l. ..- 5n Form Departmental me Treasury Internet Revenue Sawce Return of Private Foundation or Section Trust Treated as Private Foundation Ir Do not enter social security numbers on this form as it may be made public. lnfonnatlon about Form 990-" and it: separate instruction is at m.irs.govifonn990pf. OMENO ISM-M2 2014 For calendar year 2014. or tax year beginning 1 0/0 1 . 2014, and ending 9130 . 2015 number ACI SENIOR DEVELOPMENT CORP (IE-4143059 44 BEVERLY WARREN ROAD, PO BOX 353 GARRISON, NY 10524-4409 Telephone umber [see rnatruchon-s) 845-265?4590 "exemption pending. checkhete Initial return Final return Address change Check all that apply. Inrtral return of a former public charity 1 Foam Grumman: check here Amended return Name change 2 F?r?tg? organizations n'raetrrq the 85% test. check Check type of organization: Section 501(c)(3) exempt private foundation Section 4947(a)(l) nonexemp charitable trust El here and attach compilation . . . Other taxable private foundation It pmat: inundation stabs: was terminated I Fair market value of all assets at and at year (from Part II, column true 16) 349,576. Accounting method: MCash UAccrual Other (speedy) If the foundation Is in a 60-month termination (Fart i. column must be on cash bears.) . . . understh surruxixm.mtm.. . under section summer, check here 5; 2111f? -- AnalyS's Of Revenue and Revenue and Net Investment Adlusted net Disbursements EXPBN535 (The tale! of amomts expenses per books income income for charitable columns and may not maes- purposes sarrbraqual the amounts column (cash bests only) (see instructions}; _m 1 Cam Mummumrmm 250 000. . l- v. - n21; - .- 2 Ok- F'qu 'f 1 3 immatmean =2 4 .1337: ?6 5! Grossrents -. .. rah.- bNetrentalrncome ..- or(lose) . .. I: 1 ha,? a ., . if"; I: 5 bannerCapital gann nel uncommomPartrv, lane?) .14. r'g "Al-a A 4" Mshort-termcepdelgam ., beg 2.- 9 Imminent-one Jr - 1? allowances - -- 1" ?man? A fur-t1- filib?"0?01? 213?? 12 Total- ream? 250,003. 0. mag-51;; 1mg}? 13 Compensatron or 011m. directors. truetees.etc 0. 14 manages \[L?fmU\ 15 benefit: arc-IV 1?08 SEE ST 1 14,815, Kl. qtt?t?i?t Wit 14L815. a n\ 3: come: mt. rus (attach sch) ?t?gll - a\ 2 17 W- - away 1' 1B we ,1 2 19 Depreciation (en-ch -, -- ectoanddepletnon . L, 21 Travel. conferences. ande A 22 wot-caters f, 23 Otherexpenses 5 SEE STATEMENT 2 359. 359. 24 15,174. 15,174. 5 mummy-tuna 5,250. 5.250. 5 Toni menu-dwan Mil-Maz?mdzs 20,424. 0. 0. 20,424. 12: - [memoir-venue overexpeneu mddrebureemenu 229, 576. i Netlrwememlncome or napalm. enter . . 1: Adjusted nehncorne (rfnegetrve. enter -u-1 . 0 . I BM For Paperwork Reduction Act Notice. see Instructions. TEEMEML 12410114 Form BBQ-PF (20M) 3/71? 01} Form 990'" (2014) ACI SENIOR DEVELOPMENT CORP 46-4148059 Page 2 . . Attached schedules and ml: :1 the 399171?an of year End of yam Balance Sheats ?wtia?gtm ?all?. My (I) Book Value Book Value to} Fair Market Value 1 Cash - non-rnterest-beanng . 120' 000. 349' 575 . 3491r 5-;5 2 and temporary cash Investments 3 hccounts receivable Less: allowance tOr doubtful accounts - ?4 Pledges receivable - Less allowance for doubtful accounts - Grants recewable - Receivables due from offices, trustees. and other disquali?ed persons (attach tel-adult!) {see Other notes and loans receivable (attach sch) 4 Less: allowance for doubtful accounts Inventories for sale or use - - - Prepald expenses and deferred charges 10: Investments US. and state government 11 12 13 14 15 16 obligations (attach schedule) In Investments corporate stock (attach schedule) Investments corporate bonds (attach schedule) Investmenls land, buildings. and Eqmpmenl: basis Less: accumulated deprwahon (attach schedule) Investments mortgage loans Investments - other (attach schedule) . Land. and equtpment: basas? Less; accumulated depreciation (attach schedule) . . I- Other assets (describe ll . 70'? 35m (to be compl?t?d'h? Ell-115;; 2 - - - - see the Instructiorls. Also, see page 1' Item '1 120,000. 349.576Accounts payable and accrued expenses Grants payable Deferred revenue Loans from of?cers, directors, trustees. a other disqualified persons 289. and adter notes payable (attach schedule) Other liabilities (describe> . Total liabilities (add Imes 17 through 22) 289. 239- 30 4M2 Analysis of 0113 nges in Net Assets or Fund Balances 38839.! Foundatlone that follow SPAS 11?. check her: and complete lines 240100th and lines all and 31. Unrestricted 119. 711 . 349. 