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  5. JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.

JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.

Company Details

Name: JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 25 Apr 1995 (30 years ago)
Entity Number: 1916225
ZIP code: 14618
County: Monroe
Address: 2021 WINTON ROAD SOUTH, ROCHESTER, NY, United States, 14618

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4ERR5 Active Non-Manufacturer 2006-05-24 2024-03-11 2027-01-31 2023-02-26

Contact Information
POC PATRICIA HUGHES
Phone +1 585-784-6602
Fax +1 585-341-2422
Address 4000 SUMMIT CIR DR, ROCHESTER, NY, 14618 3957, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493007QNVC737JBQR86 1916225 US-NY GENERAL ACTIVE No data

Addresses
Legal 2021 Winton Road South, Rochester, US-NY, US, 14618
Headquarters 2000 Summit Circle Drive, Rochester, US-NY, US, 14618

Registration details
Registration Date 2015-07-02
Last Update 2023-08-04
Status LAPSED
Next Renewal 2018-06-21
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 1916225

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE SUMMIT AT BRIGHTON 401(K) RETIREMENT PLAN 2010 161482447 2011-09-29 JEWISH HOME OF ROCHESTER SENIOR HOUSING INC 119
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 7164277760
Plan sponsor’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957

Plan administrator’s name and address
Administrator’s EIN 161482447
Plan administrator’s name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
Plan administrator’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957
Administrator’s telephone number 7164277760

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing JENNIFER MCDONELL
Role Employer/plan sponsor
Date 2011-09-29
Name of individual signing JENNIFER MCDONELL
THE SUMMIT AT BRIGHTON 401(K) RETIREMENT PLAN 2010 161482447 2011-07-13 JEWISH HOME OF ROCHESTER SENIOR HOUSING INC 119
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 7164277760
Plan sponsor’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957

Plan administrator’s name and address
Administrator’s EIN 161482447
Plan administrator’s name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
Plan administrator’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957
Administrator’s telephone number 7164277760

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing PEG PELUSO
Role Employer/plan sponsor
Date 2011-07-13
Name of individual signing PEG PELUSO
THE SUMMIT AT BRIGHTON 401(K) RETIREMENT PLAN 2010 161482447 2012-10-15 JEWISH HOME OF ROCHESTER SENIOR HOUSING INC 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 7164277760
Plan sponsor’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957

Plan administrator’s name and address
Administrator’s EIN 161482447
Plan administrator’s name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
Plan administrator’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957
Administrator’s telephone number 7164277760

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing PEG PELUSO
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing PEG PELUSO
THE SUMMIT AT BRIGHTON 401(K) RETIREMENT PLAN 2009 161482447 2011-02-01 JEWISH HOME OF ROCHESTER SENIOR HOUSING INC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 7164277760
Plan sponsor’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957

Plan administrator’s name and address
Administrator’s EIN 161482447
Plan administrator’s name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
Plan administrator’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957
Administrator’s telephone number 7164277760

Signature of
Role Plan administrator
Date 2010-12-29
Name of individual signing JENNIFER MCDONELL
Role Employer/plan sponsor
Date 2011-02-01
Name of individual signing PEG PELUSO
THE SUMMIT AT BRIGHTON 401(K) RETIREMENT PLAN 2009 161482447 2010-04-14 JEWISH HOME OF ROCHESTER SENIOR HOUSING INC 95
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 7164277760
Plan sponsor’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957

Plan administrator’s name and address
Administrator’s EIN 161482447
Plan administrator’s name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
Plan administrator’s address 2021 WINTON RD S, ROCHESTER, NY, 146183957
Administrator’s telephone number 7164277760

Signature of
Role Plan administrator
Date 2010-04-13
Name of individual signing PEG PELUSO
Role Employer/plan sponsor
Date 2010-04-13
Name of individual signing PEG PELUSO

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2021 WINTON ROAD SOUTH, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
2018-02-15 2024-02-08 Address 2021 WINTON ROAD SOUTH, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
1995-04-25 2018-02-15 Address 2021 WINTON ROAD SOUTH, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240208003103 2024-02-08 CERTIFICATE OF MERGER 2024-02-08
180215000607 2018-02-15 CERTIFICATE OF AMENDMENT 2018-02-15
150720000549 2015-07-20 CERTIFICATE OF AMENDMENT 2015-07-20
950425000477 1995-04-25 CERTIFICATE OF INCORPORATION 1995-04-25

