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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
JOB HAINES HOME FOR AGED PEOPLE
 
Number and street (or P.O. box number if mail is not delivered to street address)250 BLOOMFIELD AVENUE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Bloomfield, NJ07003
A Employer identification number

22-0972180
B Telephone number (see instructions)

C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$54,689,602J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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      
4 Dividends and interest from securities... 1,572,699 1,572,699 1,572,699
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,298,426
b Gross sales price for all assets on line 6a 9,592,108
7 Capital gain net income (from Part IV, line 2)... 2,298,426
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)....... Click to see attachment 10,156,900   10,156,900
12 Total. Add lines 1 through 11........ 14,028,025 3,871,125 11,729,599
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 259,683   259,683 259,683
14 Other employee salaries and wages...... 8,666,786   8,666,786 8,666,786
15 Pension plans, employee benefits....... 1,764,871   1,764,871 1,764,871
16a Legal fees (attach schedule)......... Click to see attachment 77,244   77,244 77,244
b Accounting fees (attach schedule)....... Click to see attachment 123,256   123,256 123,256
c Other professional fees (attach schedule).... Click to see attachment 307,823 180,268 127,555 127,555
17 Interest............... 207,873   207,873 207,873
18 Taxes (attach schedule) (see instructions)... Click to see attachment 873,998   873,998 873,998
19 Depreciation (attach schedule) and depletion... Click to see attachment 962,926    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,988,931   2,988,932 2,988,931
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,233,391 180,268 15,090,198 15,090,197
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 16,233,391 180,268 15,090,198 15,090,197
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -2,205,366
b Net investment income (if negative, enter -0-) 3,690,857
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 945,529 1,250,765 1,250,765
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet931,149
Less: allowance for doubtful accounts bullet39,620 973,605 891,529 891,529
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 433,785 537,481 537,481
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 39,509,168 Click to see attachment39,254,454 39,254,454
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 bullet25,437,494
Less: accumulated depreciation (attach schedule) bullet12,682,121 13,491,202 12,755,373 12,755,373
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 55,353,289 54,689,602 54,689,602
Liabilities 17 Accounts payable and accrued expenses.......... 2,197,695 1,380,821
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 7,853,765 Click to see attachment7,607,878
22 Other liabilities (describe bullet) 24,648 Click to see attachment13,272
23 Total liabilities (add lines 17 through 22)......... 10,076,108 9,001,971
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 45,277,181 45,687,631
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 45,277,181 45,687,631
30 Total liabilities and net assets/fund balances (see instructions). 55,353,289 54,689,602
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
45,277,181
2
Enter amount from Part I, line 27a .....................
2
-2,205,366
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,615,816
4
Add lines 1, 2, and 3 ..........................
4
45,687,631
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 29 .
6
45,687,631
Form 990-PF (2021)
Form 990-PF (2021)
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 EQUITIES P 2015-06-30 2021-06-30
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 9,592,108   7,293,682 2,298,426
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       2,298,426
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 2,298,426
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter: 1974-01-14(attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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  
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 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 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. Check here 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  
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 2022 estimated taxBullet   RefundedBullet 11  
Part VI-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 the instructions
for the 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNJ
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    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 addressbulletNHAVERONJOB-HAINES.ORG
    14
    The books are in care ofbulletNOREEN HAVERON Telephone no.bullet (973) 743-0792

    Located atbullet250 BLOOMFIELD AVENUEBloomfieldNJ ZIP+4bullet07003
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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 instructions ..........
    1b
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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
     
