying distributions from Part XII, line 4.............. 8 85,445
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.
Form 990-PF (2013)
Form 990-PF (2013)
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 1 917
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............................ 3 917
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- ..... 5 917
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a  
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  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 21
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 938
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 2014 estimated taxBullet   RefundedBullet 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
 
 
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
    Yes
     
    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 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 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.HOLDENHOME.ORG
    14
    The books are in care ofbulletJEAN MARIE CASSIDY Telephone no.bullet (845) 458-4025
    Located atbullet70 DUBIOS STREETNEWBURGHNY ZIP+4bullet12550
    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 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See 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 (2013)
    Form 990-PF (2013)
    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 2013?.............
    1c
     
     
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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 instructions.) ..............
    2b
     
     
    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 2013 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 2013.)....................
    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 2013?
    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 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 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 (2013)
    Form 990-PF (2013)
    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 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
    ALLAN ATZROTTClick to see attachment CHAIRMAN
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    MICHAEL COSTAClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    MARY ELIZABETH DUFFYClick to see attachment TREASURER
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    RICHARD GREENBLATTClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    DR STANLEY GROSSMANClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    JOHN J LEASE JRClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    PATRICIA LETTERIOClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    CATHY MCCARTYClick to see attachment SECRETARY
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    FRED MCCURDYClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    EILEEN OSTERBYClick to see attachment DIRECTOR
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    MARLENE VANCEClick to see attachment EXECUTIVE DI
    1.00     		0 0 0
    70 DUBOIS STREET
    NEWBURGH,NY12550
    2 Compensation of five highest-paid employees (other than those included on line 1—see 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
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    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 PROVIDE LICENSED HOME CARE FOR INDIVIDUALS. 2,365,320
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    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 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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    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 2013 from Part VI, line 5......
    2a
     
    b
    Income tax for 2013. (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 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 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
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    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 instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    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 (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 85,445
    a Applied to 2012, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2013 distributable amount.....  
    e Remaining amount distributed out of corpus 85,445
    5 Excess distributions carryover applied to 2013.    
    (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 85,445
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    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 instructions ...........     		 
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012....  
    e Excess from 2013....  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see 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 2013, enter the date of the ruling.......bullet
     
    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) 2013 (b) 2012 (c) 2011 (d) 2010
    45,375 27,089 22,437 1,186 96,087
    b 85% of line 2a ......... 38,569 23,026 19,071 1,008 81,674
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		85,445 103,921 85,947 105,008 380,321
    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 ....     		85,445 103,921 85,947 105,008 380,321
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		30,250 18,059 14,958 791 64,058
    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) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    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 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:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 (2013)
    Form 990-PF (2013)
    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 instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    aLICENSED HOME CARE         2,312,153
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		    14 5,988  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 2,244  
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		        37,597
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   8,232 2,349,750
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,357,982
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    1A PROVIDE LICENSED HOME CARE FOR INDIVIDUALS
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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
    Sign Here
    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
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSED HOME CARE 16,475   16,115 360

    TY 2013 CompensationExplanation
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Person Name Explanation
    ALLAN ATZROTT  
    MICHAEL COSTA  
    MARY ELIZABETH DUFFY  
    RICHARD GREENBLATT  
    DR STANLEY GROSSMAN  
    JOHN J LEASE JR  
    PATRICIA LETTERIO  
    CATHY MCCARTY  
    FRED MCCURDY  
    EILEEN OSTERBY  
    MARLENE VANCE  

