2013-12-06T13:12:21-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 111821135 EPILEPSY FOUNDATION OF LONG ISLANDINC EPIL 5167397733 506 STEWART AVENUE GARDEN CITY NY 11530 THOMAS M HOPKINS 5167397733 2013-12-03 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-03-07 17:11:31Z X THOMAS M HOPKINS 506 STEWART AVENUE GARDEN CITY NY 11530 22770606 0 X WWW.EFLI.ORG X 1961 NY WE WILL ENRICH THE LIVES OF THOSE WE SERVE THROUGH QUALITY CARE, A BROAD RANGE OF SERVICES, AND AN UNWAVERING COMMITMENT TO EXCELLENCE. 13 13 508 13 -18065 -18065 221104 305763 22513329 21880526 19909 32899 -18518 4977 22735824 22224165 0 0 0 0 15470304 15075906 0 0 184489 7153952 7355039 22624256 22430945 111568 -206780 22513292 20888293 17923713 16665694 4589579 4222599 X THE EPILEPSY FOUNDATION OF LONG ISLAND WILL ENSURE THAT PEOPLE WITH SEIZURES AND/OR DEVELOPMENTAL DISABILITIES ARE ABLE TO PARTICIPATE IN ALL LIFE EXPERIENCES; AND WILL PREVENT, CONTROL AND CURE EPILEPSY THROUGH RESEARCH, EDUCATION, ADVOCACY, AND SERVICES. 0 0 13818991 15145194 RESIDENCE PROGRAM - THE RESIDENCE PROGRAM PROVIDES SUPERVISED GROUP LIVING FOR ADULTS WITH DEVELOPMENTAL DISABILITIES. EACH PERSON IN THE PROGRAM HAS A PLAN WHICH IS DEVELOPED BY THE CONSUMER AND HIS ADVOCATES. PERSONAL VALUES AND GOALS ARE INTEGRATED INTO THE PLAN, AS WELL AS INCLUSION IN THE COMMUNITY. THE PROGRAM PROVIDES 24 HOUR SUPERVISED CARE. WE SERVED APPROXIMATELY 130 ADULTS IN 2012 IN OUR RESIDENTIAL PROGRAM. 3382474 3835753 DAY SERVICES - THE FOUNDATION OPERATES A DAY HABILITATION PROGRAM, AND AN ON-SITE RESPITE PROGRAM. THESE PROGRAMS HELP PEOPLE WITH DEVELOPMENTAL DISABILITIES, DEVELOP INDEPENDENT LIVING SKILLS AND SOCIAL BEHAVIOR.THE DAY HABILITATION PROGRAM IS A PERSON-CENTERED PROGRAM FOR DEVELOPMENTALLY DISABLED INDIVIDUALS 21 YEARS OF AGE AND OLDER. THE RESPITE PROGRAM PROVIDES AN OPPORTUNITY FOR INDIVIDUALS TO PARTICIPATE IN A RECREATION PROGRAM AND ALLOW THEIR FAMILIES SOME TIME OFF FROM CARE-GIVING. WE WERE ABLE TO PROVIDE DAY HABILITATION SERVICES TO APPROXIMATELY 120 INDIVIDUALS AND RESPITE SERVICES TO 10 INDIVIDUALS IN 2012. 2376527 2457388 CLINIC SERVICES - THE SPECIALTY CLINIC PROVIDES SERVICES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES TO IMPROVE OR MAINTAIN THE QUALITY OF THEIR LIVES. THE SERVICES ARE OF A HABILITATIVE CLINICAL NATURE TO AMELIORATE OR TO LIMIT THE DISABLING CONDITION IN THE LEAST RESTRICTIVE SETTING.WE PROVIDE PSYCHIATRIC AND SOCIAL WORK EVALUATIONS AND THERAPY, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. WE ALSO PROVIDE NEUROLOGICAL AND NUTRITIONAL CARE IN 2012 WE SERVED MORE THAN 500 PEOPLE TO ENABLE THEM TO ENHANCE AND IMPROVE THE QUALITY OF THEIR LIVES AND TO HELP THEM AND THEIR FAMILIES IN COPING WITH EPILEPSY AND OTHER DISABILITIES. WE ALSO PROVIDE SUPPORT GROUPS FOR PARENTS, PROFESSIONALS, CHILDREN, TEENS, AND ADULTS, AND A SOCIAL CLUB. WE RECENTLY STARTED A SUPPORT GROUP FOR PEOPLE WHO SPEAK SPANISH AND A YOUTH COUNCIL FOR YOUNG ADULTS DEALING WITH SEIZURES. WE ALSO PROVIDE INFORMATION AND REFERRALS TO PEOPLE LOOKING FOR ASSISTANCE AND INFORMATION FOR MEDICATION, PHYSICIANS, INTERPERSONAL, MENTAL HEALTH ISSUES, AND GENERAL SUPPORT GROUPS. THERE IS NO GOVERNMENT FUNDING FOR THESE GROUPS. 508862 442191 COMMUNITY EDUCATION - PROVIDES ADVOCACY, EDUCATION, AND INFORMATION REGARDING EPILEPSY TO INDIVIDUALS, FAMILIES, EDUCATORS AND PRACTITIONERS. ANTI-STIGMA CAMPAIGNS ARE PROMOTED IN NASSAU AND SUFFOLK COUNTIES.COMMUNITY SERVICESTHE COMMUNITY SERVICES DEPARTMENT IS COMPOSED OF THE MEDICAID SERVICE COORDINATION AND AT-HOME RESIDENTIAL HABILITATION/RESPITE PROGRAMS. ALL OF THESE PROGRAMS PROVIDE SERVICES TO PEOPLE WHO HAVE DEVELOPMENTAL DISABILITIES. THROUGH THE MEDICAID SERVICE COORDINATION (MSC) PROGRAM, DEVELOPMENTALLY DISABLED INDIVIDUALS ARE PROVIDED WITH A STAFF MEMBER WHO ACTS AS THEIR ADVOCATE IN CONNECTING THEM WITH NEEDED SUPPORTS AND SERVICES IN THE COMMUNITY. THE SERVICE COORDINATOR IS RESPONSIBLE FOR DEVELOPING AN INDIVIDUALIZED SERVICE PLAN THAT REFLECTS THE NEEDS, GOALS AND WISHES OF THE INDIVIDUAL , AS WELL AS SPECIFYING THE RESOURCES AND SERVICES NECESSARY TO SUPPORT THAT INDIVIDUAL. THE AT-HOME RESIDENTIAL HABILITATION AND RESPITE PROGRAMS ARE DESCRIBED IN PART III, LINE 2. SERVICE COORDINATION - ADVOCATES FOR CONSUMERS TO OBTAIN PROGRAMS, BENEFITS, AND SERVICES IN THE COMMUNITY AND ENSURES THAT THE CONSUMER AND FAMILY ARE SATISFIED. SERVICES ARE TAILORED TO INDIVIDUAL INTERESTS AND ABILITIES. 508862 442191 20086854 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 508 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LAWRENCE BOORD 5167397733 506 STEWART AVENUE GARDEN CITY NY 11530 JEFFREY L NAGEL 1.00 X X 0 0 0 HENRY E KLOSOWSKI 1.00 X X 0 0 0 ROBERT LUDRICKS 1.00 X X 0 0 0 ROBERT C CREIGHTON 1.00 X X 0 0 0 FRED ABRAMS 1.00 X 0 0 0 JOEL ACKERMAN 1.00 X 0 0 0 DR SHARON DEANS 1.00 X 0 0 0 ROBERT A KARSON 1.00 X 0 0 0 DONALD LUNEBERG 1.00 X 0 0 0 JOHN R MCATEER 1.00 X 0 0 0 LARRY SLATKY 1.00 X 0 0 0 JAMES BOHL 1.00 X 0 0 0 RAYMOND TAMAYO 1.00 X 0 0 0 THOMAS HOPKINS 37.50 X 249713 0 29801 PAUL GIOTIS 37.50 X 144452 0 24849 LAWRENCE BOORD 37.50 X 3077 0 0 ELAINE LUBELSKY 37.50 X 199834 0 36180 SHERYL TAYLOR 37.50 X 117007 0 26006 714083 0 116836 4 0 1 0 GLOBAL COMMUNICATION SERVICES INC 1979 MARCUS AVE LAKE SUCCESS NY 11042 THERAPY SERVICES 443523 INTEGRATED THERAPEUTIC SOLUTIONS PO BOX 1264 CENTER MORICHES NY 11934 THERAPY SERVICES 437616 2 8040 48915 248808 305763 RESIDENTIAL PROGRAMS 623990 15145194 15145194 DAY PROGRAMS 624100 3835753 3835753 CLINIC PROGRAMS 621400 2457388 2457388 COMMUNITY SERVICES 624100 372661 372661 COMMUNITY EDUCATION 624100 69530 69530 21880526 16869 16869 421511 439576 -18065 -18065 -18065 32460 16430 16030 16030 16030 58922 48915 90435 -31513 -31513 MISCELLANEOUS 900099 54555 54555 54555 22224165 21880526 -18065 55941 687906 622681 55671 9554 11155662 10067096 1023933 64633 1978449 1785366 183460 9623 1253889 1131193 115039 7657 88781 88781 56875 56875 1610235 1460785 85202 64248 39341 26215 13126 581959 317413 252985 11561 1412710 1279150 121026 12534 1293608 1259533 33495 580 71950 20894 49461 1595 70552 69645 907 25000 25000 736757 691005 44205 1547 297786 286393 10436 957 1069485 1069485 22430945 20086854 2159602 184489 76038 135299 7126931 5533687 3499983 3297732 963288 1059341 19085979 8223745 10847052 10862234 22513292 20888293 1763921 1264918 45159 107382 10237307 9942271 2258515 1983664 3618811 3367459 17923713 16665694 X 4467958 3865916 232862 121621 123821 4589579 4222599 22513292 20888293 X -206780 -160200 X 0 1 X 0 0 X 375770 213078 284444 221104 305763 1400159 19711360 21491082 22237689 22513329 21880526 107833986 20087130 21704160 22522133 22734433 22186289 109234145 0 0 0 109234145 77931 36544 29133 19909 438380 601897 77931 36544 29133 19909 438380 601897 12720 33931 46651 5778 2583 2749 15474 54555 81139 20183559 21777218 22554015 22769816 22679224 109963832 0.99340 0.99680 0.00550 0.00240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121621 2200 386 386 123821 119410 542 542 121621 114395 5015 845 845 119410 113359 1036 1244 1244 114395 108359 5000 2890 2890 113359 1.00000 0 0 2998780 2998780 11652149 5165191 6486958 3659740 3058554 601186 775310 775310 10862234 DUE TO OPWDD 2701420 SWAP LIABILITY 369285 DUE TO WORKER'S COMPENSATION BOARD 296754 3367459 X 22663741 0 22663741 -439576 -439576 22224165 22870521 439576 439576 22430945 0 22430945 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: EARNINGS MAY BE USED FOR PROGRAM SERVICES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION COMPLIES WITH THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL PROPERTY EXPENSE -439,576. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL PROPERTY EXPENSE 439,576. GOLF & TENNIS OUTING 54853 31428 23425 31556 BASEBALL OUTING 32254 6764 25490 21261 3 20730 10723 10007 37618 107837 48915 58922 90435 90435 -31513 X X X X X X 0 0 0 0 0 0 0 0 0 THOMAS HOPKINS 249713 0 0 0 0 0 0 0 29801 0 279514 0 0 0 PAUL GIOTIS 144452 0 0 0 0 0 16500 0 8349 0 169301 0 0 0 LAWRENCE BOORD 3077 0 0 0 0 0 0 0 0 0 3077 0 0 0 ELAINE LUBELSKY 199834 0 0 0 0 0 19461 0 16719 0 236014 0 0 0 A INDUSTRIAL DEVELOPMENT AGENCY 112559657 631654GH0 2003-09-18 724000 