2012-08-10T15:15:34-05:00 2011-12-31 382050733 MELLEN SMITH & PIVOZ PLC 30600 TELEGRAPH ROAD SUITE 1131 BINGHAM FARMS MI 480254531 990 2011-01-01 200631006 WAYNE COUNTY SAFE PROGRAM WAYN 2483020833 2727 2ND AVENUE NO 120 DETROIT MI 48201 KIMBERLY HURST 2486422803 2012-08-10 1 MARK L SMITH P00059974 2486422803 2011 2016-02-24 21:20:13Z KIMBERLY HURST 2727 2ND AVE STE 120 DETROIT MI 48201 698716 0 X N/A X 2004 MI TO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTS 7 6 10 6 0 0 166427 69652 483071 629064 0 0 32000 0 681498 698716 0 0 0 0 261303 425503 0 0 55561 328675 248326 589978 673829 91520 24887 190994 207689 40932 32740 150062 174949 TO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTS 0 0 559021 629064 TO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTS 559021 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 10 1 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X KIMBERLY HURST 2483020833 2727 2ND AVENUE STE 120 DETROIT MI 48201 MICHAEL PIVOZ 2.00 X 0 0 0 NANCY DEGROOTE 2.00 X 0 0 0 SHOMA PAL 2.00 X 0 0 0 GLEN HALL 2.00 X 0 0 0 PATRICIA NOUHAN 2.00 X 0 0 0 KIMBERLY HURST 40.00 X 86351 0 0 KRISTINE MCGREGOR 40.00 X 3333 0 0 89684 0 0 0 0 0 0 0 69652 69652 MEDICAL & FORENSIC EXA 624100 629064 629064 629064 698716 629064 0 0 342112 273690 34211 34211 83391 66603 8449 8339 51491 49909 514 1068 33081 20779 2550 9752 45139 36719 7645 775 4353 2671 304 1378 5583 5583 3384 3384 7054 7054 CONTRACT LABOR 82415 82415 TELEPHONE 10378 7148 3192 38 EQUIPMENT RENTAL AND MA 5298 3066 2232 LICENSES & PERMITS 150 150 673829 559021 59247 55561 32492 52122 78725 67001 38162 42575 8191 5360 30665 9743 15510 20922 17914 19709 190994 207689 36357 32740 4575 0 40932 32740 X 132148 157035 17914 17914 150062 174949 190994 207689 24887 0 X X 0 1 1 X 0 X 40729 149922 211651 649498 698716 1750516 11400 11400 40729 149922 223051 649498 698716 1761916 0 3000 3000 3000 3000 1758916 40729 149922 223051 649498 698716 1761916 0.99830 0.98830 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30665 9743 20922 20922 RESTRICTED CASH 19709 19709 698716 673829 24887 24887 698716 0 698716 0 698716 673829 0 673829 0 673829 FORM 990, PART VI, SECTION B, LINE 11 RETURN IS REVIEWED AND SIGNED BY BOARD BEFORE FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED AND UPDATED AS NECESSARY. WRITTEN PROCEDURES ARE OBSERVED IN IDENTIFYING AND RESOLVING CONFLICTS OF INTEREST PRIOR TO ACTION ON CONTRACTS OR TRANSACTIONS THAT INVOLVE A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ENTITY ADDRESS. NEWLY FORMED FINANCIAL COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT AUDITOR