HomeMy WebLinkAbout2003-253H ( T.
Indian River County Grant Contract
This Grant Contract ("Contract") entered into effective this 1st day of October 2003 by and between
Indian River County, a political subdivision of the State of Florida , 1840 25th Street , Vero Beach FL ,
32960 ("County") and Boys & Girls Club of IRC , Inc . (" Recipient" ) ;
of: (Address )
Children 's Home Society of Florida
415 Avenue A, Suite 101
Fort Pierce , Florida 34950
Independent Living Program
Background Recitals
A . The County has determined that it is in the public interest to promote healthy children in a
healthy community .
B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the
Children 's Services Advisory Committee to promote healthy children in a healthy community
and to provide a unified system of planning and delivery within which children 's needs can be
identified , targeted , evaluated and addressed .
C . The Children 's Services Advisory Committee has issued a request for proposals from
individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling
its purpose .
D . The proposals submitted to the Children 's Services Advisory Committee and the
recommendation of the Children 's Services Advisory Committee have been reviewed by the
County.
E . The Recipient , by submitting a proposal to the Children 's Services Advisory Committee , has
applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter
defined ) on the terms and conditions set forth herein .
F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as
such term is hereinafter defined ) on the terms and conditions set forth herein .
NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and
other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged ,
the parties agree as follows :
1 . Background Recitals The background recitals are true and correct and form a material
part of this Contract .
2 . Purpose of Grant The Grant shall be used only for the purposes set forth in the
complete proposal submitted by the Recipient attached hereto as Exhibit "A" and
incorporated herein by this reference (such purposes hereinafter referenced as "Grant
Purposes") .
3 . Term The Recipient acknowledges and agrees that the Grant is limited to the fiscal
year 2003/2004 ("Grant Period" ) . The Grant Period commences on October 1 , 2003
and ends on September 30 , 2004 .
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4 . Grant Funds and Payment The approved Grant for the Grant Period is Twenty
Thousand Dollars ($20 , 000 . 00 ) . The County agrees to reimburse the Recipient from
such Grant funds for actual documented costs incurred for Grant Purposes provided in
accordance with this Contract . Reimbursement requests may be made no more
frequently than monthly. Each reimbursement request shall contain the information , at
a minimum , that is set forth in Exhibit "B" attached hereto and incorporated herein by
this reference . All reimbursement requests are subject to audit by the County. In
addition , the County may require additional documentation of expenditures , as it
deems appropriate .
5 . Additional Obligations of Recipient .
5 . 1 Records , The Recipient shall maintain adequate internal controls in order to
safeguard the Grant . In addition , the Recipient shall maintain adequate records fully
to document the use of the Grant funds for at least three (3 ) years after the expiration
of the Grant Period . The County shall have access to all books , records , and
documents as required in this Section for the purpose of inspection or audit during
normal business hours at the County' s expense , upon five (5 ) days prior written
notice .
5 . 2 Compliance with Laws . The Recipient shall comply at all times with all applicable
federal , state , and local laws , rules , and regulations .
5 . 3 Quarterly Performance Reports . The Recipient shall submit Quarterly Performance
Reports to the Human Services Department of the County within fifteen ( 15 ) business
days following : December 31 , March 31 , June 30 , and September 30 .
5 .4 Audit Requirements . If Recipient receives $25 , 000 or more in the aggregate from
all Indian River County government funding sources , the Recipient is required to have
an audit completed by an independent certified public accountant at the end of the
Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the
Recipient shall submit the audit to the Indian River County Office of Management and
Budget . The fiscal year will be as reported on the application for funding , and the
Recipient agrees to notify the County prior to any change in the fiscal period of
Recipient . The Recipient acknowledges that the County may deny funding to any
Recipient if an audit required by this Contract for a prior fiscal year is past due and has
not been submitted by May 1 .
5 .4 . 1 The Recipient further acknowledges that , promptly upon receipt of a
qualified opinion from its independent auditor, such qualified opinion shall
immediately be provided to the Indian River County Office of Management and
Budget . The qualified opinion shall thereupon be reported to the Board of
Commissioners and funding under this Contract will cease immediately . The
foregoing termination right is in addition to any other right of the County to
terminate this Contract.
5 .4 . 2 The Indian River County Office of Management and Budget reserves
the right at any time to send a letter to the Recipient requesting clarification if
there are any questions regarding a part of the financial statements , audit
comments , or notes .
5 . 5 Insurance Requirements . Recipient shall , no later than September 23 , 20031
provide to the Indian River County Risk Management Division a certificate or
certificates issued by an insurer or insurers authorized to conduct business in Florida
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that is rated not less than category A- : VII by A. M . Best, subject to approval by Indian
River County's risk manager, of the following types and amounts of insurance :
( i ) Commercial General Liability Insurance in an amount not less than
$ 1 , 000 , 000 combined single limit for bodily injury and property damage ,
including coverage for premises/operations , products/completed operations ,
contractual liability, and independent contractors ;
( ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000
per occurrence combined single limit for bodily injury and property damage ,
including coverage for owned autos and other vehicles , hired autos and other
vehicles , non -owned autos and other vehicles ; and
( iii ) Workers ' Compensation and Employer's Liability (current Florida statutory
limit)
5 . 6 Insurance Administration . The insurance certificates , evidencing all required
insurance coverages shall be fully acceptable to County in both form and content,
and shall provide and specify that the related insurance coverage shall not be
cancelled without at least thirty (30 ) calendar days prior written notice having been
given to the County . In addition , the County may request such other proofs and
assurances as it may reasonably require that the insurance is and at all times
remains in full force and effect . Recipient agrees that it is the Recipient's sole
responsibility to coordinate activities among itself, the County, and the Recipient's
insurer(s ) so that the insurance certificates are acceptable to and accepted by
County within the time limits set forth in this Contract . The County shall be listed as
an additional insured on all insurance coverage required by this Contract, except
Workers ' Compensation insurance . The Recipient shall , upon ten ( 10 ) days ' prior
written request from the County, deliver copies to the County, or make copies
available for the County's inspection at Recipient's place of business , of any and all
insurance policies that are required in this Contract . If the Recipient fails to deliver or
make copies of the policies available to the County; fails to obtain replacement
insurance or have previous insurance policies reinstated or renewed upon
termination or cancellation of existing required coverages ; or fails in any other regard
to obtain coverages sufficient to meet the terms and conditions of this Contract, then
the County may, at its sole option , terminate this Contract .
5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its
agents , officials , and employees from and against any and all claims , liabilities ,
losses , damage , or causes of action which may arise from any misconduct, negligent
act , or omissions of the Recipient , its agents , officers , or employees in connection
with the performance of this Contract .
5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter
119 , Florida Statutes ( Public Records Law) in connection with this Contract .
6 . Termination . This Contract may be terminated by either party, without cause , upon
thirty (30) days prior written notice to the other party. In addition , the County may
terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the
Recipient if the County determines that such termination is in the public interest.
7 . Availability of Funds . The obligations of the County under this Contract are subject
to the availability of funds lawfully appropriated for its purpose by the Board of
County Commissioners of Indian River County.
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8 . Standard Terms . This Contract is subject to the standard terms attached hereto as
Exhibit C and incorporated herein in its entirety by this reference .
IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date
first above written .
INDIAN RI V R COUNTY BOARD OF COUNTY
COMMI IONERS
/10011
By:
%Kn5nWVMachf, Ch irman
Attest: J . K . Barton , Clerk
By :
Deputy Clerk
Approved : l
mes Chandler, unty Administrator
v
ved o form
grMarian
and legal sufficiency :
. Fell , Assistant Coun y
RECIPIENT :
Children 's Home Society of Florida
415 Avenue A, Suite 101
Fort Pierce , Florida 34950
By : . U,, 1) &,L
Name �//��
r� � ir^P 1 /i ✓\0
Title
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EXHIBIT A
[Copy of complete proposal/application]
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EXHIBIT B
[From policy adopted by Indian River County Board Of County Commissioners on February 19 ,
2002]
" D . Nonprofit Agency Responsibilities After Award of Funding
Indian River County provides funding to all nonprofit agencies on a reimbursement basis
only.
All reimbursable expenses must be documented by an invoice and/or a copy of the canceled
check . Any expense not documented properly to the satisfaction of the Office of Management &
Budget and/or the County Administrator may not be reimbursed .
If an agency repeatedly fails to provide adequate documentation , this may be reported to the
Board of Commissioners . In the event an agency provides inadequate documentation on a
consistent basis , funding may be discontinued immediately. Additionally, this may adversely
affect future funding requests .
Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For
example , no expenditures prior to October 1st may be reimbursed with funds from the following
year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not
carried over to the next year unless expressly authorized by the Board of Commissioners .
All requests for reimbursement at fiscal year end ( September 30th) must be submitted on a timely
basis . Each year, the Office of Management & Budget will send a letter to all nonprofit agencies
advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early
to mid October, since the Finance Department does not process checks for the prior fiscal year
beyond that point .
Each reimbursement request must include a summary of expenses by type . These summaries
should be broken down into salaries , benefits , supplies , contractual services , etc . If Indian River
County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee ) , then
the method for this portion should be disclosed on the summary. The Office of Management &
Budget has summary forms available .
Indian River County will not reimburse certain types of expenditures . These expenditure types are
listed below .
a . Travel expenses for travel outside the County including but not limited to ; mileage reimbursement,
hotel rooms , meals , meal allowances , per Diem , and tolls . Mileage reimbursement for local travel
(within Indian River County) is allowable .
b . Sick or Vacation payments for employees . Since agencies may have various sick and vacation
pay policies , these must be provided from other sources .
c . Any expenses not associated with the provision of the program for which the County has awarded
funding .
d . Any expense not outlined in the agency's funding application .
The County reserves the right to decline reimbursement for any expense as deemed necessary. "
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EXHIBIT C
STANDARD TERMS FOR GRANT CONTRACT
1 . Notices : Any notice , request , demand , consent, approval or other
communication required or permitted by this Contract shall be given or made
in writing , by any of the following methods : facsimile transmission ; hand
delivery to the other party ; delivery by commercial overnight courier service ;
or mailed by registered or certified mail ( postage prepaid ) , return receipt
requested at the addresses of the parties shown below:
County : Joyce Johnston - Carlson , Director
Indian River County Human Services
184025 th Street
Vero Beach , Florida 32960-3365
Recipient :
Children 's Home Society of Florida
415 Avenue A, Suite 101
Fort Pierce , Florida 34950
Attention : John Bruhn , Executive Director
2 . Venue ; Choice of Law: The validity, interpretation , construction , and effect
of this Contract shall be in accordance with and governed by the laws of the
State of Florida , only . The location for settlement of any and all claims ,
controversies , or disputes , arising out of or relating to any part of this
Contract , or any breach hereof, as well as any litigation between the
parties , shall be Indian River County, Florida for claims brought in state
court , and the Southern District of Florida for those claims justifiable in
federal court .
3 . Entirety of Agreement : This Contract incorporates and includes all prior and
contemporaneous negotiations , correspondence , conversations ,
agreements , and understandings applicable to the matters contained herein
and the parties agree that there are no commitments , agreements , or
understandings concerning the subject matter of this Contract that are not
contained herein . Accordingly , it is agreed that no deviation from the terms
hereof shall be predicated upon any prior representations or agreements ,
whether oral or written . It is further agreed that no modification ,
amendment or alteration in the terms and conditions contained herein shall
be effective unless contained in a written document signed by both parties .
4 . Severability: In the event any provision of this Contract is determined to be
unenforceable or invalid , such unenforceability or invalidity shall not affect
the remaining provisions of this Contract , and every other term and
provision of this Contract shall be deemed valid and enforceable to the
extent permitted by law. To that extent, this Contract is deemed severable .
5 . Captions and Interpretations : Captions in this Contract are included for
convenience only and are not to be considered in any construction or
interpretation of this Contract or any of its provisions . Unless the context
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indicates otherwise , words importing the singular number include the plural
number, and vice versa . Words of any gender include the correlative words
of the other genders , unless the sense indicates otherwise .
6 . Independent Contractor. The Recipient is and shall be an independent
contractor for all purposes under this Contract . The Recipient is not an
agent or employee of the County, and any and all persons engaged in any
of the services or activities funded in whole or in part performed pursuant to
this Contract shall at all times and in all places be subject to the Recipient' s
sole direction , supervision , and control .
7 . Assignment. This Contract may not be assigned by the Recipient without
the prior written consent of the County .
2 -
Client#: 9751 CHSOCI
AcnRnn CERTIFICATE OF LIABILITY INSURANCE 01 /03103 DAT3103 O/YY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BROWN & BROWN OF LEHIGH VALLEY, INC . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER , THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 25001 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ,
EHIGH VALLEY, PA 18002-5001
INSURERS AFFORDING COVERAGE
800 634-8237
PROFITS ' INSURANCE COMPANY
INSURED INSURER A: NON
CHILDREN ' S HOME SOCIETY OF FLORIDA INSURER B :
1485 S SEMORAN BLVD INSURER C:
SUITE 1448 INSURER D :
WINTER PARK, FL 32792 INSURER E :
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR
MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS
OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY�EXPIRATION LIMITS
INTR TYPE OF INSURANCE POLICY NUMBER DAT M / D /Y DATE MM / DD /Y
A GENERAL LIABILITY NIA1810389 01 /01 /03 01 /01 /04 EACH OCCURRENCE 51 OOO 000
FIRE DAMAGE (Anyone fire) $ 1009000
X COMMERCIAL GENERAL LIABILITY
ME D EXP (Any one person) 55 OOO
CLAIMS MADEa OCCUR
PERSONAL 6 ADV INJURY fl O0O 000
GENERAL AGGREGATE $3 , 000 , 000
PRODUCTS -COMP/OPAGG $ 11000 , 000
GENL AGGREGATE LIMIT APPLIES PER:
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AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
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DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE : TREASURE COAST DIVISION INSURANCE PROVIDED FOR ALL AGE CLIENTS , INCLUDING MINORS
(See Attached Descriptions )
CERTIFICATE HADDf110NALiNSURED• INSt1RERLETTEFt _ CANCELLATION
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SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE t7P'RATIC
CARE NET PREGNANCY CENTERS DATE THEREOF,THEISSUING INSURER WILLENOEAVORTOMAILI.5— DAYSWRITTE '
OF INDIAN RIVER COUNTY NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUTFAILURE TO DOSOSHAL '-
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VERO BEACH , FL 32961 -0836 REPRESENTATIVES.
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302 Perimeter Center North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW .
Atlanta , GA 30348 COMPANIES AFFORDING COVERAGE
Phone : 770-390-3900 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
Home Office : Owatonna , MN 55060 A FEDERATED SERVICE INSURANCE COMPANY
INSURED 142-754- 1 COMPANY
SMITH SERVICES INC B
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VERO BEACH FL 32960 COMPANY
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PERIOD
INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS ,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .
COTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OMITS
LTR DATE (MM/DD/YY) DATE IMM/DD/YY )
GENERAL LIABILITY GENERAL AGGREGATE S 27000 , 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S 2 000 000
A CLAIMS MADE a OCCUR 9040676 05/09/03 05/09/04 PERSONAL & ADV INJURY $ 1 , 000 , 000
OWNER'S & CONTRACTOR' S PROT EACH OCCURRENCE S 1 , 000 , 000
FIRE DAMAGE (Any one tire) $ 100 , 000
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
X ANY AUTO COMBINED SINGLE LIMIT s 11000 , 000
ALL OWNED AUTOS BODILY INJURY
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1427541 CHILDREN HOME SOCIETY 79 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
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VERO BEACH FL 32967 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPAIV, ITS AGENTS OR REPRESENTATIVES .
AUTHORIZED REPRESENTATIV
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Contents 96 , 854 716
OELCRIPTION OF OPEItATION41 LOCATIONS I VEMCLRS ► EXCLUSIONS ADDED BY Et10OR`EMENT ► SPECIAL PRpVISIONs
RE : 4520 Selvitx Rd . , Fort Pierce , FL - TC
Program - Mentoring by DCF
CERTIFICATE HOLDER CANCELLATION
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DATE THEAVOF • TME 18SUIN0 WI
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337 N . 4th Street RE ESEN71VES.
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This certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068
Certificate of Insurance
This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance
policy and does not amend, extend, or alter the coverage
afforded b the licies listed below.
This Is to certify that (Name and address of Insured)
CHILDREN'S HOME SOCIETY OF FLORIDA •
1485 S. SEMORAN BLVD. '` Liberty
SUITE 1448 MUtUMTM
WINTER PARK, FL 32792
is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies)
is subject to all their terns, exclusions and conditions
and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued.
Expiration Type Expiration Dates Policy Numbers Limits of Liability
Continuous ' 07/01 /2004 WA6- 15D-280851 -013 Coverage afforded under WC law of Employers Liability
Extended the following states : Bodily Injury By Accident
X Policy Term FL $ 500,000 Each Accident
Bodily Injury By Disease
$ 500,000 Policy Limit
Workers Compensation Bodily Injury By Disease
$ 500,000 Each Person
General Aggregate-Other than Prod/Completed Operations
General Liability
Products/Completed Operations Aggregate
Claims Made
Occurrence Bodily Injury and Property Damage Liability Per
Occurrence
Retro Date Personal and Advertising Injury Per Person /
Organization
Other Liability Other Liability
Each Accident - Single Limit - B . 1 . and P. D . Combined
Automobile Liability
Each Person
Owned
Non-Owned Each Accident or Occurrence
Hired
Each Accident or Occurrence
C
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S
*If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration
date. However, you will not be notified annually
of the continuation of coverage.
Special Notice - Ohio: Any person who, with intent to deGaud or knowing that he / she is facilitating a fraud against an insurer, submits an application
or files a claim containing a false or
deceptive statement is guilty of insurance fraud.
Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate
for any reason, please contact your local sales
producer, whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office mailing address may
also be obtained by calling this number.
Notice of cancellation: (not applicable unless a number of days is entered below) . Before the stated expiration date the company will not cancel or
reduce the insurance afforded under the above
policies until at least 30 days notice of such cancellation has been mailed to:
Office : JACKSONVILLE, FL Phone: 904-363 -0099
Certificate Holder: Scott Carnes
DAN HOOD Authorized Representative
CHILDREN ' S HOME SOCIETY
TREASURE COAST DIVISION
415 AVENUE A
SUITE 101
FT . PIERCE , FL 34950 Date Issued: 07/02/2003 Prepared By: TH
SEP-23-2. 003 10 : 10 CFIS REGION THRFF P . 02.102
Interna ( Revenue Service Department of the Treasury
District Delaware -Maryland District 31 Hopkins Plaza , Baltimore , MD 21201
Director
Date : Auaust 26 , 1997 F . O . Box 13163
p Baltimore , MD 21203
Employer Identification Number :
59-0192430
Person to Contact :
CHILDREN ' S Ef0ME SOCIETY OF FLORIDA EP/EO Tax Examiner
F . o , Box 10097
JACKSONVILLE , FL 32247-0097 Telephone Number !
( 410 ) 962 -6058
Dear Sir/Madam :
This is in response to your inquiry requesting a copy of the letter which
granted tax exempt status to the above named organizAtion .
Our records show that the organization was granted exemption from Federal income
tax under section 501 ( a ) of the internal Revenue Code as an organization
described in section 501 ( c ) ( 3 ) effective NOWMER , 1941 . We have also
determined that the organization is not a private foundation because it is
described in sections 509 ( a ) ( 1 ) and 170 ( b ) ( 1 ) ( A ) ( vi ) .
Donors may deduct contributions to you under section 170 of the Code .
As of January 1 , 1984 , you are liable for taxes under the Federal Insurance
Contributions Act ( social security taxes ) on remuneration of $ 100 or more you
pay to each of your employees during a calendar year . You are not l4able for
the tax imposed under the Federal Unemployment 'Tax Act ( FUTA ) .
You are required to file Form 990 , Return of Organization Exempt From Income
Tax , only if your gro6s receipts each year are normally more than $25 , 000 .
However , if you receive a Form 990 package in the tail , please file the return
even if you do not exceed the gross receipts test . If you are not required to
file , simply attach the label provided , check the box in the heading to
indicate that your annual gross receipts are normally $25 , 000 or less , and
sign the return .
A copy of our letter certifying the status of the organization is not
available , however , this letter may be used to verify your tax-exempt status .
Because this letter could help resolve any questions about your exempt status ,
it should be kept in your permanent records .
Sincerely yours ,
Paul M . barring on
District Director
TOTAL P . 02
CHILDREN'S SERVICES ADVISORY COMMITTEE
C/O Human Services
1840 &' Street
Vero Beach , Florida 32960-3394
Phone : 561 -567-8000 (Ext. 467 or 524)
Fax: 978-1798
E-Mail : JcarlsonCa)bcc. co. indian-river.fl . us
MmastersonObcc.co. indian-dver.fl . us
To : Beth Jordan
From : Joyce Johnston- Carls
Date : September 30, 2003
Re : Grant Contracts 200 - 4
The attached is a Children ' s Service Advisory Committee Grant Contract for :
Children ' s Home Society of Florida
Please review the insurance certificate and verify that it is adequate by signing on the line
below . Contact me if you have any questions . Thank you.
Lj da cc Beth Jordan Date
Oct 23 03 01 , 43p Children ' s Home Society 561 - 585 •- 6367 p45
Client#: 9751 CHS OCII
ArraCERTIFICATE OF LIABILITY INSURANCE OATEIMMIDDIYn
_ 01 /03/03
RRaauDER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORK4ATION
BROWN & BROWN OF LEHIGH VALLEY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
^r) BOX 25001 HOLDER, THIS CERTIFICATE DOES NOT AMEND , EXTEND OR
HIGH VALLEY, PA 18002-6001 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
800 634-8237 INSURERS AFFORDING COVERAGE
INSURED
CHILDREN ' S HOME SOCIETY OF FLORIDA
INsuRERA; NONPRQFITS ' INSURANCE COMPANY •
1485 5 SEMQRAN BLVD
SUITE 1448
WINTER PARK , FL 32782 �—INSURER P-:—•
INSU! RERE '
COVERAGE$
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITH,$TANOIN3
ANY REQUIREM5W, TERM OR CONDITION OF ANY CONTRACT ON OTHER DOCULIENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
135UC0 OR
MAY PERTAIN, THE INSURANCE AFFOROE� BY T14E POLICES 005CRlfXI) HEREIN IS SUBJECT TO ALL THE TL=RMS, EXCLUSNCNS AND CONDITIONS OF
SUCH
POL1C)ES . AGGREQATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._
IN5It � i PO tit@FfTCTtVE OLICYEXPIRATIO
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TYPE OF POLICY NUMBER ACE !MMIODrY LIMITS
A SENERALLIACILITY i( NIA1810389 01 /01 /03 01 /01 /04 EA0HOCCLP9EN '.E 51 , 000 ,OD0
X COMMERCIALGENERAL LIABILITY 5100000
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PESCRIPTION OF OPERATIONSILOCATIONSrVEHIOLESIE) CLUMONS A13 DED 8f EN OORSEMENTfSPECIAL PROVISIONS
TREASURE COAST DIVISION
6680 US HIGHWAY INDIAN RIVER COUNTY IS LISTED AS ADDITIONAL INSURED AS .LANDLORD
i
(See Attached Descriptions)
i
CERTIFICATE HOLDER I AobmONAL1IE;UREb �ISIIF?�drE7tEtt CANCELLATION _ T
f� srtOULU ANYOF IM& AWJVE DESCRIBED PUtJOES BE CANCELLED BEFORF.THEENgFWIKJN
INDIAN RIVER COUNTY OATETHEREOF,THC; ISSUINOINSURER WILL ENDGAVORT40 MAI L'I.5 DAYSWRITTEN
1840 25th STREET NOTIQFTO THE CERMFICATe H01.PER NAMED TO THE LEFT, BUTFAILURE TO DO SIC SHALL 1
VBItO BEACH , FL 32960 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERFITSAGEN75OR
REPSSESENTA_TNE3.
f AUTHORIZEC REPFIESENTATIVC #!
� I
AGGRO 25 . 5 (W97}1 of 3 #5109130/M10SS41 _. —
AMD cry ACORI7 CORPORATION 1980
Oct 23 03 01 ; 43p Children ` s Home 5ociet !j 561 - 595 - 6867 pa4
Tata ccrtirscate is cxas is affotded by thole cp+twardes. .
Certificate orinsuranee
This acttificata it issued as a trwtrter at Womsation only and c=kn rw iltptaa uytta ywa• tn, pcnifeaw bP&We. . Thr+ ce.tfitaM it ms an insunnee policy
uW docs not mr, od, esterA or slier tit: rprepel
afforded ey she eelicie3 t:atcdbdow, -
This is to ccrary that (,Uaerta and add rrss of Insured)
CHILL) MY5 HOME St7CWLTY OP PLORJDA {
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awid :ooditione
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f Expiracion. Ty tom[ — Ex iratforr Dat s Policy NLimits of Limbitity
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— 5500aC00 Policy Lirait
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General LialWify
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otthe rotNinuarion of tover3cc.
Slicc, &I Nolice • Crhio . Anyperwn who, with jjtpnt ,0 defMymf Mrkttowine shat he 7 the- is :hcittW1irW a .fraud aga'asIt an 'r-surer, iwbnets an 3t1P;
:Calipn 0r 51cs s elarn coat uNLIKA Also of
te� epf itY Stuee.ent U guilsy Ofiaiauuea fives!.
ur4wruat in"bMalinn to Plwids polieyholden acrd ocniSeattiwtden n the svetsr yol hs any rl texhant or nted utrbrstwtiyn aoav t6 a er riFev . G>c
+ro T+t, rkaa contact yewrtocol sales
prod tter, whose ayse and tcteghstx etunbcrappean w dw lower kfr eomerofthis Gtnillr.rr.. slit epprolaritte local $Stet efface mailing addicsi may atse tx
cbuuxd by ealUll this nembcr
Nosict of l:snccllation' (root apr4r7blt sagest a t111tI1bCf of days to tatertd tselaw) . 9, rote the rtaled expintlen date Clic covVioly will not dotal
or redue kh aQOr(lad U11deC the Above
invrt4nte
pterin until v !east jo days norire of such nstcetlotion has been Trailed to: _ - _,��-- .,.,,^•�..—_�.—... -
- Office . JACKSONVILLE, FL Phone! 944- 36310099 <
Ccrtirlesta Holder; Scott Carnes
Dk%TT HOOD Autltcr " rd fir sreicnladvc
CH : LDArN, S komg SOCIETY . . ..—w
AR *Z: 15JRE CIJHST O = VISION
415 AVE" A
SUITE 101
BT . rc2RC9 , FL 349 ` 0 Datefssued : 07/C2l2uft) Prepared By: TH
CHILDREN 'S HOME SOCIETY INDEPENDENT LIVING
,. INDIAN RIVER COUNTY CHILDREN' S SERVICES ADVISORY COMMITTEE
ORGANIZATION : CHILDREN ' S HOME SOCIETY
PROGRAM : INDEPENDENT LIVING
TABLE OF CONTENTS
Please `X" the parts of the grant application to indicate they are included. Also, please put the page number where the
information can be located.
1XI Section of the Proposal Pale #
TABLE OF CONTENTS (Check list) 1
COVER PAGE (with signatures) , " . " 1 3
A. ORGANIZATION CAPABILITY (one page maximum)
1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . 4
2 . Summary of expertise , accomplishments, and population served _ . . . . . . . . . . . . . . . 4
Be PROGRAM NEED STATEMENT (one page maximum)
1 . Program Need Statement . . . , , " , , , , , , , , , , . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . : . . . . . . . . .
5
2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 5
C. PROGRAM DESCRIPTION (two pages maximum)
1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . 6
3 . Evidence that program strategy will work , , , 6
4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
5 . Awareness of program , 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 7
6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . 7
D . MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . . . . . . . . . . . . . . 8
E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
F. PROGRAM EVALUATION (two pages maximum)
-- 1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
-- 2 . Measures , , , , . , , , . , , , , . , 10
3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
G . TIMETABLE (one page maximum) 12
H. UNDUPLICATED CLIENT COUNT
1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 13
2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . 13
1
CH1LDPXWSH0wsocmTY II DEpE DDT Lrvm
` tN Rf1ER cfXlii 7YCHmIIM. %S SERVICES ADVIS 1rty t` tg&rME
E $SET FORMS
t Budget rrativv� WW"kslueet: . _ . -. . .. .. .. _ _ . -. - - - - - - - - - - - - - - - - - - - . . . . - - - - - - - - 15
.
