2017-11-09T13:15:54-06:00 2017-06-30 561304727 BLACKMAN & SLOOP CPAS PA 1414 RALEIGH RD SUITE 300 CHAPEL HILL NC 27517 990 2016-07-01 270103430 CLUB NOVA COMMUNITY INC CLUB 9199686682 103 D WEST MAIN STREET CARRBORO NC 27510 KAREN KINCAID DUNN EXECUTIVE DIRECTOR 9199686682 2017-11-08 1 ROBIN MCDUFFIE P00098611 9199428700 45.20.211.129 2017-11-08 16:14:29 ES P 9773E411E2FD8AE27170C683EDACF1C4DD3AA95F A4D3C29349A4A1366A669DF1AE538ED671D74581 2016 2021-01-29 14:40:06Z KAREN KINCAID DUNN 103-D WEST MAIN STREET CARRBORO NC 27510 1222748 0 X WWW.CLUBNOVA.ORG X 2004 NC CLUB NOVA COMMUNITY, INC PROMOTES AND PROVIDES OPPORTUNITIES FOR INDIVIDUALS CONTINUED FROM PART I LINE 1: CLUB NOVA COMMUNITY, INC PROMOTES AND PROVIDES OPPORTUNITIES FOR INDIVIDUALS WITH MENTAL ILLNESS TO LEAD MEANINGFUL AND PRODUCTIVE LIVES OF THEIR CHOICE IN THE COMMUNITY. 14 14 20 91 0 0 461295 699504 510252 514685 205 345 9052 8214 980804 1222748 0 0 0 0 488612 589763 0 0 279215 273012 479246 761624 1069009 219180 153739 810279 1026116 175863 237960 634416 788156 CLUB NOVA PROMOTES AND PROVIDES OPPORTUNITIES FOR INDIVIDUALS WITH MENTAL ILLNESS TO LEAD MEANINGFUL AND PRODUCTIVE LIVES OF THEIR CHOICE IN THE COMMUNITY. 0 0 718858 522899 CLUB NOVA, CERTIFIED BY THE INTERNATIONAL CENTER FOR CLUBHOUSE DEVELOPMENT, PROVIDED THE FULL RANGE OF CLUBHOUSE MODEL SUPPORTS AND OPPORTUNITIES TO OVER 120 INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. THESE SUPPORTS AND OPPORTUNITIES INCLUDED MEANINGFUL RELATIONSHIPS, MEANINGFUL WORK, EMPLOYMENT AT LOCAL BUSINESSES, SUPPORTED EDUCATION, EVENING/WEEKEND PROGRAM AND ASSISTANCE WITH COMMUNITY SUPPORT (HOUSING, BENEFITS, QUALITY MEDICAL CARE, AND CRISIS PREVENTION AND RESPONSE). 718858 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 3 0 1 20 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X KAREN KINCAID DUNN 9199686682 103-D WEST MAIN ST CARRBORO NC 27510 ESPHUR FOSTER BOARD MEMBER 2.00 X 0 0 0 BERT GURGANUS BOARD MEMBER 2.00 X 0 0 0 JOHN JACK HAGGERTY BOARD MEMBER 2.00 X 0 0 0 TOM HOWLETT BOARD MEMBER 2.00 X 0 0 0 TROY MANNS BOARD MEMBER 2.00 X 0 0 0 MARY CAY CORR BOARD MEMBER 2.00 X 0 0 0 MATTHEW COX BOARD MEMBER 2.00 X 0 0 0 BLAKE TEDDER BOARD MEMBER 2.00 X 0 0 0 JESSE MILLER ADVISORY BOARD MEMBER (NON 2.00 X 0 0 0 GRETCHEN DAVIS PRESIDENT 5.00 X X 0 0 0 SUE ESTROFF VICE PRESIDENT 2.00 X X 0 0 0 BEBE SMITH VICE PRESIDENT 4.00 X X 0 0 0 GARY D GADDY VICE PRESIDENT 4.00 X X 0 0 0 WILLIAM BILL WISMER TREASURER 4.00 X X 0 0 0 CHARLENE LEE SECRETARY 3.00 X 7282 0 0 KAREN KINCAID DUNN EXECUTIVE DIRECTOR 45.00 X 67113 0 18496 74395 0 18496 0 0 0 0 0 11335 124500 563669 61090 699504 MEDICAID 623990 378480 378480 NET CLIENT SERVICES 623990 85117 85117 THRIFT SHOP SALES 453310 42326 42326 MEAL SALES 722210 8762 8762 514685 345 345 OTHER INCOME 900099 8214 8214 8214 1222748 522899 0 345 X 102040 52891 19473 29676 398467 357749 7069 33649 5632 5632 48175 43680 669 3826 35449 29415 1740 4294 9573 9573 202750 17000 185750 2994 2994 12608 12132 103 373 12352 9264 3088 12717 12717 32607 12391 20216 7272 7272 17111 17111 27922 20456 6120 1346 FOOD AND PROVISIONS 27355 27355 AUTO EXPENSE 24253 24253 BILLING SERVICE FEES 23587 23587 MISCELLANEOUS 13651 8842 4724 85 52494 51117 1377 1069009 718858 70936 279215 94798 67857 174625 235487 139866 238178 51545 52739 7559 10069 509012 143877 301006 365135 40880 56651 810279 1026116 34585 108616 131892 122590 9386 6754 175863 237960 X 401913 286812 232503 501344 634416 788156 810279 1026116 153739 1 0 X X 0 1 X 1 0 X 188594 224519 215146 461295 699504 1789058 188594 224519 215146 461295 699504 1789058 443732 1345326 248 238 261 205 345 1297 11880 8895 12473 9052 8214 50514 1840869 0.73080 0.89670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49329 49329 180000 24231 155769 89750 21172 68578 98880 60095 38785 91053 38379 52674 365135 CONSTRUCTION IN PROCESS 56651 56651 CAPITAL LEASE OBLIGATION 6754 6754 1222748 0 1222748 0 1222748 1069009 0 1069009 0 1069009 X 1 61090 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND EXECUTIVE DIRECTOR BEFORE PROVIDING TO THE BOARD PRIOR TO APPROVAL AND SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS RECEIVES THE CONFLICT OF INTEREST POLICY AS WELL AS CORPORATE COMPLIANCE POLICIES AND PROCEDURES. COMPLIANCE IS MONITORED BY THE BOARD AND EXECUTIVE DIRECTOR WHO ARE KEENLY AWARE OF THE IMPORTANCE OF THESE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION LEVELS ARE REVIEWED BY THE PRESIDENT AND HR COMMITTTEE WHO RESEARCH COMPENSATION LEVELS FOR EQUIVALENT POSITIONS AND DETERMINE IF ANY CHANGES ARE NECESSARY FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,000. FUNDRAISING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 185,750. TOTAL EXPENSES 185,750. FORM 990, PART XII, LINE 2C FINANCE/AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FOR THE CURRENT YEAR.