2012-08-24T09:28:14-05:00 2011-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2011-01-01 111821135 EPILEPSY FOUNDATION OF LONG ISLANDINC EPIL 5167397733 506 STEWART AVENUE GARDEN CITY NY 11530 THOMAS M HOPKINS 5167397733 2012-08-01 1 FREDERICK H ROTHMAN P01275277 2128674000 2011 2016-02-24 21:20:13Z THOMAS M HOPKINS 506 STEWART AVENUE GARDEN CITY NY 11530 22918235 0 X WWW.EFLI.ORG X 1961 NY 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. 13 12 536 12 -5890 -5890 284444 221104 22237689 22513329 29133 19909 -4573 -18518 22546693 22735824 0 0 0 0 15583479 15470304 0 0 221408 6879562 7153952 22463041 22624256 83652 111568 13950351 22513292 9263255 17923713 4687096 4589579 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 14280075 15671001 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 130 ADULTS IN 2011 IN OUR RESIDENTIAL PROGRAM. 3403172 4042407 DAY SERVICES - THE FOUNDATION OPERATES A DAY HABILITATION PROGRAM, AND AN ON-SITE RESPITE PROGRAM. THESE PROGRAMS HELP PEOPLE WITH EPILEPSY AND RELATED CONDITIONS, 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 117 INDIVIDUALS AND RESPITE SERVICES TO 10 INDIVIDUALS IN 2011. 2229772 2350569 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 2011 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. 541344 449352 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. 541344 449352 20454363 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 1 0 0 0 0 0 0 0 0 0 0 1 31 0 536 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ELAINE LUBELSKY 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 ALEXANDER SUSSMAN 1.00 X 0 0 0 RAYMOND TAMAYO 1.00 X 0 0 0 THOMAS HOPKINS 37.50 X 244211 0 28414 ELAINE LUBELSKY 37.50 X 186699 0 18994 PAUL GIOTIS 37.50 X 139337 0 10879 SHERYL TAYLOR 37.50 X 112963 0 22644 683210 0 80931 4 0 1 0 GLOBAL COMMUNICATION SERVICES INC 1979 MARCUS AVE LAKE SUCCESS NY 11042 THERAPY SERVICES 457759 INTEGRATED THERAPEUTIC SOLUTIONS PO BOX 1264 CENTER MORICHES NY 11934 THERAPY SERVICES 447166 2 8393 172955 39756 221104 RESIDENCES 623990 15671001 15671001 DAY PROGRAMS 624100 4042407 4042407 CLINIC 621400 2350569 2350569 SERVICE COORDINATION 624100 400437 400437 COMMUNITY EDUCATION 624100 48915 48915 22513329 19909 19909 81492 87382 -5890 -5890 -5890 66927 172955 95029 -28102 -28102 MISCELLANEOUS 900099 15474 15474 15474 22735824 22513329 -5890 7281 628534 69099 559435 11432122 10805134 520325 106663 342290 323010 16125 3155 1769265 1635444 117905 15916 1298093 1174625 112059 11409 36212 36212 61503 61503 1409372 1405634 3738 90588 55723 3137 31728 554197 276047 244774 33376 1140071 1016175 111639 12257 1242083 1223442 16784 1857 70033 29356 38547 2130 342222 340483 1739 25000 25000 891713 836758 52865 2090 271369 243844 26698 827 PROGRAM SUPPLIES 434111 434111 FOOD 423695 423695 HEALTH CARE FACILITY TA 116800 116800 RECREATION 32934 32934 12049 12049 22624256 20454363 1948485 221408 50003 76038 4757032 7126931 2511088 3499983 1156183 963288 18146512 7299460 5476045 10847052 13950351 22513292 1558087 1763921 42181 45159 2151458 10237307 2633100 2258515 2878429 3618811 9263255 17923713 X 4567686 4467958 119410 121621 4687096 4589579 13950351 22513292 X 111568 -209085 X X 0 1 1 X 0 X 358329 375770 213078 284444 221104 1452725 18681348 19711360 21491082 22237689 22513329 104634808 19039677 20087130 21704160 22522133 22734433 106087533 0 0 0 106087533 97136 77931 36544 29133 19909 260653 97136 77931 36544 29133 19909 260653 12720 33931 46651 8440 5778 2583 2749 15474 35024 19145253 20183559 21777218 22554015 22769816 106429861 0.99680 0.99090 0.00240 0.00350 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 0 0 2000000 3000000 33000 24000 0 0 57000 250000 250000 0 0 500000 750000 119410 2211 542 542 121621 114395 5015 845 845 119410 113359 1036 1244 1244 114395 108359 5000 2890 2890 113359 1.00000 0 0 2998780 2998780 10731418 3953437 6777981 4416314 3346023 1070291 10847052 DUE TO OMRDD 3409726 SWAP LIABILITY 209085 3618811 22735824 22624256 111568 -209085 -209085 -97517 22823206 0 22823206 -87382 -87382 22735824 22711638 87382 87382 22624256 0 22624256 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: 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, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: LOSS ON SWAP AGREEMENT -209,085. PART XII, LINE 4B OTHER ADJUSTMENTS RENTAL PROPERTY EXPENSE - -87382 PART XIII, LINE 4B OTHER ADJUSTMENTS RENTAL PROPERTY EXPENSE - 87382 GOLF OUTING 90558 64033 26525 28534 DINNER DANCE 91500 74770 16730 44288 10000 2 57824 34152 23672 12207 239882 172955 66927 85029 10000 95029 -28102 X X X X X X 0 0 0 0 0 0 0 0 0 THOMAS HOPKINS 236924 0 0 0 7287 0 7179 0 21235 0 272625 0 0 0 ELAINE LUBELSKY 181034 0 0 0 5665 0 5512 0 13482 0 205693 0 0 0 PAUL GIOTIS 133912 0 0 0 5425 0 4030 0 6849 0 150216 0 0 0 INDUSTRIAL DEVELOPMENT AGENCY 112559657 631654GH0 2003-09-18 724000 GROUP HOME 0 0 0 INDUSTRIAL DEVELOPMENT AGENCY 112559657 631657HJ5 2005-01-21 922000 GROUP HOME 0 0 0 INDUSTRIAL DEVELOPMENT AGENCY 112559657 631657KD4 2007-12-19 1029000 GROUP HOME 0 0 0 TOWN OF HEMPSTEAD LDC 112798949 424682CH3 2011-11-02 8321000 BUILDING PURCHASE 0 0 0 724000 71092 41416 572992 2004 0 0 0 0 922000 44500 765617 87408 2006 0 0 0 0 1029000 52015 812526 137096 2010 0 0 0 0 8321000 309038 5702164 2003798 2011 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0.08300 0.08300 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 LINE 1, BOND NUMBER 4 OTHER CUSIP NUMBERS FOR BOND: 424682CJ9 424682CK6 HENRY KLOSOWSKI DIRECTOR 110981 LEGAL SERVICES 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 2010. FORM 990, PART VI, SECTION C, LINE 19 PROVIDING COPIES UPON REQUEST CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: LOSS ON SWAP AGREEMENT -209,085. TOTAL TO FORM 990, PART XI, LINE 5: -209,085. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR