SERV FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SERV FOUNDATION INC (EIN 22-3265546)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202001959349301245
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-13T13:27:07-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223271712PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MERCADIEN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7648AddressLine1Txt
CityPRINCETONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP085437648ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223265546EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SERV FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSERVBusinessNameControlTxt
Phone6094060100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 SCOTCH ROAD THIRD FLOORAddressLine1Txt
CityEWINGCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDON HOLFORDPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6094060100PhoneNum
Signature2020-07-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOVEPREET BUTTAR CPAPreparerPersonNm
PTINP01329403PTIN
Phone6096899700PhoneNum
Preparation2020-07-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.117.53.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm14:26:57IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC7999CEF8FE75971F86DF5B5E1918EFD4D761FE8AtSubmissionCreationDeviceId
At Submission Filing Device Id095EBCC4F8D22826B36E751D55B26B4299A79C98AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDON HOLFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 SCOTCH ROAD THIRD FLOORAddressLine1Txt
CityEWINGCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,160,465GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SERVBHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS IN SUPPORT OF THE SERV PROGRAMS, WHICH OPERATE THROUGH RELATED AFFILIATES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI-$511TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$511NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$252,531PYContributionsGrantsAmt
CY Contributions Grants$335,866CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$1,065,089PYInvestmentIncomeAmt
CY Investment Income$334,676CYInvestmentIncomeAmt
PY Other Revenue-$4,937PYOtherRevenueAmt
CY Other Revenue-$15,992CYOtherRevenueAmt
PY Total Revenue-$817,495PYTotalRevenueAmt
CY Total Revenue$654,550CYTotalRevenueAmt
PY Grants And Similar Paid$42,072PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,946CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,424PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,242CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,675CYTotalFundraisingExpenseAmt
PY Other Expenses$148,131PYOtherExpensesAmt
CY Other Expenses$76,974CYOtherExpensesAmt
PY Total Expenses$204,627PYTotalExpensesAmt
CY Total Expenses$110,162CYTotalExpensesAmt
PY Revenues Less Expenses-$1,022,122PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$544,388CYRevenuesLessExpensesAmt
Total Assets BOY$4,667,994TotalAssetsBOYAmt
Total Assets EOY$5,078,455TotalAssetsEOYAmt
Total Liabilities BOY$27,520TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,938TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,640,474NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,046,517NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RAISE FUNDS FOR SUPPORT OF SERV PROGRAMS, WHICH OPERATE THROUGH THE ORGANIZATION'S AFFILIATES (SERV CENTERS OF NEW JERSEY, INC. AND SERV ACHIEVEMENT CENTERS, INC). THESE PROGRAMS PROVIDE SOCIAL, EDUCATIONAL, RESIDENTIAL AND VOCATIONAL SERVICES TO INDIVIDUALS WITH EMOTIONAL OR MENTAL DISTURBANCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$35,497ExpenseAmt
Grant$16,946GrantAmt
DescTHE SERV FOUNDATION RAISES FUNDS TO PROVIDE INNOVATIVE PROGRAMS FOR INDIVIDUALS IN THE SERV BEHAVIORAL HEALTH SYSTEM'S FAMILY OF COMPANIES WHO STRUGGLE WITH DEBILITATING MENTAL ILLNESSES OR DEVELOPMENTAL DISABILITIES. BY CREATING PARTNERSHIPS WITH INDIVIDUALS AND ORGANIZATIONS, THE FOUNDATION DEVELOPS AWARENESS IN THE COMMUNITY AND PROVIDES FINANCIAL SUPPORT FOR EXCEPTIONAL PROGRAMS BENEFITING OUR CONSUMERS, THEIR FAMILIES AND THE COMMUNITY AT LARGE.THE SERV FOUNDATION SCHOLARSHIP FUND WAS ESTABLISHED IN 2004 TO PROVIDE TUITION AID TO SERV'S ADULT CONSUMERS WHO WOULD LIKE TO CONTINUE THEIR EDUCATIONAL GOALS BUT HAVE EXHAUSTED ALL SOURCES OF FINANCIAL AID. SIX CONSUMERS RECEIVED SCHOLARSHIP ASSISTANCE DURING FISCAL YEAR 2019. THE ANNUAL WELLNESS & DEVELOPMENT CONFERENCE WAS INITIATED BY THE SERV FOUNDATION IN 2002 TO SUPPORT SERV CONSUMERS AS THEY WORK TOWARD THEIR GOAL OF OVERALL WELLNESS. THIS DAYLONG EVENT IS PRESENTED TO CONSUMERS AND THEIR FAMILIES FREE OF CHARGE AND FEATURES FIVE EDUCATIONAL AND SKILL-BUILDING WORKSHOPS THAT ADDRESS DIMENSIONS OF THE WELLNESS AND RECOVERY PHILOSOPHY: PHYSICAL, SPIRITUAL, SOCIAL, INTELLECTUAL, EMOTIONAL, OCCUPATIONAL/LEISURE, ENVIRONMENTAL AND FINANCIAL. IN 2019, 467 INDIVIDUALS ATTENDED THE CONFERENCE.Desc
Total Program Service Expenses$35,497TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DON HOLFORDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6094060100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 SCOTCH ROAD THIRD FLOORAddressLine1Txt
CityEWINGCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
ANDRE CALDINI
CHAIR PERSON5.00Yes (X)Yes (X)$0$0$0
RICH DIACONT
VICE CHAIR PERSON5.00Yes (X)Yes (X)$0$0$0
RICH ANDERSON
BOARD MEMBER2.00Yes (X)$0$0$0
WARD BAUMAN
BOARD MEMBER2.00Yes (X)$0$0$0
TED GOLFINOPOULOS
PAST CHAIRPERSON5.00Yes (X)$0$0$0
PETER POGANY RP
BOARD MEMBER2.00Yes (X)$0$0$0
SHAHNAM SHARAREH
BOARD MEMBER2.00Yes (X)$0$0$0
TIM SMITH
BOARD MEMBER2.00Yes (X)$0$0$0
REGINA WIDDOWS
PRESIDENT AND CEO2.00Yes (X)Yes (X)$0$382,103$40,31338.00
IDA DOOLAN
DIRECTOR OF COMMUNICATIONS2.00Yes (X)$0$74,526$13,45038.00
MORRIS BREITSTIEN UNTIL 819
CFO2.00Yes (X)$0$65,368$2,43938.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$521,997TotReportableCompRltdOrgAmt
Total Other Compensation$56,202TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$83,527FundraisingAmt
All Other Contributions$252,339AllOtherContributionsAmt
Noncash Contributions$39,054NoncashContributionsAmt
Total Contributions$335,866TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,411TotalRevenueColumnAmt
Unrelated Business Revenue-$511UnrelatedBusinessRevenueAmt
Exclusion$126,922ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$20,095RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$25,585RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$5,490RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,490TotalRevenueColumnAmt
Exclusion-$5,490ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,656,970SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,448,705SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$208,265SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,265TotalRevenueColumnAmt
Exclusion$208,265ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$21,123FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$83,527ContriRptFundraisingEventAmt
Fundraising Direct Expenses$31,625FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,502TotalRevenueColumnAmt
Exclusion-$10,502ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$654,550TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$511UnrelatedBusinessRevenueAmt
Exclusion$319,195ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,946TotalAmt
Program Services$16,946ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,485TotalAmt
Fundraising$11,485FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$449TotalAmt
Fundraising$449FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,254TotalAmt
Fundraising$3,254FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,054TotalAmt
Fundraising$1,054FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60TotalAmt
Management And General$60ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,558TotalAmt
Management And General$14,558ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$18,750TotalAmt
Management And General$18,750ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$537TotalAmt
Management And General$537ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,755TotalAmt
Fundraising$6,755FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,402TotalAmt
Management And General$9,402ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,360TotalAmt
Management And General$3,360ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$16,628$16,628
MISCELLANEOUS$4,387$64$4,323
CLIENT ACTIVITIES$1,859$1,859
STAFF DEVELOPMENT$678$678

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$110,162TotalAmt
Program Services$35,497ProgramServicesAmt
Management And General$50,990ManagementAndGeneralAmt
Fundraising$23,675FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$133,966BOYAmt
EOY$356,297EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$133,257BOYAmt
EOY$168,085EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,095BOYAmt
EOY$52,780EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$413,635BOYAmt
EOY$390,966EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,000BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$687,176LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$211,370LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$489,287BOYAmt
EOY$475,806EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,496,051BOYAmt
EOY$2,626,348EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$561,594BOYAmt
EOY$587,776EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$417,109BOYAmt
EOY$420,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,667,994BOYAmt
EOY$5,078,455EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,520BOYAmt
EOY$31,938EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,520BOYAmt
EOY$31,938EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,598,805BOYAmt
EOY$4,886,842EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,669BOYAmt
EOY$159,675EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,640,474BOYAmt
EOY$5,046,517EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,667,994BOYAmt
EOY$5,078,455EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$544,388ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$138,345NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$198,959CurrentTaxYearMinus1YearAmt
Current Tax Year$335,866CurrentTaxYearAmt
Total$797,844TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$198,959CurrentTaxYearMinus1YearAmt
Current Tax Year$335,866CurrentTaxYearAmt
Total$797,844TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$128,185SubstantialContributorsTotAmt
Public Support Total170$669,659PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$190,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$176,035CurrentTaxYearMinus1YearAmt
Current Tax Year$328,588CurrentTaxYearAmt
Total$1,096,651TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$142,414CurrentTaxYearMinus2YearsAmt
Total$142,414TotalAmt
FieldValueIRS element (for citing)
Total Support$2,036,909TotalSupportAmt
Public Support CY1700.32880PublicSupportCY170Pct
Public Support PY1700.24770PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, SECTION C, LINE 17A, FACTS AND CIRCUMSTANCES TEST:FormAndLineReferenceDesc
ExplanationTHE GOVERMENTAL AND PUBLIC SUPPORT NORMALLY RECEIVED BY THE FOUNDATION EQUALS AT LEAST 10% OF THE TOTAL SUPPORT NORMALLY RECEIVED BY THE ORGANIZATION. THE ORGANIZATION IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. THE ORGANIZATION SATISFIES THIS REQUIREMENT BY MAINTAINING CONTINUOUS AND BONA FIDE PROGRAMS, FOR SOLICITATION OF FUNDS. THE SCOPE OF THE ORGANIZATION'S FUNDRAISING ACTIVITIES ARE REASONABLE IN LIGHT OF ITS CHARITABLE ACTIVITIES.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$187,907OtherCostOrOtherBasisAmt