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

    TY 2013 DepreciationSchedule
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    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
    LAND 1974-01-01 4,300              
    BUILDINGS 1974-01-01 38,700 37,144 S/L 40.0000        
    BUILDING IMPROVEMENTS 1974-01-01 65,592 65,592 S/L 20.0000        
    PUMBING IMPROVEMENTS 1983-07-01 2,872 2,872 S/L 20.0000        
    ELECTRICAL IMPROVEMENTS 1983-07-01 1,904 1,904 S/L 20.0000        
    SPRINKLER SYSTEM 1983-07-01 391 391 S/L 20.0000        
    CARPETING & LINOLEUM 1983-07-01 1,304 1,304 S/L 20.0000        
    STORM WINDOWS 1985-07-01 4,500 4,500 S/L 10.0000        
    CARPETING 1986-07-01 2,600 2,600 S/L 5.0000        
    ELECTRICAL IMPROVEMENTS 1986-07-01 700 700 S/L 10.0000        
    GAS WATER HEATER 1986-07-01 900 900 S/L 10.0000        
    CARPETING 1987-07-01 3,751 3,751 S/L 5.0000        
    CARPETING 1988-07-01 910 910 S/L 5.0000        
    PAINTING - 85 GRAND STREET 1990-10-15 39,127 39,127 S/L 10.0000        
    IMPROVEMENTS TO BATHROOMS 1991-10-15 45,494 35,154 S/L 27.5000        
    NEW 200 AMP 240 VOLT 30 CIRCUIT PANEL 1991-07-16 1,287 1,287 S/L 27.5000        
    ADVANT 1000 SINGLE DOOR SYSTEM 1992-06-30 6,050 6,050 S/L 10.0000        
    NEW FIAT LAUNDRY SINK 1992-06-30 797 797 S/L 10.0000        
    GRAB BAR AT TUB AND HANDHELD SHOWER 1992-06-30 550 550 S/L 10.0000        
    STOCK VINYL & CARPET 1992-09-23 1,550 1,550 S/L 10.0000        
    2 BACK FLOW PREVENTER 1992-12-11 1,419 1,419 S/L 10.0000        
    NEW VINYL IN CLOSET AND STORAGE AREA 1992-06-30 518 518 S/L 10.0000        
    FURNITURE & FIXTURES & EQUIPMENT 1984-01-01 19,397 19,397 S/L 10.0000        
    FREEZER 1983-07-01 669 669 S/L 10.0000        
    2 TELEVISIONS 1983-07-01 320 320 S/L 5.0000        
    FURNITURE 1983-07-01 1,057 1,057 S/L 5.0000        
    REFRIGERATOR 1984-07-01 339 339 S/L 5.0000        
    TIME CLOCK 1984-07-01 285 285 S/L 5.0000        
    TYPEWRITER 1984-07-01 500 500 S/L 5.0000        
    FURNITURE 1984-07-01 222 222 S/L 4.0000        
    FURNITURE 1985-07-01 3,197 3,197 S/L 5.0000        
    FURNITURE 1986-07-01 3,384 3,384 S/L 5.0000        
    PHONE SYSTEM 1988-07-01 2,589 2,589 S/L 5.0000        
    SECURITY SYSTEM 1989-08-01 4,645 4,645 S/L 5.0000        
    DISHWASHER 1990-08-20 2,126 2,126 S/L 5.0000        
    NEW LAWN MOWER 1992-07-31 299 299 S/L 5.0000        
    SACRO-MATTRESS & BOX SPRING 1992-08-17 188 188 S/L 5.0000        
    NEW SIGN 1992-12-04 500 500 S/L 5.0000        
    FURNITURE - MATTRESS/CHAIR/NITE STAND 1992-12-28 290 290 S/L 5.0000        
    FAX MACHINE 1990-02-15 488 488 S/L 5.0000        
    COMPUTER 1990-12-11 1,930 1,930 S/L 5.0000        
    SHARP COPIER MODEL SF-7320 1991-05-03 1,375 1,375 S/L 7.0000        
    TIME CARD CLOCK 1991-06-20 407 407 S/L 7.0000        
    ROOFING @ 73-85 GRAND ST (GARY BRUNO) 1993-03-03 5,706 4,115 S/L 27.5000        
    FIRE ALARM EQUIPMENT & INSTALLATION 1993-10-12 1,825 1,825 S/L 10.0000        
    REBUILD STAIRCASE 1993-10-29 1,532 1,068 S/L 27.5000        
    CARPET 1993-01-12 1,195 1,195 S/L 10.0000        
    MAUVE CARPET & INSTALL 1993-08-10 444 444 S/L 10.0000        
    CARPETING/VINYL & INSTALLATION 1993-09-14 1,350 1,350 S/L 10.0000        
    ORTHO - MATTRESS 1993-02-02 175 175 S/L 5.0000        
    MISCELLANEOUS FURNITURE - DRESSERS/CHAIR/HEAD 1993-06-30 2,711 2,711 S/L 5.0000        
    NEW BLINDS 1993-01-07 804 804 S/L 5.0000        
