2015-11-13T13:23:40-06:00 2014-12-31 560574444 CHERRY BEKAERT LLP 1111 METROPOLITAN AVE STE 1000 CHARLOTTE NC 28204 990 2014-01-01 593705979 THE CENTER FOR SPECIAL NEEDS TRUST ADMINISTRATION INC CENT 7278944489 4912 CREEKSIDE DRIVE CLEARWATER FL 337604019 TODD BELISLE PRESIDENT 7278944489 2015-11-12 1 KELLIANNE F BENSON P01345659 7043771678 2014 2016-03-07 17:11:31Z TODD BELISLE 4912 CREEKSIDE DRIVE CLEARWATER FL 337604019 4064521 0 X WWW.SNTCENTER.ORG X 2000 FL THE CENTER FOR SPECIAL NEEDS TRUST ADMINISTRATION, INC. (THE CENTER) PROVIDES SPECIALIZED ADMINISTRATIVE SERVICES FOR IMPOVERISHED PEOPLE WITH DISABILITIES WHO HAVE SPECIAL NEEDS TRUSTS FOR THE PURPOSE OF IMPROVING THEIR QUALITY OF LIFE. EVERY TRUST MUST BE APPROVED BY THE GOVERNMENT AGENCY ADMINISTERING THE TRUST BENEFICIARY'S PUBLIC ASSISTANCE PROGRAM. ALTHOUGH THESE AGENCIES OVERSEE SPECIAL NEEDS TRUSTS, THE CENTER RELIEVES THEM OF THE BURDEN OF DAY-TO-DAY ADMINISTRATION OF THE TRUSTS' FUNDING, COMPLIANCE AND OTHER REQUIREMENTS. THIS IS ACCOMPLISHED BYADMINISTERING THE TRUSTS ACCORDING TO THE STRICT GUIDELINES UNDER MEDICAID LAW AND THE INVESTMENT OF TRUST ASSETS IN THE BEST INTEREST OF THE TRUST BENEFICIARIES, WHILE DISBURSING FUNDS IN ACCORDANCE WITH MEDICAID PROGRAMS AND RULES, WHICH CAN VARY CONSIDERABLY FROMPROGRAM-TO-PROGRAM AND STATE-TO-STATE. DURING 2014, THE CENTER ACCEPTED 334 NEW TRUSTS AND HAD APPROXIMATELY 2,181 TRUSTS UNDER ADMINISTRATION AT DECEMBER 31, 2014. 4 0 27 0 0 0 898074 1119018 2873215 2588189 292164 -806041 23581 33230 4087034 2934396 443242 588226 0 0 2219703 2106701 0 0 0 1445175 1087083 4108120 3782010 -21086 -847614 3617465 2865451 114688 202167 3502777 2663284 TO OFFER SPECIALIZED ADMINISTRATIVE SERVICES FOR IMPOVERISHED PEOPLE WITH DISABILITIES WHO HAVE SPECIAL NEEDS TRUSTS FOR THE PURPOSE OF IMPROVING THEIR QUALITY OF LIFE. 0 0 3335081 588226 2621419 PROVIDING SPECIALIZED ADMINISTRATIVE SERVICES FOR IMPOVERISHED PEOPLE WITH DISABILITIES WHO HAVE SPECIAL NEEDS TRUSTS FOR THE PURPOSE OF IMPROVING THEIR QUALITY OF LIFE. FOR 2014, THE CENTER ACCEPTED 334 NEW TRUSTS AND NOW HAS 2,181 TRUSTS UNDER ADMINISTRATION. 3335081 1 1 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 966 0 1 27 1 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X TODD BELISLE 7278944489 4912 CREEKSIDE DRIVE CLEARWATER FL 33760 RICHARD SHONTER DIRECTOR 40.00 X 150000 0 0 MICHELLE DIEBERT SECRETARY AS OF 3/1/14 40.00 X X 46629 0 2528 TODD BELISLE PRESIDENT, DIRECTOR 40.00 X X 148559 0 1441 CAITLIN GOVONI VICE PRESIDENT, DIRECTOR 40.00 X X 190162 0 20156 535350 0 24125 3 0 1 0 AUSTIN COLBY COMPANY INC 4912 CREEKSIDE DRIVE CLEARWATER FL 33760 LIFE PLANNING, ADMINISTRATIVE & ADVISORY 599505 STAUNTON & FAGLIE PL 3000 GULF TO BAY BLVD STE 102 CLEARWATER FL 33759 LEGAL COMPLIANCE & CONSULTATION 437129 2 1119018 1119018 TRUST ADMINISTRATION 900099 2588189 2588189 2588189 324084 324084 1130125 -1130125 -1130125 -1130125 MISCELLANEOUS REVENUE 900099 33230 33230 33230 2934396 2621419 0 -806041 543449 543449 44777 44777 559475 512909 46566 1369801 1255789 114012 67746 59278 8468 109679 95969 13710 11256 11256 75974 69517 6457 1250 1250 230888 230888 58023 55527 2496 68748 68748 102867 83220 19647 122793 23810 98983 145005 145005 6286 6286 5431 5431 46861 46861 81849 81849 SPONSORSHIPS 77028 77028 DUES & SUBSCRIPTIONS 37024 37024 15800 10589 5211 3782010 3335081 446929 0 138940 411506 80490 142543 465208 432258 1124120 378449 792532 745671 1549310 500010 568842 611320 22143 22143 3617465 2865451 114688 202167 114688 202167 X 0 0 0 0 3502777 2663284 3502777 2663284 3617465 2865451 -847614 8121 0 X X 0 0 0 X 1681037 2693464 1012055 898074 1119018 7403648 3253022 3507957 3565563 2873215 2588189 15787946 4934059 6201421 4577618 3771289 3707207 23191594 0 0 0 23191594 218306 272133 272970 292164 324084 1379657 218306 272133 272970 292164 324084 1379657 769 54449 35433 334236 33230 458117 5153134 6528003 4886021 4397689 4064521 25029368 0.92660 0.93260 0.05510 0.04970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 99832510 44631647 26345681 118118476 0 709054 709054 25269 23040 2229 389797 355409 34388 745671 STOCK - BEACON MTD 500010 C 500010 LOANS 119694 C VIALEGAL 2 60298 C ANNUITIES 391328 C PROSPECT FUNDING HOLDINGS LLC 40000 C 611320 PART IV, LINE 2B: THE ORGANIZATION PROVIDES SPECIAL ADMINISTRATIVE SERVICES FOR IMPOVERISHED PEOPLE WITH DISABILITIES WHO HAVE SPECIAL NEEDS TRUSTS FOR THE PURPOSE OF IMPROVING THEIR QUALITY OF LIFE. THESE TRUSTS ARE ADMINISTERED ACCORDING TO STRICT GUIDELINES UNDER MEDICAID LAW. THE ORGANIZATION ALSO ADMINISTERS THE INVESTMENT OF THE TRUSTS IN THE BEST INTERESTS OF THE TRUST BENEFICIARIES. 1 THERESA ALESSANDRA RUSSO FOUNDATION INC 250 LIDO BOULEVARD LIDO BEACH NY 11561 113126316 501(C)(3) 148007 GENERAL SUPPORT THE CHAMPIONS FUND INC 1320 FORESTEDGE BLVD OLDSMAR FL 34677 593685490 501(C)(3) 50000 GENERAL SUPPORT BEYOND THE BOROUGHS INC PO BOX 107 KATONAH NY 10536 611542985 501(C)(3) 5000 GENERAL SUPPORT HANNAH & FRIENDS INC 51250 HOLLYHOCK ROAD SOUTH BEND IN 46637 300171137 501(C)(3) 131429 GENERAL SUPPORT HILLSBOROUGH COUNTY BAR FOUNDATION INC 1610 N TAMPA STREET TAMPA FL 33602 593443939 501(C)(3) 100000 GENERAL SUPPORT ST PETERSBURG BAR FOUNDATION INC 4701 CENTRAL AVENUE SUITE B ST PETERSBURG FL 33713 223858256 501(C)(3) 13000 GENERAL SUPPORT STETSON UNIVERSITY COLLEGE OF LAW 1401 61ST STREET S GULFPORT FL 33707 596135559 501(C)(3) 10000 GENERAL SUPPORT COST OF FREEDOM INC 6619 RED HAWK CT MAINEVILLE OH 45039 452451096 501(C)(3) 9000 GENERAL SUPPORT GRAMATICA FAMILY FOUNDATION INC 5519 E CHELSEA STREET TAMPA FL 33610 460809270 501(C)(3) 5000 GENERAL SUPPORT THE DIRECTED BENEFITS FOUNDATION INC 15237 CALLAWAY CT GLENWOOD MD 217389657 462831101 501(C)(3) 40617 GENERAL SUPPORT WESTERN KENTUCKY FOUNDATION 1906 COLLEGE HEIGHTS BLVD 8094 BOWLING GREEN KY 421011041 611251555 501(C)(3) 25000 GENERAL SUPPORT 11 0 ASSISTANCE 1 44777 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF THE FUNDS IT DONATES TO OTHERS ON AN INFORMAL BASIS. THE LARGER THE DONATION, THE MORE ATTENTION IS GIVEN TO THAT RECIPIENT. THE REVIEWS PERFORMED IN THE PAST HAVE PROVIDED THE ORGANIZATION WITH VALUABLE INFORMATION REGARDING THE NEEDS OF THE RECIPIENTS AND HAD AN IMPACT ON FUTURE PLANNED GIFTS. 0 0 0 0 0 0 0 0 0 CAITLIN GOVONI VICE PRESIDENT, DIRECTOR 190162 0 0 0 0 0 17500 0 2656 0 210318 0 0 0 STAUNTON & FAGLIE PL JOHN STAUNTON, PRESIDENT THROUGH 12.1.09, IS 100% OWNER & PRESIDENT 437129 JOHN STAUNTON, P.A. PROVIDED LEGAL COMPLIANCE AND CONSULTATION TO THE ORGANIZATION AS AN INDEPENDENT CONTRACTOR. ALL TRANSACTIONS WERE CONDUCTED AT ARM'S LENGTH AND VALUED AT FAIR MARKET VALUE. JOHN STAUNTON WAS THE PRESIDENT OF THE ORGANIZATION THROUGH 12.1.09. 0 AUSTIN COLBY COMPANY INC GOVONI, VP THRU 5.20.09, & WALRATH, DIRECTOR THRU 5.20.09, ARE PART OWNERS 599505 MR. GOVONI, VICE PRESIDENT OF THE ORGANIZATION THROUGH MAY 2009, IS VICE PRESIDENT AND 50% OWNER OF AUSTIN COLBY COMPANY. MR. WALRATH, DIRECTOR OF THE ORGANIZATION THROUGH MAY 2009, IS PRESIDENT AND 50% OWNER OF AUSTIN COLBY COMPANY, INC. AUSTIN COLBY COMPANY PROVIDED LIFE PLANNING, ADMINISTRATIVE AND ADVISORY SERVICES TO THE ORGANIZATION AS AN INDEPENDENT CONTRACTOR. ALL TRANSACTIONS WERE CONDUCTED AT ARM'S LENGTH AND VALUED AT FAIR MARKET VALUE. 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF GOVERNING BODY; THUS NO MEETINGS WERE HELD FOR CONTEMPORANEOUS DOCUMENTATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CENTER FOR SPECIAL NEEDS TRUST ADMINISTRATION INC. ("THE CENTER") TAKES ITS RESPONSIBILITY IN THE AREA OF CONFLICT OF INTEREST SERIOUSLY AND HAS ALWAYS HAD A CONFLICT OF INTEREST POLICY. THE CORE OF THIS LONG STANDING POLICY, AS WELL AS THE WRITTEN CONFLICT OF INTEREST POLICY DOCUMENT ("POLICY"), PROVIDES THAT TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF FULLY DISCLOSED, ARE IN THE BEST INTERESTS OF THE CENTER, AND DONE AT FAIR MARKET VALUE. IN THE EVENT OF A POTENTIAL CONFLICT, THAT PERSON SHALL RECUSE THEMSELVES FROM THE DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPANY HAS ESTABLISHED A POLICY OF REVIEW OF EXECUTIVE AND KEY EMPLOYEE COMPENSATION WHICH INCLUDES APPROVAL BY INDEPENDENT PERSONS AND USE OF DATA FROM PEER INSTITUTIONS. THE COMPANY'S BOARD OF DIRECTORS WILL ESTABLISH A "STANDING COMMITTEE" WHICH WILL BE RESPONSIBLE FOR PROVIDING RECOMMENDATIONS REGARDING COMPENSATION FOR ALL COMPANY EXECUTIVE AND KEY EMPLOYEES. THE STANDING COMMITTEE WILL KEEP A DETAILED RECORD OF THE MEETINGS AND DISCUSSIONS RELATIVE TO EXECUTIVE AND KEY EMPLOYEE COMPENSATIONS. THIS POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XII MODIFIED CASH BASIS