Book Value$187,907BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$479,093OtherCostOrOtherBasisAmt
Depreciation$196,455DepreciationAmt
Book Value$282,638BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,176OtherCostOrOtherBasisAmt
Depreciation$10,915DepreciationAmt
Book Value$5,261BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,000OtherCostOrOtherBasisAmt
Depreciation$4,000DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$475,806TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN AHMDesc
Book Value$587,776BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$587,776TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$420,397BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$420,397TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$554,665TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$138,345NetUnrealizedGainsInvstAmt
Revenue Not Reported-$138,345RevenueNotReportedAmt
Revenue Subtotal$693,010RevenueSubtotalAmt
Investment Expenses Not Incld$18,750InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$57,210OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$38,460RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$654,550TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$148,622TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$57,210OtherExpensesIncludedAmt
Expenses Not Reported$57,210ExpensesNotReportedAmt
Expenses Subtotal$91,412ExpensesSubtotalAmt
Investment Expenses Not Incld2$18,750InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$18,750ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$110,162TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -25,585. SPECIAL EVENT EXPENSE -31,625.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 31,625. RENTAL EXPENSE 25,585.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1VOLLEY FOR SERVEvent1Nm
Gross Receipts Event1$95,565GrossReceiptsEvent1Amt
Charitable Contri Event1$75,470CharitableContriEvent1Amt
Gross Revenue Event1$20,095GrossRevenueEvent1Amt
Rent Facility Costs Event1$16,228RentFacilityCostsEvent1Amt
Food And Beverage Event1$260FoodAndBeverageEvent1Amt
Entertainment Event1$10,369EntertainmentEvent1Amt
Other Direct Expenses Event1$3,379OtherDirectExpensesEvent1Amt
Event2BEEF & BEEREvent2Nm
Gross Receipts Event2$9,085GrossReceiptsEvent2Amt
Charitable Contri Event2$8,057CharitableContriEvent2Amt
Gross Revenue Event2$1,028GrossRevenueEvent2Amt
Other Direct Expenses Event2$1,389OtherDirectExpensesEvent2Amt
Gross Receipts Total$104,650GrossReceiptsTotalAmt
Charitable Contributions Tot$83,527CharitableContributionsTotAmt
Gross Revenue Total Events$21,123GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$16,228RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$260FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,369EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,768OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$31,625DirectExpenseSummaryEventsAmt
Net Income Summary-$10,502NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$16,946CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHREE TIMES A YEAR (SPRING, SUMMER, AND FALL), THE SERV FOUNDATION PRESENTS SCHOLARSHIPS TO ADULT SERV CONSUMERS WHO WANT TO ATTEND OR RETURN TO SCHOOL, WHETHER IT IS A 2 OR 4 YEAR COLLEGE, VOCATIONAL, TECHNICAL, OR SPECIALTY SCHOOL, OR AN ADULT SCHOOL. THE APPLICANTS MUST HAVE EXHAUSTED ALL OTHER FORMS OF EDUCATIONAL FUNDING BEFORE SEEKING HELP FROM THE SERV FOUNDATION. ALL OF THOSE SELECTED FOR SCHOLARSHIPS THROUGHOUT THE PROGRAM'S EXISTENCE HAVE WORKED HARD TO BECOME PSYCHIATRICALLY STABLE AND SHOW POTENTIAL TO COMPLETE THEIR INTENDED COURSE OF STUDY. APPLICANTS WHO HAVE BEEN WITH SERV FOR AT LEAST THREE (3) MONTHS AND HAVE SUCCESSFULLY GRADUATED THROUGH THE CONTINUUM OF CARE SUBMIT A REQUEST FORM TO THEIR RESIDENTIAL PROGRAM MANAGERS AT SERV BY A DEADLINE SET BY THE FOUNDATION. THE FUNDS REQUESTED CAN INCLUDE TUITION COSTS, BOOK FEES, AND/OR PUBLIC TRANSPORTATION EXPENSES. ALL FORMS ARE THEN SUBMITTED BY DEADLINE TO THE DIRECTORS OF SERV CENTERS (MENTAL HEALTH) AND SERV ACHIEVEMENT CENTERS (DEVELOPMENTAL DISABILITIES) FOR REVIEW. IF APPROVED, THE DIRECTORS FORWARD THE APPLICATIONS ALONG WITH ESSAYS WRITTEN BY THE APPLICANTS BY A DEADLINE TO THE FOUNDATION'S SCHOLARSHIP FUND COMMITTEE. THE FOUNDATION'S BOARD OF DIRECTORS REVIEWS THE APPLICATIONS AND MAY CONTACT THE DIRECTORS FOR ANY ADDITIONAL INFORMATION. THE BOARD THEN MAKES THE FINAL DECISION AND THE APPLICANTS ARE NOTIFIED BY LETTER. A CHECK FOR THE APPROVED AMOUNT IS SENT TO THE APPLICANT, RATHER THAN TO THE SCHOOL, TO PROTECT THE STUDENTS' AFFILIATION WITH A BEHAVIORAL HEALTH AGENCY. SCHOLARSHIP RECIPIENTS MUST SEND RECEIPTS FOR PAID COURSEWORK AND BOOKS TO THE SCHOLARSHIP COMMITTEE AT THE CORPORATE OFFICE. ANY FUNDS NOT USED BY THE RECIPIENT (BECAUSE OF A DROPPED COURSE OR ANOTHER REASON) MUST BE RETURNED TO THE SERV FOUNDATION BY CHECK OR MONEY ORDER IMMEDIATELY. AT THE END OF THE SEMESTER, CLINICAL STAFF WHO RECOMMENDED THE AWARD RECIPIENTS MUST FORWARD A COPY OF THE STUDENTS' TRANSCRIPTS, ALONG WITH A "SCHOLARSHIP RECIPIENT FOLLOW-UP QUESTIONNAIRE" COMPLETED BY THE STUDENT, TO THE SCHOLARSHIP FUND COMMITTEE AT THE CORPORATE OFFICE. THE QUESTIONNAIRE ASKS FOR THE FINAL GRADE FOR THE COURSE, THE CURRENT GRADE-POINT AVERAGE (GPA), CREDITS ACCUMULATED TOWARD DEGREE, AND WHETHER THEY INTEND TO CONTINUE THEIR STUDIES NEXT SEMESTER. THE CORPORATE OFFICE RECORDS ALL INFORMATION ABOUT THE STUDENT AND HIS/HER EDUCATIONAL TRACK IN A DATABASE AND ANALYZES THE OUTCOME.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonREGINA WIDDOWSPersonNm
TitlePRESIDENT AND CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$332,103CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$50,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$26,512DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$13,801NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$422,416TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 5FormAndLineReferenceDesc
ExplanationTHE EXECUTIVES WHO ARE LISTED ON THIS SCHEDULE HAVE THEIR COMPENSATION DETERMINED BY A RELATED PARTY THROUGH METHODS SUCH AS COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$39,054NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS SERV BEHAVIORAL HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7ASERV BEHAVIORAL HEALTH SYSTEM, INC., THE SOLE MEMBER OF THE ORGANIZATION, ACTING THROUGH ITS BOARD OF DIRECTORS HAS THE SOLE POWER TO APPROVE THE DIRECTORS OF THE ORGANIZATION AND THE SOLE POWER TO REMOVE OFFICERS AND DIRECTORS WITH AND WITHOUT CAUSE.
FORM 990, PART VI, SECTION A, LINE 7BSERV BEHAVIORAL HEALTH SYSTEM, INC, THE SOLE MEMBER OF THE ORGANIZATION, ACTING THROUGH ITS BOARD OF DIRECTORS HAS THE POWER TO 1)APPROVE THE SELECTION OF THE CHIEF OPERATING OFFICER 2)AMEND THE CERTIFICATE OF INCORPORATION AND THE BY-LAWS 3)DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION 4)MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE ORGANIZATION 5)APPROVE ALL EXPENDITURES EXCEEDING $50,000, NOT INCLUDED IN THE APPROVED BUDGET 6)SELECT THE ATTORNEY AND APPROVE THE CERTIFIED PUBLIC ACCOUNTANT FOR THE ORGANIZATION 7)APPROVE THE PURCHASE, SALE, EXCHANGE, CONVEYANCE, OR LEASE FOR A TERM IN EXCESS OF THREE YEARS OF REAL ASSETS, THE BORROWING OF MONEY, THE ISSUANCE OF NOTES OR BONDS OR THE REPAYMENTS THEREOF WITH INTEREST, AND THE GRANTING OF SUCH PLEDGES, MORTGAGES, OR OTHER SECURITY INTERESTS WITH RESPECT TO PROPERTY