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HomeMy WebLinkAbout2003-253B 03 f, 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 Hibiscus Children 's Center ("Recipient") ; of: (Address ) Hibiscus Children 's Center Post Office Box 305 Jensen Beach , Florida 34958 Crisis Nursery 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 . - 1 - 4 . Grant Funds and Payment The approved Grant for the Grant Period is Twenty Thousand , Two Hundred Fifty Dollars ($20 , 250 ) . 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 , 2003 , 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 2 - 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. 3 - 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 RIVER COUNTY BOARD OF COUNTY COMMISSO ERS By: , BCC nneth R . Ma ht, Chairman ov pred : Se tember 23 , 2003 Attest : J . K . Barton , Clerk � w Deputy Clerk Approved?mes!Ch-cea ndler, unty Administrator Appro d as to form and legal sufficienc or Aa . II , Assistant County tor RECIPIENT: Hibiscus Children 's Center Post Office Box 305 Jensen Beach , Florida 34958 By: � , ` . Name O Title 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - 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. - 1 - 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 1840 25th Street Vero Beach , Florida 32960-3365 Recipient : Attention : Jan Huffert , Ince - CEO Hibiscus Children 's Center Post Office Box 305 Jensen Beach , Florida 34958 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 . Severapility: 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 - 1 - 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 - Lu O 10101 ACaORA CERTIFIGA I t ur L IADILI 1 T 11mour Aiv %.PGHIBIS - 2 ' 09 / 25 / 03 Pp,ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R , V . Johnson Agency , Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2041 SE Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Stuart FL 34996 Phone : 772 - 287 - 3366 Fax : 772 - 287 - 4255 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Markel Insurance CO r • INSURER B: Dridoeri ald rawloyorm Ineura,nc Hibiscus Childrens Center Inc PDQ INSURER C: Hibiscus Childrens Foundation P O Box 305 INSURER D: Jensen Beach FL 34958 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING 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. LTR INSRCI TYPE OF INSURANCE POUCY NUMBER DATEM� M/�DD DATE MMDYf LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1 , 000 , 000 A X X COMMERCIAL GENERAL LIABILITY BINDER 07 / 12 / 03 07 / 12 / 04 PREMISES (E3o=rente) $ 100 000 CLAIMS MADE OCCUR MED EXP (Any one porson) 5 5 r 0 0 0 X Abuse / MOlestatio 51 , 000 , 000 / ;3 , 000 , 000 PERSONAL & ADV INJURY _911000 , 000 X Ltd Professional Si , 000 , 000 / S3 , 0oD , o0o GENERAL AGGREGATE S 3 000 , 000 GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3 , 000 , 000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED A X ANY AUTO BINDER 07 / 12 / 03 07 / 12 / 04 (ER "09m)SINGLE LIMIT 51 , 000 , 000 ALL OWNED AUTOS — • BODILY INJURY $ SCHEDULED AUTOS (Por person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per w=-Ident) PROPERTYDAMAGE $ (Per acdoenr) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG S EXCESarUMBRELLA LIABILITY EACH OCCURRENCE $ 1 , 000r000 A X OCCUR CLAIMS MADE BINDER 07 / 12 / 03 07 / 12 / 04 AGGREGATE 31 , 000 , 000 $ DEDUCTIBLE 3 X RETENTION 510 000 $ WORKERS COMPENSATION AND TORY LIMITS ER B EMPLOYERILITY 0830 - 28580 02 / 22 / 03 02 22 ANY PROPRIETORETORIPARTNER/EXECUTfVE / / O4 E.LEACHACCIDENT • 500 , 000 OFFICER/MEMBER EXCLUDED? E, L DISEASE . EA EMPLOYE $ 500f000 SPEC9,IAL DaPscrROVISIONfbe under S below EL DISEASE - POLICY LIMIT $ 500 , 000 S OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEH'ZLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 30 days notice of cancellation for workers compensation coverage . Certificate holder is added as additional insured ( not applicable for workers compensation ) . Attn : Joyce Johnston Carlson CERTIFICATE HOLDER CANCELLATION BOARD04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE 13SUING INSURER WILL ENDEAVOR TO MAIL 10 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL Board Of County Commissioners Indian River County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1840 25th Street REPRESENTATIVES. Vero Beach FL 32960 AUTHO D PRESENjA'f1VE ACORD 25 (2001 /08) m ACORD CORPORATION 1988 TO/ T0 - d SS2b LGE TSS ' SNI NOSNHOf Oa TOOT 200c-SE-63S CHILDREN 'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 25` ' Street Vero Beach , Florida 32960-3394 Phone : 561 -567-8000 (Ext. 467 or 524) Fax: 978- 1798 E-Mail: Jcarlson aabcc. co indian-river fl us Mmastersonabcc. co . indian-river.fl. us To : Beth Jordan From : Joyce Johnston-Carlson Date : October 9 , 2003 Re : Grant Contracts 2003 -04 The attached is a Children ' s Service Advisory Committee Grant Contract for : Hibiscus Children ' s Center 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 . e4/ Beth Jordan Date le Please Note : Transportation is NOT necessary to operate this program . r Internal Revenue Service Department of the Treasury P . O . Box 2508 Cincinnati , OH 45201 Date : January 16 , 2003 Person to Contact : Cassandra E . Jackson 31 -07417 Hibiscus Children 's Center, Inc . Customer Service Representative Toll Free Telephone Number: P . O . Box 305 8: 00 a. m . to 6:30 p.m . EST Jensen Beach , FL 34958-0305 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number, 59-2632361 Dear Sir or Madam : This is in response to the amendment to your organization 's Articles of Incorporation filed with the state on November 30 , 1994. We have updated our records to reflect the name change as indicated above . Our records indicate that a determination letter issued in March 1987 granted your organization exemption from federal income tax under section 501 ( c )( 3 ) of the Internal Revenue Code . That letter is still in effect . Based on information subsequently submitted , we classified your organization as one that is not a private foundation within the meaning of section 509( a ) of the Code because it is an organization described in sections 509( a )( 1 ) and 170 ( b )( 1 )(A)(vi ) . This classification was based on the assumption that your organization ' s operations would continue as stated in the application . If your organization 's sources of support , or its character, method of operations , or purposes have changed , please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization . Your organization is required to file Form 990 , Return of Organization Exempt from Income Tax , only if its gross receipts each year are normally more than $25 , 000 . If a return is required , it must be filed by the 15th day of the fifth month after the end of the organization ' s annual accounting period . The law imposes a penalty of $ 20 a day, up to a maximum of $ 10 , 000 , when a return is filed late , unless there is reasonable cause for the delay. All exempt organizations ( unless specifically excluded ) are liable for taxes under the Federal Insurance Contributions Act ( social security taxes ) on remuneration of $ 100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act ( FUTA ) . Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code . However, these organizations are not automatically exempt from other federal excise taxes . Donors may deduct contributions to your organization as provided in section 170 of the Code . Bequests , legacies , devises , transfers , or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106 , and 2522 of the Code . -2- Hibiscus Children 's Center, Inc . 59-2632361 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code . If your organization is subject - to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return . In this letter, we are not determining whether any of your organization ' s present or proposed activities are unrelated trade or business as defined in section 513 of the Code . The law requires you to make your organization 's annual return available for public inspection without charge for three years after the due date of the return . If your organization had a copy of its application for recognition of exemption on July 15 , 1987 , it is also required to make available for public inspection a copy of the exemption application , any supporting documents and the exemption letter to any individual who requests such documents in person or in writing . You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials . The law does not require you to provide copies of public inspection documents that are widely available , such as by posting them on the Internet ( World Wide Web ) . You may be liable for a penalty of $ 20 a day for each day you do not make these documents available for public inspection ( up to a maximum of $ 10 , 000 in the case of an annual return ) . Because this letter could help resolve any questions about your organization 's exempt status and foundation status , you should keep it with the organization 's permanent records . If you have any questions , please call us at the telephone number shown in the heading of this letter. This letter affirms your organization 's exempt status . Sincerely, John E . Ricketts , Director, TE/GE Customer Account Services Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee PROGRAM COVER PAGE Organization Name : Hibiscus Childrens Center Executive Director: Jan Huffert — Interim CEO Email : iswink6a,hcc4kids . org _ Address : P. O. Box 305 Telephone : 772-334-9311 Jensen Beach FL 34958 Fax : 772-3344991 Program Director:_ Georgia Cox Malone Email : WpaIone(@hcc4kids . org Address : P. O . Box 305 Telephone : 772-334-9311 Jensen Beach FL 34958 Fax : 772-334- 1991 Program Title : Crisis Nursery Priority Need Area Addressed: Parental Support and Education Brief Description of the Program : Child abuse and neglect prevention and crisis intervention program providing voluntary in-home services to families experiencing crisis (Le. unemployment, homelessness domestic violence mental health poverty etc ) Services may take the form of family supportaccessing therapeutic services coordinating medical needs improving daily living skills addressing educational needs and short term respite care for children. Amount Requested from Funder for 2003 /04 : $ 209250 Total Proposed Program Budget for 2003 /04 : $ 309 , 100 Percent of Total Program Budget : 6 . 6 % Current Funding (2002 /03 ) : $ 252000 Dollar increase/(decrease) in request : $ (45750 ) Percent increase/(decrease) in request : - 19 . 0 % Unduplicated Number of Children to be served Individually : 1 655 Unduplicated Number of Adults to be served Individually : X820 Unduplicated Number to be served via Group settings : _ Total Program Cost per Client : 124 . 89 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). 