2024-11-15T10:14:13-06:00 2023-12-31 854044283 GANZE TAX & CONSULTING 1500 THIRD STREET SUITE C NAPA CA 945592866 990 2023-01-01 852328066 GRAY HAVEN INC GRAY 7079273296 PO BOX 5841 NAPA CA 94581 DR PATRICIA GRAY EXECUTIVE DIRECTOR 7079273296 2024-11-13 1 0 DEBRA M HAVERSTICK CPA P01466216 7072556540 2024-11-13 2023 2024-10-15 13:58:12Z DR PATRICIA GRAY 423 SEMINARY STREET NAPA CA 94559 1913865 0 X HTTPS://GRAYHAVENNAPA.ORG X 2020 CA GRAY HAVEN, INC. ("APPLICANT") CARRIES OUT CHARITABLE PURPOSES BY PROVIDING COMPREHENSIVE ANDCOMPASSIONATE RE-ENTRY SUPPORT SERVICES IN THE GREATER BAY AREA TO JUSTICE-INVOLVED INDIVIDUALS LIVING WITH SIGNIFICANT MENTAL HEALTH CHALLENGES. THROUGH ITS PROGRAMS, APPLICANT OFFERS SUPERVISED AND SUPPORTIVE HOUSING, ONSITE BEHAVIORAL HEALTH SERVICES, AND INTEGRATED WELLNESS PROGRAMMING WITHIN A WARM AND WELCOMING ENVIRONMENT. APPLICANT STRIVES TO PROVIDE ALL THE SERVICES AN INDIVIDUAL MAY REQUIRE TO SAFELY TRANSITION BACK TO THE COMMUNITY FROM MORE RESTRICTIVE SETTINGS, INCLUDING RESIDENTIAL TREATMENT, HOSPITALIZATION, AND/OR INCARCERATION. TREATMENT PLANS ARE TAILORED TO EACH INDIVIDUAL AND DESIGNED TO PROMOTE RECOVERY, RESILIENCE, AND INDEPENDENCE. OVER TIME, RESIDENTS LEARN HOW TO MANAGE THEIR MENTAL HEALTH AND TO LIVE INDEPENDENTLY, ENABLING THEM TO MEET THEIR PERSONAL GOALS OF EDUCATION, EMPLOYMENT, PERMANENT HOUSING, AND HEALTHY RELATIONSHIPS. 4 4 40 0 0 0 2209290 1913865 0 0 0 0 0 0 2209290 1913865 0 0 0 0 1437026 1369145 0 0 0 692073 670295 2129099 2039440 80191 -125575 841905 687787 428206 531794 413699 155993 X GRAY HAVEN, INC. CARRIES OUT CHARITABLE PURPOSES BY PROVIDING COMPREHENSIVE AND COMPASSIONATE RE-ENTRY SUPPORT SERVICES IN THE GREATER BAY AREA TO JUSTICE-INVOLVED INDIVIDUALS LIVING WITH SIGNIFICANT MENTAL HEALTH CHALLENGES. THROUGH ITS PROGRAM, THE ORGANIZATION OFFERS SUPERVISED AND SUPPORTIVE HOUSING, ONSITE BEHAVIORAL HEALTH SERVICES, AND INTEGRATED WELLNESS PROGRAMMING WITHIN A WARM AND WELCOMING ENVIRONMENT. GRAY HAVEN INC. STRIVES TO PROVIDE ALL THE SERVICES AN INDIVIDUAL MAY REQUIRE TO SAFELY TRANSITION BACK TO THE COMMUNITY FROM MORE RESTRICTIVE SETTINGS, INCLUDING RESIDENTIAL TREATMENT, HOSPITALIZATION, AND/OR INCARCERATION. TREATMENT PLANS ARE TAILORED TO EACH INDIVIDUAL AND DESIGNED TO PROMOTE RECOVERY, RESILIENCE, AND INDEPENDENCE. OVER TIME, RESIDENTS LEARN HOW TO MANAGE THEIR MENTAL HEALTH AND TO LIVE INDEPENDENTLY, ENABLING THEM TO MEET THEIR PERSONAL GOALS OF EDUCATION, EMPLOYMENT, PERMANENT HOUSING, AND HEALTHY RELATIONSHIPS. 0 0 1386616 THE ORGANIZATION PROVIDES SUPERVISED AND SUPPORTIVE HOUSING, ONSITE BEHAVIORAL HEALTH SERVICES, AND INTEGRATED WELLNESS PROGRAMMING WITHIN A WARM AND WELCOMING ENVIRONMENT. GRAY HAVEN INC. STRIVES TO PROVIDE ALL THE SERVICES AN INDIVIDUAL MAY REQUIRE TO SAFELY TRANSITION BACK TO THE COMMUNITY FROM MORE RESTRICTIVE SETTINGS, INCLUDING RESIDENTIAL TREATMENT, HOSPITALIZATION, AND/OR INCARCERATION. TREATMENT PLANS ARE TAILORED TO EACH INDIVIDUAL AND DESIGNED TO PROMOTE RECOVERY, RESILIENCE, AND INDEPENDENCE. OVER TIME, RESIDENTS LEARN HOW TO MANAGE THEIR MENTAL HEALTH AND TO LIVE INDEPENDENTLY, ENABLING THEM TO MEET THEIR PERSONAL GOALS OF EDUCATION, EMPLOYMENT, PERMANENT HOUSING, AND HEALTHY RELATIONSHIPS. 1386616 1 1 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 1 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 17 0 40 0 0 0 0 0 0 0 0 0 0 0 X 4 4 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X GANZE TAX & CONSULTING 7072556540 1500 THIRD STREET SUITE C NAPA CA 94558 DR PATRICIA GRAY EXECUTIVE DIRECTOR 40.00 X X 240000 0 0 JOHN HEFLEBOWER DIRECTOR 2.00 X 0 0 0 AURA SILVA TREASURER/DIRECTOR 2.00 X 0 0 0 TIFFANY GISHIZKY DIRECTOR 2.00 X 0 0 0 ROBERTA CHAMBERS PRESIDENT/DIRECTOR 2.00 X 0 0 0 240000 0 0 1 0 1 0 SACIA NOVAK 23 BONITA AVE NAPA CA 94559 PROFESSIONAL SERVICES 129525 1 1913865 104856 1913865 1913865 0 0 0 X 240000 240000 917983 765297 152686 6281 4151 2130 113633 75100 38533 91248 60306 30942 9747 9747 53634 36342 17292 283143 217160 65983 3925 3925 15270 1097 14173 157399 105974 51425 11221 11221 33716 23068 10648 3123 2064 1059 PROGRAM SUPPLIES 77821 73211 4610 OTHER SERVICES 8046 2215 5831 HOUSEKEEPING 7377 4999 2378 RESIDENT OUTING 3191 3191 2682 1220 1462 2039440 1386616 652824 0 149685 15863 3170 3047 218887 160256 82727 58631 604683 608768 1640 1478 841905 687787 21206 124794 407000 407000 428206 531794 X 0 0 0 0 413699 155993 413699 155993 841905 687787 -125575 -132131 0 X 0 0 0 X 855501 1592150 2179734 1910222 6537607 855501 1592150 2179734 1910222 6537607 724749 5812858 6537607 0.88910 0.83510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 218887 160256 58631 58631 S-T PAYABLE TO LUIS NIEVES 407000 407000 X 0 0 0 0 0 0 0 0 0 DR PATRICIA GRAY EXECUTIVE DIRECTOR 240000 0 0 0 0 0 0 0 0 0 240000 0 0 0 PATRICIAL GRAY OFFICER PATRICIA WAS REIMBURSED TWICE IN ERROR X 3055 0 0 0 ROBERTA CHAMBERS OFFICER OF ORGANIZATION CONTRACTED TO HELP WITH LICENSING AND CERTIFICATION OF STAFF AND FACILITY. 0 X COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 LUIS NIEVES-DONOR DIRECTOR AND LINDA NIEVES-DONOR DIRECTOR - LUIS & LINDA NIEVES HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY WILL RECEIVE A COPY OF THE TAX RETURN BEFORE THE TAX RETURN IS FILED. THE BOARD WILL REVIEW THE TAX RETURN AFTER THE RETURN IS FILED AT THE NEXT BOARD MEETING FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES AND STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PAYROLL SERVICE: PROGRAM SERVICE EXPENSES 50,874. MANAGEMENT AND GENERAL EXPENSES 26,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,977. PRE-EMPLOYMENT: PROGRAM SERVICE EXPENSES 219. MANAGEMENT AND GENERAL EXPENSES 112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331. RECRUITING: PROGRAM SERVICE EXPENSES 940. MANAGEMENT AND GENERAL EXPENSES 482. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,422. TRAINING: PROGRAM SERVICE EXPENSES 552. MANAGEMENT AND GENERAL EXPENSES 283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 835. OTHER CONTRACTORS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,645. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,645. ADJUNCT THERAPIST: PROGRAM SERVICE EXPENSES 130,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,675. PSYCHIATRIST: PROGRAM SERVICE EXPENSES 33,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,900. LICENSING & CERTIFICATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,358.