2019-11-08T08:55:35-06:00 2018-12-31 133628255 CONDON O'MEARA MCGINTY & DONNELLY LLP ONE BATTERY PARK PLAZA 7TH FL NEW YORK NY 10004 990 2018-01-01 111797183 NORTH SHORE CHILD & FAMILY GUIDANCE ASSOCIATION INC NORT 6316261971 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 ANDREW MALEKOFF CHIEF EXECUTIVE OFFICER 6316261971 2019-10-29 1 JAMES J REILLY P00183769 2126617777 184.74.172.82 2019-10-29 09:56:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C6559D2F2D9E916EF7F955BDA2CCEAE3D9F52865 2018 2020-03-31 21:24:44Z ANDREW MALEKOFF 480 OLD WESTBURY ROAD ROSLYN HEIGHTS NY 11577 9781808 0 X WWW.NORTHSHORECHILDGUIDANCE.ORG X 1953 NY TO RESTORE AND STRENGTHEN THE EMOTIONAL WELL-BEING OF CHILDREN AND FAMILIES. 25 25 124 107 0 0 5203151 4740358 4193102 4420718 72343 78548 76617 3423 9545213 9243047 0 0 0 0 7228226 7539452 0 0 510425 1301136 1313462 8529362 8852914 1015851 390133 6806880 7403724 3910602 4275061 2896278 3128663 X SEE SCHEDULE O. 0 0 4826298 2303436 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 1,882 CLIENTS FOR A TOTAL OF 23,565 UNITS OF SERVICE. 1927503 2101122 THE SCHOOL COMMUNITY COLLABORATIVE FOCUSES ON STUDENTS WITH SERIOUS EMOTIONAL DISTRUBANCES 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 HELATH COLLABORATIONS WITH NASSAU BOCES, COVERING ALL 56 NASSAU COUNTY SCHOOL DISTRICTS AND ALSO SPECIAL PROJECTS WITH THE WESTBURY AND WYANDANCH SCHOOL DISTRICTS. 199622 7905 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. 121465 11678 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 YOURG CHILDREN ARE RECOGNIZED AND THAT SERVICES ARE CREATED THAT ARE BOTH PSYCHOLOGICALLY AND DEVELOPMENTALLY SOUND. THE SERVCIES 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. 121465 11678 7074888 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 0 0 1 0 0 0 1 9 0 1 124 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 25 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 NANCY LANE PRESIDENT 12.00 X X 0 0 0 JOHN GRILLO PAST PRESIDENT 1.50 X X 0 0 0 AMY CANTOR VICE PRESIDENT 1.50 X X 0 0 0 RITA CASTAGNA VICE PRESIDENT 1.50 X X 0 0 0 ANDREA LEEDS VICE PRESIDENT 1.50 X X 0 0 0 JO-ELLEN HAZAN VICE PRESIDENT 1.50 X X 0 0 0 PAUL VITALE TREASURER 1.50 X X 0 0 0 RUTH FORTUNOFF COOPER SECRETARY 1.50 X X 0 0 0 ANGELA ANTON DIRECTOR 1.50 X 0 0 0 JACQUELINE BUSHWACK DIRECTOR 1.50 X 0 0 0 CHARLES CHAN DIRECTOR 1.50 X 0 0 0 JOSEPHINE EWING DIRECTOR 1.50 X 0 0 0 MARILYN ALBANESE DIRECTOR 1.50 X 0 0 0 MATILDE BRODER DIRECTOR 1.50 X 0 0 0 TROY SLADE DIRECTOR 1.50 X 0 0 0 MICHAEL MONDIELLO DIRECTOR 1.50 X 0 0 0 VALERIE RITACCO DIRECTOR 1.50 X 0 0 0 HEATHER SCHWARTZ DIRECTOR 1.50 X 0 0 0 LINDA UGENTI 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 CAROL MARCELL DIRECTOR 1.50 X 0 0 0 ALEXIS SIEGEL DIRECTOR 1.50 X 0 0 0 ANDREW MALEKOFF EXECUTIVE DIRECTOR/CEO 35.00 X 173124 0 32504 JOAN VITIELLO CONTROLLER 35.00 X 103726 0 35819 REENA NANDI DIRECTOR OF PSYCHIATRIC SERVICES 35.00 X 176352 0 41381 PHYLLIS EDELHEIT PSYCHIATRIST 35.00 X 152344 0 36486 STEPHEN PERRET PSYCHIATRIST 25.00 X 139510 0 10881 REGINA BARROS RIVERA ASSOC. EXECUTIVE DIRECTOR 35.00 X 122073 0 28998 JOLIE PATAKI PSYCHIATRIST 25.00 X 141597 0 9558 1008726 0 195627 9 0 1 0 0 18876 788200 3065132 868150 50213 4740358 PATIENT FEES 624100 4420718 4420718 4420718 19353 19353 457348 398153 59195 59195 59195 140608 788200 140608 0 OTHER INCOME 900099 3423 3423 3423 9243047 4424141 0 78548 345173 345173 5099933 4385977 453911 260045 426021 383136 29570 13315 1202945 1071466 100646 30833 465380 377730 63688 23962 6205 4205 2000 30400 30400 16088 7100 3988 5000 3815 2851 964 162751 30143 78845 53763 76635 59214 11329 6092 342454 276625 43531 22298 31204 25816 194 5194 144835 80109 52971 11755 218571 167443 15507 35621 107797 82623 14879 10295 TEMPORARY HELP 58974 58974 EQUIPMENT 43221 35002 5298 2921 MISC. 38455 4216 13156 21083 PROGRAM SUPPLIES 21082 19595 1487 10975 6868 310 3797 8852914 7074888 1267601 510425 X 1239462 1121919 177665 789649 2387131 2143135 83989 56247 5914399 3790890 1702484 2123509 884245 740915 113885 169112 218019 259238 6806880 7403724 525849 806399 170753 59205 1264000 1090000 1950000 2319457 3910602 4275061 X 907348 1866797 1988930 1261866 2896278 3128663 6806880 7403724 390133 -157748 0 X 0 1 X 1 0 X 4277696 4462667 4212764 5203151 4740358 22896636 4277696 4462667 4212764 5203151 4740358 22896636 869371 22027265 18969 15433 17216 17403 19353 88374 131831 22058 64297 76617 3423 298226 23283236 20521448 0.94610 0.95780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 131,831. 2015 AMOUNT: $ 22,058. 2016 AMOUNT: $ 64,297. 2017 AMOUNT: $ 76,617. 2018 AMOUNT: $ 3,423. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 259150 259150 4624866 3359340 1265526 544563 431550 113013 485820 485820 2123509 BALL & JOURNAL 627796 570421 57375 33371 10000 14004 GOLF OUTING 231650 164843 66807 59696 7111 1 69360 52934 16426 12960 3466 928806 788198 140608 106027 10000 24581 140608 0 X X 0 0 0 0 0 0 0 0 0 ANDREW MALEKOFF EXECUTIVE DIRECTOR/CEO 172177 0 0 0 947 0 11686 0 20818 0 205628 0 0 0 REENA NANDI DIRECTOR OF PSYCHIATRIC SERVICES 175682 0 0 0 670 0 11904 0 29477 0 217733 0 0 0 PHYLLIS EDELHEIT PSYCHIATRIST 151215 0 0 0 1129 0 10283 0 26203 0 188830 0 0 0 STEPHEN PERRET PSYCHIATRIST 139413 0 0 0 97 0 9417 0 1464 0 150391 0 0 0 REGINA BARROS RIVERA ASSOC. EXECUTIVE DIRECTOR 121534 0 0 0 539 0 8240 0 20758 0 151071 0 0 0 JOLIE PATAKI PSYCHIATRIST 140855 0 0 0 742 0 9558 0 0 0 151155 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 34467 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 X 1 50213 FMV 0 1 0 FORM 990, 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 ANDREW MARCELL (DIRECTOR) AND CAROL MARCELL (DIRECTOR) ARE HUSBAND AND WIFE. SETH KUPFERBERG (DIRECTOR) AND TRACEY KUPFERBERG (DIRECTOR) ARE HUSBAND AND WIFE. 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 2007 THE INITIAL COMPENSATION OF THE EXECUTIVE DIRECTOR WAS DETERMINED IN PART BY HAVING A MEMBER OF THE AGENCY'S EXECUTIVE COMMITTEE SPEAK WITH AN OUTSIDE SEARCH CONSULTANT TO DETERMINE APPROPRIATE COMPENSATION BASED ON THE SIZE OF OUR AGENCY. ONCE THIS WAS DONE A THREE YEAR CONTRACT WAS APPROVED AND IT WAS ALSO AGREED THAT HIS COMPENSATION WAS TO INCREASE AT THE SAME PERCENTAGE RATE AS ALL OTHER STAFF OF THE AGENCY. THIS INITIAL CONTRACT EXPIRED IN 2010 AND THE CONTRACT FOR THE EXECUTIVE DIRECTOR WAS RENEWED FOR 5 YEARS. AT THE TIME OF NEGOTIATION THERE WAS NO INCREASE ACCEPTED BY THE EXECUTIVE DIRECTOR AS THERE WAS CURRENTLY A FREEZE ON ANNUAL INCREASES FOR ALL STAFF MEMBERS. EFFECTIVE JANUARY, 2015 THE CONTRACT WAS RENEWED AGAIN FOR AN ADDITIONAL 5 YEAR PERIOD WITH ALL ORIGINAL TERMS TO REMAIN IN EFFECT AS WELL AS SUCH ADDITIONAL COMPENSATION AS 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. PART X - LINE 15 & 23 THE AMOUNTS STATED ON FORM 990, PART X, LINE 15 & 23 HAVE BEEN GROSSED UP TO ACCOUNT FOR UNAMORTIZED COST OF FINANCING AMOUNTING TO $259,238, 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