2 . Total, Agency et .._ _ . _ _ . . .. . _ _ _ _ _ . _ _ _ _ .... . _ _ . ... . .. . . _ . . .. ... _ . .- _ . _ ..
__ . . . .. .._ _ . . .. . . _ . . .. 1'9'
3. Tots Proar Budget. . . . . . . . . . . . . . .
2Q
4-AR ndes`Speci c;Bu tget: .... . ...... .. . . . _.. _. .. _ .. _. _ . . . .._._. _... . .. .. .. _ _ .. .... -.
, -& _ _ _ 21,
S .. Explanation for Variant es. — Total -Program Budget. . . . . WA.
5 Explanation for Variances Funder Specific Budget. . . .. . . .. . _ - - . - - - • . . . . . . . . . . . . . . . . 23
J. FUNDER SPECIFY JAtBDFM11 AL.SHEL�TS N/A
IL APPENDIX NJA
2
CHILDREN ' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN 'S SERVICES ADVISORY COMMITTEE
PROGRAM COVER PAGE
Organization Name : CHILDREN ' S HOME SOCIETY
Executive Director : John Bruhn Email : john. bruhngchsfl . org
Address : 415 Avenue A, Suite 101 Telephone : (772) 489 - 5601 ext. 239
Fort Pierce FL 34950 Fax : (772) 489-0243
Program Director : Kathy Rossini Email : kathy. rossinigchsfl . org_
Address : 415 Avenue A, Suite 101 Telephone : (772) 489 -5601 ext. 207
Fort Pierce FL 34950 Fax : (772 ) 489- 0243
Program Title : INDEPENDENT LIVING
Priority Need Area Addressed: Mental Wellness Issues • Ages 13 - 15 Promoting life skills
training emotional- social skills ; Ages 16- 18 Promoting Inde endent living skills
Brief Description of the Program : Taxonomy Statement : Emancipation Preparation
Programs—PH-620 . 190 : Programs that offer training which focuses on the knowledge and skills
an individual may need to make a successful transition to independent living In order to be
eligible for Independent Living program services a child must be between the ages of 13 and 18
At the age of 18 , the young adult may receive independent living services through After Care
Transition Support or Road to Independence Scholarship up to the age of 23 if.they meet
program criteria. Training may address educational planning, job search and retention
maintaining stable housing money management home management emergency safety skills
knowledge of community resources and interpersonal skills
Amount Requested from Funder for 2003 /04 : $ 21 , 112
Total Proposed Program Budget for 2003 /04 : $ 201 , 112
Percent of Total Program Budget : 10 . 5 %
Current Funding ( 2002 /03 ) : $ 20 , 000
Dollar increase/( decrease ) in request : $ IJ 12
Percent increase /( decrease ) in request : 5 . 6 %
Unduplicated Number of Children to be served Individually : 19
Unduplicated Number of Adults to be served Individually : 4
Unduplicated Number to be served via Group settings : _
Total Program Cost per Client : 8744 . 00
Will these funds be used to match another source ? NO
If yes , name the source :
Amount : $ -
The Organization 's Board of Directors has approved this application on (date.).
Name of President/Chair of the Board Signa e
r .�
Name of Executive Director/CEO Sig ure
3
CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN' S SERVICES ADVISORY COMMITTEE
PROPOSAL NARRATIVE
Please respond to each question in the allotted space for each section . In responding to each
section of the proposal narrative, please retain the section-label and/or question you are
addressing . Type using 12 pt . Font on 8 '/2 X 11 paper and number each page . These directions
and the graphic boxes may be deleted if space is needed .
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization .
The mission of Children ' s Home Society of Florida is to provide effective solutions to build
and support healthy families for Florida ' s children.
We envision Children ' s Home Society as a state and national leader in providing
responsive, relevant, high quality community based services to meet the needs of
individuals , families and communities. In this endeavor, CHS will provide a continuum of
effective, efficient and humane services so that people are empowered to lead responsible,
productive and meaningful lives. CHS will promote collegial partnerships, among both
public and private agencies devoted to serving the best interests of children and families
and to achieve mutual goals through establishing good faith communication, fostering trust
and honoring commitments .
2 . Provide a brief summary of your organization including areas of expertise,
accomplishments and population served.
Children ' s Home Society has a long and rich legacy as Florida ' s oldest non-profit provider
of services to children and families . In 2002 , Children ' s Home Society marked 100 years of
service. Established in 1902 as an orphanage, Children ' s Home Society has dramatically
expanded its mission as a statewide, multi-service agency. Today, Children ' s Home Society
provides Florida ' s families with a unique spectrum of social services responding to the
needs of various communities , including foster care, adoptions, child abuse prevention ,
emergency shelters , group homes, case management and treatment for developmentally
disabled children. The Treasure Coast Division was established in 1991 and currently
operates 12 programs for children of all ages and their families, including Adoptions ,
Independent Living, Targeted Case Management, Teen Life Choices , Children In Need of
Services/Families In Need of Services (CINS/FINS) , Wave CREST Shelter, Safe Place,
Child Protection Team , Intensive Crisis Counseling (ICCP) , Recovering Families,
Protective Services , and the Residential Girls Group Home.
Children ' s Home Society is one of the founding members of the Child Welfare League of
America and is accredited by the Council on Accreditation. In 2001 , Children ' s Home
Society was granted the first large privatization contract, for adoption services , from
District 15 of the Department of Children and Families . In November 2001 , the adoption
contract with DCF was expanded to include all adoption cases previously served by the
Department,
4
CHILDREN 'S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN ' S SERVICES ADVISORY COMMITTEE
Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page)
1 . a) What is the unacceptable condition requiring change ? b) Who has the need ?
c) Where do they live ? d) Provide local, state or national trend data, with reference
source, that corroborates that this is an area of need .
Florida is experiencing a surge of teenagers and young adults . Between the years 2000 and
2015, the number of teens and young adults in Florida (14-24) will increase some 23 % .
Florida has never experienced this volume increase of teenagers , and our state ' s service
infrastructure—educational, health , social service, therapeutic, or youth justice systems—is
simply unprepared for this surge of young Floridians .
(http : //www.floridakids . ore/trends . htm). The Independent Living Program is designed to
provide services to children and young adults in and formerly in foster care who are ages
13 to 23 . The largest group of children in foster care is between the ages of twelve and
eighteen . (http : //www. chileseenter. orprJindex.htm), The Independent Living Program
provides the skills necessary for these children without a loving family to grow into
productive, self-sustaining adults. At this time, there are 94 children between the ages of
13 and 18 in foster care in District 15 (Indian River, Martin , Okeechobee and St. Lucie
counties). There are 8 young adults in the District who currently receive transitional
support services . Specifically, the program is serving 16 Indian River county residents .
We estimate serving an additional 5 Indian River county residents before October 2003 . In
2003-2004, we anticipate again serving at least 23 children and young adults in Indian
River County.
2 . _ a) Identify similar programs that are currently serving the needs of your targeted
population ; b) Explain how these existing programs are under-serving the targeted
population of your program.
This program is the only program of this nature serving the targeted population of youth
and young adults ages 13 -23 in the foster care system .
5
CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN 'S SERVICES ADVISORY COMMITTEE
C. PROGRAM DESCRIPTION (Entire Section C. 1 — 6. not to exceed two pages)
1 . List Priority Needs area addressed .
Mental Wellness Issues
2 . Briefly describe program activities including location of services .
The Independent Living Program provides foster teens and young adults with the skills
necessary to make a successful transition to adulthood and independence. The emphasis is
on assessing their ability to be self-supportive and helping youth develop individual goals .
ILP assists foster teens to attain self-sufficiency upon termination of their dependency
status so they can achieve their personal goals and grow into healthy, contributing adults in
mainstream society. After care services , Transitional Support Services and Road to
Independence Scholarships are available to young adults from ages 18 -23 who remain in
school and maintain a 2 . 0 grade point average.
ILP staff complete an assessment of current independent living skills , educational
readiness and career readiness . Within ten days of the assessment, a student profile is
developed that identifies the specific skills the child already has and the skills they should
develop to prepare for independence. An individual case plan is developed which
establishes measurable goals for skill development and is updated every six months to
reflect changing service needs as the youth progresses towards these goals . The ILP staff
visits the youth monthly to assess their progress and assist with any identified needs . The
staff monitors the youth ' s attendance and progress in all academic and vocational settings.
In addition to case management, monthly training programs are developed and presented
to the youth . Topics for these workshops include developing and strengthening social
skills , educational opportunities , employment skills , budgeting, communication skills ,
improving daily living skills and accessing community resources. A training program is
also offered to promote positive lifestyle choices and provides an overview of the emotional
and physical aspects of parenting. A monthly newsletter is circulated to inform youth,
their families and other interested parties of local, regional and statewide events, upcoming
training and other relevant information ?
3 . Briefly describe how your program intends to address the stated need/problem.
Include reference to any studies or evidence that indicate proposed strategies are
effective with target population .
By identifying and working with youth who are at risk early in their teenage years and
targeting their skill deficits, we can significantly reduce the barriers they face when
transitioning into adulthood. Our foster care system by its very nature encourages
dependence as opposed to independence. We strive to teach these foster care teenagers the
basic living skills necessary to lead prosperous , independent lives . Because we know that
more than 20 ,000 American foster youth turn 18 and step out into the world alone, most of
them without resources , a primary focus of ILP is to ensure self- sufficiency. ILP considers
completion of education, the pursuit of higher education , and development of personal
support systems as the primary focus. Monthly case management assist the client in
maintains goals and achieving success. Another focus of ILP is to help the youth identify
prospective careers and the goals they need to obtain to develop these careers . Teaching job
skills , interviewing techniques and monitoring youth in part-time jobs where they can gain
much needed experience is an important tool to address the barriers of unemployment,
homelessness and access to health care and self-sufficiency. Learning the skills necessary to
gain independence improves self-esteem . We know that positive self4ma a helps youth to
6
CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
• INDIAN RIVER COUNTY CHILDREN' S SERVICES ADVISORY COMMITTEE
make positive choices . We believe learning these skills will enable them to avoid the pitfall
many youth coming from the foster care system face, such as pregnancy, depression,
isolation and loneliness.
4. List staffing needed for your program, including required experience and estimated
hours per week in program for each staff member and/or volunteers (This section
should conform with the information in the Position Listing on the Budget Narrative
Worksheet) .
• Program Director—Master' s Degree in Social Work, Human Services or related
field with a minimum of five years supervisory experience in a social welfare or
health care agency. 10 % (4 hours per week) of this position is dedicated to
supervision of the Independent Living Program.
• Independent Support Coordinator—Bachelor' s Degree in Social, Behavioral or
Health Science with two years experience working with children. 100 % (40
hours per week) of this position is dedicated to ILP.
• Two (2) Life Skills Specialists—Bachelor ' s Degree in psychology, social work or
related human service field with a minimum of one-year experience working
with troubled children/youth. 100 % (40 hours per week) of these positions are
dedicated to ILP.
5 . How will the target population be made aware of the program ?
The ILP staff work closely with the Department of Children and Families and the
Children ' s Home Society ' s Adoption Program to identify all youth eligible for services in
ILP. Their legal case manager should refer every child in foster care to ILP at their
thirteenth birthday when they become eligible for these services. ILP can now access a
report from DCF ' s HomeSafeNet (computer system) listing all children eligible for ILP
services and ILP staff actively pursue the referrals for these youth. ILP staff also attends
monthly staff meetings with DCF and Adoption staff to educate them about the program
and obtain referrals. In addition , ILP staff often attends guardian ad litemmeetings , foster
parent association meetings and trainings for potential foster parents (M.A.P.P.) and give
presentations about the program . Newsletters and brochures about ILP are sent out
monthly to interested parties .
6. How will the program be accessible to target population (i. e. Iocation , transportation,
hours of operation) ?
The Independent Living Program ensures that the program is accessible to the target
population by providing services in the client ' s home and by providing transportation to
activities and workshops as needed . Monthly case management visits occur in the client ' s
home. Workshops are rotated throughout the four counties and transportation is often
provided for the clients to ensure that they can attend. This is especially true for the youth
in Indian River County as we have access to transportation through the Residential Girls
Group Home. While services are provided primarily during regular working hours , our
ILP staff carries beepers so they are accessible to clients . Visits and events are often
scheduled in the evenings and on weekends when the youth are not in school in order to
make these services easily accessible.
D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages)
7
CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN'S SERVICES ADVISORY COMMITTEE
OUTCOMES ACTIVITIES
Add all the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome(s)
1 . To maintain at 90% the percentage of 1 . Develop and implement individual
program participants who successfully meet case plans following assessment of
one or more of their educational, vocational, or current level of functioning.
basic living skills objectives within six months 2 . Review individual case plans every
of enrollment in the program as measured by six months .
documentation in their case plan . Baseline : 3 . Provide educational workshops .
2001 -2002 FY in Independent Living Program . 4 . Provide case management services .
5 . Monitor school attendance and
grades .
2 . To maintain at 90% the percentage of
program participants who are successfully 1 . Monitor progress through attendance
enrolled in an appropriate educational or reports, report cards and/or other
vocational placement as measured by performance reports .
attendance reports, GPA and performance 2 . Maintain monthly face-to-face contact
appraisals . Baseline : 2001 -2002 FY in with participant to encourage success .
Independent Living Program. 3 . Maintain contact with school counselor
or other appropriate personnel to
coordinate services .
4 . Attend school conferences and/or
staffing as appropriate to advocate for
ILP participant.
3 . To increase to six the number of
Niocational/educational outings that 1 . Schedule vocational/educational
program participants are exposed to as outings on a monthly basis ,
measured by attendance at outings . 2 . Inform participants of upcoming
Baseline : vocational/educational outings in vocational/educational events through
2001 -2002 FY, monthly newsletters, home visits and
phone calls .
3 . Maintain attendance records at all
vocational/educational events .
4 . Maintain evaluation records for all
vocational/educational activities .
8
CHILDREN'S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN'S SERVICES ADVISORY COMMITTEE
E. COLLABORATION (Entire Section E not to exceed one page)
1 . List your program ' s collaborative partners and the resources they are providing to the
program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative agreement letters .
Collaborative Agency Resources provided to the program
D . A . T .A . Will work cooperatively with Children ' s Home Society
Drug Abuse Treatment Association to ensure services are delivered to youth in need of drug
abuse assessments and/or treatment.
Family Preservation Service, Inc . Will accept referrals for counseling services and
medication evaluations for psychiatric issues .
Florida Community Health Services Will provide medical and dental services as need for our
clients .
Safe Space, Inc . Will provide education on domestic violence and teen
dating violence .
Suncoast Mental Health Will accept referrals for assessments and counseling
services .
St. Lucie County Health Department Will provide meeting room for activities .
9
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CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN'S SERVICES ADVISORY COMMITTEE
Satisfaction surveys are used to ascertain whether program participants feel that their
needs are being met or if other services would be more beneficial.
The program is monitored both by the CSAC and the Department of Children and
Families to assess if we are meeting our contracted goals .
3 . REPORTING : What will you do with this information to show that change has
occurred ? How will you use or present these results to the consumer, the funder, the
program, and the community? How will you use this information to improve your
program ?
Data will be compiled into monthly reports for programmatic purposes . Each program for
review completes a monthly management report by agency administration.
These reports are shared with our regional quality assurance team to identify areas for
improvement within the program.
Quarterly and annual reports will be prepared for and provided for the funder. This
information is also shared with the Department of Children and Families during their
reviews and monitoring of the program.
Information is shared with the statewide coordinator for Independent Living Program.
T� he program staff attends statewide workshops and coordinators meetings to share
information and ideas with other agencies that provide Independent Living services.
11
CHILDREN' S HOME SOCIETY INDEPENDENT LIVING
INDIAN RIVER COUNTY CHILDREN' S SERVICES ADVISORY COMMITTEE
G. TIMETABLE (Section G not to exceed one page)
1 . List the major action steps , activities or cycles of events that will occur within the
program year. New programs should include any start-up planning that may occur
outside the funding year. In completing the timetable, review information detailed in
prior sections .
Month/Period Activities
10/03 to 9/04 Monthly Educational/vocational workshops will be presented to
program participants .
10/03 to 9/04 Case management services will be provided to all program participants .
10/03 to 9/04 Educational presentations regarding the Independent Living Program
will be presented to DCF, CHS and community providers .
10/03 to 9/04 Program staff will attend staffing at DCF service center to identify
youth eligible for the program .
10/03 to 9/04 Program staff will utilize HomeSafeNet reports to ensure that all
eligible youth receive program services .
Within 30 days of Program staff will complete an assessment and develop a individual
referral case plan for each program participant.
10/03 to 9/04 Program staff will attend quarterly statewide Independent Living
Coordinators meetings .
12
Number of Unduplicated Clients by Location
Current F*Scal Yearr
1 I a zP I x d ,' . d ' t1Te vai s v.x
Budget 2002/03
Id
- j � s • � ir '-' alt sagFb
Tit
t � t
Martin County-Tota
' Fort Pierce
lPoil Saint Lucie
Co.St. Lucie a ■
• - I1 s
Number of 1 f 1 1 Clients by
ir
M t -. ! Q F k2 lf " 4 ( .r1 S [ • � � f r -., 4•l t Iry
.-
r �z
-� y
CurrentFiscalYear s e
� • , , ar � d 3 � x €3 ,iy }' r 5` ;�nr � • , P3Am' dwYaF • r7
Bud
� . ,-•`'t2P` .. '5 . :�TM .t j-r s:R; .�� ,eW+, .y
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g 9
002/03
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Ni'S ^C . t�,
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., 9. •.
(Elementary)
1
MOINUMUMS4 4
TOTAL
Type the Organization and Program Name
UNIFORM GRANT APPLICATION
BUDGET NARRATIVE WORKSHEET
IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your
program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific
Budget Forms.
AGENCY/ PROGRAM NAME : CHILDREN 'S HOME SOCIETY/INDEPENDENT LIVING
FUNDER : INDIAN RIVER COUNTY CHILDREN ' S SERVICES ADVISORY COMMITTEE
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
•@be used for calculations and to write information only.
GRAY FOR
AGENCY USE ONLY Proposed Total Program Funder Specific Total AgencyREVENUES
(SHOW DETAIL
CALCULAATIONTIONS) Budget Budget Budget
1 Children's Services Council-St. Lucie 110,000. 00
2 Children's Services Council-Martin 0.00
3 Children's Services Council-Okeechobee 0.00
4 Advisory Committee-Indian River 21 , 112 .00 21 , 112 .00 105 ,000 .00
5 United Way-St. Lucie County 44,000. 00
6 United Way-Martin County 37, 700.00
7 United Way-Okeechobee County 0.00
8 United Way-Indian River County 73,000. 00
9 Department of Children & Families 1809000. 00 21373, 153.00
10 County Funds 0.00
11 Contributions-Cash 104 ,000.00
12 Program Fees 64,480. 00
13 Fund Raising Events-Net 105, 560.00
14 Sales to Public - Net 0 .00
15 Membership Dues 0.00
16 Investment income 0 .00
17 Miscellaneous 429, 520. 00
18 Legacies & Bequests 0 .00
19 Funds from Other Sources 1 ,492 ,850.00
20a Reserve Funds Used for Operating 0. 00
20b In Kind Donations (Not included In total) 80 ,605 .00
21 TOTAL REVENUES
(doesn't include line 20b) $201 , 112 .00 $21 , 112 . 00 $5 , 0191868. 00
A B C D
EXPENDITURES GRAY AREAS FOR Proposed Total Program Funder Specific Total Agency
AGENCY USE ONLY
(SHOW CALCULATIONS) Budget Budget - Budget
22 Salaries - (must complete chart on next page) 84 , 040. 00 12 , 740 . 00 2 , 008 ,694 . 00
0
Salary
23 FICA - Total salaries x 0. 0765 7.65% 72024 . 00 974 .61 206 ,501 .00
e Yemen - Annual pension or qua I le
24 staff 3 , 397. 00 0 . 00 109 , 397 .00
Life/Health - e Ica enta ort- erm
25 Disab . 61409. 00 0. 00 161 , 806 . 00
Workers Compensation - # employees x
26 rate 2 ,755 . 00 0 . 001 63 ,966. 00
Florida Unemployment - # pro)ec e
27 employees x. $7 , 000 x UCT-6 rate 230. 00 0 . 00F 45 ,889 .00
5/27/2003
15
Type the Organization and Program Name
A
SALARIES Gross Annual B C % of Gross Annual
POSITION LISTING Salary Portion of Safety
o9 on Proposed Funder Specific Budget Salary
Position Title / Total Hrs/wk (Agency) Requested(CIA)
Example: Executive Director/ 40 hrs 70,000.00 10, 000.00 5,000.00 7. 14%
Program Director 49, 140 . 00 49910 .00 0.00%
Independent Support Coordinator 28 ,600. 00 28 ,600. 00 0. 00%
Life Skills Specialist 25 ,480 . 00 25 ,480. 00 12 ,740.00 50 .00%
Life Skills Specialist 25 , 050. 00 25 ,050 .00 0.00%
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0!
#DI V/0 !
#DIV/0 !
#DIV/0!
#DIV/0 !
#DIV/0!
#DIV/0 !
Remaining positions throughout the agency
Total Salaries $ 1280270.001 $84,040. 00 $ 12 , 740.00 9.93%
FRINGE BENEFITS DETAIL A
(Funder Specific Budget Funder B c D E Unem /o
F
Pension yme Total Fringes Funder
's
Column C only, from line 22 to 27) Specific FICA 7. 65% (A x Yo) Health Ins.
Worker
Budget Compens. nt Compens. Speck
Position Title / Total Hrs/wk
Example: Case Manager/ 40 hrs 51000.00 382. 50 200. 00 500.00 300,001 200.00 1, 582. 50
Program Director 0 .00 0.00 0. 0
Independent Support Coordinator 0. 00 0 .00 1 0.0
Life Skills Specialist 12 , 740 .00 974.61 974 .61
Life Skills Specialist 0. 00 0 .00 0.0
0 0.00 0.00 0.0
0 _ 0 . 00 0.00 0. 0
0 0. 00 0 .00 0 .0
0 0.00 0. 00 0 . 0
0 0. 00 0.00 0. 0
0 0.00 V0.00
0.00
0 0.00 0.0
0 0. 00 0. 00
0 0.00 0. 00
0 0 . 00 0 .0
0 0.00 0.0
0 0 .00 0. 00 0. 0
0 0. 00 0 .00 0 .0
0 0. 00 0 .00 0.00
0 0 .00 0. 00 0. 00
0 0 .001 0.00 0.001
Total Funder Request Fringe Benefits $ 12 , 740. 001 $974. 611 $0. 001 $0. 001 $0.001 $0 .001 $974 .61
A B C D
EXPENDITURES GRAY AREAS FOR Proposed Total Program LFunder Specific Total ArYenc
AGENCY USE ONLY TO Agency
SHOW DETAIL Budget Budget Budget
5/27/2003
16
Type the Organization and Program Name
28 Travel-Daily Total cost 10,000 .00 1 ,090. 80
divided by 21 /2
# of Staff x average # of miles/wk x 50 wks x staff divided by
$ = Estimated Daily Travel/Mileage Reimb. 2 (cost of 1 /2
29 Travel/Conferences/Training 90500 . 00 11090. 00
• National Conference (cost per staff) Total cost
• Training/Seminar (cost per staff) divided
staff divided
by by
• Other Trainings (cost of travel , lodging , 2 (cost of 1 /2
registration , food ) worker)
30 Office Supplies 39000. 00 400. 00
divided by 21 /2
Office supplies (monthly average x 12 staff divided by
months = estimated cost of office supplies 2 (cost of 1 /2
based on present history. worker)
31 Telephone 31500. 00 484.40
• # Phone lines x average cost per month x Total cost
divided by 21 /2
12 months = local phone cost staff divided by
• Average long distance calls x 12 months = 2 (cost of 1 /2
Estimated cost of long distance worker)
32 Postage/Shipping Iotal cost 650 .00 95.00
• Quarterly Mailing of Newsletter divided
staff divided
by by
• Special events , etc. 2 (cost of 1 /2
• Bulk mailings - appeals worker)
33 Utilities a cos 1 ,200. 00 170.20
• Electricity ($ x 12 months) divided
staff divided
by by
• Water/Sewer ($ x 12 months) 2 (cost of 1 /2
• Garbage ($ x 12 months) worker)
34 Occupancy (Building & Grounds) 41020. 00 804. 00
• Mortgage/Rent ($ x 12 months) Total cost
• Janitorial ($ x 12 months) divided
staff divided
by by
• Grounds Maint. ($ x 12 months) 2 (cost of 1 /2
• Real Estate Taxes worker)
35 Printing & Publications 1 ,000.00 115.00
Quarterly Newsletter ($ x 4) Total cost
divided. by 21 /2
Letterheads , Envelopes , etc. staff divided by
Fundraising materials 2 (cost of 1 /2
Other worker)
36 Subscription/Dues/Memberships 75.00 15. 00
• Membership to National Organization Total cost
• Dues divided by 21 /2
staff divided by
• Subscriptions to Newspapers/magazines , 2 (cost of 1 /2
etc. worker)
37 Insurance 575 .00 115. 00
• Directors/Officers Liab. Total cost
divided by 21 /2
• Commercial/General Insurance staff divided by
• Bond Ins. 2 (cost of 112
• Auto Insurance worker)
38 Equipment: Rental & Maintenance 3 ,000.00 220. 00
• Copier lease ($ x 12 months)
• Meter lease ($ x 12 months) Total cost
• Copier Maintenance ($ x 12 months) divided
staff divided
by by
• Computer Maintenance ( $ x 12 months) 2 (cost of 1 /2
• Other worker)
39 Advertising 0. 00
• Newspaper ads
• Fundraising ads/promotions
• Other (vacancies)
401 Equipment Purchases : Capital Expense 0. 00
Computer/monitor (# x $)
Laser Printer
411 Professional Fees ( Legal , Consulting ) 0 .00
5/27/2003
17
Type the Organization and Program Name
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other
42 Books/Educational Materials 500.00
• Books/videos
• Materials ($ x staff)
43 Food & Nutrition 2 ,000.00 320. 00
divided by 21 /2
Meals ( # meals x clients x 5days x 50 wks) staff divided by
• Snacks 2 (cost of 1 /2
44 Administrative Costs 23 ,913.00
Admin . Cost (% of total budget)
45 Audit Expense divided by 21 /2 293.00 58 .60
• Independent Audit Review staff divided by
46 Specific Assistance to Individuals 16 ,000 .00 19420.00
• Medical assistance Total cost
• Meals/Food divided by 21 /2
staff divided by
• Rent Assistance 2 (cost of 1 /2
• Other worker)
47 Other/Miscellaneous 250 .00
• Background check/drug test
• Other
48 Other/Contract 0.00
Sub-contract for program services
49 TOTAL EXPENSES $ 1839331 .00 $20, 112 .61 $2 , 596 ,253 .00 .
5/27/2003 18
Type m Organ¢at n aM Program Name
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCY/PROGRAM NAME : Children's Home Society/ Independent Living
FY 01/02 FY 02/03 FY 03/04 % INCREASE
FYE FYE FYE CURRENTVS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED (Col. C-Col. Bycol. B
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St. Lucie 81t160.00 110 000.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DIV/01
3 Children's Services Council-Okeechobee 0.00 #DIV/01
4 Advisory Committee-Indian River 105 000.00 #DIV/01
5 United Way-St. Lucie County 32 814.00 135 540.00 44 000.00 -67.54%
6 United Way-Martin County 65 000.00 37 700.00 #DIV/01
7 United Way-Okeechobee County 0.00 #DIV/01
e United Way-Indian River County 73 000.00 #DIV/01
9 Department of Children & Families 19978,934.00 2 281 878 .00 237315300 4.00%
to County Funds 0.00 #DIV/01
11 Contributions-Cash 401t063.00 100 000.00 104 000.00 4.00%
12 Program Fees 18 457.00 62 000.00 64f480.00 4.00%
13 Fund Raising Events-Net 24 497.00 101 500.00 105 560.00 4.00%
14 Sales to Public-Net 0.00 #DIV/01
15 Membership Dues 0.00 #DIV/01
16 Investment Income 0.00 #DIV/01
17 Miscellaneous 400 883.00 413 000.00 429 520.00 4.00%
1E Legacies & Bequests 1 0.00 #DIV/01
19 Funds from Other Sources 11295,775,001 1 492 850.00 #DIV/01
20a Reserve Funds Used for Operating 0.00 #DIV/0!