7/19/01 Ilk Steve Strickland � Name of President/Chair of the Boardv" Signature t_ Jan Huffert Name of Executive Director/CEO Signature \ 3 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) [Hibiscus Provide the mission statement and vision of your organization. Children ' sCenter ' s mission is to prevent and/or reduce child abuse and neglect on the reasure Coast. Our vision centers on building capacity and developing community centered programs to ensure that a full continuum of care exists within our community to meet the needs of families and children. From prevention to intervention, the full range of services available through Hibiscus Children ' s Center target family resiliency and the long-term effects of child abuse . F e a brief summary of your organization including areas of expertise, lishments and population served. hildren ' s Center has four primary service programs that support its mission: Shelter - a 40-bed residential facility that provides shelter and respite care for children ages 0- 12 . The program has provided close to 100, 000 safe nights of service to children throughout the state . Family Builders - a family preservation program, working with children and families in all four counties of the Treasure Coast. Families are referred by the Department of Children and Families due to child abuse. The main goal of the program is to remove the risk in the family, not the child from the family. Crisis Nursery - a child abuse prevention program. Any family experiencing a crisis with children under the age of 18 can voluntarily seek assistance. Housing, food, budgeting, child- care, medical care, and mental health treatment are examples of some of the many reasons that families seek help from this very successful program. Lauded as a model prevention program by the National Crisis Resource Center, the program kept 100% of its clients out of the child welfare system last year alone. Foster Care Recruitment and Training - focuses on recruiting and training suitable families for children needing foster care. Over the last 18 months , over 40 new foster families have been licensed on the Treasure Coast through this program. Hibiscus strives to be a valuable resource for the community in the field of child abuse and neglect. We provide a continuum of family-friendly prevention and intervention services supported by over 400 volunteers who donate over 25 ,000 hours each year in support of our mission. Hibiscus actively works to remain at the forefront of best practices in child welfare through our membership in the Child Welfare League of America and accreditation through Council On Accreditation. 4 Hibiscus Childrens Center Crisis Nursery Program Indian River 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? The abuse, neglect, or abandonment of children. Sadly, the devastating effects of child abuse go far beyond its immediate physical and emotional impact on the child. The impact permeates throughout the child ' s entire life cycle . Abused children show higher rates of school delinquency and failure, drug and alcohol abuse, teen pregnancy, early entry into the criminal justice system, and domestic violence. b) Who has the need ? Families and children, birth to 18 , who are at risk of maltreatment due to a crisis and who need a wide array of intervention and support services in order to keep the family intact and the children safe. c) Where do they live? Services are provided to children and families in Martin, St. Lucie, Indian River and Okeechobee counties . The program criss-crosses socio-economic boundaries since families of every ethnicity, community, and social class can experience a crisis that places their family at risk. d) Provide local, state or national trend data, with reference source, that corroborates that this is an area of need. ❖ According to the Annie Casey Foundation, 8 out of every 1 , 000 children will at some point enter the child welfare system. ❖ Currently, there are over 400 children under the supervision of our local Department of Children & Families . ❖ Since its inception in 1994, the Crisis Nursery Program has served over 10, 609 children and families throughout the Treasure Coast. ❖ From July 1 , 2002 — December 31 , 2002 , 312 families have received services and 132 families have had to be Placed on a waiting list. 2 . a) Identify similar programs that are currently serving the needs of your targeted population ; There are no other programs providing specialized family support and respite services in the four county area to children and families at risk of child maltreatment. b) Explain how these existing programs are under-serving the targeted population of your program. N/A 5 Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee Co PROGRAM DESCRIPTION Entire Section C, I — 6, not to exceed two a es L List Priority Needs area addressed. Parental Support and Education 2 . Brief! describe program activities includinglocation of services. Crisis Nursery services are voluntary and available 24 hours a day, 7 days a week. When a family requests services, Family Advocates complete an initial intake and assessment to determine eligibility. This intake can be done at the family ' s convenience - in the home, at the office, or a mutually determined location. After eligibility is established, the Program Supervisor assigns the case based on the family ' s needs and case openings. A Family Support Plan, which drives all services provided, is then developed with the family served. The family clearly determines the services to be provided and when the plan is completed, unless other issues occur, the case will close. The services are short term, lasting 4 —6 weeks for most faniflies.0ear and measurable goals and objectives establish w a occurs between the family and the program. Services include identification of problematic areas and solutions, formal and informal support systems, resources available within the community, need for further services, and possibly respite services. All services are aimed at stabilizing family crisis, providing tools for family self-sufficiency, and identifying resources within the family and community to enhance and improve family functioning. This program promotes self-determination, resilience, and is built on family strengths. From assessment to case planning and family goal setting, the program is driven by consumer choice. Coordinated family support services assist families in accessing a wide variety of services including medical and mental health services , parenting education and information, substance abuse assessment and treatment, employment assistance, housing, food, clothing, and transportation, espite services, where parents voluntarily place their children at Hibiscus Children ' s Shelter for short periods of time, provide children all of their basic needs, including, but not limited to therapy and counseling, medical care, educational assessments, and a wide variety of other services as needed. Special conditions have been developed to work collaboratively with law enforcement, health care providers, schools, and a myriad of providers to serve parents in crisis. This approach works hand in hand to resolve the immediate crisis as quickly as possible in a way that is least intrusive and disruptive to the family. Helping families identify not only problems, but solutions, combine to enhance and increase family functioning, working in partnership to assist them in reaching their highest potential . In turn, families learn to resolve their own situations and are better prepared to face the future and every aspect of what it may hold. 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. The Crisis Nursery is a nationally recognized program, providing relevant child abuse prevention services in our community. National and state data, media attention, and recognition from the state and federal government support the success of its methodology. It has been cited as a best practice in child abuse prevention. Since October 1994, Hibiscus Crisis Nursery has served 10, 609 children and families with an average of 99% success in keeping families out of the child welfare system in fiscal year 2001 -2002 . Services provided within or outside of the child ' s home are intended to enable the family to 6 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee stay together and to keep the child living in the child ' s home and community, reducing the risk of future crisis and abuse/neglect for children. 4. 7hoursper needed for your program, including required experience and estimated ek in program for each staff member and/or volunteers (This sectionrm with the information in the Position Listing on the Budget Narrativersee ). The staff positions for the program consist of. • Program Director ( 1 ) oversees program functioning. A minimum of 12 hours per week is designated toward the oversight of this program. The Program Director is required to have or be working toward the completion of a master' s degree in social services or a related field and requires a minimum of 3 years related experience. • Program Manager ( 1 ) provides a high level of supervision to staff members and maintains a small caseload. This is a 40+ hours per week position requiring a degree in social services or a related field and three years of related experience. • Family Advocates (3) provide the bulk of direct service provision. These are para- professional positions that require a high school diploma or GED. Two years of related experience is preferred and these positions are full time (40+ hours per week) positions. • Administrative Assistant ( 1 ) provides clerical and data entry support for the program in order to maximize staffs ' time spent directly with the family. 4 hours per week is spent providing support to the Crisis Nursery Program. The position requires a high school diploma or GED and 2 years of related experience is preferred. • ChildCare Workers and ChildCare Supervisors (4.4) provide direct supervision to the children placed in the Shelter for Respite. When children are in respite, awake supervision is provided 24 hours per day. As defined in the budget narrative, we estimate that this equates to the equivalent of 4.4 staff members working 40 hours per week throughout the year. A high school di loma or GED is required and 2 years of experience for Supervisors. F How will the target population be made aware of the program ?addition to enjoying statewide and national recognition, the Crisis Nursery Program is well tablished on the Treasure Coast and has been highlighted in the media, including newsprint and television coverage. The primary referral source for the past five years has been self- referral, which demonstrates the widespread community awareness, acceptance, and need of these valuable services . In addition, Hibiscus Children's Center utilizes an extensive marketing plan to build awareness of all of its programs . Public Service Announcements are aired across a wide variety of local cable stations and staff participate in TV interviews, newspaper articles, and presentations to church and civic groups . Most of the clients who utilize this service hear about it from a friend or family member who has been helped b the program, 6. How will the program be accessible to target population (i.e. location, transportation, hours of operation) ? This program is available 24 hours a day, seven days a week. Services are provided in the homes of families or at mutually determined locations . The program is readily available through an on-call system that puts program services in the hands of families in need around the clock. Transportation services are also provided to overcome obstacles to services many families face due to a lack of public transportation, especially after hours and on weekends . 