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    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
    NOREEN HAVERONClick to see attachment EXECUTIVE DIRECTOR PRESIDENT
    40.00     		259,683 27,266 5,000
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    JOHN REDMONDClick to see attachment CHAIR
    2.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    BYRON DE VIRESClick to see attachment VICE-CHAIR
    2.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    EUK KWONClick to see attachment SECRETARY
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    GERALD FASANELLAClick to see attachment TREASURER
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    H BARTLETT BROWNClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    JASON CULLARIClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    ROBERT HICOCKClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    SUSAN CLAPPClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    ALICE OSURClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    GEMMA L SULLIVANClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    NOAH YOUNGClick to see attachment TRUSTEE
    3.00     		0 0 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    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
    EVELYNE LEMMYClick to see attachment DIRECTOR OF NURSING
    40.00     		185,627 22,729 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    DAVID REPOLIClick to see attachment FACILITY ADMINISTRAT
    40.00     		176,597 22,281 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    DEVON GROCEClick to see attachment ADON
    40.00     		162,269 21,422 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    EVELYN LEKUNZEClick to see attachment NURSE
    40.00     		123,933 19,122 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    ELIZABETH POWERSClick to see attachment REGISTERED NURSE
    40.00     		118,434 18,792 0
    250 BLOOMFIELD AVENUE
    Bloomfield,NJ07003
    Total number of other employees paid over $50,000...................bullet 49
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
    GENERATION PHARMACY GROUP LLCClick to see attachment DRUGS AND SUPPLIES 366,485
    85 FULTON STREET
    Boonton,NJ07005
    GEORGE M LINDORFFClick to see attachment CPA SERVICES 110,718
    21 PLEASANT PLACE
    Kearny,NJ07032
    IT CRAFTClick to see attachment Computer IT 84,307
    259 11TH STREET
    Palisades Park,NJ07650
    Total number of others receiving over $50,000 for professional services.............bullet3
    Part VIII-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 THE FOUNDATION PROVIDES HEALTH AND RESIDENT CARE FOR THE ELDERLY 16,233,388
    2  
    3  
    4  
    Part VIII-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  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    39,882,937
    b
    Average of monthly cash balances.......................
    1b
    211,663
    c
    Fair market value of all other assets (see instructions)................
    1c
    14,184,383
    d
    Total (add lines 1a, b, and c).........................
    1d
    54,278,983
    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
    7,607,771
    3
    Subtract line 2 from line 1d.........................
    3
    46,671,212
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    700,068
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    45,971,144
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,298,557
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    2,298,557
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,298,557
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    2,298,557
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    2,298,557
    Part XI
    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 VIII-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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 2,298,557
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 12,575,801
    b From 2017...... 14,381,815
    c From 2018...... 12,671,800
    d From 2019...... 13,733,050
    e From 2020...... 14,397,799
    f Total of lines 3a through e ........ 67,760,265
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 15,317,294
    a Applied to 2020, 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 2021 distributable amount..... 2,298,557
    e Remaining amount distributed out of corpus 13,018,737
    5 Excess distributions carryover applied to 2021.    
    (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 80,779,002
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		12,575,801
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		68,203,201
    10 Analysis of line 9:
    a Excess from 2017.... 14,381,815
    b Excess from 2018.... 12,671,800
    c Excess from 2019.... 13,733,050
    d Excess from 2020.... 14,397,799
    e Excess from 2021.... 13,018,737
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, enter the date of the ruling ....... bullet
    1974-01-14
    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) 2021 (b) 2020 (c) 2019 (d) 2018
    0 1,218,827 1,020,819 1,112,287 3,351,933
    b 85% (0.85) of line 2a .........   1,036,003 867,696 945,444 2,849,143
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		15,317,294   12,744,812 12,671,800 40,733,906
    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 ....     		15,317,294   12,744,812 12,671,800 40,733,906
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ...... 54,689,602 55,253,289 53,389,393 51,839,093 215,171,377
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		 36,461,558 36,837,368 35,594,708 34,561,128 143,454,762
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		1,532,371   1,251,715 1,299,183 4,083,269
    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 XIV
    Supplementary Information (Complete this part only if the foundation 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 or e-mail address of the person to whom applications should be addressed:
    NONE
    NONE
    Bloomfield,NJ07003
    (973) 743-0792
    bThe form in which applications should be submitted and information and materials they should include:
    NONE
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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 0
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    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) ..      
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
     
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    01a ACTIVITIES ARE USED TO PROVIDE CARE FOR THE ELDERLY RESIDENT OF THEJOB HAINES HOME
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    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) (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) 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 instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 96,506 0 96,506 96,506
    AUDIT FEES 26,750 0 26,750 26,750

    TY 2021 CashDeemedCharitableExplnStmt
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Explanation:
    operating cash needed for payment expenses

    TY 2021 CompensationExplanation
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Person Name Explanation
    NOREEN HAVERON BOARD APPROVED COMPENSATION
    JOHN REDMOND NO COMPENSATION
    BYRON DE VIRES NO COMPENSATION
    EUK KWON NO COMPENSATION
    GERALD FASANELLA NO COMPENSATION
    H BARTLETT BROWN NO COMPENSATION
    JASON CULLARI NO COMPENSATION
    ROBERT HICOCK NO COMPENSATION
    SUSAN CLAPP NO COMPENSATION
    ALICE OSUR NO COMPENSATION
    GEMMA L SULLIVAN NO COMPENSATION
    NOAH YOUNG NO COMPENSATION

    TY 2021 ContractorCompensationExpln
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Contractor Explanation
    GENERATION PHARMACY GROUP LLC DRUGS MEDICAL SUPPLIES AND SMALL MED EQUIPMENT
    GEORGE M LINDORFF ACCOUNTING AND FINANCIAL ADVICE
    IT CRAFT Computer Engineering