287. Temporarily restricted Permanently restricted Foundation; that do not follow SPAS 117, check here and complete lines 27 through 31. Capital stock, trust prunenpel. or current funds Paid-In or capital surplus, or land, blue, and equipment fund Retained earnings. accumulated Income. endowment. or outer funds Total net assets or fund balances (see Instructions) Total liabilities and not assethfund balances (see Instructions) 119, 711. 349.287. 120,000. 349.576. 1 Total net assets or fund balances at beginning of year Part II. column ltne 30 (must agree With end-ofwyear figure reported on pnor year's return119, 711 . 2 Enter amount from Part I. line 27a 2 5 3 Other Increass not Included In line 2 (Karma) 3 4 . 4 349,231 5 . 5 6 Total net assets or fund balances at end of year illnehimwlnus?llne?? 6 34 9, BAA TEEN IZIIDIM Form MPF (2014) Form 990-PF (2014] ACI SENIOR DEVELOPMENT CORP 46-4148059 Page 3 "Capital Gains and Losses for Tax on Investment Income (3) end the or proper sold real estate. (1?le occurred an nurtured {rt} em sold 2-story brick warehouse; or common stock. 0 shares MLC Company) _m (month. any. year) (month. day. you) 1! Gross sales price Deprecrat-on allowed Cost or other basis (or allowable) plus expanse ol sale (11) Gem or (loss) plus (0 minus Complete only lor assets showan gain In column and owned by the foundatlon on Farr Market Value 0) Adjusted basis Excess ol column as of 12/3ll69 as of lZl3ll69 over column It any (I) Gems {Column gun rrunus colum but not less than -0-) or Losses (from column 01)) aunt-r- 2 Capital 9am net Income or (net capital loss).. ?g?f?tg?gt 1:2: j- 2 3 Net short-term capital galn or (loss) as defined In sections 1222(5) and (6): It In. also enter In Part I. lune 8. column (see Instructions). It (loss). enter -0- j. in art I. line . 3 ?Euallficelion Under Section 494?503) for Reduced Tax on Net Investment Income (For outlonal use by domestrc pnvate foundatlons subject to the sect-on cantata) tax on net Investment lncome) If 4940mm applies, leave this part blank Was the leundatron lrable for the section 4942 tax on the distributable amount of any year In the base period? If ?Yes.? the foundation does not quality under sectron 4940(e}. Do not complete thus part. 1 Enter the approprlate amount In each column for each year; see the Instructions before malong any entries. NIB DYes Duo Base pe?n years Calendar year: [or tax year beginning In) I: Net v?a?ue of Adjusted qualrf??hq distributions nonchantable-use assets ratio (column dWlded by column 2013 2012 2011 2010 2009 2 Total otllne 1. column (cl) . . .. 3 Average distribution ratro for the 5-year base period leldB the total on lune 2 by 5. or by the number of years the loundatuun has been In existence If less than 5 years 4 Enter the net value of noncharrtable-use assets for 2014 from Part X, lune 5 5 Multiply lune 4 by line 3 6 Enter 116 of net Investment Income of Part I. lune 27b) 7 1! Enter qualifying from Part XII, line 4 7 It line 8 Is equal to or greater than true 7, check the box In Part VI, Ilne lb. and complete that part usrnq a 1% tax rate. See the Part VI Instructions. ream omen-t Form BEG-PF (2014) . Form 990-? (2014} ACI SENIOR DEVELOPMENT CORP 46-414805 9 Page 4 else Tax Based on Investment Income (Section denote). 4940(1)). asset-1i, M4948 lee I Harlot operating loundations diatribe: in section tS?UthZ}. check here .. . and enter on line i. Date of wing or determmation letter: (attach copy of letter if necessary - see Domestic foundations that meet the??cho-rfi?-Itom) requirements In Part V. check'here. Dead enter 1% of Part I. line 27b . . All other domestic foundations enter 2% at line 27b. Exempt toreign organizations enter 4% at Part I. line l2. column 2 Tax under section 51 (domestic section 4947(a)(l) trusts and taxable foundations only. Others enter -O-) .. . . 2 3 Addlineslandz . 3 0. 4 Subtitle A (income) tax (domestic section 4947(a)(l) trusts and taxable foundations only Others enter -0-) 4 0 5 Tax based on Investment Income. Subtract line 4 from line 3. It zero or less. enter 5 t] . 6 CreditSIPayments: a 20" estimated tax pints and 2013 overpayment credited to 2014 6a Exempt foreign organizations tax withheld at source . 6b Tax paid with application fer extension of time to file (Form 3868) 6: Backup Withholding erroneously withheld . . . . . . . . . . . . . . . . . . . 6d 7 Total credits and payments. Add lines 6a through 61Enter any penalty for underpayment of estimated tax Check here if Form 2220 is attached am: the amount or um 10 to be: Credited in - Retunded 11 ?tatements Regarding Activities 1 a During the tax year? did the foundation attempt to influence any national, state. or local legislation or did it participate or intervene in any political campaignspend more than 5100 during the year (either directly or indirectly) for political purposes {see Instructions for the definitionthe ens-eer is ?Yes? to to or to. attach a detailed description of the actiwties and copies of any materials published or distributed by the feundation in cannection With the activities. Did the foundation file for this year? .. . . . 1 dEnter the amount (if any) of tax on political expenditures (section 4955) impetied during the year: 0n the taundalion . . 5 (2) 0n foundation managers . '5 0 Enter the reimbursement (if any) part! By the Eunaation Ewing the year for political expenditure tax imp on foundation managers 3 . 2 Has the foundation engaged in any actimties that have not prewously been reported to the 2 If 'Yes. attach a detailed description of the acti'irities. 3 Has the foundation made any chan as. not rewome reported to the IRS. in its governing instrument. articles of incorporationt or bylaws, or at er simi ar Instruments? If 'Yes, attach a conformed copy of the changes . 3 4: Did the foundation have unrelated busmess gross income of $1.000 or more during the year?.. . . . . . . . . . 4: If 'Yes.? has it ?tted a tax return on Form MT for this year?.. . . . . . .. . . . . . . . . . . . . . . . . ., . . . A 5 Was there a liquidation, termination, dissolutim. 0r substantial contraction during the yeart?Yes,? attach the statement requmed by General instruction T. 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satis?ed either: By language in the governing instrument. or By state legislation that effectively amends the governing instrument so that no mandatory directions that con?ict the state law remain in the governing instrument? . . 6 7 Did the foundation have at least 35m in assets at any time during the year? it 'Yes, oomptete Part ll. column 7 8: Enter the states to which the foundation reports or With which it is registered (see instructions) . - NY It the answer is 't?es' to line 7, has the furnished a copy of Form to the Attorney Geieral (or designate) of each state as required by General Instruction 6.7 If We. ?ariacti uptamhon . . . . . 0 9 Is the foundation claiming status as a private operating foundation Within the meani of section ?redeem; or 49420;?) for calendar year 2014 or the taxable year beginning in 2014 (see instructions for Pa l'l' ?Yes,'complete Part 9 10 Did any persons become substantial contributors during the tax year? If 'Yes,? attach a schedule listing their names and soot-eases . . . . . . . . . . SEE STATEMENT 3 10 BAA Form (20M) TEEAOM Form AC: SENIOR DEVELOPMENT CORP tie?4143059 Page 5 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 instructionsDid the foundation make a distribution to a donOr adwsed find over which the foundation or a disqualified person had advrso'ry priwleges? If 'Yes.? attach statement (see instructions) . 12 13 Did the foundation comply with the public inspection reqmrements for its annual returns and exemption application? 13 Website address - 14 The books care or - mated 3' .45 ?38333. 8.0}9; 39.13.03-153- 9.813115%. 4 .1953! 14.499 - 15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 Check here WK and enter the amount oi tax-exempt interest received or accrued during the yeari . . . . ?1 15 i 16 At any time during calendar year 2014. did the foundation have an interest in or a Signature or other authority over a bani-i, securities. or other financial accomt in a foreign countrySee the instructions for exceptions and filing requirements for Form 114, (formerly TD 90-221). If 'Yes.? enter the name of the foreign country 3:2. Statements Regarding Activities for Which Form 4720 May Be Required File Form 4720 it any item to checked in the 'Yee' column. unless an exceptfori applies. 1 During the year did the foundation (either directly or indirectly): (1) Engage in the sale or exchange, or leasrng of property with a disqualified person? . El No (2) Borrow money from. lend money to. or otherwise extend credit to (or accept It from) a disqualified person?. . . . . . Yes Ito (3) Furnish goods. services. or facilities to (or accept them from) a disqualified person? Yes No (4) Pay compensation to. or pay or reimburse the expenses of, a discualified person? . . Yes No Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? . . . . . Elite (6) Agree to pay money or property to a oyernment official? (Exception. Chet-Iii 'No? if the foundation agreed to make a grant to or emplg the official for a period after termination of government sewice. it terminating Within days . . El?n If any answer is 'Yes' to did any of the acts fail to ualigr under the exceptions described in Regulations section 53.494 or in a current notice regar ing isaster assmtance (see instrUCtions)? Organizations relying on a current notice regarding disaster check here . . . Did the foundation engage in a rior year in anyI of the acts described in la. other than excepted acts. that were not corrected before first day of tax year beginning in 2014? . . 2 Taxes on faiiure to distribute income (section 4942) (does not appl for years the foundation was a private operating foundation defined in section 4942mm or 494266)); a At the end of tax year 2014. did the foundation have any undistributed income (lines 6d and Be; Part for tax year(s) beginning before 2014. . . 20__ . Elite it Are there any years listed in 23 for which the foundation is not applying the promsrons of section 4942(a)(2) (relating to incorrect valuati0n 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.) . . If the of section are being applied to any of the years listed in 2a. list the years here .20 3e Did the foundation hold more than a 2% direct or indirect interest in any busrness enterprise at any time during the year?.. . . . . . . . Yes No if 'Yes.? did it have excess business holdings in 2014 as a result of any purchase by the foundation or disqualified persons after Ma .26. 19?9; the lapse of the Sgear period (or longer period ap roved the Commissioner under sec ion 4943(c) to dis se of hol ings occurred by ift or beques or the lapse of the 10-. I5-, or 20-year first phase ho ding period? (Use Schedui?e . Farm 4.720. to determine if the foundation had excess business holdings in 20MDid the foundation invest during the year any amount in a manner that would jeopardize its charitabie purposesDid the foundation make any investment in a prior year after December 31. 1969) that could ieopardrze its charitable purpose that had not been removed om ieopardy befOre the first day of the tax year beginning in 201-1? . . BM Form BBQ-PF (2014) 12mm 990-" (2014) ACI SENIOR DEVELOPMENT CORP 46-4143059 P3096 Statements Ft ardln Activities for Which Form 4720 May Be Required (continued) 5: During the year did the foundation pay or incur any amount to: (1) Carry on propaganda. or otherwise attempt to in?uence legislation (section 4945(0)? . . Yes No (2) Influence the outcome of any specific public election (see section 4955), or to carry on. directly or Indirectly. any voter registration driveProwde a grant to an indivrduel for travel. study. or other srmilar purposes? . Yes No Prowde a grant to an or anization other than a charitable. etc. organization described in section [see instructions) . . . . . (5) Provide for any purpose other than relig?ious, charitable. screntific. literary. or educational purposes. or to: the preyen ion 01 cruetty to children or animals? . Yes IE No it any answer is 'Yes' to did any of the transactions tail to uali under the exceptions described in Regulations section 53.4945 or in a current notice regar ing isaster asSIstance {see instructionsOrganizations relying on a current notice regarding disaster check here . . . . . . . .. . i: If the answer is "r'es' to question 53(4). does the foundation claim exemption from the tax because it maintained expenditure responsmility tor the grant? . . EMA. Yes No if 'Yes. attach the statement requrred by Regulations section 6e Did the foundation. during the year. receive any funds. directly or indirectly. to pay premiums on a personal benefit contract. . . . . Ellie Did the foundation. during the year. pay premiums. directly or indirectly. on a personal benefit contract? If 'Yes? to 6b. file Form 8370. 1: At any time during the tax year. was the foundation a party to a prohibited tax shelter transaction" Etta If 'Yes.? did the foundation receive any proceeds or have any net Income attributable to the transaction? Hip. Information About Of?cers. Birectors. Trustees. Foundation Managers. Highly Faint Employees. and Contractors 1 List all attic-rs. directors. trustees. foundation managers and their compensation (see instructions}. Title. and average (?Compensatron Conbibutmns to Expense account. ?0 Name and mm? or acts ain't: pi?i'ii?gig?gii ?he? compensation PRESIDENT o. o. a. BQAP 1 - 00 GARRISDN. NY 10524 TREASURER o. o. o. 2 - 00 caaexsoo. NY 10524 gaging: Areas VICE PRESIDE o. o. o. BQAP 1 - 00 GARRISON. NY 1 0524 2 Compensation at ?ve highest-paid employees (other than those included on line 1 - see instructions). If none. enter 'lilDHE.? Name and address of each employee Titre. and average Compensation (d)Contributions to Expense account. paid more than 550,000 hours per week employee beneflt other atlowances devoted to po5ition plans and deferred compensation EQIEE . . . . Total number of other employees paid over 550.000 . . . t) BAA osnma Form near (2014} sec-PF (2014) ACI SENIOR CORP Page 7 73:1: Information About Of?cers. Directors. Trustees. Foundation Managers. Highly Paid Empioyees. and Contractors (continued) 3 Five highest-paid independent contractors tor services (see instructions). Ii none. enter Name and address of each person paid more than $50,000 Type of servrce Compensation H9113 Form . Total number of others receiving over $50,000 for professional semces . - 0 1 Summary of Direct Charitable Activities List the foundation's direct charitable acoustics during the tax year. Include retwant statistical information such as the number at nus ornaments-is and other tonnes Served. romances out-moat. research pagers producad. etc. pa 1 2'9 .PBQEIPE ?93 .03 JEEP. 59?; 55.3133. 913.1 ?53133. - - . .111 .11ELK: Summary of Program-Related Investments (see instructions) Descnbe the two largest program-related investments-Freda by the inundation during the tax year on lines 1 and 2. Amount 1 2 i i All other program?related investments. See instructions BAA Form SUI-PF (2014) TEEMIITL Form 990-" (2014) ACI SENIOR DEVELOPMENT CORP 46-4148059 Pa?? Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations. see instructions.) 1 Fair market value of assets not used (er held for use) directly in carrying out charitable, etc. purposes: a Average fair market value of securities 1 a Averabe of montth cash balances . . . . . . 1 335' 221 . 1: Fair market value of all other assets (see instructions) . . . . 1 dTotaI (add linesia335:221, Reduction claimed for blockage Or other factors reperted on lines Ia and lc (attach detailed explanation) . 1 e] 0 2 Acquismon indebtedness applicable to line I assets 2 0 3 Subtract line 2 from line id. 3 335 221 4 Cash deemed held for charitable actIVities. Enter 1-?296 of line 3 (for greater amount. see instructionsNet value of noncharttable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 330 193, 6 Investment return. Enter 5% of line 510 istributabte Amount (see instructions) (Section 49420)(3) and private operaiing ioundations and certain foreign organizations check here [:iand do not complete this part.) 1 Minimum investment return from Part X, line investment income for 2014 from Part VI, line 5 2a Income tax for 2014. (I'his does not include the tax from Part Vi zh cAddlinesZaande . . . . . .. . 2c 3 Distributable amount before adjustments. Subtract line from line I 3 15, 519 . 4 Recoveries of amounts treated as qualifying distributions 4 5 Add tinesSand4 . . 7" 15,510, 6 Deduction from distributable amwnt (see InstructionsDistributable amount as adjusted Subtract line 6 from llne 5- Enter here and on Part xui, line i 7 15, 510?,? 2?1""ij Qualifying Distributions (see instructions) Amounts panel (including administrative expenses) to accomplish charitable. etc. purposes: I Expenses. contributions. gifts. etc total irom Part I. column line 26 1 a 20! 42? Program-related investments - total from Part IX-B . . 1 2 Amounts paid to acquire assets used (or held for use) directly In carrying out charitable, etc, purposes . 2 3 Ambunts set aside for enitic charitable proiects that satisfy the: I Swtability test (prior approval requiredhCash distribution test (attach the required scheduleOual?ylng Add lines Ia through 3b. Enter here and on Part V, line 8, and Part line . 4 20, 424 . 5 Fauniiations that qualify under section 4946M for the reduced rate of tax on net investment income Enter 1% of Part I. line 27b {see instructionsAdjusted qualifying Subtract line 5 from line Note. The amount on line 6 will be used in Part V, column in subsequent years when calculating whether the foundation qualities tor the section 49-48(49) reduction of tax in those years. an Form sen?Pr r2914) WHIM Fo'm mm: (2014) SENIOR DEVELOPMENT CORP Undistributed Income (see instructions) 46-4148059 PageQ 1 Pistri7butable amount for 2014 from Part XI, ine . . . 2 Uridistributsd income. if any. as of the and of 20H: I Enter amount tor 2013 only. . bTotalfix pnaryears: 20 .20 .20 3 Erich disinbuimns mis?t airy]:? 2014. I From 2009 (I) Carpus Years prior to 2013 2013 16. 510. 5.212. mem 2010 cFrom 2011 From 2012. From 2013 1 Total of lines 3a through 4 Qualifying distributions for 2014 from Part XII, line 4. 20,424. I Applied to 2013. but not more than line 23 to i lied to undistributed income of prior year . . I ction reqwred see instructions] Treated as distributions out of corpus (Election reqmred see instructions) Applied to 2014 distributable amount 0 Remaining amount distributed out of corpus 5 Excess distributions carryover applied to 2016 (If an amount appears in column (d . the same amount must be shown in co mm 6 Enter the not total of each column as indlceted below: Prior ears' undistributed income. Subtract line from line 2b . 6 Enter the ambunt oi prior years' undistributed income for which a notice of definien has been issued. or on which the section 942(3) E: has been prewausty assessed :1 Subtract line So from line 6b. Taxable amount - see instructions I Undistnbuted income for 2013. Subtract line 4: from line 2a. Taxable amount - see instructions 1 Undistributed income for 2014 Subtract lines 4d and 51mm line 1. This amOunt must be distributed in 2015 7 Amounts treated as distributions out of corpus to rats reomrements imposed by section 110(b}[ or 4942mm) {Election may be recurred - see inshuctions) over from 2009 not (see instructions) 8 Excess distributions car applied on line 5 or line 9 Excess distributions carryover to 2m 5. Subtract lines 1' and tram line So 10 Analysis of line 9: I Excess from 2010 5.212. I Nun:- 'I-i I vs . P: 1,293. Excess from 2011 Excess from 2012 Excess from 2013 Excess trom 2014 BAA TEEAOML 12110!? Forrn BSD-PF {2014} Form 990-" (2014) ACI SENIOR DEVELOPMENT CORP Ito?4143059 Page 10 rivate Qperattng Foundations instructions and Part VII-A, question 9) til/A 1 a it the inundation has received a ruling or determination letter the it is a private operating foul'idatim. and the ruling is effective for 2014. enter the date of the ruling . Check box to indicate whether the foundation is a private operating foundation described in section 4942016) or 4942(j)(5} 2a EnterJhre the'radiusted net Tax year Prior 3 years 0 min mum trorm gen XI for 2014 (5)2013 (C) 2012 201 1 70?? each year listed . . . 85% of line 2a Qualifying distributions from Part XII. line 4 tor each year listed :1 Amounts imiuoed in line 2i: not used directly for some cmduct of aroma: activmes . . a ?ush distributions made directly for ac we conduct of exem activities Subtract line from line a Complete 3a. b. or for the alternative test relied upon: a 'Assets? alternative test - enter- (1) Value of all assets. . .. . (2) Value of assets qualifying under section . 'Enduvnnent' alternative test enter 2/3 of minimum intro-surreal return shown In Part 1. line 6 for each year listed 'Support' alternative test enter: (1) Total support other than gross investment income (interest. UWIUBTIUS. rents. pa ments on securities loans section or royalties) (2) Support from general public and 5 or more exempt organizations as provrded in section Largest amount of support from an exempt organization. (4) Gross investment income . Supplementary Information (Complete this part only it the foundation had 55,000 or more In assets at any time during the year see instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed moire than 2% of the total contributions received by the foundation before the close of any tax year (but only it they have contributed more than $5,090) (See secti0n ROGER AILES List any managers of the foundation who own 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 2 Information Regarding Contribution. Grant. Gift. Loan. Scholarship, etc, Programs: Check here if the tomdation only makes contributions to preselected charitable organizations and does not accept requests for lends. It the foundation makes gifts. grants. etc (see instructions) to indiinduals or organizations under other conditions, complete items Be. b. c. and d. a The name. address. and telephone number or e-mail address of the person to whom applications shodd be addressed: bThe form in which applications should be submitted and information and materials they should include: Any submissmn deadlines: Any restrictions or limitations on awards. such as by geographical areas. charitable fields. kinds of institutions, or other factors: BAA resume. 06ll?l4 Form ego-pr (2014) Fm 9904* (2014) ACI SENIOR DEVELOPMENT CORP 46-4143059 Page ?1 Supplementary Iniannatiun (continued) 3 Grant: and Contributions Paid During the You or App-rand Ion- Futun Hyman! Reelplent Foundauo Purpose of rant or tour. hmma rot contnbu Amoum Name and address (home or busmess) substannal can!" a (funny the year UNITED WAY OF WESTCHESTER NONE PC AID T0 SENIOR 5,000. PUTNAM CTY CITIZENS 336 CENTRAL AVENUE WHITE PLAINS, NY 10606 PHILIPSTOWN SENIOR CITIZENS NONE AID T0 SENIOR 250. 10 LOCUST RIDGE CITIZENS COLD SPRING, NY 10516 Total .. .. 33 5,250. Approved for future payment Total .. . . . . 3h BAA ransom 06mm Form (2014) I 46-4148059 Form 990-" (2014) ACI SENIOR DEVELOPMENT CORP P891612 "if? Analysis of Income-Producing Activities Enter gross amounts unless omen-vise Indicated. Unrelated business Imame Excluded by action 5l2, 513, or 5H (5) (5) Related or exempt Busnness Amonnt Exclu- Amount function Incorne code 5m? (See Instructions.) 