2012-04-26T05:28:17-05:00 2011-06-30 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-07-01 135564937 JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES INC JEWI 2125829100 135 WEST 50TH STREET NEW YORK NY 10020 RONALD F RIES CPA 2125829100 2012-04-24 1 FREDERICK H ROTHMAN 2128674000 2010 2016-02-24 21:20:13Z RONALD F RIES CPA 135 WEST 50TH STREET NEW YORK NY 10020 177823592 0 X WWW.JBFCS.ORG X 1921 NY THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC OFFERS A NETWORK OF 175 (SEE SCHEDULE O) COMMUNITY-BASED PROGRAMS, RESIDENTIAL FACILITIES AND DAY TREATMENT CENTERS. OUR PROGRAMS REACH MORE THAN 65,000 PEOPLE OF ALL RELIGIOUS, ETHNIC AND ECONOMIC BACKGROUNDS. WE OFFER ADVANCED MENTAL HEALTH CARE AND HUMAN SERVICES TO HELP ALL NEW YORKERS LIVE BETTER AT EVERY STAGE IN LIFE. OUR RESIDENTIAL TREATMENT PROGRAMS PROVIDE A SUPPORTIVE ENVIRONMENT FOR CHILDREN WITH BEHAVIORAL DISORDERS. AS AN ALTERNATIVE TO RESIDENTIAL PLACEMENT, JBFCS RUNS DAY TREATMENT PROGRAMS FOR EMOTIONALLY DISTURBED CHILDREN. MORE THAN 10,000 NEW YORKERS RECEIVE COUNSELING AND WE PROVIDE DAY TREATMENT AND RESIDENTIAL SERVICES TO ADULTS LIVING WITH SEVERE MENTAL ILLNESS, JBFCS IS ALSO A RESIDENTIAL PROVIDER OF DOMESTIC VIOLENCE SERVICES. ALL OUR WORK IS MADE POSSIBLE BY A HIGHLY COMMITTED STAFF AND DEVOTED CORPS OF VOLUNTEERS WHO WORK IN BOTH LEADERSHIP POSITIONS AND IN DIRECT SERVICES. 68 68 2693 1305 0 0 45970985 46831347 104096185 115670363 1949790 3353357 4682386 4246491 156699346 170101558 8496961 13538598 0 0 107927426 115270942 54986 0 972004 37857710 39082901 154337083 167892441 2362263 2209117 210063705 218531344 99557654 99839562 110506051 118691782 X THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES PROVIDES A COMPREHENSIVE NETWORK OF MENTAL HEALTH AND SOCIAL SERVICES TO PROMOTE WELL-BEING, RESILIENCE AND SELF-SUFFICIENCY FOR INDIVIDUALS AND FAMILIES IN NEED IN THE NEW YORK METROPOLITAN AREA. (SEE SCHEDULE O) AS LEADERS IN THE FIELD OF HUMAN SERVICES, WE PROUDLY SERVE PEOPLE OF ALL FAITHS, RACES AND CULTURES. 175 SOCIAL SERVICES PROGRAMS. 1 MISSION. TO GET HELP TO THOSE WHO NEED IT. 0 0 90868560 12000944 75288154 RESIDENTIAL: JBFCS OPERATES A VARIETY OF RESIDENTIAL SERVICES FOR DEVELOPMENTALLY DISABLED AND MENTALLY ILL CHILDREN, ADOLESCENTS AND ADULTS, FOSTER CARE, AND DOMESTIC VIOLENCE SHELTERS FOR VICTIMS AND THEIR CHILDREN. JBFCS SERVED APPROXIMATELY 755 CHILDREN IN OUR CHILDREN'S RESIDENCES, PROVIDING A RANGE OF EVIDENCE-BASED THERAPEUTIC SERVICES TO HELP THEM SAFELY RETURN TO THEIR FAMILIES AND COMMUNITIES WITH SHORTER STAYS. WE SERVED OVER 1,100 CLIENTS IN OUR ADULT RESIDENTIAL PROGRAMS, SUPPORTING THOSE WITH PSYCHIATRIC ILLNESSES TO MAINTAIN SELF-SUFFICIENCY, AND ASSISTING THOSE WITH DEVELOPMENTAL DISABILITIES. AT ANY POINT IN TIME, APPROXIMATELY 1,000 CLIENTS SLEEP IN OUR FACILITIES EACH NIGHT. 