2022-05-16T13:34:38-05:00 2021-06-30 721396621 CARR RIGGS & INGRAM LLC 7411 FULLERTON STREET SUITE 300 JACKSONVILLE FL 32256 990 2020-07-01 593759863 FAMILY SUPPORT SERVICES OF NORTH FLORIDA INC FAMI 9045215800 1300 RIVERPLACE BLVD NO 700 JACKSONVILLE FL 32207 JENNIFER PETION PRESIDENT/CEO 9045215800 2022-05-13 1 JENNIFER PETION 999009999 DANA ALEXANDER P01425283 9043566023 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JENNIFER PETION 1300 RIVERPLACE BOULEVARD SUI JACKSONVILLE FL 32207 67905456 0 X WWW.FSSJAX.ORG X 2001 FL TO BE THE LEADER IN PROVIDING SAFETY, STABILITY, AND QUALITY OF LIFE FOR ALL CHILDREN BY WORKING WITH THE COMMUNITY TO STRENGTHEN THE FAMILY UNIT. 17 17 189 97 0 0 62792411 67787605 0 0 1665 1394 81009 116457 62875085 67905456 45933149 48443463 0 0 10384475 11178340 0 0 0 6727951 7240051 63045575 66861854 -170490 1043602 7801130 6700580 6477061 4332909 1324069 2367671 TO BE THE LEADER IN PROVIDING SAFETY, STABILITY, AND QUALITY OF LIFE FOR ALL CHILDREN BY WORKING WITH THE COMMUNITY TO STREGNTHEN THE FAMILY UNIT. 0 0 64737984 48443463 116457 ACTIVITIES OF THE ORGANIZATION ARE RELATED TO THE ADMINISTRATION OF PROGRAM SERVICES PROVIDED BY SUBRECIPIENTS AND DIRECT PAYMENT TO FOSTER CARE AND RELATED SERVICES. THE ORGANIZATION ALSOPROVIDES CHILD PROTECTIVE AND FOSTER CARE SERVICES. THE ORGANIZATION SERVED APPROXIMATELY 5,925 CHILDREN THROUGH CHILD PROTECTION SERVICES AND FOSTER CARE. 64737984 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 237 0 1 189 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARTI SMITH 9044215800 1300 RIVERPLACE BOULEVARD STE 700 JACKSONVILLE FL 32207 PAUL MADSON CHAIR 1.00 0.50 X X 0 0 0 JOSH NIXON VICE CHAIR 1.00 X X 0 0 0 HEATHER POYNTER VICE CHAIR 1.00 0.50 X X 0 0 0 DR PAULINE ROLLE VICE CHAIR 1.00 X X 0 0 0 MATT BROCKELMAN VICE CHAIR 1.00 X X 0 0 0 DR MICHAEL DE LA HUNT DIRECTOR 1.00 X 0 0 0 JUDGE ROBERT FOSTER DIRECTOR 1.00 X 0 0 0 SUSAN GOTTESMANN-JARZYNA DIRECTOR 1.00 X 0 0 0 RYAN GRAFF DIRECTOR 1.00 X 0 0 0 BRIAN KEE DIRECTOR 1.00 X 0 0 0 CHRISTOPHER KOLAPO DIRECTOR 1.00 X 0 0 0 JEFF LACONTE DIRECTOR 1.00 X 0 0 0 BARRY ARGALAS DIRECTOR 1.00 X 0 0 0 ANGELA BRADBERRY DIRECTOR 1.00 X 0 0 0 LATONYA SUMMERS DIRECTOR 1.00 X 0 0 0 TRAVIS RAMSEY DIRECTOR 1.00 X 0 0 0 KISHA SHABAZZ DIRECTOR 1.00 X 0 0 0 ROBERT MILLER PRESIDENT & CEO 38.00 2.00 X 204489 0 14788 NAOMI JACKSON CFO 7/1/20-1/16/21 38.00 2.00 X 130891 0 18895 MARTI SMITH CFO 5/17/21-6/30/21 38.00 2.00 X 0 0 0 JENNIFER PETION COO 38.00 2.00 X 63700 0 6437 CHRISTOPHER COMPTON VP, TECHNOLOGY & OP SERVIC 40.00 X 116637 0 3975 NATALIE CLAYTON VP, GENERAL COUNSEL 38.00 2.00 X 113645 0 12199 629362 0 56294 4 0 1 0 RIVERPLACE BLVD 1105 SCHROCK RD STE 204 COLUMBUS OH 43229 PROPERTY MANAGEMENT 633248 KIMBERLY CARROLL TUSHER ATTORNEY PO BOX 330268 ATLANTIC BEACH FL 32233 LEGAL SERVICES-ADOPTIONS 245000 COGNITUTOR LLC 325 SAND PINE TRAIL WINTER HAVEN FL 33880 TUTORING SERVICES 116957 3 66600135 1187470 54552 67787605 1394 1394 LIVE SCAN FEES 621500 82706 82706 MASTER TRUST FEES 900099 23206 23206 ALL OTHER FEES 900099 10545 10545 116457 67905456 116457 0 1394 16484694 16484694 31958769 31958769 571521 493119 78402 8222147 7192425 1029722 282488 254981 27507 1383283 1230387 152896 718901 648900 70001 84120 84120 53450 53450 1144873 948974 195899 326916 326916 359283 314175 45108 247238 247238 874465 760076 114389 112003 109058 2945 97333 71921 25412 381374 337104 44270 OTHER CLIENT SERVICES 1986010 1985858 152 CONTRACT PROFESSIONAL S 838209 711506 126703 OTHER EXPENSES 231226 175538 55688 MISCELLANEOUS CONTRACT 171326 171326 332225 177449 154776 