2017-05-10T08:45:47-05:00 2016-06-30 113518842 MARKS PANETH LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2015-07-01 131740041 SHIELD OF DAVID INC SHIE 7189398700 144-61 ROOSEVELT AVENUE FLUSHING NY 11354 CPA EXEC. DIR. 7182692023 2017-05-09 1 ROBERT R LYONS CPA P00227472 2125038800 2015 2021-01-29 14:40:06Z SUSAN PROVENZANO 144-61 ROOSEVELT AVENUE FLUSHING NY 11354 33300107 0 X WWW.SHIELD.ORG X 1923 NY SHIELD OF DAVID, INC. PROVIDES _EDUCATIONAL/OTHER SERVICES FOR DEVELOPMENTALLY DISABLED INDIVIDUALS. ALSO KNOWN AS "THE SHIELD INSTITUTE" - "A NOT FOR PROFIT CORPORATION". OUR MISSION IS TO WORK IN PARTNERSHIP WITH FAMILIES AND COMMUNITIES TO ENABLE CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES TO LEAD MEANINGFUL LIVES. OUR FOCUS IS ON FOSTERING EACH INDIVIDUAL'S INDEPENDENCE AS A FULL PLEDGED MEMBER OF HIS OR HER FAMILY AND COMMUNITY, AND COLLABORATING IN FAMILIES LIFE-LONG EFFORTS TO PROVIDE RICH LIVES FOR THEIR CHILDREN. 16 16 507 25 0 0 541692 109297 33512677 33188368 4289 2442 0 0 34058658 33300107 0 0 0 0 22291646 22456976 0 0 99879 10654194 10720051 32945840 33177027 1112818 123080 9061698 9691217 9362176 13180531 -300478 -3489314 X ORGANIZED FOR THE PURPOSE OF PROVIDING EDUCATIONAL AND OTHER SERVICES TO INDIVIDUALS WHO ARE DEVELOPMENTALLY DISABLED. OUR MISSION TO WORK IN PARTNERSHIP WITH FAMILIES AND COMMUNITIES TO ENABLE CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES TO LEAD MEANINGFUL LIVES. OUR FOCUS IS ON FOSTERING EACH INDIVIDUAL'S INDEPENDENCE AS A FULL-FLEDGED MEMBER OF HIS OR HER FAMILY AND COMMUNITY, AND COLLABORATING IN FAMILIES LIFE-LONG EFFORTS TO PROVIDE RICH LIVES FOR THEIR CHILDREN. 0 0 14370885 16048999 DAY HABILITATION: FULL TIME ADULT DAY AND EVENING PROGRAMS SERVING OVER 500 CLIENTS WHERE WE PROVIDE A VARIETY OF GROUP AND INDIVIDUALS INTEREST AND LIFE GOALS. CENTER BASED AND COMMUNITY ACTIVITIES PROVIDE LIFE EXPERIENCES TO ENHANCE OPPORTUNITY INDEPENDENCE AND INCLUSION IN THE COMMUNITIES. SATURDAY SERVICES PROVIDE ENHANCED OPPORTUNITIES FOR SOCIALIZATION, RECREATION AND COMMUNITY INCLUSION SUPPLEMENTAL SERVICES ARE PROVIDED FOR INDIVIDUALS WHO ARE INVOLVED IN OTHER DAY ACTIVITIES TO ENHANCE THEIR ABILITY TO PARTICIPATE IN THE COMMUNITY ALSO, PART-TIME SERVICES ARE AVAILABLE FOR ADOLESCENTS/YOUNG ADULTS WHO ARE AGING OUT OF SCHOOL SERVICES TO SUPPORT IN THEIR TRANSITION TO ADULT LIFE. 12750994 13837210 EDUCATION DAY SCHOOL PROGRAMS ARE PROVIDED TO OVER 420 STUDENTS. PRESCHOOL PROGRAM PROVIDES MULTIDISCIPLINARY EVALUATIONS, MONOLINGUAL AND BILINGUAL SPECIAL EDUCATION AND RELATED SERVICES TO CHILDREN, AGES 3 TO 5 IN A CHILD CENTERED CLASSROOM SETTING. SPECIALIZED INSTRUCTION FOR CHILDREN WHO DISPLAY CHARACTERISTICS ON THE AUTISM SPECTRUM, INCLUDES STRUCTURED TEACHING, AIDED LANGUAGE,AND PECS. PROGRAM INCLUDED INTEGRATED CLASSES THAT PROVIDE AN OPPORTUNITY FOR CHILDREN WITH SPECIAL NEEDS TO LEARN AND PLAY WITH TYPICALLY DEVELOPING CHILDREN. ALSO, OUR SCHOOL AGE PROGRAM PROVIDES SPECIAL EDUCATION PROGRAMMING, PERSON CENTERED PLANNING, SPEECH, COUNSELING, OCCUPATIONAL AND PHYSICAL THERAPY TO CHILDREN AGES 6 TO 21 WHO HAVE BEEN DIAGNOSED WITH A DEVELOPMENTAL DISABILITY. CLASSROOM INSTRUCTION FOR CHILDREN DIAGNOSED ON THE AUTISM SPECTRUM INCLUDES STRUCTURED TEACHING, AUGMENTATIVE AND ALTERNATIVE COMMUNICATION, AIDED LANGUAGE AND PICTURE EXCHANGE COMMUNICATION SYSTEMS. 