2016-02-25T10:13:04-06:00 2015-06-30 650209137 GOLDSTEIN SCHECHTER KOCH 2121 PONCE DE LEON BLVD STE 1100 CORAL GABLES FL 33134 990 2014-07-01 650032862 CAMILLUS HOUSE INC CAMI 3053741065 PO BOX 11829 MIAMI FL 33101 ALEJANDRO RAMIREZ CFO 3053741065 2016-02-22 1 JEFFREY L WEISS P00572593 3054422200 2014 2016-08-17 19:52:53Z SHEDRICK BOREN PO BOX 11829 MIAMI FL 33101 21794011 0 0928 X WWW.CAMILLUS.ORG X 1987 FL PROVIDE FOOD, SHELTER & SVCS TO HOMELESS/INDIGENT 52 52 247 416 0 0 17787215 18804949 727990 797036 175101 190172 452144 354029 19142450 20146186 315445 101747 0 0 7254669 7349738 0 0 1156343 9251279 9291761 16821393 16743246 2321057 3402940 51045331 53768326 7953226 7192309 43092105 46576017 X TO PROVIDE HUMANITARIAN SERVICES TO MEN, WOMEN AND CHILDREN WHO ARE POOR AND HOMELESS. SUCH SERVICES INCLUDE FOOD, SHELTER, HOUSING, REHABILITATIVE TREATMENT, AND HEALTH CARE. EACH SERVICE IS CARRIED OUT WITH THE DEEPLY HELD BELIEF THAT EVERY HUMAN BEING DESERVES LOVE, RESPECT AND AN OPPORTUNITY TO LIVE A DIGNIFIED LIFE. 0 0 4391004 101747 822327 HOUSING SERVICES: TO PROVIDE HOUSING, CASE MANAGEMENT, AND OTHER SERVICES RELATED TO AIDING A CLIENT TO ACHIEVE SELF-SUFFICIENCY. 5591439 250214 HOSPITALITY SERVICES: TO PROVIDE BASIC SOCIAL SERVICES SUCH AS CLOTHING, FOOD, SHELTER, AND CASE MANAGEMENT TO CLIENTS WHO ARE CHRONICALLY HOMELESS. 3192468 109266 HEALING INSTITUTE FOR SOCIAL & PERSONAL ADJUSTMENTS: TO PROVIDE TREATMENT FOR HOMELESS INDIVIDUALS WHO SUFFER FROM CO-OCCURRING DISORDERS TO ENABLE THEM TO BREAK THE CYCLE OF HOMELESSNESS. 414899 CAREER HELP: JOB DEVELOPMENT AND CAREER ASSISTANCE SERVICES TO HELP THE HOMELESS BECOME SELF-SUFFICIENT. 414899 13589810 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 1 326 0 1 247 1 0 0 0 0 0 1 1 0 0 0 0 X 52 52 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X ALEJANDRO RAMIREZ 3053741065 1603 NW 7TH AVENUE MIAMI FL 33136 ROBERT BOB DICKINSON CHAIRMAN 1.00 X X 0 0 0 ALAN GREER ESQ VICE-CHAIRMAN 1.00 X X 0 0 0 BR RAPHAEL MIESZALA OH SECRETARY 1.00 X X 0 0 0 PETER VANDENBERG TREASURER 1.00 X X 0 0 0 THOMAS G ABRAHAM DIRECTOR 1.00 X 0 0 0 GARY ALLEN DIRECTOR 1.00 X 0 0 0 MARIA C ALONSO DIRECTOR 1.00 X 0 0 0 JIM BERLIN DIRECTOR 1.00 X 0 0 0 MARK D BLOOM ESQ DIRECTOR 1.00 X 0 0 0 SEN DWIGHT M BULLARD DIRECTOR 1.00 X 0 0 0 TONY CABRERA DIRECTOR 1.00 X 0 0 0 MICHAEL CARRICARTE DIRECTOR 1.00 X 0 0 0 JOHN W CHIDSEY DIRECTOR 1.00 X 0 0 0 CARMEN CORVOS-ROIG DIRECTOR 1.00 X 0 0 0 ALBERTO COSIO DIRECTOR 1.00 X 0 0 0 JOSEPH E DAGROSA JR DIRECTOR 1.00 X 0 0 0 PAUL DIMARE DIRECTOR 1.00 X 0 0 0 JOHN DUBOIS DIRECTOR 1.00 X 0 0 0 WAYNE CAMERON ELDRED DIRECTOR 1.00 X 0 0 0 DAN FARKAS JD DIRECTOR 1.00 X 0 0 0 MIGUEL G FARRA CPA JD DIRECTOR 1.00 X 0 0 0 SEN RENE GARCIA DIRECTOR 1.00 X 0 0 0 THEODORE TED GELMAN SR DIRECTOR 1.00 X 0 0 0 XAVIER GONZALEZ DIRECTOR 1.00 X 0 0 0 JULIE G GRIMES DIRECTOR 1.00 X 0 0 0 MARY HELEN HAYDEN EDD DIRECTOR 1.00 X 0 0 0 GUSTAVO HIGUEREY DIRECTOR 1.00 X 0 0 0 EDITH HUDSON DIRECTOR 1.00 X 0 0 0 EDWARD JOYCE DIRECTOR 1.00 X 0 0 0 JACQUELINE LARRALDE-SANCHEZ DIRECTOR 1.00 X 0 0 0 VICTOR LOPEZ DIRECTOR 1.00 X 0 0 0 PAUL LOWENTHAL DIRECTOR 1.00 X 0 0 0 BROTHER RICHARD MACPHEE OH DIRECTOR 1.00 X 0 0 0 ALFREDO MESA DIRECTOR 1.00 X 0 0 0 JOHN T MESTEPEY DIRECTOR 1.00 X 0 0 0 ALBERT R MOLINA DIRECTOR 1.00 X 0 0 0 BEN MOLLERE DIRECTOR 1.00 X 0 0 0 ALEX MONTAGUE DIRECTOR 1.00 X 0 0 0 PHILLIS OETERS DIRECTOR 1.00 X 0 0 0 JORGE ORTEGA DIRECTOR 1.00 X 0 0 0 DR DANIEL OSMAN DIRECTOR 1.00 X 0 0 0 WILLIAM H PARKER DIRECTOR 1.00 X 0 0 0 AARON R PATIENCE DIRECTOR 1.00 X 0 0 0 LINDA QUICK DIRECTOR 1.00 X 0 0 0 OTI ROBERTS DIRECTOR 1.00 X 0 0 0 MARC STEPHEN SHUSTER ESQ DIRECTOR 1.00 X 0 0 0 WILLIAM D TALBERT III CDME CEO DIRECTOR 1.00 X 0 0 0 ANDRES TORO DIRECTOR 1.00 X 0 0 0 VINCE VENTO DIRECTOR 1.00 X 0 0 0 ANA VIAMONTE ROS DIRECTOR 1.00 X 0 0 0 LEE I WEINTRAUB ESQ DIRECTOR 1.00 X 0 0 0 SARAH WEINTRAUB DIRECTOR 1.00 X 0 0 0 ALEJANDRO RAMIREZ VP OF FINANCE & CFO 40.00 5.00 X 121544 0 8111 ANDRIA HANLEY VP OF DEVELOPMENT 40.00 X 107892 0 2946 SHEDRICK BOREN PRESIDENT & CEO 25.00 25.00 X 0 81505 8699 PAUL R AHR FORMER PRESIDENT & CEO 40.00 X 310383 0 10654 539819 81505 30410 3 1 1 0 BUENA VISTA SECURITY & PROTECTION 4300 BISCAYNE BLVD 301 MIAMI FL 33137 SECURITY SERVICES 157525 THE DESIGN GROUP OF MIAMI 7227 NORTHWEST 54TH STREET MIAMI FL 33166 SPECIAL EVENTS (GALAS) CONSULTANTS 114765 2 1172569 278335 11092446 6261599 3587677 18804949 CLIENT CONTRIBUTIONS 900099 797036 797036 797036 190172 190172 1608037 1172569 1647825 -39788 -39788 CHC JAIL DIVERSION PAYMENTS 900099 104481 104481 NAP REVENUE FROM CHCC 900099 80004 80004 CHC CONTRACT 900099 65729 65729 143603 134557 9046 393817 20146186 1181807 0 159430 101747 101747 561529 426183 87521 47825 5381430 4510515 364757 506158 880752 668463 137276 75013 526027 399238 81988 44801 58615 2960 55655 68268 66948 1320 88128 88128 38000 38000 786985 352481 429794 4710 383940 1387 21819 360734 168928 105803 51337 11788 148909 69711 54725 24473 1730453 1490745 227192 12516 22965 17332 4446 1187 6816 8 6025 783 696340 628375 58055 9910 514582 477374 32573 4635 IN-KIND DONATIONS 1407060 1377460 7563 22037 PROGRAM SERVICES - DIRE 1265127 1265127 REPAIRS AND MAINTENANCE 645428 622866 15098 7464 FOOD SERVICE COSTS 588738 585906 2306 526 672479 486129 165887 20463 16743246 13589810 1997093 1156343 2574901 5994219 81919 81927 7799030 7137845 14171035 14171035 888381 952915 28194713 5263073 23209592 22931640 140107 136509 914443 914443 1265923 1447793 51045331 53768326 1640349 1719827 126993 44756 6143288 5427726 42596 0 7953226 7192309 X 31378803 34862715 11538752 11538752 174550 174550 43092105 46576017 51045331 53768326 X 3402940 168922 93161 -181111 X 0 1 X 1 1 1 X 22900033 18550370 19825861 17787215 18264296 97327775 22900033 18550370 19825861 17787215 18264296 97327775 97327775 120232 64340 184499 190571 190172 749814 32222 358676 146048 38092 9046 584084 98661673 10786662 0.98650 0.98530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 38000 38000 0 PART II-B, LINE 1: ORGANIZATION HIRED A FIRM TO REPRESENT ITS INTERESTS IN THE STATE CAPITAL, IN THE MATTERS OF APPROPRIATIONS AND STATE FUNDING. CAMILLUS HOUSE, INC. ALSO HIRED A LOCAL LOBBYST TO REPRESENT THE ORGANIZATION IN CITY AND COUNTY MATTERS. 1726604 1726604 23128971 3184799 19944172 771756 417964 353792 2567382 1660310 907072 22931640 21898628 168922 93161 1671474 1933557 19965071 181115 181115 20146186 19669586 2926340 2926340 16743246 0 16743246 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES NETTED WITH FUNDRAISING EVENT INCOME 711,515. INCOME OF RELATED ORGANIZATIONS 959,959. PART XI, LINE 4B - OTHER ADJUSTMENTS: ADDITIONAL FUNDRAISING REVENUE 181,115. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES NETTED WITH FUNDRAISING EVENT INCOME 711,514. EXPENSES OF RELATED ORGANIZATIONS 2,214,826. HOPE FOR ALL BALL - DINNER/AUCTION 1777315 1054505 722810 389773 148596 249772 SPRING EVENT - DINNER/AUCTION 994711 118064 876647 546538 120300 148684 7 8580 8580 44162 2780606 1172569 1608037 936311 268896 442618 1647825 -39788 1 NEW CAMILLUS HOUSE CAMPUS INC PO BOX 11829 MIAMI FL 33101 274182310 501(C)(3) 101747 CASH PROVISION OF SHELTER AND HOUSING FOR THE POOR AND HOMELESS PART I, LINE 2: THE USE OF GRANTS IS IN ACCORDANCE WITH FLORIDA COMMUNITY LOAN FUND REQUIREMENTS AND IS SUBJECT TO THE APPROVAL BY THE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA. SCHEDULE I, PART II, LINE 1 - NEW CAMILLUS HOUSE CAMPUS, INC. BOTH ORGANIZATIONS AE UNDER COMMON CONTROL BY THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA, A ROMAN CATHOLIC RELIGIOUS ORDER, WHO OVERSEES AND MONITORS THE APPLICATION AND USE OF FUNDS. X X X X 0 0 0 0 0 0 0 0 0 PAUL R AHR FORMER PRESIDENT & CEO 310383 0 0 0 0 0 0 0 10654 0 321037 0 0 0 ROBERT DICKINSONCABBAGE PATCH INVESTMENTS INC JOINT VENTURE CHAIRMAN OF THE ORGANIZATION LEASE AGREEMENT BETWEEN ROBERT DICKINSON/CABBAGE PATCH INVESTMENTS, INC JOINT VENTURE (LANDLORD) AND CAMILLUS HOUSE, INC (TENANT) SIGNED ON 6/30/2014. THE LEASE COMMENCES ON JULY 1, 2014 AND ENDS ON JUNE 30, 2019. LEASE AGREEMENT IS ENTERED INTO WITH THE INTENT OF COMPENSATING LESSORS FOR OUT-OF-POCKET BUILDING OCCUPANCY EXPENSES FOR THIS PROPERTY, WHICH IS BEING USED BY CAMILLUS HOUSE TO FURTHER ITS MISSION ACTIVITIES. 0 X 12 15019 COMPARABLE SALES X 636291 COMPARABLE SALES X 2634 677608 COMPARABLE SALES X FORGIVABLE LOANS GRANTED BY MIAMI-DADE COUNTY 2 1337468 COST X ITEMS FOR AUCTION (WINE, CRUISE, AIRLINE TICKETS.) 589 921292 COMPARABLE SALES 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE 5 MEMBERS WHO HAVE ULTIMATE AUTHORITY OVER THE ORGANIZATION. THESE MEMBERS MUST BELONG TO THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA, A RELIGIOUS ORGANIZATION OF THE CATHOLIC CHURCH. FORM 990, PART VI, SECTION A, LINE 7A THE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA HAVE THE ULTIMATE AUTHORITY TO APPOINT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ALL MAJOR DECISIONS ARE SUBJECT TO THE APPROVAL BY THE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE PRESIDENT, CFO AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST QUESTIONNAIRE IS ADMINISTERED TO MEMBERS OF THE BOARD AS WELL AS EMPLOYEES TO DISCLOSE INTERESTS THAT MIGHT RESULT IN A CONFLICT OR THE APPEARANCE OF A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES COMPARABILITY DATA AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING ADJUSTMENT 4. ADDITIONAL FUNDRAISING REVENUE -181,115. SHEPHERD'S COURT INVESTOR LLC 336 NW 5TH STREET MIAMI FL 33128 450901972 INVESTMENT FL 0 0 CAMILLUS HOUSE INC CHARITY UNLIMITED OF FLORIDA INC PO BOX 11829 MIAMI FL 33101 650627797 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 BROTHER KEILY PLACE INC PO BOX 11829 MIAMI FL 33101 262449799 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 EMMAUS PLACE INC PO BOX 11829 MIAMI FL 33101 262466746 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 MATT TALBOT HOUSE INC PO BOX 11829 MIAMI FL 33101 262466977 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 LABRE PLACE INC PO BOX 11829 MIAMI FL 33101 262449416 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 CHARITY UNLIMITED FOUNDATION INC PO BOX 11829 MIAMI FL 33101 262449875 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 GOOD SHEPHERD VILLAS INC PO BOX 11829 MIAMI FL 33101 262466926 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 SOMERVILLE RESIDENCE INC PO BOX 11829 MIAMI FL 33101 262466816 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 BROWNSVILLE HOUSING INC PO BOX 11829 MIAMI FL 33101 262449736 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 CAMILLUS HEALTH CONCERN INC PO BOX 11829 MIAMI FL 33101 650063921 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 NEW CAMILLUS HOUSE CAMPUS INC PO BOX 11829 MIAMI FL 33101 274182310 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) LINE 7 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST JOHN OF GOD 0 SHEPHERD'S COURT LLC 336 NW 5TH STREET MIAMI FL 33128 208725209 LOW INCOME HOUSING FL CAMILLUS SHEPHERD'S LLC RELATED 0 0 0.00010 CAMILLUS SHEPHERD'S LLC 1603 NW 7TH AVE MIAMI FL 33136 454109856 LOW INCOME HOUSING FL CAMILLUS HOUSE INC C -93 1155 0.01000 0 0 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 1 0 0