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD VA528FY08 2008-09-30 2008-09-30 2011-05-31
Unique Award Key CONT_AWD_VA528FY08_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 173922.00
Current Award Amount 173922.00
Potential Award Amount 173922.00

Description
Title NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957
DO AWARD VA528FY08 2008-09-30 2008-09-30 2011-07-31
Unique Award Key CONT_AWD_VA528FY08_3600_VA528BO0005_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADULT DAY CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Legacy DUNS 073681140
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, 146183957
No data IDV VA528BO0005 2008-08-01 No data No data
Unique Award Key CONT_IDV_VA528BO0005_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADHC
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Legacy DUNS 073681140
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, 146183957
No data IDV V528A8P5370 2008-06-01 No data No data
Unique Award Key CONT_IDV_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADHC
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Legacy DUNS 073681140
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, 146183957
No data IDV VA528BO0205 2009-08-01 No data No data
Unique Award Key CONT_IDV_VA528BO0205_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL ADULT DAY CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Legacy DUNS 073681140
Recipient Address UNITED STATES, 4000 SUMMIT CIR DR, ROCHESTER, 146183957
DELIVERY ORDER AWARD VA528FY0904 2009-03-24 2009-03-31 2011-05-31
Unique Award Key CONT_AWD_VA528FY0904_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 59964.00
Current Award Amount 274651.00
Potential Award Amount 274651.00

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957
DELIVERY ORDER AWARD VA528FY0903 2008-12-31 2008-12-31 2011-05-31
Unique Award Key CONT_AWD_VA528FY0903_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 4208.00
Current Award Amount 214687.00
Potential Award Amount 214687.00

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957
DELIVERY ORDER AWARD VA528FY0901 2008-12-31 2008-12-31 2011-05-31
Unique Award Key CONT_AWD_VA528FY0901_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 36557.00
Current Award Amount 36557.00
Potential Award Amount 36557.00

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957
DELIVERY ORDER AWARD VA5280C2021 2009-10-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA5280C2021_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 181757.10
Current Award Amount 456408.10
Potential Award Amount 456408.10

Description
Title ADHC - DO - EXPRESS REPORT ACTIVITY - GEC EXPENDITURE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957
DELIVERY ORDER AWARD VA528FY11Q1Q3 2010-10-01 2011-05-31 2011-05-31
Unique Award Key CONT_AWD_VA528FY11Q1Q3_3600_V528A8P5370_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 158285.40
Current Award Amount 614619.50
Potential Award Amount 614693.50

Description
Title DO - EXPRESS REPORT GEC EXPENDITURES ADULT DAY HEALTH CARE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient JEWISH HOME OF ROCHESTER SENIOR HOUSING, INC.
UEI KGRSJJQJWA99
Recipient Address UNITED STATES, 2021 WINTON RD S, ROCHESTER, MONROE, NEW YORK, 146183957

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1482447 Corporation Unconditional Exemption 2021 WINTON RD S, ROCHESTER, NY, 14618-3957 1996-01
In Care of Name % DEBORAH A MCLLVEEN
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 25908518
Income Amount 12742286
Form 990 Revenue Amount 12742286
National Taxonomy of Exempt Entities Human Services: Supportive Housing for Older Adults
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name JEWISH HOME OF ROCHESTER SENIOR HOUSING INC
EIN 16-1482447
Tax Period 201512
Filing Type E
Return Type 990
File View File

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Related by address

2021 WINTON ROAD SOUTH, ROCHESTER, NY, United States, 14618

JEWISH HOME OF ROCHESTER JEWISH SENIOR LIFE COMMUNITY SERVICES, INC. JEWISH SENIOR LIFE FOUNDATION, INC. JSL COMPANION SERVICES, INC. JSL PROPERTIES, INC. JEWISH HOME OF ROCHESTER ENRICHED HOUSING, INC.

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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