    MICROWAVE 1994-08-24 259 259 S/L 7.0000        
    GAS HOT WATER HEATER 1994-11-14 475 475 S/L 10.0000        
    INDUSTRIAL DISHWASHER 1994-12-15 2,950 2,950 S/L 7.0000        
    CARRIAGE HOUSE BUILDING RENOVATIONS 1990-12-01 209,870 115,865 S/L 40.0000        
    REPLACE REAR STEPS 1994-04-30 1,675 1,675 S/L 10.0000        
    KITCHEN RENOVATION 1994-11-30 4,865 2,199 S/L 40.0000        
    NEW VANITIES - 9 1994-08-30 2,825 2,825 S/L 7.0000        
    4 DRAWER CHEST 1994-08-11 198 198 S/L 7.0000        
    FIRE ALARM EQUIPMENT AND INSTALLATION 1995-01-01 791 791 S/L 10.0000        
    FIRE ALARM EQUIPMENT 1995-04-24 1,624 1,624 S/L 10.0000        
    50 GAL NAT'L GAS HW HEATER-73 BLDING 1995-08-21 499 499 S/L 10.0000        
    40 GAL. NAT'L GAS HW HEATER- 85 BUILDING 1995-12-05 750 750 S/L 10.0000        
    INSTALLATION OF DISHWASHER 1995-01-01 665 665 S/L 7.0000        
    SPRINKLER SYSTEM 1996-05-13 2,220 2,220 S/L 10.0000        
    SEWER LINE IMPROVEMENTS 1997-02-01 2,298 1,829 S/L 20.0000        
    REPLACE WATER LINES 1998-06-12 550 401 S/L 20.0000        
    INSTALL WIRE GLASS 1998-10-31 1,700 1,204 S/L 20.0000        
    DRESSER 1999-07-06 575 575 S/L 10.0000        
    BUILDING GENERATORS 2002-10-15 10,000 10,000 S/L 10.0000        
    EXTERIOR RENOVATIONS 2002-10-31 58,746 29,862 S/L 20.0000        
    BEDDING & WARDROBE 2003-01-06 548 548 S/L 5.0000        
    BEDDING & CHEST 2003-05-09 761 761 S/L 5.0000        
    BEDDING 2003-11-10 498 498 S/L 5.0000        
    EMERGENCY LIGHTING 2003-12-16 841 841 S/L 5.0000        
    REFRIGERATOR 1990-12-01 489 489 S/L 5.0000        
    12 ARMTUB CHAIRS 1991-10-30 1,347 1,347 S/L 10.0000        
    2 WING BACK CHAIRS 1991-10-01 534 534 S/L 10.0000        
    2 RS2007 LOVESEAT (BROOKS PEONY) 1991-10-01 784 784 S/L 10.0000        
    2 RS1052 LOUNGE CHAIRS 1991-10-01 514 514 S/L 10.0000        
    FAX MACHINE 1994-10-31 799 799 S/L 5.0000        
    ALARM INSTALLATION 1993-07-07 995 995 S/L 10.0000        
    TELEPHONE INSTALLATION 1993-08-04 926 926 S/L 10.0000        
    CARRIAGE HOUSE REVON 1996-03-04 30,650 13,739 S/L 40.0000        
    TELEPHONE INSTALLATION 1996-03-29 215 215 S/L 10.0000        
    FIRE ALARM INSTALLATION 1996-04-08 200 200 S/L 10.0000        
    HOT WATER HEATER INST. 1998-10-05 525 525 S/L 10.0000        
    CHAIRS 1990-04-14 1,899 1,899 S/L 7.0000        
    LIGHTING FIXTURES 1990-12-28 419 419 S/L 7.0000        
    AIR CONDITIONER 1991-07-18 438 438 S/L 7.0000        
    2 CAMELBACK LOVESEATS 1991-10-04 1,042 1,042 S/L 7.0000        
    2 WINGBACK CHAIRS 1991-10-04 758 758 S/L 7.0000        
    2 ARMCHAIRS 1991-10-04 297 297 S/L 7.0000        
    1 RS504955 SOFA TABLE 1991-10-11 130 130 S/L 7.0000        
    2 RS5051ES ENS TABLES 1991-10-11 250 250 S/L 7.0000        
    NIGHTSTAND 4 DRAWER DRESSER 1992-04-22 380 380 S/L 7.0000        
    FURNITURE - WICKER 1993-07-27 299 299 S/L 7.0000        
    VANITY 1993-07-28 364 364 S/L 7.0000        
    TABLES & LAMPS - BLDGS 1993-09-02 848 848 S/L 7.0000        
    REFRIGERATOR 1993-12-20 598 598 S/L 7.0000        
    OAK WINDSOR DINING ROOM CHAIRS 1994-05-25 1,785 1,785 S/L 7.0000        
    MAYTAG WASHER & DRYER 1994-01-31 917 917 S/L 7.0000        
    MATTRESS AND END TABLES 1997-10-31 407 407 S/L 7.0000        
    ELECTROLUX VACCUUM 1998-03-17 470 470 S/L 7.0000        
    HDBRD, FRAME, MATTRESS&BOXSPRING 1998-05-01 356 356 S/L 7.0000        
    SOFA - WOOD SMOKE 1998-05-18 620 620 S/L 7.0000        