7 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES [hav d all the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome s To maintain at least 95 % of families served Outcomes 1 and 2 ing no verified reports of abuse or neglect ❖ Maintain list of families served. ring services as measured by Department of ❖ Provide list of families served to ildren & Families Abuse Screening. Department of Children & Families for seline : 2000-2001 DC&F monitoring 100% identification of families that had verified of families served had no verified reports of abuse or neglect reports during services and abuse or neglect during service provision. within 12 months after service provision. ❖ Receive data back from DC&F and 2 . To increase to 95 % of families served determine percentages . having no verified or indicated report of child ❖ Review families with verified abuse and abuse 12 months after services as measured by neglect indicators and determine strategies Department of Children & Families Abuse to prevent future occurrences . Screening. Baseline: 2000-2001 DC&F monitoring 91 % of families served had no verified reports of abuse or neglect 12 months after services . (Services were provided to particularly challenging families during this time period and we believe that 95 % is more representative of what the program can achieve.) 3 . To maintain 95% of families, completing Outcome 3 services , showing improvement in one domain ❖ Administer and score AAPI as part of of their parenting abilities through the use of intake/assessment process for each family. the Adult Adolescent Parenting Inventory ❖ Administer and score an AAPI post-test for (AAPI) as a pre and post (45+ days after families who complete services (a service implementation) test, minimum of 45 days) . Baseline : This year will serve to establish the ❖ Individual data to be maintained in client baseline for this instrument. files and collapsed into the quarterly Peer Record Reports . ❖ If percentages are not achieved, a corrective action plan will be developed in response to the quarterly Peer Review and monitored through the next peer review cycle. 8 Hibiscus Childrens Center Crisis Nursery Program Indian River 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 a reement letters. Collaborative A en Resources provided to the program, Department of Children & Families Data on family involvement in the child welfa7been Families are screened to ensure that they have involved in the child welfare system prior to sebeing implemented. After services are provide , families are tracked to ensure that they did not become involved in the child welfare system within one year after completion of services or during service provision, Treasure Coast Homeless Coalition Management Information System and assistance in workin with homeless families Crisis Nursery utilizes a broad spectrum of community resources to meet the needs of children and families . These collaborative activities are documented in the individual client record but are not formalized into "collaborative agreements" since they are individualized based on the families needs . 9 Hibiscus Children Center Crisis Nursery Program Indian River Children 's Services Advisory Committee PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender and ethnic background) required by the funder in Section H? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their " unacceptable condition requiring change" from Section Bl ? The Crisis Nursery Program collects client data in many different ways, in order to meet a variety of funder requirements . The information is compiled on a monthly basis and put into a data spreadsheet that is used for reporting to funders . Monthly, quarterly, and year-end reports are provided upon request based on the specific requirements of each funder. All families complete an- intake/assessment process to determine the level of their crisis and the ability of the Crisis Nursery Program to assist the family in meeting the need. The one universal qualification that would make a family ineligible would be abuse/neglect. The need for services is clearly documented on the intake form and incorporated into the Family Support Plan. 2 . MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores, attendance, absences, skill levels) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data ? Outcomes (abuse histories) are measured through the Florida Department of Children & Families (DC&F), our collaborative partner, client information system. DC&F conducts an initial review of the family prior to Hibiscus accepting the family into services . Annually, DC&F monitors the Crisis Nursery Program and reports one year follow-up information on whether or not abuse occurred during services or within one year post services . In addition, the Crisis Nursery Program completes an AAPI pre-test on all families and a post-test on families who receive services for over 45 days . The results are reported to our internal Continuous Quality Improvement Plan committees . The AAPI is a valid and reliable tool that measures improvement in family functioning, in particular in parenting, empathy, corporal punishment, role reversal, and understanding development stages . 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 is maintained in client records , monthly Risk Management Reports, quarterly Peer Record Reviews , and MIS spreadsheets . Hibiscus utilizes a Continuous Quality Improvement Committee comprised of a broad spectrum of stakeholders (staff, board members, funders, former clients, volunteers, other agency representatives , etc .) to discuss internal and external monitoring results . This group is also instrumental in ensuring that the agency maintains a "big picture" perspective on all of its services . Hibiscus has set benchmarks for each of its programs that must be met; these benchmarks include all outcomes specified in contracts . When deficiencies are identified, a corrective action 10 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee plan is developed. Follow-up takes place by comparing scores in the next review cycle to demonstrate improvement. Clients are informed in writing of our Continuous Quality Improvement processes and are allowed access to reports generated upon request. These reports are also available to funders upon request. Additionally, Hibiscus maintains an adequate MIS to comply with all funders requests for documenting and sharing data elements . Change in the family ' s situation is most clearly documented through the completion of the Family Support Plan. This documentation is maintained in the individual family ' s record. The systemic change of preventing and reducing child abuse is documented through our annual monitoring by DC&F . The Department of Children & Families will report outcomes on abuse and/or neglect that occurs during services . Prior to service initiation, families are screened through the Department of Children & Families to determine if there is an open case of abuse or neglect. This information is verified by the Department and maintained in client records . At all times during services, from initiation to completion, Family Advocates are working with the families they serve to collect accurate data. Data is collected and compiled on a monthly basis by the Family Advocates and presented to the Program Director. The Program Director reviews all program data for accuracy and reporting. It is compiled by county and rolled up into a report that is provided to all funding entities based on their requirements individually and in full to the Department of Children & Families . This data is included in the agency ' s yearly annual report, is utilized in brochures and other agency materials, and is available upon request. 11 zi • saoTn.Tas jo uopoldump maX auo UlgllM .To uoTSTnoad omA.Tas 2uunp paun000 loolSou zo osnge jo sIuaptout paguan Cue 3i autuuaIap 01 solpu ra pue ua.Tp[TTjo jo juawliuda(I Aq sm000 SuilojiuoW • • somoolno umigaid p umol ssa.T2o rd uo uanT2podai OAT )(IjenuuV� LeaC •sauroolno tuujgord p umol ssa.T2o.rd uo pon!tugns lrodoi OAIIUJlt!N • sTpuoW xiS spaepuels «aoijoe.zd isaq„ Pug `u0imtparo3V up jtounoD 6japun3 pm oouet[dwoo ainsuo 01 enatnag prooag .zaad jeuralut jo I.Ted se p3MOTnaJ are sp.zooag • soT dej2oura uat o ant numo uo a Tui ns air spodo • �ijra�rena ' . 0 P � I � I P � . g 2I •pan.ras slenpiniput .zo/pue tuujBoid aTp 2utn10AUT Tpuotu aTp Suunp paun000 JeTp sjuana IueogtuBis Aug snnarnaz aa:"tunu0D ju3ura2euuW 31srg • XlTpuow OAI !L UJ aTp jo Spam aTp IaauT 01 TzotIuan.raIut Jo Jana[ aleudoidde a msuo of .rosin.radns pm pajjels WE saseD • ,Cj�jaam 'par[stutuziP Si Pjiuo Put AIturej 01 Jana[ 3ISU put passaappe are spaau se pasolo aze saseD • ueld uo pagtIuapt se papino.Td are suoTIuaA.Ta;ut pue S33TA10S • • spaau pagpuopt .rtaTp haul 01 AjtuzeJ aTp pm podo[anap On suejd :poddns pue possosse On solptue3 • soomios .ioj Xjt[igt2ijo .zoj pauaa ros are saTlture3 • BuroSup saiJTnaV popa jjgjuoW •suopaas .1011 uT pal"40P uopeuijo3ut mainaa lalgejatup aqj 2upajdma uI •.ieaS 2uipun3 aq� apis;no inaao ,feru ;uql guiuuuid do-leis ,fue apn[aui pinogs stue.T2o id maN •aea,f mmigoid aqj u0 0 anaao ijT� �eq� s�uana 3o s91310 .10 saTITn113e Isda;s uopae .iofeui aqj Isi'I ' I (a.gvd auo paaaxa of jou J uopoaS) g'IgV LaWl.L •� 001l!wwoD ,4osinpy saotniaS s, uaIpj!gZ) 10nig ueipui uieaoid tiasinH sisuD laluaD suaipl!go snasigrg Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location t Fisca Current Fiscal YearFF � �Tezt Fiscal e Location Iua1200 2 Budget 2002/03 Xolechons20 0 Unduplicated Clients Unduplicated Clients Unduplicated Clients NIIIIIIIIIIIIS. Indian River County 13 15 15 S . Indian River County 11 13 13 Indian River Co. Total 24 28 28 Greater Stuart 78 90 90 Hobe Sound 6 7 7 Indiantown 9 10 10 Jensen Beach 37 42 42 Palm City 3 4 4 Martin County Total 133 153 153 Fort Pierce 201 230 230 Port Saint Lucie 105 120 120 St. Lucie Co. Total 306 350 350 Okeechobee County 39 44 44 Palm Beach County TOTAL SERVED 502 575 575 (Unduplicated clients by location - client is defined as family) Number of Unduplicated Clients by Age st Fisca Ar Current Fiscal YearNe�j calx eaY Location lettuatI . 00 Budget 2002/03 Pro ect on >< iduals soup' Individuals Group 1hill'uals u ' G �_ . 0 to 4 - (Pre-school) 531 - 554 - 554 - 5 to 10 - (Elementary) 384 - 550 - 550 - 11 to 14 - (Middle) 343 - 450 - 450 - 15 to 18 - (High School) 99 - 101 - 101 - 19 to 59 - (Adults) 709 - 800 - 800 - 60 + (Seniors) 35 - 20 _ 20 _ TOTAL SERVED 2 , 101 - 21, 475 - 25475 - (Unduplicated clients by age - client is defined as individual family members receiving services) 13 a Hibiscus Children's Center, Inc. Crisis Nursery 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 ; Hibiscus Children 's Center, Inc ./Crisis Nursery FUNDER : Children 's Services Advisory Committee of Indian River County i CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should �llbe used for calculations and to write information only. ; ? > f ` " i" cx c - a.. o-=z" lee o� pr© osedTota! ragm Fwnder` e �Ific TotalA enc ee�e eq,R11% V60tj6 'lql%lr tW ?Eracu P a anxtlor> y, . . . `' B udgeat Bridgetxl 9.. y See Bciet 1 Children's Services Council-St, Lucie 104,000.00 139,000.00 2 Children's Services Council-Martin 45,000.00 45 ,000 .00 3 Children's Services Council-0keechobee 239000.00 23 ,000. 