1 Program servrce revenue: code 9 Fees and contracts from government agencres 2 Membership dues and assessments . 3 Interest on savings and temporary cash Investments 4 DIVIdends and Interest from securllies 5 Net rental Income or (loss) from real estate: a Debt-financed property Not property Net rental Income or (loss) from personal property Other Investment Income Gain or (loss) from sales of assets utter than Inventory Net Income or (loss) from specuai events Gross profit or (loss) from sales of Inventory Other revenue: anon. 12 Subtotal. Add columns and 13 Total. Add line 12. columns and (See worksheet In line l3 Instructions to verify catcutatmns.) Line No. Explain below how each activity for which Income Is re 13 0. Relationship of Activities to the Accomplishment of Exempt Purposes rted In coiumn of Part XVI-A contributed Importantly to the ol' the foundation's exempt purposes other than by providing funds for such pmposes) (See Instructrons.) tam Form WI: 14) Forrn ?ll-PF (2014) ACI SENIOR DEVELOPMENT CORP 46-4143059 Page 13 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations You No 1 Did the organization directly or indirectly enga in any of the following With any other organization a - described in section 5mm) of the Code (other an section 501(c)(3) organizations) or in section 527. a. relatinu to political organizations? a Transfers from the reporting foundation to a noncharitable exempt organization of: (1) Cash 1! (1) (2)0therassets?. 1am Other transactions - (1) Sales of assets to a noncharitable exempt organization 1 (1) (2) Purchases of assets from a nonchantable exempt organization. 1 (2) (3) Rental of facilities. equipment. Or other assets 1 (3) (4) Reimbursement arrangements 1 (4) (5) Loans or loan guarantees 1 (5) Performance of semces or membership or fundraising solicitations 1 ME) Sharing of faculties. equment. mailing lists, other assets, or paid employees 1 It the answer to any of the above is 'Yes.? complete the following schedule. Column (bl shoutd aiwa 5 show the fair market value of the goods. other assets. or semces given by the reporting foundation. If the faundation received less than on market value in transaction or Line no. 23 Is the foundation direc% described in section If 'Yes.? complete the following schedule. show ll"l column the value of the Amount involved Name of nonchantable exempt orqamzatinn other assets. or semices received Duanptiari of transfers, transactions, and the or indirectly affiliated with. or related to. one or more tax-exempt ogamzations 1(a) of the Code (other than section 501(c)(3)) or in section DYes No Name of organization Type of organization Description of relationship NJA awesome-m i? is? Ingrown ma?a! 1 02?? yarn? TREASURER 531mm?- Date 4? Title lxlv? Pririt?ype preparers name Pm refs a low Data Paid 5/ Self-employed P00 $7791 Preparer Fm?s mm . HOWARD FELL, CPA LLC Firm" El" 46 - 283972 Us. only Finn's address 923 WARREN PKWY TEANECK, 11.3 07666 Phat-"0 [20113571650 BAA Form 990-" (2014) ram Schedule [Form 990. SSE-E1. mm Schedule of Contnbutors 201 4 0mm". 9, hm?, Attach to Form 990. Form see-:2. or Form ego-PF Internal nmnui $01th Information about Schedule 8 (Form 990. ill-E1. and it: institutions is at Reenactment?an ?otilla-um numb! ACI SENIOR DEVELOPMENT CORP 1116-4143059 Organizytlon type (check one): Fliers ot: Section: Form 990 or 990-EZ 501 (enter number) organization 4947(a)(l) nonexempt charitable trust not treated as a private foundation 527 political organization Forrn 990-PF 501(c)(3) exempt private foundation 4947(a)(i) nonexempt charitable trust treated as a private foundatIOn El 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule Note. Only a section 501(c)(7), (8). Or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an or anization tilinq Form 990. BED-E2. or BSD-PF that received. during the year. contributions totaling $5.000 or more (in money or property) om any one contributor. Complete Parts and It. See instructions for determining a contnbutor's total contributions. Special Rule: For an organization described in section 501(c)(3) ting? Form 990 or QED-E2 that met the 33-18% su port test of the regulations under Sections and thlithmAMw]. that check Schedule A [Form 990 or 990- .Part ll. line 1 16a. or 16b. and that received hem and one contribu or. duriri ear. total contributions of the meter 0 $5300 or (2) 2% of the amount on Form 990. Part ll, line IE1. or (ii) Form . tine Complete Parts I an ll, For an organization descnbed in section 501 t3?bor (til) tiling Form 990 or 990 E2 that received from any one contributor, during