52921521 1536602 40152997 OUTPATIENT: JBFCS PROVIDES THERAPEUTIC SUPPORT AND CASE MANAGEMENT TO OVER 2,600 CLIENTS IN THEIR HOMES AND SCHOOLS, ALONG WITH 587 CLIENTS IN OUR EARLY CHILDHOOD PROGRAMS WHO RECEIVE CENTER-BASED THERAPEUTIC EDUCATIONAL INTERVENTIONS AND REMEDIATION. WE SERVE OVER 12,200 ADULTS, ADOLESCENTS AND CHILDREN IN OUR COUNSELING CENTERS AND OVER 156 ADULTS WITH PSYCHIATRIC CARE NEEDS IN OUR REHABILITATIVE DAY TREATMENT PROGRAMS. JBFCS SERVES APPROXIMATELY 2,260 CHILDREN AND PARENTS IN OUR PREVENTIVE SERVICES FACILITIES, WHERE WE PROVIDE SERVICES TO PREVENT FOSTER CARE PLACEMENT. WE ALSO SERVE OVER 7,780 PEOPLE IN OUR JEWISH OUTREACH AND COMMUNITY SERVICE PROGRAMS IN AREAS INCLUDING ALCOHOLISM AND DRUG ADDICTION, UNEMPLOYMENT, HOSPICE CARE, BEREAVEMENT, AND OTHER INDIVIDUAL AND COMMUNITY BASED ISSUES. 1273857 1049 229212 EVALUATION AND EDUCATION: JBFCS PROVIDES CLINICAL TRAINING AND CONSULTATION FOR SERVICE PROVIDERS BOTH WITHIN JBFCS AND IN THE LARGER SOCIAL WORK AND MENTAL HEALTH COMMUNITY, AS WELL AS FOR SOCIAL WORK INTERNS. WE CONDUCTED 200 TRAINING SESSIONS INVOLVING 3,000 PARTICIPANTS, PROVIDING 700 HOURS OF INSTRUCTION. JBFCS ALSO OFFERS COURSES TO PREPARE SOCIAL WORKERS FOR THE LMSW EXAM. 145063938 1 1 0 1 0 0 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 415 0 1 2693 1 0 0 0 0 0 1 1 0 0 0 0 X 68 68 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X RONALD F RIES 2125829100 135 WEST 50TH STREET NEW YORK NY 10020 JOYCE COWIN 1.00 X X 0 0 0 DAVID EDELSON 2.00 X X 0 0 0 MICHAEL EPSTEIN 2.00 X X 0 0 0 DAVID EVERETT 1.00 X X 0 0 0 STEVEN FASMAN 2.00 X X 0 0 0 JOHN HERRMANN 1.00 X X 0 0 0 LYNN KROLL 1.00 X X 0 0 0 NORMAN LEBEN 1.00 X X 0 0 0 FRANCES LEVY 2.00 X X 0 0 0 ANTHONY MANN 4.00 X X 0 0 0 DAVID MOORE 1.00 X X 0 0 0 LAURIE SPRAYREGEN 3.00 X X 0 0 0 JAMIE STECHER 2.00 X X 0 0 0 ALICE TISCH 1.00 X X 0 0 0 JEAN TROUBH 3.00 X X 0 0 0 BETH ANISMAN 2.00 X 0 0 0 SEYMOUR ASKIN JR 1.00 X 0 0 0 STEPHANIE BERNHEIM 1.00 X 0 0 0 JAMES DEUTSCH 1.00 X 0 0 0 LORRAINE CORTES-VAZQUEZ 1.00 X 0 0 0 LORI FIFE 1.00 X 0 0 0 JOHN FINLEY 1.00 X 0 0 0 JULIE FRANKLIN 1.00 X 0 0 0 SUSAN FRIEDMAN 1.00 X 0 0 0 ALANA FRUMKES 1.00 X 0 0 0 TINA PRICE 1.00 X 0 0 0 JANET GINSBERG 1.00 X 0 0 0 ROGER GOLDMAN 1.00 X 0 0 0 HARRIET GRUBER 1.00 X 0 0 0 RON JACOBS 1.00 X 0 0 0 STEPHEN JACOBS 1.00 X 0 0 0 EILEEN WEILER JUDELL 1.00 X 0 0 0 EDWARD KIRSHENBAUM X 0 0 0 ANDREW KAPLAN 1.00 X 0 0 0 KAREN SPAR KASNER 1.00 X 0 0 0 DAVID KLEGER 1.00 X 0 0 0 PAUL KRONISH 1.00 X 0 0 0 HORTENSE LANDAU 1.00 X 0 0 0 DANIEL LEFFELL 1.00 X 0 0 0 ARTHUR LEONARD 1.00 X 0 0 0 CAROL LEVIN 1.00 X 0 0 0 MARK LEVY 1.00 X 0 0 0 DAVID LINDAU 1.00 X 0 0 0 JENNY LYSS 1.00 X 0 0 0 BARBARA PECK 1.00 X 0 0 0 BRADFORD PECK 1.00 X 0 0 0 DAVID PORTNY 2.00 X 0 0 0 LORING PRATT 2.00 X 0 0 0 MARK RACHESKY 1.00 X 0 0 0 STEPHEN REINER 1.00 X 0 0 0 LORI REINSBERG 2.00 X 0 0 0 MICHAEL ROSEN 1.00 X 0 0 0 JOSHUA RUBENSTEIN 1.00 X 0 0 0 PATRICK SHAW 1.00 X 0 0 0 LISA SCHIFF 1.00 X 0 0 0 IRA SCHUMAN 1.00 X 0 0 0 ERICA SCHWARTZ 2.00 X 0 0 0 JODI SCHWARTZ 1.00 X 0 0 0 JEAN SHAFIROFF 1.00 X 0 0 0 ALAN SISKIND 35.00 X 0 0 0 ABIGAIL SOLOMON 1.00 X 0 0 0 KEITH STEIN 1.00 X 0 0 0 EMILY STEINMAN 1.00 X 0 0 0 DAVID SWEET 1.00 X 0 0 0 SUE TOFEL 1.00 X 0 0 0 ADAM USDAN 1.00 X 0 0 0 RENEE WARD 1.00 X 0 0 0 RENEE WARREN 1.00 X 0 0 0 TED WENGROFSKY X 0 0 0 FREDRIC YERMAN 1.00 X 0 0 0 CATHY ZISES 1.00 X 0 0 0 RITA KAPLAN 1.00 X 0 0 0 JEFFREY GERTLER 1.00 X 0 0 0 LAUREN BLOOM 1.00 X 0 0 0 DOUGLAS KORN 1.00 X 0 0 0 PETER RUBINSTEIN 1.00 X 0 0 0 JOHN SOLOMON 1.00 X 0 0 0 PAUL LEVINE 35.00 X 414205 0 179321 RONALD RIES 35.00 X 369826 0 92402 TODD SCHENK 35.00 X 133385 0 48461 PAULA G PANZER 35.00 X 181574 0 45353 SUSAN WIVIOTT 35.00 X 274826 0 56992 LEONARDO RODRIGUEZ 35.00 X 238609 0 90981 ELLEN JOSEM 35.00 X 228785 0 92364 SUSAN BEAR 35.00 X 236039 0 107418 DEVORA THAU 35.00 X 186315 0 55826 CAROL DAVIDSON 35.00 X 319059 0 43659 KATHLEEN MCGLADE 35.00 X 193165 0 61275 MARY PENDER GREENE 35.00 X 177744 0 80673 MICHAEL BROCHSTEIN 35.00 X 158050 0 37392 RICHARD GERSH 35.00 X 218180 0 45829 THOMAS HAMILL 35.00 X 173815 0 24726 STEVEN MAYO 35.00 X 161086 0 45473 ELDON DUMMIT III 35.00 X 224963 0 35345 ANGELA SMITH 35.00 X 237481 0 20281 RICHARD ZODDA 35.00 X 197988 0 23220 LUKE CHANG 35.00 X 185345 0 29050 MICHAEL BEHAR 35.00 X 175867 0 42848 4686307 0 1258889 58 0 1 0 RYDER CONSTRUCTION 519 EIGHTH STREET NEW YORK NY 10018 CONSTRUCTION 1576452 BENCHMARK BUILDERS 237 WEST 35TH STREET NEW YORK NY 10001 CONSTRUCTION 746606 ULTIMATE PSYCHOLOGICAL 271 NORTH AVENUE NEW ROCHELLE NY 10801 CONSULTATION & EVALUATION 629695 PRECISE MECHANICAL 110 NOEL STREET STATEN ISLAND NY 10312 CONSTRUCTION 497634 ALTERNATE STAFFING 4918 FT HAMILTON PARKWAY BROOKLYN NY 11219 PERSONNEL-SOCIAL SERVICES 420256 24 6760085 1525913 34174270 4371079 371523 46831347 MEDICARE/MEDICAID PAYM 624100 99067784 99067784 AGENCY AND INDIVIDUAL 624100 10083267 10083267 FEES AND CONTRACTS FRO 624100 5844312 5844312 UNION FREE SCHOOL DIST 624100 675000 675000 115670363 1708859 1708859 1650636 1650636 1650636 1650636 9021596 7377098 1644498 1644498 1644498 259525 1525913 344936 -85411 -85411 INCENTIVE FEE 624100 2500000 2500000 ALL OTHER REVENUE 624100 181266 181266 2681266 170101558 115670363 0 7599848 13538598 13538598 4390386 788560 2993758 608068 85271702 77519264 7585850 166588 3649319 3317833 324788 6698 14020282 12435582 1552962 31738 7939253 7034177 853671 51405 312757 58548 224209 30000 789753 15053 774700 235765 4050 231715 43779 48 43731 422716 422716 4437114 3600669 835533 912 319158 48545 265198 5415 6033056 5148080 850061 34915 426951 3710 415331 7910 12569152 10510784 2058062 306 1085092 993276 87182 4634 271372 209911 49835 11626 1095220 377986 717234 4228421 3289565 937817 1039 1819950 1691395 122632 5923 REPAIRS AND MAINTANANCE 1723513 1663343 60170 SERVICE ASSESSMENT FEE 1277278 1277278 BAD DEBT 1261974 1261974 RECRUITING 276022 69414 205441 1167 MEMBERSHIP DUES 236049 133158 102501 390 217809 73137 141402 3270 167892441 145063938 21856499 972004 2776598 2397264 14783976 4104633 3644799 3472969 22996309 25570928 2290000 2290000 4009516 4087652 172232508 70260698 102717118 101971810 47419065 63052570 6926324 11583518 2500000 0 210063705 218531344 31002800 36068680 3148399 2466802 25325000 24275000 354344 345281 7479028 10091764 11800000 7400000 20448083 19192035 99557654 99839562 X 79154900 92725322 20643927 19401251 10707224 6565209 110506051 118691782 210063705 218531344 X 2209117 5976614 X X 0 1 1 X 1 1 X 43683859 48206053 45561180 45970985 46936947 230359024 43683859 48206053 45561180 45970985 46936947 230359024 837255 229521769 2806057 2698427 2020551 3390875 3359495 14275405 248350 190805 439155 1234755 6001238 205334 2941048 2681266 13063641 258137225 520579664 0.88910 0.89200 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 43779 0 0 43779 0 PART IV, SUPPLEMENTAL INFORMATION: PARTII-B, LINE 1(B) THE ORGANIZATION HAS A PUBLIC AFFAIRS STAFF. THIS GROUP ADVOCATES ON OUR BEHALF WITH LEGISLATORS AT THE FEDERAL, NY STATE AND NY CITY LEVEL ON BEHALF OF THE GOVERNMENTAL FUNDING WE RELY ON FOR OUR PROGRAMS. THIS GROUP WORKS WITH OUR OUTSIDE LOBBYING FIRM ON THESE INTIIATIVES. WE ALSO COORDINATE ADVOCACY EFFORTS WITH OTHER PEER AGENCIES THROUGH SEVERAL INDUSTRY COALITIONS IN WHICH WE ARE A MEMBER. 0 1 6565209 939231 939231 6565209 6565209 490856 490856 6565209 6565209 6565209 1.00000 0 0 38132752 38132752 98317384 50125187 48192197 5977946 2560501 3417445 24109773 17575010 6534763 5694653 5694653 101971810 LIMITED PARTNERSHIPS 11583518 F 11583518 DUE TO GOVERNMENT AGENCIES 19192035 19192035 170101558 167892441 2209117 7376023 -1399409 5976614 8185731 177892164 7376023 742094 95205 8213322 169678842 422716 422716 170101558 168307024 742094 95205 837299 167469725 422716 422716 167892441 PART IV, LINE 2B: THE ESCROW ACCOUNTS REPRESENT LIABILITY BALANCES FOR PNA (PERSONAL NEED ASSISTANCE) FUNDS RECEIVED FROM SSA AND/OR THE CLIENTS, AND FUNDS WHICH HAVE BEEN SET ASIDE INTO "BURIAL" ACCOUNTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENTS CONSIST OF ASSETS HELD FOR GENERAL OPERATING ACTIVITIES, WHICH INCLUDE PROGRAMS FOR EARLY CHILDHOOD AND LEARNING, MENTAL HEALTH, CHILD WELFARE, DOMESTIC VIOLENCE, PROGRAM DEVELOPMENT, AND TRAINING AND STAFF DEVELOPMENT. THE BEGINNING OF THE YEAR AND PRIOR YEAR BALANCES HAVE BEEN RESTATED TO REFLECT $4,142,015 IN FUND BALANCES WHICH WERE RECLASSIFIED DURING THE YEAR TO OTHER FUND CATEGORIES IN ACCORDANCE WITH DONOR'S INTENT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: JBFCS HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING JUUNE 30, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: LOSS ON INTEREST RATE SWAP SETTLEMENT -600,000. DECREASE IN PENSION AND POSTRETIREMENT BENEFIT FUNDED STATUS -799,409. PART XII, LINE 2D - OTHER ADJUSTMENTS: LTD INSURANCE REFUND 95,205. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LTD INSURANCE REFUND 95,205. SPRING BENEFIT 1048609 943009 105600 21400 130360 4000 29151 THE JBFCS BIKE RIDE 335912 335912 2936 7159 43814 4 400917 246992 153925 17272 47400 1785 39659 1785438 1525913 259525 41608 184919 5785 112624 344936 -85411 1 FINANCIAL ASSISTANCE TO INDIVIDUALS 1892 13538598 OTHER INFORMATION: PART IV: JBFCS PROVIDES FINANCIAL ASSISTANCE ON BEHALF OF CLIENTS IN OUR PROGRAMS. PROGRAM MANAGERS MONITOR THAT FUNDS ARE DISBURSED IN ACCORDANCE WITH PROGRAM PURPOSE AND GUIDELINES. NO FUNDS ARE DISBURSED DIRECTLY TO CLIENTS. X X X X X 0 1 0 0 0 0 0 1 0 PAUL LEVINE 320531 0 75000 0 18674 0 146030 0 33291 0 593526 0 0 0 RONALD RIES 300633 0 20000 0 49193 0 80711 0 11691 0 462228 0 35495 0 TODD SCHENK 131189 0 0 0 2196 0 19449 0 29012 0 181846 0 0 0 PAULA G PANZER 177063 0 3791 0 720 0 14403 0 30950 0 226927 0 0 0 SUSAN WIVIOTT 247702 0 0 0 27124 0 48849 0 8143 0 331818 0 20826 0 LEONARDO RODRIGUEZ 226595 0 0 0 12014 0 67636 0 23345 0 329590 0 4640 0 ELLEN JOSEM 223329 0 0 0 5456 0 64174 0 28190 0 321149 0 0 0 SUSAN BEAR 173616 0 20000 0 42423 0 82750 0 24668 0 343457 0 34866 0 DEVORA THAU 177350 0 3721 0 5244 0 28636 0 27190 0 242141 0 0 0 CAROL DAVIDSON 281540 0 29375 0 8144 0 34568 0 9091 0 362718 0 0 0 KATHLEEN MCGLADE 184710 0 0 0 8455 0 52678 0 8597 0 254440 0 0 0 MARY PENDER GREENE 153321 0 0 0 24423 0 71622 0 9051 0 258417 0 19248 0 MICHAEL BROCHSTEIN 151960 0 3078 0 3012 0 27795 0 9597 0 195442 0 0 0 RICHARD GERSH 208075 0 5000 0 5105 0 18813 0 27016 0 264009 0 0 0 THOMAS HAMILL 153790 0 20025 0 0 0 2536 0 22190 0 198541 0 0 0 STEVEN MAYO 147498 0 8032 0 5556 0 38754 0 6719 0 206559 0 0 0 ELDON DUMMIT III 170000 0 3063 0 51900 0 30117 0 5228 0 260308 0 0 0 ANGELA SMITH 171945 0 3136 0 62400 0 12175 0 8106 0 257762 0 0 0 RICHARD ZODDA 163009 0 2954 0 32025 0 3377 0 19843 0 221208 0 0 0 LUKE CHANG 182060 0 3285 0 0 0 25806 0 3244 0 214395 0 0 0 MICHAEL BEHAR 172778 0 3089 0 0 0 21647 0 21201 0 218715 0 0 0 PART I, LINE 4B PAUL LEVINE 37,826 RONALD RIES 30,450 SUSAN WIVIOTT 25,483 LEONARDO RODRIQUIZ 23,350 ELLEN JOSEM 6,488 SUSAN BEAR 18,000 KATHLEEN MCGLADE 18,567 MARY PENDER-GREENE 15,515 STEVEN MAYO 15,300 TODD SCHENK 14,173 PART I, LINE 7 THE EXECUTIVE COMPENSATION COMMITTEE APPROVED CERTAIN BONUSES BASED ON PERFORMANCE. THESE ARE NOT CONTRACTUAL NOR ARE THEY BASED ON ANY FORMULA OR TIED TO SPECIFIC RESULTS OF OPERATIONS. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UJ50 2003-10-02 18125713 SEE PART V 1 0 0 7360000 1221770 1221770 129917 362514 778388 7735402 2007 1 0 1 1 0 0 0 0 1 1 0 0 0 0 1 0 SCHEDULE K, PART 1 - LINE A(F) - "DESCRIPTION OF PURPOSE" THE $17,555,000 DORMITORY AUTHORITY OF THE STATE OF NEW YORK, JEWISH BOARD OF FAMAILY AND CHILDREN'S SERVICES, INC. INSURED REVENUE BONDS, SERIES 2003 (THE "SERIES 2003 BONDS") WERE ISSUED FOR THE FOLLOWING PURPOSES: A) PAY FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REPAIRING, EQUIPPING, PURCHASING OR OTHERWISE PROVIDING FOR EIGHT OF THE JEWISH FAMILY AND CHILDREN'S SERVICES, INC FACILITIES; B) PAY FOR THE ACQUISITION AND INSTALLATION OF COMPUTER EQUIPMENT AND SOFTWARE FOR THE JEWISH FAMILY AND CHILDREN'S SERVICES INC. HEADQUARTERS BUILDING AND VARIOUS SATELLITE OFFICES; C) CURRENT REFUND THE $4,220,000 AGGREGATE OUTSTANDING AMOUNT OF THE COUNTY OF WESTCHESTER INDUSTRIAL DEVELOPMENT AGENCY CIVIC FACILITY REVENUE BONDS (1992 JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC. PROJECT) WHICH WERE ISSUED ON JANUARY 12, 1993; AND THE $6,040,000 AGGREGATE OUTSTANDING AMOUNT OF THE NEW YORK CITY INDUSTRIAL DEVELPMENT AGENCY CIVIC FACILITY REVENUE BONDS (1992 JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC. PROJECT) WHICH WERE ISSUED ON JANUARY 12, 1993 (THE "REFUNDED BONDS"); D) PAY COSTS OF ISSUANCE OF THE SERIES 2003 BONDS INCLUDING THE PREMIUM FOR BOND ISSUANCE, AND UNDERWRITER'S DISCOUNT; E) FUND A DEBT SERVICE RESERVE FUND; AND F) TO REFINANCE THE PROJECTS FINANCED BY THE REFUNDED BONDS. SCHEDULE K, PART 1 - LINE A(G)- "DEFEASED" THE JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC ("JBFCS") ESTABLISHED AN IRREVOCABLE DEFEASANCE ESCROW AS A REMEDIAL ACTION IN CONNECTION WITH ITS SALE OF FACILITIES FINANCED BY PROCEEDS OF THE BONDS TO PROVIDE FOR THE REDEMPTION OF NON-QUALIFIED BONDS ON JULY 1, 2013 WHICH CONSTITUTES A PORTION OF THE OUTSTANDING BONDS. THE DEFEASED BONDS WERE ACTUALLY RETIRED IN 2009. SCHEDULE PART II - GENERALLY A. IN COMPLETING PART II LINE 3, 4 AND 6 JBFCS LOOKED ONLY AT BALANCES REMAINING ON DEPOSIT ON JUNE 30, 2011, THE END OF THE REPORTING PERIOD, NOT CUMULATIVE AMOUNTS AS OF OCTOBER 2, 2003, THE DATE OF ISSUANCE OF THE BONDS. B. JBFCS EXCLUDED "DISPOSITION PROCEEDS" TO THE EXTENT INCLUDED IN THE DEFINITION OF "PROCEEDS" UNDER SECTION 1.141-1(B) OF THE TREASURY REGULATIONS. C. JBFCS INCLUDED REPLACEMENT PROCEEDS ONLY IN PART II, LINE 4 D. SET FORTH BELOW ARE THE SOURCES AND USES OF CUMULATIVE BOND SALE PROCEEDS, INVESTMENT PROCEEDS AND EQUITY FROM JBFCS. SOURCES AND USES OF CULULATIVE BOND SALE PROCEEDS, INVESTMENT PROCEEDS AND EQUITY SOURCES ISSUE PRICE $18,125,713.40 CONSTRUCTION FUND EARNING 237,908.68 DEBT SERVICE RESERVE FUND EARNINGS 204,347.08 JBFCS EQUITY 103,585.74 TOTAL: $18,671,554.90 USES CURRENT REFUNDING $8,275,894.97 PROJECT FUND EXPENSES, INCLUDING SOFT COSTS 7,735,401.85 DEBT SERVICES RESERVE FUND 1,221,770.24 DEBT SERVICE RESERVE FUND EARNINGS TO DEBT SERVICES FUND 194,000.00 BOND INSURANCE PREMIUM 778,387.84 JBFCS EQUITY FOR COSTS OF ISSUANCE 103,585.74 BOND PROCEEDS FOR COSTS OF ISSUANCE 362,514.26 TOTAL: $18,671,554.90 PART II, LINE 7 -- "ISSUANCE COSTS FROM PROCEEDS" -- THE COSTS OF ISSUANCE PAID WITH BOND PROCEEDS ARE AS FOLLOWS: UNDERWRITERS DISCOUNT: $164,662.50 TRUSTEE COUNSEL 3,000.00 BOND COUNSEL 93,000.00 RATING AGENCY 15,000.00 OFFICIAL STANDARD PRINTING 11,500.00 FINANCAIAL STATEMENT PREPARATION 7,500.00 TEFRA NOTICE 15,231.20 DEFEASANCE OPINION 7,000.00 ENFORCEABILITY OPINION 3,500.00 FINANCIAL ADVISOR 38,414.26 MISCELLANEOUS COSTS 3,706.30 TOTAL $362,514.26 BOND INSURANCE PREMIUM $778,387.84 X 7 371523 FAIR MARKET VALUE 0 1 1 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): 7 IS THE TOTAL NUMBER OF CONTRIBUTORS. THIRD PARTY USE: PART I, LINE 32B: DONORS ARE INSTRUCTED TO TRANSFER STOCK DONATIONS INTO A BROKERAGE ACCOUNT MAINTAINED BY THE ORGANIZATION. STOCK IS SUBSEQUENTLY SOLD AND CASH IS DEPOSITED INTO THE REGULAR OPERATING BANK ACCOUNTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BARBARA PECK AND BRAD PECK - FAMILY RELATIONSHIP: FREDRIC YERMAN AND EMILY STEINMAN - FAMILY RELATIONSHIP. IF ANY ISSUE COMES UP THAT PRESENT CONFLICTS THOSE PEOPLE RECUSE THEMSELVES FROM DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 11 FISCAL STAFF PREPARES THE FORM 990 AND IT IS REVIEWED BY MANAGEMENT. THE RETURN IS SENT TO OUR INDEPENDENT AUDITING FIRM FOR REVIEW. IT THEN IS REVIEWED BY THE AUDIT COMMITTEE FOR CORRECTNESS AND COMPLETENESS OF INFORMATION. ALL BOARD MEMBERS RECEIVE A COPY OF THE FINAL DRAFT. SUFFICIENT TIME IS GRANTED FOR ANY AND ALL QUESTIONS/INQUIRES OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND SENIOR STAFF WITH AGENCY WIDE RESPONSIBILITIES COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR. ANY INDICATIONS OF POTENTIAL OR REPORTED CONFLICTS OF INTEREST ARE REVIEWED BY THE AUDIT COMMITTEE, DISCUSSED WITH THE INDIVIDUALS INVOLVED AND RESOLVED. IF CONFLICTS ARE EVIDENT ALL STEPS ARE TAKEN TO REMOVE THE CONFLICT WHETHER IT REQUIRES A CHANGE IN A STAFF PERSON'S RESPONSIBILITIES OR POSITION, OR A BOARD MEMBER RESIGNING OR AT A MINIMUM RECUSING THEMSELVES FROM CONFLICTED ISSUES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS EVALUATED AND REVIEWED ANNUALLY BY INDEPENDENT CONSULTANTS AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THIS WAS LAST DONE IN 2011. A COMPENSATION SURVEY FOR THE CEO POSITION WAS CONDUCTED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 7,376,023. LOSS ON INTEREST RATE SWAP SETTLEMENT -600,000. DECREASE IN PENSION AND POSTRETIREMENT BENEFIT FUNDED STATUS -799,409. TOTAL TO FORM 990, PART XI, LINE 5: 5,976,614. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS USED THE SAME OVERSIGHT OF THE AUDIT AS LAST YEAR SHIELD OF DAVID INC 144-61 ROOSEVELT AVENUE FLUSHING NY NY 11354 131740041 PROVIDES EDUCATIONAL &OTHER SERVICES TO DEVELPOMENTALLY DISABLED INDIVIDUALS NY 501(C)(3) 2 JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES 0 PELICAN HEALTH CORP 120 WEST 57TH STREET NEW YORK NY 10019 133969383 HEALTH CARE SERVICES - DORMANT CORP. NY JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES C 582 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0