00 4 Advisory Committee-Indian River 20,250.00 20,250. 00 20,250. 00 5 United Way-St. Lucie County 98,300.00 989300.00 6 United Way-Martin Count 17 ,550 .00 17,550 .00 7 United Way-0keechobee County A, 8 United Way-Indian River Countyr ; d 9 Department of Children & Families = 1 , 365,930.00 10 Count Funds 11 Contributions-Cash Dotfatlon5 11000. 00 1 ,000. 00 12 Program Fees ' 13 Fund Raising Events-Net 14 Sales to Public - Net ThtlS 196 , 910.00 151 Membership Duesere 16 Investment Income trtes 16 , 700.00 17 Miscellaneous 18 Legacies & Bequests � X1111 %e % y � t( nli ial�Itllt�017 c �?"-r•�amepf N Atr:+�st/L1�i 19 Funds from Other Sources titalel� 1 , 160,585.00 20a Reserve Funds Used for Operating #u 20b In-Kind Donations (Not included in tota ) 4` "leerr 31 , 117.00 391 , 714 .00 21 TOTAL REVENUES (doesn't Include line 20b) ee_ -� $309, 100. 00 $20,250.00 $3 ,084,225. 00 rrrrrrrreln61 1611 EXPEIItD/Tl1RES eravas �rt 11r0p0Se" I'Wll- Tsfalprogrrar» Funder ,pec/f�� _ee ll Total agency el le 1�rn1ssxx .. .. , B�ic}get . . Buafget Bual et:' 22 Salaries - (must complete chart on next page] 1719823.00 18,810. 96 1 ,9589251.00 ta �e el," le r ell 23 FICA - Total salaries x 0. 0765 783° 139144 .00 11439.04 149,806.00 Retirement - Annual pension tor qualified 24 Staff fl77 1 ,336 .00 0.00 9,378. 00 Life/Health - Medical/Dental/Short-term 25 Disab. 5:65°0, 99709.00 0. 00 93,798.00 or ers Compensation - # empoyees x 26 rate 4:73°10 8,511 .00 0. 00 73,485. 00 5/15/2003 14 Hibiscus Children's Center, Inc. Crisis Nursery Florida Unemployment - projected4 27 employees x $7, 000 x UCT-6 rate 112 "% 467.00 0.00 5,341 . 00 a s 1 11 Ile I Oil 11 1, lx�eeeele , I P S lbl1� fS `�N , ; Grass Inriu l r � #Ioi; o alarjrwn Propos@d cif Gr ass ltnnual l Mem. Pos'eritith Ta ! lo �f� �qen h a �. .,C r # xFk �'t ey° � zt£ 'y ' rL ' d r rr r ``f v`5 s Regrl@Ste(t�t«. Iltj t / ti' P `41 �r n y rez � icnp6 Face@ ©lid o yl�f0 rs 70 QOOsDO " r n 3 , W .. ,. ., , . : � , � , Ile, I I'll00 ?JO � _ . � . , ,,,., � �w III All . . Program Manager/40 Hours 30, 900.00 30,900.00 51000.00 16. 18% Family Advocate/40 Hours 20 , 600.00 2000.00 2 ,360 .00 11 .46% Family Advocate/40 Hours 23, 690.00 23 ,690.00 9,214.00 38 . 89% Program Director/40 Hours 39, 140.00 11 ,742.00 0 . 00% Administrative Assistant/40 Hours 21J84.421 2, 118.00 0. 00% Child Care Supervisor/40 Hours 22oO66, 721 13 ,240.00 0. 00% Child Care Supervisor/40 Hours 20, 524. 19 10,262.00 0.00% Child Care Worker/40 Hours 17, 674.80 10,605.00 2,236 . 96 12.66% Child Care Worker/40 Hours 22, 645. 17 13,587.00 0.00% Child Care Worker/40 Hours 16, 068.00 81837.00 0.000/( Child Care Worker/40 Hours 16,025. 15 81333.00 0.000/C Child Care Worker/40 Hours 16, 389 .36 89268.00 0. 00% Child Care Supervisor/40 Hours 191281 .60 9,641 .000 .00% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throughout the agency 1 ,672,061 .59 Total Salaries $ 1 ,958,251 .00 $ 171 ,823. 00 $ 18,810.960 .96% FRINE +�ET � �i� �. r 4 N / y�y+ �s r ✓y'� o-r _ Ile, 'y S y 1-dre" . rz el y6 kIlen rte` ?kE ren . 1 r s r i liY�t�@/ eCi �UttJfS f FlI@ y H r iY, h KiIII Jr- %,4a h # p Jr Ile Pension 3 �c>/11rI;r `er's U#O#Woym@ �#ctal Fr1ng@s Fund@r Sp@CICIatth Ing` , F �Olu/lltn =�G fl�l(y� irtrDfil�it1e 2� !0 2y � �,� � %) C� m �,,` i tt' h 3 dam' a r rZ Bud v >f r < 9g /t x k �` ,; to j�enS '' iCt Qfr��@ > ?` p@ � Pnsitfan Txf# Z alrvr ; yre `` , 6 e r < � e� e 7 a e `� Ile liee le . IIIe I I lipte; C st3 Jltana9ga 46 irs 5,Ob0 b . . $BA, p 10b.�Q . . . 5©O,AI ' 300 0� Ile 2J0 Y70 1,587 50 Program Manager/40 Hours 5,000.00 382. 50 382 . 5 Family Advocate/40 Hours 21360.00 180, 54 180 Family Advocate/40 Hours 91214 .00 704 . 87 704 8 Program Director/40 Hours 0.00 0. 00 0.0 Administrative Assistant/40 Hours 0. 001 0. 00 0.0 01 Child Care Supervisor/40 Hours 0.001 0. 00 0.0 01 Child Care Supervisor/40 Hours 0.001 0. 00 0.00 Child Care Worker/40 Hours 2,236 . 96 171•, 13 171 . 1 Child Care Worker/40 Hours 0. 00 0. 00 0 . 0 Child Care Worker/40 Hours 0. 001 0. 00 0 . 00 Child Care Worker/40 Hours 0. 001 0. 00 0 . 0 Child Care Worker/40 Hours 0 . 001 0. 00 0 . 0 Child Care Supervisor/40 Hours 0 . 00 0. 00 0. 0 0 0 . 001 0. 00 0. 00 0 0. 001 0. 001 0. 00 0 0.001 0.00 0.0 0 0.001 0.00 0. 0 0 0. 001 0.00 0. 0 0 0.00 0.00 0.0 0 0.00 0.00 0.00 MOME Total Funder Request Fringe Benefits $ 18t8lo . 961 $ 1 ,439. 04 __$0.001 $0.00 $0. 00 $0.00 $ 19439. 04 5/15/2003 15 • Hibiscus Children's Center, Inc. Crisis Nursery ( l 3 zl I 'lie ppvlyy J' y� r os�a�%�'•i�i )'.�. `Q � P .. •,M zz l "71' } G Fuas� r �S eC 4 , < F Y z r ' !" - � ��� �`:7 'n Cl Y" r t .d• 3� x ia8i FGty d 1f�v" f _�� �` �` , T ,��4/ IV - a, > .r , , i, Iw 28 Travel-Daily 8, 960.00 v0 00 49,000.00 # of Staff x average # of miles/wk x 50 Wks x K �' Ff ` � ' ty 5+9 < St�' 3 Cz,;y y Y P.��' sm s r 6 .a •`w • a '� , r• � �' a"' .�°� , r � t M Y� i ` I�" x Y' �I r .0 '�L rFas y $ — Estimated Daily Travel/Mileage Relmb. r ����T �Gk �-`£ ��� v � �' , ., L�� i rf r .C.1✓f, �, aF H`�,.., r�n"v @} < , 29 Travel/Conferences/Training Fr 1 , 120 00 E • National Conference (cost per staff) 4 a �w gE}e,. ' 'ry s Nt � � - ➢ k S`k r 'R".+a s � t . � � � zb�'S3k�" '�.'2e- nr� ''' w�`" ��� " ✓� `` 1 � aux* 000 00 • Training/Seminar (cost per staff) r� y sgy � � • Other Trainings (cost of travel , lodging, ° ' r ` II ` ao� v W �, L ^ ` � A� I � W �'S. F / T 4x �i4 5 F C�ya dEF z "r�y <� registration, food) ' � % �x , < rA;y 7 r G7,5 30 Office Supplies Win . pe�t� � t .- . 4 - E { RHk Ya 5,292 00 0.0c , 30,000. 001 Office supplies (monthly average x 12 � 14 t months = estimated cost of office supplies � � v � e based on present histo F , 4406 history r 311Telephone E F y 8182 1 00 0.00 42,000 00 # Phone lines x average cost per month x F k � F r 12 months = local phone cost • Average long distance calls x 12 months = fi Estimated cost of long distance k w •' a `rr �Fi z �{ tt c C s<j .y 7F.R`. w F� '� ,`.1` 1` !a` � 3" , � 32 Postage/Shipping ;3 83.001 0.00 4,000 00 • Quarterly Mailing of Newsletter yG A0 , • Special events, etc.• Bulk mailings - appealse�" rril Fa +� ' ' vv h ezaz�*F Jamba 33 Utilities a 31109.001 0.00 36,000. 00 • Electricity ($ x 12 months) ra�yytar� rN�r F � s , < x • Water/Sewer ($ x 12 months) < • Garbage ($ x 12 months) 34 Occupancy (Building & Grounds) �Y 9,836 00 0 00 89, 000.00 • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) • Grounds Maint. ($ x 12 months) ` • Real Estate Taxes 35 Printing & Publications � y 730 00 0 00 13 000 00 Quarterly Newsletter $ x 4 " � a� w } � �G , ( ) �a�` � '�' • Letterheads, Envelopes, etc. p � • Fundraising materials Fundraising t_ N , y��& g - y� l�lo aal +t � � %6 T h Other a Y V a f a }. e/ ,0„ r k 1L,kh 36 Subscription/Dues/Memberships F Dues 1 ,665 00 0.001 10,000 00 • . ' qy } r ay y �erav >,.0 s} e.,� €a Y �,3s � rY.• [` r .. - "�& 9 " '. (� r .a� r ,..s�, i 'Yi' $! ° t • Subscriptions to Newspapers/magazines, etc. 37 Insurance %�� z 4 ,360 00 s 0 00 39,000.00 • Directors/Officers Liab. • Commercial/General Insurance • Bond Ins. • Auto Insurance �"Iiix� nr yyr{)taafey} Jjlsuranw �� 38 Equipment : Rental & Maintenance F 4,035 00 0. 001 27 000 .00 Copier lease ($ x 12 months) _` a u F 1 , • Meter lease ($ x 12 months) k� ted L�se� $�0 8f`vEll • Copier Maintenance ($ x 12 months) 3 3 ib � ri pp 2 6 - Y = / � 1 ��11s'(ne � XPbY • Computer Maintenance ' £ � ` P ( $ x 12 months) • Other a a e � paAtitir �i '�� rr �� _ I% ,r � � � aara �s aM . X91 , 86 errm ' ' } e F y _ e 39 Advertising y y 56 . 00 r' Fr'E ` vt Newspaper ads � € 1 0 00 18,000 .001 Fundraising ads/promotions Other (vacancies) y y F �E� � .> 3�F � �YF 3°i a M _ pG1 �{3.� 'Gs 'l lYe „�„ � h"Pw",t Z� � �•,t�� .} ,, L� ;��r$�� €��Fk z�r - Y '°},.k,.kyF///1 � �P'Y yr :, �T ' > 40 Equipment Purchases : Capital Expense 1� 00 0 00 12 000 00 • Computer/monitor (# x $) 3k 06 • Laser Printer x "W 41 41 Professional Fees (Legal, Consulting) air 5/75/2003 0.00 0.001 0 . 00 16 Hibiscus Children's Center, Inc. Crisis Nursery • Legal advice ( estimated #hrs x $ r w r a d • Consultant fees F t • Other z � h� a , . y,. h ; . k , - . _ tt ,. ,. 7, c , x ',: =sl ,r,,< ,. ,. n, ,..i. : � : •'I� , . n. , . i , , 42 Books/Educational Materials a 0.00 0.00 31000.00 • Books/videos � - : y Yn� rell I, I . • Materials ($ x staff) r, G ; I .. Iel e W ell 43 Food & Nutrition 1 ,093 00 0.00 • Meals ( # meals x clients x 5days x 50 wks) _ ` * k 201 )00. 00 ele` • Ts ' wBkSC1t14y y Snacks clltldrert �YtocatdWsnl` xt M 44 Administrative CostsIIIler" r ^ 30 ,928 00 0.00 3081422.01] Admin. Cost (% of total budget) o7777 3 Cbv lk'TF $5j�f 1tlo J� S h Sf ' _ f^•�. �. h 45 Audit Expense 1 ,372.00 0.00 13 000 00 VIII Independent Audit Review � y a Ss �s . s, +Elld, fn?rld ;AAtltllt } Ew d . 22,200.00K 0.00 57 ,744. 00 46 Specific Assistance to Individuals • Medical assistanceW s zFr �� • Meals/Food 4, A s F 91 1 Rent Assistance ` ti � R -�vf � s �69� ell Ile I'llIle, lq Other• riton cera M ti€�ity s�fsfa►fsMe r i ze 47 Other/Miscellaneous 450. 00 0.00 99000 .00 • Background check/drug test• bac ♦ y� { {�„�y' y grountfVM� Other � . .$ fi 0 � me tlxa era _ I, � x � , ... . 48 Other/Contract III, I eye w Sub-contract for program services ' ` , y r e. 49 TOTAL EXPENSES y t $3090100.00 $20,250. 001 $3,084 ,225.00 5/15/2003 17 Hlble s Chfidw s Cents. Inc. Cdols Nursery UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Hibiscus Children 's Center, Inc./Crisis Nurse FY 01/02 FY 02/03 FY 03104 % INCREASE FYE 6/30/02 FYE6/30/03 FYE6/30/04 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C<ol. eycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 3500000 52 500.00 139 000.00 164. 76% 2 Children's Services Council-Martin 55 849.99 42 500.00 45 000.00 5.88% 3 Children 's Services Council-Okeechobee 10j625.00 750000 23 000.00 206.67% 4 Advisory Committee-Indian River 25j000.001 25 000.00 20t250.00 -19.00% 5 United Way-St. Lucie County 0.00 19 000.00 9830000 417.37% 6 United Way-Martin County 0.00 0.00 17 550.00 #DIV/01 7 United Way-Okeechobee County 0. 00 0.00 0.00 #DIV/O! 8 United Way-Indian River County 0.00 0.00 0. 00 #DIV/O! 9 Department of Children & Families 1@540, 541 .80 1 512 526.00 1 365 930.00 -9.69% 10 County Funds 0.00 0.00 0. 00 #DIV/O! 11 Contributions-Cash 82 448.58 50 000.00 1 .000.00 -98.00% 12 Program Fees 0.00 0.00 0.00 #DIV/01 13 Fund Raising Events-Net 0.00 �0,001 0.00 #DIV/01 14 Sales to Public-Net 217 742.50 196 910.00 196 910.00 0.00% 15 Membership Dues 0.00 0.00 0.00 #DIV101 1s Investment Income 7,523. 17 11 348.00 16J00.00 47. 160% 17 Miscellaneous 0.00 0.00 0.00 #DIV/01 to Legacies & Bequests 0.00 0.00 0. 00 #DIV101 19 Funds from Other Sources 650 279.55 1 1605850-0 1 160 585.00 0.00% 20a Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 201: In-Kind Donations (Not Inducted In total► 391 714.00 391 714.00 391j714.00 0.000/4 21 TOTAL 2 625 010.59 1077,869,00 869.00 3 084 225.00 0.210% EXPENDITURES 22 Salaries II793 865.43 1 931 949.00 1 958 251 .00 1 .36% 23 FICA 133l295.03 146 618.00 149 806.00 2. 