2021-11-01T08:35:37-05:00 2020-12-31 133628255 CONDON O'MEARA MCGINTY & DONNELLY LLP ONE BATTERY PARK PLAZA NEW YORK NY 10004 990 2020-01-01 111797183 NORTH SHORE CHILD & FAMILY GUIDANCE ASSOCIATION INC NORT 5166261971 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 ANDREW MALEKOFF CHIEF EXECUTIVE OFFICER 6316261971 2021-10-20 1 ANDREW MALEKOFF 999009999 JAMES J REILLY P00183769 2126617777 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANDREW MALEKOFF 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 10277880 0 X WWW.NORTHSHORECHILDGUIDANCE.ORG X 1953 NY TO RESTORE AND STRENGTHEN THE EMOTIONAL WELL-BEING OF CHILDREN AND FAMILIES. 22 22 121 38 0 0 4946427 3638870 4720462 5345834 33791 167008 16400 2383 9717080 9154095 0 0 0 0 7654007 7565840 0 0 547312 1338946 1239254 8992953 8805094 724127 349001 7762961 9251288 3733869 4861898 4029092 4389390 X SEE SCHEDULE O 0 0 4775784 2980910 CLINICAL SERVICES INCLUDE DIAGNOSTIC EVALUATIONS AND TREATMENT AND ARE PROVIDED AS A MAJOR COMPONENT AT ALL SITES AND THROUGH HOME VISITS. CLINICAL SERVICES INCLUDE INDIVIDUAL, FAMILY, AND GROUP THERAPY, CRISIS SERVICES, CASE MANAGEMENT, MEDICATION FOLLOW-UP, AND PSYCHO-EDUCATIONAL AND SELF-HELP SUPPORT GROUPS. INCLUDED ARE CORE MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES. THE AGENCY SERVED 1,857 CLIENTS FOR A TOTAL OF 28,511 UNITS OF SERVICE. 2005850 2362599 THE SCHOOL COMMUNITY COLLABORATIVE FOCUSES ON STUDENTS WITH SERIOUS EMOTIONAL DISTURBANCES WHO ARE AT RISK FOR BEING PLACED IN SETTINGS OUTSIDE OF THEIR HOMES. THE AIM IS TO MAINTAIN STUDENTS IN THE LEAST RESTRICTIVE, MOST INCLUSIONARY ENVIRONMENT. INCLUDED ARE SCHOOL-BASED MENTAL HEALTH COLLABORATIONS WITH NASSAU BOCES, COVERING ALL 56 NASSAU COUNTY SCHOOL DISTRICTS AND ALSO SPECIAL PROJECTS WITH THE WESTBURY SCHOOL DISTRICT. 99311 985 OUTREACH SERVICES INCLUDE THOSE PROVIDED ON SITE IN HOMES, SCHOOLS, COMMUNITY CENTERS, RELIGIOUS INSTITUTIONS, NEIGHBORHOODS AND IN OTHER FORMAL AND INFORMAL COMMUNITY LOCATIONS. PRIMARILY PREVENTATIVE, OUTREACH SERVICES AIM TO REACH VULNERABLE AND DISENFRANCHISED POPULATIONS SUCH AS RECENT IMMIGRANTS, CHILDREN WITH SERIOUS LEARNING PROBLEMS, AND YOUTH WITH HISTORIES OF TRUANCY AND DELINQUENT BEHAVIOR WHO ARE UNLIKELY TO ACCESS AGENCY SERVICES THROUGH MORE FORMAL MEANS. 119933 1340 EARLY CHILDHOOD SERVICES FOCUSES ON THE NEEDS OF CHILDREN FROM BIRTH THROUGH 6 YEARS OF AGE AND THEIR FAMILIES. THE GOAL OF THESE SERVICES IS TO ENSURE THAT THE EMOTIONAL NEEDS OF VERY YOUNG CHILDREN ARE RECOGNIZED AND THAT SERVICES ARE CREATED THAT ARE BOTH PSYCHOLOGICALLY AND DEVELOPMENTALLY SOUND. THE SERVICES ARE DELIVERED THROUGH THE USE OF EVALUATION, THERAPY, CONSULTATION AND PARENTAL/CARE GIVER EDUCATION PRIMARILY IN THE AGENCY'S MARKS' FAMILY RIGHT FROM THE START 0-3+ CENTER. 