20b In-Kind Donations (Not included in total) 77 505.00 80 605.00 4.00%
21 TOTAL 41298,583.00 3 093 918.00 4 939 263.00 59.64eA
EXPENDITURES
22 Salaries 21294,970,00 2 595 543.00 2900804.00 -22.61 %
23 FICA 170 589.00 198 559.00 206 501 .00 4.00%
24 Retirement 92 411 .00 105 189.00 109 397.00 4.00%
25 Life/Health 121 463.00 155 583.00 161 806.00 4.00%
26 Workers Compensation 56 159.00 61 506.00 63 966mwmlwmmw� .00 4.00%
27 Florida Unemployment 0.0044 124.00 45 889mmm� .00 4.00%
28 Travel-Daily 104 537.00 111 501 .00 0.00 -100.00%
29 Travel/Conferences/Training 19 108.00 9,425.00 0.00 -100.00%
30 Office Supplies 89 321 .00 19 799.00 0.00 -100.00%
31 Telephone 101 757.00 106 259.00 0.00 -100.00%
32 Postage/Shipping 5, 370.00 61060.00 0.00 -100.00%
33 Utilities 35 753.00 36 878.00 0.00 -100.00%
34 Occupancy (Building & Grounds 104 179.00 185 417.00 0.00 -100.00°/g
35 Printing & Publications 55 799.00 58 410.00 0.00 -100.00%
36 Subscription/Dues/Memberships 71804.00 91659 .00 0.00 -100.00%
37 Insurance 243.00 32 782.00 0.00 -100.00%
3s E ui ment: Rental & Maintenance 42 229.00 45 535 .00 0.00 -100.00%
39 Advertising 18 194.00 11 750.00 0.00 -100.00%
4o Equipment Purchases : Ca ital Expense 0.00 0.00 0.00 #DIV/01
41 Professional Fees (Legal, Consulting) 91 673.00 11 100.00 0.00 -100.00%
42 Books/Educational Materials 11666.001 0.00 0.00 #DIV/01
43 Food & Nutrition 25 068 .00 31 525.00 0.00 -100.00%
44 Administrative Costs 51o651 .00 581p131 .00 0.00 -100.00%
45 Audit Expense 0.00 6V1 16,00 0.00 -100.00%
46 Specific Assistance to Individuals 74 202.00 101 975 .00 0.00 -100.00%
47 Other/Miscellaneous 44 214.00 63 107.00 0.00 -100.00%
48 Other/Contract 0.00 0.00 0.00 #DIV/01
49 TOTAL 3t6081360.00 4 588 933 .00 21596, 253.001 -43.42%
So REVENUES OVER/ UNDER EXPENDITURES 690 223.00 -1495 015 001 2,343,010.00 -256.72%
0.00
51172003 19
Type °w Org*M at n an° ProMm Name
a UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME : Children's Home Sodety/Independent Living
FY 01/02 ICY 02103 FY 03/04 % INCREASE
FYE FYE FYE CURRENT VS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED (col. Ctol. Byeol. a
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St. Lucie 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DIV/01
3 Children's Services Council-Okeechobee 0.00 #DIV/01
4 Advisory Committee-Indian River. 20 000.00 20 000.00 21 112.00 5.56%
5 United Way-St. Lucie County0.00 #DIV/O!
6 United Way-Martin County0.00 #DIV/O !
7 United Way-Okeechobee County0.00 #DIV/O!
8 United Way-Indian River County 0.00 #DIV/01
9 Department of Children & Families 112 590.00 154 125.00 162 000.00 5. 11 %
10 County Funds 0.00 #DIV/01
11 Contributions-Cash 0.00 #DIVJ01
12 Program Fees 0.00 #DIV/01
13 Fund Raising Events-Net 0.00 #DIV/01
14 Sales to Public-Net 0.00 #DIV/01
15 Membership Dues 0.00 #DIV/O !
16 Investment Income 0.00 #DIV/01
17 Miscellaneous 0.00 #DIV/01
18 Legacies & Bequests 0.00 #DIV/O!
19 Funds from Other Sources 0.00 #DIV/01
20a Reserve Funds Used for Operating 0.00 #DIV/01
20b In-Kind Donations (Not included lntotal) 0.00 #DIV/O!
21 TOTAL 132 590.00 174 125.00 183 112.00 5. 16%
EXPENDITURES
22 Salaries 78y754.001 90 491 .00 84 040.00 -7. 13%
23 FICA 6 024.00 61923.00 72024.0001 1 .46%
24 Retirement 5 119.005 580.00 31397.00 39. 12%
25 Life/Health 61269.00 6 833.00 6 409.00 -6.21 %
26 Workers Compensation 1 9331 .00 1451 ,0 2 755.00 89.87%
27 Florida Unemployment 158.00 172.00 230.00 33.72%
28 Travel-Dail 31500.001 91007.001 10 000.00 11 .02%
29 Travel/Conferences/Training 3500.00 8090.00
91500.00 17.43%
30 Office SuppliesM1 636.00 2 684.00 31000.00 11 .77%
31 Telephone 1 010.00 308600 3 500.00 13.42%
32 Postage/Ship Postage/ShipIng 0.00 386.00 650.00 68.39%
33 Utilities 1 540.00 977.00 11200.00 22.82%
34 Occupancy (Building & Grounds 49689.00 497300
41020. 001 19. 16%
35 Printing & Publications 500.00 11058.00 11000.00 -5.48%
36 Subscription/Dues/Memberships 120.00 85.00 75.00 -11 .76%
37 Insurance 155.00 435.00 575.00 32. 18%
38 E ui ment: Rental & Maintenance 0.00 21607.00 3 000.00 15.07%
39 Advertising 0.00 722.00 0.00 -100.000/0
40 Equipment Purchases:Ca ital Expense 0.00 0.00 0.00 #DIV/Ol
41 Professional Fees (Legal, Consulting) 0.00 429.00 0.00 100.00%
42 Books/Educational Materials 0.00 0.00 500.00 #DIV/0!
43 Food & Nutrition 0. 00 11710.00
21000.00 16.96%
44 Administrative Costs 12 291 .00 22 823.00 23 913.00 4.78%
45 Audit Expense 0.00 293.00 #DIV/O !
46 Specific Assistance to Individuals 61000.001 4P453.001 16 000.00 259.37%
47 Other/Miscellaneous 0.00 0.00 250.00 #DIV/01
48 Other/Contract 0.00 0.00 0.00 #DIV/01
a9 TOTAL 132 596.00 174 975.00 183 331 .00 4.78%
50 REVENUES OVER/ UNDER EXPENDITURES 6.00 850.00 219.00 74. 247
srzumo3
20
Type the Organization and Program Name
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME : Children's Home Society/ Independent Living
FUNDER : A B C
FY 03/04 FY 03/04 % INCREASE
TOTAL FUNDER TOTAL VS,
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET (col . B/col . A)
EXPENDITURES
22 Salaries 841040 . 00 12 , 740 . 00 15 . 16%
23 FICA 7 , 024. 00 974. 61 13 .88%
24 Retirement 3 , 397.00 0 . 00 0 . 00%
25 Life/Health 6 ,409 . 00 0 .00 0 .00%
26 Workers Compensation 21755. 00 0 . 00 0 .00%
27 Florida Unemployment 230 .00 0 .00 0 . 00%
28 TravekDally 10 , 000 . 00 11090 . 80 10 . 91 %
29 Travel/Conferences/Training 91500 . 00 11090 . 00 11 .47%
30 Office Supplies 39000 . 00 400 . 00 13 . 33%
31 Telephone 39500 .00 484.40 13 . 84%
32 Postage/Shipping 650 .00 95 . 00 14.62%
33 Utilities 11200 .00 170 . 20 14. 18 %
34 Occupancy ( Building & Grounds 4 , 020. 00 804. 00 20 .00%
35 Printing & Publications 19000 . 00 115 . 00 11 . 50%
36 Subscription/Dues/Memberships 75 . 00 15 . 00 20 .00 %
37 Insurance 575 . 00 115 . 00 20. 00%
38 Equipment : Rental & Maintenance 39000 . 00 220 .00 7 . 33%
39 Advertising 0 . 00 0 . 00 #DIV/01
40 Equipment Purchases : Ca ital Expense 0 . 00 0 . 00 #DIV/0 !
41 Professional Fees ( Legal , Consulting ) 0 . 00 0 . 00 #DIV/0 !
42 Books/Educational Materials 500 . 00 0 . 00 0 . 00%
43 Food & Nutrition 29000 . 00 320 . 00 16 . 00%
44 Administrative Costs 233913 . 00 0 . 00 0 .00%
45 Audit Expense 293 . 00 58 . 60 20 .00 %
46 Specific Assistance to Individuals 16 , 000 .00 11420 . 00 8 . 88%
47 Other/Miscellaneous 250 . 00 0 . 00 0 .00%
48 Other/Contract 0 . 00 0 . 00 #DIV/01
49 TOTAL $ 183 , 331 . 00 1 $201112 . 61 $0 . 11
5272003
21
Type the Organization and Program Name
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
FUNDER SPECIFIC BUDGET
AGENCYIPROGRAM NAME :
FUNDER:
Salaries
Occu anc (Building & Grounds based on actual expenses
Subscription/Dues/Memberships based on actual expenses
Insurance based on actual expenses
#DIV/01
#DIV/01
#DIV/01
Food & Nutrition based on increased client participaton in monthly workshops
Audit Expense based on actual expenses
#DIV/01
5272003
23
BYLAWS
OF
THE CHILDREN ' S HOME SOCIETY OF FLORIDA
Incorporated under the Laws of the State of Florida
ARTICLE ONE
Name , Location and Offices
1 . 1 Name. The name of this corporation shall be The Children' s Home Society of Florida.
1 . 2 Registered Office and Agent. The corporation shall maintain a registered office in the
State of Florida, and shall have a registered agent whose address is identical with the
address of such registered office, in accordance with the requirements of the Florida
Nonprofit Corporation Code .
1 . 3 Other Offices . The principal office of the corporation shall be located at 1485 South
Semoran Boulevard, Winter Park, Florida. The corporation may have other offices at
such place or places, within or outside the State of Florida, as the Board of directors may
determine from time to time or the affairs of the corporation may require or make
desirable .
ARTICLE TWO
Purposes and Governing Documdnts
2 . 1 Nonprofit Corporation. The corporation shall be organized and operated as a nonprofit
corporation under the provisions of the Florida Nonprofit Corporation Code .
2 . 2 Purposes. The general nature of the objects of the corporation, and the purposes for
which the corporation is organized, and the objects to be carried on and performed by it
are as follows :
1 . ( a) To provide social services to children and families in the State of Florida
and engage in services and activities related thereto and to provide social services
to the community where such services are needed and are authorized by the state
board of directors ; and
(b ) To receive from persons, firms and corporations , by way of gift, donation,
devise or bequest, or, in any other manner, charitable donations and contributions
of monies, stocks , bonds, mortgages, notes and other securities of all kinds and
descriptions , real estate , buildings, and all other kinds of property, real , personal
or mixed, or whatsoever nature ; and
Revised and annroved by the State Board of Dirertnrc 12 /8/00.
( c ) To hold and manage all such property coming into its hands, and to invest and
reinvest the proceeds thereof, and to collect the income and profits therefrom
arising, and to use , expend, pay out, disburse, donate, assign, transfer and
otherwise dispose of said property or the income therefrom arise .
2 . Exclusively in the furtherance of the above purposes , said corporation shall have
the following powers :
( a) To purchase or otherwise acquire, lease , assign , mortgage , pledge or otherwise
dispose of any trade-names , trademarks , concessions , invertions , formulas ,
improvements , processes of any kind whatsoever, copyrights and letters patent
of the United States and of foreign countries , and to accept and grant licenses
thereunder;
(b ) To subscribe or cause to be subscribed to and to purchase or otherwise
acquire , hold for investment, sell , assign, transfer, mortgage, pledge,
exchange, distribute, or otherwise dispose of the whole or any part of the
shares of capital stock, bonds, mortgages, deeds of trust, debentures,
securities , obligations, notes and other evidences of indebtedness of any
corporation, stock company or association now, or hereafter existing, and
whether created by or under the laws of the State of Florida or otherwise and
while owners of any of said shares of capital stocks or bonds , or other
property to exercise all the rights, powers and privileges of ownership of
every kind and description, including the right to vote thereon, with power to
designate some person for that purpose from time to time in the same extent as
natural persons might or could do ;
( c ) To borrow or solicit money for furtherance of the corporate purposes ;
( d) In the event that any gift, conveyance , transfer, settlement, devise or bequest
is made for a designated , restricted purpose and if such restricted purpose is
Within the purview of the corporate powers herein, the Board of Directors may
accept and expand such funds or property for the designated purposes .
However, the Corporation reserves the right to decline any gift, conveyance ,
transfer, settlement, devise or other bequest that the Corporation deems
inappropriate or undesirable for any reason;
( e ) To purchase , sell , mortgage , lease , improve and deal in real estate and
personal property wheresoever situated, and to construct, operate, lease , rent,
hire and manage buildings of every kind and description .-
( f)
escription ;( f) To do all other acts and things which may, in the discretion of the board
of
directors be calculated to further the above purposes , and to that end to
organize and maintain charitable , religious or educational institutions or
agencies ; provided however, that no part of the net earnings of the corporation
shall inure to the benefit of any private shareholder or individual , and no
Revised and annrnved by the State Roard of nirectnrx 12 /8/00.
ARTICLE THREE
Board of Directors
3 . 1 Composition . The Board of Directors shall consist of not less than fifteen ( 15 ) and not
more than twenty-four (24 ) voting members , who shall be elected to the Board of
Directors in their sole discretion. There will be at least two (2 ) directors who reside in
each of the five geographical areas of the state as defined by Exhibit A.
3 . 2 Term . The Board of Directors shall have the power and authority to make appointments
of Directors taking office on July 1 , 1998 , for various term lengths, so as to allow for
staggered terms of subsequent Directors . Thereafter, all terms of appointment shall be
for a term of three ( 3 ) years . Subsequent appointments will be by election at the annual
meeting of the Board of Directors . No Director shall serve more than three (3 ) successive
three-year terms without a minimum of one ( 1 ) year' s absence from the Board; provided,
however, the Immediate Past Chair and any Director who has been elected to serve as
Chair or Vice Chair shall be permitted to continue as Directors for as long as they shall
hold such positions , and the time served by a director prior to July 1 , 1998 , shall not be
considered in applying the term limitation.
3 . 3 Vacancies . Any vacancy in the Board of Directors arising at any time and from any
cause, including the authorization of an increase in the number of Directors, may be filled
for the unexpired term by the Board of Directors upon the advice of the Governance
Committee, but the Board of Directors shall not be bound by the recommendations of
such Committee . Unless otherwise provided by the Board of Directors, each Director so
elected shall hold office until the expiration of his or her term and the qualification of his
Pr her successor.
3 . 4 Removal . Any Director may be removed at any time by a two-thirds (2/3 ) vote of the
Board of Directors with or without cause .
3 . 5 Voting by Proxy or Substitution . Voting by proxy or substitution shall not be
permitted .
3 . 6 Compensation . No Director of the corporation shall receive , directly or indirectly, any
salary, compensation, or emolument therefrom as such Director. The Corporation shall
be authorized to reimburse the reasonable expenses of Directors incurred in furtherance
of the objectives of the corporation.
ARTICLE FOUR
Meetings of the Board of Directors
4 . 1 Place of Meetings. Meetings of the Board of Directors may be held at any place within
or outside the State of Florida as set forth in the notice thereof or in the event of a
meeting held pursuant to waiver of notice , as may be set forth in the waiver, or if no place
is so specified , at the principal office of the corporation.
Revised and annroverl by the State Rnard of nirmtnrs 12/R/00_
substantial part of its activities shall be the carrying on of propaganda, or
otherwise attempting, to influence legislation, and provided further that the
corporation shall not participate in, or intervene in ( including the publishing or
distributing of statements ) , any political campaign on behalf of any candidate
for public office ; and
( g) To have and exercise any and all corporate powers granted by the laws of
Florida, including, but not limited to , those stated in section 617 . 021 , Florida
Statutes .
2 . 3 Governing Instruments . The corporation shall be governed by its Articles of
Incorporation and these bylaws .
(a) The supreme authority of the corporation and the government and management of
the affairs of the corporation shall be vested in the Board of Directors ; and all the
powers , duties, and functions of the corporation conferred by the Articles of
Incorporation, these bylaws, state statutes, common law, court decisions, or
otherwise , shall be exercised, performed, or controlled by the Board of Directors .
(b) The governing body of the corporation shall be the Board of Directors. The
Board of Directors shall have the supervision, control and direction of the
management, affairs and property of the corporation, shall determine its policies
or changes therein; and shall actively prosecute its purposes and objectives and
supervise the disbursement of its funds . The Board of Directors may adopt, by
majority vote, such rules and regulations for the conduct of its business and the
business of the corporation as shall be deemed advisable, and may, in the
execution of the powers granted, delegate certain of its authority and
responsibility to an executive cdmmittee and/or regional Divisional Boards as
defined herein. Under no circumstances ; however, shall any actions be taken
which are inconsistent with the Articles of Incorporation and these bylaws , and
they shall not be amended or changed except as provided for in Article 12 .
( c ) The Board of Directors shall not permit any part of the net earnings or capital of
the corporation to inure to the benefit of any member, officer, director, or other
private person or individual .
( d) The Board of directors may, from time to time , appoint, as advisors, persons
whose advice , assistance and support may be deemed helpful in determining
policies and formulating programs for carrying out the purposes and functions of
the corporation.
( e ) The Board of Directors is authorized to employ any person or persons , including a
president or officer, attorneys, directors, agents , and assistants , as in its judgment
are necessary or desirable for the administration and management or the
corporation , and to pay reasonable compensation for the services performed and
expenses incurred by any such person or persons .
Revise( and gnnroved by the StAte. Rn ,9rri of Directors 12 /8 /00.
4 . 2 Annual Meeting and Notice. The annual meeting of the Board of Directors shall be
held at such place as the Board of Directors shall determine on such day and at such
places as the Board of Directors shall designate . Unless waived as contemplated in
Section 5 . 2 , notice of the time and place of such annual meeting shall be given by the
secretary either personally or by telephone or by mail or by telegram not less than ten
( 10 ) nor more than fifty ( 50 ) days before such annual meeting.
4 . 3 Regular Meetings and Notice. Regular meetings of the Board of Directors shall be held
from time to time between annual meetings at such times and at such places as the Board
of Directors may prescribe . Notice of the time and place of each such regular meeting
shall be given by the secretary either personally or by telephone or by mail or by telegram
not less than seven ( 7) nor more that thirty ( 30 ) days before such regular meeting.
4 . 4 Special Meetings and Notice. Special meetings of the Board of Directors may be called
by or at the request of the chair or the president or by any two (2 ) of the directors in
office at that time . Notice of the time , place and purpose of any special meeting of the
Board of Directors shall be given by the secretary either personally or by telephone or by
mail or by telegram at least twenty-four (24 ) hours before such meeting.
4 . 5 Waiver. Attendance by a director at a meeting shall constitute waiver of notice of such
meeting, except where a director attends a meeting for the express purpose of objecting to
the transaction of business because the meeting is not lawfully called. (See also Article
Five , Notice and Waiver. )
4 . 6 Quorum . At meetings of the Board of Directors, a majority of the directors then in
office shall be necessary to constitute a quorum for the transaction of business .
4 . 7 Vote Required for action . Except as otherwise provided in these bylaws or by law, the
act of a majority of directors present at a meeting at which a quorum is present at the time
shall be the act of the Board of Directors . Adoption , amendment and repeal of a bylaw
are provided for in Article Twelve ( 12 ) of these bylaws . Vacancies in the Board of
Directors may be filled as provided in Section 3 . 6 of these bylaws .
4 . 8 Action by Directors Without a Meeting. Any action required or permitted to be taken
at a meeting of the Board of Directors may be taken at a meeting of the Board of
Directors may be taken without a meeting if a consent in writing, setting forth the action
so taken is signed by all the members of the Board of Directors . Such consent shall have
the same force and effect as a unanimous vote at a meeting. The signed consent, or a
signed copy, shall be placed in the minute book .
4 . 9 Telephone and Similar Meetings. Directors may participate in and hold a meeting by
means of conference telephone or similar communications equipment by means of which
all persons participating in the meeting can hear each other. Participation in such a
meeting shall constitute presence in person at the meeting, except where a person
participates in the meeting for the express purpose of objecting to the transaction of any
business of the group that the meeting is not lawfully called or convened.
ReviRed anti annroved by the State Board of Directnr.Q 12 /g /M.
4 . 10 Adjournments . A meeting of the Board of Directors , whether or not a quorum is present
may be adjourned by a majority of the directors present to reconvene at a specific time
and place . It shall not be necessary to give notice of the reconvened meeting or of the
business to be transacted , other than by announcement at the meeting which was
adjourned . At any such reconvened meeting at which a quorum is present, any business
may be transacted which could have been transacted at the meeting which was adjourned.
ARTICLE FIVE
Notice and Waiver
5 . 1 Procedure. Whenever these bylaws require notice to be given to any director, the notice
shall be given as prescribed in Article Four. Whenever notice is given to a director by
mail , the notice shall be sent by first-class mail by depositing the same in a post office or
letter box in a postage prepaid sealed envelope addressed to the director at his address as
it appears on the books of the corporation ; and such notice shall be deemed to have been
given at the time the same is deposited in the United States mail . Notice shall be deemed
to have been given by telegram or cablegram at the time notice is filed with the
transmitting agency.
5 . 2 Waiver. Whenever any notice is required to be given to any director by law, by the
Articles of Incorporation or by these bylaws , a waiver thereof in writing signed by the
director entitled to such notice, whether before or after the meeting to which the waiver
pertains, shall be deemed equivalent thereto .
ARTICLE SIX
Officers
6 . 1 Number and Qualifications . The officers of the corporation shall consist of a Chair, a
Vice Chair, a President, a Secretary and a Treasurer. The Board of Directors may from
time to time appoint, and establish the duties of, such other officers or assistant officers
as it deems advisable or necessary for the efficient management of the corporation .
6 . 2 Election and Term of Office. The officers of the corporation shall be elected by the
Board of Directors from recommendations of the Governance Committee and/or such
other committees as may be established from time to time for the selection of officers,
and from nominations made by Directors from the floor. Persons serving as Chair and
Vice Chair must be members of the Board of Directors and shall each serve for a term of
two (2 ) years or until his or her successor has been elected and qualified. All other
officers shall serve at the will of the Board of Directors .
6 . 3 Removal. Any officer elected or appointed by the Board of Directors may be removed
by the Board whenever in its judgment the best interests of the corporation will be served
thereby; however, any such removal shall be without prejudice to the contract rights, if
any, of the officer so removed .
Revised and annroved by the Mate Board of Directors 12 /R/00.
6 . 4 Vacancies. A vacancy in any office arising at any time and for any cause may be filled
for the unexpired term by the Board of Directors of the corporation at any regular or
special meeting.
6 . 5 Duties of Officers .
a. Chair. The Chair shall preside at all meetings of The Board of
Directors and serve as the chair of the Executive Committee . He
or she shall appoint all standing committees of the Board and their
chairs . He or she shall perform such other duties and have such
other authority and powers as the Board of Directors may from
time to time prdscribe .
b . Vice-Chair. The Vice Chair shall in the absence or disability of
the Chair, perform the duties and have the authority and exercise
the powers of the Chair. He or she shall perform such other duties
and have such other authority and powers as the Board of Directors
may from time to time prescribe or as the Chair may from time to
time delegate .
C . President. The President/CEO shall be appointed by the Board of
Directors and shall serve at its pleasure, subject to and consistent
with the results of the President' s annual performance evaluation.
The President shall have all the responsibility and authority for the
executive leadership, management and administration of the
corporation, subject only to the policies of the Board, and shall
report to the Board of Directors on a regular and timely basis .
d. Secretary . The Secretary shall be appointed by the Board of
Directors and shall serve at its pleasure. He or she shall attend all
meetings of the Board of Directors and record or cause to be
recorded all votes , actions and minutes of all proceedings in a book
to be kept for that purpose , perform or cause to be performed like
duties for the Executive and other Committees when required and
give or cause to be given notice of all meetings of the Board of
Directors . The Secretary shall keep in safe custody the seal of the
corporation and , when authorized by the Board of Directors or the
President, affix it to any instrument requiring it. He or she shall
perform such other duties and have such other authority and
powers as the Board of Directors may from time to time prescribe .
e . Treasurer. The Treasurer shall be the Chief Financial Officer of
the corporation . He or she shall have custody of the corporate
funds and securities, keep full and accurate account of all receipts
and disbursements of the corporation, and deposit all monies and
other valuables in the name and to the credit of the corporation into
depositories designated by the Board of Directors . The Treasurer
shall disburse the funds of the corporation as ordered by the Board
of Directors , and prepare and distribute financial statements each
Revisers and annroved by the State Roard of Directors 12 /R/00.
month or at such other intervals as Board of Directors shall from
time to time direct.
ARTICLE SEVEN
Committees
7 . 1 Executive Committee. The Executive Committee shall be comprised of the Chair, the
Vice Chair, the immediate past Chair, and the chairs of the Finance and Audit
Committee , the Legislative and Public Policy Committee and the Governance
Committee . The Committee shall be empowered to exercise the full authority of the
Board of Directors in the management of the affairs of the corporation between meetings
of the Board of Directors . However, the establishment of the Executive Committee and
the delegation thereto of authority shall not operate to relieve the Board or any individual
Director of any responsibility imposed thereupon by law.
7 . 2 Standing Committees of the Board . The Chair shall appoint, with the advice of the
Executive Committee , the following standing committees and their chairs :
a. The Finance and Audit Committee . The Finance and
Audit Committee is responsible for the fiscal affairs of
the corporation, and shall review and make
recommendations to the Executive Committee and the
Board of Directors with respect to all aspects of the
financial affairs of the corporation . The Finance and
Audit Committee shall also make recommendations to the
Board with respect to the outside audit firm to be
engaged, review the audit results, financial statements
and scope of the audit, oversee the auditing of the
corporation ' s internal audit functions and report its
findings to the Executive Committee and the Board of
Directors .
b . The Legislative and Public Policy Committee . The
Legislative and Public Policy Committee shall develop,
formulate and direct the corporations ' legislative program
with respect to Federal , State and Local legislation which
may affect the lives of children and families in the State
of Florida. The Committee shall report regularly to the
Executive Committee and the Board of Directors and
perform such other duties and functions with respect to
legislative and pubic policy matters as it may be assigned
from time to time .
C . Governance Committee , The Governance Committee
shall lead the Board of Directors in regularly reviewing
and updating the board ' s statement of its roles and areas
of responsibility, and what is expected of individual
board members . The Committee leads in assessing
Revised and annroved by the State Roard of Directors 12 /8/OD.
current and anticipated needs related to board
composition, determining the knowledge , attributes,
skills , abilities , influence , and access to resources the
board will need to consider in order to accomplish the
future work of the board. The Committee shall develop a
profile of the board as should evolve over time . The
Committee will actively seek recommendations for board
members based on that profile from various sources
including all Regions and Divisions (as such terms are
hereinafter defined . ) The Committee designs and
oversees a process of board orientation, including
gathering information prior to election as board member
and information needed during the early stage of board
service . The Committee will design and implement an
ongoing program of board information and education.
The Committee will initiate periodic assessment of the
board ' s performance . The Committee will regularly
review the board ' s practices regarding member
participation, conflict of interest, confidentiality, etc. and
suggest improvements as needed. The Committee takes
the lead in succession planning, taking steps to recruit
and prepare for future board leadership. The committee
nominates board members for election as board officers .