17% 2a Retirement 4 850.22 10 052.00 99378,00 -6.71 % 25 Life/He 91 537.85 100 000.00 93 798.00 -6.20% 26 Workers Compensation 47 266.69 76 786.00 73 485.00 -4.30% 27 Florida Unemployment 5r554,42 5,338.00 5,341 .00 0.06% 28 Travel-Dail 44 010.86 46 325.00 4900000 5.77% 29 Travel/Conferencesrrrainin 11j463.42 15 425.00 14 OOO. Or -9.24% 30 Office Supplies 27 692.00 2810600 30 000.00 6.74% 31 Telephone 40 582.73 49 002. 00 4200000 -14.29% 32 Postage/Shipping3 212.94 300100 4,000.00 33.29% 33 Utilities 34 221 .02 36 454.00 3600000 -1 .25% 34 Occupancy Buiidin & Grounds 89t292.06 87r413.00 89 000.00 1 .82% 35 Printing & Publications 12 722.4111 10 430.00 13 000.00 24.64% 36 Subscription/Dues/Memberships 9149.03 880200 10 000.00 13.61 % 37 Insurance29 165.88 38 552.00 3900000 1 . 16% 38 E ui ment: Rental & Maintenance 24 989.04 2904700 27 000.00 -7.05% 39 Auverusing 16 389.39 18 159.00 18 000.00 -0.88% 40 E ui ment Purchases:Ca ital Expense 0.00 24 000.00 12 000.00 -50.00% 41 Professional Fees (Legal, Consulting) 0.00 0.00 0.003 #DIV/01 42 Books/Educational Materials 11802.95 3498.00 3v000.001 -14.24% 43 Food & Nutrition 18 569.62 19 461 .00 20 000.00 2.77% 44 Administrative Costs 241 066.24 307 786.00 308 422.00 0.21 % 45 Audit Expense 9t616. 00 1157500M 13 000.00 12.31 % 46 S ecific Assistance to Individuals 44 953.57 5977500 57 744.00 3.40% 47 Other/Miscellaneous 51227. 721 10 315.00 %000,00 -12.75% 4a Other/Contract 0.00 0.00 0. 00 #DIV/01 49 TOTAL 2 740 496 52 3 077 869 00 3084225,00 0 21 % 50 REVENUES OVER/ UNDER EXPENDITURES "115,485.931 0.00 0.00 #DIV/01 a+saooa is Hibi wz Che*=,s Can , hie. CftW Numry UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Hibiscus Children's Center, Inc./Crisis Nurse FY 01/02 FY 02/03 FY 03/04 % INCREASE FYE 6/30/02 FYE 6/30/03 FYE6/30!04 CURRENT VS. NEXT FY BUDGET A 8 C D ACTUAL TOTAL PROPOSED (Col. C-Col. BYCOI. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 35 000.00 35 000.00 104900 00 197. 14% 2 Children's Services Council-Martin 25 850. 00 2500000 45 000.00 80.00% 3 Children's Services Council-Okeechobee 10 625. 00 7 500.00 23 000.00 206.67% 4 Advisory Committee-Indian River 25 000.00 2500000 20 250.00 -19.000/c 5 United Way-SL Lucie County 19 000.00 98 300.00 417.37% s United Way-Martin County 0.00 17 550.00 #DIV/01 7 United Way-Okeechobee County 0.00 #DIV/OI 6 United Way-Indian River County 0.00 #DIV/01 e De artment of Children & Families 190 000.00 171 000.00 0.00 -100.00% 10 County Funds 0. 00 #DIV/01 11 Contributions-Cash 59 800.00 0.00 19000,00 #DIV/01 12 Program Fees 0.00 #DIV/Ol 13 Fund Ralsina Events-Net 0.00 #DIV/01 14 Sales to Public-Net 0.00 #DIV/Ol 15 Membershi Dues 0.00 #DIV/Ol 16 Investment Income 0.00 #DIV/O! 17 Miscellaneous 0. 00 #DIV/Ol 18 Le Legacies & Bequests 0.00 #DIV/01 19 Funds from Other Sources 0.00 #DIV/01 20a Reserve Funds Used for Operating 50 000.00 0.00 -100.00% 20b In-Kind Donations (Not Included In total) 31 117.00 #DIV/01 21 TOTAL 346 275.00 332 500.00 309100.00 -7.04% EXPENDITURES 22 Salaries 155t918139 224 932.00 171 823.00 -23.61 % 23 FICA 13 422.05 17 207.00 13 144.00 -23.61 % 24 Retirement 404.42 14000,00 1336001 33.60% zs Life/Health 10 826. 52 1274300 9709.00 -23.81 % 26 Workers Compensation 41668. 15 10 982.00 8 511 .00 -22. 50% 27 Florida Unemployment 828.80 119500 467.00 -60.92% 28 Travel-Daily 89684.381 81000.00 896000 12.00% 29 Travel/Conferences/Training841 .28 11000.00 1 120.00 12.00% 30 Office Supplies 5118.24 4 725.00 59292,00 12.00% 31 Telephone 8 647.94 7 876.00 8t821 .00 12.00% 32 Postage/Shipping 16.68 10.00 83.00 730.00% 33 Utilities 3r248. 19 -21776,00 3109.00 12.00% 34 Occupancy (Building & Grounds 10 291 .33 86723.00 983600 12.76% 35 Printing & Publications 539. 10 650.00 730.00 12.31 % 36 Subscription/Dues/Memberships 1 ,550.47 1 487.00 1 ,665.00 11 .97% 37 Insurance 3,623.83 2956000 41360,00 47.50% 31 E ui ment:Rental & Maintenance 29612.00 31603.00 d035 11 .99% 3a Advertisin 0.00 50.00 12.00% 40 E ui ment Purchases:Ca ital Expense 3,010.72 0.00 #DIV/01 41 Professional Fees Le al Consultin 0.00 0.00 #DIV/01 42 Books/Educational Materials 0.00 0.00 #DIV/01 43 Food & Nutrition 1 200.00 975.00 12. 10% 44 Administrative Costs 28s639,60 30 928.00 #DIV/01 45 Audit Expense 1 ,619.00 1210,00 11372.00 13.39% 46 S ecific Assistance to Individuals 20W323.99 20 000.00 22 200.00 11 .00% 47 Other/Miscellaneous 360.67 400.00 450.00 12. 50% 48 Other/Contract Im 0.00 0.00 #DIV/01 49 TOTAL 286 395. 75 332 500.00 309100.00 -7.04% 50 REVENUES OVER/ UNDER EXPENDITURES 5%879.25 0.00 0.00 #DIV/01 5115=03 19 Hibiscus Children's Center, Inc. Crisis Nursery UNIFORM GRANT APPLICATION PROGRAM EXPENSES AGENCY/PROGRAM NAME : Hibiscus Children 's Center, Inc ./Crisis Nursery FUNDER : Children 's Services Advisory Con 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 I171 ,823 . 00 181810 . 96 10 . 95 % 23 FICA 13 , 144. 00 1 ,439 . 04 10 . 95% 24 Retirement 1 ,336 . 00 0 . 00 0 . 00 % 25 Life/Health 9,709 . 00 0 . 00 0 .00 % 26 Workers Compensation 8 ,511 . 00 0 . 00 0 . 00 % 27 Florida Unemployment 467 .00 0 . 00 0 . 00 % 28 Travel -Dail 8 ,960 . 00 0 .00 0 . 00 % 29 Travel/Conferences/Trainin 1 ,120 . 00 0 . 00 0 .00 % 3o Office Supplies 5 ,292 . 00 0 .00 0 .00 % 31 Telephone 81821 . 00 0 . 00 0 . 00 % 32 Postage/Shipping83 . 00 0 . 00 0 . 00 % 33 Utilities 3 , 109 . 00 0 . 00 0 . 00 % 34 Occu anc (Building & Grounds 9 ,836 . 00 0 . 00 0 . 00 % 35 Printing & Publications 730 . 00 0200 0 .00 % 36 Subscri tion/Dues/Membershi s 1 ,665 . 00 0 .00 0 .00 % 37 Insurance 4,360 .00 0 . 00 0 . 00 % 38 Equipment: Rental & Maintenance 41035 . 00 0 . 00 0 . 00 % 39 Advertising 56 . 00 0 . 00 0 .00 % 40 Equipment Purchases : Capital Expense 0 . 00 0 . 00 #DIV/01 41rA essional Fees (Legal , Consulting ) 0 . 00 0 .00 #DIV/01 42ks/Educational Materials 0 . 00 0 . 00 #DIV/0 ! 43d & Nutrition 19093 .00 0 . 00 0 .01/0 44inistrative Costs 309928 .00 0 . 00 0 .0 45 Audit Expense 19372 .00 0 . 00 0 . 0 46 Specific Assistance to Individuals 229200 . 00 0 .00 0 . 00 47 Other/Miscellaneous 450 . 00 0 . 00 0 . 00 % 48 Other/Contract 0 . 00 0 . 00 #DIV/01 49 TOTAL $309, 100 .00 $20 ,250 . 00 6 . 55% 5/27/2003 20 Hibiscus Children's Cents, Inc. Crisis Nwmy UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Hibiscus Children's Center, Inc./Crisis Nursery FUNDER : Children's Services Advisory Committee of Indian River County Children's Services Council-St. Lucie No Department of Children and Families Funding Children's Services Council-Martin No De artment of Children and Families Funding Children's Services Counc!Wkeechobee No De artment of Children and Families Fundin United Wa St. Lucie CountyNo De artment of Children and Families Fundin #DN/01 #DN/01 #DN/01 #DIV/01 #DN/0! Retirement More employees are eligible this year. Postane/Shloolno More actual postage was used than budgeted last ear, so we need to increase the budget amount to what will be used. Insurance Insurance rates have been going up b at least 25% for the last three years. #DN/0! #DN/0! #DN/0! #DN/0! !;DIV/O! 5/272003 21 Hibiscus Children's Center, Inc. Crisis Nursery UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME : Hibiscus Chidren's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County Il ll t EIIf £ E o ., h . . . ... ., � DIV/01 DIV/01 #DN/01 #DN/01 527/2003 22 HIBISCUS CHILDRErjnS CENTER OPERATING BOARD PHONE LIST 2002-2003 Mr. Daniel R . Braden-Past President 835 N . E . Bayberry Lane Jensen Beach, FL 34957 Home 772-287-8258 Office-Fax Mr , 772-2874283 Car Phone 772-530- 1835 E-Mail n@badenla. com Mrs . Judy M . Crompton 3966 S . E . Old Saint Lucie Blvd, Stuart, FL 34996-5119 Home 772-220- 1693 Home Fax 772-220-3892 E-Mail mcrompton aol . com Ms . Tracey Etelson c/o Bridges Montessori 51 S . E . Central Pkwy , Stuart, FL 34994 Office-Mrs . 772-221 -9490 Office-Fax Mrs , 772-221 -9787 Dr . Mark W . Fedele 127 S . Shore Road Stuart, FL 34994 Home 772-337-9088 Office Mr . 772- 692-6996 Office-Fax Mr, 772- 692-7787 * Ms . Sandra Foote 1213-B N . W . Sun Terrace Circle Port St. Lucie , FL 34986 Home 772471 -6403 Office 772 -468-5161 Office Fax 772-468-5181 E-Mail footes@stlucie . kiz. fl . us Mrs . Rossana Gonzalez Indiantown of Western Martin County 1883 S . W . Capri Street Chamber of Commerce Palm City, FL 34990 P . O . Box 602 Home 772-283 -5959 Indiantown, FL 34956 Office-Mrs . 772-597-2184 Office-Fax 772-597-6063 * E-Mail lwmcc@onearrow . net 1 HIBISCUS CHILDREMB CENTER OPERATING BOARD PHONE LIST 2002-2003 Mrs . Susan J . Hershey 352 Ridge Lane Stuart, FL 34994 Home 772-287-3845 Office-Mrs . 772-2194200 Mr. George F . Lehach- Foundation Board President & Northern Trust Bank 4609 S . E . Waterford Drive Past President 2201 S . E . Kingswood Terrace Stuart, FL 34994 Stuart, FL 34996 Home 772-220-2675 Office j Mr. 772-287-7575 Office-Fax Mr. 772-287-9009 Car Phone 772-285-8886 Mr . J . D . Lewis , IV Lewis , Mortell , Lewis 1115 East Ocean Blvd . Stuart, FL 34996 Home 772-781 -7759 Office 772-286-7861 Office-Fax Mr . 772-288 -2013 E-Mail llewisiv aol . com Mr . Terence E . Nolan 1240 Starfish Lane Stuart, FL 34996 Home 772-223 -8153 Office-Mr. 561 -355 -7308 Office-Fax Mr . 561 -355 -7379 Janice Norman, R . N . , M . S . 2875 N . E . Timberlane Ct . Jensen Beach , FL 34957 Home 772-334-4953 Office-Mrs . 772-221 -2089 Office-Fax Mrs . 772 -223 -5944 Car Phone 772-521 - 1867 Email jnorman@mmhsfla. ora 2 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee I. BUDGET FORMS X 1 . Budget Narrative Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 X 2 . Total Agency Budget . . . . . . . . . . . . . X 3 . Total Program Budgets . . . . . . . . . . , , , . . . . . . . . . . . . . . . . . . . . . . 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 X 4 . Funder Specific Budget. sees ' s " " " " 66096996640 ooeseosse 20 X 5 . Explanation for Variances — Total Program Budget . . . . . . . . . . . . . . . . . X 6. Explanation for Variances — FBudget . . . . . . . . . . . . 21 Funder Specific Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 J. FUNDER SPECIFIC/ADDITIONAL SHEETS X List of Current Officers and Directors X Latest Financial Audit X IRS Form 990 X Internal Financial Statements X Staff Organizational Chart X Annual Report X 501 (C)(3) Letter X Articles of Incorporation X Agency ' s Bylaws X Affirmative Action Policy X Proof of Goals and Outcomes Workshop Attendance X Proof of Insurance X Florida Department of Agriculture Letter X Not For Profit Agency Certification X Authorization for Release of Information X Indian River County Code on Disclosure of Relationships K. APPENDIX 2 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee ORGANIZATION : Hibiscus Childrens Center PROGRAM : Crisis Nursery TABLE OF CONTENTS Please "X" the parts of the grant application to indicate they are inc information can be located. luded. Also, please put the page number where the X Section of the Proposal Pa e # X TABLE OF CONTENTS (Check list) 1 X COVER PAGE (with signatures) . . . . . . . . . . . A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization . . . seem . . . . . . . . . . . . . . . . . . 0 60 4 X 2 . Summary of expertise, accomplishments , and population served . . . . . . . . . . . . . . . . 4 B. PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . X 2 . Programs that address need and gaps in service . . . . . . . . . . . . & Ross as * , * * @5 Co PROGRAM DESCRIPTION (two pages maximum) X 1 . Funding priority . . . . Poe * * level , * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities . . X 6 3 . Evidence that program strategy will work . . . . . X 4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 5 . Awareness of program . , , , , , , , . , . , * * , * * @ X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . . . . X E. COLLABORATION (one page maximum) , , , , F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . . . . . . . . . . eems 10 X 2 . Measures , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " " . . . . . . . . . . 10 . . . . . . . . . . . 3 . Reporting . . , . . , 9000600 60066 X G. TIMETABLE (one page maximum) 10 * 00 106 * 00 0600 * 140 , 00 sea * egos * * * seems 12 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . X 2 . Projections by Age Group . . . . . . . . . . . . . . . . boommass13 1 Hibiscus Childrens Center Crisis Nursery Program ' Indian River Children ' s Services Advisory Committee ORGANIZATION : Hibiscus Childrens Center PROGRAM : Crisis Nursery 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. X Section of the Proposal Pa e # X TABLE OF CONTENTS (Check list) 1 X COVER PAGE (with signatures) . . 0 1 1 0 a a 1 0 0 * 1 0 0 . . . . . . . . . . . . . . . . . . . . . . A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization , . 0 0 a a & 0 0 a I 1 0 6 a a 1 0 0 9 0 & I 1 0 0 a 0 1 0 0 a 0 & 6 1 0 a 0 0 1 1 0 0 0 0 a 0 0 0 4 X 2 . Summary of expertise , accomplishments , and population served . . . . . . . . . . . . . . . . 4 Be PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Co PROGRAM DESCRIPTION (two pages maximum) X1 . Fundingpriority . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . : .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities . . , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 3 . Evidence that program strategy will work , , , , , gas & a , 9 seat * 00000 a , go * me 6 X4 . Staffing . . . . so@ 00 * 000000 * a * 09 0 , 64 9966 , 0060609 900 * 61 , 00 * a 6 so 00010 9 9 so , 1 0 7 X 5 . Awareness of program . , , , , , , , , , Q * I * * * * ease go * * * * @ 0 able@ * * 8 @ * * * love 00 , 000 * 01 , 7 X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X D . MEASURABLE OUTCOMES (two pages maximum) . , . . goo as , * * * a 64 Res * * , , go 8 X E . COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 F. PROGRAM EVALUATION (two pages maximum) X1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " a 10 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee I. BUDGET FORMS X I . Budget Narrative Worksheet. . . . . 14 . . . . . . . . X 2 . Total Agency Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 X 3 . Total Program Budget. . . . . . . . . . . . . . . . . . 10 . 0 . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ease 19 X 4. Funder Specific Budget, 616 * 19806 20 X 5 . Explanation for Variances — Total Program Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 X 6 . Explanation for Variances — Funder Specific Budget , . 22 J. FUNDER SPECIFIC/ADDITIONAL SHEETS X List of Current Officers and Directors X Latest Financial Audit X IRS Form 990 X Internal Financial Statements X Staff Organizational Chart X Annual Report X 501 (C)(3) Letter X Articles of Incorporation X Agency ' s Bylaws X Affirmative Action Policy X Proof of Goals and Outcomes Workshop Attendance X Proof of Insurance X Florida Department of Agriculture Letter X Not For Profit Agency Certification X Authorization for Release of Information X Indian River County Code on Disclosure of Relationships K. APPENDIX 2 Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee PROGRAM COVER PAGE Organization Name : Hibiscus Childrens Center Executive Director: Jan Huffert — Interim CEO Email : Lwink(a)hcc4kids . org Address : P. O . Box 305 Telephone : 772-334-9311 Jensen Beach, FL 34958 Fax : 772-334- 1991 Program Director: Georgia Cox Malone Email : gmaloneaa,hcc4kids . org__ Address : P. O . Box 305 Telephone $ 772-334-9311 Jensen Beach, FL 34958 Fax : 772-3344991 Program Title: Crisis Nursery Priority Need Area Addressed. Parental Support and Education Brief Description of the Program : Child abuse and ne lg ect prevention and crisis intervention program providing voluntary in-home services to families experiencing crisis (i . e . unemployment, homelessness domestic violence mental health pove etc ) Services may take the form of family supportaccessin therapeutic services coordinating medical needs improving daily living skills addressing educational needs and short term respite care for children. Amount Requested from Funder for 2003 /04 : $ 209250 Total Proposed Program Budget for 2003 /04 : $ 3099100 Percent of Total Program Budget : 6 . 6 % Current Funding (2002 /03 ) : $ 25 , 000 Dollar increase/(decrease) in request : $ (47750 ) Percent increase/(decrease) in request : - 19 . 0 % Unduplicated Number of Children to be served Individually : 19655 Unduplicated Number of Adults to be served Individually : 820 Unduplicated Number to be served via Group settings : _ Total Program Cost per Client : 124 . 89 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). 7/19/01 Steve Strickland Name of President/Chair of the Board Signature Jan Huffert 69 �k Name of Executive Director/CEO Signature 3 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization. Hibiscus Children ' s Center ' s mission is to prevent and/or reduce child abuse and neglect on the Treasure Coast. Our vision centers on building capacity and developing community centered programs to ensure that a full continuum of care exists within our community to meet the needs of families and children. From prevention to intervention, the full range of services available through Hibiscus Children ' s Center target family resiliency and the long-term effects of child abuse. 2 . Provide a brief summary of your organization including areas of expertise, accomplishments and population served. Hibiscus Children ' s Center has four primary service programs that support its mission: Shelter - a 40-bed residential facility that provides shelter and respite care for children ages 0- 12 . The program has provided close to 100,000 safe nights of service to children throughout the state . Family Builders - a family preservation program, working with children and families in all four counties of the Treasure Coast. Families are referred by the Department of Children and Families due to child abuse. The main goal of the program is to remove the risk in the family, not the child from the family. Crisis Nursery - a child abuse prevention program. Any family experiencing a crisis with children under the age of 18 can voluntarily seek assistance. Housing, food, budgeting, child- care, medical care, and mental health treatment are examples of some of the many reasons that families seek help from this very successful program. Lauded as a model prevention program by the National Crisis Resource Center, the program kept 100% of its clients out of the child welfare system last year alone. Foster Care Recruitment and Training - focuses on recruiting and training suitable families for children needing foster care . Over the last 18 months, over 40 new foster families have been licensed on the Treasure Coast through this program. Hibiscus strives to be a valuable resource for the community in the field of child abuse and neglect. We provide a continuum of family-friendly prevention and intervention services supported by over 400 volunteers who donate over 25 ,000 hours each year in support of our mission. Hibiscus actively works to remain at the forefront of best practices in child welfare through our membership in the Child Welfare League of America and accreditation through Council On Accreditation. 4 Hibiscus Childrens Center Crisis Nursery Program Indian River 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? The abuse, neglect, or abandonment of children. Sadly, the devastating effects of child abuse go far beyond its immediate physical and emotional impact on the child. The impact permeates throughout the child ' s entire life cycle. Abused children show higher rates of school delinquency and failure, drug and alcohol abuse, teen pregnancy, early entry into the criminal justice system, and domestic violence . b) Who has the need ? Families and children, birth to 18 , who are at risk of maltreatment due to a crisis and who need a wide array of intervention and support services in order to keep the family intact and the children safe . c) Where do they live? Services are provided to children and families in Martin, St. Lucie, Indian River and Okeechobee counties . The program criss-crosses socio-economic boundaries since families of every ethnicity, community, and social class can experience a crisis that places their family at risk. d) Provide local, state or national trend data, with reference source, that corroborates that this is an area of need. ❖ According to the Annie Casey Foundation, 8 out of every 1 , 000 children will at some point enter the child welfare system. ❖ Currently, there are over 400 children under the supervision of our local Department of Children & Families . ❖ Since its inception in 1994 , the Crisis Nursery Program has served over 10, 609 children and families throughout the Treasure Coast. ❖ From July 1 , 2002 — December 31 , 2002 , 312 families have received services and 132 families have had to be placed on a waiting list. 2. a) Identify similar programs that are currently serving the needs of your targeted population ; There are no other programs providing specialized family support and respite services in the four county area to children and families at risk of child maltreatment. b) Explain how these existing programs are under-serving the targeted population of your program. N/A 5 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee C. PROGRAM DESCRIPTION Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Parental Support and Education 2 . Briefly describe program activities including location of services. Crisis Nursery services are voluntary and available 24 hours a day, 7 days a week. When a family requests services, Family Advocates complete an initial intake and assessment to determine eligibility. This intake can be done at the family ' s convenience - in the home, at the office, or a mutually determined location. After eligibility is established, the Program Supervisor assigns the case based on the family' s needs and case openings. A Family Support Plan, which drives all services provided, is then developed with the family served. The family clearly determines the services to be provided and when the plan is completed, unless other issues occur, the case will close. The services are short term, lasting 4 —6 weeks for most families . Clear and measurable goals and objectives establish what occurs between the family and the program. Services include identification of problematic areas and solutions, formal and informal support systems, resources available within the community, need for further services, and possibly respite services. All services are aimed at stabilizing family crisis, providing tools for family self-sufficiency, and identifying resources within the family and community to enhance and improve family functioning. This program promotes self-determination, resilience, and is built on family strengths. From assessment to case planning and family goal setting, the program is driven by consumer choice. Coordinated family support services assist families in accessing a wide variety of services including medical and mental health services, parenting education and information, substance abuse assessment and treatment, employment assistance, housing, food, clothing, and transportation. Respite services, where parents voluntarily place their children at Hibiscus Children ' s Shelter for short periods of time, provide children all of their basic needs, including, but not limited to therapy and counseling, medical care, educational assessments, and a wide variety of other services as needed. Special conditions have been developed to work collaboratively with law enforcement, health care providers, schools, and a myriad of providers to serve parents in crisis . This approach works hand in hand to resolve the immediate crisis as quickly as possible in a way that is least intrusive and disruptive to the family. Helping families identify not only problems, but solutions, combine to enhance and increase family functioning, working in partnership to assist them in reaching their highest potential . In turn, families learn to resolve their own situations and are better prepared to face the future and every aspect of what it may hold. 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. The Crisis Nursery is a nationally recognized program, providing relevant child abuse prevention services in our community. National and state data, media attention, and recognition from the state and federal government support the success of its methodology. It has been cited as a best practice in child abuse prevention. Since October 1994, Hibiscus Crisis Nursery has served 10, 609 children and families with an average of 99% success in keeping families out of the child welfare system in fiscal year 2001 -2002 . Services provided within or outside of the child ' s home are intended to enable the family to 6 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee stay together and to keep the child living in the child ' s home and community, reducing the risk of future crisis and abuse/neglect for children. 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). The staff positions for the program consist of. • Program Director ( 1 ) oversees program functioning. A minimum of 12 hours per week is designated toward the oversight of this program. The Program Director is required to have or be working toward the completion of a master' s degree in social services or a related field and requires a minimum of 3 years related experience. • Program Manager ( 1 ) provides a high level of supervision to staff members and maintains a small caseload. This is a 40+ hours per week position requiring a degree in social services or a related field and three years of related experience. • Family Advocates (3) provide the bulk of direct service provision. These are para- professional positions that require a high school diploma or GED. Two years of related experience is preferred and these positions are full time (40+ hours per week) positions. • Administrative Assistant ( 1 ) provides clerical and data entry support for the program in order to maximize staffs ' time spent directly with the family. 4 hours per week is spent providing support to the Crisis Nursery Program. The position requires a high school diploma or GED and 2 years of related experience is preferred. • ChildCare Workers and ChildCare Supervisors (4.4) provide direct supervision to the children placed in the Shelter for Respite. When children are in respite, awake supervision is provided 24 hours per day. As defined in the budget narrative, we estimate that this equates to the equivalent of 4.4 staff members working 40 hours per week throughout the year. A high school diploma or GED is required and 2 years of experience for Supervisors . 5. How will the target population be made aware of the program ? In addition to enjoying statewide and national recognition, the Crisis Nursery Program is well established on the Treasure Coast and has been highlighted in the media, including newsprint and television coverage. The primary referral source for the past five years has been self- referral, which demonstrates the widespread community awareness, acceptance, and need of these valuable services . In addition, Hibiscus Children's Center utilizes an extensive marketing plan to build awareness of all of its programs . Public Service Announcements are aired across a wide variety of local cable stations and staff participate in TV interviews, newspaper articles , and presentations to church and civic groups . Most of the clients who utilize this service hear about it from a friend or family member who has been helped by the program. 6. How will the program be accessible to target population (i.e. location, transportation, hours of operation) ? This program is available 24 hours a day, seven days a week. Services are provided in the homes of families or at mutually determined locations . The program is readily available through an on-call system that puts program services in the hands of families in need around the clock. Transportation services are also provided to overcome obstacles to services many families face due to a lack of public transportation, especially after hours and on weekends . 7 Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome(s 1 . To maintain at least 95 % of families served Outcomes 1 and 2 having no verified reports of abuse or neglect ❖ Maintain list of families served. during services as measured by Department of ❖ Provide list of families served to Children & Families Abuse Screening. Department of Children & Families for Baseline : 2000-2001 DC&F monitoring 100% identification of families that had verified of families served had no verified reports of abuse or neglect reports during services and abuse or neglect during service provision. within 12 months after service provision. ❖ Receive data back from DC&F and 2 . To increase to 95 % of families served determine percentages . having no verified or indicated report of child ❖ Review families with verified abuse and abuse 12 months after services as measured by neglect indicators and determine strategies Department of Children & Families Abuse to prevent future occurrences . Screening. Baseline : 2000-2001 DC&F monitoring 91 % of families served had no verified reports of abuse or neglect 12 months after services . (Services were provided to particularly challenging families during this time period and we believe that 95 % is more representative of what the program can achieve .) 3 . To maintain 95 % of families, completing Outcome 3 services, showing improvement in one domain ❖ Administer and score AAPI as part of of their parenting abilities through the use of intake/assessment process for each family. the Adult Adolescent Parenting Inventory ❖ Administer and score an AAPI post-test for (AAPI) as a pre and post (45 + days after families who complete services (a service implementation) test, minimum of 45 days) . Baseline : This year will serve to establish the ❖ Individual data to be maintained in client baseline for this instrument. files and collapsed into the quarterly Peer Record Reports . •'• If percentages are not achieved, a corrective action plan will be developed in response to the quarterly Peer Review and monitored through the next peer review cycle. 8 Hibiscus Children Center Crisis Nursery Program Indian River 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 Department of Children & Families Data on family involvement in the child welfare system. Families are screened to ensure that they have not been involved in the child welfare system prior to services being implemented. After services are provided, families are tracked to ensure that they did not become involved in the child welfare system within one year after completion of services or during service provision, Treasure Coast Homeless Coalition Management Information System and assistance in - working with homeless families Crisis Nursery utilizes a broad spectrum of community resources to meet the needs of children and families . These collaborative activities are documented in the individual client record but are not formalized into "collaborative agreements" since they are individualized based on the families needs. 9 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender and ethnic background) required by the funder in Section H? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their "unacceptable condition requiring change" from Section B19 The Crisis Nursery Program collects client data in many different ways, in order to meet a variety of funder requirements . The information is compiled on a monthly basis and put into a data spreadsheet that is used for reporting to funders . Monthly, quarterly, and year-end reports are provided upon request based on the specific requirements of each funder. All families complete an. intake/assessment process to determine the level of their crisis and the ability of the Crisis Nursery Program to assist the family in meeting the need. The one universal qualification that would make a family ineligible would be abuse/neglect. The need for services is clearly documented on the intake form and incorporated into the Family Support Plan. 2 . MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores, attendance, absences, skill levels) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data? Outcomes (abuse histories) are measured through the Florida Department of Children & Families (DC&F), our collaborative partner, client information system. DC&F conducts an initial review of the family prior to Hibiscus accepting the family into services . Annually, DC&F monitors the Crisis Nursery Program and reports one year follow-up information on whether or not abuse occurred during services or within one year post services . In addition, the Crisis Nursery Program completes an AAPI pre-test on all families and a post-test on families who receive services for over 45 days . The results are reported to our internal Continuous Quality Improvement Plan committees . The AAPI is a valid and reliable tool that measures improvement in family functioning, in particular in parenting, empathy, corporal punishment, role reversal, and understanding development stages . 