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

    TY 2021 DepreciationSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    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
    58 1710 TRANSPORTATION 2006-01-01 54,084 54,084 SL 13 0 0 0  
    89 VAN 2007 1710 2007-09-28 22,557 22,557 SL 7 0 0 0  
    1610 BUILDGINGS 1999-07-01 6,640,834 3,569,451 SL 40 166,021 0 0  
    2 Additions 1610 1999-07-01 22,535 11,825 SL 40 563 0 0  
    3 Additions1610 2001-07-01 23,603 11,505 SL 40 590 0 0  
    4 additions 1610 2002-08-31 12,304 5,698 SL 40 308 0 0  
    5 improvements 1610 2003-06-30 6,690 2,923 SL 40 167 0 0  
    14 al blgs 1630 1999-12-31 1,697,848 891,369 SL 40 42,446 0 0  
    15 AL BDG 1630 2000-12-31 1,264,613 663,923 SL 40 31,615 0 0  
    16 BLGD 1630 2001-12-31 750,457 365,845 SL 40 18,761 0 0  
    17 NU BLDG 1510 1999-07-01 3,659,803 1,967,142 SL 40 91,495 0 0  
    18 ADDITIONS NU 1510 2001-06-30 5,800 2,755 SL 40 145 0 0  
    19 ELECTRICAL NU 1510 2002-08-30 8,078 8,078 SL 15 0 0 0  
    24 MAIN HOUSE 1410 1982-03-31 343,200 343,200 SL 25 0 0 0  
    25 MAIN HS 1410 2001-06-30 180,172 83,328 SL 40 4,504 0 0  
    29 1510 NU ELECTRICAL 2003-06-30 5,091 5,091 SL 15 0 0 0  
    39 1410 MAIN HS SIDEWALKS 2005-06-30 25,510 16,070 SL 25 1,020 0 0  
    56 FIRE DOORS 1620 2005-06-30 7,265 7,265 SL 10 0 0 0  
    63 ROOF 1610 2006-06-30 8,000 4,640 SL 25 320 0 0  
    64 DOOR SECURITY 1610 2006-06-30 1,025 1,025 SL 10 0 0 0  
    65 AC UNITS 1610 2006-06-30 7,019 7,019 SL 10 0 0 0  
    79 FIRE RESTORATION 1410 2018-01-01 18,558 1,160 SL 40 464 0 0  
    92 ROOF 1610 AL 2007-12-31 16,625 16,070 SL 15 555 0 0  
    114 1620 computer 2012-06-30 1,263 1,263 SL 3 0 0 0  
    116 1610 ROOF AND DRAINS 2008-06-30 58,650 48,883 SL 15 3,910 0 0  
    117 FRONT DOORS 1610 2008-04-30 8,455 8,455 SL 10 0 0 0  
    118 ELECTRIC AL 1610 2008-11-30 1,500 1,250 SL 15 100 0 0  
    119 CARPETING 1610 2008-12-31 1,000 1,000 SL 7 0 0 0  
    120 ELECTRIC 1510 NU 2008-08-15 7,902 6,096 SL 15 527 0 0  
    121 AC NU 1510 2008-04-20 5,050 5,050 SL 10 0 0 0  
    122 ALMARK DOORS 1510 NU 2008-04-30 8,455 8,455 SL 10 0 0 0  
    129 ROOF 1520 2008-10-31 6,800 6,800 SL 10 0 0 0  
    130 FOUNTAIN 1630 NU 2008-12-31 4,112 4,112 SL 7 0 0 0  
    131 SUB ACCUTE 1812 2008-12-31 141,473 105,525 SL 15 9,432 0 0  
    132 ROOF 1610 AL 2008-01-01 41,000 34,171 SL 15 2,733 0 0  
    133 HVAC 1620 AL 2008-06-30 1,575 1,575 SL 10 0 0 0  
    135 ROOF 1620 2008-10-31 14,000 14,000 SL 10 0 0 0  
    142 ROOF 1610 2009-06-30 8,655 8,655 SL 7 0 0 0  
    192 BRICKS DRAINS 1410 2011-12-31 11,300 6,955 SL 15 753 0 0  
    207 1620 WALL REPAIR 2012-06-30 1,500 1,500 SL 7 0 0 0  
    212 ROOF 1410 2013-06-30 3,054 1,223 SL 15 204 0 0  
    7 1620 FURNITURE 1999-12-31 96,000 96,000 SL 10 0 0 0  
    8 1620 TELEPHONE 1999-12-31 36,524 36,524 SL 5 0 0 0  
    32 CARPETING 1620 2004-06-30 4,361 4,361 SL 10 0 0 0  
    71 FURNITURE 1620 2006-03-31 7,393 7,393 SL 7 0 0 0  
    94 SIGN 1610 2007-07-31 6,380 6,380 SL 10 0 0 0  
    95 ELECTRIC DOORS 1610 2007-06-03 1,300 1,300 SL 10 0 0 0  
    134 FURNITURE LOBBY 1620 2008-06-30 15,586 15,586 SL 10 0 0 0  
    136 CARPETING 1620 2008-06-30 13,819 13,819 SL 10 0 0 0  
    146 DIRECT SUPPLY 1620 2009-06-30 8,632 8,632 SL 7 0 0 0  
    147 1520 OFFICE FURNITURE 2009-06-30 3,140 3,140 SL 5 0 0 0  
    151 1620 ESSEX CARPETING 2009-06-30 80,398 80,398 SL 7 0 0 0  
    156 SUB ACUTE 1816 2009-11-01 111,441 111,441 SL 5 0 0 0  
    157 1816 EQUIPMENT 2009-11-01 39,162 39,162 SL 7 0 0 0  
    158 CURTAINS 1816 2009-11-01 6,994 6,994 SL 3 0 0 0  
    166 1520 OFFICE FURNITURE 2009-11-01 5,330 5,330 SL 7 0 0 0  
    169 1888 CARPETING 2010-06-30 4,891 4,891 SL 5 0 0 0  
    173 FIRNITURE 1520 2010-06-30 11,124 11,124 SL 7 0 0 0  
    217 KITCHEN EQUIPMENT 1520 2013-06-30 19,467 19,467 SL 5 0 0 0  
    218 RESTORATION 1520 2013-06-30 6,607 6,607 SL 7 0 0 0  
    223 TABLES CHAIRS 1620 2013-06-30 3,604 2,701 SL 10 360 0 0  
    34 COURT YARD IMP 1604 2004-06-30 106,616 106,616 SL 15 0 0 0  
    59 NURSING IMP 1510 2005-12-31 27,561 27,561 SL 15 0 0 0  
    60 COURT YARD 1604 2005-06-30 4,104 3,968 SL 15 0 0 0  
    96 WALL AND SHRUBBS 1610 2007-11-30 5,536 5,536 SL 10 0 0 0  
    105 KITCH TILE 1520 assets not writen off 2006-03-31 27,393 27,393 SL 7 0 0 0  
    108 PAINTING 1620 2007-06-30 2,220 2,220 SL 5 0 0 0  
    109 PAINTING 1620 2007-06-30 7,000 7,000 SL 7 0 0 0  
    FLOORING 1610 2009-06-30 23,732 22,830 SL 7 0 0 0  
    148 OHARA ELECTRIC 1620 2009-06-30 1,360 1,360 SL 15 0 0 0  
    154 SUB ACCUTE 1812 2009-11-01 570,983 425,192 SL 15 38,066 0 0  
    155 SUB ACCUTE 1812 2009-11-01 2,533 2,533 SL 5 0 0 0  
    178 DEVITA 1510 2010-06-30 74,734 52,749 SL 15 4,982 0 0  
    179 DEVITA CONST 1510 2011-06-30 32,154 31,545 SL 10 609 0 0  
    187 FRONT DESK 1885 2011-06-30 32,593 30,961 SL 10 1,632 0 0  
    189 FRONT DESK 1885 2011-01-31 32,592 27,702 SL 10 3,259 0 0  
    197 PAINTING 1620 2011-06-30 4,300 4,300 SL 3 0 0 0  
    221 1610 COOLING TOWER 2013-06-30 17,822 12,580 SL 10 1,782 0 0  
    229 1886 DRAPERY AND FURN 2013-06-30 13,090 9,817 SL 10 1,309 0 0  
    230 WINDOWS 1887 2013-06-30 19,780 18,369 SL 7 0 0 0  
    61 WEBSITE DEVELOP 1850 2006-01-01 16,200 16,200 SL 7 0 0 0  
    62 1850 WEBSITE DEVELOP 2006-12-31 13,690 13,690 SL 7 0 0 0  
    2281883 COMPUTER PROGRAMS 2013-06-30 32,258 32,258 SL 5 0 0 0  
    167 1810 LICENSES BEDS 2009-01-11 92,573 0 NDA 30 0 0 0  
    28 KITCHEN 1620 1999-07-01 120,000 120,000 SL 15 0 0 0  
    33 SECURITY SYS 1620 2004-06-30 20,834 20,834 SL 10 0 0 0  
    53 HEALTH EQUIP 1620 2005-06-30 12,827 12,827 SL 10 0 0 0  
    70 AC UNITS 1620 2006-06-30 8,326 8,326 SL 10 0 0 0  
    72 AMAC PENDENT SYS 1620 2006-06-30 48,214 48,214 SL 07 0 0 0  
    73 POWER TOOLS 1620 2006-06-30 3,548 3,548 SL 10 0 0 0  
    74 STEAMER 1620 2006-06-30 3,806 3,806 SL 10 0 0 0  
    139 carpet 1620 2007-06-30 14,358 14,358 SL 7 0 0 0  
    140 1610 medical records 2009-06-30 8,470 7,141 SL 15 565 0 0  
    143 frezzer equip 1610 2009-06-30 5,244 5,244 SL 7 0 0 0  
    149 1520 copier and security 2009-06-30 33,642 33,642 SL 7 0 0 0  
    150 ac and equip 1620 2009-06-30 7,425 7,425 SL 5 0 0 0  
    153 freezer 1510 2009-06-30 4,442 4,442 SL 7 0 0 0  
    159 equip rehab 1817 2009-11-01 13,502 13,502 SL 3 0 0 0  
    160 equip 1817 2009-11-01 49,129 49,129 SL 5 0 0 0  
    161 equip 1817 2009-11-01 31,210 31,210 SL 7 0 0 0  
    165 files 1520 2009-06-30 2,240 2,240 SL 10 0 0 0  
    168 boiler mh 1410 2010-06-30 55,402 38,781 SL 15 3,693 0 0  
    1620 carpeting 1620 2010-06-30 46,581 46,581 SL 7 0 0 0  
    180 1520 beds carpeting 2011-06-30 60,829 60,829 SL 7 0 0 0  
    181 carpet 1620 2011-06-30 2,227 2,227 SL 7 0 0 0  
    182 roof and appliances 1620 2011-06-30 7,999 7,999 SL 5 0 0 0  
    183 1620 ac units 2011-06-30 7,445 7,445 SL 7 0 0 0  
    184 plates 1620 2011-06-30 3,235 3,235 SL 3 0 0 0  
    185 1620 security 2011-06-30 1,399 1,399 SL 3 0 0 0  
    186 1620 beauty shop 2011-06-30 1,752 1,752 SL 3 0 0 0  
    76 carpeting 1620 2006-06-30 20,351 20,351 SL 7 0 0 0  
    90 steamer 1610 2007-01-31 1,013 1,013 SL 10 0 0 0  
    91 air conditioning 1610 2007-02-28 11,395 11,395 SL 7 0 0 0  
    110 dishwasher 1620 2007-06-30 3,442 3,442 SL 10 0 0 0  