2847578 3302159 CLINICAL SERVICES ARE PROVIDED TO OVER 2000 CHILDREN AND ADULTS WITH DEVELOPMENTAL DELAY/DISABILITIES. SERVICES PROVIDED INCLUDE PSYCHOLOGICAL, SOCIALWORK, SPEECH AND REHABILITATIVE COUSELING, OCCUPATIONAL, PHYSICAL THERAPY AND NUTRITIONAL COUNSELING TO INDIVIDUALS AND GROUPS. SPECIALTY SERVICES INCLUDE AUGMENTATIVE COMMUNICATION EVALUATION AND TREATMENT, EATING AND SWALLOWING EVALUATION AND TREATMENT AND PSCHOSEXUAL ASSESSMENT AND TREATMENT. 0 29969457 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 70 516 507 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NY X KARL HERR CONTROLLER 7182692023 144-61 ROOSEVELT AVE FLUSHING NY 11354 BETH ANISHMAN PRESIDENT 2.00 X X 0 0 0 MR MICHAEL KATZ TREASURER 2.00 X X 0 0 0 MS LESLIE PEARSON SECRETARY 2.00 X X 0 0 0 MR NORMAN LOWE MEMBER 2.00 X 0 0 0 DR ROBYN LANDOW MEMBER 2.00 X 0 0 0 MRS LAURA WEINKAM MEMBER 2.00 X 0 0 0 DR BIJAN SAFAI MEMBER 2.00 X 0 0 0 MR BARRY GOODMAN MEMBER 2.00 X 0 0 0 MRS LOUIS YOUNG MEMBER 2.00 X 0 0 0 MR JASON SHAPIRO MEMBER 2.00 X 0 0 0 PATTI ABELSON MEMBER 2.00 X 0 0 0 KEVIN GENIRS MEMBER 2.00 X 0 0 0 JOEL MOSS MEMBER 2.00 X 0 0 0 MS LORI REINSBERG MEMBER 2.00 X 0 0 0 MS CONNIE SCHRAFT MEMBER 2.00 X 0 0 0 TONI BERNSTEIN MEMBER 2.00 X 0 0 0 DR SUSAN PROVENZANO EXECUTIVE DIRECTOR 35.00 X 200039 0 61821 KARL HERR CONTROLLER 35.00 X 132670 0 32217 DR KAREN BIRNBAUM ASSOCIATE EXECUTIVE DIR. 35.00 X 168547 0 46655 HEATH BLOCH ASSISTANT EXECUTIVE DIR. 35.00 X 132634 0 36983 MARK BRODY CORPORATE COMPLIANCE OFF. 35.00 X 146251 0 41119 JOCELYN ALLEN HUMAN RESOURCE DIR. 35.00 X 105003 0 27872 885144 0 246667 6 0 1 0 PROFESSIONAL CHARTER 50 SNEDIKER AVENUE BROOKLYN NY 11207 TRANSPORTATION 2916839 ULTIMATE PSYCHOLOGICAL 271 NORTH AVENUE NEW ROCHELLE NY 10801 CLINICAL SERVICES 425248 THE EXECU SEARCH GROUP 675 THIRD AVENUE NEW YORK NY 10017 TEMPORARY HELP 233199 BRYAN CAVE LLP 1290 AVENUE OF THE AMERICANS 33RD NEW YORK NY 10104 LEGAL SERVICES 171911 SUPERIOR DIRECT CARE INC 83 MAIDEN LANE NEW YORK NY 10038 EMPLOYMENT AGENCY-DIRECT CARE 141542 10 109297 109297 MEDICARE/MEDICAID PAYMENT 624100 19351158 19351158 NYS/NYC DEPT. OF EDUCATION 624100 13725077 13725077 CONSUMER SELF PAY 624100 112133 112133 33188368 2442 2442 33300107 33188368 0 2442 581609 581609 15393799 14372259 1021540 943457 778681 164776 4358460 4148818 209642 1179651 1066500 113151 657887 99801 476566 81520 200761 5292 195469 2251912 2219965 31947 63146 54372 8774 421160 359489 61671 80152 64425 15727 2312959 2294051 18908 3031346 3031346 106431 92580 13851 11448 11448 397295 349193 48102 162316 129049 33267 CONSUMABLE SUPPLIES 550393 