AS SHALL BE REQUIRED THEREIN UPON SUCH TERMS AND CONDITIONS AS SHALL HAVE BEEN RECOMMENDED BY THE BOARD OF DIRECTORS 9)REQUIRE THE CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME 10)AUTHORIZE ANY FUND DRIVE OR SOLICITATION OFFERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CHIEF FINANCIAL OFFICER WILL PERFORM AN INITIAL REVIEW. ONCE THE CFO APPROVES THE DRAFT, THE 990 IS PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A COMPLIANCE OFFICER WHO CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE POLICY COVERS EMPLOYEES, CONTRACTORS, AND BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO FILL OUT ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. ANY CONFLICTS ARE DETERMINED BY THE COMPLIANCE OFFICER AND THE COMPLIANCE COMMITTEE. IF A CONFLICT IS DISCOVERED, A CONFLICT MANAGEMENT PLAN IS PUT INTO PLACE TO MANAGE THE CONFLICT. IF BOARD MEMBERS AND OFFICERS HAVE ANY CONFLICTS, THEY ABSTAIN FROM ANY BOARD VOTES OR DECISIONS WHICH INVOLVE THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY AS SOURCES OF POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SERV BEHAVIORAL HEALTH SYSTEM INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223560510HOLDING COMPANY FOR SERV CENTERS OF NJ INC AND OTHER RELATED ORGANIZATIONSNJ501(C)(3)LINE 7N/A0
SERV CENTERS OF NEW JERSEY INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628222090976OFFERS SOCIAL, EDUCATIONAL, RESIDENTIAL, AND VOCATIONAL SERVICESNJ501(C)(3)LINE 70SERV BEHAVIORAL HEALTH SYSTEM INC
SERV PROPERTIES AND MANAGEMENT INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223265548SUPPORTING ORGANIZATION FOR RELATED ORGANIZATIONSNJ501(C)(3)LINE 12A, IYes (1)SERV FOUNDATION INC
SERV CENTERS HOUSING CORPORATION INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628222284195PROVIDES HOUSING FOR USE BY SEVERELY MENTALLY DISABLED PERSONSNJ501(C)(3)LINE 70SERV BEHAVIORAL HEALTH SYSTEM INC
SERV ACHIEVEMENT CENTERS INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628222775481PROVIDES HIGH QUALITY CARE AND REHABILITATION FOR PEOPLE WITH DISABILITIESNJ501(C)(3)LINE 70SERV BEHAVIORAL HEALTH SYSTEM INC
CIFA II INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223198050GROUP HOME FOR THE DEVELOPMENTALLY DISABLED LOCATED IN PRINCETON, NJNJ501(C)(3)LINE 70SERV BEHAVIORAL HEALTH SYSTEM INC
CIFA III INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223436040GROUP HOME FOR THE DEVELOPMENTALLY DISABLED LOCATED IN LAWRENCEVILLE, NJNJ501(C)(3)LINE 12B, II0SERV BEHAVIORAL HEALTH SYSTEM INC
CIFA FOUNDATION INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223264933TO PROVIDE FINANCIAL ASSISTANCE AND SUPPORT TO RELATED ORGANIZATIONSNJ501(C)(3)LINE 12B, II0SERV BEHAVIORAL HEALTH SYSTEM INC
258 CUMBERLAND AVENUE INC
20 SCOTCH ROAD THIRD FLOOREWINGNJ08628223271130GROUP HOME FOR THE DEVELOPMENTALLY DISABLEDNJ501(C)(3)LINE 70SERV BEHAVIORAL HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ADVANCED HEALTH MANAGEMENT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 SCOTCH ROAD THIRD FLOORAddressLine1Txt
CityEWINGCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd
FieldValueIRS element (for citing)
EIN233470979EIN
Primary ActivitiesMANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SERV FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeMANAGEMENT SERVICESPredominantIncomeTypeTxt
Share Of Total Income$26,182ShareOfTotalIncomeAmt
Share Of EOY Assets$684,032ShareOfEOYAssetsAmt
Disproportionate AllocationsYes (1)DisproportionateAllocationsInd
UBI Code V-$511UBICodeVAmt
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.80000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ADVANCED HEALTH MANAGEMENT LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$26,693InvolvedAmt
Method Of Amount DeterminationK-1MethodOfAmountDeterminationTxt

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