the year. total contributions at more than l) excluswel for religious. charitable. scientific. literary. or educational . purposes, or for the prevention of cruelty to children 0r animals. mpleto Parts I. II. and For an organization described in section 501 (B). or (10) filing Form 990 or 990-EZ that received from any one centributor, during the year, contributions exclusiver lor religlous. charitable. etc . purposes. but no such contributions totaled more than $1.000. If this box is checked. enter here the total contributions that were received during the year for an excluswei'y religious. charitable. etc.. purpose. Do not complete any of the parts unless the General Rule applies to this organization becguse it received nonexcluswely religious. charitable. etc.. contributions totaling $5.000 or more during the year Caution: An organization that is not covered by the General Flute andlor the eial Rules does not file Schedule 8 {Form 990, 990452. or QED-P . but it must answer 'No' on Part IV, line 2. of its Form 990, or check a box on line of its Form ego-E2 or on its Form Stan?PF, Part l. me 2. to certify that it does not meet the filing requirements of Schedule 8 (Form 990. 990-EZ. or gait-PF} Bw?hpemrk Reduction Act Notice. see the Instructions for Form 990. 990:2. Schedule 3 (Form 990, 990-EZ. or 990-PF) (2014) or . TEENNDIL HHJIM Schedule 3 (Form 990. 990-2. or (2014) Page 1 of 1 of Part 1 mm olme lamuTl-ullon I'll-Ier ACI SENIOR DEVELOPMENT CORP 46-4148059 Contributors (see Instrucbons) Use dupllcate coples of Part I lf space :5 needed I NugnLor Name, mango). and ZIP 4 T?ot?al Typo of contribution contributions 1 may any. - - - Payroll 1211. EQRJB PLACE: . 3 _2_59 "mush Miwwsazl 3392:3291 3 Hugh Homo. addrogho), Ind ZIP 4 Typo of goambu?on contributions Poroon - . - - - - - Poyroll [j Noncash {Complete Part noncash (8 (6) Hum Homo. and ZIP 4 Total Typo of contribution contributions Pol-Ion l? Payroll Noncash (Complete Pan noncash contnbuhons.) Muir-lim- Homo, Mugs). and ZIP 4 T?ocall Typo of cg?uihu?on ounhibu?ons Pomon Payroll Noncash (Comptete Pan noncash conuibullons.) Nomo. Idling: and ZIP 4 Tagal Typo of ?o?hibu?on oontribu?ons Parson Payroll a Hal-leash (Compiete Part II for . . A noncash an: Norm. Mango). and ZIP 4 Typo of 1:301an contributions Parson [j Payroll A a Hannah (Complete Part II for . .. noncash contnbullons.) BM mam-ma. 01mm Schedule (Form 990. 990-52. or (20M) Scheduie (Form 990. 990-EZ. or 990-PF) (2014) Page 1 to 1 of?Pertll Moron-nuance ACI SENIOR DEVELOPMENT CORP Ids-4148059 Noncash Property (see Instructions). Use duplicate CODIBS of Part ll if additional space IS needed. I Des: 'pti I rty FMV (a {animate Dlte $3.1m one mm Part mp. a (see instructions .2415 :3 (a?lo. lrorn Description of nonush property given FMV (or estimate Date received Part I (see intimationfrom Dem?pdon of noncash property glven FMV (or estimate Date received Part! (see Instructions -- - i -u horn Description of noncash property given FMV (or n?mah) Date received I (see instructions(ailin- (It) [ram Descriptlon of noncesh property given PM (or estimate Date received Part I (see instructions (li?o- lrom Description of noncash property given FMV (or estimate; Date received Part I {see inshuc?on: BAA Scheduie B(Form 99G. 990-E2. or (2014) TEEAO703L OWMIM Schedule (Form 990. 990-EZ, or {2014) Page 1 lo 1 of Part Hence ol organization Employer idemrl'iubon number 4 6-4140059 ACI SENIOR DEVELOPMENT CORP Exclusively religious. charitable. etc? contributions to organizations described in section 501(c)(7), (8) or 0) that total more than $1.000 lor the year from any one contributor. Complete columns to) through and (he inliowmg line entry. For organizations completing Part enter lhe total of exclusively religious. charitable. etc.. of $1,000 or less for the year. (Enter this Information onca. Se Instructions.) 5 Use duplicate copies ol Part if additional space IS needed (I) (c d) P. mm Purpose: of gilt Use 0: gift Description of how gilt ls held gilt Tnneleree's name. address, and ZIP 4 Relationship ol tnneleror to transieree (I) 11) Ng?lrolm Purpose ol gilt Use 01' Description 0: how gift is held (a Transfer of gift Tran-referee's name. address. and ZIP 4 Relationship of translator to (c d) mam Purpose ol gift Use oi gift Description pillow gift is held - Transfer of gift Tnneleree?s name, address. and ZIP 4 Relationship ol traneleror to transferee (a (c d) Purpose 0! gift Use oi gilt Description ol? how gift is held . . . . to) Treneler of gift Transferee?e narne, address. and ZIP I Relationship 0! tnneleror to hueleree . a . Schedule a (Form 990. 990-52. or {2014) TEEADTOIL ?"3114 ,0