2023-05-15T14:56:42-05:00 2022-12-31 431985162 SMITH SULLIVAN & BROWN PC 80 FLANDERS ROAD - SUITE 200 WESTBOROUGH MA 01581 990 2022-01-01 222567080 JEREMIAH'S INN INC JERE 5087556403 1059 MAIN STREET PO BOX 30035 WORCESTER MA 01603 JANELLE WILSON EXECUTIVE DIRECTOR 5087556403 2023-05-15 1 JANELLE WILSON 999009999 0 SANDRA M BROWN CPA P01614103 5088717178 2023-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JANELLE WILSON 1059 MAIN STREET PO BOX 30035 WORCESTER MA 01603 3029062 0 X WWW.JEREMIAHSINN.COM X 1983 MA JEREMIAH'S INN USES A SOCIAL MODEL TO PROVIDE RESIDENTS WITH A SAFE ENVIRONMENT IN WHICH TO BEGIN RECOVERY. WE FOSTER A SENSE OF COMMUNITY AND MUTUAL AID THROUGH PARTNERSHIPS, VOLUNTEERISM AND OUR NUTRITION CENTER. 7 7 27 80 0 0 1074299 1347445 1109360 1392763 1610 1913 4456 286941 2189725 3029062 404369 850218 0 0 931141 1154013 40372 75760 116257 310940 377246 1686822 2457237 502903 571825 2965082 3528056 457799 448863 2507283 3079193 X JEREMIAH'S INN USES A SOCIAL MODEL TO PROVIDE RESIDENTS WITH A SAFE ENVIRONMENT IN WHICH TO BEGIN RECOVERY. WE FOSTER A SENSE OF COMMUNITY AND MUTUAL AID THROUGH PARTNERSHIPS, VOLUNTEERISM AND OUR NUTRITION CENTER. 0 0 1259406 22929 1392763 JEREMIAH'S INN RESIDENTIAL REHABILITATION SERVICES - A 29-BED TRANSITIONAL LIVING PROGRAM OFFERING A STRUCTURED ENVIRONMENT THAT SUPPORTS RESIDENTS' RECOVERY FROM ALCOHOL AND/OR OTHER DRUGS AS WELL AS ACQUISITION OF SKILLS NEEDED FOR AN INDEPENDENT LIFESTYLE. UTILIZING THE "SOCIAL-MODEL" OF RECOVERY, THIS IS A PROGRAM THAT COMBINES PEER-SUPPORT AND EXPERIENTIAL LEARNING WITH HOLISTIC AND CLINICALLY-BASED TREATMENT. INDIVIDUALIZED, GOAL-ORIENTED REHABILITATIVE SERVICES ARE PROVIDED IN A GROUP AND ONE-ON-ONE SETTING IN CONJUNCTION WITH ONGOING SUPPORT AND ASSISTANCE IN DEVELOPING AND MAINTAINING THE INTERPERSONAL AND LIFE-SKILLS NECESSARY TO LEAD A HEALTHY AND PRODUCTIVE SUBSTANCE-FREE LIFESTYLE. WE GUIDE RESIDENTS' TOWARD BECOMING CONTRIBUTING MEMBERS OF SOCIETY, WHILE MEETING THEIR BASIC NEEDS FOR FOOD, SHELTER AND CLOTHING. RESIDENTS' PARTICIPATE IN CLINICAL GROUPS SUCH AS EARLY RECOVERY, RELAPSE PREVENTION, HEALTHY RELATIONSHIPS AND LIFE SKILLS. THEY RECEIVE INFORMATION AND RESOURCES ABOUT HIV/AIDS AND HEPATITIS C AND LEARN SKILLS SUCH AS RESUME-WRITING/JOB READINESS, ANGER MANAGEMENT, CONFLICT RESOLUTION, HEALTHY RELATIONSHIPS AND PARENTING. THROUGH OUR WELLNESS PROGRAM THEY CAN PARTICIPATE IN YOGA, REIKI, MINDFULNESS AND MEDITATION AND OUTDOOR/PHYSICAL ACTIVITIES SUCH AS ROWING, HIKING, DISK GOLF, AND SOFTBALL. 895019 827289 0 JEREMIAH'S INN NUTRITION CENTER - COMMUNITY ASSISTANCE PROGRAM THAT FOCUSES ON COMBATTING HUNGER AND FOOD-INSECURITY. THROUGH OUR EMERGENCY FOOD PANTRY, CLIENTS HAVE ACCESS TO HEALTHY AND NUTRITIOUS FOOD INCLUDING FRESH PRODUCE, MEAT, BREAD, EGGS AND A VARIETY OF CANNED AND DRY GOODS, INCLUDING COMMODITIES MADE AVAILABLE THROUGH THE U.S. DEPT. OF AGRICULTURE AND THE MASSACHUSETTS EMERGENCY FOOD ASSISTANCE PROGRAM. THROUGH VARIOUS PARTNERSHIPS WE OFFER NUTRITION AND COOKING EDUCATION AND DEMONSTRATIONS AS WELL AS GROCERY STORE TOURS WHERE CLIENTS LEARN TO READ FOOD LABELS, SELECT HEALTHY CHOICES AND STRETCH THEIR DOLLARS AS WELL AS THE ABILITY TO GROW THEIR OWN FRESH, HEALTHY PRODUCE THROUGH THE USE OF ONE OF OUR 60 COMMUNITY GARDEN BEDS. WE ALSO PROVIDE ASSISTANCE AND/OR REFERRAL FOR RESOURCES SUCH AS SNAP, WIC, FUEL ASSISTANCE, HOUSING, HEALTH INSURANCE AND OTHER HUMAN SERVICES AS APPROPRIATE. THE FOOD PANTRY IS OPEN FOR DISTRIBUTION 4 DAYS PER WEEK - MON, TUE, THU, FRI 9AM - 2 PM. 2154425 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 7 0 27 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X JANELLE WILSON EXECUTIVE DIRECTOR 5087556403 1059 MAIN STREET WORCESTER MA 01603 PATRICIA DAVIDSON ESQ PRESIDENT 4.00 X X 0 0 0 EUGENE BOUCHARD TREASURER 1.00 X X 0 0 0 EUGENE SANTOS-ROESLER BOARD MEMBER 1.00 X 0 0 0 JOSEPH STISO VICE PRESIDENT 1.00 X X 0 0 0 CASSANDRA ANDERSEN BOARD MEMBER 1.00 X 0 0 0 JACK REARDON BOARD MEMBER 1.00 X 0 0 0 MELINDA HILLOCK BOARD MEMBER 1.00 X 0 0 0 JANELLE WILSON EXECUTIVE DIRECTOR 40.00 X 103056 0 29577 103056 0 29577 1 0 0 0 0 98545 1248900 854111 1347445 THIRD PARTY BILLING 624200 1392763 1392763 1392763 1913 1913 EMPLOYEE RETENTION TAX 900099 281775 281775 OTHER REVENUE 900099 5166 5166 286941 3029062 1679704 0 1913 850218 850218 140539 84323 42162 14054 849478 781431 58664 9383 3201 2161 887 153 77767 59442 16335 1990 83028 74217 7124 1687 27475 27475 75760 75760 13846 1346 12500 63992 52649 7248 4095 15807 13077 2173 557 107355 104508 2407 440 2693 2499 166 28 3585 3124 373 88 31089 30022 905 162 40025 33685 5809 531 PROGRAM SUPPLIES AND EX 33453 33453 FOOD AND MEALS 21833 21662 136 35 MISCELLANEOUS 8692 1912 6780 DONATED GOODS 3894 3805 76 13 3507 2803 203 501 2457237 2154425 186555 116257 1086266 1105923 377722 454267 223947 230611 4998 8111 2201808 756222 1270451 1445586 1698 1783 0 281775 2965082 3528056 63345 64761 394454 384102 457799 448863 X 2438265 2898588 69018 180605 2507283 3079193 2965082 3528056 571825 85 0 X 0 1 X 1 0 X 1595340 1807497 2574152 1074299 1347445 8398733 1595340 1807497 2574152 1074299 1347445 8398733 8398733 3701 6756 4966 1610 1913 18946 317 780 623 4456 286941 293117 8710796 2680399 0.96420 0.99710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 317. 2019 AMOUNT: $ 780. 2020 AMOUNT: $ 623. 2021 AMOUNT: $ 4,456. 2022 AMOUNT: $ 5,166. EMPLOYEE RETENTION TAX CREDITS - 2022 AMOUNT: $ 281,775. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 188867 188867 1812023 694594 1117429 200918 61628 139290 1445586 ACCOUNTS RECEIVABLE, EMPLOYEE RETENTION TAX CREDITS 281775 281775 3032729 85 3582 3667 3029062 0 3029062 2460819 3582 3582 2457237 0 2457237 X 1 SARAH B LANGE LLC 5 EDGEWOOD STREET WORCESTER MA 01602 CONSULTANT 0 0 82481 0 82481 MA 1 FOOD FROM FOOD PANTRY 23579 0 850218 POUNDS/FOOD BANK RATE FOOD DISTRIBUTED TO ELIGIBLE INDIVIDUALS PART I, LINE 2: INDIVIDUALS ARE REQUIRED TO SHOW PROOF OF ADDRESS. FOOD IS DISTRIBUTED THROUGH A FOOD PANTRY WHICH IS OPEN TO ELIGIBLE LOCAL RESIDENTS FOUR DAYS A WEEK. X 850218 POUNDS/FOOD BANK RATE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 PRIOR TO ITS FILING. THE FORM 990 WAS THEN SIGNED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C A FORMAL WRITTEN CONFLICT OF INTEREST POLICY HAS BEEN ADOPTED BY THE ORGANIZATION. CONFLICT OF INTEREST STATEMENTS ARE PERIODICALLY SIGNED BY BOARD MEMBERS. THE BOARD MEMBERS ARE COGNIZANT OF THE POSSIBILITY OF CONFLICTS OF INTEREST AND VOLUNTARILY PROVIDE THE ORGANIZATION WITH ANY POSSIBLE CONFLICTS. POTENTIAL CONFLICTS ARE DISCUSSED BY THE BOARD AND MINUTES WILL DOCUMENT THE DISCUSSION AND DECISION MAKING PROCESS. IN THE EVENT OF A CONFLICT, STEPS WILL BE TAKEN TO MITIGATE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A INCREASES IN COMPENSATION, IF ANY, FOR EMPLOYEES OF THE ORGANIZATION ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 UPON REQUEST AND THE FORM 990 IS ON GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST