2023-09-08T12:41:20-05:00 2022-12-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2022-01-01 593417481 HUBERT APARTMENTS INC HUBE 8132398270 5707 NORTH 22ND STREET TAMPA FL 33610 STEVEN WELCH CHIEF FINANCIAL OFFICER 8132398270 2023-08-31 1 STEVEN WELCH 999009999 0 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GRACE MANOR APARTMENTS STEVEN WELCH 5707 NORTH 22ND STREET TAMPA FL 33610 141480 0 X N/A X 1996 FL TO PROVIDE SUPPORTIVE HOUSING TO LOW-INCOME INDIVIDUALS WITH DISABILITIES. 6 6 0 0 0 0 97565 95806 43493 45519 19 155 445 0 141522 141480 0 0 0 0 22549 22276 0 0 0 128922 124717 151471 146993 -9949 -5513 473209 448311 1091026 1071641 -617817 -623330 THE PROJECT PROVIDES HOUSING TO LOW-INCOME INDIVIDUALS WITH DISABILITIES. THIS QUALIFIES THE PROPERTY TO RECEIVE SECTION 8 BENEFITS IN ACCORDANCE WITH REGULATIONS OF THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD). 0 0 116790 45519 SECTION 8 HOUSING ASSISTANCE PROGRAM. THIS PROGRAM IS FUNDED BY HUD AND IS INTENDED TO SUBSIDIZE THE RENT CHARGED TO ALL TENANTS WHO QUALIFY DUE TO THEIR LOW INCOME STATUS. 116790 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAMARIS MIRZA 8132398270 5707 N 22ND STREET TAMPA FL 33610 X RAY SIKORSKI DIRECTOR 1.00 X 0 0 0 DAVID TARABOCCHIA TREASURER 1.00 X 0 0 0 JENNIFER BOSSON DIRECTOR 1.00 X 0 0 0 EDI ERB PRESIDENT 1.00 X 0 0 0 CAROLYN SMITH DIRECTOR 1.00 X 0 0 0 JASON SUMERAU DIRECTOR 1.00 X 0 0 0 ROAYA TYSON CEO (9/12/22 - PRESENT) 1.00 40.00 X 0 261599 23161 RALPH JARDON CFO (1/1/22 - 10/03/22) 1.00 40.00 X 0 174336 18119 STEVEN WELCH CFO (10/03/22 - PRESENT) 1.00 40.00 X 0 216548 17872 JOSEPH RUTHERFORD CEO (1/1/22 - 9/12/22) 1.00 40.00 X 0 299921 30454 0 952404 89606 0 0 1 0 0 95806 95806 TENANT RENT 531110 45519 45519 45519 155 155 141480 45519 0 155 17795 17795 3090 3090 1391 1391 14136 14136 1762 1762 9500 9500 6567 6567 29844 29844 34381 34381 20102 20102 REPAIRS AND MAINTENANCE 8425 8425 146993 116790 30203 0 41128 29628 54083 74386 5 685 1211168 867556 377993 343612 473209 448311 30529 4746 180 0 1056200 1056200 4117 10695 1091026 1071641 X -617817 -623330 -617817 -623330 473209 448311 -5513 0 X X 0 1 X 1 1 1 X 98739 101645 99124 97565 95806 492879 37989 37474 41399 43493 45519 205874 136728 139119 140523 141058 141325 698753 0 0 0 698753 6 5 2 19 155 187 6 5 2 19 155 187 1439 905 485 445 3274 138173 140029 141010 141522 141480 702214 0.99510 0.99320 0.00030 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217325 217325 866971 751957 115014 24181 17702 6479 102691 97897 4794 343612 TENANT SECURITY DEPOSITS 4126 DUE TO RELATED PARTY 6569 10695 X 141480 0 141480 0 141480 146993 0 146993 0 146993 PART X, LINE 2: THE PROJECT HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PRESENTED IN THESE FINANCIAL STATEMENTS. THE PROJECT HAS NOT REPORTED ANY UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION, IF ANY, OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITIES. THE PROJECT IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER DECEMBER 31, 2018 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 JOSEPH RUTHERFORD CEO (1/1/22 - 9/12/22) 0 259921 0 40000 0 0 0 11997 0 18457 0 330375 0 0 ROAYA TYSON CEO (9/12/22 - PRESENT) 0 246599 0 15000 0 0 0 10464 0 12697 0 284760 0 0 STEVEN WELCH CFO (10/03/22 - PRESENT) 0 206548 0 10000 0 0 0 8662 0 9210 0 234420 0 0 RALPH JARDON CFO (1/1/22 - 10/03/22) 0 169336 0 5000 0 0 0 6973 0 11146 0 192455 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTED WITH A THIRD-PARTY ORGANIZATION ("THE MANAGEMENT COMPANY") THAT PROVIDED ACCOUNTING AND OTHER MANAGERIAL SERVICES. THE ORGANIZATION PAYS THE MANAGEMENT COMPANY A FEE BASED ON AN ESTABLISHED RATE APPROVED BY HUD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE CEO, CFO AND PROPERTY MANAGER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD CHAIRMAN, CEO AND SUPERVISORS REVIEW POTENTIAL CONFLICTS AND ARE NOTED BY THE INDIVIDUAL, SUPERVISOR OR DIRECTOR TO THE CEO. FORM 990, PART VI, SECTION C, LINE 18 FORMS 1023 AND 990 WILL BE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION DOES NOT HAVE ANY PAID OFFICERS OR KEY EMPLOYEES. IF THE ORGANIZATION FINDS ITSELF IN A POSITION WHERE THIS CHANGES, A WRITTEN PROCESS THAT ENSURES FAIR AND EQUITABLE COMPENSATION WILL BE ADOPTED. FORM 990, PART VII, SECTION A, LINE 1A: THE CEO AND CFO WORKED APPROXIMATELY 45 HOURS PER WEEK AS FOLLOWS: MENTAL HEALTH CARE, INC 40 HOURS, ALEXANDER APARTMENTS OF PLANT CITY, INC 1 HOUR, ARMENIA-EDDY APARTMENTS, INC 1 HOUR, BRANDON APARTMENTS, INC 1 HOUR, HUBERT APARTMENTS, INC 1 HOUR, AND ROME APARTMENTS, INC 1 HOUR. DAVID TARABOCCHIA, JENNIFER BOSSON, EDI ERB, CAROLYN SMITH, RAY SIKORSKI AND JASON SUMERAU WORKED APPROXIMATELY 5 HOURS PER WEEK AS FOLLOWS: ALEXANDER APARTMENTS OF PLANT CITY, INC 1 HOUR, ARMENIA-EDDY APARTMENTS, INC 1 HOUR, BRANDON APARTMENTS, INC 1 HOUR, HUBERT APARTMENTS, INC 1 HOUR, AND ROME APARTMENTS, INC 1 HOUR. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS HAS CHANGED DURING THE TAX YEAR. MENTAL HEALTH CARE INC 5707 N 22ND STREET TAMPA FL 33610 590747306 COMMUNITY MENTAL HEALTH AGENCY FL 501(C)(3) LINE 7 N/A 0 ALEXANDER APARTMENTS OF PLANT CITY INC 5707 N 22ND STREET TAMPA FL 33610 593578632 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 ARMENIA-EDDY APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593503568 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 ROME APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593367808 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 BRANDON APARTMENTS INC 5707 N 22ND STREET TAMPA FL 33610 593621942 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 NSP III INC 5707 N 22ND STREET TAMPA FL 33610 364728400 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 MENTAL HEALTH CARE AFFORDABLE HOUSING IV INC 5707 N 22ND STREET TAMPA FL 33610 611681018 SUPPORTIVE HOUSING FOR INDIVIDUALS WITH DISABILITIES FL 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0