2017-03-08T18:58:54-06:00 2016-06-30 721396621 CARR RIGGS & INGRAM LLC 637 PARK STREET JACKSONVILLE FL 32204 990 2015-07-01 593759863 FAMILY SUPPORT SVCS OF N FLORIDA INC FAMI 9045215800 1300 RIVERPLACE BOULEVARD NO 700 JACKSONVILLE FL 32207 ROBERT MILLER CHIEF FINANCIAL OFFICER 9045215800 2017-03-08 1 RAYMOND Z BATEH P01053295 9043566023 2015 2021-01-29 14:40:06Z ROBERT MILLER 1300 RIVERPLACE BOULEVARD NO 700 JACKSONVILLE FL 32207 54465455 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. 15 15 166 376 0 0 53793912 54287575 0 0 55 385 153862 177495 53947829 54465455 40975063 40874493 0 0 8453922 8787689 0 0 0 4207071 4611578 53636056 54273760 311773 191695 3177180 4669266 2681302 4081693 495878 587573 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. 0 0 52556632 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 9,972 CHILDREN THROUGH CHILDPROTECTION SERVICES AND FOSTER CARE. 52556632 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 1 144 0 1 166 1 0 0 0 0 0 0 0 0 0 0 X 15 15 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 BOULEVARD STE 700 JACKSONVILLE FL 32207 NAOMI MCGOWEN CHAIRPERSON 1.00 X 0 0 0 MARK BRIDWELL VICE CHAIRPERSON 1.00 X 0 0 0 DR MATTHEW CORRIGAN VICE CHAIRPERSON 1.00 X 0 0 0 JUSTIN TAYLOR VICE CHAIRPERSON 1.00 X 0 0 0 BARRY ARGALAS BOARD MEMBER 1.00 X 0 0 0 DR GEORGE ARMSTRONG HONORARY BOARD MEMBER 1.00 0.50 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 MEMBER 1.00 0.50 X 0 0 0 DR DENNIS LAFER HONORARY BOARD MEMBER 1.00 X 0 0 0 DANIEL LEEPER BORD MEMBER 1.00 X 0 0 0 MATTHEW 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 MEMBER 1.00 X 0 0 0 BRAD THOBURN BOARD MEMBER 1.00 X 0 0 0 CHARLES YOUNG EXECUTIVE OPERATING OFFICER 38.00 2.00 X 131965 0 14643 ROBERT MILLER CHIEF FINANCIAL OFFICER 38.00 2.00 X 126005 0 4075 LEE KAYWORK CHIEF EXECUTIVE OFFICER 38.00 2.00 X 205233 0 16677 ANN PHILLIPS V.P. CASE MANAGEMENT 40.00 X 113529 0 3882 LARRY WEST V.P. OPERATING SERVICES 40.00 X 106310 0 9902 683042 0 49179 5 0 1 0 PARTNERSHIP FOR CHILD HEALTH 910 NORTH JEFFERSON STREET JACKSONVILLE FL 32202 CHILD HEALTH SERVICE 199003 IVENTURE SOULUTIONS INC 5210 BELFORD RD 140 JACKSONVILLE FL 32256 IT SERVICES 124642 2 53680704 606871 354507 54287575 385 385 LIVE SCAN FEES 900099 100762 100762 TRAINING FEES 611430 51596 51596 MASTER TRUST FEES 900099 18180 18180 6957 6957 177495 54465455 177495 0 385 17887562 17887562 22986931 22986931 784618 401241 383377 6294252 5693798 600454 1708819 1512408 196411 683130 527988 155142 231269 231269 341601 302956 38645 865305 768388 96917 164347 147377 16970 86967 45656 41311 472498 434719 37779 MISCELLANEOUS EXPENSES 866003 715881 150122 OTHER CLIENT SERVICES & 693187 693187 CONTRACT PROFESSIONAL S 207271 207271 54273760 52556632 1717128 0 1766767 3562405 630700 207741 479421 659593 1228525 988998 300292 239527 3177180 4669266 524522 559245 2009165 3288787 147615 233661 2681302 4081693 X 465881 570594 29997 16979 495878 587573 3177180 4669266 X 191695 -100000 X 0 1 X 1 1 1 X 51082753 51478410 52797075 53436924 54287575 263082737 51082753 51478410 52797075 53436924 54287575 263082737 263082737 1109 184 17 55 385 1750 210415 222983 200425 153862 177495 965180 264049667 0.99630 0.99640 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SERVICE FEES - 2011 AMOUNT: $ 210,415. 2012 AMOUNT: $ 222,983. 2013 AMOUNT: $ 200,425. 2014 AMOUNT: $ 153,862. 2015 AMOUNT: $ 177,495. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 672223 634607 37616 556302 354391 201911 239527 DUE TO AFFILIATE 100000 DUE TO CLIENTS 133661 233661 X 55019512 520795 33262 554057 54465455 0 54465455 54813491 520795 18936 539731 54273760 0 54273760 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 2014, 2013, AND 2012 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. SCHEDULE D PART XI LINE 2D THIS AMOUNT IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS ATTRIBUTABLE TO FAMILY SUPPORT SERVICES INC. REVENUE AND NOT REVENUE OF FAMILY SUPPORT SERVICES OF NORTH FLORIDA. SCHEDULE D PART XII LINE 2D AMOUNT IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS ATTRIBUTABLE TO FAMILY SUPPORT SERVICES INC. EXPENSES AND NOT EXPENSES OF FAMILY SUPPORT SERVICES OF NORTH FLORIDA, INC. 1 CHILD GUIDANCE CENTER 5776 ST AUGUSTINE RD JACKSONVILLE FL 32207 590704727 432756 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES MENTAL HEALTH RESOURCE CENTER 10550 DEERWOOD PARK BLVD JACKSONVILLE FL 32256 591905344 5493773 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES DANIEL MEMORIAL 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 3029913 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 2445722 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 5239188 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES PARTNERSHIP FOR CHILD HEALTH 910 N JEFFERSON ST JACKSONVILLE FL 32202 593192240 199003 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 951996 FMV SUPPORT OF FOSTER AND ADOPTED CHILDREN AND OTHER FAMILY SUPPORT SERVICES 7 ROOM AND BOARD FOR FOSTER CHILDREN 895 5355796 FMV ROOM AND BOARD FOR ADOPTIVE CHILDREN 2152 16101790 FMV ROOM AND BOARD FOR KIDS WHO AGE OUT OF SYSTEM 126 813220 FMV SHELTER ASSISTANCE 669 356362 FMV X X X 0 0 0 0 0 0 0 0 0 LEE KAYWORK CHIEF EXECUTIVE OFFICER 205233 0 0 0 0 0 0 0 16677 0 221910 0 0 0 0 X 1503 4135 FMV X MISCELLANEOUS 4798 350372 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 OFFIER 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 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: TRANSFERS TO/FROM AFFILIATE -100,000. FAMILY SUPPORT SERVICES 1300 RIVERPLACE BLVD STE 700 JACKSONVILLE FL 32207 800623399 SUPPORT FL 501(C)(3) LINE 11A, 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 7659 FMV FAMILY SUPPORT SERVICES INC O 5137 FMV FAMILY SUPPORT SERVICES INC R 100000 FMV