2019-05-20T15:39:34-05:00 2018-06-30 721396621 CARR RIGGS & INGRAM LLC 637 PARK STREET JACKSONVILLE FL 32204 990 2017-07-01 593759863 FAMILY SUPPORT SVCS OF N FLORIDA INC FAMI 9045215800 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 NAOMI JACKSON CFO 9045215800 2019-05-20 1 RAYMOND Z BATEH CPA P01053295 9043566023 73.104.46.130 2019-05-20 09:16:44 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7B6F3B3FC1F1961A6143FE1F358079CB35996A3C 2017 2019-02-21 02:37:17Z NAOMI JACKSON 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 60345183 0 X N/A 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. 22 22 173 306 0 0 57030842 60158464 0 0 755 891 132192 185828 57163789 60345183 42781938 44759372 0 0 9833428 10181242 0 0 0 4235096 5065189 56850462 60005803 313327 339380 5245198 2977613 4444298 1937302 800900 1040311 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 58234045 44759372 ACTIVITIES OF THE ORGANIZATION ARE RELATED TO THE ADMINISTRATIONOF PROGRAM SERVICES PROVIDED BY SUBRECIPIENTS AND DIRECT PAYMENTTO FOSTER CARE AND RELATED SERVICES. THE ORGANIZATION ALSOPROVIDES CHILD PROTECTIVE AND FOSTER CARE SERVICES. THEORGANIZATION SERVED APPROXIMATELY 6,300 CHILDREN THROUGH CHILDPROTECTION SERVICES AND FOSTER CARE. 58234045 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 1 127 0 1 173 1 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X NAOMI JACKSON 9045215800 1300 RIVERPLACE BOULEVARD STE 700 JACKSONVILLE FL 32207 MARK BRIDWELL BOARD CHAIR 1.00 X X 0 0 0 TIFFANY HOLBROOK BOARD VICE CHAIR 1.00 X X 0 0 0 BARRY ARGALAS BOARD VICE CHAIR 1.00 X X 0 0 0 DR MATTHEW CORRIGAN BOARD VICE CHAIR 1.00 X X 0 0 0 JUSTIN TAYLOR BOARD VICE CHAIR 1.00 X X 0 0 0 ABRAHAM TENAH BOARD VICE CHAIR 1.00 X X 0 0 0 BRAD THOBURN BOARD MEMBER 1.00 X 0 0 0 DANIEL LEEPER BOARD MEMBER 1.00 X 0 0 0 DR DENNIS LAFER BOARD MEMBER 1.00 X 0 0 0 DR GEORGE ARMSTRONG BOARD MEMBER 1.00 X 0 0 0 DR MICHAEL DELAHUNT BOARD MEMBER 1.00 X 0 0 0 GORDON BAILEY BOARD MEMBER 1.00 X 0 0 0 JUDGE VIRGINIA NORTON BOARD MEMBER 1.00 X 0 0 0 NICOLE STEELE BOARD MEMBER 1.00 X 0 0 0 ANGELA BRADBERRY BOARD MEMBER 1.00 X 0 0 0 MATT BROCKELMAN BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER KOLAPO BOARD MEMBER 1.00 X 0 0 0 CRYSTAL LEWIS BOARD MEMBER 1.00 X 0 0 0 PAUL MADSON BOARD MEMBER 1.00 X 0 0 0 KRISTI PHOENIX BOARD MEMBER 1.00 X 0 0 0 DR PAULINE ROLLE BOARD MEMBER 1.00 X 0 0 0 HEATHER VANPUYMBROUCK BOARD MEMBER 1.00 X 0 0 0 NAOMI JACKSON CFO 38.00 2.00 X 62493 0 2852 LEE KAYWORK CEO (RETIRED JANUARY 2018) 38.00 2.00 X 224032 0 30534 ROBERT MILLER CFO/CEO (JANUARY 2018) 38.00 2.00 X 157165 0 5996 LARRY WEST VP, CM SERVICES 40.00 X 115907 0 12970 CHARLES YOUNG COO 38.00 2.00 X 153295 0 17906 SARAH SAYAR VP, OPERATION SERVICES 40.00 X 101188 0 22175 STACEY WEST VP, IN-HOUSE COUNSEL 40.00 X 112960 0 11793 CHRIS COMPTON VP, TECH & OP SERVICES 40.00 X 91258 0 2687 1018298 0 106913 6 0 1 0 RIVERPLACE BOULEVARD LP 1105 SCHROCK RD STE 107 COLUMBUS OH 43229 PROPERTY MANAGEMENT 565015 KC TUSHER ATTORNEY AT LAW 233 EAST BAY ST JACKSONVILLE FL 32202 LEGAL SERVICES - ADOPTIONS 213000 POSITIVE BEHAVIOR SOLUTIONS LLC 484 HIGH TIDE DR ST AUGUSTINE FL 32080 THERAPEUTIC SERVICES 186450 FIRST COAST BEHAVIORAL SOLUTIONS LLC 2317 BLANDING BLVD STE 102 JACKSONVILLE FL 32210 THERAPEUTIC SERVICES 106888 4 59551788 606676 47734 60158464 891 891 LIVE SCAN FEES 621500 84559 84559 TRAINING FEES 611430 69505 69505 MASTER TRUST FEES 900099 16364 16364 15400 15400 185828 60345183 186719 0 0 18816344 18816344 25943028 25943028 1184410 1026262 158148 6912552 5989553 922999 183391 161759 21632 1309450 1154993 154457 591439 521676 69763 49108 42538 6570 48550 42055 6495 252034 218315 33719 166581 166470 111 335972 291669 44303 764029 661813 102216 817115 768219 48896 