7 . 3 Other Committees. The Board of Directors and/or the Chair may create such other
committees , advisory boards and panels , which may consist in whole or in part of persons
who are not Directors , as it, or he or she, may from time to time deem advisable or
necessary. It shall bd the function and purpose of each such committee , board or panel to
advise the Board of Directors and perform such specific duties or functions as may be
prescribed for it by the Board of Directors and/or the Chair and shall serve at their
pleasure. Appointment to and the filling of vacancies of any such committee , board or
panel shall be made by the Chair of the corporation.
7. 3 Quorum. Unless otherwise provided by the Board of Directors with respect to any
given Committee, one-half of the members of a Committee shall be required to constitute
a quorum, and the act of a majority of members present at a meeting at which a quorum is
present shall be the act of the Committee .
ARTICLE EIGHT
Regions and Division Boards
8 . 1 Geographic Designations. The Board of Directors shall divide the State of Florida into
geographic areas designated as Regions and Divisions . Initially, there shall be five ( 5 )
Regions and fourteen ( 14 ) Divisions , but the Board of Directors may increase or decrease
the number of Regions and/or Divisions as it may from time to time deem advisable or
necessary for the administration of the corporation .
Revised and nnnroved by the State Board of Directors 12/8/00.
8 . 2 Division Boards. Each Division shall have a locally-constituted and elected Division
Board . The Division Boards shall be advisory in nature and shall recommend prospective
Directors to the Board of Directors of the corporation and undertake other functions as
the Board may from time to time direct.
ARTICLE NINE
Contracts and Monetary Matters
9 . 1 Contracts . The Board of Directors may authorize such other officers and agents of the
corporation , in addition to the officers so authorized by these Bylaws , to enter into any
contract or execute and deliver any instrument in the name and on behalf of the
corporation, but such authority must be in writing and may be general or confined to
specific instances .
9 . 2 Checks, Drafts, Notes, Etc. All checks, drafts , or other orders for the payment of
money, notes or other evidences of indebtedness issue in the name of the corporation
shall be signed by the treasurer and countersigned by the president, and may be signed by
such other officer or officers , agent or agents, of the corporation and in such manner as
may from time to time be determined by resolution of the Board of Directors .
9 . 3 Deposits. All funds of the corporation shall be deposited from time to time to the credit
of the corporation in such banks , trust companies or other depositories as the Board of
Directors may select.
9 . 4 Gifts. The Board of Directors may accept on behalf of the corporation any contribution,
gift, bequest, or devise for the general purposes or for any special purpose of the
corporation .
ARTICLE TEN
Indemnification and Insurance
10 . 1 Indemnification . In the event that any person who was or is a party to or is threatened to
be made a party to any threatened, pending or completed action, suit or proceeding,
whether civil , criminal , administrative or investigative, seeks indemnification from the
corporation against expenses , including attorneys ' fees (and in the care of actions other
than those by or in the right of its corporation, judgments , fines and amounts paid in
settlement), actually and reasonably incurred by him in connection with such action, suit
or proceeding by reason of the fact that such person is or was an officer, employee,
director or agent of the corporation, or is or was serving at the request of the corporation,
domestic or foreign, nonprofit or for profit, partnership, joint venture , trust, or other
enterprise , then, unless such indemnification is ordered by a court, the corporation shall
determine, or cause to be determined, in the manner provided under Florida law whether
or not indemnification is proper under the circumstances because the person claiming
such indemnification has met the applicable standards of conduct set forth in Florida law;
and, to the extent it is so determined that such indemnification is proper, the person
claiming such indemnification shall be indemnified to the fullest extent now or hereafter
Revised and annroved by the State. Rnard of Dirertnrc 12/R/00.
a. the remainder of these bylaws shall be considered valid and operative ;
b . effect shall be given to the intent manifested by the portion held invalid or
inoperative .
11 . 6 Tables of Contents and Headings. The table of contents and headings are for
organization, convenience and clarity. In interpreting these bylaws, they shall be
subordinated in importance to the other written material .
11 . 7 Relation to Articles of Incorporation . These Bylaws are subject to , and governed by,
the Articles of Incorporation .
ARTICLE TWELVE
Amendments
12 . 1 Power to amend Bylaws. Subject to the provisions of Section Two of this Article, the
Board of Directors shall have the power to alter, amend, or repeal these bylaws, or adopt
new bylaws . Notice of any meeting at which bylaw changes are to be considered by the
Board of Directors and the proposed amendment to the bylaws shall be given to all
members of the Board of Directors no less than sixty (60) days prior to the meeting at
which such changes are to be considered.
12 . 2 Conditions. Action by the Board of Directors with respect to the modification of these
bylaws shall be taken by the affirmative vote of two-thirds (2/3 ) of all directors then
holding office .
ARTICLE THIRTEEN
Tax-Exempt Status
13 . 1 Tax-Exempt Status. The affairs of the corporation at all times shall be conducted in
such a manner as to assure its status as a tax-exempt organization as defined in Section
501 ( c) 3 of the Internal Revenue Code of 1954 ( or the corresponding provision of any
future United States Internal Revenue law) .
Revised and annrnve.d by the State Rnard of nirectorA
permitted by Florida law. Article Eleven of the Articles of Incorporation of the
corporation provide for certain non- liability of directors , pursuant to Official Code of
Florida Annotated and said article is likewise incorporated herein by reference thereto for
all purposes .
10 . 2 Indemnification Not Exclusive of Other Rights. The indemnification provided in
Section 10 . 1 above shall not be deemed exclusive of any other rights to which those
seeking indemnification may be entitled under the Articles of Incorporation or bylaws, or
any agreement, vote of members or disinterested directors, or otherwise, both as to action
in his official capacity and as to action in another capacity while holding such office , and
shall continue as to a person who has ceased to be an officer, employee , director, or
agent, and shall inure to the benefit of the heirs , executors , and administrators of such a
person.
10 . 3 Insurance. To the extent permitted by Florida law, the corporation may purchase and
maintain insurance on behalf of any person who is or was an officer, employee, director
or agent of the corporation, or is or was serving at the request of the corporation as an
officer, employee , director or agent of another corporation, domestic or foreign, nonprofit
or for profit, partnership, joint venture , trust or other enterprise.
ARTICLE ELEVEN
Miscellaneous
11 . 1 Books and Records . The corporation shall keep correct and complete books and records
of account and shall also keep minutes of the proceedings of its members , Board of
Directors , and committees having any of the authority of the Board of Directors . The
corporation shall keep at its registered or principal office a record giving the names and
adliresses of the directors .
11 . 2 Corporate Seal. The corporate seal ( of which there may be one or more exemplars)
shall be in such form as the Board of Directors may from time to time determine .
11 . 3 Fiscal Year. The Board of Directors is authorized to fix the fiscal year of the corporation
and to change the same from time to time as it deems appropriate .
11 . 4 Internal Revenue Code. All references in these bylaws to sections of the Internal
Revenue code shall be considered references to the internal Revenue Code of 1986 , as
from time to time amended, to the corresponding provisions of any applicable future
United States Internal Revenue Law, and to all regulations issued under sections and
provisions .
11 . 5 Construction. Whenever the context so requires , the masculine shall include the
feminine and neuter, and the singular shall include the plural , and conversely. If any
portion of these bylaws shall be invalid or inoperative , then so far as is reasonable and
possible :
Revised and gnnrnvM by the State Rnard of nirertnrs 12 /R/00.
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certffy from the records of this office that THE CHILDREN'S HOME SOCIETY
-!!L1 OF FLORIDA is a corporation organized under the laws of the State of Florida
• filed on _
y 8119640
The document number of this corporation is 707262,
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11 =i�: I further certify that said corporation hm paIld all fees and penalties due this office
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through December 31 , 1997, that its most recent annual report was filed on
March 1 Op 1997, and its status is active
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-g I further certify that said corporation has not filed Articles of Dissolution ,
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AD �1� � O �,Y BO- ARD
Children 's Home Society Of Florida
INDIAN RIVER ADVISORY BOARD
OFFICERS
Susan Mehiel . . . Chair Ann Thompson . . .Capital Campaign Chair
Marta Schneider. . . lst Vice-Chair Sherry Ann Dayton . . . 2nd Vice-Chair
Suzanne Schwerin . . . Secretary
MEMBERS
Mrs, Susan Bell Samuel ( 772 ) 231-0440 - Home
890 Reef Road
Vero Beach , FL 32963
Marcia Blackburn William ( 772 ) 234-3494 - Home
1295 Little Harbour Lane ( 772 ) 234-0191 - Fax
Vero Beach , FL 32963 mrbl295@attglobal . net
Legislative Chair
Nancy Briggs Robert ( 772 ) 231-9745 - Home
156 Anchor Drive
Vero Beach , FL 32963
Greg Brown Bonnie ( 772 ) 564-7915
Wachovia
500 Beachland Blvd .
Vero Beach , FL 32963
Barbara Brown ( Bobbie) ( Dr. ) Fred ( 772 ) 778-4358
3840 8th Place
Vero Beach , FL 32960
Patricia Burgoon Richard ( 772 ) 234-3389 - Home
11 Dove Plum Road
Vero Beach , FL 32963
Joan Burnham Bradford ( 772 ) 234-0679 - Home
1776 Mooringline Drive, # PH-C ( 772 ) 234-2906 - Fax
Vero Beach , FL 34963
Mr. David Carter Julia ( 772 ) 234-0768 - Home
979 Beachland Blvd . 772 ) 231-1100 - Office
Vero Beach , FL 32963 ( 772 ) 231-2020 - Fax
David Cox, Ph . D. ( 772 ) 388-6058 - Home
9495 Periwinkle Drive ( 772 ) 388-1656 - Fax
Vero Beach , FL 32963 dividcox@earthlink . Net
Sherry Ann Dayton Edward ( 772) 231-5610 - Home
90 Oyster Cut ( 772 ) 231-0384 - Fax
Vero Beach , FL 32963 srdavton@visi . com
MINNEAPOLIS NUMBERS (952 ) 476-2520 - Home
(952 ) 473-0341 - Office
(952 ) 476-8544 - Fax
Dr. Roger Dearing Susy ( 772 ) 778-1780 - Home
6400 37th Street
Vero Beach , FL 32966 800-310-5497 - Pager
1990 25th Street ( 772 ) 564-3150 - Office
Vero Beach , FI 32960 roger. dearing@indian-river. kl2 .fl . us
Phyllis Dillon Richard ( 772 ) 234-8021 - Home
2310 Ocean Drive
Vero Beach , FL 32963
Indian River Advisory Board
Henry Feeley Diane ( 772 ) 234-3787 - Home
211 Clarkson Lane ( 772) 234-0708 - Fax
Indian River Shores, FL 32963 (321) 640-1004
( 616) 334-3084
Mrs . Mallie Ireland , II Glenn ( 772 ) 231-2178 - Home
230 Sandpiper Point ( 772 ) 231-0577 - Fax
Vero Beach , FL 32963 (336) 363-2846
Joan T. Lang Paul ( 772 ) 234-9338 - Home
826 Island Club Square
Vero Beach , FL 32963
Dr. Judy Linger ( 772 ) 563-4666
1190 37th Street
Vero Beach , FL 32960
Betty Ann Ludington William ( 772 ) 231-9653 - Home
240 Coconut Palm Road
Vero Beach , FL 32963
RR :1 Box 475-D
Edgartown , MA 02539
Susan Mehiel Chris ( 772 ) 234-8659 - Home
240 Clarkson Lane ( 772 ) 234-9938 - Fax
Vero Beach , FL 32963 c_mehiel@bellsouth . net
Mr. Robert McGoffin ( 772 ) 770-3737 , ext. 2424 - Office
Riverside National Bank ( 772) 462-5052 - Fax
4100 20th Street (877 ) 495-8583 - Pager
Vero Beach , FL 32961
Lynn Potter Larry ( 772 ) 234-3838 - Home
120 Estuary Drive ( 772 ) 234-3055 - Fax
Vero Beach , FL 32963 ( 772 ) 713-5191 - Cell
Mrs. Pinky Regan William ( 772 ) 234-7293 - Home
895 Beach Road
Vero Beach , FL 32963
61-A Oakland Place ( 716) 885-0234
Buffalo, N .Y. 142 22 emmapinky@aol . com
Dr. Ralph Rosato Kati ( 772) 234-3037 - Home
655 Reef Road rmrosato@iu . net
Vero Beach , FL 32963
3790 7th Terrace , Suite 101 ( 772 ) 562-5859 - Office
Vero Beach , FL 32960
Mrs. Bobbi Schaus Nicholas ( 772 ) 231-0050 - Home
137 Anchor Drive ( 772 ) 234 - 7558 - Fax
Vero Beach , FI 32963
Mr, Richard Schlitt Maureen ( 772 ) 569-5931 - Home
4385 62nd Terrace ( 772 ) 562-2856 - Office
Vero Beach , FI 32967-7821 ( 772 ) 567-4700 - Fax
Richmo43@aol . com
Marta Schneider Robert ( 772 ) 234-1324 - Home
123 Springline Drive ( 772 ) 473-3190 - Cell
Vero Beach , FI 32963 ( 772 ) 231-2496 - Fax
Mrs . Margaret Sheridan ( Peggy) ( 772 ) 234-5632 - Home
500 Beach Road , Apt 203
Vero Beach , FI 32963
Ann Thompson Hugh ( 772 ) 231-1286 - Home
130 Sago Palm Road ( 772 ) 231-1460 - Fax
Vero Beach , FL 32963 ( 772 ) 532-9618 - Cell
Indian River Advisory Board
Esther Thorp John ( 772) 231-2243 - Home
460 Indian Harbor Road
Vero Beach , A 32963
Mrs. Desiree D. Tombul ( Dr. ) Selcuk ( 772 ) 231-1093 - Home
507 River Drive ( 772 ) 231-0981 - Fax
Vero Beach , A 32963 ( 772) 532-0435 - Cell
Mrs, Elizabeth Towles Thomas ( 772) 231-1635 - Home
700 Beach Road #256
Vero Beach , FI 32963
Mr. Bill Waterman Sharman ( 772) 567-7821 - Home
460 10th Place SW
Vero Beach , FI 32962
9300 N . AIA , Suite 101 ( 772 ) 589-4112 - Office
Vero Beach , FI 32963 ( 772) 453-6699 - Cell
wwater4188@aol . com
Nancy Young Terry ( 772 ) 231-6596 - Office
430 Coconut Palm Road
Vero Beach , FI 32963
Indlan River Advisory Board
Revised. 05/20/03
MAY-28-2003 11001 CHS REGION THREE P . 02i21
David A. BurKly
PresidcnVC[O
Secrewy/COO
Board of Directorsors April 22, 2003
Tom Stewart
Chair
Edward L. Kelly
Vice Chair
Douglas M. Halsey Dear Contract Manager:
Immediate Past Chair
Rich" B. Adams, )r.
Douglas Alexander d The fiscal year' 2001/2002 was a year of growth, investment, and
Henson Chanes $•
)amen D. Francis restructurin CHS invested in infrastructure and committed
Frank Gi isano resources to position itself for the privatization of children's services
Rnhert M°"" through community based care. This legislative initiative will
Maureen O'Neill
William D. Paton provide significant opportunities for CHS to expand its service
Deborah Therovx offerings throughout Florida.
Miguel Viye 6
Alex white
CHS also experienced growth in 2001 /2002 as Florida's Department
of Children and Families continued to prepare itself for privatization
by extending new contracts for new services to CHS .
Finally, CICS initiated a company wide reorganization in 2001/02.
This will better position CHS to meet the changing needs and
challenges of the years ahead.
Each of these initiatives had an adverse impact on our financial
performance in 2001/02. While viewed as investments in the future,
each resulted in non-recurring expenses, which affected our bottom
line performance in the year. In addition, CHS took significant steps
to strengthen its balance sheet in 2001 /02 . Significant reserves were
established, most notably for a number of receivables. The result is
that CHS entered the current fiscal year with a solid balance sheat.
If you have any questions, please do not hesitate to call me.
Sine ly
Corporate Offices
1485 S. Semoran Blvd.
Suite 1498
winter Park FL 32792 toy
Weinberg
Phone (321 ) 397-3000 .
Fax: (321 ) 397-3020 Chief Financial O e7
children's
0Mhome
society
20# r . one0 '
MFMwMN..MwM
�NItCAiN
i g416MIU 1 I OOYears. EmbrKblg Children.
Inspiring Liv*f.
MAY-28-2003 11 : 01 CHS REGION THREE P . 03/21
1
Y
THE CHILDREN 'S HOME
SOCIETY OF FLORIDA
(A Not-For-Profit Corporation)
Single Audit Reports
for the Year Ended June 30, 2002
MAY-28-2003 11 = 01 CNS REGION THREE P . 04i21
r
THE CHILDREN' S HOME SOCIETY OF FLORIDA
SINGLE AUDIT REPORTS
TABLE OF CONTENTS
Page
INDEPENDENT AUDITORS ' REPORT t
Schedule of Expenditures of Federal Awards and State Financial Assistance
Notes to Schedule 12
INDEPENDENT AUDITORS ' REPORT ON COMPLIANCE AND ON INTERNAL
CONTROL OVER FINANCIAL REPORTING BASED UPON THE AUDIT OF
FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH
GOVERNMENTAUDFfING STANDARDS 13
INDEPENDENT AUDITORS ' REPORT ON COMPLIANCE AND INTERNAL
CONTROL OVER COMPLIANCE APPLICABLE TO EACH MAJOR
FEDERAL PROGRAM AND STATE PROJECT 15
Schedule of Findings and Questioned Costs - Federal Programs and State Projects 17
i
MAY-28-2003 11 : 01 CHS REGION THREE P . 05/21
Suite 1800
200 South Orange Avenuc
1 orlando. Florida 32801 -3413
Tut (407) 24"2M
Fax: (407) 422 OM
www.iwWN4tte.c= Deloitte
& Touche
INDEPENDENT AUDITORS' REPORT
To the Board of Directors of
The Children ' s Home Society of Florida:
We have audited the basic financial statements of The Children ' s Home Society of Florida ("CHS") as
of and for the year ended June 30, 2002, and have issued our separate report thereon dated April 11 ,
2003 . These financial statements are the responsibility of the management of CHS. Our responsibility
is to express an opinion on these financial statements based on our audit.
We conducted our audit in accordance with auditing standards generally accepted in the United States of
America and the standards applicable to financial audits contained in Government Auditing Standards
issued by the Comptroller General of the United States. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial statements are free of
material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts
and disclosures in the financial statements. An audit also includes assessing the accountingprinciples
used and significant estimates made by management, as well as evaluating the overall financial
statement presentation . We believe that our audit provides a reasonable basis for our opinion.
Our audit was performed for the purpose of forming an opinion on the basic financial statements of
CHS, taken as a whole . The accompanying Schedule of Expenditures of Federal Awards and State
Financial Assistance is presented for the purposes of additional analysis as required by U.S . Office of
Management and Budget Circular A- 133, Audits of State. Local Governments and Not for-profit
Organizations, and Chapter 10.650, Rules of the Auditor General, and is not a required part of the basic
financial statements . This schedule is the responsibility of the management of CHS . Such information
has been subjected to the auditing procedures applied in our audit of the basic financial statements and,
in our opinion, is fairly stated in all material respects when considered in relation to the basic financial
statements taken as a whole .
In accordance with Government Auditing Standards, we have also issued our report dated April 11 ,
2003 , on our consideration of CHS ' s internal control over financial reporting and our tests of its
compliance with certain provisions of laws, regulations, contracts, and grants. That report is an integral
part of an audit performed in accordance with Government Auditing Standards and should be read in
conjunction with this report in considering the results of our audit.
3 -T-auc,i.,t , t., t�P
April 11 , 2003
Deloitte
Touche
Tohmatsu
y
THE CHILOREMS HOME SOCIETY OF FLORIDA
I
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE 'FINANCIAL ASSISTANCLI
YEAR ENDED JUNE 301 2002 I
Expenditures
Expenditures of Stats Expenditures W
Federal CFOA Stats CSFA ContraetfOrant of Federal Flnaacial of Other State Total Awards
FedemifStaN Agismy, Pass-ihrouigh Entity FederagStste Program or Project Number Number Number Awards Assistance Awards
Expended
EXPENDITURES FOR PROGRAMS FUNDED V WTH FEDERAL AWARDS, STATE G
FINANCIAL ASSISTANCE AND OTHER STATE AWARDS
U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES (11113)
Direct Programs:
n
Family Reunification Program (Basic
HNS CenterProgramj 93.623 04 •C1-0049102 33,756 - 33.756
Family Reunilloation Program (Basic r�r
HHS Center Program) 93.623 04-CY-0649100 98,514 a 96,514 0
IAPHHPA002005• z
HHS MarMor'srgProjecl 93,995 Ot 61 .828 - - 51 ,626
6APHPA002005-02-
HHS Mentoring Project 93.995 1 94 ,930 0 - 946930
HHS Project Sate 93. 551 901CB-0101 426,503 a - 428,503 m
HHS Street Oulresch 93.557 0000695i01 20,690 - 20,690
HHS SlreelOutreach 93.557 0000635102 19,540 - 19 ,540
Total Direct Programs 743" - 7436559
Indired Programs Passed Through Florida Oepanment of Child ran and Families (DCF):
93.558, 93.667,
DCF ACHrAoup Homes 93.6740 93.6+56 KJ606 38702 343 ,776 731 ,436
93. 558, 93 .6671
DCF ACHIGwup Homes 93.658 KJ721 255,082 0 311 ,765 566.850
93.5564 93 .6596
DCF Adoptions 6 Related Servaces 93.558 , 93 .778 15002 366,368 - 4720224 858.590
AltapedahSlownsville Neighborhood
DCF Project 930555 KJ667 97.304 0 32,435 129,739
AMH Services to Dual DX Family Safety
OCF Parana 93 .558, 93-934 ZH 171 12 ,730 0 2,608 15 ,336
93.558, 93 .667,
OCF Brian's House 93.058 NJ132 500950 470030 97,960
93.556, 93.867,
DCF Bream`s House 93 .655 NJf67 1026 150663 32,589
Buckner Manor Malernily b Promise 93-558 , 93-6679
DCF House 93 .658 SDJ71 23.469 25,046 48. 515
Buckner Manor Maternity 6 Promise 93.558 , 93.667 ,
DCF House 93.656, 93.674 SDJ74 45.317 - 389461 83. 798
93.656, 93 .559q
DCF Case Management Services 93.558. 93.778 JJ827 545.150 356.472 911 . 622 r1J
THE CHILDREN'S HONE SOCIETY OF FLORIDA
l
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE ►�
YEAR ENDED JUNE 30, 2002
Expenditures g
tExpendiluree of Stale Expendllor"
Federal CFDA Stab CSFA ContrecMent at Federal Financia . 01 Other Stale Total Awards
Fed@rallSlals Agency, Passthrough Entity Federalf3tate Program or Project Nomber Number Number Awards Assistance Awards
Expended
DCF Chtidrans Substance Abuse Prevention 93 .959 10015 61 ,789 0 811769
DCF CMMS 93 .958 GH922 187,641 a 3749073 761 .714 '
DCF Community Based Care {CBC) Adoptions 93.859 Cil 15 1586016 0 237,024 31L5,040
Community Parinera for Timely Adoption
0CF (CPTH) 93.652 CJ114 126,303 0 28, 145 132,448
DCF Comprohensivs Residential Group Care 93.674193-658 DJO45 25,842 & 1146447 140,089
DCF Counseling/Therapy 93.958 CH119 50981 0 - 5.981 '
93.558. 93.667,
DCF Crisls Nursery 93.858, 93.645 GJ634 461 ,461 M 154, 883 616, 344
93.558, 93.887,
DCF Crisis Nursery 93.658, 93 .645 GJ945 3361491 a 136.699 473. 390 ' pp~
DCF Developmeptal Disabilities 93.667 mule 961888 - 208,557 307,243 ' Z
93.558, 93.687, �
DCF EmeryencyHome 93.645, 93.658 JJ714 197,025 - 55,571 252, 596 '
93.558, 93.8670
DCF Emwgency Horne 93.856 JJ839 169,897 79, 952 249,649 • m
93. 5584 93.6599
93-645, 93-667v
DCF Families for Kids 93,778 MIS 1190070 123, 930 243,000
91669, 23.559l
DCF Family Builders 93.674, 93.558 CJ105 57, 155 222.885 279.840
DCF Family Builders 93.667, 93. 558 PJ100 303.909 1. 259.860 1 , 583,829
93.867, 93 .558,
DCF Family Builders 93.556 ZJ141 115.947 313 .486 429,433
93.669, 93.667,
DCF Family Builders 93.558. 93.555 CJ108 205,152 - 579.936 785.086
DCF Family Services Ptanning Team 93.956 GH923 61704 - 677.241 780.945
0CF Family Treehouse Visitation 93. 597, 93. 558 NJ153 65,394 15,495 8081189
Family Visitation Cella of Alachua
DCF County 93- 597 , 93- 550 C007 80.279 MOTO 100 ,349
DCF family Visilatlon Program 93.556 KJ666 150.000 50.000 200.000
DCF FB, ICCP , PP 93.667, 93.558 GJ932 634. 183 1 .714,614 2.348,827
DCF Foster Can 93.558, 93.655 FJ138 44,933 300019 74 .952
93. 558, 93.658,
DCF Foster Care 93 .6459 93.007 NJ103 308.188 222, 582 530,770
91558, 93.6M,
DCF Fater Care Case Management 93 .6450 93.667 JJ743 150 .989 150. 988 301 .977
DCF Fater Care Case Management 93.658 JJ845 76117 760718 153.433
93 .550, 93. 658.
0CF Foster Can Home RecruilmsWRetention 93.778 GJ939 222 .896 118,654 341 .550
DCF Foster Can RemAment 93. 5689 93.650 CJ127 110.050 73.544 183.624
0CF Fran L. Frick Family Visitation Center 93. 597 AJ487 tt ,523 1 ,280 12.803
DCF FSVC - Osceola 93.556 , 93.658 GJ916 143202 121 .327 264.529
93. 5580 93.6676
rV
DCF Girls Zone 93 .858 NJ133 89.081 25.272 95 ,353
3
THE CHILDREMS HOME SOCIETY OF FLORIDA
Y {
I
SCHE0111E OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE
YEAR ENDED JUNE 30, 2002 I
ExpPMilarq �ffi{
Expenditures at state Expenditures w
Federal CFDA State CSFA ContractiGrant of Federal Financial of Other State Total Awards
Federalf3tafs Agency, Pass through Entity FedemUSatr Program or Project Number Number Number Awards Assistance Awards
Expended r
r
93 .558. 93.687,
0CF Gift Zone 93.658 NJ788 21 ,061 - 60700 27 ,751
93.7786 93. 5589
DCF Hacienda Gril Ranch 93.658 GJ941 125,819 - 1300781 256,600
93. 0.78. 93.667.
DCF Hacienda GirMs Ranch 93.558 SGJ02 330,858 - 330.989 6616648
93.558. 93.661, n
DCF Hacienda Gins Ranch 93.656, 93.845 SGJA2 464,080 - 3118,834 782.694 c�f1
93.558, 93.667,
DCF kansen Center 93 .645, 93.656 STJ23 131 ,554 529727 1840281
93.558, 93.667,
DCF Hansen Curter 93 .6450 93.658 STJB3 152 ,837 & 29.112 1816949
DCF Healthy Families • Seminole 93. 558 GJ917 1124500 - 37,500 1504000
DCF Homemaker 93.558, 93. 556 GJ904 160009 ft 342,174 38D, 1S3
DCF Homemaker - Volusis b Ftaglw 93.556 NJ181 21 ,254 ft 18,299 39,553 m
93.867, 93 .568,
DCF Homemaker Program 93 .356 JJ805 100031 818019 91 ,650
93.558 , 93.6870
93.858 , 93.65%
DCF Homeward Bound 93.7781 93.645 AJ449 362 ,908 142 ,298 5051204
93.669, 93.558,
DCF HRNB,Perinsal 93,558 GJ908 80,266 385,853 445,921
DCF ICCP 93.5581 93.667 AJ450 840192 - 30,772 114 ,954
DCF Independent living Program 93.5564 93.674 ZJ140 1081831 27,206 1364039
DCF Independent Living Service 93 .858 KJ741 129605 41 .786 $4,373
Intensive Crisis Counseling Program
DCF VCCP) 93.558, 93 .667 JJ821 234,172 856588 3196760
93.5881 93.867 ,
DCF Joshua House 93.658 SQJ22 614 ,804 - 318.520 833.124
93.5580 93.867 ,
DCF Joshua House 93.638 SOJ20 288,102 233,810 5012712
93.558, 93 .6670
DCF Joshua House 93.858 SCJ2H 2190737 127,999 3470736
McLamore Childrena Center b Family 93 .558, 93.667.
DCF Shelter 93.656 KJ507 4645729 1388815 603,544
McLamors Children's Confer 3 Family 93.558, 93.6679
DCF Shetler 93.658 KJ722 413,846 153,066 566.912
DCF Pro/Post Placement Adoption Servioes 93.358 U022 84,296 28,099 1126397
DCF Prevention 93.689 N053 35156 35. 158
93.6589 93.6594
DCF Project Smile 93 .5504 93.778 KJ710 179. 199 - 172, 181 351 .360
DCF Protective Services 93.778, 93.558 GJ940 3.726,951 438 .326 4, 185 .279
DCF PTS b WRAPS 93.958 GH839 461r115 - 586,873 1, 047 .988
DCF Residential Group Care 93,687, 93.658 SZJ10 20.036 30. 154 500190 N
r
. 4 .
THE CHILDREN'S HOME 30CIETY OF FLORIDA _
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE NI
YEAR ENDED JUNE 90, 2002
Expendiwres
Expenditures of Sate Expenditures W
Federal CFDA State CSFA ContraclfGrant of Federal Financial of Other 31st I Total Awards
Federal)SIAle Agency. Pase•lbrough Entity Federali tale Program or PrO00 Number Number Number Awards Assistance Awards
Expended
r
93.6581 93.874,
DCF Iteslden9at Group Caro 93.567 , 93.658 Sl'J12 42 ,301 480629 90,930
93. 558. .93.667.
93.874 , 93656,
93 .778, 90.645.
DCF Services to Children 93.956 DJO36 1 , 166,202 843,248 2,009,450 •
93. 558. 93.059.
93.7784 93. 555.
DCF Special Needs Adoption 93.958 DJ938 277.269 2170854 496, 123
DCF Statewide Adaptions 93.659 U154 17 ,20D 17,200 34.400 •
DCF Substance Abuse Prevenelon at Risk 93.959 HDKO6 94 ,664 - - 34.664
DCF Sunshine House 93.555. 93.667 N.1131 700108 296986 100098
DCF Sunshine House 93.556, 93 .667 NJ166 18.850 13.941 32.621 '
DCF Supervised Family Visitation 93.597 TJ814 23,501 21611 250112
93.856. 93 .859.
DCF Supported Foster Care Program 93 .558 KJ675 281 ,348 325,389 6066737 • m
DCF Supported Foster Cane Program 93.658. 93.687 KJ575 58, 238 - 82,379 118.817 •
93.8589 93.859,
DCF Supported Foster Care Program 93.558, 93.778 KJ709 973.626 1 ,017.429 1 .9914055 '
Supporting The Adoptive Ferailles
DCF Expedenoe 93.556 JJ502 330750 11 .250 45 ,000 '
93.538, 93.667*
DCF Terry Chambers Center 93.656 DJ923 118.213 594725 177,940 '
93 .558. 93.867,
DCF Terry Chambers Center 93.658 DJ944 1444458 - 118 ,044 282 .300
93.048, 93.667,
DCF Therapeutic Foster Care 93.858. 93.958 SON83 14750 - 20,849 22.629
DCF Therapeutic Foster Care 93.558. 93.938 SDH95 1 ,223 12.162 130355 '
93.558, 93.645,
93.667. 91 .668,
OCF Therapeutic Foster Care 93.958 6D.003 SNH13 34.824 13,429 23,321 71 $74
DCF Training Program 93.556 GJ214 83.730 21 .250 85,000
93.558, 93.667,
DCF Ttee House - 93.845 , 93.658 13JL06 109 ,756 - 34 ,670 144,458
93.558, 93.067.
OCF Tree House 93 .658 &NIB 126.450 151653 142 . 103
Total Indirect Programs Passed Through Florida Department o1 Children and Fandlies 18.677,454 13,429 16.226,245
359117 , 127
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• 5 -
v
THE CHILDREN'S HOME 300ETY OF FLORIDA
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE rrvi
YEAR ENDED JUNE 309 2002 aD
Expenditures
Expenditures of State Expenditures
Federal CFOA State CSFA CosimellGmnl of Federal Financial of Other State Total Awards
FedersQStato Agency, Passthrough Entity FederallState Program or Project Number Number Number Awards Assistance Awards
Expended
r
Indirect Ptograrno Passed Through Florida Deportment of Children and Families to W
Others Agencies:
9roward County Healthy Start Coalition, Inc. Healthy families Browaid 93. 558 HFB99CHS 217,254 - - 217,254
93. 556, 93.667,
CBC of Volusis & FlsgWCounties Orions House 93 .658 NIA 33,929 - 31 ,320 650249 •
CBC of Volusls A Flagler Counties Family Treshouse VlsiWbn 93.597, 93.558 NIA 43,319 108161 33,480
93 .558 , 93.6672
CBC of Volusis 6 Flegler Counties Girls Ions 93.658 WA 50,330 - 150894 66,224 ss
CBC of Volusia 6 Rsgler Counties Homemaker - Volusis b Fuller 93. 556 NPA 21 ,254 18,298 39,
533
CBC of Voiusia 8 Aaglet Counties Prevention 93.869 WA 38 ,158 - - 35, 158 • .-.
CBC of Votusia 6 Flagler Counties Sunshine Mouae 93.5584 93.667 WA 38,073 27170 65,643
Florida Network of Youth and Family Services CINSIFINS 93,858 80.005 WA 8.071 245,399 2519470
Florida Network of Youth and Fatuity Services CMSIFM 93 .558 50.005 WA 19.715 853,181 - 7020898
Florida Network of Youth sod Family Servioes CINSIFNS 93 .658 50.005 WA 11661 951 ,47a - 9629129
Healthy Slant Coalition of Flagler d Volusis m
Counties Healthy Fanilles Services 93.556 HFF-0541/02-02 181 ,458 - 161 .486
Fitallhy Start Coalition of St. Lucie County Healthy Familtes 93.558 CH52001102 120 ,342 409114 160
,456
93,556, 93.558,
93 .603, 93 .6560
93,559, 93.667,
Hillsborough Kids PSSFITANF 93.778 HKIA07 84, 183 344675 116685111
93.355, 93.5589
93.6039 93.658,
93,659, 93.667*
Hillsborough Kids PSSF/TANF 93.778 WIA12 50,944 43,396 04030 '
93.5581 93.8451
93.858, 93.6590
Hillsborough Kids TANMIld Welfare 93.661, 93.778 HKIA21 430585 - 344 ,522 392 ,087 '
Human Services Associates, Inc. TANF 93,558 NAA 22,768 - 220768
Lakeview Center, lam ICCP 93.5560 93.667 01 -202 84,192 30,772 1146964
Total Indirect Prograars Passed Through Florida Department of Children and Families
to Other Agencies 140230234 118001058 820,723 3524,015
Indirect Programs Passed Through Florida Department of Health IDON1%
DOH Chid Prolaction Team 93.867 84.006 TEAM 273,576 219,828 493 .404
DOH Chid Protection Team 93.887 64 .006 TEA2B 2658857 285,267 551 .124
DOH Cold Protection Team 93.061 64.008 TEAM 2874411 498 .022 7854433
DOH Child Protection Team 93 .067 64.005 TEAX5 243.083 241 ,385 486,468 -p
Family Connection - Sexual Abuse
DOH Treatment Program 93.867 84. 008 SAT26 100,320 100. 320 m
rV
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THE CHIL0RO'S HOME SOCIETY OF FLORIDA -
StHEDULfB OF EVENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE m
YEAR Ef1j7E0 JUNE 30, 2002
Expenditures
Expenditures of stake Expenditures w
Federal CFDA state CSFA ConlractlGrant of Federal Financial of Other state Total Awards
FederallState Agency. Pass-through Eatlty FederallState Program or Project Kursk? Number Number Awards Assistance Awards
Expanded r
r
Projed Smile Foster Can - Ryan White
DOH Title II 93. 917 DEYN9 7202 - 72 ,882
Project Smile Foster Cara • Ryan W FA
DOH Title II 93.917 DEYU9 24 ,294 24.294
Total Iadirrp Programs Passed Through Florida Department of Health 10269.423 1 ,2444502 2.513,925
n
tndiroct programa Passed Through Florida Department of Labor to Other Agencies:
Work 6 Gain Economic SelfSunciency �
Escvosa Reg . Workforce Dew Board , Inc. (WAGES) • Esceross 93.558 WT-02 05 245,695 246,898
Taint tndUset PrognnM Passed Through Florida Department of Labor to Other
Agencies 245.893 - 245.695
M
Indirect programs Passed Through Other Agencies:
Gulf Coe>i< Worktorce Board Teen Parenting Program 93.558 Ot •02•TP 35.271 - 35,271
Hatfilitowo Services of North Florida Adoptions Support Group Services 93.556 WA 5,076
Project Sema Foster Care•Daycare -
Nbmi•DedeCounty Ryan White Title 1 93.914 BU0311 270, 125 - 2704125
Adoption Suppon Services - Escembia,
NW FL Comp Siva for Children Santa Rosa, Okolooss , Waton 93.689, 93. 597 125241 124 ,389 - 50,736 175,
t25
OPFFIHFF Heathy Families • Brevard 93.558 HF01 .024 10088.845 - 10088.845
OPFFMFF Heathy Families • Collier/Lee 93. 558 HFDI -02.26 528.529 - $26.529
ppFNHFF Healthy Families - Collier/Lee 93. 558 TANF EXPEND 14013 0 1,013
DPFFMFF Healthy Families • Lake Sumler 93.558 HF•01 .0241 1 , 154.642 - 1 , 154942
0pFF1HFF Healthy Families • St. Johns 93.558 HF010235 266473 2584073
OPFFIHFF Healthy Families • Miami-Dade 93 .588 HF01412A 1 1.2704752 - 1,270.752
OPFHHFF Healthy Families • Santa Rosa 93.558 HF01 .02.35 515. 173 - 515 ,173
OPFFIHFF Healthy Families • Seminole 93. 558 HF01 -0243 411 ,888 4114889
Total Indirect Programs Passed Through Other Agenctes 58869.776 50,736 5, 720.512
ICTAL U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2708290141 30137,969 1688971704 4748644833
til s, 0GrARi1111E11T OF AGRICULTURE
ledired Programa Passed Through the Florida Department of Education (DOE):
National School Lunch, Breakfast 3
DDE Commodities 10155o 10-553 01 .0161 78.593 - 76.693
National School Lunch, Smakled 6
rQ
WE Commodities 10. 555. 10.553 01 .0172 25,290 25.290
- 7
THE CHILDREN'S HOME SOCIETY OF FLORIDA
I
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE
YEAR ENDED JUNE 30, 2002
Expenditures
Expenditures of stats Expenditures t t
Federal CIFDA State CSFA ContraetlGrant of Federal Financial of Other State Toast Awards
FsderallStats Agency, Pass-through Enl ty FederallSUte Program or Project Number Numtter Number Awards Assistants Awards
Expended
r
Netionsl School Lunch, Breakfast a w
DOE Commodides 10. 555, 10.553 01 -0257 15,326 15.326
National School lunch, Breakfast d
DOE Commodities 10.555410.553 01 .0259 6,965 - 81965
National Sohoot Lunch, Breakfast 8
DOE Commodities 10.555, 10 .553 01 .0322 12.582 12 ,582
Nutrition Pragrom (Hacienda Girls 2�
DOE Ranch) 110.1155t 10.553 01-4159 34,071 34,07t cn
DOE Nutrition Program (Hansen Center) 10.555. 10.553 014=8 12144 - - 12.344
Nubilion Program (Hope House 8 Joshua
DOE House) 10,555 , 10 -853 01 -0285 33.856 334856 0
TOTAL U.S. DEPARTMENT OF AGRICULTURE 219, 127 - 219,127 �
U.S. DEPARTMENT OF JUSTICE (DOJ ):
rn
Direct Programs:
LIFELIW (Jump LifoGnk Mentoring
DOJ Program) 16.726 1999•JG•FX-0005 $2 ,227 - 52.227
Total Direct programs 52,227 - 52.227
Indirect Prograars Passed Through the Florida Office of the Attorney General (OAG):
DAG Child Protection Team (CRC 8 FSVC) 16.575 V0057 176696 17,698
OAG Child Protection Team (CAC & FSVC) 16,575 V1154 57.163 57.163
OAG Victims of Gime Assistance 16. 575 V0046 31520 - 31520
OAG Victims of Crime Assistance 18.575 V0143 51000 50090
DAG Victims of Crime Assistance 16,575 V0153 4,375 - 4,375
OAG Victims of Crime Assistance 18,575 V1320 71814 7 ,814
CAG Victims of Crime Assistance 16.575 V0240 42,397 42 ,397
OAG Victims of Clime Assidsnce 16.375 V0241 61530 61539
DAG Victims of Gine Assistance 18. 575 V1068 18,420 18 ,429
CAG Vicbma of Crime Assistance 18.575 V1112 106820 10 .628
DAG Victims of (rime Assistance 15.575 V1263 23.395 - 23395
DAG Victims of Crhne Assistance 18.575 V1259 88.411 88 ,411
DAG Victims of CrimaAssistance 16 .575 V1274 84, 109 84 , 109
Total Indirect Programs passed Through the Florida Office of the Attorney Genera( 399,768 - 399 .768
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THE CHLDIIEN'S HOME SOCIETY OF FLORIDA - D
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE rr
YEAR ENDED JUNE 30, 2002
Expenditures
Expenditures of State Expenditures W
Federal CFOA Stell CSFA ContraWOram of Federal Financial of Other State Total Awards
FederallState Agency, Passthrough Entity FederellState Program or Project Number Number Number Awards Assistance Awards
Expended
r
CD
W
Indirect Programs Passed Through the Florida Deparlment of Juvenile Justice (DJJI:
DJJ Community Aeerrare Program 16. 549 80.002 080D1 42, 158 424136
Total Indirect Programs Passed Through the Florida Department of Juvenile Justice 42 .156 42. 156
r)
TOTAL U,S. DEPARTMENT OF JUSTICE 494 , 151 - 494.131
0
U.S. DEPARTMENT OF EDUCATION p
Z
Indirect Programs Passed Through Florida Department of Health and Other Agencies:
M
84. 1619 64,027.
Florida Department 01 Health Early Intervention Program 93.658 64 .016 COQXB 836129 882.822 316036
1 .551 ,787
Sacred Heart Hospital of Pensacola passed Sacred Heart SuppoA Coordination • DEI
Ihroughthe Florida Department of Heallh Services 84 .151 , 84,027 64 .016 NIA 42 ,610 39380 - 62.000
TOTAL U.S. DEPARTMENT OF EDUCATION 680,769 721 ,9112 31 ,036 1 ,833.787
U-S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT THUD)
Direct Programs:
HUD Trsnaftions Housing Program 14 .151 FL145WSD04 69,600 696600
Total Direct Programs: 89.600 896600
Indirect Programs Passed Through Other Agencies :
Mitsborough County - COBG Joshus House 14 .216 00-1519 24196 - 2096
Hillsborough County - CDBG Joehua House 14 .218 01 -1562 109,812 1094812
Orange County • CDBG Crisis Nursery 14.218 90-37 11 , 250 11 ,250
Orange County • CMG Crista Nursery 74. 218 91 -37 3705% 374500
Total Indirect Programs Passed Through Other Agencies 182.958 - 182 ,986
TOTAL U.S- DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 272.556 - 272.558
TOTAL EXPENDITURES FUNDED WITH FEDERAL AWARDS, STATE FINANCIAL
ASSISTANCE AND OTHER STATE AWARDS 29,6954746 31859171 166928, 740 50. 4848436 N
- 9 -
THE CHILDREN'S HOME SOCIETY OF FLORIDA -
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE
YEAR ENDED JUNE 30w 2002
I
Expenditures
Expenditures of Stale Expenditures W
Foderat CFDA Siete CSFA ConlractlGrant of Fadeal PI "social of OQwr State Tonal Awards
FedersUSista Agency, Pass-through Entity FederallSWO Program or Project Number Number Number Awards Assistance
Awards Expended r.
EXPENDITURES FOR PROGRAMS FUNDED WITH STATE FINANCIAL ASSISTANCE
AND OTHER STATE AWARDS
FLORIDA DEPAR70ENT OF CHILDREN AND FAMILIES (OCF)
Dint Programs:
n
DCF ADM Services • Sexual Abuse Treatment 93,958 OHM17 - - 23,761 23, 781
DCF Adult Mental Health Services 80.003 GH914 1 153,545 '
DCF Children Mental Haelth Services 93.958 9HM23 - - 5, 544 54544 '
DCF Counselinglirienspy 93.958 CH102 - 7.982 7,982
DCF Developmental Dlsawlises JL700 - 34,864 34.984
DCF Emergerxy Sheller Can! 113740 - 37,848 37,848 •
DCF Family Builders 93458 8JM08 - 488,691 488,691
DCF Family Bulldogs 93.558 0J940 - - 1.1809058 1 ,180.058
DCF Family Builders 93.558 IJ820 1,088,053 1.080.053 M
Family Builder - Child Mental Health
DCF Services 93. 958 CH109 2.000 2.000 '
DCF Family Builders - Volusia & Flagler 93.858 NJ157 - 3450818 345,818
DCF Mph Risk Newborn 93.556 NJ154 0 13.1184 13,184 '
DCF In-Home Support Services 93.958 JH822 - 21535 21533
DCF Kugelman Counseling 93.958 AF1298 - 25 ,971 25,971
DCF Specialized Adolescent Center 93.956 KH789 - 9254876 9256876
TOW Direct101"mms 153.545 4 , 1570983 4 ,311 ,528
Indirect Programs Passed Through Other Agencies:
COC of Volusis 3 Flagler Counties Family Builders - Volusis 3 flagler 93.558 NIA 3$3,605 353,506
OBC a[ Volusis & Flagler counties High Risk Newborn 93. 558 WA 134184 13 ,184
Hillsborough Kids Care Center Treaaillon HKI03CS - 1000000 100,000
Wlsbowugh Kids Foster Care Licensure HK107CO 8,4D0 6x100
Prenatal 8 Infant Health Care Coalition of
Brevard Co. Healthy Slut #00.06 - 354,399 364,399
Total Indirect Programs Passed Through Other Agencies 827,588 827, 588
TOTAL FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES - t 53,845 489859571 51139. 116
IV
• 10 -
THE CHILDREN'S HOME SOCIETY OF FLOM DA
SCHEOULE OF EXPO ITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE
YEAR ENDED JUNE 30* 2002 1
Expenditures
Expenditures of State Expenditures W
Federal CFDA State CSFA Contra"rent of Federal Financial of Otber Stag Total Awards
FaderallStale Agency. Passthrough Entity FederalfSteb Program or Project Number 1160111W Number Awards Assistance Awards
Expended
r
FLORIDA DEPARTMENT OF HEALTH
Indirect Programs Passed Through Other Agencies:
Heallb Planning Council of Southwest Florids,
Inc Early Intervention Program NfA - - 158,458 158,458
Public Health Trust of Miami-Dade Co.. FL and Project Smile Foster Care (Children's n
Jackson Memorial Hospilat Residential Cara Services) COA9SCHS01 .02 - - 722,758 722,758
TOTAL FLORIDA DEPARTMENT OF HEALTH - 879,214 679214
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Direct Programs%
DJJ Girls Independent Living Program 80.002 08006 - - 414064 41 .084 m
TOTAL FLORIDA DEPARTMENT OF JUVENILE JUSTICE 41 ,064 41 ,064
FLORIDA DEPARTMENT OF EDUCATION
Indirect Programs Passed Through Other Agencies
Bay Coenty School Board Teen Services WA 160000 181000
TOTAL FLORIDA DEPARTMENT OF EDUCATION - 18,000 160000
TOTAL EXPENDITURES FOR PROGRAMS FUNDED IMTH STATE FINANCIAL
ASSISTANCE AND OTHER STATE AWARDS 153,545 50921 .849 6,075.394
TOTAL EXPENDITURES OF FEDERAL AWARDS, STATE FINANCIAL ASSISTANCE AND
OTIV R STATE AWARDS 29,895.746 4,0139516 22.8509568 569559.850
r
VI
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• • - t1
MAY-28-2003 1104 CHS REG l ON THREE P . 16/21
THE CHILDREN 'S HOME SOCIETY OF FLORIDA
NOTES TO SCHEDULE
YEAR ENDED JUNE 30, 2002
1 . BASIS OF ACCOUNTING
The Schedule of Expenditures of Federal Awards and State Financial Assistance is prepared on the
accrual basis of accounting.
The dollar threshold used to distinguish between Type A and Type B programs was $974 ,990 for
federal awards and $300,000 for state financial assistance .
2. PASS-THROUGH AWARDS
The Children's Home Society of Florida ("CHS") receives certain federal financial assistance from
pass-through awards of various entities. The amounts of such pass-through awards are included on the
Schedule of Expenditures of Federal Awards and State Financial Assistance.
3. SERVICE PROVIDED CONTRACTS
Contracts that have an asterisk ( t) next to the expenditure column on the Schedule of Expenditures of
Federal Awards and State Financial Assistance are reimbursed on a service provided basis. This means
CHS is reimbursed a fixed dollar amount per unit of service provided in accordance with the contract
terms, rather than on the basis of the actual cost of providing the service.
Under the terms of these contracts, CHS is not required to report expenditures on a contract basis.
Accordingly, CHS does not maintain accounting records that enable it to report expenditures on a
contract basis in the Schedule of Expenditures of Federal Awards and State Financial Assistance.
Therefore, only revenues earned in accordance with the contract terms are reported as expenditures on
the Schedule of Expenditures of Federal Awards and State Financial Assistance.
i
- 12 -
MAY-28-2003 1104 CHS REGION THREE
Delor"e & Torr:h' uu
LLt ' sarmwa rn.a natuwn ..nca P . 17121
Suite low
200 !j"hOrange Avuiwe
'
Orlando, FWida 37801 -3413
Tel: (407) 246-8200
Fax: (407) 422.0936
"VMtjr($efoft«Xom Deloitte
& Touche
INDEPENDENT AUDITORS' REPORT ON COMPLIANCE AND ON INTERNAL CONTROL
OVER FINANCIAL REPORTING BASED UPON THE AUDIT OF FINANCIAL
STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING
STANDARDS
To the Board of Directors
The Children 's Home Society of Florida:
we have audited the financial statements of The Children' s Home Society of Florida ("CHS ") as of and
for the year ended June 30, 2002, and have issued our report thereon dated April 11 , 2003 . We
conducted our audit in accordance with auditing standards generally accepted in the United States of
America and the standards applicable to financial audits contained in Government Auditing .5ua7dardt,
issued by the Comptroller General of the United States.
Compliance
As part of obtaining reasonable assurance about whether CHS' s financial statements are free of material
misstatement, we performed tests of its compliance with certain provisions of laws, regulations,
contracts, and grants, noncompliance with which could have a direct and material effect on the
determination of financial statement amounts . However, providing an opinion on compliance with those
provisions was not an objective of our audit and accordingly, we do not express such an opinion. The
results of our tests disclosed no instances of noncompliance that are required to be reported under
Government Auditing Standards .
internal Contra Over r1nancW Repelling
In planning and performing our audit, we considered CHS ' s internal control over financial reporting in
order to determine our auditing procedures for the purpose of expressing our opinion on the financial
statements and not to provide assurance on the internal control over financial reporting. However, we
noted certain matters involving the internal control over financial reporting and its operation that we
consider to be a reportable condition. Reportable conditions involve matters coming to our attention
relating to significant deficiencies in the design or operations of the internal control over financial
reporting that, in our judgment, could adversely affect CHS' s ability to record, process, summarize and
report financial data consistent with the assertions of management in the financial statements. The
reportable condition that we noted is described below.
During the fiscal year ended June 30, 2002, CHS did not reconcile several accounts on •
a monthly basis including Cash, Accounts Receivable and Accounts Payable. The
failure to perform necessaryreconciliations impaired CHS' s ability to prepare periodic
internal financial statements and could result in such periodic internal financial
statements being materially misstated. Reconciliations should be performed for all
significant accounts on a monthly basis and reviewed by an appropriate member of
management.
Deloitte -
Touche
Tohmatsu
MIMMEM
MAY-2B-2003 11 : 05 CHS REGION TFREE P . 18/21
A material weakness is a condition in which the design or operation of one or more of the internal
control components does not reduce to a relatively low level the risk that misstatements in amounts that
would be material in relation to the financial statements being audited may occur and not be detected
within a timely period by employees in the normal course of performing their assigned functions. Our
consideration of the internal control over financial reporting would not necessarily disclose all matters in
the internal control that might be reportable conditions and, accordingly, would not necessarily disclose
all reportable conditions that are also considered to be material weaknesses . However, we do not believe
that the reportable condition described above is a material weakness. However, we noted other matters
involving the internal control over financial reporting that we have reported to the management of CHS,
in a separate letter dated April I I , 2003.
This report is intended solely for the information and use of the Board of Directors, management, federal
awarding agencies, and pass-through entities and is not intended to be and should not be used by anyone
other than these specified parties .
April 11 , 2003
l
- I4 -
MAY-28-2003 1105 CHS REGION THREE
IMMORTU b $0Vr'nK I .Lr wr.r P . 19i21
Suite 1800
200 south Orange Avenue
i Orlando, Florida 32801 -3413
Tet (407) 246.8200
Fax: (407) 422-0436
www.us.detuitte.coni Delot'te
& Touche
INDEPENDENT AUDITORS' REPORT ON COMPLIANCE AND INTERNAL CONTROL OVER
COMPLIANCE APPLICABLE TO EACH MAJOR FEDERAL PROGRAM AND STATE
PROJECT
To the Board of Directors
The Children ' s Home Society of Florida:
Compliance
We have audited the compliance of The Children 's Home Society of Florida ("CHS") with the types of
compliance requirements described in the U. S Office of Management and Budget ("OMB") Circular
A433 Compliance Supplement, and the requirements described in the Executive Office of the
Governor' s State Projects Compliance Supplement, that are applicable to each of its major federal
programs and state projects for the year ended lune 30, 2002. CHS 's major federal programs and state
projects arc identified in the summary of auditors ' results section of the accompanying Schedule of
Findings and Questioned Costs. Compliance with the requirements of laws, regulations, contracts, and
grants applicable to :each of its major federal programs and state projects is the responsibility of CHS' s
management. Our responsibility is to express an opinion on CHS 's compliance based on our audit.
We conducted our audit of compliance in accordance with auditing standards generally accepted in the
United States of America and standards applicable to financial audits contained in Government Auditing
Standards, issued by the Comptroller General of the United States; and OMB Circular A- 133 , Audits of
States, Local Governments, and Non Profit Organizations and Chapter 10.650, Rules of the Auditor
General. Those standards, OMB Circular A- 133 and Chapter 10.650, Rules of the Auditor General
require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance
with the types of compliance requirements referred to above that could have a direct and material effect
on a major federal program or state project occurred. An audit includes examining, on a test basis,
evidence about CHS' s compliance with those requirements and performing such other procedures as we
considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our
opinion . Our audit does not provide a legal determination on CBS' s compliance with those
requirements.
In our opinion, CHS complied, in all material respects, with the requirements referred to above that are
applicable to each of its major federal programs and state projects for the year ended lune 30, 2002 .
Deloitte - 15 -
Touche
Tohmatsu
MAY-28-2003 11005 CHS REGION THREE P . 20/21
Internal Control Over Compliance
The management of CHS is responsible for establishing and maintaining effective internal control over
compliance with requirements of laws, regulations, contracts, and grants applicable to federal programs
and state projects. In planning and performing our audit, we considered CHS 's internal control over
compliance with requirements that could have a direct and material effect on a major federal program or
state project in order to determine our auditing procedures for the purpose of expressing our opinion on
compliance and to test and report on internal control over compliance in accordance with OMB Circular
A- 133 and Chapter 10.650, Rules ofthe Auditor General.
We noted certain matters involving CHS 's internal control over compliance and its operation that we
consider to be reportable conditions . Reportable conditions involve matters coming to our attention
relating to significant deficiencies in the design or operation of the internal control over compliance that,
in our judgment, could adversely affect CHS' s ability to administer a major fcderal program in
accordance with applicable requirements of laws, regulations, contracts, and grants. Reportable
conditions are described in the accompanying Schedule of Findings and Questioned Costs.
A material weakness is a condition in which the design or operation of one or more of the internal
control components does not reduce to a relatively low level the risk that noncompliance with applicable
requirements of laws, regulations, contracts, and grants that would be material in relation to a major
federal program being audited may occur and not be detected within a timely period by employees in the
normal course of performing their assigned functions. Our consideration of the internal control over
compliance would not necessarily disclose all matters in the internal control that might be reportable
conditions and, accordingly, would not necessarily disclose all reportable conditions that are also
considered to be material weaknesses. However, we believe the reportable condition described in the
accompanying Schedule of Findings and Questioned Costs is not a material weakness.
This report is intended solely for the information of the Hoard of Directors, management, the Auditor
General, federal awarding agencies, and pass-through entities and is not intended to be and should not be
used by anyone other than these specified parties.
It
April If , 2003
- 16 -
MAY-28-2003 1106 CHS REGION THREE P . 21 /21
40 «
THE CHILDREN' S HOME SOCIETY OF FLORIDA
SCHEDULE OF FINDINGS AND QUESTIONED COSTS —
FEDERAL PROGRAMS AND STATE PROJECTS
YEAR ENDED JUNE 30, 2002
Part I - Sammary of Auditors' Results
• The independent auditors' reporrexpresses an unqualified opinion on the financial statements of The
Children ' s Home Society of Florida ("CHS").
■ A reportable condition in internal control over financial reporting was identified which is not considered to be
a material weakness.
■ No instance of noncompliance considered material to the financial statements was disclosed by the audit.
• The independent auditors' report on compliance for the major federal programs and state projects for CHS ,
expresses an unqualified opinion.
■ Audit findings relative to the major federal programs and state projects for CHS are reported in Parts 111 and
IV of this schedule.
• The programs/projects tested asmajor progranis/projects included the following:
FEDERAL
FEDERAL PROGRAM CFDA NUMBER
Temporary Assistance for Needy Families 93 . 558
Social Services Block Grant .93 .667
STATE
STATE PROJECT CSFA NUMBER
Children and Families in Need of Services 80.005
Child Protection Teams 64 .006
• The threshold for fistinguishing Type A and Type B programs/projects was 5874,990 for major federal
programs and $300,000 for major state projects.
• The entity was determined not to be a low-risk auditee pursuant to OMB Circular A- 133 .
Part iI - Fmdiags - Financial Statement
• During the fiscal year ended June 30, 2002, The Children's Home Society of Florida, Inc. did not reconcile
several accounts on a monthly basis including Cash, Accounts Receivable and Accounts Payable. The failure
to perforin necessary reconciliations impaired CHS 's ability to prepare periodic internal financial statements
and could result in such periodic internal financial statements being materially misstated. Reconciliations
should be performed for all significant accounts on a monthly or quarterly basis and reviewed by an
appropriate member of management.
Part III - Findings and Questmi ned Costs - Major Federal Programs
• The audit disclosed no matters that are reportable.
Part IV - Findings and Questioned Costs - Major State Projects
• The audit disclosed no matters that arc reportable.
- 17 -
TOTAL P . 21
Fwrn, y U U Keturn of Organization txempt rrom income i ax
Under section 501 (c) of the Internal Revenue Code (except black lung benefit trust or LSO O O
Department oftteTreasury private foundation) or section 4947 (a) (1 ) nonexempt charitable trust
Into n I Re enue Sery ce ► The organization may have to use a copy of this return to satisfy state reporting requirements
A For the 2000 calendar vear, OR tax Year Period beginning 2000m anjendin 06 30 2001
e o 1 opera. PI C Name of OfganlZation Employer Identification number
do- IRS
c f abi THE CHILDREN S HOME SOPit ICIETY OF FLORIDA59 - 0192430
Number and street (or P O box if mad is not delivered to street address) Room T lephone number
sin "i P O BOX 10097 904 348 - 2840
i st
Am a City or town state or countryand ZIP code
F Ch k ► Li 1 PDI t D d p
0 Org nization type (check only one) ► X501 (c) ( 3 ) ( nsert no ) 27 OR 4947 (a)( 1 ) Note (H and I are not applicable
to sect on 527 orgs
e Secdon 501(c)(3) omenizabons and 4947(a)(1) nonexempt char/table trusts must H(s) Is this a group return for afrliates? El Yes XX
No
attach a completed Schedule A (form 990 or 900 EZ) H b If Yes enter number of affliates ►
J Accounting method Cash X Accrual Other (specify) ► H�cj Are all affliates included?
( If No attach a list See Inst ) Ye X No
K Check here ► if the organization a gross receipts are normally not more than H(d) i 9th t P t c cobs° v aHye
X No
$25 000 The organization need not file a return with the IRS but if the organization I Enter 4 digit group exemption
no GEN) ►
received a Form 990 Package in the mail it should file a return without financial data L Check this box If the organization
rs not required
Some states require a complete return to attach Schedule 8 (Form 990 or 990 EZ) ►
ED
Revenue Expenses and Changes In Net Assets or Fund Balances See Specific Instructions on page 16
1 Contributions gifts grants and similar amounts received S TMT 1
a Direct public support lal 7 , 393r579
b Indirect public support 1 b 31 , 626 , 439
c Government contributions (grants) 1 c 5 8 ) 9 , 871
d Tti ( ddI 1 th ghi ) ( hs 69 , 119 , 889 hs ) 1d 69 119 889
2 Program service revenue including government fees and contracts (from Part VII line 93) 2 12 0 95 68 4
3 Membership dues and assessments 3
4 Interest on savings and temporary cash investments 4 609 , 217 .
5 Dividends and interest from securities 5 72 , 315
6 a Gross rents 6 a
b Less rental expenses6 b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
2 7 Other investment income (describe ► 7
8 a Gross amount from sales of assets other A Secur ties a other
than inventory 8a
b Less cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) (combine line Sc columns (A) and (B)) 8d 133r059
9 Special events and activities (attach schedule)
a Gross revenue (not including $ of
contributions reported on line 1a) S .TNT z 19a 1 890 4 69
b Less direct expenses other than fundraising expenses 19bl 14 2 4 7 2
c Net income or (loss) from special events (subtract line 9b from line 9a) 9c 7 4 7 9 9 7
10a Gross sales of inventory less returns and allowances kon
b Less cost of goods sold Ob
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10
11 Other revenue (from Part VII line 103) 11 675 73 6
12 Total revenue add lines 1 d 2 3 4 5 6c 7 8d 9c 10c and 11 12 83 453 r 897
13 Program services (from line 44 column (B)) 13 65 67 9 311
N 14 Management and general (from line 44 column (C)) 14 10r314 , 985
15 Fundraising (from line 44 column (D))
15 2 497 681
W 16 Payments to affiliates (attach schedule) 16
17 Total ex enses add linea 16 and 44 column (A)) 17 78 4 91 977
18 Excess or (deficit) for the year (subtract line 17 from hne 12) 18 4 961 920
19 Net assets or fund balances at beginning of year (from line 73 column (A)) 19 32 73 9 8 97
Z 20 Other changes in net assets or fund balances (attach explanation) fSTNT 3 20 — 8
21 Net assets or fund bblances at end of Year combine lines 18 19 and 20 21 370568 , 992
For Paperwork Reduction Act Notice see page 1 of the separate instructions
OE1010 2 000 Folin 990 (2000)
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 3
TUR Statement of All organizat ons m at complete column (A) Columns (9) (C) and (D) a e requ red for sed on 501 (c)(3) d
(4) organa t o s
Functional Ex enses and sect on 4947(a)( 1 ) nonexempt charitable trusts but optional for oth (See Specdc 1 str tons on p
g 20 )
Do not include amounts reported on line
(A) Total (a) program (C) Management
services (D) Fundra a
6b 8b 96 fOb or 16 of Part 1 services and general ng
22 Grants and allocations (attach schedule)
( hs hs ) 22
23 Spec f c assistance to individuals (attach sch d ie) 23 9 2 3 4 2 5 3 9 , 234o253 S TILT 4
24 Banal is paid to or for members (attach schedule) 24
25 Compensation of officers directors etc 25 511 728
511 , 728
28 Other salaries and wages 28 42 , 783F409 38 , 253r330 3 , 007r501 1 522 , 578
27 Pension plan contributions 27 827r637 693 , 394 109 , 745 24 498
28 Other employee benefits 28 3 , 148f061 2 637 628 417 , 581 920852
29 Payroll taxes 29 3s849 , 061 3 138 972 571 , 341 138 748
30 Professional fundraising fees 30
31 Accounting fees 31 131 , 161 131 , 161
32 Legal fees 32 218v236 218r236
33 Supplies 33 826 , 606 572 , 100 190 , 136 64 , 370
34 Telephone 34 2 106 852 1 346 004 700 , 411 60 , 437
35 Postage and shipping 35 247 , 105 120 1 884 94 , 624 31o597
36 Occupancy 36 4s051 , 253 3 375 837 609 153 66 , 263
37 Equipment rental and maintenance 37 1 020 432 791 0774 208P985 19 673
38 Printing and publications 38 805 , 505 433 , 830 205 , 606 166 069
39 Travel 39 2 , 835A66 2 164 837 550 , 452 120 177
40 Conferences conventions and meetings 40 4 0 0 710 242 , 886 14 3 9 4 0 13 8 8 4
41 Interest 41
42 Depreciation depletion etc (attach schedule) 42 1 4 5 3 718 331 , 128 1 10 7 9 6 5 14 6 2 5
43 Other expenses (itemize) a STMT 5 43a 4 , 040r784 2 3 4 2 4 5 4 1 , 536 , 420 161 910
b 43b
c 43c
d 43d
e 3
44 Total functional expenses ( dd 1 22 th gh 43)
o"mbo s hp13 15 a�W (B�) entry
= .4A . 1 78A91 , 977F65s679 , 311 . 10 314 985 1 2 , 497 , 681
Reporting of Joint Costs Did you report in column ( B ) ( Program services) any joint costs from a combined
educational campaign and fundraising solicitation? ► ❑ Yes Q No
If 'Yes enter (t) the aggregate amount of these joint costs $ (it) the amount allocated to Program services $
iii the amount allocated to Management and general $ and iv the amount allocated to Fundraising $
Statement of Program Service Accomplishments See Specific Instructions on pag e 23
What is the organization s primary exempt purpose? ► SEE STATEMENT 6 Program s rvice
x nses
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number
(RequiredEor 501 (c)(3) and
of clients served publications issued etc Discuss achievements that are not measurable (Section 501 (c)(3) and
(4) (trustss but opt and 9or al for )
organizations and 4947(a)(1 ) nonexempt charitable trusts must also enter the amount of grants and allocations to others ) Others )
a INTENSIVE FAMILY PRESERVATION 24 / 7 IN — HOME CNSL PRGRM
TO PREVNT REMVL OF CHILDREN FROM HOME DURING CRISIS INCL
ABUSE OR NEGLECT SERVED 3826 CHILDREN
Grants and allocations $ 7 538 729
b EMERGENCY SHELTER NURSERIES AND HOMES WHICH PROVIDE SHORT
TERM SHELTER TO VICTIMS OF ABUSE OR NEGLECT PROVIDES
30 , 000 DAYS OF CARE TO 1 , 100 CHILDREN AND YOUTH
Grants and allocations $ ) 7s109 , 247
c GROUP HOME CARE PROVIDES LONG — TERM SHELTER USUALLY FOR
OLDER CHLD OR THOSE WITH EMOTIONAL OR EDUC PROBLEMS
PROVIDED 55 . 000 DAYS OF CARE TO 700 CHILDREN AND YOUTH
Grants and allocations $ ) 9 , 941r420
d CASE MANGMNT PROVIDES ASMNT AND SUPPORT IN
ACCESSING MED SOCIAL , EDUC AND OTHER SUPP SVC TO FAM
W/CHILD WHO HAS A SERIOUS EMNTL DIST SERVED 4 , 500 CHLD
Grants and allocations $ I 5 367 O93
e Other program services 4ttach schedule STMT 7 Grants and allocations $ 35 1722 1822
JSA f Total of Programrvi
_Service Expenses (should equal line 44 column (B ) Program seces) ► 65 679 311
OE1020 2 000 Form 990 ( 2000)
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 4
Jy � Vl `JG �1JV rg J
® Balance Sheets (See Specific Instructions on page 23 )
Note Where required attached schedules and amounts mthvn the description (A) (B)
column should be for end o/ year amounts only Beginning of year End of year
45 Cash non interest bearing 2 8 5 0 65 45 14 4 9 8 6
46 Savings and temporary cash investments 5 , 881P995 46 8 , 121 , 926
47a Accounts receivable 47a 172 , 120
b Less allowance for doubtful accounts 47b '43 , 034 112 805 47c
129 , 086
48a Pledges receivable 48a 471 884
b Less allowance for doubtful accounts 48b 264r277 48c 471 , 884
48 Grants receivable 8 , 874o370 48 12 , 767 , 376
50 Receivables from officers directors trustees and key employees
(attach schedule;) f e � F 50
51 a Other notes and loans receivable (attach
N schedule) 1 ,51 a
N b Less allowance for doubtful accounts 51 b S 1 c
a 52 Inventories for sale or use 52
53 Prepaid expenses and deferred charges 2 730 833 53 3 , 226 , 674
54 Investments securities (attach schedule) $ TNT 8 ► ❑ Cost FMV 9 , 787 , 753 54 7 189 997
55a Investments land buildings and
equipment basis 55a 646 , 541
b Less accumulated depreciation (attach
schedule) 55b 785 034 55c 646 , 541
56 Investments other ( attach schedule) 56
57a Land buildings and equipment basis 57a 23 . 703 , 033
b Less accumulated depreciation (attach
schedule) 57b 8 691 733 12P884 , 242 57c 15 , 011r300
58 Other assets (describe ► ) 58
58 Total assets add Imes 45 through 58 must equal line 74 41r606a374 58 1 47s7O9r770
60 Accounts payable and accrued expenses 5 , 166r318 60 4o999 , 270
61 Grants payable 61
62 Deferred revenue SEE STATEMENT 9 2 690 939 62 1 , 888o576 - '888 576
d 63 Loans from officers directors trustees and key employees (attach
¢ schedule)
63
An 64a Tax exempt bond liabilities ( attach schedule) 64a
b Mortgages and other notes payable ( attach schedule) 514 J45 64b 2 , 545 , 500
65 Other liabilities ( describe ► SEE STATEMENT 10 ) 494 , 775 65 707r432
66 Total Inabilities add lines 60 through 65 8 866 477 66 10 f 140 778
Organizations that follow SFAS 117 check here ► X and complete lines
67 through 69 and lines 73 and 74
N 67 Unrestricted 30r850 , 450 67 1 35o377 , 551
68 Temporarily restricted 1 , 687r947 88 1 1 f989 , 941
m 68 Permanently restricted
201r500 68 201r500
v Organizations that do not follow SFAS 117 check here No. and
ii complete lines 70 through 74
$ 70 Capital stock trust principal or current funds 70
4a 71 Paid in or capital surplus or land budding and equipment fund 71
w72 Retained earnings endowment accumulated income or other funds 72
a 73 Total net assets or fund balances (add lines 67 through 69 OR lines
z70 through 72 column (A) must equal line 19 and column ( B ) must
equal line 21 ) 32 , 739 , 897 73 37t568 , 992
74 Total inabilities and net assetstfund balances add lines 66 and 73 41 , 606r374 74 47 709 770
Form 990 is available for public inspection and for some people serves as the primary or sole source of
information about a
particular organization How the public perceives an organization in such cases may be determined by the information
presented
on its return Therefore please make sure the return is complete and accurate and fully describes in Part
III the organizations
programs and accomplishments
JSA
OE 1030 2 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 5
Form 990 (2000) 59 - 0192430 Page 4
Reconciliation of Revenue per Audited Reconciliation of Expenses per Audited
Financial Statements with Revenue per Financial Statements with Expenses per
Return See Specific instructions age 25 Return
a Total revenue gains and other support a Total expenses and losses per
per audited financial statements ► a 83 463 544 audited financial statements ► a 78o634 , 449
b Amounts Included on line a but not on b Amounts Included on line a but not
line 12 Form 990 on line 17 Form 990
( 1 ) Net unrealized gains (1 ) Donated services
on Investments $ and use of facilities t
(2) Donated services (2 ) Prior year adjustments
and use of facilities $ 441 , 142 reported on line 20
(3) Recoveries of prior Form 990 $
year grants $ (3 ) Losses reported on
(4) Other (specify) line 20 Form 990 $
STMT 11 S — 431 , 495 (4) Other (specify)
Add amounts on lines (1 ) through (4) ► b 9 . 647 STMT 12 f 142a472
Add amounts on lines (1 ) through (4) ► b 142s472
e Line a minus line b ► c 83s453 , 897 c Line a minus line b ► c 78n491v977
d Amounts Included on line 12 d Amounts included on line 17
Form 990 but not on line a Form 990 but not on line a
( 1 ) Investment expenses ( 1 ) Investment expenses
not included on line not Included on line
6b Form 990 $ 6b Form 990 =
(2) Other (specify) l (2) Other (specify)
i =
Add amounts on Imes (1 ) and (2) Add amounts on lines (1 ) and (2) lop, d
e Total revenue per line 12 Form 9:1ohie
a Total expenses per line 17 Form 990
line c plus lined 83 , 45 897 line c Plus lined ► e 78o491 , 977
List of Officers Directors Trustees and Key Employees ( List each one even If not compensated see Specific
Instructions on page 25
(B) T He and a e age (C) Compensation (D) e t b t t (E) Expense
(A) N m and addre s hours per w k (if n t paid nt r mpi y b tot pi s account d ther
de t d to ton -0- ) d f d mp t Ilowanees
SEE STATEMENT 15 511 , 728 10 196 — 0 -
75 Did any officer director trustee or key employee receive aggregate compensation of more than $100 000 from your
organization and all related organizations of which more than $ 10 000 was provided by the related organizational ► Yes NX
No
If Yes attach schedule see Specific Instructions on page 26
Form 990 (2000)
JsA
OE 1040 2 000
07rrPnr. D 0) A7A A02 / 7G / o3nr% n 49 c n41 en • sn r% P7 e% a, rTTv nnn
Form 990 2000) 59 - 0192430 Pa e .
Other Information See Specific Instructions on page 26 Yes Nc
76 Did the organization engage in any activity not previously reported to the IRS? If Yes attach a detailed description of each activity
76 X
77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77 X
It Yes attach a conformed copy of the changes
78 a Did the organization have unrelated business gross income of $ 1 000 or more during the year covered by this return? 78a
X
b If Yes has it filed a tax return on Form 990 T for this year? 78b X
79 Was there a liquidation dissolution termination or substantial contraction during the year? If Yes attach a statement 79
X
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership governing bodies trustees officers etc to any other exempt or nonexempt organization? Boa X
b If Yes enter the name of the organization ► CHILDREN ' S BUILDING INC POSTERITY
and check whether it is I X I exempt OR Lj nonexempt '
01 a Enter the amount of political expenditures direct or indirect as described in the
instructions for line 81 Isla
b Did the organization file Form 1120 POL for this year? Sib X
82 a Did the organization receive donated services or the use of materials equipment or facilities at no charge
or at substantially less than fair rental value? 82a X
b If Yes you may indicate the value of these items here Do not include this amount
as revenue in Part I or as an expense in Part II (See instructions for reporting in
Part III ) I 82b 441 , 142
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83s I X
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b I X
84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a X
b If Yes did the organization include with every solicitation an express statement that such contributions
or gifts were not tax deductible? 84b NIA
85 501(c)(4) (5) or (6) organizations a Were substantially all dues nondeductible by members? 852 N A
b Did the organization make only in house lobbying expenditures of $2 000 or less? 85b N A A
If Yes was answered to either 85a or 85b do not complete 85c through 85h below unless the organization
received a waiver for proxy tax owed for the prior year
c Dues assessments and similar amounts from members 85c N /A
d Section 162 (e) lobbying and political expenditures 85d N /A
e Aggregate nondeductible amount of section 6033(e)(1 )(A) dues notices 85e N /A
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N /A
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? 850 N A
h If section 6033(e)( 1 )(A) dues notices were sent does the organization agree to add the amount in 85f to its reasonable
estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85h N A
86 501(c)(7) ores Enter a initiation fees and capital contributions included on line 12 Bea N /A
b Gross receipts included on line 12 for public use of club facilities 86b N /A
87 501(c)( 12) orgs Enter a Gross income from members or shareholders 87a N /A
b Gross income from other sources (Do not net amounts due or paid to other
sources against amounts due or received from them ) 87b N /A
88 At any time during the year did the organization own a 50 A or greater interest in a taxable corporation or
partnership or an entity disregarded as separate from the organization under Regulations sections
301 7701 2 and 301 7701 3? if Yes complete Part IX g8
89a 501(c)(3) orgarnzabons Enter Amount of tax imposed on the organization during the year under
section 4911 ► N /A section 4912 ► N /A section 4955 ►
b 501(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year? If Yes attach
a statement explaining each transaction 89b X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912 4955 and 4958 ► N /A
d Enter Amount of tax on line 89c above reimbursed by the organization ► N /A
90 a List the states with which a copy of this return is filed ► FLORIDA
b Number of employees employed in the pay period that includes March 12 2000 (See cost ) 190b 1 1721
91 The books are in care of ► DAVID J MATTICE Telephoneno Pop 904 - 348 - 2840
Located at ► P O BOX 10097 , JACKSONVILLE FL ZIP code ► 32247
92 Section 4947(a)( 1) nonexempt chantable trusts filing Form 990 in heu of Form 1041 Check here oo�
and enter the amount of tax exempt interest received or accrued during the tax year ► 192 1 N /A
Form 990 (2001
JSA
OE 1041 2 000
7CT05P 2026 00A / 9r% / #> nn #> ? R O1 R7 trn n7 ni t' = -rTrNoot%
000 59 - 0192430 Pme
Analysis of Income Producin Activities See Specific Instructions on a e 30
0 o
rs amounts unless otherwise Unrelated business income Excluded b section 512 513 or 514 (E)
(A) (g) (C) Related or
Bush ss Amount Excllusion Amount exempt function
93 Program service revenue od code Income
mADOPTIVE & OTHER
11118 , 395
b SERVICE FEES
c
d
e
f M dic r /Medicaid payments 10 977 289
g Fees and contracts from government agencies
94 Membership dues and assessments
95 1 t t g d mp vary h tm t 14 609 , 217
96 Dividends and Interest from securities 14 72o315
97 Net rental Income or (loss) from real estate
a debt financed property
b not debt financed property
99 N t t 1 m 0 ) f mp Ip A rty
99 Other Investment Income
100 G (1 ) I m I f to th th I try 18 133 , 059
101 Net Income or (loss) from special events 03 74 7 997
102 Gross profit or (loss) from sales of inventory
103 Other revenue a
bMISCELLANEOUS 03 675o736
c
d
e
104 Subtotal (add columns (B) (D) and (E))
2 , 238 , 324 12 09 5 684
105 Total (add line 104 columns (B) (D) and (E)) Opp 14r334 , 008
Note Line 105 plus line Id Part I should equal the amount on line 12 Part I
Relationship of Activities to the Accomplishment of Exempt Purposes See S12ecific Instructions on 12age 31
Line No Explain how each activity for which Income Is reported in column (E) of Part VII contributed Importantly to the accomplishment
♦ of the organization s exempt purposes other than by providingfunds for such purposes)
SEE STATEMENT 16
Information RegardingTaxable Subsidiaries and Disre arded Entitles See S eclfic Instructions on page 31
A
B '
Name address and EIN of corporation P t)g f Nature of activities Total n come End�(year
partnership, or disregarded erd w h 1 t at assets
A
Information Regarding Transfers Associated with Personal Benefit Contracts See Specific Instructions on page
(a) Did the organization during the year receive any funds directly or indirectly to pay premiums on a personal
benefit contract? 8 Yes N
(b) Did the organization during the year pay premiums directly or indirectly on a personal benefit contracts Yes NX N
Note N Yes to file Form 8870 and Fonn 4720 see instructions
Please Vnd penances of perjury I dect re th t 1 have ex mined IN r tum indud ng accompanyingschedules and st t ments and to
the be t of mry knowiedge
and b i f d is t rr t andcomplete Declaration of prep rer loth r than off' ed on all information of w uch preparer
has any knowledge
Sign (Important S w e lin ( W 14
Here , s r p t ypv rp i to m dttl
Preparers ' Date
to 6 /Q Check if Preparees SSN or PTIN
Paid sign ture ' .6/ r/
em I012 - 42 - 966
Preparer s Firm a n m ( r yours DE ITTE & TOUCHE LLP EIN ► 13 - 3891517
Use Only if Ifempl yed) and , ONE INDEPENDENT DRIVEr SUITE 2801 Phi
add s and ZIP code AKS NVI LE FL 32202 - 50341 ' 904 - 665 - 1400
SSA Form 990 (20C
OE 1050 2 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 8
Form 8868 Application for Extension of Time To File an
(December M) Exempt Organization Return OMS No 1545.1 "9
Dqmw#Whw" now" sem ► FUe a separate application for each return
• If you are filing for an Automatic 3-Month Extension complete only Part I and check this box ►
• If you are filing for an Additional (not automatic) 3 Month Extension complete only Part II (on page 2 of this form)
Note Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously Med
Form 8868
Pert J1 Automatic 3 Month Extension of Time — Only submit original (no copies needed)
Note Form 990-T corporations requesting an automatic &month extension — check this box and complete Part l only ► ❑
IU other corporations (including Form 990 C /Jeers) must use Form 7004 to request an extension o/ tone to Ice income tax returns
Partnenshps REMICs and trusts must use Form 8736 to request an extension of time to fide Form 1065 1066 or 1041
Type or Name of Exempt Organization Employer Ideritificotion number
print THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
File by the Number street and room or suite no If a PO boa, see instructions
d1° date forMing P O BOX 10097
return sesee City town or post office state and ZIP code For a foreign address see instructions
instructions JACKSONVILLE FL 32247 - 0097
Check type of return to be filed (file a separate application for each return)
® Form 990 ❑ Form 990-T (corporation) ❑ Form 4720
❑ Form 990-BL ❑ Form 990•T (sec 401 (a) or 408(a) trust) ❑ Form 5227
❑ Form 990 EZ ❑ Form 990 T (trust other than above) p Form 6069
❑ Form 990• PF ❑ Form 1041 A ❑ Form 8870
• If the organization does not have an office or lace of business in the United States check this box ► ❑
• If this is for a Group Return enter the organr ation s four digit Group Exemption Number (GEN) If this is
for the whole group check this box ► ❑ if it Is for part of the group check this box ► ❑ and attach a list with
the names and
EINs of all members the extension will cover
1 I request an automatic 3-month (6 month for 990 T corporation) extension of time until FEBRUARY 15 20
to file the exempt organization return for the organization named above The extension is for the organization s return for
► ❑ calendar year 20 _ or
► ® tax year beginning JULY 1 20 0 0 and ending JUNE 30 20 01
2 If this tax year is for less than 12 months check reason ❑ Initial return ❑ Final return ❑ Change in accounting
period
3a If this application is for Form 990-BL 990 PF 990-T 4720 or 6069 enter the tentative tax less any
nonrefundable credits See instructions $
b If this application is for Form 990-PF or 990-T enter any refundable credits and estimated tax payments
made Include any prior year overpayment allowed as a credit S
c Balance Due Subtract line 3b from line 3a Include your payment with this form or If required deposit
with FM coupon or if required by using EFTPS (Electronic Federal Tax Payment System) See
instructions
$
Signature and Verification
Under penalties of perjury I declare that 1 have examined ttrs form including accompanying schedules and statements and to the best of my knowledge
and belief it is true
correct and complete and that I am sworaed to prepare finis form
Signature ► PTitle ► C Date No
For Paperwork Reduction Act Notice sea Instruction Form 8868 (12 2WO)
MA
SIF FE09056F 1
Form Bass (12 2000) Pape 2
is If you are filing for an Additional (not automatic) 3 Month Extension complete only Part II and check this box ►
Note Only complete Part 11 N you have already been granted on automatic 3 month extension on a previously bled Form 8868
• If you are Illing for an Automatic 3 Month Extension complete only Part I (on page 1 )
Part 11 Additional not automatic 3 Month Extension of Time — Must FIle Original and One Co
Type or Name of Exempt Organization Employer Identification number
Print THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
File by els Number street and room or suite no h a P O box, see mainxUna For IRS use only
extended
for P O BOX 10097
filing els City town or post office stateand ZIP code For a foreign address see matructiorta
instructions orn $eQnsJACKSONVILLE FL 32247 - 0097
Check type of return to be filed (File a separate application for each return)
® Form 990 ❑ Form 990-EZ ❑ Form 990-T (sec 401 (a) or 408(a) trust) ❑ Form 1041 A ❑ Form 5227 ❑ Form 8870
❑ Form 990 BL ❑ Form 990aPF ❑ Form 990-T (trust other than above) ❑ Form 4720 ❑ Form 6069
STOP Do not complete Part II If you were not already granted an automatic 3 month extension on a previously filed Form 8868
• If the organization does not have an office or place of business in the United States check this box ► ❑
e If this is for a Group Return enter the organizations four digit Group Exemption Number (GEN) If this is
fnr this whole gmun check this box ► ❑ If it is for part of the group check this box ► ❑ and attach a Inst with the
names and
EINs of all members the extension is for
4 1 request an additional 3-month extension of time until MAY 15 20 Q�
5 For calendar year or other tax year beginning JUL "'1—` 2UMCandending 20 .03,
6 If this tax year Is for less than 12 months check reason ❑ Initial return ❑ Final return ❑ Change in accounting
penod
7 State in detail why you need the extension
ADDTT GNAT . TTMR TS NRF.D .D TO CATH .R TH TNFO MATTON N . r P99ARV TO TT F
A COMPLETE AND ACCURATE RETURN
Be If this application is for Form 990-BL 990 PF 990-T 4720 or 6069 enter the tentative tax less any
nonrefundable credits See instructions S
b if this application Is for Form 990- PF 990-T 4720 or 6069 enter any refundable credits and estimated
tax payments made Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868 S
c Balance Due Subtract line 8b from line 8a Include your payment with this form or if required deposit
with FM coupon or if required by using EFTPS ( Electronic Federal Tax Payment System) See
instructions S
Signature and Verification
Under penalties of perjury I declare that I have examined this form including accompanying schedules and statements and to the best of my knowledge
and belief it is true
correct and complete and that I am authorized to prepare this form
Signal " " AJ, Title n O
xac fm
► cis Date i
Notice to Applicant — To Be Completed by the IRS
LLJ We is ire app oved this app►iedtiowi ?lease shaO d e form to no organuduon s return
❑ We have not approved this application However we have granted a 10-day grace period from the later of the date shown below or the due
date of the
organizations return (including any prior extensions) This grace period is considered to be a valid extension of time for elections otherwise required
to be
made on a timely return Please attach this form to the organization a return
❑ We have not approved this application After considering the reasons stated in item 7 we cannot grant your request for an extension of time
to file We are
not granting a 10-day grace period
❑ We cannot consider this application because it was filed after the due date of the return for which an extension was requ&a^d . .. i ^ ^�
❑ Other
r 1 L 02
By
Director pate
Alternate Marling Address — Enter the address if you want the copy of this application for an additional 3 month extension
returned to an address different than the one entered above
Name
DELOITTE & TOUCHE LLP
Type or Number and street (include suite room or apt no ) Or a P O box number
Print ONE INDEPENDENT DRIVE SUITE 2801
City or town province or state and country (including postal or ZIP code)
JACKSONVILLE FL 32202 - 5034
S1F fED9056F 2 Fo m 8868 ( 12 2000)
SCHEDULE A Organization Exempt Under Section 501 ( c ) ( 3 ) OMB No 1545 0047
( Form 990 or 990 EZ) ( Except Private Foundation ) and Section 501 ( e) 501 (1) 501 ( k)
501 (n) or Section 4947 ( a )( 1 ) Nonexempt Charitable Trust
Supplementary Information (See separate instructions ) 200 00
Department d the Treasury
Intemat Revenue service Poo MUST be completed b the above organizations and attached to their Form 990 or 990 EZ
Name o/ the organizationr9 - 0192430
pklyer id nUflabon numb r
THE CHILDREN ' S HOME SOCIETY OF FLORIDA
Compensation of the Five Highest Paid Employees Other Than Officers Directors and Trustees
(See page 1 of the Instructions List each one if there are none enter None )
( ) Name and addr es of each employee paid more (b) Title and average (d) Contributions to (a) Enwise
than $50 000 hours per week (c) Compensation employee bereft plans & account and other
devoted to position deferred compens ton allowances
I
Total number of other employees paid over
$50000 ► 45
LdMa Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See page 1 of the instructions List each one (whether Individuals or firms) If there are none enter None
(a) Name and address of each independent contractor paid more than $50 000 (b) Type of sery ce (c) Compensat on
DELOITTE & TOUCHE LLP
2801 INDEPENDENT SQUARE , JAX FL 32202 XUDIT & TAX SERVICES 133 926
STAR CONSULTANTS INC _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
761 MAITLAND AVENUE THERAPEUTIC 130r682
FAMILY RESOURCE_ CENTER _
- - - - - - - - - - - - - - - - - - - -
4770 BISCAYNE BLVD # 610 SE WORKERS 422 , 797
MAD _DOG
. . . . . . . . . .
1712 MAHAN DR STE CrTALLAHASSEE FL rCAAPITAL CAMPAIGN 127r000
DICK _ HOWSER CEN TER _ INC _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1233 MI COS KEE ROAD THERAPEUTIC 175 , 172
Total number of others receiving over $50 000 for
professiornl services ► 16
For Paperwork Reduction Act Notice see page 1 of the Instructions for Form 990 and Form 990 EZ S h dui A (F rm 990
or 990 t7) 2000
JSA
OE 1210 2 000
IrTnRv 7nlA n1 / 99 / 0> nn #:i T R 71 r% 7 Trn nP7 nT f% WTT .n0cin n
Sch Jule A Form 990 or 990 E2 2000 5 9 - 019 2 4 3 0 Pme 2
® Statements About Activities Yes No
1 During the year has the organization attempted to influence national state or local legislation including any
attempt to Influence public opinion on a legislative matter or referendum? 1 X
If Yes enter the total expenses paid or Incurred in connection with the lobbying activities ► $ 13 0 , 7 4 2
Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part VI A Other
organizations checking Yes must complete Part VI B AND attach a statement giving a detailed description of
the lobbying activities
2 During the year has the organization either directly or indirectly engaged in any of the following acts with any
of its trustees directors officers creators key employees or members of their families or with any taxable
organization with which any such person is affiliated as an officer director trustee majority owner or principal
beneficiary
a Sale exchange or leasing of property? 2a X
b Lending of money or other extension of credit? 2b X
c Furnishing of goods seances or facildiesl 2c X
d Payment of compensation (or payment or reimbursement of expenses if more than $1000)? 2 d X
e Transfer of any part of its income or assets? 29
X
If the answer to any question is Yes attach a detailed statement explaining the transactions
3 Does the organization make grants for scholarships fellowships student bans etc ? 3 X
4a Do you have a section 403(b) annuity plan for your employees? 4a X
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants
or loans from it in furtherance of its charitable rorams quality to receive payments See page 2 of the instructions
® Reason for Non Private Foundation Status (See pages 2 through 5 of the instructions )
The or anization is not a private foundation because it is (Please check only ONE applicable box )
5 A church convention of churches or association of churches Section 170(b)(1 )(A)(i)
6 A school Section 170(b)( 1 )(A)(o) (Also complete Part V page 5 )
7 A hospital or a cooperative hospital service organization Section 170(b)( 1 )(A)(iii)
8 A Federal state or local government or governmental unit Section 170(b)(1 )(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170(b)(1 )(A)(►ii) Enter the hospital s name
city
and state ► _ _ _ _ _ _ _ _ _
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
10 ED An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1 )(A)(iv)
(Also complete the Support Schedule in Part IV A )
11 a ❑X An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b) (1 )(A)(vi) (Also complete the Support Schedule in Part IV A )
11 b A community trust Section 170(b)(1 )(A)(vi) (Also complete the Support Schedule in Part IV A )
12 An organization that normally receives ( 1 ) more than 33 1 /3 / of its support from contributions membership fees and gross
receipts from activities related to its charitable etc functions subject to certain exceptions and (2 ) no more than 33 1 /3 /
of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV A )
13 ❑ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in ( 1 ) lines 5 through 12 above or ( 2) section 501 (c) (4) (5) or (6) if they meet the test of section 509(x)(2)
(See
section 509(x)(3) )
Provide the followino information about the SUPDorted or anizat►ons See pace 5 of the instructions
(a) Name(s) of supported organization(s) (b) Line number
from above
JsA 14 I 1 An oroanizahon organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions )
OE 1220 2 000 ach dule A (Form e90 or 990 Q) 2000
7CT05P 2026 03 / 26 / 2002 15 21 52 vn 117 ni rL1TT .nCQn , .,
Schedule A (Form 990 or 990 EZI 2000 59 _ 0192430 3
Support Schedule (Complete only If you checked a box on line 10 11 or 12 ) tlseash method of&=undng
Note You mav use the worksheet fn the rnstruchons for convertor from the accrual to the cash method o/ eccountin
Calendar year or fiscal year beginning m a 1999 b 1998 c 1997 d 1996 a Total
15 Gifts grants and contributions received (Do
not include unusual arents See line 28 54113008 43058169 4_6232612 39951156 183354945
16 Membership fees received
17 Gross receipts from admissions
merchandise sold or services performed or
furnishing of facilities in any activity that is
not a business unrelated to the organizations
chantable , etc , purpose
18 Gross income from interest dividends
amounts received from payments on securities
loans (section 512(a)(5)) rents royalties and
unrelated business taxable income (less
section 511 taxes) from businesses acquired
by the organization after June 30 1975 2s101 , 326 1v719r152 laS46v872 906r554 6 273 904
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the organizations
benefit and either paid to it or expended on
its behalf
21 The value of services or facilities furnished to
the organization by a governmental unit
without charge Do not include the value of
services or facilities generally furnished to the
public without charge
22 Other income Attach a schedule Do not STMT 17
include gain or (loss) from sale of capital assets . 9 , 712 , 162 8 , 746m003 1 368 978 lo432 , 645 21259788
23 Total of lines 15throu h22 65926496 53523324 49148462 42290355 210888637
24 Line 23 minus line 17 65926496 53523324 49148462 42290355 210888637
25 Enter l /aofline 23 659 , 265 535 233 491A85 422 904
26 Organizations described in lines 10 or 11 a Enter 2 A of amount in column (e) line 24 ► 26a 4 217 •
773
b Attach a list (which is not open to public inspection) showing the name of and amount contributed by each
person (other than a governmental unit or publicly supported organization) whose total gifts for 19% through
1999 exceeded the amount shown in line 26a Enter the sum of all these excess amounts ► 26b
c Total support for section 509(a)(1 ) test Enter line 24 column (e)
► 26c 210888637
d Add Amounts from column (e) for lines 18 6t , 904 19
22 21259788 26b ► 26d 27533692
e Public support (line 26c minus line 26d total) ► 26e 183354945
f Public support percentage line 26e numerator divided by line 26c denominator ► 26f 86 9440 A
27 Organizations described on line 12 a For amounts included in lines 15 16 and 17 that were received
from a disqualified
person attach a list (which is not open to public inspection) to show the name of and total amounts received in each year from
each disqualified person Enter the sum of such amounts for each year NOT APPL I CABLE
( 1999) - - - - - - - - - - - - - - - -
( 1998) - - - - - - - - - - - - - - - - - - -
( 1997
) - - - - - - - - - - - - - - - - - - - ( 1996) - - - - - - - - - - - - - -
b For any amount included in line 17 that was received from a nondisqualified person attach a list to show the name of and amount
received for each year that was more than the larger of ( 1 ) the amount on line 25 for the year or (2 ) $5 000 (Include in
the list
organizations described in lines 5 through 11 as well as individuals ) After computing the difference between the amount received
and the larger amount described in (1 ) or (2) enter the sum of these differences (the excess amounts) for each year
( 1999) - - - - - ( 1998) - - - - - - - - - - - - - - - - - - - ( 1997) - - - - - - - - - - - - - - - - - - - (
1996) - - - - - - - - - - - - - - -
c Add Amounts from column (e) for lines 15 16
17 20 21 ► 27c
d Add Line 27a total and line 27b total ► 27d
e Public support (line 27c total minus line 27d total) ► 27e
f Total support for section 509(a) (2) test Enter amount on line 23 column (e) jo. 1 27f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ► L27o ,6
h Investment income ercenta a line 18 column a numerator divided by line 27f denominator 27h 6
28 Unusual Grants For an organization described in line 10 11 or 12 that received any unusual grants during 1996 through
1999
attach a list (which is not ooen to oubhe intenortinn I fnr oarh uaar ahnwinn fhe noma M the Ar & _- �
s n o re A (ro m auu o avu LL) eouu
59 - 0192430
LIEWT Private School Questionnaire (See page 5 of the instructions)
(To be completed ONLY by schools that checked the box on line 6 in Part M NOT APPLICABLE
Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter bylaws
other governing Instrument or in a resolution of Its governing body? Y9
30 Does the organization Include a statement of Its racially nondiscriminatory policy toward students in all its
brochures catalogues and other written communications with the public dealing with student admissions
programs and scholarships
30
31 Has the organization publicized Its racially nondiscriminatory policy through newspaper or broadcast media during
the penod of solicitation for students or during the registration period if it has no solicitation program In a way
that makes the policy known to all parts of the general community it serves? 31
If Yes please describe d No please explain (If you need more space attach a separate statement )
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
32 Does the organization maintain the following
a Records indicabng the racial composition of the student body faculty and administrative staff? 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis
32b
c Copies of all catalogues brochures announcements and other written communications to the public dealing
with student admissions programs and scholarships? 32c
d Copies of all material used by the organization or on Its behalf to solicit contributions? 32d
If you answered No to any of the above please explain ( If you need more space attach a separate statement )
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
33 Does the organization discriminate by race in any way with respect to
a Students rights or privileges? 33a
b Admissions policies
33b
c Employment of faculty or administrative staff? 33c
d Scholarships or other financial assistance? 33d
e Educational policies
. 33e
f Use of facilities?
33f
g Athlebc programs? 33
h Other extracurricular actmbes?
If you answered Yes to any of the above please explain (If you need more space attach a separate statement )
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
34a Does the organization receive any financial aid or assistance from a governmental agency
b Has the organization s right to such aid ever been revoked or suspended - 34b
If you answered Yes to either 34a or b please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05
of Rev Proc 75 50 1975 2 C B 587 covering racial nondiscrimination ? If No attach an explanation 35
OSA
OE 7 230 3000 a hedul A (F rm 000 or 080 EZ) 2000
7CT05P 2026 03 / 26 / 2f) n9 ni Y' uTTTOOA _ .,
acn c n ir WVU VWU cc cvuu
Lobbying Expenditures by Electing Public Charities (See page 7 of the instructions )
o be completed ONLY by an eligible organization that filed Form 5768 NOT APPLICABLE
Check here ► ad the organization belongs to an affiliated group
Check here ► b H if you checked a above and limited control provisions apply
Limps on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term expenditures means amounts paid or Incurred ) organizations
38 Total lobbying expenditures to Influence public opinion ( grassroots lobbying) 36
37 Total lobbying expenditures to Influence a legislative body ( direct lobbying) 37
38 Total lobbying expenditures ( add Imes 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table
If the amount on line 40 Is The lobbying nontaxable amount Is
Not over $500 000 20 / of the amount on line 40
O or $500 000 but not o or $ 1 000 000 $100 000 plus 15 / of the excess over $500 000
O er $1 000 000 but not over $ 1 500 000 $175 000 plus 10 / of the excess o er s1 000 00041
Over $ 1 500 000 but not over $ 17 000 000 $225 000 plus 5 / of the excess over $1500 000
O or S17 000 000 $ 1 000 000
42 Grassroots nontaxable amount (enter 25 / of line 41 ) 42
43 Subtract line 42 from line 36 Enter 0 If line 42 Is more than line 36 43
44 Subtract line 41 from line 38 Enter 0 If line 41 Is more than line 38 44
Caution If there is an amount on either line 43 or line 44 you must file Form 4720
4 Year Averaging Period Under Section 501 (h)
( Some organizations that made a section 501 (h ) election do not have to complete all of the five columns below
See the Instructions for Imes 45 through 50 on page 9 of the Instructions
Lobbying Expenditures During 4 Year Averaging Period
Calendar year (or fiscal (a) (b) (c) (d) (e)
year beginning In ► 2000 1999 1998 1997 Total
Lobbying nontaxable
45 amount
Lobbying ceding amount
46 150 ,6 of line 45(e))
47 Total lobbying exp nddures
Grassroots nontaxable
8 amount
Grassroot cad ng gaunt
49 150 / of line 48(ell
Grassroots lobbying
ex enditures
Lobbying Activity by Nonelecting Public Charities
For reporting only by organizations that did not complete Part VIA) (Seepage 9 of the instructions
During the year did the organization attempt to influence national state or local legislation including any Yes No Amount
attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers X
b Paid staff or management ( Include compensation in expenses reported on Imes c through h ) X STMT IS
c Media advertisements X
d Mailings to members legislators or the public X 130 742
e Publications or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators their staffs government officials or a legislative body X
h Raines demonstrations seminars conventions speeches lectures or any other means X
I Total lobbying expenditures ( add Imes c through h ) 130y742 .
If Yes to any of the above , also attach a statement giving a detailed description of the lobbying activities
Schedule A (Form 990 or 990 EZ) 200(
JsA
OE1240 2 000
7r• TngD 7n ') s; na4 / 7r% / ,7nn #> dig 7l g; 7 oirn n7 n1 r UTT .nQQn 7 42
schedule A Form 990 or 990 EZ 2000 59 - 0192430 Pa e
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See page 9 of the Instructions )
51 Did the reporting organization directly or Indirectly engage in any of the following with any other organization described In section
501 (c) of the Code ( other than section 501 (c ) ( 3 ) organizations ) or in section 527 relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of Yes No
(I) Cash
510 )I X
(II) Other assets
a (11) X
b Other transactions
(I) Sales or exchanges of assets with a noncharitable exempt organization b I X
(ii) Purchases of assets from a noncharitable exempt organization NO X
(m) Rental of facilities equipment or other assets b III X
(iv) Reimbursement arrangements b Iv X
(v) Loans or loan guarantees b v X
(vi) Performance of services or membership or fundraising solicitations b vI X
c Sharing of facilities equipment mailing lists other assets or paid employees c X
d If the answer to any of the above is Yes complete the following schedule Column (b) should always show the fair market value
of the
goods other assets or services given by the reporting organization If the organization received less than fair market value in any
transaction or sharin arran ement show in column d the value of the aoods, other assets or services received
(a) (b) ( ) (d)
Line no Amount Involved N m f no h t bi x mpt Q t D cit f tr n f r t o t o nd h r a rano
m t
N /A
52a is the organization directly or Indirectly affiliated with or related to one or more tax exempt organizations
described in section 501 (c) of the Code ( other than section 501 (c) ( 3 ) ) or in section 527? op, XD Yes Nc
b If Yes complete the following schedule
(a) (b) (c)
Name of or anization TVDe of organization Description of relationship
CHILDREN S BLDG INC 501 C OMMON CONTROL
POSTERITY INC 501 CCOMMON CONTROL
DIRECTORS OF BOTH
RGANIZATIONS MUST BE SELECTED
OM DIRECTORS SERVING ON
OCAL DIVISION BOARDS OF SOUTH
OASTAL DIVISION & NORTH
CENTRAL DIVISION RESPECTIVELY
JSA
OE1250 2 000 Schedule A (Form 990 or 990 EZ) 20 (
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 14
Schedule B Schedule of Contributors OMB No 1545 0047
(Form 990 or 990 EZ)
Department dthe Treasury Supplementary information for line 1d of Form 890 or 2000
Inte al Reve us Service line 1 of Form 990 E2 (see Instructions)
Name of organization Employer Identification number
THE CHILDREN ' S HOME SOCIETY OF FLOR 59 - 0192430
Organization type (check only one) Section X 1501 c 3 enter number 527 or 4947(a)( 1 ) nonexempt charitable trust
A Section 601 (c)(7) (8) or (10) organizabons
Check this box if the organization had no charitable contributors who contributed more than $ 1 000 during the year (But see General
rule below ) 110
Enter here the total gifts received during the year for a religious charitable etc purpose ► $
Note This form Is generally not open to public Inspection except for section 527
organizations
General Instructions See the Instructions for Form 990 and Form 990 EZ
for phone help and the public inspection rules for
Purpose of Form those forms and their attachments which include
Schedule B (Form 990 or 990 EZ)
Schedule B (Form EIs used Contributors Required To Be Listed on
organizations requiredred too filele Form 990 Return of 4
Organization Exempt From Income Tax or Form Part 1
990 EZ Short Form Return of Organization Exempt Contributor includes Individuals fiduciaries
From Income Tax to provide the information regarding partnerships corporations associations trusts and
their contributors that is required for line 1d of Form exempt organizatigns
990 (or line 1 of Form 990 EZ) General Rule Unless the organization is covered by
Attach the Schedule B (Form 990 or 990 EZ) to one of the special rules below it must list on Part I
Form 990 or 990 EZ Attach Schedule B after every contributor who during the year gave the
Schedule A (Form 990 or 990 EZ) Organization organization directly or Indirectly money securities or
Exempt Under Section 501 (c) (3) if that return Is any other type of property totaling $5 000 or more for
required for the organization the year Also complete Part 11 for a noncash
contribution In determining the $5 000 amount total
Who Must File Schedule B ( Form 990 or all of the contributor s gifts of $ 1 000 or more for the
990 EZ) year
All organizations must file Schedule B (Form 990 or Section 501 (c) (3) organizations For an organization
990 EZ) unless they certify that they do not meet the described in section 501 (c) (3) that meets the 33113%
filing requirements of Schedule B (Form 990 or 990EZ) support test of the Regulations under sections
by checking the box In item L of the heading of their 509 (a) ( 1 )/170 (b) ( 1 ) (A) (vi) (whether or not
Form 990 or Form 990 EZ the organization is otherwise described in section
See the Instructions for item L In the Instructions for 170(b) (1 ) (A))
Form 990 and Form 990 EZ List In Part 1 only those contributors whose
contribution of $5 000 or more is greater than 2% of
Caubon Schedule B (Form 990 or 990 EZ) is not a the amount reported on line 1d of Form 990 (or line 1
substitute for the hst of contributors required for Part of Form 990 EZ) (Regulations section
IV A Support Schedule of Schedule A (Form 990 or 16033 2(a) (2) (lii) (a))
990 EZ) Example A section 501 (c) (3) organization of the type
Public Inspection described above reported $700 000 In total
contributions gifts grants and similar amounts
Schedule B (Form 990 or 990 EZ) is received on line 1 d of its Form 990 The organization is
e Open to public inspection for a section 527 political only required to list in Parts I and II of its Schedule B
organization (Form 990 or 990 EZ) each person who contributed
more than the greater of $5 000 or $ 14 000 (2 /e of
e Generally not open to public Inspection for the other $700 000) Thus a contributor who gave a total of
organizations that must file this form $ 11 000 would not be reported in Parts I and II for this
If a non section 527 organization files a copy of section 501 (c) (3) organization Even though the
Form 990 or Form 990 EZ and attachments with any $ 11 000 contribution to the organization exceeded
state It should not Include Its Schedule B (Form 990 $5 000 it did not exceed $ 14 000
or 990 EZ) in the attachments for the state unless a Section 501 (c) (7 ) (8 ) or (10) organizations For
schedule of contributors is specifically required by the nonchantable contributions to one of these
state States that do not require the Information might organizations list in Part I contributors who gave
make the schedule available for public inspection $5 000 or more as described in the General Rule
along with the rest of the Form 990 or Form 990 EZ discussed above
JsA Schedule B (Form 880 or 880 EZ) (2000
OE 1251 4 000
7f+ TAC. n 7n04; nd2 / OC / OnA7 1 C 01 CO ATA A '7 1`11 r' VTT . n00A do G
Schedule B (Form 990 or 990 EZ)(2000)
Page 2
If a section 501 (c)(7 ) (8 ) or ( 10) organization Part 11 In column (a) show the number that
received contributions or bequests for use exclusively corresponds to the contributors number in Part I
for religious charitable etc purposes (sections Describe the noncash contribution fully Report on
170(c)(4 ) 2055( a )( 3 ) or 2522(a)(3)) property with readily determinable market value (i e
List in Part I each contributor whose contributions market quotations for securities) by listing Its fair
total more than $ 1 000 during the year that were for a market value ( FMV) For marketable securities
religious charitable etc purpose To determine the registered and listed on a recognized securities
$ 1 000 aggregate all of a contributors gifts for the exchange measure market value by the average of the
year (regardless of amount) For a noncash highest and lowest quoted selling prices (or the
contribution complete Part 11 average between the bona fide bid and asked prices)
All section 501 (c)(7) ( a ) or ( 10) organizations that on the contribution date See Regulations section
received any charitable contributions and listed any 20 2031 2 to determine the value of contributed stocks
charitable contributors on Part I must also complete and bonds When market value cannot be readily
Part III determined use an appraised or estimated value To
determine the amount of a noncash contribution that is
If a section 501 (c)(7) (8) or ( 10) organization subject to an outstanding debt subtract the debt from
received charitable gifts but is not required to list any the property s fair market value
chartable contributors on Part I check the box on line
A at the top of Schedule B ( Form 990 or 990 EZ) and Part 111 Section 501 (c)(7) ( 8 ) or ( 10) organizations that
enter the amount of charitable contributions received in received contributions or bequests for use exclusively
the space provided The organization need not for religious charitable etc purposes must complete
complete and attach Part III Parts I through III for those persons whose gifts totaled
more than $ 1 000 during the year Show also in the
Specific Instructions heading of Part III total gifts that were $ 1 000 or less
and were for a religious charitable etc purpose
Note You may duplicate Parts l 11 and Ill if more Complete this infomtation only on the first Pert Ill
copies are needed Number each page of each Part page
t Part I In column (a) identify the first contributor listed If an amount is set aside for a religious charitable
as no 1 and the second contributor as no 2 etc etc purpose show in column (d) how the amount is
Number consecutively Show the contributors name held ( e g whether It is mingled with amounts held for
address aggregate contributions for the year and the other purposes) if the organization transferred the gift
type of contribution (e g whether an individual to another organization show the name and address
payroll or noncash contribution ) Report payroll of the transferee organization in column (e) and explain
contributions by listing the employers name address the relationship between the two organizations
and total amount given (unless an employee gave
enough to be listed individually)
JSA Schedule B (Form 990 or 990 EZ) (2000)
OE 1252 2 000
S ft d I 8 (F m 990 990.EZx2000 Py f __ f P rl I
NIM* o organ zaUon ploy r i enb i U n num r
THE HILDREN ' S HOME SOCIETY OF FLOR 159 - 0192430
® Contributors
(a) (b) (c) (d)
No Name address and zip code Aggregate contributions Type of contribution
4 ESTATE OF DOROTHY SPRECKELS MUNN Individual X
Payroll
1 , 970 , 675 Noncash
( Complete Part II if a
noncash contribution )
(a) (b) (c) (d)
No Name address and zip code Aggregate contributions Type of contribution
Individual
Payroll
Noncash
( Complete Part II d a
noncash contribution )
(a) (b) (c) (d)
No Name address and zip code Ag re ate contributions Type of contribution
Individual
Payroll
Noncash
( Complete Part 11 if a
noncash contribution )
(a) (b) (c) (d)
No Name address and zip code Aggregate contributions Type of contribution
Individual
Payroll
Noncash
( Complete Part II if a
noncash contribution )
(a) (b) (c) (d)
No Name address and zip code Aggregate contributions Type of contribubon
Individual
Payroll
Noncash
( Complete Part II if a
noncash contribution )
(a) (b) (c) (d)
No Name address and zip code Aggregate contributions Type of contribution
Individual
Payroll
Noncash
( Complete Part II if a
noncash contribution )
JSA
s h d 1 a (F m 990 990 E2) (2000)
OE1253 3 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 017
El
THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
FORM 990 , PART I - SPECIAL FUNDRAISING EVENTS AND ACTIVITIES
GROSS DIRECT NET
DESCRIPTION REVENUE EXPENSES INCOME
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
VARIOUS SPECIAL EVENTS 890 , 469 142 472 747 997
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TOTALS 890 , 469 142 472 747 997
OSPSIN 5 000
Inn t nljj rLv a num bUl. 1LlY Ut tLUKIWA zw - VIV44ftD !
FORM 990 , PART I - OTHER INCREASES IN FUND BALANCES
==ss=sssssssxxss=ss=saaxssxsas=s=s=sx=ss=cs=csscsaa
DESCRIPTION AMOUNT
- - - - - - - - - - - - - - - - -
CHANGES IN UNREALIZED APPRECIATION - 573 967
DONATED SERVICES OR FACILITIES 441 , 142
TOTAL - 132 , 825
t
STATEMENT 3
OSPSPR 2 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 o> n
THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
FORM 990 , PART II - SPECIFIC ASSISTANCE TO INDIVIDUALS
PROGRAM
DESCRIPTION SERVICES
- - - - - - - - - - - - - - - - - - -
INDEPENDENT LIVING FOR YOUTH 58 588
FAMILY LIFE EDUCATION 151 445
ADOPTION AND INTER- COUNTRY ADOPTION 80 , 398
PREGNANCY / COUNSELING SUPPORT 37 , 789
HOME VISITOR SERVICE 306 290
EARLY INTERVENTION SERVICES 727 242
DAYCARE 13 , 978
CASE MANAGEMENT SERVICES 1 327 615 1
CASE MANAGEMENT MENTAL HEALTH 252 432
HOME - BASED FAMILY CENTERED CASEWORK 38 , 648
HOMEMAKER 5 625
INTENSIVE FAMILY PRESERVATION 400 443
EMERGENCY / RUNAWAY SHELTER 969 , 275
FOSTER CARE SERVICES 31760 850
FAMILY VISITATION CENTER 6 375
GROUP CARE 11097 , 023
COMMUNITY ORGANIZATION 237
TOTALS - - - - - - - - - - - - - - - - - - - -
91234 , 253
STATEMENT 4
osPSPR z 000
7CT05P 2029 nR / 29 / 2nn9 i 5 91 Kq un n7 ni
THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
FORM 990 PART II - OTHER EXPENSES
PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MEMBERSHIP DUES 104 , 257 32 515 65 , 567 61175
MISCELLANEOUS 1 874 , 464 823 478 945 , 251 105 , 735
MEDICAL SERVICES 1 4861461 1 486 461 NONE NONE
SYSTEMS CONSULTING 257 467 NONE 257 467 NONE
OTHER PROFESSIONAL SERVICES 318 135 NONE 268 , 135 50 000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TOTALS 4 040 784 2 , 342 454 11536 420 161 , 910
OSPSLN 5 000
THE CHILDREN ' S HOME SOCIETY OF FLORIDA 59 - 0191430
FORM 990 PART III - ORGANIZATION S PRIMARY EXEMPT PURPOSE
CHS HELPS TURN LIVES AROUND BY PROVIDING SHELTER GROUP AND FOSTER
HOMES COUNSELING ADOPTION CASE MANAGEMENT AND PREVENTION SERVICES
FOR ABUSED AND NEGLECTED CHILDREN AND FAMILIES IN NEED OF SUPPORT
STATEMENT 6
OSPSPR 2 000
Irmnqu 7n7F. nQ / oc / onno 1 r, & jqi m � ern nv7 r% a, r+ vTt r% nnn .. ..
THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
?ORM 990 PART III - OTHER PROGRAM SERVICES
)ESCRIPTION EXPENSES
- - - - - - - - - - - - - - - - -
IOME BASED FAMILY CENTERED CASEWORK 1 962 , 259
'OSTER CARE 8 537 266
IOMEMAKER 786 447
'AMILY VISITATION CENTER 950 951
rARIOUS COMMUNITY ACTIVITIES 1 363 955
'AMILY LIFE EDUCATION 1 813 773
►DOPTION 2 622 , 888
'REGNANCY COUNSELING/ SUPPORT 597 265
TOME VISITOR SERVICE 6 864 850
:ARLY INTERVENTION SERVICES 2 036 139
:ASE MANAGEMENT DEVELOPMENTAL SERVICES 7 875 092
lAYCARE 311 937
TOTALS 35722822
IN 3 000
07 ^ rnnc nnn l' nd%
itiP. t , tllLutcr , ly D nUL1C. bVUILIY Vr rLVK1LH 5J — UlyL9 .SU
FORM 990 , PART IV - INVESTMENTS - SECURITIES
amxxsxa=a=cmamssxaaxasaaaaxss:asaax==xxssxxx
ENDING
DESCRIPTION BOOK VALUE
- - - - - - - - - - - - - - - - - - - - -
STOCKS , PRINCIPALLY COMMON 31492 , 326
CERTIFICATES OF DEPOSIT 325 , 428
CORPORATE BONDS 1 183 601
GOVERNMENT SECURITIES 2 188 , 642
MONEY MARKET FUNDS NONE
- - - - - - - - - - - - - - -
TOTALS 71189 , 997
I
OSPSPR 2000 STATEMENT 8
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHIM99n nrl
lhlkC. ri1LLKr. 1V b HUMS, bUC. ltlY Uk kLUKIUA � y - V jyLy � V
FORM 9901 PART IV - DEFERRED REVENUE
====xaaxaxa=esx=sxxasaax==as=x=aa===
ENDING
DESCRIPTION BOOK VALUE
- - - - - - - - - - - - - - - - - - - - -
ADOPTIVE FEES 17 877
MEDICAID 970 , 427
OTHER DEFERRED REVENUE b LIAB 1 291
CONTRACT ADVANCES 898 981
- - - - - - - - - - - - - - -
TOTALS 1 888 , 576
STATEMENT 9
OSPSPR 2 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 � �
THE CHILDREN S HOME SOCIETY OF FLORIDA 59 - 0192430
FORM 990 PART IV - OTHER LIABILITIES
ENDING
DESCRIPTION BOOK VALUE
- - - - - - - - - - - - - - - - - - - - -
HELD IN CUSTODY FOR OTHERS 707 432
LOAN PAYABLE - OTHER NONE
- - - - - - - - - - - - - - -
TOTALS 707 , 432
�xxxxxxaxaxxxa=
STATEMENT 10
osasaa z 000
7r. T05D 9n9F nR / 9F / 9002 15 21 59 vn n7 n1 ruTT .noon o7
THE CHILDREN S HOME SOCIETY OF FLORIDA b9 - U1924JU
FORM 990 , PART IV-A - OTHER REVENUE ON BOOKS BUT NOT ON RETURN
=c=.-=..xcaaaaa=xxaacxxxaaaoxaxxaaaxac=x=xxxxx===zzcc==xmaxxaa
DESCRIPTION AMOUNT
- - - - - - - - - - - - - - - - -
SPECIAL EVENT EXPENSES 142 , 472
NET UNREALIZED LOSSES - 573 967
TOTAL - 4311495
STATEMENT 11
OSPSPR 2 000
7CT05P 2026 03 / 26 / 2002 15 21 52 VO 07 01 CHILD990 � o
Treasure Coast Division
Income Statement
For the Nine Months Ending March 31 , 2003
Actual Budget YTD Actual YTD Budget ^YTD Annual
Actual: MAR Budget: MAR 2003 2003 Variance Budget
REVENUE
Contributions 665 8,333 255, 103 751000 ( 180 , 103) 100,000
Contributions (in-Kind & Services) 691691 584129 58, 129 771505
'b0
Special Events 500 80458 8731 76, 125 (4 ,608) 1018500
Other Fundraising/Grants 21 ,590 159,602 ( 159,602)
United Way 140041 11 ,295 119,645 101 ,655 (18 , 190) 135,540
Government Contracts - Other 74 ,278 4 ,583 3530614 41 ,250 (312,364) 55,000
Dept. of Children and Families 220,970 192,657 1 ,694,884 1 ,733,909 39 ,025 21311 ,878
Dept. of Juvenile Justice 554851 2230405 502,661 279,256 670,215
Dept. of Health 40,539 40 ,539 364,851 364,851 486,468
Contracts with Other Nonprofits 290479 111 ,703 265,313 153,610 353,750
Medicaid 550481 34, 167 4106718 307,500 ( 103,218) 4104000
Program Fees 29425 5, 167 30,970 46,500 15 ,530 82,000
Miscellaneous Revenue 67 250 17,391 2,250 (15, 141 ) 31000
Total Revenue 430,556 3971238 3,822,817 3,5751143 (247,674) 4,766,856
EXPENSES:
SALARIES:
Professional Staff 152,640 173,5 )9 1 ,450,823 1 ,581 ,583 110,760 2,082, 111
Paraprofessional Staff 28, 185 251366 273,363 228,293 (45,070) 304,391
Other Staff 19.574 17.420 150.504 156,781 8.277 209,041
Total Salaries 200,399 216,295 1 ,874,690 1 ,9461657 71 ,967 2,595,543
EMPLOYEE BENEFITS:
Thrift Plan 21001 2,530 191683 220774 31091 301366
Health Insurance 12,833 129619 106,994 113,572 62578 151 ,429
Pension Contributions 46593 5,889 45,310 52,999 7,689 70,666
Life Insurance 374 346 38259 3, 115 (144) 49153
Miscellaneous Benefits (274) 51 (51 )
Total Employee Benefits 19,527 21 ,384 175,297 192,460 179163 256,614
PAYROLL TAXES, ETC . :
FICA 14,735 166547 140,295 148,919 88624 1980559
Worker's Compensation 5,378 5, 125 51 ,235 46, 129 (5, 106) 610505
UnemployemntCompensation 30677 48092 33,093 29,001 44, 124
Disability Insurance 312 346 20936 3, 115 179 4, 153
Bonding & Prof. Liab. Ins. 843 4 ,385 7,591 3,206 10,121
Total Payroll Taxes, Etc. 20,425 26,538 202,943 238,847 35,904 318,462
I �
Total Personnel Expenses : 240,351 264,217 2,252,930 2,377,964 , 125,034 31170,619
PROFESSIONAL FEES :
Legal Fees 200 586 (586)
Audit Fees - External 510 71564 41587 (20977) 6,116
Professional Development Fees 7,099 (7,099)
Other Adm. Services 375 167 71108 1 ,500 (50608) 21000
Other Prog. Services 162 758 41214 6,825 21611 9, 100
Gen. Liability & Umbrella Ins. 828 416 7.456 7,040 91942
Total Professional Fees 737 2,263 26,987 20,368 (6 , 619) 27,158
SUPPLIES :
Stationary Supplies 19854 (16854)
Office Supplies 3,800 11326 18,981 11 ,933 (7,048) 150910
Household Supplies 51 181 21758 19626 (1 , 132) 2, 168
Development Supplies 1 ,408 137 3,302 10234 (2,068) 1 ,645
Other Supplies 98 6 473 56 (417) 75
Computer Supplies 11448 152 2,575 1 ,372 (1 ,203) 1 ,829
Expendable Software 117 21695 19050 (1 ,645) 18400
Expendable Equipment 55 849 1 ,085 7,642 61557 10, 189
Expendable Furniture & Equip. 813 2,005 (21005)
Total Supplies 703 21768 35,728 249913 ( 10, 815) 33, 216
TELEPHONE:
Local Service 39195 29272 17,266 200447 3, 181 278262
Long Distance 19572 10535 11 ,486 13,811 28325 188414
Cellular Telephone Service 51849 870 12,865 71830 (50035) 101440
Pager Services 421 314 31984 2,829 ( 11155) 31772
Data Communication 654 11789 10,985 16 , 100 5 . 115 21 ,466
Total Telephone 11 , 691 6,780 56, 586 61 , 017 41431 81 ,354
POSTAGE & SHIPPING :
Postage 846 228 39392 2,051 ( 16341 ) 20735
Delivery & Shipping Expenses 152 277 10619 26494 875 3,325
Printed 04/24/03 04:28 PM
Treasure Coast Division
Income Statement
For the Nine Months Ending March 31 , 2003
Actual Budget YTD Actual YTD Budget ►YTD Annual
Actual: MAR Budget: MAR 2003 2003 Variance Budget
Total Postage & Shipping 998 505 51011 4,545 (466) 6,060
OCCUPANCY:
Rent 80489 8,392 80,559 759525 (5,034). _.., , . . 100,700
Contributed Facilities Usage 5,939 53,455 53,455 ` :. 71 ,273
Electric, Water & Other Utilities 2,893 3,073 27,452 279659 207 369679
Janitorial Services 217 470 11950 11480 2,800
Property insurances 923 593 3,795 51337 1 ,542 7,116
Licenses & Permits 18 34 159 125 212
Budding & Grounds Maintenance 1 ,523 886 119487 7,973 (31514) 10 ,630
Records Storage Expense 26 606 (606)
Total Occupancy 13,854 19, 118 1249403 172,058 479655 229,410
RENTAL & MAINTENANCE :
Computer/Communications Repairs 85 153 21422 11377 (1 ,045) 1 ,836
Communications Rentals 20 178 178 238
Software Support/Maintenance 784 171 79060 60889 9,413
Equipment Rental 20835 2,530 190572 22,769 31197 30$ 59
Equipment Maintenance 765 1 ,265 2.745 11 ,382 8,637 15. 176
Total Rental & Maintenance 3,685 41752 24,910 421766 179856 579022
PRINTING & PUBLICATIONS:
Informational Materials 10018 21474 9, 165 88691 12,220
Public Education 3,450 50865 311050 25, 185 41 ,400
Publications & Subscriptions 174 3, 167 1 ,566 (11599) 29090
Staff Training Materials 450 225 5.787 2,025 (3,762) 22700
Total Printing & Publications 450 41867 17,293 43,808 26,515 589410
TRAVEL:
Mileage 81333 7, 170 769067 64,529 (11 ,538) 86,038
Other Transportation Costs 48 2 2,122 17 (2,105) 23
Leasing Costs 142 (142)
Vehicle Insurance, Licenses 467 51872 41200 (10672) 58800
Gasoline 623 583 41620 51250 430 79000
Vehicle Maintenance 425 467 4,958 4,200 (758 ) 5.600
Total Travel 91429 8,689 93,981 78,196 (15,785) 104,261
CONF., CONVENTIONS & MEETINGS :
Meals 293 365 32319 38285 (34) 4,380
Lodging 3,599 705 10, 108 6,345 (3,783) 81460
Facility Rental 75 75 (75)
Registration Fees 755 768 4,366 60911 2,545 91215
Miscellaneous Meeting Expenses 228 18 1 ,870 158 (1 ,712) 210
Total Conventions & Mtgs 4,950 11856 19,738 16,699 (31039) 22,265
SPEC, ASSIST. TO INDIVIDUALS:
Subrecipient Expenses 40 (40)
Financial Assist. to Clients 2,508 2,858 220575 196717 30,100
Food, CHS Facilities 1 ,497 21627 19, 164 23 ,644 4,480 31 ,525
Residential Supplies, CHS Facilities 998 250 79685 2,250 (56415) 38000
Medical & Dental Fees 11976 28271 270492 20 ,437 (71055) 278250
Medicines 17 104 19904 937 (967) 18250
Foster Care Board Payments 552 500 38759 4 ,500 741 6,000
Daycare 50 122 ( 122)
Clothing & Personal Needs 948 344 6,082 31098 (2,984) 4, 130
Transporation 30 93 1 ,604 833 (771 ) 12110
Recreational Activities 313 842 2,813 11971 30750
Legal Assistance 40 13 1 ,725 113 ( 1 ,612) 150
Outreach Activities 12 6 737 56 (681 ) 75
Program Educational Supplies 2.977 (2,977)
Other AssistJBehalf of Clients 31427 2,097 132605 18,870 5,265 25, 160
Total Spec, Assist to Indiv. 9,547 11 , 126 90, 576 100, 126 99550 133 , 500
MEMBERSHIP DUES:
Staff Memberships 70 388 6,258 3,494 (28764) 49659
Organizational Memberships 459 417 717 31750 3,033 5 ,000
Total Membership Dues 529 805 6 ,975 7,244 269 99659
PROVISION FOR UNCOLLECTIBLES
Provision for 3rd Party Reimbursement 1 ,042 15,644 9 ,378 (6,266) 12.504
Total Provisions for Uncollectabies 1 ,042 15,644 99378 (6,266) 12,504
MISCELLANEOUS :
Services Charges 14 140 ( 140)
Real Estate Costs - Non Oper 726 (726)
Special Events, Direct Expense 42890 625 61039 5,625 (414) 7 ,500
Special Events, Overhead Expense 235 (235)
Recruitment 51803 979 191784 8 ,812 ( 10,972) 119750
Printed 04/24/03 04:28 PM
Treasure Coast Division
Income Statement
For .the Nine Months Ending March 31 , 2003
Actual Budget YTD Actual YTD Budget ^YTD Annual
Actual: MAR Budget: MAR 2003 2003 Variance Budget
Safety/OSHA Expenses 167 554 11500 946 2,000
Background Screens - Employees 16 200 490 18800 1 ,310 2,400
Background Screens - Other ( 181 ) 204 958 1 ,838 880 20450
Drug Screens 84 91 1 , 176 819 (357) 1 ,092
Miscellaneous Expenses 140 2,117 (2,117)
Total Miscellaneous 10,766 2.266 32,219 20,394 ( 11 ,825) 27, 192
DEPRECIATION :
Depreciation Expense 1 .610 2.930 14,883 26.371 11 ,488 35. 161
Total Depreciation 19610 2, 930 14,883 26,371 11 ,488 35, 161
Total Operating Expenses: 75,919 699767 564,934 627,883 62,949 837,172
I
Total Direct Expenses : 316,270 333,984 2,817,864 3,005,847 4=wMz,007,791
=wwwzwLzwi
Indirect Expenses: 45.859 48,428 408.600 435,849 27,249 581 . 132
Total Expenses : 3621129 382,412 39226,464 39441 ,696 215,232 4.588,923
Surplus/(Deficit) from Operations 68,427 14,826 596,353 133,447 (462,906) 177,933
Surplus/(Deflck)
After Gain/Loss on Disposal of Assets 68,427 596,353 (462v906) 1779933
Printed 04/24/03 04:28 PM
MUM
Robert Chalnick
,Vice Pi
Treasure Coast Divisio
Advisory Boards
John D. Bruhn , Esq,
Executive Director
Eileen Rains
j off
Kathryn Garbowski , MA Michael Gray, MSW Kathy Rossini , MS , ED
Program Director Program Director Program Directoi
...........
Denise Rivan , MSW
Maria Cabrera Sherry McCorkle
Program Supervisor Program Supervisor Development Specialist
Protective Services Adoption�Case Management
Development
Penny Coker, BS Kerry Bartley, BA Barbara Watts, MA
Program Supervisor Program Supervisor
rogram upervisor
Teen Life Choices CPT Program Legal Case Workers
Adoptions
Frank Avilla , BS Colleen Gill , BA
Alexa dra Pietrweicz, PhD Vacant
Program Supervisor Program Supervisor Program Supervisor Volunteer Coordinator
Safe Place Targeted Case-Management AdoptionwRecruitment Development
Vacant Lyn Ortolani , BA
Maryellen Maguire Bettie Burson
Program Supervisor Program Supervisor Lead Case Manager Administrative Assistant
Targeted Case Management Independent Living
Development
Janis Mullen
Fran Mauldin
Program Supervisor
Legal Case Worker
Intensive Crisis Counseling Private Adoptions
ICCP
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THE CHMDREN' S HOME SOCIETY OF FLORIDA
Affirmative Action Plan
for
Equal Employment Opportunity
02 / 28 / 01 WED 15 : 50 FAX 904 948 2863 CHILDREN ' S HOME SOCIETY 0003 / 008
THE CEM RENS HONE SOCIETY OF FLORIDA
Affirmative Action Plan
for
Equal Emnlovment Onportunily
1. EQUAL EMPLOYMENT OPPORTUNITY POLICY
It is the policy of The Children ' s Home Society of Florida to, provide equal
employment opportunity to all people without regard to race, sex , color,
religion , age, marital status, national origin , handicap, disability or status as
a disabled veteran or veteran of the Vietnam era, and to promote the full
realization of that policy through a positive, continuing program to be
]mown as The Children ' s Home Society of Florida' s Affirmative Action
Plan .
To insure the efficient delivery of services, the Society will employ and
promote persons on the basis of their qualification without regard to race,
sex , color, religion , age, marital status , national origin , handicap, disability
or status as a disabled veteran or veteran of the Vietnam era .
II . DISSEMINATION OF POLICY
A . The policy will be included in staff personnel policies and practices.
1
Be The policy will be thoroughly discussed in employee orientation and
appropriate management and supervisory meetings so that the Society ' s policy
is made clear to all concerned .
C . All sources of recruitment will be informed of the Equal Employment
Opportunity Policy stipulating that they actively recruit and refer minority
candidates for all positions listed .
D . All employment advertising will carry the statement 'EQUAL
OPPORTUNITY EMPLOYER , "
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7II . RESPONSIBILITY FOR IMPLEMENTATION
A . The President/CEO is responsible for, although not limited to ;
1 . Assisting in establishing goals and objectives ,
2 . Insuring that minorities are equitably represented and distributed
throughout the organization .
3 . Insuring that the merits and talents of staff persons are fully developed
and utilized ,
4 . Suggesting appropriate persons for participation in staff development
programs .
5 . Insuring that minorities are free from discriminatory actions .
6 . Carrying out all recruitment, promotion and training procedures
outlined in this document.
7. Appointing a threesmember employee Affirmative Action Committee to
provide employee input and to assist in advising the President/CEO in
the planning , development and implementation of the program .
B . The Executive Directors are responsible for, although not limited to:
1 . Assisting in establishing Society goals and objectives .
2 . Evaluating hiring and promotion patterns periodically to evaluate
progress and to remove impediments to the attainment of goals .
3 . Reviewing qualifications of employees and to insure that minority
group employees are given equal opportunities for all employment
related decisions .
4 . Holding regular discussions with supervisors and employees to insure
that the organization ' s policies are fully understood and being carried
out.
5 . Insuring that minority group employees are afforded full opportunity
and encouraged to participate in all organization-sponsored educational ,
training , recreational and social activities .
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6 . Developing additional or amended policy statements as needed,
additional affirmative action programs and internal and external
communication techniques .
71 Assisting in the identification of problems in administering this policy
and helping to resolve them ,
8 . Designing and implementing record keeping and audit systems that will
measure the effectiveness of the program .
9 . Keeping the President/CEO informed of progress in attaining the
objectives of the policy and affirmative action program and of the latest
developments in the entire Equal Employment Opportunity area.
IV . RECRUITMENT - The recruitment program will be conducted in a manner to
insure we are actively reaching all segments of the community . If regular channels
of recruitment are not supplying enough minority , direct initiative must be taken to
make certain that minority candidates are identified , made familiar with available
positions and encouraged to apply . This will be done by.
A . Direct contact with professional minority group employment and placement
agencies .
B. Recruiting advertisements in minority group news media where advertising in
the general media is used to fill jobs .
C . Identification and contact with university placement offices .
V , PROMOTIONS - Every consideration will be given to internal promotion first
before seeking candidates outside the organization .
A . A review of present staff will be made to see who may be qualified for
promotion .
B . Job openings will be announced in order that staff members are aware of these
positions and may apply directly .
C . Each unsuccessful applicant will be assured an explanation of the standards
he/she failed to meet and recommendations of ways in which to qualify at a
subsequent time ,
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v1 . TRAINING - Learning opportunities leading to more responsible positions will be
available to all staff on a planned basis .
A . Promotion of educational self-development (time off will be considered if
beneficial to the Society) , as budget allows .
B . Briefing and training sessions for supervisors to identify and encourage staff
development.
C . Provision of staff attendance at conferences given by national or state
organizations such as the Child Welfare League , as budget allows .
D . On-site training programs for any special equipment that may be acquired .
VII. COA P AINT PROCEDURES - Any complaints arising out of the work situation
within the organization involving allegations of discrimination on the basis of race,
sex , color, religion , age , marital status , national origin , handicap , disability or status
as a disabled veteran or veteran of the Vietnam era , will be handled in the following
manner;
A , Complaints should first be taken to the Executive Director to attempt informal
resolution and avoid lengthy formal procedures .
B . If no solution is found , the complaint will be handled in the following manner
by the President/CEO:
1 . The complaining party must file a signed written allegation with the
President/CEO. This shall include the exact grounds and circumstances
he or she feels were involved in the alleged discriminatory action .
2 . The President/ CEO has the responsibility to try to resolve the dispute at
this point. If a solution is found , the case will be closed .
3 . Should no solution be found , the President/CEO will begin formal
investigation into the matter under dispute, Evidence relating to the
working environment , as well as the parties and issues involved , will
be collected . At the conclusion of the investigation , the President/CEO
will make a decision based on his findings and that decision will be
final .
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C . If the Executive Director is the complainant, he or she should first take the
complaint to the President/CEO . If the complaint is not resolved , the
Executive Director may submit the written allegation to the Executive
Committee of the State Board ,
VIII . MAU - The following annual goals are to further advance the Society as an Equal
Opportunity Employer.
A . To achieve a staff composition comparable to the availability of qualified
women and minorities in the community served Each year, the Society ' s total
staffing pattern is analyzed in comparison to the most recent census data for
this state and a goal is set to recruit and employ staff at least equal to the
largest percentage of minorities and women employed in any previous year,
until the percentage of minority and women staff members is equal to the
percentage of minorities and women in the community served ,
B. To achieve a EDfmional staff composition comparable to the race sex and
national origin of gualified rsons available i e state. Each year, the
Society ' s professional staffing pattern is analyzed in comparison to the most
recent information on professionally qualified staff in the state. Such
information can be obtained from the National Association of Social Workers.
Each year, a goal is set to recruit and employ minorities and women for
professional staff positions at least equal to the largest percentage of each
category employed in any previous year, until the percentage of professional
staff is comparable to the percentage of each category available in the work
force .
+ 1X . REVIEW - The Affirmative Action Plan is reviewed by the State Board of Directors
no less often than every four years .
02 / 28 / 01 WED 15 : 51 FAX 904 348 2863 CHILDREN ' S HOME SOCIETY ZOOS / 008
THE CHILDREN' S HOME SOCIETY OF FLORIDA
Policy Statement
on
Noa_Dis_cnmination
1 . No person is excluded from services because of race , sex , color , religion ,
age, marital status , national origin , handicap, disability or status as a
disabled veteran or veteran of the Vietnam era.
2 , There is no segregation of persons served on the basis of race, sex , color ,
religion , age, marital status , national origin , handicap , disability or status as
a disabled veteran or veteran of the Vietnam era .
3 . There is no discrimination on the basis of race , sex , color, religion , age ,
marital status , national origin , handicap, disability or status as a disabled
veteran or veteran of the Vietnam era, with regard to hiring , assignment,
promotion or other conditions of staff employment.
4 . The Society has a plan for positive action to achieve equal employment
opportunity for all persons in the filling of its staff positions at all levels ,
including elements such as contacts with various organizations in the
community- including minority group organizations- -regarding the Society ' s
employment needs ; placing recruitment advertisements in minority group
news media where advertising in the general media is used to fill jobs ;
iden6ifying the Society as an Equal Employment Opportunity employer in
recruitment advertisements ; and the use for job referral purposes of only
those employment agencies which do not discriminate on the basis of race,
sex , color, religion , age, marital status , national origin , handicap, disability
or status as a disabled veteran or veteran of the Vietnam era .
5 . There is no discrimination on the basis of race, sex , color, religion , age,
marital status, national origin , handicap, disability or status as a disabled
veteran or veteran of the Vietnam era , in the membership of the Society ' s
governing body .
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