    ELECTROLUX VACCUUM 1998-09-15 520 520 S/L 7.0000        
    MULTI-COLOR FLORAL LOVESEAT 1998-11-20 509 509 S/L 7.0000        
    MULTI-COLOR FLORAL WING CHAIR 1998-11-20 379 379 S/L 7.0000        
    CHERRY OVAL END TABLE 1998-11-20 158 158 S/L 7.0000        
    WINGBACK CHAIR 2002-10-31 1,428 1,428 S/L 7.0000        
    CHERRY ENT CENTER 2003-01-15 150 150 S/L 7.0000        
    CHERRY ENT CENTER 2003-02-25 388 388 S/L 7.0000        
    G/E FREEZER 2003-08-07 509 509 S/L 7.0000        
    BROADHURST CARPETING 1992-06-18 898 898 S/L 10.0000        
    NEW VINYL - STORAGE AREA & CLOSET 1992-06-30 181 181 S/L 10.0000        
    HUDSON VIEW CONSTRUCTION 1993-03-25 2,538 2,538 S/L 7.0000        
    HUDSON VIEW CONSTRUCTION 1993-04-07 1,273 1,273 S/L 10.0000        
    GIANT CARPET 1993-06-07 1,786 1,786 S/L 10.0000        
    STOVE 1993-09-02 3,329 3,329 S/L 10.0000        
    DINING ROOM/ HALL FLOORING 1994-06-02 1,951 1,951 S/L 10.0000        
    PORCH IMPROVEMENTS 1996-07-02 1,250 1,250 S/L 10.0000        
    CARPETING 1996-12-10 2,611 2,611 S/L 10.0000        
    SEWER LINE IMPROVEMENTS 1997-02-24 2,885 2,308 S/L 20.0000        
    FLOORING 1997-01-29 434 434 S/L 10.0000        
    FLOORING 1997-07-09 300 300 S/L 10.0000        
    CARPETING 1997-09-03 600 600 S/L 10.0000        
    FLOORING 1998-05-24 263 263 S/L 10.0000        
    FLOORING 1999-06-07 1,154 1,154 S/L 10.0000        
    FLOORING 2003-06-19 2,385 2,385 S/L 10.0000        
    FLOORING 2003-08-21 2,345 2,228 S/L 10.0000        
    FLOORING 2003-11-12 1,167 1,109 S/L 10.0000        
    ROOF REPAIR 2004-06-04 1,372 589 S/L 20.0000        
    FULL SET OF BEDDING 2004-06-04 399 399 S/L 5.0000        
    MONARCH DOOR 2004-02-03 1,385 1,235 S/L 10.0000        
    STEAM BOILER-85 BLDG 2004-03-02 10,995 9,712 S/L 10.0000        
    CEILING REPAIRS - KAPLAN 2004-09-30 1,359 561 S/L 20.0000        
    FLOORING 2004-03-12 980 866 S/L 10.0000        
    PAINT PLASTER CEILING & WALLS 2004-08-23 1,350 1,125 S/L 10.0000        
    FLOORING 2004-09-27 1,500 1,238 S/L 10.0000        
    FLOORING 2004-11-22 1,310 1,059 S/L 10.0000        
    KITCHEN RENOVATIONS 2005-07-01 39,080 14,655 S/L 20.0000        
    REPLACEMENT WINDOWS 2005-10-05 3,850 2,888 S/L 10.0000        
    PORCH IMPROVEMENTS 2005-10-25 4,935 3,701 S/L 10.0000        
    FURNACE & DUCT SYSTEM 2006-12-31 14,152 9,199 S/L 10.0000        
    PAINTING PROJECT 2006-12-31 28,841 18,747 S/L 10.0000        
    ROOF REPAIR 2006-12-31 31,125 10,116 S/L 20.0000        
    STAIR LIFT 2006-03-31 9,000 5,850 S/L 10.0000        
    ELECTRICAL & LIGHTING UPGRADES 2006-12-31 3,566 2,318 S/L 10.0000        
    KITCHEN RENOVATION 2006-12-31 1,960 637 S/L 20.0000        
    INSTALLATION OF NEW HE FURNACE 2007-01-31 1,500 825 S/L 10.0000        
    BOILER 2007-12-26 15,125 4,159 S/L 20.0000        
    SPRINKLER SYSTEM 2007-04-05 1,000 275 S/L 20.0000        
    FLOORING 2005-06-27 2,135 1,601 S/L 10.0000        
    TILE IN BATHROOM 2006-05-24 290 189 S/L 10.0000        
    STAIR LIFT 2005-08-31 9,690 7,268 S/L 10.0000        
    FLOORING 2005-12-05 550 413 S/L 10.0000        
    DEFIBRILLATOR 2005-06-10 1,995 1,995 S/L 5.0000        
    FILING CABINETS 2006-04-19 567 567 S/L 5.0000        
    RESIDENT ROOM FURNITURE 2006-08-15 289 289 S/L 5.0000        
    CHEST 2007-04-05 249 196 S/L 7.0000        
    PAINTING 2005-10-05 1,012 1,012 S/L 5.0000        
    FRONT PARLOR BLINDS 2006-05-01 900 836 S/L 7.0000        