170776 158471 12305 63906 38174 25732 472512 434808 37704 OTHER CLIENT SERVICES 635398 635398 CONTRACT PROFESSIONAL S 562884 562884 CLIENT TRAINING SERVICE 175820 175820 MISCELLANEOUS CONTRACT 149422 149422 401082 274374 126708 60005803 58234045 1771758 0 4249442 2127547 240008 380080 554168 324309 1273996 1128319 201580 145677 5245198 2977613 972071 1406813 3259367 290745 212860 239744 4444298 1937302 X 767804 995694 33096 44617 800900 1040311 5245198 2977613 X 339380 31 -100000 X 0 1 X 1 1 1 X 52797075 53436924 54287575 57030841 60158464 277710879 52797075 53436924 54287575 57030841 60158464 277710879 277710879 17 55 385 755 891 2103 200425 153862 177495 132192 185828 849802 278562784 0.99690 0.99670 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SERVICE FEES - 2013 AMOUNT: $ 200,425. 2014 AMOUNT: $ 153,862. 2015 AMOUNT: $ 177,495. 2016 AMOUNT: $ 132,192. 2017 AMOUNT: $ 185,828. 717693 686319 31374 556303 442000 114303 145677 MASTER TRUST - LIABILITIES 239744 239744 X 60969139 623956 623956 60345183 0 60345183 60629759 623956 623956 60005803 0 60005803 PART X, LINE 2: THE ORGANIZATION EVALUATES ITS TAX POSITIONS TAKEN FOR ANY UNCERTAINTIES IN ACCORDANCE WITH AUTHORITATIVE GUIDANCE. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE UPHELD UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS AS OF JUNE 30, 2018 AND 2017. FAMILY SUPPORT SERVICES OF NORTH FLORIDA, INC. AND FAMILY SUPPORT SERVICES, INC. EACH FILE AN ANNUAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990). INFORMATION TAX RETURNS FOR TAX YEARS 2014 THROUGH 2016 REMAIN OPEN TO EXAMINATION BY FEDERAL TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER BEING FILED. 1 CHILD GUIDANCE CENTER 5776 ST AUGUSTINE RD JACKSONVILLE FL 32207 590704727 164312 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES DANIEL MEMORIAL 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 4325592 FMV 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 3677732 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES JEWISH FAMILY COMMUNITY SERVICES 6261 DUPONT STATION CT E JACKSONVILLE FL 32217 590637868 7751173 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES PARTNERSHIP FOR CHILD HEALTH 910 N JEFFERSON ST JACKSONVILLE FL 32202 593192240 235000 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES NEIGHBOR TO FAMILY 220 S RIDGEWOOD AVE STE 260 JACKSONVILLE FL 32214 364354882 2585381 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES FSS DUVAL & NASSAU 1300 RIVERPLACE BLVD JACKSONVILLE FL 32207 593759863 77049 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES 7 7 ROOM AND BOARD FOR FOSTER CHILDREN 1631 7270658 FMV ROOM AND BOARD FOR ADOPTIVE CHILDREN 3830 17303315 FMV ROOM AND BOARD FOR KIDS WHO AGE OUT OF SYSTEM 120 424611 FMV SHELTER ASSISTANCE 682 167750 FMV 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 X 0 0 0 0 0 0 0 0 0 LEE KAYWORK CEO (RETIRED JANUARY 2018) 192551 0 19481 0 12000 0 16522 0 14012 0 254566 0 0 0 ROBERT MILLER CFO/CEO (JANUARY 2018) 154165 0 3000 0 0 0 5996 0 0 0 163161 0 0 0 CHARLES YOUNG COO 150295 0 3000 0 0 0 6104 0 11802 0 171201 0 0 0 X 1 2511 FMV X 1102 3200 FMV X MISCELLANEOUS 4075 42023 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 ANNUAL PERFORMANCE REVIEW. 15B - CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON ANNUAL PERFORMANCE EVALUATIONS AND IN CONJUNCTION WITH THE NATIONAL SALARY SCHEDULE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE -100,000. FAMILY SUPPORT SERVICES INC 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 800623399 SUPPORT FL 501(C)(3) LINE 12A, I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 FAMILY SUPPORT SERVICES INC C 13402 FMV FAMILY SUPPORT SERVICES INC R 100000 FMV LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE