2024-03-26T20:57:33-05:00 2023-12-31 113066459 CERINI AND ASSOCIATES LLP 3340 VETERANS MEMORIAL HIGHWAY BOHEMIA NY 11716 990 2023-01-01 205228483 SHARE XII INC SHAR 6317580474 312 EXPRESSWAY DRIVE S MEDFORD NY 11763 MELISSA HICKS CHIEF FINANCIAL OFFICER 6317580474 2024-03-25 1 MELISSA HICKS 999009999 0 MATTHEW BURKE P00760659 6315821600 2024-03-25 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z RALPH FASANO 312 EXPRESSWAY DRIVE S MEDFORD NY 11763 136807 0 X WWW.CONCERNHOUSING.ORG X 2006 NY COMMUNITY RESIDENCE PROGRAM WHICH ESTABLISHES, OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES. 8 8 0 0 0 0 79596 80537 50856 54176 7 29 6786 2065 137245 136807 0 0 0 0 0 0 0 0 0 198799 199470 198799 199470 -61554 -62663 2205654 2165111 74406 96526 2131248 2068585 COMMUNITY RESIDENCE PROGRAM WHICH ESTABLISHES, OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES. 0 0 157537 54176 COMMUNITY RESIDENCE PROGRAM WHICH ESTABLISHES, OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES. 157537 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X SHARE XII INC 6317580474 312 EXPRESSWAY DRIVE S MEDFORD NY 11763 KAREN COBURN PRESIDENT 1.50 1.50 X X 0 0 0 LISA PIAZZA MD DIRECTOR 0.20 0.20 X 0 0 0 KRISTIE GOLDEN PHD DIRECTOR 0.20 0.20 X 0 0 0 RAPHAEL MORGAN DIRECTOR 0.20 0.20 X 0 0 0 CAROL PERES DIRECTOR 0.20 0.20 X 0 0 0 ROBERT DETOR DIRECTOR 0.20 0.20 X 0 0 0 STEPHON HOLLMAN DIRECTOR 0.20 0.20 X 0 0 0 TIM SMITH DIRECTOR 0.20 0.20 X 0 0 0 RALPH FASANO EXECUTIVE DIRECTOR 0.20 39.80 X 0 445369 70564 ELIZABETH LUNDE CHIEF OPERATING OFFICER 0.20 39.80 X 0 301236 62714 JAMES MUTTON DIRECTOR OF NYC OPERATIONS 0.50 39.50 X 0 150240 30946 ELIZABETH WEINBAUM ASSOCIATE ED OF QUALITY AS 0.50 39.50 X 0 169374 55846 ROBIN SMITH DIRECTOR OF LI PROGRAM OPE 0.50 39.50 X 0 151542 42560 SANDRA CARRASQUILLO ASSOCIATE ED OF HR 0.50 39.50 X 0 157349 20071 SUSAN CHEW CONTROLLER 0.50 39.50 X 0 182518 57744 0 1557628 340445 0 0 1 0 0 80537 80537 RENT 623990 54176 54176 54176 29 29 MISCELLANEOUS REVENUE 900099 2065 2065 2065 136807 56241 0 29 10440 10440 666 666 7900 7900 2165 2165 56265 56265 9024 9024 CONTRACTED SERVICES - C 53293 33077 20216 REPAIRS AND MAINTENANCE 32950 32950 UTILITIES 24971 24971 MISCELLANEOUS EXPENSES 1256 1250 6 540 540 199470 157537 41933 0 12791 1634 78392 88236 3483 7224 568 602 2848368 780953 2110420 2067415 2205654 2165111 3612 15562 243 2934 70551 78030 74406 96526 X 2131248 2068585 2131248 2068585 2205654 2165111 -62663 0 X X 0 1 X 1 1 1 X 72177 68471 77302 79596 80537 378083 72177 68471 77302 79596 80537 378083 378083 119 65 10 7 28 229 2065 2065 380377 264243 0.99400 0.99920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 768350 768350 2080018 780953 1299065 2067415 DUE TO AFFILIATE 74055 TENANT DEPOSITS HELD IN TRUST 3975 78030 X 136807 0 136807 0 136807 199470 0 199470 0 199470 PART X, LINE 2: THE PROJECT EVALUATED ITS ACTIVITIES FOR UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS FOR 2022 AND 2023. 0 1 0 0 0 0 0 0 0 RALPH FASANO EXECUTIVE DIRECTOR 0 445369 0 0 0 0 0 39600 0 30964 0 515933 0 0 ELIZABETH LUNDE CHIEF OPERATING OFFICER 0 301236 0 0 0 0 0 37073 0 25641 0 363950 0 0 SUSAN CHEW CONTROLLER 0 182518 0 0 0 0 0 23197 0 34547 0 240262 0 0 ELIZABETH WEINBAUM ASSOCIATE ED OF QUALITY AS 0 169374 0 0 0 0 0 21360 0 34486 0 225220 0 0 ROBIN SMITH DIRECTOR OF LI PROGRAM OPE 0 151542 0 0 0 0 0 18522 0 24038 0 194102 0 0 JAMES MUTTON DIRECTOR OF NYC OPERATIONS 0 150240 0 0 0 0 0 18566 0 12380 0 181186 0 0 SANDRA CARRASQUILLO ASSOCIATE ED OF HR 0 157349 0 0 0 0 0 18900 0 1171 0 177420 0 0 PART I, LINE 4B CONTRIBUTIONS TO 457 PLANS: RALPH FASANO - $19,500 TO 457(B); $20,000 TO 457(F) ELIZABETH LUNDE - $19,500 TO 457(B); $20,000 TO 457(F) ELIZABETH WEINBAUM - $10,000 TO 457(B) CHRIS BETTS - $10,000 TO 457(B) FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT OF SHARE XII, INC. IS HANDLED BY CONCERN HOUSING. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION WILL DISTRIBUTE THE DRAFT FORM 990 TO THE BOARD FOR THEIR REVIEW AND APPROVAL. BOARD MEMBERS WILL RESPOND BACK WITH ANY QUESTIONS OR COMMENTS THAT ARE ADDRESSED IN THE FINAL FILED COPY. FORM 990, PART VI, SECTION B, LINE 12C SHARE XII, INC. FOLLOWS CONCERN HOUSING'S CONFLICT OF INTEREST POLICY. THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST POLICIES ANNUALLY TO THE BOARD OF DIRECTORS AND KEY EMPLOYEES TO SIGN. FORM 990, PART VI, SECTION B, LINE 15 EMPLOYEES MENTIONED IN QUESTION 15 OF FORM 990, PAGE 6, PART VI, ARE CLASSIFIED AS FEE FOR SERVICE EXPENSES ON THE 990. THESE EMPLOYEES ARE PAID BY CONCERN HOUSING ("CONCERN"). CONCERN'S EXECUTIVE DIRECTOR OBTAINS DATA FROM SIMILAR ORGANIZATIONS TO AID IN THE DETERMINATION OF THE SALARIES OF OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE DIRECTOR PROVIDES THIS INFORMATION TO THE PRESIDENT OF THE BOARD WHO DETERMINES AN APPROPRIATE SALARY FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR REVIEWS THIS DATA TO APPROVE OTHER OFFICERS AND KEY EMPLOYEES SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING BUSINESS HOURS. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CONCERN HOUSING 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 237259687 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113029852 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE II INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113119992 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE III INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113266489 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE IV INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113311917 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE V INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113382755 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE VI INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113443065 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 PROJECT SHARE VII INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113525810 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE VIII INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 113583718 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE IX INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 020569691 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE X INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 510441477 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE XI INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 571198242 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE XIII INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 205228564 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 SHARE XIV INC 312 EXPRESSWAY DRIVE SOUTH MEDFORD NY 11763 273304487 OPERATES, AND MAINTAINS RESIDENCES FOR PERSONS WITH PSYCHIATRIC DISABILITIES NY 501(C)3 7 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 CONCERN HOUSING P 60722 FMV CONCERN HOUSING O 53293 FMV CONCERN HOUSING M 14618 FMV