    ELECTRICAL IMPROVEMENTS 2008-07-01 1,716 386 S/L 20.0000        
    BUILDINGS 1974-01-01 38,700 37,144 S/L 40.0000 161      
    BUILDING IMPROVEMENTS 1974-01-01 65,592 65,592 S/L 20.0000        
    PUMBING IMPROVEMENTS 1983-07-01 2,872 2,872 S/L 20.0000        
    ELECTRICAL IMPROVEMENTS 1983-07-01 1,904 1,904 S/L 20.0000        
    SPRINKLER SYSTEM 1983-07-01 391 391 S/L 20.0000        
    CARPETING & LINOLEUM 1983-07-01 1,304 1,304 S/L 20.0000        
    STORM WINDOWS 1985-07-01 4,500 4,500 S/L 10.0000        
    CARPETING 1986-07-01 2,600 2,600 S/L 5.0000        
    ELECTRICAL IMPROVEMENTS 1986-07-01 700 700 S/L 10.0000        
    GAS WATER HEATER 1986-07-01 900 900 S/L 10.0000        
    CARPETING 1987-07-01 3,751 3,751 S/L 5.0000        
    CARPETING 1988-07-01 910 910 S/L 5.0000        
    PAINTING - 85 GRAND STREET 1990-10-15 39,127 39,127 S/L 10.0000        
    IMPROVEMENTS TO BATHROOMS 1991-10-15 45,494 35,154 S/L 27.5000 215      
    NEW 200 AMP 240 VOLT 30 CIRCUIT PANEL 1991-07-16 1,287 1,287 S/L 27.5000        
    ADVANT 1000 SINGLE DOOR SYSTEM 1992-06-30 6,050 6,050 S/L 10.0000        
    NEW FIAT LAUNDRY SINK 1992-06-30 797 797 S/L 10.0000        
    GRAB BAR AT TUB AND HANDHELD SHOWER 1992-06-30 550 550 S/L 10.0000        
    STOCK VINYL & CARPET 1992-09-23 1,550 1,550 S/L 10.0000        
    2 BACK FLOW PREVENTER 1992-12-11 1,419 1,419 S/L 10.0000        
    NEW VINYL IN CLOSET AND STORAGE AREA 1992-06-30 518 518 S/L 10.0000        
    FURNITURE & FIXTURES & EQUIPMENT 1984-01-01 19,397 19,397 S/L 10.0000        
    FREEZER 1983-07-01 669 669 S/L 10.0000        
    2 TELEVISIONS 1983-07-01 320 320 S/L 5.0000        
    FURNITURE 1983-07-01 1,057 1,057 S/L 5.0000        
    REFRIGERATOR 1984-07-01 339 339 S/L 5.0000        
    TIME CLOCK 1984-07-01 285 285 S/L 5.0000        
    TYPEWRITER 1984-07-01 500 500 S/L 5.0000        
    FURNITURE 1984-07-01 222 222 S/L 4.0000        
    FURNITURE 1985-07-01 3,197 3,197 S/L 5.0000        
    FURNITURE 1986-07-01 3,384 3,384 S/L 5.0000        
    PHONE SYSTEM 1988-07-01 2,589 2,589 S/L 5.0000        
    SECURITY SYSTEM 1989-08-01 4,645 4,645 S/L 5.0000        
    DISHWASHER 1990-08-20 2,126 2,126 S/L 5.0000        
    NEW LAWN MOWER 1992-07-31 299 299 S/L 5.0000        
    SACRO-MATTRESS & BOX SPRING 1992-08-17 188 188 S/L 5.0000        
    NEW SIGN 1992-12-04 500 500 S/L 5.0000        
    FURNITURE - MATTRESS/CHAIR/NITE STAND 1992-12-28 290 290 S/L 5.0000        
    FAX MACHINE 1990-02-15 488 488 S/L 5.0000        
    COMPUTER 1990-12-11 1,930 1,930 S/L 5.0000        
    SHARP COPIER MODEL SF-7320 1991-05-03 1,375 1,375 S/L 7.0000        
    TIME CARD CLOCK 1991-06-20 407 407 S/L 7.0000        
    ROOFING @ 73-85 GRAND ST (GARY BRUNO) 1993-03-03 5,706 4,115 S/L 27.5000 35      
    FIRE ALARM EQUIPMENT & INSTALLATION 1993-10-12 1,825 1,825 S/L 10.0000        
    REBUILD STAIRCASE 1993-10-29 1,532 1,068 S/L 27.5000 9      
    CARPET 1993-01-12 1,195 1,195 S/L 10.0000        
    MAUVE CARPET & INSTALL 1993-08-10 444 444 S/L 10.0000        
    CARPETING/VINYL & INSTALLATION 1993-09-14 1,350 1,350 S/L 10.0000        
    ORTHO - MATTRESS 1993-02-02 175 175 S/L 5.0000        
    MISCELLANEOUS FURNITURE - DRESSERS/CHAIR/HEAD 1993-06-30 2,711 2,711 S/L 5.0000        
    NEW BLINDS 1993-01-07 804 804 S/L 5.0000        
    MICROWAVE 1994-08-24 259 259 S/L 7.0000        
    GAS HOT WATER HEATER 1994-11-14 475 475 S/L 10.0000        
    INDUSTRIAL DISHWASHER 1994-12-15 2,950 2,950 S/L 7.0000        
    CARRIAGE HOUSE BUILDING RENOVATIONS 1990-12-01 209,870 115,865 S/L 40.0000 875      
    REPLACE REAR STEPS 1994-04-30 1,675 1,675 S/L 10.0000        
    KITCHEN RENOVATION 1994-11-30 4,865 2,199 S/L 40.0000 21      
    NEW VANITIES - 9 1994-08-30 2,825 2,825 S/L 7.0000        
    4 DRAWER CHEST 1994-08-11 198 198 S/L 7.0000        
    FIRE ALARM EQUIPMENT AND INSTALLATION 1995-01-01 791 791 S/L 10.0000        
    FIRE ALARM EQUIPMENT 1995-04-24 1,624 1,624 S/L 10.0000        
    50 GAL NAT'L GAS HW HEATER-73 BLDING 1995-08-21 499 499 S/L 10.0000        
    40 GAL. NAT'L GAS HW HEATER- 85 BUILDING 1995-12-05 750 750 S/L 10.0000        
    INSTALLATION OF DISHWASHER 1995-01-01 665 665 S/L 7.0000        
    SPRINKLER SYSTEM 1996-05-13 2,220 2,220 S/L 10.0000        
    SEWER LINE IMPROVEMENTS 1997-02-01 2,298 1,829 S/L 20.0000 19      
    REPLACE WATER LINES 1998-06-12 550 401 S/L 20.0000 5      
    INSTALL WIRE GLASS 1998-10-31 1,700 1,204 S/L 20.0000 14      
    DRESSER 1999-07-06 575 575 S/L 10.0000        
    BUILDING GENERATORS 2002-10-15 10,000 10,000 S/L 10.0000        
    EXTERIOR RENOVATIONS 2002-10-31 58,746 29,862 S/L 20.0000 490      
    BEDDING & WARDROBE 2003-01-06 548 548 S/L 5.0000        
    BEDDING & CHEST 2003-05-09 761 761 S/L 5.0000        
    BEDDING 2003-11-10 498 498 S/L 5.0000        
    EMERGENCY LIGHTING 2003-12-16 841 841 S/L 5.0000        
    REFRIGERATOR 1990-12-01 489 489 S/L 5.0000        
    12 ARMTUB CHAIRS 1991-10-30 1,347 1,347 S/L 10.0000        
    2 WING BACK CHAIRS 1991-10-01 534 534 S/L 10.0000        
    2 RS2007 LOVESEAT (BROOKS PEONY) 1991-10-01 784 784 S/L 10.0000        
    2 RS1052 LOUNGE CHAIRS 1991-10-01 514 514 S/L 10.0000        
    FAX MACHINE 1994-10-31 799 799 S/L 5.0000        
    ALARM INSTALLATION 1993-07-07 995 995 S/L 10.0000        
    TELEPHONE INSTALLATION 1993-08-04 926 926 S/L 10.0000        
    CARRIAGE HOUSE REVON 1996-03-04 30,650 13,739 S/L 40.0000 128      
    TELEPHONE INSTALLATION 1996-03-29 215 215 S/L 10.0000        
    FIRE ALARM INSTALLATION 1996-04-08 200 200 S/L 10.0000        
    HOT WATER HEATER INST. 1998-10-05 525 525 S/L 10.0000        
    CHAIRS 1990-04-14 1,899 1,899 S/L 7.0000        
    LIGHTING FIXTURES 1990-12-28 419 419 S/L 7.0000        
    AIR CONDITIONER 1991-07-18 438 438 S/L 7.0000        
    2 CAMELBACK LOVESEATS 1991-10-04 1,042 1,042 S/L 7.0000        
    2 WINGBACK CHAIRS 1991-10-04 758 758 S/L 7.0000        
    2 ARMCHAIRS 1991-10-04 297 297 S/L 7.0000        
    1 RS504955 SOFA TABLE 1991-10-11 130 130 S/L 7.0000        
    2 RS5051ES ENS TABLES 1991-10-11 250 250 S/L 7.0000        
    NIGHTSTAND 4 DRAWER DRESSER 1992-04-22 380 380 S/L 7.0000        
    FURNITURE - WICKER 1993-07-27 299 299 S/L 7.0000        
    VANITY 1993-07-28 364 364 S/L 7.0000        
    TABLES & LAMPS - BLDGS 1993-09-02 848 848 S/L 7.0000        
    REFRIGERATOR 1993-12-20 598 598 S/L 7.0000        
    OAK WINDSOR DINING ROOM CHAIRS 1994-05-25 1,785 1,785 S/L 7.0000        
    MAYTAG WASHER & DRYER 1994-01-31 917 917 S/L 7.0000        
    MATTRESS AND END TABLES 1997-10-31 407 407 S/L 7.0000        
    ELECTROLUX VACCUUM 1998-03-17 470 470 S/L 7.0000        
    HDBRD, FRAME, MATTRESS&BOXSPRING 1998-05-01 356 356 S/L 7.0000        
    SOFA - WOOD SMOKE 1998-05-18 620 620 S/L 7.0000        
    ELECTROLUX VACCUUM 1998-09-15 520 520 S/L 7.0000        
    MULTI-COLOR FLORAL LOVESEAT 1998-11-20 509 509 S/L 7.0000        
    MULTI-COLOR FLORAL WING CHAIR 1998-11-20 379 379 S/L 7.0000        
    CHERRY OVAL END TABLE 1998-11-20 158 158 S/L 7.0000        
    WINGBACK CHAIR 2002-10-31 1,428 1,428 S/L 7.0000        
    CHERRY ENT CENTER 2003-01-15 150 150 S/L 7.0000        
    CHERRY ENT CENTER 2003-02-25 388 388 S/L 7.0000        
    G/E FREEZER 2003-08-07 509 509 S/L 7.0000        
    BROADHURST CARPETING 1992-06-18 898 898 S/L 10.0000        
    NEW VINYL - STORAGE AREA & CLOSET 1992-06-30 181 181 S/L 10.0000        
    HUDSON VIEW CONSTRUCTION 1993-03-25 2,538 2,538 S/L 7.0000        
    HUDSON VIEW CONSTRUCTION 1993-04-07 1,273 1,273 S/L 10.0000        
    GIANT CARPET 1993-06-07 1,786 1,786 S/L 10.0000        
    STOVE 1993-09-02 3,329 3,329 S/L 10.0000        
    DINING ROOM/ HALL FLOORING 1994-06-02 1,951 1,951 S/L 10.0000        
    PORCH IMPROVEMENTS 1996-07-02 1,250 1,250 S/L 10.0000        
    CARPETING 1996-12-10 2,611 2,611 S/L 10.0000        
    SEWER LINE IMPROVEMENTS 1997-02-24 2,885 2,308 S/L 20.0000 24      
    FLOORING 1997-01-29 434 434 S/L 10.0000        
    FLOORING 1997-07-09 300 300 S/L 10.0000        
    CARPETING 1997-09-03 600 600 S/L 10.0000        
    FLOORING 1998-05-24 263 263 S/L 10.0000        
    FLOORING 1999-06-07 1,154 1,154 S/L 10.0000        
    FLOORING 2003-06-19 2,385 2,385 S/L 10.0000        
    FLOORING 2003-08-21 2,345 2,228 S/L 10.0000 39      
    FLOORING 2003-11-12 1,167 1,109 S/L 10.0000 19      
    ROOF REPAIR 2004-06-04 1,372 589 S/L 20.0000 11      
    FULL SET OF BEDDING 2004-06-04 399 399 S/L 5.0000        
    MONARCH DOOR 2004-02-03 1,385 1,235 S/L 10.0000 23      
    STEAM BOILER-85 BLDG 2004-03-02 10,995 9,712 S/L 10.0000 184      
    CEILING REPAIRS - KAPLAN 2004-09-30 1,359 561 S/L 20.0000 11      
    FLOORING 2004-03-12 980 866 S/L 10.0000 16      
    PAINT PLASTER CEILING & WALLS 2004-08-23 1,350 1,125 S/L 10.0000 23      
    FLOORING 2004-09-27 1,500 1,238 S/L 10.0000 25      
    FLOORING 2004-11-22 1,310 1,059 S/L 10.0000 22      
    KITCHEN RENOVATIONS 2005-07-01 39,080 14,655 S/L 20.0000 326      
    REPLACEMENT WINDOWS 2005-10-05 3,850 2,888 S/L 10.0000 64      
    PORCH IMPROVEMENTS 2005-10-25 4,935 3,701 S/L 10.0000 83      
    FURNACE & DUCT SYSTEM 2006-12-31 14,152 9,199 S/L 10.0000 236      
    PAINTING PROJECT 2006-12-31 28,841 18,747 S/L 10.0000 480      
    ROOF REPAIR 2006-12-31 31,125 10,116 S/L 20.0000 259      
    STAIR LIFT 2006-03-31 9,000 5,850 S/L 10.0000 150      
    ELECTRICAL & LIGHTING UPGRADES 2006-12-31 3,566 2,318 S/L 10.0000 59      
    KITCHEN RENOVATION 2006-12-31 1,960 637 S/L 20.0000 16      
    INSTALLATION OF NEW HE FURNACE 2007-01-31 1,500 825 S/L 10.0000 25      
    BOILER 2007-12-26 15,125 4,159 S/L 20.0000 126      
    SPRINKLER SYSTEM 2007-04-05 1,000 275 S/L 20.0000 8      
    FLOORING 2005-06-27 2,135 1,601 S/L 10.0000 36      
    TILE IN BATHROOM 2006-05-24 290 189 S/L 10.0000 4      
    STAIR LIFT 2005-08-31 9,690 7,268 S/L 10.0000 161      
    FLOORING 2005-12-05 550 413 S/L 10.0000 9      
    DEFIBRILLATOR 2005-06-10 1,995 1,995 S/L 5.0000        
    FILING CABINETS 2006-04-19 567 567 S/L 5.0000        
    RESIDENT ROOM FURNITURE 2006-08-15 289 289 S/L 5.0000        
    CHEST 2007-04-05 249 196 S/L 7.0000 6      
    PAINTING 2005-10-05 1,012 1,012 S/L 5.0000        
    FRONT PARLOR BLINDS 2006-05-01 900 836 S/L 7.0000 22      
    ELECTRICAL IMPROVEMENTS 2008-07-01 1,716 386 S/L 20.0000 14      
    LAND 1974-01-01 4,300              

