2015-10-28T11:57:41-05:00 2014-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST ROAD STE 115 RALEIGH NC 27609 990 2014-01-01 521699708 SENIOR LIVING FOUNDATION OF THE AMERICAN FOREIGN SERVICE INC SENI 2028878170 1620 L STREET NW NO 800 WASHINGTON DC 20036 PAULA S JAKUB EXECUTIVE DIRECTOR 2028878170 2015-09-17 1 JOHN HUSKINS P01081531 9197196400 2015-10-28 2014 2016-02-25 16:41:14Z X PAULA JAKUB 1620 L STREET NW NO 800 WASHINGTON DC 20036 3054366 0 X WWW.SLFOUNDATION.ORG X 1988 DC TO PROVIDE SUPPORT TO RETIRED FOREIGN SERVICE PERSONNEL AND THEIR SPOUSES (INCLUDING SURVIVING OR DIVORCED SPOUSES) AND, ON THE BASIS OF NEED, TO DEFRAY THE COST OF HOME HEALTH CARE SERVICES, SENIOR HOUSING, LONG TERM CARE INSURANCE, OR OTHER SENIOR SERVICES THAT CONTRIBUTE TO THE HEALTH AND SECURITY OF THE RETIRED FOREIGN SERVICE FAMILY. 16 16 0 0 0 0 428272 488629 0 0 258621 545787 0 0 686893 1034416 318739 269218 0 0 0 0 0 0 6426 114105 113477 432844 382695 254049 651721 4630036 4989619 67342 50324 4562694 4939295 X TO PROVIDE SUPPORT TO RETIRED FOREIGN SERVICE PERSONNEL AND THEIR SPOUSES (INCLUDING SURVIVING OR DIVORCED SPOUSES) AND, ON THE BASIS OF NEED, TO DEFRAY THE COST OF HOME HEALTH CARE SERVICES, SENIOR HOUSING, LONG TERM CARE INSURANCE, OR OTHER SENIOR SERVICES THAT CONTRIBUTE TO THE HEALTH AND SECURITY OF THE RETIRED FOREIGN SERVICE FAMILY. 0 0 269218 269218 PROVIDE SUPPORT TO RETIRED FOREIGN SERVICE PERSONNEL AND THEIR ELIGIBLE DEPENDENTS. 269218 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 X ROBIN LEHMAN DIRECTOR OF ACCOUNTING 2028878170 1620 L STREET NW NO 800 WASHINGTON DC 20036 MARC GROSSMAN CHAIRMAN 1.00 X X 0 0 0 ROBERT O BLAKE VICE CHAIRMAN 1.00 X X 0 0 0 THOMAS M TRACY SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 JOAN M CLARK CHAIRMAN EMERITUS 1.00 1.00 X 0 0 0 PAUL M CLEVELAND DIRECTOR 1.00 X 0 0 0 SAMUEL R GAMMON DIRECTOR 1.00 X 0 0 0 EDWARD GNEHM DIRECTOR 1.00 X 0 0 0 WILLIAM C HARROP DIRECTOR 1.00 X 0 0 0 MAURA A HARTY DIRECTOR 1.00 X 0 0 0 CAROLEE HEILEMAN DIRECTOR 1.00 X 0 0 0 SHELDON J KRYS DIRECTOR 1.00 X 0 0 0 ALAN W LUKENS DIRECTOR 1.00 X 0 0 0 THOMAS R PICKERING DIRECTOR 1.00 X 0 0 0 ROZANNE L RIDGWAY DIRECTOR 1.00 X 0 0 0 JOHN P SHUMATE DIRECTOR 1.00 X 0 0 0 GALEN L STONE DIRECTOR (TO SEP '14) 1.00 X 0 0 0 SHARON P WILKINSON DIRECTOR 1.00 X 0 0 0 PAULA S JAKUB EXECUTIVE DIRECTOR 40.00 1.00 X 0 271101 17455 GAYLE BOHORQUEZ DEPUTY DIRECTOR 40.00 1.00 X 0 148310 34383 0 419411 51838 0 0 1 0 0 488629 1493 488629 126756 126756 2438981 2019950 419031 419031 419031 1034416 0 0 545787 269218 269218 9547 9547 36782 36782 14755 14755 31819 25393 6426 20574 20574 382695 269218 107051 6426 155317 322119 2398 9502 4472321 4657998 4630036 4989619 6028 7074 61314 43250 67342 50324 X 4465838 4860013 96856 79282 4562694 4939295 4630036 4989619 651721 -275120 0 X 0 1 X 1 0 X 350515 482426 339834 428272 488629 2089676 350515 482426 339834 428272 488629 2089676 278263 1811413 66707 73326 191595 90124 126756 548508 2638184 0.68660 0.58660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 801764 -275120 79250 -195870 997634 36782 36782 1034416 425163 79250 79250 345913 36782 36782 382695 PART X, LINE 2: MANAGEMENT HAS CONCLUDED THAT SLF HAS PROPERLY MAINTAINED ITS EXEMPT STATUS AND THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2014. 1 LIVING ASSISTANCE BASED ON NEED 27 269218 PART I, LINE 2: SINCE THE ORGANIZATION ASSISTS INDIVIDUALS AT OR BELOW LOW-INCOME LEVELS AS DEFINED BY HUD, GRANTEES ARE REQUIRED TO SUMBIT DOCUMENTATION. THEY ARE ASKED TO PROVIDE FINANCIAL INFORMATION THAT SHOWS THEY ARE UNDER THE LOW-INCOME HUD GUIDELINES FOR THEIR AREA. IF THEY MEET THE GUIDELINES, THE ORGANIZATION EITHER SETS UP A MONTHLY GRANT, OR PAYS CERTAIN EXPENSES DIRECTLY TO THE PROVIDER (SUCH AS DOCTORS, DENTISTS, ETC.) PERIODICALLY, GRANTEES ARE ASKED TO PROVIDE UPDATED FINANCIAL INFORMATION IN ORDER TO SHOW THAT THEY ARE STILL WITHIN THE HUD GUIDELINES FOR THEIR AREA. THE ORGANIZATION ALSO USES THE SERVICES OF SOCIAL WORK CONSULTANTS TO EVALUATE AND MONITOR ELIGIBILITY. 0 0 0 0 0 0 0 0 0 PAULA S JAKUB EXECUTIVE DIRECTOR 0 256966 0 7500 0 6635 0 13161 0 4294 0 288556 0 0 GAYLE BOHORQUEZ DEPUTY DIRECTOR 0 133383 0 2800 0 12127 0 9005 0 25378 0 182693 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE DIRECTOR OF ACCOUNTING REVIEWS THE FORMS IN CONCERT WITH THE EXECUTIVE MANAGEMENT, WHO THEN SIGNS AND FILES THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO ANNUALLY REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR THE SENIOR LIVING FOUNDATION OF THE AMERICAN FOREIGN SERVICES ARE NOT MADE AVAILABLE TO THE PUBLIC AT THIS TIME. AMERICAN FOREIGN SERVICE PROTECTIVE ASSOCIATION 1716 N STREET NW WASHINGTON DC 20036 530200270 PROVIDE INSURANCE BENEFITS TO MEMBERS DC 501(C)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0