GROUP HOME 0 0 0 B INDUSTRIAL DEVELOPMENT AGENCY 112559657 631657HJ5 2005-01-21 922000 GROUP HOME 0 0 0 C INDUSTRIAL DEVELOPMENT AGENCY 112559657 631657KD4 2007-12-19 1029000 GROUP HOME 0 0 0 D TOWN OF HEMPSTEAD LDC 112798949 424682CH3 2011-11-02 8321000 BUILDING PURCHASE 0 0 0 A 724000 71092 41416 572922 2004 0 0 0 0 B 922000 44500 765617 87408 2006 0 0 0 0 C 1029000 52015 812526 137096 2010 0 0 0 0 D 8321000 309038 5702164 2003798 2011 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 1 0 0 0.08300 0.08300 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS THE 990 WITH THE AUDIT AND FINANCE COMMITTEE. ANY REQUESTED CHANGES ARE MADE AND THE FORM 990 IS THEN DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS. THERE IS AN OPPORTUNITY FOR BOARD MEMBERS TO DISCUSS THE CONTENT OF FORM 990 AT A BOARD MEETING IN PERSON OR BY OTHER COMMUNICATION MEANS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. A REMINDER THAT DISCLOSURE IS NECESSARY IF A RELATIONSHIP SHOULD ARISE IS ISSUED SEMI-ANNUALLY. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, CORRECTIVE ACTION MUST BE TAKEN. CORRECTIVE ACTION WILL INCLUDE AT A MINIMUM THE FOLLOWING, A) THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WILL TAKE NO PART IN THE CONSIDERATION OR DETERMINATION OF THE MATTER ON THE PART OF EFLI; B) ANY MEMBER OF THE BOARD OF DIRECTORS HAVING ANY CONFLICT OF INTEREST SHALL NOT VOTE OR BE COUNTED IN DETERMINING THE QUORUM FOR ANY VOTE ON ANY TRANSACTION BETWEEN EFLI AND THE OTHER ENTITY. NOR SHALL ANY MEMBER OF THE BOARD OF DIRECTORS PARTICIPATE IN THE DELIBERATIONS OR USE PERSONAL INFLUENCE IN THE MATTER, ANY SUCH TRANSACTION SHALL BE AT LEAST AS FAIR AND REASONABLE TO EFLI AS WOULD OTHERWISE BE OBTAINABLE; AND C) TO THE EXTENT REASONABLE GIVEN THE CIRCUMSTANCES, THE MEMBER OF THE BOARD OF DIRECTORS OR THE EFLI PERSONNEL WILL NOT TAKE PART IN, AND SHOULD HAVE NO FINANCIAL PARTICIPATION IN, THE TRANSACTION BETWEEN THE ENTERPRISE AND EFLI. FORM 990, PART VI, SECTION B, LINE 15 IN 2009, THE BOARD HAS FORMED A COMPENSATION COMMITTEE FOR DETERMINING THE SALARIES OF KEY EMPLOYEES. THE COMMITTEE USES COMPARABLE SALARY DATA AND SCOPE OF DUTIES. THIS PROCESS WAS LAST PERFORMED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 PROVIDING COPIES UPON REQUEST CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: LOSS ON SWAP AGREEMENT -160,200. AMENDED RETURN EXPLANATIONS FORM 990, PART V, PAGE 5, LINE 7E: CHANGED FROM "YES" TO "NO" FORM 990, PART V, PAGE 5, LINE 7F: CHANGED FROM "YES" TO "NO" FORM 990, PART VI, PAGE 6, LINE 1B: CHANGED FROM "10" TO "13" FORM 990, SCHEDULE A, PART III, LINE 12E: CHANGED FROM "$70,585" TO "$54,555" FORM 990, SCHEDULE A, PART III, LINE 12F: CHANGED FROM "$97,169" TO "$81,139"