2012-11-13T16:28:50-06:00 2012-06-30 274573546 STILLWAGGON & MCGILL LLC 10 WOODLAND CENTER DRIVE GROVE CITY PA 16127 990 2011-07-01 250753320 GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA GEOR 7244589330 PO BOX 1058 GROVE CITY PA 16127 MICHELLE GERWICK 7244589330 2012-11-13 1 JOHN C STILLWAGGON CPA P00158206 7244587490 2012-11-13 2011 2016-02-24 21:20:13Z MICHELLE GERWICK PO BOX 1058 GROVE CITY PA 16127 36647080 0 X WWW.GJRINPA.ORG X 1992 PA ORGANIZATION PROVIDES YEAR-ROUND 24 HOUR RESIDENTIAL TREATMENT SERVICES AND RELATED SERVICES TO OVER 500 ADOLESCENT DELINQUENT AND DEPENDENT BOYS. 11 10 894 77 0 0 915466 803380 35498725 35824131 8377 19569 0 0 36422568 36647080 0 0 0 0 26173196 26763969 0 0 0 10903267 11179161 37076463 37943130 -653895 -1296050 10202638 9841502 7282933 8014454 2919705 1827048 X ORGANIZATION PROVIDES YEAR-ROUND 24 HOUR RESIDENTIAL TREATMENT SERVICES AND RELATED SERVICES TO OVER 500 ADOLESCENT DELINQUENT AND DEPENDENT BOYS DAILY. 0 0 14860053 13667345 REGULAR TREATMENT SERVICES - TO PROVIDE EACH RESIDENT WITH A STRUCTURED, FAIR, FIRM AND CONSISTENT ENVIRONMENT IN WHICH TO DEVELOP APPROPRIATE SOCIALIZATION SKILLS. 86,175 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 10933620 14175627 SPECIAL NEEDS SERVICES - TO PROVIDE A STAFF-SECURE, SELF-CONTAINED AND HIGHLY STRUCTURED, PSYCHIATRIC-ORIENTED TREATMENT PROGRAM. THE PROGRAM ENSURES THE SAFETY AND SECURITY OF YOUTH. 54,404 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 2909715 3493511 INTENSIVE SUPERVISION - DESIGNED TO MEET THE NEEDS OF HIGH RISK DELINQUENT AND DEPENDENT YOUTH WHO PRESENT BEHAVIORS WHICH ARE DANGEROUS TO THEMSELVES AND OTHERS AND CREATE A RISK TO THE COMMUNITY, SCHOOL PERSONNEL, AND EACH OTHER. THIS UNIT IS DESIGNED TO PROVIDE THE MAXIMUM SUPERVISION, ACCOUNTABILITY, AND CARE PROVIDED IN A HIGHLY STRUCTURED SETTING. 11,808 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 881445 638695 DIAGNOSTIC SERVICES - TO CONDUCT AN EXHAUSTIVE EVALUATION AND PROVIDE THE YOUTH WITH A STAFF SECURE PLACEMENT. THE PROCESS CONSISTS OF A 75-DAY PERIOD UTILIZED FOR BEHAVIORAL OBSERVATIONS. 2,903 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 128025 306182 SHELTER CARE SERVICES - TO PROVIDE SUPERVISION AND TREATMENT SERVICES TO YOUTH AWAITING COURT DISPOSITION OR PLACEMENT. 1,991 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 1475962 1947194 DRUG AND ALCOHOL SERVICES - TO PROVIDE FOR THE EDUCATION, INTERVENTION, TREATMENT, AND REHABILITATION OF YOUTH IN PLACEMENT THAT HAVE BEEN SIGNIFICANTLY INFLUENCED BY CHEMICAL ABUSE. 10,419 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 1199666 1594577 COMMUNITY-BASED GROUP HOMES - OPERATES FIVE COMMUNITY BASED RESIDENTIAL GROUP HOMES WITH A TOTAL CAPACITY OF 31 CLIENTS. THE GOAL OF THE COMMUNITY BASED GROUP HOME IS TO PROVIDE CLIENTS WITH THE OPPORTUNITY TO READJUST TO A NORMALIZED HOME AND COMMUNITY ENVIRONMENT BY ENGAGING COMMUNITY RESOURCES, SUCH AS EDUCATION, EMPLOYMENT, SOCIALIZATION, AND COMMUNITY LIVING. 10,479 UNITS OF SERVICES WERE PROVIDED IN THE TAX YEAR. 3685098 4486648 32388486 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 23 0 1 894 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MICHELLE GERWICK CFO 7244589330 233 GEORGE JUNIOR ROAD GROVE CITY PA 16127 BRENDA K MCBRIDE ESQ 1.00 X X 0 0 0 ROBERT C JACKSON JR 1.00 X X 0 0 0 DR ARUN SAWARDEKAR MD 1.00 X X 0 0 0 WILLIAM J MADDEN ESQ 1.00 X 0 0 0 DAVID R CHAMPION PHD 1.00 X 0 0 0 NANNIE JEAN HAY 1.00 X 0 0 0 PHILIP W GASIEWICZ 1.00 X 0 0 0 DANIEL TAYLOR 1.00 X 0 0 0 THOMAS E REIBER ESQ 1.00 X 0 0 0 MARK V ALETTO ESQ 1.00 X 0 0 0 MARY A ODEM ESQ 1.00 X 0 0 0 JEFFREY T MORRIS 40.00 X 171989 0 30980 RICHARD LOSASSO 10.00 X 60534 181601 56458 MICHELLE GERWICK 16.00 X 63569 95354 13378 MARK DEMIDOVICH 40.00 X 307705 0 26375 JASON ROCK 40.00 X 254784 0 20714 858581 276955 147905 3 0 1 0 CROWN BENEFIT ADMINISTRATION PO BOX 1049 INDIANA PA 15701 HOSPITALIZATION BENEFIT 4576997 GROVE CITY SCHOOL DISTRICT 511 HIGHLAND AVENUE GROVE CITY PA 161271190 OUT OF STATE TUITIONS 1345040 US FOOD SERVICE P O BOX 643190 PITTSBURGH PA 152643190 FOOD SERVICES 1213166 PENN POWER P O BOX 3687 AKRON OH 443093687 ELECTRIC UTILITY 463501 PHILADELPHIA INSURANCE P O BOX 70251 PHILADELPHIA PA 191760251 GENERAL LIABILITY/PROF INSURANCE 442490 17 803380 3570 803380 STUDENT SPECIAL NEEDS 611710 14175627 14175627 STUDENT REGULAR SERVIC 611710 13667345 13667345 INTENSIVE SUPERVISION 611710 3493511 3493511 STUDENT DRUG AND ALCOH 611710 1948194 1948194 COMMUNITY BASED GROUP 611710 1594577 1594577 944877 944877 35824131 19569 0 19569 19569 19569 36647080 35843700 0 0 272926 157053 115873 20090869 17147686 2943183 756275 609108 147167 4180667 3537477 643190 1463232 1246499 216733 14074 14074 99847 99847 838073 652946 185127 167426 60849 106577 4016354 3652309 364045 590655 543019 47636 118712 102874 15838 1512 1512 462368 188510 273858 622713 498121 124592 FOOD 1641809 1641809 SUPPLIES 1142589 922468 220121 STUDENT ACTIVITIES 365743 365743 FAMILY VISITS 286766 286766 810520 775249 35271 37943130 32388486 5554644 0 1716025 2527877 6902353 5749073 223724 202819 2248178 1558649 642918 689529 717618 672204 10202638 9841502 1039944 1381084 285824 468787 37567 39532 21760 15459 5897838 6109592 7282933 8014454 X 2919705 1827048 2919705 1827048 10202638 9841502 X -1296050 203393 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 777765 527435 250330 1470413 1031214 439199 689529 COMPUTER SOFTWARE, NET 477613 DUE FROM AFFILIATES 194591 672204 TUITION PAYABLE 301080 DUE TO AFFILIATES 5808512 6109592 36647080 37943130 -1296050 203393 203393 -1092657 36647080 0 36647080 0 36647080 37943130 0 37943130 0 37943130 PART IV, LINE 2B: AN ACCOUNT FOR EACH STUDENT IS MAINTAINED IN A COMPUTERIZED LEDGER SYSTEM WHICH IS RECONCILED TO THE BANK ACCOUNT MONTHLY. DEPOSITS FOR A STUDENT ARE MADE BY FAMILY AND FRIENDS USING A STUDENT FUND DEPOSIT TRIPLICATE FORM WHICH INCLUDES DETAILED INFORMATION ABOUT THE STUDENT SUCH AS HIS NAME, AMOUNT OF THE DEPOSIT, WHO DEPOSITED IT AND WHO MONEY WAS RECEIVED BY. LIKEWISE, A DETAILED TRACKING OF WITHDRAWLS INCLUDING SPECIFIC DOCUMENTATION IS MAINTAINED BY THE ORGANIZATION FOR EACH STUDENT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ACCORDANCE WITH ASC NO. 740 AS IT RELATES TO UNCERTAIN TAX POSITIONS, GJR HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN YEARS AS OF THE YEAR ENDED JUNE 30, 2012. CURRENTLY, 2010, 2011, AND 2012 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND PENNSYLVANIA BUREAU OF CHARITABLE ORGANIZATIONS. HOWEVER, GJR IS NOT CURRENTLY UNDER AUDIT NOR HAS GJR BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF GJR'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER EXAMINATION. THEREFORE, NO ASSET OR LIABILITY FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2012 AND 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFERS FROM AFFILIATED CORPORATION 203,393. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THE ORGANIZATION HAS PUBLICIZED ITS RACIALLY NONDISCRIMINATORY POLICY DURING THE PERIOD OF SOLICIATION AND REGISTRATION. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 THE ORGANIZATION RECEIVED $799,810 FROM PENNSYLVANIA DEPARTMENT OF EDUCATION NATIONAL SCHOOL LUNCH PROGRAM DURING THE TAX YEAR. THE ORGANIZATION ALSO RECEIVED USDA COMMODITY IN VALUE OF $3,570 FROM PENNSYLVANIA DEPARTMENT OF AGRICULTURE DURING THE TAX YEAR. 0 1 0 0 0 0 0 0 0 JEFFREY T MORRIS 154821 0 0 0 17168 0 19080 0 11900 0 202969 0 76056 0 RICHARD LOSASSO 55379 166137 0 0 5155 15464 10982 32947 3132 9397 74648 223945 26756 80269 MICHELLE GERWICK 58223 87335 0 0 5346 8019 5351 8027 0 0 68920 103381 28385 42577 MARK DEMIDOVICH 307125 0 0 0 580 0 13845 0 12530 0 334080 0 160291 0 JASON ROCK 253868 0 0 0 916 0 8165 0 12549 0 275498 0 128712 0 PART I, LINE 3 CEO/EXEC DIR COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION, GEORGE JUNIOR REPUBLIC, EIN XXX-XX-XXXX. PERIODICALLY, THE BOARD HIRES AN INDEPENDENT CONSULTING FIRM TO REVIEW COMPENSATION, INCLUDING THE ORGANIZATION'S CEO; CFO; OFFICERS; AND KEY EMPLOYEES. THE MOST RECENT REVIEW WAS PERFORMED IN 2009. THE FIRM, IN ITS WRITTEN REPORT TO THE COMPENSATION COMMITTEE, RECOMMENDED SALARY RANGES FOR THESE POSITIONS. THE COMPENSATION COMMITTEE, UPON CONSIDERATION AND REVIEW, MADE ITS RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL CONSIST OF THREE OR MORE DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS, NONE OF WHOM SHALL BE EMPLOYED OR CONTRACTED, OR RELATED TO PERSONS EMPLOYED OR CONTRACTED, BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. AT LEAST TWENTY-FOUR (24) HOURS' ORAL OR WRITTEN NOTICE SHALL BE GIVEN FOR ALL MEETINGS OF THE COMPENSATION AND BENEFITS COMMITTEE. A QUORUM FOR CONDUCTING BUSINESS AT A MEETING OF THE COMPENSATION AND BENEFITS COMMITTEE SHALL BE A MAJORITY OF ITS MEMBERS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION AND BENEFITS FOR THE CEO OF THE CORPORATION AND THE COMPENSATION AND BENEFITS STRUCTURE FOR THE CORPORATION AND THE CORPORATIONS IT CONTROLS. ARUN SAWARDEKAR MD DIRECTOR'S WIFE, SHUBHADI SAWARDEKAR, M.D., PROVIDES MEDICAL SERVICES 82711 DIRECTOR'S WIFE IS PAID FOR MEDICAL SERVICES. 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE IRS FORM 990 IS FIRST REVIEWED BY THE AUDIT/FINANCE COMMITTEE. ONCE THAT DRAFT IS REVIEWED AT THAT LEVEL, ALONG WITH MANAGEMENT, THE 990 IS PROVIDED TO THE ENTIRE BOARD FOR REVIEW. IT IS AFTER THE ENTIRE BOARD HAS ACCESS TO REVIEW THE 990 THAT THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE CONFLICT OF INTEREST POLICY. AT THAT TIME, ALL DIRECTORS ARE REQUIRED TO AFFIRM THEIR COMPLIANCE WITH THE APPROVED POLICY. FORM 990, PART VI, SECTION B, LINE 15 PERIODICALLY, THE BOARD HIRES AN INDEPENDENT CONSULTING FIRM TO REVIEW COMPENSATION, INCLUDING THE ORGANIZATION'S CEO; CFO; OFFICERS; AND KEY EMPLOYEES. THE MOST RECENT REVIEW WAS PERFORMED IN 2009. THE FIRM, IN ITS WRITTEN REPORT TO THE COMPENSATION COMMITTEE, RECOMMENDED SALARY RANGES FOR THESE POSITIONS. THE COMPENSATION COMMITTEE, UPON CONSIDERATION AND REVIEW, MADE ITS RECOMMENDATION TO THE FULL BOARD OF DIRECTORS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL CONSIST OF THREE OR MORE DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS, NONE OF WHOM SHALL BE EMPLOYED OR CONTRACTED, OR RELATED TO PERSONS EMPLOYED OR CONTRACTED, BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. AT LEAST TWENTY-FOUR (24) HOURS' ORAL OR WRITTEN NOTICE SHALL BE GIVEN FOR ALL MEETINGS OF THE COMPENSATION AND BENEFITS COMMITTEE. A QUORUM FOR CONDUCTING BUSINESS AT A MEETING OF THE COMPENSATION AND BENEFITS COMMITTEE SHALL BE A MAJORITY OF ITS MEMBERS. THE COMPENSATION AND BENEFITS COMMITTEE SHALL RECOMMEND TO THE BOARD OF DIRECTORS COMPENSATION AND BENEFITS FOR THE CEO OF THE CORPORATION AND THE COMPENSATION AND BENEFITS STRUCTURE FOR THE CORPORATION AND THE CORPORATIONS IT CONTROLS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION HAS ITS FEDERAL TAX FILINGS AVAILABLE FOR INSPECTION UPON REQUEST BY CONTACTING THE EXECUTIVE SECRETARY OF THE CEO AT (724) 458-9330. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION UPON REQUEST BY CONTACTING THE EXECUTIVE SECRETARY OF THE CEO AT (724) 458-9330. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFERS FROM AFFILIATED CORPORATION 203,393. TOTAL TO FORM 990, PART XI, LINE 5: 203,393. GEORGE JUNIOR REPUBLIC PO BOX 1058 GROVE CITY PA 16127 251536307 PLANNER, POLICY-MAKER AND FUNDRAISER OF GROUP OF AFFILIATED CORPORATIONS PA 501(C)(3) 509(A)(3) N/A 0 GEORGE JUNIOR REPUBLIC REALTY PO BOX 1058 GROVE CITY PA 16127 251536204 HOLD AND MANAGE RESIDENTIAL TREATMENT CENTERS AND OTHER ASSETS PA 501(C)(3) 509(A)(3) N/A 0 GEORGE JUNIOR REPUBLIC IN INDIANA PO BOX 1058 GROVE CITY PA 16127 351862303 PROVIDE RESIDENTIAL TREATMENT AND PROVIDE IN-HOME SERVICES IN 501(C)(3) 509(A)(3) N/A 0 PREVENTATIVE AFTERCARE INC PO BOX 1058 GROVE CITY PA 16127 251700492 HELP PREVENT REMOVAL OF DELINQUENT YOUTH FROM THEIR HOMES PA 501(C)(3) 509(A)(2) N/A 0 REPUBLIC RISK RETENTION GROUP 1180 SAM RITTENBERG BLVD CHARLESTON SC 29407 201175924 PROVIDE GENERAL, PROF & LIABILITY INSURANCE FOR GROUP OF RELATED ENTITIES SC 501(C)(3) 509(A)(3) N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 GEORGE JUNIOR REPUBLIC O 203392 CASH GEORGE JUNIOR REPUBLIC REALTY J 3035799 CASH GEORGE JUNIOR REPUBLIC N 171113 CASH GEORGE JUNIOR REPUBLIC IN INDIANA O 290625 CASH PREVENTATIVE AFTERCARE INC O 255000 CASH