2021-12-08T10:28:28-06:00 2020-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-01-01 721150472 AMERICAN FAMILY SERVICES INC AMER 2257530864 PO BOX 40018 BATON ROUGE LA 70835 RICHARD T DASPIT SR PRESIDENT 2257530864 2021-12-07 1 RICHARD DASPIT SR 999009999 BRENDA L BOOTH P01342395 6177610600 2021-12-07 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICHARD T DASPIT SR 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 23480 0 X N/A X 1989 LA TO PROVIDE COMPREHENSIVE NURSING CARE SERVICES. 3 2 0 0 0 0 0 0 0 0 0 0 8071392 23480 8071392 23480 0 0 0 0 0 0 0 0 0 105586 122887 105586 122887 7965806 -99407 130860 15186 130860 114593 0 -99407 TO SERVE THE HEALTH AND REHABILITATION NEEDS OF THE COMMUNITY AND TO IMPROVE THE QUALITY OF LIFE FOR EACH PATIENT, RESIDENT, FAMILY MEMBER, VISITOR AND CO-WORKER. 0 0 0 0 AMERICAN FAMILY SERVICES WAS FORMED TO OWN AND OPERATE A 60 BEDNURSING FACILITY AND A 42 BED ASSISTED LIVING FACILITY IN NELSONIA, VIRGINIA, A RURAL COMMUNITY. ON APRIL 14, 2017, THE UNITED STATES DISTRICT COURT FOR THE EASTEN DISTRICT OF VIRGINIA ISSUED AN ORDER APPOINTING A RECEIVER TO OVERSEE AND OPERATE AFS ON BEHALF OF THE BOND TRUSTEE. THE RECEIVER IS DIRECTED AND EMPOWERED TO TAKE FROM MANAGEMENT OF AFS ALL RIGHTS AND POWERS OF MANAGEMENT WITH RESPECT TO THE COLLATERAL, AS DEFINED IN THE ORDER, INCLUDING THE FACILITY AND ITS OPERATIONS THEREOF. AT THE REQUEST OF THE RECEIVER, FHS MANAGEMENT IS CONTINUING TO PROVIDE FINANCIAL SERVICES. IN 2018, THE RECEIVER CEASED OPERATIONS AND SOLD THE FACILITY BED LICENSE. IN 2019, THE BUILDING AND LAND WERE SOLD AND THE RECEIVER BEGAN FINAL DISTRIBUTIONS. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 X 3 2 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 LA X RICHARD T DASPIT SR 2257530864 17617 S HARRELLS FERRY ROAD BATON ROUGE LA 70816 RICHARD T DASPIT SR PRESIDENT 1.00 39.00 X X 0 231679 5523 G STUART MURPHY III TREASURER 1.00 9.00 X X 0 7000 0 LOUIS HERRERO SECRETARY 1.00 9.00 X X 0 7000 0 LONNIE PEELER-SMITH COO 1.00 39.00 X 0 187960 5521 BRANDON HOLLEMAN CFO 1.00 39.00 X 0 135708 5155 RICHARD DASPIT JR CIO 1.00 39.00 X 0 100686 5672 0 670033 21871 0 0 1 0 0 MISCELLANEOUS 623000 23480 23480 23480 23480 0 0 23480 35070 35070 MISCELLANEOUS EXPENSES 52746 52746 REFUND OF CLIENT DEPOSI 35071 35071 122887 0 122887 0 114296 15186 16564 0 130860 15186 130860 114593 130860 114593 X 0 -99407 0 -99407 130860 15186 -99407 0 X 0 1 X 1 0 X 3378943 3223176 189358 0 0 6791477 3378943 3223176 189358 6791477 0 0 0 6791477 25 78 287 0 0 390 25 78 287 390 6931 28388 16252 8071392 23480 8146443 3385899 3251642 205897 8071392 23480 14938310 0.45460 0.55640 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 6,931. 2017 AMOUNT: $ 28,388. 2018 AMOUNT: $ 16,252. 2019 AMOUNT: $ 8,071,392. 2020 AMOUNT: $ 23,480. 0 DUE TO RELATED PARTY 114593 114593 X PART X, LINE 2: AFS HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED FOR FEDERAL AND STATE INCOME TAX PURPOSES. AFS ACCOUNTS FOR THE EFFECTS OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THAT TAX POSITION BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. AFS HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, AFS HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. AFS BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017. 0 0 0 0 0 0 0 0 0 RICHARD T DASPIT SR PRESIDENT 0 231679 0 0 0 0 0 0 0 5523 0 237202 0 0 LONNIE PEELER-SMITH COO 0 187960 0 0 0 0 0 0 0 5521 0 193481 0 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD T. DASPIT, SR., PRESIDENT AND RICHARD DASPIT, JR., CHIEF INFORMATION OFFICER, ARE FATHER AND SON, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 3 AMERICAN FAMILY SERVICES HAS AN AGREEMENT WITH FOUNDATION HEALTH SERVICES, INC., SOLE MEMBER OF AMERICAN FAMILY SERVICES, TO PROVIDE MANAGEMENT SERVICES INCLUDING FINANCIAL AND ACCOUNTING SUPPORT SERVICES. FORM 990, PART VI, SECTION A, LINE 8A NO MEETINGS OF THE GOVERNING BODY WERE HELD IN 2020. FORM 990, PART VI, SECTION A, LINE 8B NO MEETINGS OF THE GOVERNING BODY WERE HELD IN 2020. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED ANNUALLY AND COPIES ARE PROVIDED TO THE ENTIRE GOVERNING BOARD AS WELL AS THE PRESIDENT OF THE ORGANIZATION. AT THAT TIME THE PRESIDENT REVIEWS THE FORM 990 WITH THE BOARD MEMBERS. ANY NECESSARY CHANGES ARE THEN UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE AND THE PRESIDENT IS IN AGREEMENT WITH THE BOARD MEMBERS ON THE FINISHED FORM 990, IT IS SIGNED BY THE PRESIDENT, DATED AND SUBMITTED BY THE FILING DEADLINE. A COPY OF THE APPROVED FORM 990 IS PROVIDED TO ALL OF THE OFFICERS, DIRECTORS AND TRUSTEES BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PROMULGATES ITS CONFLICT OF INTEREST POLICY TO ASSURE CONTINUED COMMITMENT TO THE INTEGRITY OF ITS EXEMPT PURPOSE. TO PROVIDE ENFORCEMENT OF THE POLICY, A WRITTEN DISCLOSURE OF THE POLICY IS DISTRIBUTED TO THE EMPLOYEES AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICER'S OF THE ORGANIZATION ARE PAID BY A RELATED PARTY, FOUNDATION HEALTH SERVICES. THE COMPENSATION OF THE OFFICERS IS APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION, MADE UP OF INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FOUNDATION HEALTH SERVICES INC PO BOX 40213 BATON ROUGE LA 70835 581745788 HEALTHCARE LA 501(C)(3) LINE 11 N/A 0 BLUEBONNET HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 781187099 HEALTHCARE LA 501(C)(3) LINE 11 FHS 0 HUNTINGDON NURSING CENTER INC PO BOX 40018 BATON ROUGE LA 70835 541759925 HEALTHCARE VA 501(C)(3) LINE 11 FHS 0 CARROLLWOOD HEALTH FOUNDATION INC PO BOX 40018 BATON ROUGE LA 70825 721241847 FINCLSERVICESHEALTHCARE FL 501(C)(3) LINE 12B, II FHS 0 MAGNOLIA HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721304946 HEALTHCARE MS 501(C)(3) LINE 11 FHS 0 ROCK GLEN HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721277793 HEALTHCARE MD 501(C)(3) PF FHS 0 COLONIAL HEALTHCARE INC PO BOX 40018 BATON ROUGE LA 70835 721432537 INACTIVE MA 501(C)(3) LINE 11 FHS 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0