2014-11-13T09:43:22-06:00 2013-12-31 560574444 CHERRY BEKAERT LLP 1111 METROPOLITAN AVE STE 1000 CHARLOTTE NC 28204 990 2013-01-01 593705979 THE CENTER FOR SPECIAL NEEDS TRUST ADMINISTRATION INC CENT 7278944489 4912 CREEKSIDE DRIVE CLEARWATER FL 337604019 TODD BELISLE PRESIDENT 7278944489 2014-11-12 1 KELLIANNE F BENSON P01345659 7043771678 2013 2015-11-30 17:44:51Z TODD BELISLE 4912 CREEKSIDE DRIVE CLEARWATER FL 337604019 4087034 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 2012, THE CENTER ACCEPTED 326 NEW TRUSTS AND HAD APPROXIMATELY 2,088 TRUSTS UNDER ADMINISTRATION AT DECEMBER 31, 2013. 4 1 32 0 0 0 1012055 898074 3565563 2873215 311721 292164 35433 23581 4924772 4087034 581473 443242 0 0 2993273 2219703 0 0 0 1509840 1445175 5084586 4108120 -159814 -21086 3586947 3617465 142351 114688 3444596 3502777 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 3531706 443242 2896796 PROVIDING SPECIALIZED ADMINISTRATIVE SERVICES FOR IMPOVERISHED PEOPLE WITH DISABILITIES WHO HAVE SPECIAL NEEDS TRUSTS FOR THE PURPOSE OF IMPROVING THEIR QUALITY OF LIFE. FOR 2013, THE CENTER ACCEPTED 326 NEW TRUSTS AND NOW HAS 2,088 TRUSTS UNDER ADMINISTRATION. 3531706 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 650 0 1 32 1 0 0 0 0 0 0 0 0 0 0 X 4 1 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 JOSEPH HUENKE THROUGH 043013 DIRECTOR 5.00 X 4000 0 0 RICHARD SHONTER DIRECTOR 40.00 X 150000 0 0 TODD BELISLE DIRECTOR/PRESIDENT 40.00 X X 148799 0 1201 CAITLIN GOVONI DIRECTOR/VICE PRESIDENT/SECRETARY 40.00 X X 115372 0 19014 418171 0 20215 3 0 0 0 AUSTIN COLBY COMPANY INC 4912 CREEKSIDE DRIVE CLEARWATER FL 33760 LIFE PLANNING, ADMINISTRATIVE & ADVISORY 744552 STAUNTON & FAGLIE PL 3000 GULF TO BAY BLVD STE 102 CLEARWATER FL 33759 LEGAL COMPLIANCE & CONSULTATION 421285 ALL COVERED PO BOX 39000 SAN FRANCISCO CA 94139 IT & HARDWARE SUPPORT 104737 3 898074 898074 TRUST ADMINISTRATION 900099 2873215 2873215 2873215 292164 292164 MISCELLANEOUS REVENUE 900099 23581 23581 23581 4087034 2896796 0 292164 443242 443242 2051140 1871997 179143 45349 39680 5669 123214 107812 15402 28555 28555 24201 17744 6457 250 250 111196 111196 49781 48496 1285 62798 62798 100042 97291 2751 452858 286607 166251 303380 303380 11323 11323 641 641 88284 88284 66920 66920 DUES & SUBSCRIPTIONS 54698 0 54698 SPONSORSHIPS 28175 28175 0 BANK FEES 22740 22740 CONSULTING 4000 2400 1600 35333 10640 24693 4108120 3531706 576414 0 153770 138940 49519 80490 482653 465208 1124120 331588 856589 792532 1528110 1549310 494163 568842 22143 22143 3586947 3617465 142351 114688 142351 114688 X 0 0 0 0 3444596 3502777 3444596 3502777 3586947 3617465 -21086 79267 0 X X 0 0 0 X 1761517 1681037 2693464 1012055 898074 8046147 3110839 3253022 3507957 3565563 2873215 16310596 4872356 4934059 6201421 4577618 3771289 24356743 0 36227 36227 36227 36227 24320516 240117 218306 272133 272970 292164 1295690 240117 218306 272133 272970 292164 1295690 769 54449 35433 334236 424887 5112473 5153134 6528003 4886021 4397689 26077320 0.93260 0.95200 0.04970 0.04320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 96886286 28230107 25283883 99832510 0 709054 709054 25269 20187 5082 389797 311401 78396 792532 STOCK - SNAP FOR SENIORS 1049300 C STOCK - BEACON MTD 500010 C 1549310 LOANS 127702 C VIALEGAL 2 57935 C ANNUITIES 383205 C 568842 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 ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOC INC 14010 ROOSEVELT BLVD SUITE 7098 CLEARWATER FL 33762 592378435 501(C)(3) 5115 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) 60000 GENERAL SUPPORT HILLSBOROUGH COUNTY BAR FOUNDATION INC 1610 N TAMPA STREET TAMPA FL 33602 593443939 501(C)(3) 144813 GENERAL SUPPORT KIDZF1STFUND INC 1400 VILLAGE SQUARE BLVD SUITE 3-229 TALLAHASSEE FL 32312 454355903 501(C)(3) 15000 GENERAL SUPPORT MIKE PETERSON FOUNDATION INC 1320 FORESTEDGE BLVD OLDSMAR FL 34677 201663818 501(C)(3) 10000 GENERAL SUPPORT MOUNT DESERT ISLAND BIOLOGICAL LABORATORY 159 OLD HARBOR ROAD SALISBURY COVE ME 04672 010202467 501(C)(3) 5000 GENERAL SUPPORT OHIO CHARITY FOUNDATION 300 WEST WILSON BRIDGE RD WORTHINGTON OH 43085 593705979 501(C)(3) 30000 GENERAL SUPPORT ST PETERSBURG BAR FOUNDATION INC 4701 CENTRAL AVENUE SUITE B ST PETERSBURG FL 33713 223858256 501(C)(3) 12000 GENERAL SUPPORT STETSON UNIVERSITY COLLEGE OF LAW 1401 61ST STREET S GULFPORT FL 33707 596135559 501(C)(3) 7500 GENERAL SUPPORT THE CHAMPIONS FUND INC 1320 FORESTEDGE BLVD OLDSMAR FL 34677 593685490 501(C)(3) 60000 GENERAL SUPPORT THERESA ALESSANDRA RUSSO FOUNDATION INC 250 LIDO BOULEVARD LIDO BEACH NY 11561 113126316 501(C)(3) 72375 GENERAL SUPPORT YMCA OF THE SUNCOAST 2469 ENTERPRISE ROAD CLEARWATER FL 33763 590810731 501(C)(3) 5000 GENERAL SUPPORT 14 0 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. STAUNTON & FAGLIE PL JOHN STAUNTON, PRESIDENT THROUGH 12.1.09, IS 100% OWNER & PRESIDENT 421285 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 744552 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