119933 1340 7000878 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 121 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 X 22 22 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X X JOAN VITIELLO 5166261971 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 ANDREW MALEKOFF EXECUTIVE DIRECTOR/CEO 35.00 X 147720 0 32683 JOAN VITIELLO CONTROLLER 35.00 X 107773 0 40091 REENA NANDI DIRECTOR OF PSYCH SERVICES 35.00 X 199570 0 46942 PHYLLIS EDELHEIT PSYCHIATRIST 35.00 X 197294 0 36805 SIMRAN BAGGA PSYCHIATRIST 30.00 X 157064 0 41560 JOLIE PATAKI PSYCHIATRIST 25.00 X 149611 0 11620 REGINA BARROS RIVERA ASSOC. EXECUTIVE DIRECTOR 35.00 X 121870 0 31788 PAUL VITALE PRESIDENT 12.00 X X 0 0 0 NANCY LANE PAST PRESIDENT 1.50 X X 0 0 0 AMY CANTOR VICE PRESIDENT 1.50 X X 0 0 0 JO-ELLEN HAZAN VICE PRESIDENT 1.50 X X 0 0 0 ANDREA LEEDS VICE PRESIDENT 1.50 X X 0 0 0 CAROL MARCELL VICE PRESIDENT 1.50 X X 0 0 0 MICHAEL MONDIELLO TREASURER 1.50 X X 0 0 0 RUTH FORTUNOFF COOPER SECRETARY 1.50 X X 0 0 0 MARILYN ALBANESE DIRECTOR 1.50 X 0 0 0 ANGELA ANTON DIRECTOR 1.50 X 0 0 0 RITA CASTAGNA DIRECTOR 1.50 X 0 0 0 JOSEPHINE EWING DIRECTOR 1.50 X 0 0 0 ROSEMARIE KLIPPER DIRECTOR 1.50 X 0 0 0 SETH KUPFERBERG DIRECTOR 1.50 X 0 0 0 TRACEY KUPFERBERG DIRECTOR 1.50 X 0 0 0 ANDREW MARCELL DIRECTOR 1.50 X 0 0 0 DANIEL OLIVER DIRECTOR 1.50 X 0 0 0 JACKLYN ZITELLI DIRECTOR 1.50 X 0 0 0 HEATHER SCHWARTZ DIRECTOR 1.50 X 0 0 0 ALEXIS SIEGEL DIRECTOR 1.50 X 0 0 0 JEFFREY GREENBLATT DIRECTOR 1.50 X 0 0 0 TROY SLADE DIRECTOR 1.50 X 0 0 0 1080902 0 241489 9 0 1 0 0 15000 350644 2075218 1198008 12106 3638870 PATIENT FEES 624100 5345834 5345834 5345834 24581 24581 1261212 1118785 142427 142427 142427 5000 350644 5000 0 OTHER INCOME 900099 2383 2383 2383 9154095 5348217 0 167008 328267 328267 4994875 4330382 392773 271720 463192 397072 47924 18196 1359184 1104469 176640 78075 420322 341837 57473 21012 9375 9375 31800 31800 24958 9188 1270 14500 3195 3096 99 114701 15777 61767 37157 84940 65016 14042 5882 221428 177824 28873 14731 11293 5129 442 5722 147926 86115 49546 12265 231655 185242 16003 30410 137381 104724 18207 14450 OTHER 90645 55412 17000 18233 TEMPORARY HELP 72940 72940 EQUIPMENT 45482 36945 5403 3134 PROGRAM SUPPLIES 8801 8801 2734 909 1825 8805094 7000878 1256904 547312 347967 1621626 1309598 1239399 2266291 2534675 64777 56733 6580086 4226072 2468270 2354014 890056 1240824 185033 0 230969 204017 7762961 9251288 642079 685330 45886 76008 2548000 2218000 497904 468960 0 1413600 3733869 4861898 X 2593622 2926407 1435470 1462983 4029092 4389390 7762961 9251288 349001 11297 0 X 0 1 X 1 0 X 4212764 5203151 4740358 4946427 3638870 22741570 4212764 5203151 4740358 4946427 3638870 22741570 1226074 21515496 17216 17403 19353 20456 24581 99009 64297 76617 3423 16400 2383 163120 23003699 22866145 0.93530 0.94250 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 64,297. 2017 AMOUNT: $ 76,617. 2018 AMOUNT: $ 3,423. 2019 AMOUNT: $ 16,400. 2020 AMOUNT: $ 2,383. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 259150 259150 5577040 3694336 1882704 721446 531736 189710 22450 22450 2354014 SBA PPP LOAN 1413600 1413600 BALL & JOURNAL 230555 225555 5000 5000 GOLF OUTING 84850 84850 1 40239 40239 355644 350644 5000 5000 5000 0 X X 0 0 0 0 0 0 0 0 0 ANDREW MALEKOFF EXECUTIVE DIRECTOR/CEO 146704 0 0 0 1016 0 9971 0 22712 0 180403 0 0 0 REENA NANDI DIRECTOR OF PSYCH SERVICES 198350 0 0 0 1220 0 13471 0 33471 0 246512 0 0 0 PHYLLIS EDELHEIT PSYCHIATRIST 196071 0 0 0 1223 0 13317 0 23488 0 234099 0 0 0 SIMRAN BAGGA PSYCHIATRIST 156943 0 0 0 121 0 10602 0 30958 0 198624 0 0 0 JOLIE PATAKI PSYCHIATRIST 148823 0 0 0 788 0 10099 0 1521 0 161231 0 0 0 REGINA BARROS RIVERA ASSOC. EXECUTIVE DIRECTOR 121278 0 0 0 592 0 8226 0 23562 0 153658 0 0 0 A NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CO 274291221 NONEAVAIL 2015-06-19 1586000 NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE 0 0 1 A 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 PART III - LINE 1 THE MISSION OF THE NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION, INC. (THE "ASSOCIATION") IS TO ESTABLISH, MAINTAIN AND OPERATE PROGRAMS FOR MENTALLY AND EMOTIONALLY DISTURBED CHILDREN, YOUTH AND THEIR FAMILIES; TO PROMOTE EMOTIONAL HEALTH OF CHILDREN AND THEIR FAMILIES; AND TO COOPERATE WITH AND BE AVAILABLE TO GOVERNMENTAL AND PRIVATE AGENCIES AND COMMUNITY GROUPS CONCERNED WITH THE MENTAL HEALTH OF CHILDREN AND THEIR FAMILIES. FORM 990, PART VI, SECTION A, LINE 2 SETH KUPFERBERG (DIRECTOR) AND TRACEY KUPFERBERG (DIRECTOR) HAVE A FAMILY RELATIONSHIP. CAROL MARCELL (VICE PRESIDENT) AND ANDREW MARCELL (DIRECTOR) HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE ASSOCIATION WAS INCORPORATED AS A MEMBERSHIP ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A 1. NOMINATIONS ARE MADE FOR NEW BOARD MEMBERS. 2. BALLOT IS MAILED OUT TO THE MEMBERSHIP. 3. THE ANNUAL MEETING WILL INCLUDE THE INSTALLATION OF NEW BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE APPOINTMENT OF THE BOARD IS SUBJECT TO APPROVAL BY THE MEMBERS. THE BY-LAWS AND THE CERTIFICATE OF INCORPORATION SHALL BE SUBJECT TO AMENDMENT UPON THE VOTE OF TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS AT ANY REGULAR OR SPECIAL MEETING THEREOF OR UPON MAIL BALLOT, PROVIDED THAT NOTICE OF THE PROPOSED AMENDMENT, REPEAL OR ADDITION SHALL HAVE BEEN GIVEN NOT LESS THAN TWO (2) WEEKS BEFORE THE MEETING AT WHICH THE VOTE IS TAKEN. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SENT TO THE FINANCE COMMITTEE VIA E-MAIL FOR REVIEW PRIOR TO FILING. THE FINANCE COMMITTEE REVIEWS AN UNSIGNED COPY AND THE BOARD RECEIVES A SIGNED COPY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE POLICY IS PRESENTED TO THE BOARD AND KEY EMPLOYEES ALONG WITH THE DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15A IN DECEMBER OF 2019, THE CURRENT CONTRACT OF THE EXECUTIVE DIRECTOR WAS EXTENDED FOR AN ADDITIONAL 3 YEARS COMMENCING AS OF JANUARY 30,2020, WITH ALL TERMS AND CONDITIONS TO REMAIN IN EFFECT. THE EXECUTIVE COMMITTEE OF THE AGENCY REVIEWED OTHER NOT FOR PROFIT ORGANIZATIONS 990 FORMS TO DETERMINE AND ASSESS THE COMPENSATION. THIS COMPENSATION WAS SUBJECT TO ANNUAL INCREASES AS APPROVED BY THE BOARD OF DIRECTORS AND SUCH ADDITIONAL COMPENSATION DEEMED APPROPRIATE BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY CONTACTING THE EXECUTIVE OFFICE. FORM 990, PART X - LINES 15, 20 AND 23 THE AMOUNTS STATED ON FORM 990, PART X, LINE 15, 20 AND 23 HAVE BEEN GROSSED UP TO ACCOUNT FOR UNAMORTIZED COST OF FINANCING AMOUNTING TO $204,017, WHICH IS SHOWN NET WITH LONG-TERM DEBT ON THE AUDITED FINANCIAL STATEMENTS. NORTH SHORE CHILD & FAMILY GUIDANCE ASSOCIATION HOLDING CORP 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 320444500 HOLDING CORP. NY 501(C)(3) LINE 12A, I THE AGENCY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0