66861854 64737984 2123870 0 5634776 4630425 1050494 1311015 695062 190403 1756534 1339410 420798 417124 0 151613 7801130 6700580 2765657 2837447 1830450 1074400 1880954 421062 6477061 4332909 X 1222557 2285353 101512 82318 1324069 2367671 7801130 6700580 1043602 0 X 0 1 X 1 1 1 X 57030841 60158464 58963640 62792411 67787605 306732961 57030841 60158464 58963640 62792411 67787605 306732961 306732961 755 891 1442 1665 1394 6147 132192 185828 127973 81009 116457 643459 307382567 0.99790 0.99760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SERVICE FEES - 2016 AMOUNT: $ 132,192. 2017 AMOUNT: $ 185,828. 2018 AMOUNT: $ 127,973. 2019 AMOUNT: $ 81,009. 2020 AMOUNT: $ 116,457. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1200231 835251 364980 556303 504159 52144 417124 MASTER TRUST - LIABILITIES 421062 421062 X PART X, LINE 2: UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FAMILY SUPPORT SERVICES OF NORTH FLORIDA, INC. IS EXEMPT FROM TAXES ON INCOME OTHER THAN UNRELATED BUSINESS INCOME. NO UNRELATED BUSINESS INCOME HAS BEEN IDENTIFIED. THE ORGANIZATION UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST, PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF JUNE 30, 2021 AND 2020, THE ORGANIZATION HAS NO UNCERTAIN TAX PROVISIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 CHILD GUIDANCE CENTER 5776 ST AUGUSTINE RD JACKSONVILLE FL 32207 590704727 501(C)(3) 133303 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES DANIEL MEMORIAL 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 501(C)(3) 5190088 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES CHILDREN'S HOME SOCIETY 1485 S SEMORAN BLVD STE 1448 WINTER PARK FL 32792 590192430 501(C)(3) 474972 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES JEWISH FAMILY COMMUNITY SERVICES 6261 DUPONT STATION CT E JACKSONVILLE FL 32217 590637868 501(C)(3) 7823211 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES NATIONAL YOUTH ADVOCATE PROGRAM 1801 WATERMARK DR COLUMBUS OH 43215 341404302 501(C)(3) 2863120 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES ROOM AND BOARD FOR FOSTER CHILDREN 637 9841901 ROOM AND BOARD FOR ADOPTIVE CHILDREN 2425 20554324 ROOM AND BOARD FOR KIDS WHO AGE OUT OF SYSTEM 348 1092483 SHELTER ASSISTANCE 133 470061 PART I, LINE 2: ESTABLISHED UNIFORM PROCEDURES FOR ORGANIZATION'S CONTRACT STAFF TO FOLLOW FOR MONITORING CONTRACT PERFORMANCE. THE CONTRACT MONITORING ENCOMPASSES ADMINISTRATIVE AND PROGRAMMATIC STANDARDS EXPECTED TO BE MET BY SUBCONTRACTORS ACCORDING TO THE STANDARD CONTRACT. CONTRACT MANAGERS DEVELOP A SCHEDULE OF MONITORING AND REVIEW ACTIVITY BASED UPON THE RISK LEVEL ASSIGNED TO EACH CONTRACT. X X 0 1 0 0 0 0 0 0 0 ROBERT MILLER PRESIDENT & CEO 192489 0 0 0 12000 0 14314 0 474 0 219277 0 0 0 PART I, LINE 4B MEGAN RICHARD, $17,688 SARAH SAYAR, $20,720 X 39541 FMV X ENTERTAINMENT 24 5033 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY STATEMENT AT BEGINNING OF THE TERM AND IS UPDATED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 15A - THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER BASED ON HIS OR HER ANNUAL PERFORMANCE REVIEW. 15B - CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON ANNUAL PERFORMANCE EVALUATIONS IN CONJUNCTION WITH THE NATIONAL SALARY SCHEDULE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTERESY POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FSS FOUNDATION INC 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 800623399 SUPPORT FL 501(C)(3) LINE 12A, I 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FSS FOUNDATION INC B 100000 CASH FSS FOUNDATION INC C 235 CASH