2018-05-14T17:48:34-05:00 2017-06-30 721396621 CARR RIGGS & INGRAM LLC 637 PARK STREET JACKSONVILLE FL 32204 990 2016-07-01 593759863 FAMILY SUPPORT SVCS OF NORTH FLORIDA INC FAMI 9045215800 1300 RIVERPLACE BOULEVARD NO 700 JACKSONVILLE FL 322079090 ROBERT MILLER PRESIDENT/CFO 9045215800 2018-05-14 1 RAYMOND Z BATEH P01053295 9043566023 2016 2022-09-23 18:48:47Z ROBERT MILLER 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 57163789 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. 20 20 173 383 0 0 54287575 57030842 0 0 385 755 177495 132192 54465455 57163789 40874493 42781938 0 0 8787689 9833428 0 0 0 4611577 4235096 54273759 56850462 191696 313327 4669266 5245198 4081693 4444298 587573 800900 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 55133664 42781938 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 10,071 CHILDREN THROUGH CHILDPROTECTION SERVICES AND FOSTER CARE. 55133664 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 1 133 0 1 173 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT MILLER 9045215800 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 MARK BRIDWELL BOARD CHAIR 1.00 0.50 X X 0 0 0 JUSTIN TAYLOR BOARD VICE CHAIR 1.00 X X 0 0 0 BARRY ARGALAS BOARD MEMBER 1.00 X 0 0 0 DR GEORGE ARMSTRONG HONORARY BOARD MEMBER 1.00 X 0 0 0 GORDON BAILEY BOARD MEMBER 1.00 X 0 0 0 NICOLE BRYANT BOARD MEMBER 1.00 X 0 0 0 DR MICHAEL DELAHUNT BOARD MEMBER 1.00 X 0 0 0 TIFFANY HOLBROOK BOARD VICE CHAIR 1.00 0.50 X X 0 0 0 DR DENNIS LAFER BOARD MEMBER 1.00 X 0 0 0 DANIEL LEEPER BOARD MEMBER 1.00 X 0 0 0 MATHEW NEMETH 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 ABRAHAM TENAH BOARD VICE CHAIR 1.00 X X 0 0 0 BRAD THOBURN BOARD MEMBER 1.00 X 0 0 0 MATT BROCKELMAN BOARD MEMBER 1.00 X 0 0 0 CRYSTAL LEWIS BOARD MEMBER 1.00 X 0 0 0 PAUL MADSEN BOARD MEMBER 1.00 X 0 0 0 PAULINE ROLLE BOARD MEMBER 1.00 X 0 0 0 HEATHER VANPUYMBROUCK BOARD MEMBER 1.00 X 0 0 0 CHARLES YOUNG EXECUTIVE OPERATING OFFICER 38.00 2.00 X 159726 0 6389 ROBERT MILLER PRESIDENT & CFO 38.00 2.00 X 140074 0 4202 EDWARD KAYWORK CHIEF EXECUTIVE OFFICER 38.00 2.00 X 235859 0 16510 STACEY WEST IN-HOUSE LEGAL 40.00 X 110785 0 3324 LARRY WEST V.P. OF CASE MANAGEMENT 40.00 X 119474 0 4779 DR MATTHEW CORRIGAN BOARD VICE CHAIR 1.00 X 0 0 0 765918 0 35204 7 0 1 0 IVENTURE SOLUTIONS INC 7775 BELFORT PARKWAY JACKSONVILLE FL 32256 IT TECHNICAL & PROGRAMMING SVCS 135109 AMELIA STATE LLC P O BOX 128 S ST AUGUSTINE FL 32085 PROPERTY MANAGEMENT 121538 EARTHLINK-DELTACOM 8669 BAYPINE ROAD JACKSONVILLE FL 32256 IT TECHNICAL SERVICES 116477 3 56356482 674360 208783 57030842 755 755 LIVE SCAN FEES 900099 88862 88862 TRAINING FEES 611430 19730 19730 MASTER TRUST FEES 900099 14520 14520 9080 9080 132192 57163789 132192 0 755 18774394 18774394 24007544 24007544 565051 486298 78753 7201782 6198045 1003737 1487785 1303943 183842 578810 507288 71522 20361 15521 4840 46000 35066 10934 120166 91604 28562 235453 235453 351922 313857 38065 301835 230093 71742 751542 709559 41983 177669 165260 12409 75418 32254 43164 482268 443904 38364 OTHER CLIENT SERVICES & 725000 725000 CONTRACT PROFESSIONAL S 279437 279437 MISCELLANEOUS CONTRACT 179665 179665 CLIENT TRAINING SERVICE 132246 132246 356114 267233 88881 56850462 55133664 1716798 0 3562405 4249442 207741 240008 659593 554168 1265994 1064414 239527 201580 4669266 5245198 559245 972071 3288787 3259367 233661 212860 4081693 4444298 X 570594 757804 16979 43096 587573 800900 4669266 5245198 X 313327 -100000 X 0 1 X 1 1 1 X 51478410 52797075 53436924 54287575 57030841 269030825 51478410 52797075 53436924 54287575 57030841 269030825 269030825 184 17 55 385 755 1396 222983 200425 153862 177495 132192 886957 269919178 0.99670 0.99720 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SERVICE FEES - 2012 AMOUNT: $ 222,983. 2013 AMOUNT: $ 200,425. 2014 AMOUNT: $ 153,862. 2015 AMOUNT: $ 177,495. 2016 AMOUNT: $ 132,192. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 709691 661018 48673 556303 403396 152907 201580 DUE TO CLIENTS 212860 212860 X 57681474 496460 21225 517685 57163789 0 57163789 57359215 496460 12293 508753 56850462 0 56850462 PART X, LINE 2: FAMILY SUPPORT SERVICES OF NORTH FLORIDA, INC AND FAMILY SUPPORT SERVICES, INC ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND ARE NOT PRIVATE FOUNDATIONS. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITION TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR 2015, 2014, AND 2013 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. SCHEDULE D PART XI LINE 2D AMOUNT INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS ATTRIBUTABLE TO FAMILY SUPPORT SERVICES, INC. SCHEDULE D PART XII LINE 2D AMOUNT INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS ATTRIBUTABLE TO FAMILY SUPPORT SERVICES, INC. 1 CHILD GUIDANCE CENTER 5776 ST AUGUSTINE RD JACKSONVILLE FL 32207 590704727 173210 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES MENTAL HEALTH RESOURCE CENTER 10550 DEERWOOD PARK BLVD JACKSONVILLE FL 32256 591905344 610092 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES DANIEL MEMORIAL 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 3296386 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 3749813 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES JEWISH FAMILY COMMUNITY SERVICES 6261 DUPONT STATION CT E JACKSONVILLE FL 32217 590637868 7665671 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES PARTNERSHIP FOR CHILD HEALTH 910 N JEFFERSON ST JACKSONVILLE FL 32202 593192240 218801 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES NEIGHBOR TO FAMILY 220 S RIDGEWOOD AVE STE 260 JACKSONVILLE FL 32214 364354882 2743516 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES FLORIDA PSYCHOLOGICAL ASSOCIATES 86599 MEADOWWOOD DR YULEE FL 32097 472333193 94000 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES NORTHSIDE COMMUNITY INVOLVE 4736AVENUE B JACKSONVILLE FL 32209 593390714 40935 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES SEDNET-SCHOOL BOARD OF CLAY COUNTY 2300 KINGSLEY AVENUE ORANGE PARK FL 32073 696000552 79281 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES FSS DUVAL & NASSAU 1300 RIVERPLACE BLVD JACKSONVILLE FL 32207 593759863 102689 SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES 11 ROOM AND BOARD FOR FOSTER CHILDREN 874 5332593 ROOM AND BOARD FOR ADOPTIVE CHILDREN 2666 16903415 ROOM AND BOARD FOR KIDS WHO AGE OUT OF SYSTEM 51 1316348 SHELTER ASSISTANCE 854 455188 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 CHARLES YOUNG EXECUTIVE OPERATING OFFICER 156226 0 3500 0 0 0 6389 0 0 0 166115 0 0 0 EDWARD KAYWORK CHIEF EXECUTIVE OFFICER 201806 0 22053 0 12000 0 16510 0 0 0 252369 0 0 0 X 498 1370 FMV X MISCELLANEOUS 2840 207413 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 THE BEGINNING OF THEIR 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/FROM 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 1 0 0 1 0 FAMILY SUPPORT SERVICES INC C 2787 FMV FAMILY SUPPORT SERVICES INC O 4530 FMV FAMILY SUPPORT SERVICES INC R 100000 FMV