542818 7575 REPAIR AND MAINTENANCE 293273 258398 34875 MISCELLANEOUS 174337 102370 56156 15811 BANK CHARGES 5235 50 2637 2548 33177027 29969457 3107691 99879 189380 189284 1663488 512752 3503269 5313133 6584628 3180189 3429373 3404439 276188 271609 9061698 9691217 5630143 9953646 2970205 2813879 761828 413006 9362176 13180531 X -370875 -3554711 70397 65397 -300478 -3489314 9061698 9691217 X 123080 -3311916 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 307696 307696 4495714 2243981 2251733 374569 267042 107527 1206008 669166 536842 200641 200641 3404439 DEFFERED RENT 190508 DUE TO FUNDING SOURCES 222498 413006 X 33300107 0 33300107 0 33300107 33177027 0 33177027 0 33177027 PART X, LINE 2: THE SHIELD BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2016 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, "INCOME TAXES," WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE SHIELD INSTITUTE DOES NOT HAVE A PERIOD OF SOLICITATION FOR STUDENTS OR A PERIOD OF REGISTRATION FOR STUDENTS. ALL STUDENTS ARE REFERRED THROUGH THE DEPARTEMENT OF EDUCATION BY THE LOCAL PUBLIC SCHOOL DISTRICTS. SCHEDULE E, PART I, LINE 6 THE SHIELD RECEIVES FINANCIAL AID THRU TUITION RATES FROM THE STATE EDUCATIONAL DEPARTMENT. X X X 0 0 0 0 0 0 0 0 0 DR SUSAN PROVENZANO EXECUTIVE DIRECTOR 200039 0 0 0 0 0 34077 0 27744 0 261860 0 0 0 KARL HERR CONTROLLER 132670 0 0 0 0 0 9477 0 22740 0 164887 0 0 0 DR KAREN BIRNBAUM ASSOCIATE EXECUTIVE DIR. 168547 0 0 0 0 0 30675 0 15980 0 215202 0 0 0 HEATH BLOCH ASSISTANT EXECUTIVE DIR. 132634 0 0 0 0 0 4197 0 32786 0 169617 0 0 0 MARK BRODY CORPORATE COMPLIANCE OFF. 146251 0 0 0 0 0 17749 0 23370 0 187370 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S GOVERNING BODY, THE BOARD OF DIRECTORS, CONSISTS OF VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANIZATION ELECT MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT AND THE AUDIT COMMITTEE MET WITH THE INDEPENDENT ACCOUNTING FIRM TO REVIEW AND DISCUSS THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE SHIELD INSTITUTE COMPLIANCE PLAN REQUIRES ALL MEMBERS OF THE BOARD AND SENIOR STAFF WITH AGENCY WIDE RESPONSIBILITIES TO COMPLETE A CONFLICT OF INTEREST FROM EACH YEAR. ANY INDICATIONS OF POTENTIAL OR REPORTED CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS, DISCUSSED WITH THE INDIVIDUALS INVOLVED AND RESOLVED. IF CONFLICTS ARE EVIDENT, ALL STEPS ARE TAKEN TO REMOVE THE CONFILCT WHETHER IT REQUIRES A CHANGE IN STAFF PERSONS RESPONSIBILITES OR POSITION, OR A BOARD MEMBER RESIGNING AT A MINIMUM EXCUSING THEMSELVES FROM THE CONFILCT ISSUES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE THE EXECUTIVE OFFICER IS EVALUATED AND REVIEWED BY THE PRESIDENT OF THE BOARD IN CONJUCNTION WITH THE EXECUTIVE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLCIT OF INTEREST POLICY AND FINANCIAL STATEMENT ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -3,311,916. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT BEEN CHANGED FROM THE PRIOR YEAR.