    111 1620 fire cabinet 2007-06-30 1,150 1,150 SL 7 0 0 0  
    112 1620 carpet ac sgn 2007-06-30 16,168 16,168 SL 7 0 0 0  
    123 mccarthy beds 1520 2008-05-31 30,046 30,046 SL 10 0 0 0  
    125 1520 medical supplies 2008-06-30 9,916 9,916 SL 7 0 0 0  
    126 medical equip 1520 2008-08-31 1,154 1,154 SL 10 0 0 0  
    137bnkitchen equip 1620 2008-10-31 3,467 3,467 SL 7 0 0 0  
    188 computer systems 1882 2011-06-30 88,429 88,429 SL 5 0 0 0  
    190 cameras 1520 2011-12-31 20,456 20,456 SL 7 0 0 0  
    191 1520 locks 2011-12-31 5,902 5,902 SL 7 0 0 0  
    193 3m nonitoring 1620 2011-12-31 22,377 22,377 SL 7 0 0 0  
    194 day electric 1620 2011-12-31 7,200 7,200 SL 7 0 0 0  
    195 essex locks 1620 2011-12-31 3,101 3,101 SL 7 0 0 0  
    196 1620 roof top ac 2011-06-30 14,020 14,020 SL 7 0 0 0  
    198 1610 various small equip 2011-10-27 1,519 1,519 SL 7 0 0 0  
    199 steamer convection 1520 2012-01-10 12,918 12,918 SL 7 0 0 0  
    200 shredder 1520 2012-01-31 752 752 SL 5 0 0 0  
    201 kerri sys 1520 2012-01-31 3,590 3,590 SL 5 0 0 0  
    202 1620 heating sys 2012-03-31 24,958 24,958 SL 5 0 0 0  
    203 1620 carpet 2012-06-30 9,937 9,937 SL 5 0 0 0  
    204 telephone 1520 2012-06-30 14,484 14,484 SL 5 0 0 0  
    205 1062 security 2012-06-30 12,065 12,065 SL 5 0 0 0  
    206 carrier roof top 1520 2012-06-30 25,988 25,988 SL 7 0 0 0  
    208 ice machine 1520 2012-06-30 1,586 1,586 SL 5 0 0 0  
    209 TELE KERRI SECURITY 2012-06-30 19,321 19,321 SL 5 0 0 0  
    214 ac units 1510 2013-06-30 6,478 6,446 SL 7 0 0 0  
    216 washers 1520 2013-06-30 1,226 1,266 SL 5 0 0 0  
    219 ac compressors 1520 2013-06-30 3,784 3,784 SL 7 0 0 0  
    220 1620 small equipment hvac 2013-06-30 16,994 16,994 SL 5 0 0 0  
    222 door security 1620 2013-06-30 16,012 16,012 SL 7 0 0 0  
    224 1620 small hvac equip 2013-06-30 13,172 13,172 SL 7 0 0 0  
    225 tables 1620 2013-06-30 2,433 2,433 SL 3 0 0 0  
    226 computer server 1882 2013-06-20 25,191 25,191 SL 5 0 0 0  
    227 coolong tower 1884 2013-06-30 20,891 20,891 SL 7 0 0 0  
    250 oboyle landscaping 1410 2014-06-30 3,113 3,113 SL 5 0 0 0  
    251 thowe roofing 1410 2014-06-30 22,538 6,761 SL 20 1,127 0 0  
    254 adriatic roof 1510 2014-06-30 9,979 3,243 SL 20 499 0 0  
    255 1510 howeroofing sidewalk 2014-06-30 8,500 2,763 SL 20 425 0 0  
    256 oboyle landscaping 1510 2014-06-30 9,576 8,892 SL 7 684 0 0  
    257 main acess 1510 2014-06-30 1,196 1,196 SL 5 0 0 0  
    258 hvac equipment 1520 2014-06-30 9,872 6,416 SL 10 987 0 0  
    259 hotwater heaters 1520 2014-06-30 4,150 2,698 SL 10 415 0 0  
    260 carpet 1520 2014-06-30 1,150 1,066 SL 7 84 0 0  
    261 electrical 1520 2014-06-30 985 637 SL 10 98 0 0  
    262 wheelchairs 1520 2014-06-30 2,002 1,300 SL 10 200 0 0  
    263 cleaning 1520 2014-06-30 999 999 SL 5 0 0 0  
    264 equipment 1520 2014-06-30 5,180 5,180 SL 5 0 0 0  
    265 equipment tools 1520 2014-06-30 1,687 1,687 SL 5 0 0 0  
    266 restoration roof 1610 2014-06-30 9,979 3,243 SL 20 499 0 0  
    267 oboyle landscap 1610 2014-06-30 3,113 3,113 SL 5 0 0 0  
    268 howe roof sidewalks 1610 2014-06-30 8,500 2,763 SL 20 425 0 0  
    269 1510 security 2014-06-30 1,195 1,195 SL 5 0 0 0  
    270 windows 1610 2014-06-30 9,000 3,600 SL 15 600 0 0  
    271 flooring 1620 2014-06-30 6,765 6,279 SL 7 486 0 0  
    272 chairs 1620 2014-06-30 3,000 2,788 SL 7 212 0 0  
    273 painting 1620 2014-06-30 7,025 6,526 SL 7 499 0 0  
    274 compressor 1620 2014-06-30 2,640 2,451 SL 7 189 0 0  
    275 racks 1620 2014-06-30 1,777 1,674 SL 7 103 0 0  
    276 cleaners 1620 2014-06-30 999 999 SL 7 0 0 0  
    277 security systems 1620 2014-06-30 84,777 55,107 SL 10 8,478 0 0  
    278 med cards 1620 2014-06-30 612 397 SL 10 61 0 0  
    278 tools plumbing 1620 2014-06-30 2,954 1,918 SL 10 295 0 0  
    280 equipment direct supply 1620 2014-06-30 1,245 1,157 SL 7 88 0 0  
    281 dsw equipment 1620 2014-06-30 1,363 1,267 SL 7 96 0 0  
    282 hd supply equipment 1620 2014-06-30 3,027 2,808 SL 7 219 0 0  
    283 united ref ohara electrical 1620 2014-06-30 2,095 1,359 SL 10 209 0 0  
    284 1620 ohara electrical 2014-12-31 2,499 1,500 SL 10 250 0 0  
    285 abbott oreily 2nd flr 1887 2014-06-30 18,262 7,912 SL 15 1,217 0 0  
    286 john gherardi2nd flr 1887 2014-06-30 95,729 41,483 SL 15 6,382 0 0  
    290 sueellen spullane 3rd fr 1888 2014-09-30 65,217 21,196 SL 20 3,261 0 0  
    1850 website 2012-04-30 7,500 7,500 SL 5 0 0 0  
    painting wall paper 1812 2014-11-01 15,500 6,715 SL 15 1,033 0 0  
    front desk 1885 2012-06-30 22,379 19,022 SL 10 2,238 0 0  
    cooling tower 1884 2012-06-30 6,965 6,467 SL 7 0 0 0  
    33 to 70 small eqwuip 1520 2012-06-30 31,220 31,220 SL 7 0 0 0  
    248 1420 JOHN GHERARDI 2ND FLR 2015-06-30 4,450 2,448 SL 10 445 0 0  
    291 1420 NATIONAL BUSN FURNITURE 2015-06-30 460 253 SL 10 46 0 0  
    292 RESTORATION BATHROOM 1510 2015-06-30 13,125 4,811 SL 15 875 0 0  
    292 1510 HOWROOFING SIDEWALK 2015-06-30 12,886 4,725 SL 15 859 0 0  
    293 RESTORATION ROOF 1510 2015-06-30 22,845 6,281 SL 20 1,142 0 0  
    294 OBOYLE WALL 1510 2015-06-30 975 975 SL 5 0 0 0  
    295 1510 flooring 2009-06-30 12,625 12,625 SL 7 0 0 0  
    295 1520 BOILER PUMP 2015-06-30 2,060 1,617 SL 7 294 0 0  
    295 1520 FURNITURE 2015-06-30 1,179 924 SL 7 168 0 0  
    296 1520 CARPET 2015-06-30 2,283 1,793 SL 7 326 0 0  
    296 1520 EQUIP MCKESSENHVACZEBLK 2015-06-30 17,870 17,870 SL 5 0 0 0  
    297 1520 BOOT CAMP 2015-06-30 510 510 SL 3 0 0 0  
    298 1610 ALARMSIDEWALK BLGD ROOF 2ND FLR 2015-06-30 59,336 16,318 SL 20 2,967 0 0  
    299 1610 ALARM WL WATER PROOF STN WL 2015-06-30 12,478 12,478 SL 5 0 0 0  
    301 1620 BATHROON 2NF DISH 2015-06-30 103,702 57,035 SL 10 10,370 0 0  
    302 1620 CARPETING ALARM PUMP DRS 2015-06-30 50,402 39,600 SL 7 7,200 0 0  
    306 1410 REHAB PROJECT MAIN HOUSE 2017-06-30 3,804,476 332,891 SL 40 95,112 0 0  
    1882 cdw amex server 2015-06-30 7,296 7,295 SL 5 0 0 0  
    1882 integrated systems 2015-01-01 2,630 2,630 SL 5 0 0 0  
    1882 integrated systems 2015-01-01 23,562 20,196 SL 7 3,366 0 0  
    1610 parking lot 2007-06-30 3,500 3,500 SL 7 0 0 0  
    1520 NU DINNING RM 2015-06-30 40,713 22,388 SL 10 4,071 0 0  
    1520 DAYS OF OLDE 2013-06-30 6,708 5,032 SL 10 671 0 0  
    1520 MEDICAL EQUIP 2013-03-31 4,661 3,495 SL 10 466 0 0  
    1520 WINDOW TREATMENT 2013-06-30 11,900 10,455 SL 10 1,190 0 0  
    1520 NU BATHROOM SUELLEN SPILEAN 2015-06-30 31,242 17,185 SL 10 3,124 0 0  
    1520 text spreads 2012-06-30 9,507 9,507 SL 3 0 0 0  
    1620 copier and small equip 2005-06-30 38,178 38,178 SL 10 0 0 0  
    1510 equip 2010-06-30 5,292 5,114 SL 10 0 0 0  
    1620 3m security 2012-06-30 39,635 39,635 SL 7 0 0 0  
    1890 lighting and construction 2015-05-06 17,420 6,386 SL 15 1,161 0 0  
    1510 improvements 2016-06-30 9,050 4,073 SL 10 905 0 0  
    1520 furniture 2016-06-30 16,246 10,444 SL 7 2,321 0 0  
    1610 windows abbot oreilly 2016-06-30 30,863 6,944 SL 20 1,543 0 0  
    1620 carpeting painting 2016-12-31 61,116 29,685 SL 7 8,731 0 0  
    1620 flr scrubber 2016-12-31 7,085 3,036 SL 7 1,012 0 0  
    1630 roofing 2016-06-30 7,250 2,174 SL 15 483 0 0  
    1850 website 2016-06-30 9,925 7,940 SL 5 1,985 0 0  
    1820 1st flr dining rm 2016-06-30 66,508 19,953 SL 15 4,434 0 0  
    1821 1st flr cafe 2016-06-30 61,540 11,078 SL 25 2,462 0 0  
    1882 computers 2016-06-30 24,043 21,640 SL 5 2,403 0 0  
    1882 security cameras 2016-06-30 9,318 4,194 SL 10 932 0 0  
    1884 cooling towers 2016-06-30 10,150 3,045 SL 10 1,015 0 0  
    1620 hvac 2002-08-31 90,000 90,000 SL 10 0 0 0  
    1620 small equip 2010-06-30 24,211 24,211 SL 5 0 0 0  
    1620 comp copiers 2005-06-30 14,226 14,226 SL 5 0 0 0  
    1620 comp 2006-06-30 5,448 5,448 SL 5 0 0 0  
    1620 small equip 2003-06-30 58,543 58,543 SL 5 0 0 0  
    1520 kitchen equipment 2008-06-30 2,270 2,270 SL 7 0 0 0  
    1620 computers 2006-06-30 13,212 13,212 SL 5 0 0 0  
    1420 FURNITURE 2017-06-30 699,152 349,576 SL 7 99,879 0 0  
    1410 ADDL VERICON 2018-06-30 39,516 2,399 SL 40 988 0 0  
    1420 FURNITURE 2018-06-30 8,901 3,180 SL 7 1,272 0 0  
    1420 FURNISHINGS 2017-06-30 989 494 SL 7 141 0 0  
    FENCE 1510 2009-06-30 3,790 3,790 SL 7 0 0 0  
    EQUIPMENT 1510 2017-06-30 594 416 SL 5 119 0 0  
    1520 equipment 2017-06-30 56,609 28,304 SL 7 8,087 0 0  
    1520 EQUIP MEDLINE 2018-06-30 83,795 29,927 SL 7 11,971 0 0  
    1520 BLDG RENO 2018-06-30 57,705 9,618 SL 15 3,847 0 0  
    1610 windows 2017-06-30 594 416 SL 5 119 0 0  
    1610 DIRECT SUPPLTY 2018-06-30 5,251 2,625 SL 5 1,050 0 0  
    1620 CARPET 2017-06-30 13,951 5,979 SL 7 1,993 0 0  
    1620SECURITY 2017-06-30 25,482 10,920 SL 7 3,640 0 0  
    1813 office furniture 2018-06-30 1,170 585 SL 5 234 0 0  
    1620 SMALL EQUIPMENT 2017-06-30 26,602 14,440 SL 5 5,320 0 0  
    1620 PAINTING AND BLDG 2017-06-30 10,006 10,006 SL 3 0 0 0  
    1620 CARPETING 2018-06-30 32,202 16,100 SL 5 6,440 0 0  
    1620 SMALL EQUIP 2018-06-30 46,775 23,388 SL 5 9,355 0 0  
    1882 cdw server 2017-06-30 13,303 9,313 SL 5 2,661 0 0  
    1882 monitors tablets i pads 2018-06-30 25,199 12,600 SL 5 5,040 0 0  
    1850 website 2019-06-30 3,866 2,577 SL 3 1,289 0 0  
    1813 office furn 2018-06-30 1,170 585 SL 5 234 0 0  
    computers 2019-06-30 38,821 19,410 SL 3 12,940 0 0  
    DOORS VITALSSHUTTERS 2019-06-30 66,424 19,927 SL 5 13,285 0 0  
    CARPET COOLONG TWR JOHNSON CTRLS 2019-06-30 119,029 25,506 SL 7 17,004 0 0  
    WINDOWS LIGHTING HOTTANKS 2019-06-30 90,850 13,627 SL 10 9,085 0 0  
    RENOVATION NU 2019-06-30 207,760 21,037 SL 15 13,851 0 0  
    hotwater tanks 2020-06-30 92,305 4,615 SL 10 9,230 0 0  
    concret steps sub pump 2020-06-30 13,747 687 SL 10 1,375 0 0  
    interior 2020-06-30 5,700 570 SL 5 1,140 0 0  
    1520 furniture 2020-06-30 16,179 1,156 SL 7 2,265 0 0  
    furniture 2020-06-30 2,291 229 SL 5 458 0 0  
    computers 2020-06-30 47,458 4,746 SL 5 9,492 0 0  
    carpet 2020-06-30 66,230 4,731 SL 7 9,461 0 0  
    furniture 2020-06-30 2,221 222 SL 5 444 0 0  
    fire alarm 2020-06-30 37,500 3,750 SL 5 7,500 0 0  
    improvement 2020-06-30 10,840 361 SL 15 723 0 0  
    offise 2020-06-30 8,162 816 SL 5 1,632 0 0  
    improvements 2020-06-30 17,431 2,905 SL 3 5,810 0 0  
    distinctive voice 2020-06-30 40,334 4,033 SL 5 8,067 0 0  
    essex lock 2020-06-30 4,262 304 SL 7 609 0 0  
    ciofi elect suellen 2020-06-30 17,774 889 SL 10 1,777 0 0  
    NOVETIX 2019-06-30 26,420 13,210 SL 3 8,807 0 0  
    NAVICAL DOORS 2019-06-30 46,904 14,071 SL 5 9,381 0 0  
    JOHNSON CONTROLS 2019-06-30 87,607 18,773 SL 7 12,515 0 0  
    SUELLEN INTERIORS 2019-06-30 38,046 3,804 SL 15 2,536 0 0  
    computer tag on line grapics 2021-09-30 71,670 0 SL 10 3,584 0 0  
    essex lock snow blowertitl truck 2021-06-30 25,960 0 SL 7 1,854 0 0  
    carpt and interior design 2021-06-30 75,647 0 SL 7 5,403 0 0  
    buidging improvments 2021-06-30 53,820 0 SL 10 2,691 0 0  

    TY 2021 EmployeeCompensationExpln
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Employee Explanation
    EVELYNE LEMMY BOARD APPROVED COMPENSATION
    DAVID REPOLI BOARD APPROVED COMPENSATION
    DEVON GROCE BOARD APPROVED COMPENSATION
    EVELYN LEKUNZE BOARD APPROVED COMPENSATION
    ELIZABETH POWERS BORAD APPROVED COMPENSATION

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE EQUITIES BONDS 39,254,454 39,254,454

    TY 2021 LegalFeesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 42,244 0 42,244 42,244
    LEGAL FEES SETTLEMENT 35,000 0 35,000 35,000


    TY 2021 MortgagesAndNotesPayableSch
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Total Mortgage Amount:  

    Item No. 1
    Lender's Name NJ EDA
    Lender's Title ST OF NJ
    Relationship to Insider NONE
    Original Amount of Loan 8,768,637
    Balance Due 7,607,878
    Date of Note 2016-12
    Maturity Date 2046-12
    Repayment Terms ANNUAL PRINCIPA
    Interest Rate 3
    Security Provided by Borrower CORPORATE ASSET
    Purpose of Loan FACILITY EXPANSION and REPAIRS
    Description of Lender Consideration  
    Consideration FMV 0


    TY 2021 OtherExpensesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACTIVITY EXPENSE 14,562 0 14,562 14,562
    MARKETING EXPENSES 61,355 0 61,355 61,355
    LICENSES AND DUES 29,547 0 29,547 29,547
    BAD DEBTS 59,938 0 59,938 59,938
    LAUNDRY SERVICES 85,843 0 85,843 85,843
    COVID 19 COSTS 190,366 0 190,366 190,366
    COMPUTER EXPENSES 211,595 0 211,595 211,595
    HEALTHCARE RESIDENT COSTS 679,592 0 679,592 679,592
    HOUSEKEEPING SERVICES 47,530 0 47,530 47,530
    INSURANCE LIABILITY 304,613 0 304,613 304,613
    OFFICE EXPENSES 40,372 0 40,373 40,372
    OTHER ADMIN EXPENSES 29,071 0 29,071 29,071
    OTHER EXECUTIVE EXPENSES 45,296 0 45,296 45,296
    DIETARY SERVICES 467,968 0 467,968 467,968
    REPAIRS AND MAINTENANCE 186,385 0 186,385 186,385
    SECURITY AND VALET 140,771 0 140,771 140,771
    SEMINARS AND EDUCATION 18,820 0 18,820 18,820
    COPIER EXPENSES 36,603 0 36,603 36,603
    TELEPHONE and CABLE 78,933 0 78,933 78,933
    THERAPY 6,676 0 6,676 6,676
    UTILITIES 236,934 0 236,934 236,934
    UNIFORM ALLOWANCES 16,161 0 16,161 16,161


    TY 2021 OtherIncomeSchedule2
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ADMISSION FEES 26,842 0 26,842
    PER DIEM INCOME 4,827,855 0 4,827,855
    MEDICARE A 3,009,157 0 3,009,157
    GIFTS LEGACIES 406 0 406
    MEDICARE B 41,203 0 41,203
    CO INSURANCE 375,755 0 375,755
    MEDICAID 753,952 0 753,952
    MEDICAID OFFSETS 229,969 0 229,969
    MISCELLEANOUS 27,129 0 27,129
    PRIVATE INSURANCE 864,632 0 864,632


    TY 2021 OtherIncreasesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 2,615,816


    TY 2021 OtherLiabilitiesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Description Beginning of Year - Book Value End of Year - Book Value
    LEASE PAYABLE LONG TERM 24,648 13,272


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK CHARGES 25,686 0 25,686 25,686
    RVK MGMT FEES 60,591 60,591 0 0
    CUSTODY FEES 119,677 119,677 0 0
    PENSION ADMIN 11,848 0 11,848 11,848
    ZIMMET HEALTHCARE RESOURCES 20,200 0 20,200 20,200
    COMPUTER PROFESSIONALS 69,821 0 69,821 69,821


    TY 2021 TaxesSchedule
    Name:
    JOB HAINES HOME FOR AGED PEOPLE
    EIN:
    22-0972180
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FICA 656,753 0 656,753 656,753
    SUTA 99,782 0 99,782 99,782
    PROVIDER ASSESSMENT 117,463 0 117,463 117,463