    TY 2013 LandEtcSchedule2
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDINGS        
    LAND        


    TY 2013 LegalFeesSchedule
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSED HOME CARE 11,900   11,639 261


    TY 2013 MortgagesAndNotesPayableSch
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Total Mortgage Amount:  

    Item No. 1
    Lender's Name KEYBANK NATIONAL ASSOCIATION
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 150000
    Balance Due  
    Date of Note 2006-01
    Maturity Date 2021-01
    Repayment Terms  
    Interest Rate 0.0475
    Security Provided by Borrower  
    Purpose of Loan  
    Description of Lender Consideration  
    Consideration FMV  


    TY 2013 OtherExpensesSchedule
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LICENSED HOME CARE        
    INSURANCE 3,800   3,717 83
    OFFICE EXPENSE 19,398   18,973 425
    MISCELLANEOUS 1,016   994 22
    SUBCONTRACT LABOR 2,228,163   2,179,386 48,777
    BAD DEBT EXPENSE 3,036   2,970 66
    BANK CHARGE 145   142 3
    CONSULTING 52,000   50,861 1,139
    EXPENSES        
    CASH BASIS EXPENSES       33,697


    TY 2013 OtherIncomeSchedule2
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LICENSED HOME CARE 2,312,153   2,312,153


    TY 2013 OtherLiabilitiesSchedule
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Description Beginning of Year - Book Value End of Year - Book Value
    DUE TO RELATED PARTIES 338,915 519,644


    TY 2013 OtherNotesLoansRcvblShortSch2
    Name:
    AMOS F & SARAH L HOLDEN HOME FOR
    AGED WOMEN
    EIN: 14-1365995
    Name of 501(c)(3) Organization Balance Due
    NOTE RECEIVABLE
          		256,500
    DUE FROM AFFILIATE
          		4,090