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 is maintained in client records , monthly Risk Management Reports, quarterly Peer Record Reviews, and MIS spreadsheets . Hibiscus utilizes a Continuous Quality Improvement Committee comprised of a broad spectrum of stakeholders (staff, board members, funders, former clients, volunteers , other agency representatives, etc .) to discuss internal and external monitoring results . This group is also instrumental in ensuring that the agency maintains a "big picture" perspective on all of its services . Hibiscus has set benchmarks for each of its programs that must be met; these benchmarks include all outcomes specified in contracts . When deficiencies are identified, a corrective action 10 Hibiscus Childrens Center Crisis Nursery Program Indian River Children 's Services Advisory Committee plan is developed. Follow-up takes place by comparing scores in the next review cycle to demonstrate improvement. Clients are informed in writing of our Continuous Quality Improvement processes and are allowed access to reports generated upon request. These reports are also available to funders upon request. Additionally, Hibiscus maintains an adequate MIS to comply with all funders requests for documenting and sharing data elements. Change in the family ' s situation is most clearly documented through the completion of the Family Support Plan. This documentation is maintained in the individual family ' s record. The systemic change of preventing and reducing child abuse is documented through our annual monitoring by DC&F . The Department of Children & Families will report outcomes on abuse and/or neglect that occurs during services . Prior to service initiation, families are screened through the Department of Children & Families to determine if there is an open case of abuse or neglect. This information is verified by the Department and maintained in client records . At all times during services, from initiation to completion, Family Advocates are working with the families they serve to collect accurate data. Data is collected and compiled on a monthly basis by the Family Advocates and presented to the Program Director. The Program Director reviews all program data for accuracy and reporting. It is compiled by county and rolled up into a report that is provided to all funding entities based on their requirements individually and in full to the Department of Children & Families. This data is included in the agency ' s yearly annual report, is utilized in brochures and other agency materials, and is available upon request. 11 Hibiscus Children Center Crisis Nursery Program Indian River 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 Ongoing • Families are screened for eligibility for services • Families are assessed and support plans are developed with the family to meet their identified needs . • Services and interventions are provided as identified on plan • Cases are closed as needs are addressed and risk level to family and child is diminished. Weekly • Cases are staffed with supervisor to ensure appropriate level of intervention to meet the needs of the family. Monthly . Risk Management Committee reviews any significant events that occurred during the month involving the program and/or individuals served. • Reports are submitted on cumulative client demographics . Quarterly . Records are reviewed as part of internal Peer Record Review to ensure compliance with funder, Council On Accreditation, and "best practice" standards Six Months • Narrative report submitted on progress toward program outcomes . Annually • End of year narrative report given on progress toward program outcomes . • Monitoring occurs by Department of Children and Families to determine if any verified incidents of abuse or neglect occurred during service provision or within one year of completion of services . 12 Hibiscus Childrens Center Crisis Nursery Program Indian River Children's Services Advisory Committee H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Undu licated Clients by Location 'strF'asca Current Fiscal YearTeztFiscal Location Budget Budget 2002/03ro, echon „ 0 ! Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County 13 15 15 S . Indian River County 11 13 13 Indian River Co. Total 24 28 28 Greater Stuart 78 90 90 Hobe Sound 6 7 7 Indiantown 9 10 10 Jensen Beach 37 42 42 Palm City 3 4 4 Martin County Total 133 153 153 Fort Pierce 201 230 230 Port Saint Lucie 105 120 120 St. Lucie Co. Total 306 350 350 Okeechobee County 39 44 44 Palm Beach County - - - TOTAL SERVED 502 575 575 (Unduplicated clients by location - client is defined as family) Number of Unduplicated Clients by Age O a`1 st=Fisca ar Current Fiscal Year e t ' lse a Location ` �` ' ctua1200` 002 Budget 2002/03 �Pro 'ection , . viduals n ou ' Individuals Group Individuals r P- . P AM 3A : 0 to 4 - (Pre-school) 531 - 554 - 554 - 5 to 10 - (Elementary) 384 - 550 - 550 - 11 to 14 - (Middle) 343 - 450 - 450 - 15 to 18 - (High School) 99 - 101 - 101 - 19 to 59 - (Adults) 709 - 800 - 800 - 60 + (Seniors) 35 - 20 - 20 - TOTAL SERVED 21101 - 2 ,475 - 25475 - (Unduplicated clients by age - client is defined as individual family members receiving services) 13 s Hibiscus Children's Center, Inc. Crisis Nursery 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 : Hibiscus Children 's Center, Inc ./Crisis Nursery FUNDER : Children 's Services Advisory Committee of Indian River County I 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. 11 ;"yam6 .W"' �a . e� P F � 4 � i1 EIV � Rr I �Nt1ES s m�vs otac T� l , L E der° , z p genWe e Gf ,x�u.�uch`rxsr�, Bp' #Iger >t3udg+�1 , F B ° ` L iV 1 Children's Services Council-St, Lucie 104,000.00 139,000 .00 2 Children's Services Council -Martin = 45,000.00 45,000.00 3 Children's Services Council-0keechobee y N ', 239000.00 23 ,000.00 4 Advisory Committee-Indian River - IV 20250.00 20,250. 00 20,250. 00 5 United Way-St. Lucie County �W a� 98,300.00 98,300 . 00 6 United Way-Martin Count "; _ 17,550.00 17 ,550 .00 7 United Way-0keechobee County Fy , 8 United Way-Indian River County 9 Department of Children & Families 1 ,365,930 .00 10 County Funds . 11 Contributions-Cash Ponatror 's 11000.00 1 ,000 . 00 12 Program Fees 13 Fund Raising Events-Net Eb $ 14 Sales to Public - Net 196,910.00 15 Membership Dues 16 Investment Income ntiGsF F 16,700.00 17 Miscellaneous ° 18 Legacies & Bequests 1�5t:u5 r Ch)lereIV 11 -1 el I, 19 Funds from Other Sources i � � . ` 1 , 160,585. 00 20a Reserve Funds Used for Operating 20b In-Kind Donations (Not included In total) = 31 , 117.00 391 ,714. 00 21 TOTAL REVENUES (doesnY ' Include line lob) ,, $309, 100.00 $20,250.00 $39084,225.00 {moi! EXPLNt31T�14E f ` > Pr;bp�asatTotalPogram Funer e1 Toa1Iency P ru3rdge� f, . Y fluGl . : tad Vit, . 22 Salaries - (must complete chart on next page 171 ,823.00 18,810.96 119589251 .00 to % u, Sats y LFA f Y i 'v '. Jn ' f moi, , , /. i A [ : „ 1, s 23 FICA - Total salaries x 0.0765 0 1 13, 144.0 ,439.04 149,806. 00 65°10 e Yemen - Annualpension Or qua I le 8 *a>_ 24 staff V , I 1 ,336.00 0.00 9,378 .00 Life/Health - Medical/Dental/Short-term 25 Disab. T "/o 9,709.00 0. 00 93,798 .00 r. _ �'.�.. _ . workers compensation - # emp oyees x 26 rate 4 °/u 81511 .00 0.00 73 ,485. 00 5/15/2003 14 Hibiscus Children's Center, Inc. Crisis Nursery lFlon a unemployment - a projected 27 employees x $7, 000 x UCT-6 rate fl 2 % 467.00 0.00 51341 . 00 lee ` ell, ' I * fi gh- " ll ell5el e lee qql ll �-"ra A "ywnqZ , ' s i :,v i3 se v ° : �r055I�in Im !e7 r i�f�ai'flsssltnnual je �.,�lonV `� alxrOfr l�cpp�osed _ y t � +y } 4 f, , ;,.vis' Ff f Nf1 '�` �ri( �� t #'oifi ►l �t� fTtf8lt� s�k :�tgay�ft f � y r w R$questsd{�1�4} . , arc . � dFv"`Z . M : „m . ;' ° Y ..vg ! -svye � l w, v. P-.-�,5. 3- , b ' a.� r x I . -k bx a r v f°' r Y, F Yr �, v "$, �4 �= v' .gyp v " c o F d r I-�Jr'd?tE78 fBC /G, �f4��0,/, !a ;i!1�54'. , ' .K� Q� '�.f? x ra ay . : . i {�:i � j00.b s „ r �'ZX� 7a'' r, . � . . .r . . _. . < . . Program Manager/40 Hours 30,900.00 30,900.00 5,000.00 16. 18% FamilyAdvocate/40 Hours 20,600.00 20 ,600.00 2 ,360.00 11 .46% FamilyAdvocate/40 Hours 23 , 690.00 23,690.00 9,214 .00 38. 89% Program Director/40 Hours 39, 140 .00 11 ,742.00 0.00% Administrative Assistant/40 Hours 21 , 184.42 2, 118.00 0 . 00% Child Care Supervisor/40 Hours 22,066. 72 13,240.00 0.00% Child Care Supervisor/40 Hours 20, 524 . 19 10,262.00 0 . 00% Child Care Worker/40 Hours 17,674. 80 10 ,605.00 21236. 96 12.66% Child Care Worker/40 Hours 22, 645. 17 139587.00 0 . 00% Child Care Worker/40 Hours 16,068. 00 8 ,837 .00 0 .00% Child Care Worker/40 Hours 16, 025. 15 8,333.00 0. 00% Child Care Worker/40 Hours 16, 389. 36 81268.00 0 .00% Child Care Supervisor/40 Hours 19,281 .601 9,641 .00 0.00% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throughout the agency 1 ,672, 061 . 59 Total Salaries $ 1 ,958,251 .00 $ 171 ,823 .00 $ 189810 .96 0 . 96% Ile - ] 11 11 A e ry P n _ _ F - q Es � {�{ 1 � /� s t4 �"e r :, r� y hx F 'F4. Svle oto^ .. 5�w Nit �"'-F vy r`17 Fay l elle.a ell ll .= a } lee, v yip �y �y 6 Ile, yy y " I yj M F a i tl i Y3 .✓lL,c � CF a P. blprt=� ., F' Va •I � i , r7IQ P Yf iilplM� Ile �Qlzmn "onl i*rom it/r�e2b p 1=1fi 7� stt<age h F (ell ,la Cpmpens nt ompbns �SpIle g ` x a a 3 _ lee. PK r .� r ,ei - ` I' S Q 7tle �� aJ +•a f u:. ^7' ` r 7' @ a l v ywe el 3b a va , «Vs . . ten. . e• Vic. .-� z, „ r � a ,��..Sr. Ilw s 2 n a - r �ira»rpfe trace Jl raga+%V" 1 As, ew 1000III % . . . 382;''Stt 200A0 ::' IO,t b' 3I7fJ �0- 200 0 1,382 50 Program Manager/40 Hours 59000.00 382.50 382 . 5 Family Advocate/40 Hours 2,360.00 180. 54 180.54 Family Advocate/40 Hours 99214 . 00 704.87 704 . 8 Program Director/40 Hours 0.00 0.00 0.0 Administrative Assistant/40 Hours 0 .00 0.00 0. 001 Child Care Supervisor/40 Hours 0.00 0.00 0.0 Child Care Supervisor/40 Hours 0.00 0. 00 0 .0 Child Care Worker/40 Hours 21236 .96 171•. 13 171 . 1 Child Care Worker/40 Hours 0.00 0. 00 0.0 Child Care Worker/40 Hours 0.00 0.00 0 .0 Child Care Worker/40 Hours 0.00 0.00 0.0 Child Care Worker/40 Hours 0 .00 0.00 0 .00 Child Care Supervisor/40 Hours 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 0.0 0 0.00 0.00 0.0 0 0 . 00 0 .00 0.0 0 0.00 0.00 0. 0 0 1 0.001 0.00 0.0 Total Funder Request Fringe Benefits 1 $ 18, 810.961 $ 1 ,439.041 $0.001 $0.001 $0. 001 $0.00 $ 1 ,439. 0 5/15/2003 15 Hibiscus Children's Center, Inc. Crisis Nursery v r � 2Sr, ' a rE " �, �y r '.: r f 3.. xFz: m3a a r7~• y -`J>` ;"yaw ,��v ° ` :: Nl */TappCC .;ale , %ln1C#�^1A14 L r. . -tj , ^, . /r. .✓/ j:. . _ s . l._ . . .. . . . 3 1 aW p� - ! kb ., N. ., y _ 28 Travel-DailyWr 'e eel yZ � 8y960. 00 0 00 49 ,000.00 # of Staff x average # of miles/wk x 50 wks x r Vis" y"' ' °� �11 � ; ` 5 " y< 2 ' fi m l $ aa` r /ISrN2 e / " 3 +� — Estimated Dail Travel/Miles a Reimb. �� ^� _ " = yy ^ Y 9 s3. t't lis. . , rwpei� t°� ^ _ ell I , 29 Travel/Conferences/Training 1y120 . 00 g 0 00 14 000 00 • National Conference (cost per staff) • Training/Seminar (cost per staff) • Other (Trainin9 s cost of travel , gilod n 9 , registration , food) 30 Office Supplies w � n 5,292 00 0 00 30,000.00 OfeIl fice supplies (monthly average x 12tyx � ; ^ ' months = estimated cost of office supplies x ' ` + `y £ ` ✓ a s Wa based on present history. � a m �a, rz " r � �� 6 31 Telephone _ . as a d " e� fit( �` t ' r4 ^ p �; 9� �y 8,821 00 0.001 42,000 00 # Phone lines x average cost per month x � �� ;may "MEW � � X11. mg 12 months = local hone cost a L��� (i a < / +r x r^� y u < �.�, W / vi / Y y 7 IM a• Average long distance calls x 12 months g�}tEstimated cost of Ion distance i . .�.^f� 32 Postage/Shipping ` y � < 83.00 0.0c 4 000 00 • Quarterly Mailing of Newsletter �" Ke ry y r 1 x / Ha ^`.r ''"Y s ht�F ✓ w yx � - �ro L >r S s' ,'��. N _ xs " _ 5 • Special events etc. k a y � ^ r ¢d 1 x k • Bulk mailings - appealsx � 2 ` irn �t ^ d"� ,Y ^ 33 Utilities / d 31109.00 " k . . . _ .< 0.00 �� ^ 69000.00 • Electricity ($ x 12 months) am a Fawn • Water/Sewer ($ x 12 months) e ,L�x ,^„ • Garbage ($ x 12 months) y � ' _ uy � "ikfiJrx ^ 4 y 34 Occupancy (Building & Grounds) r ^ � 9,836 00 0.00 89 000 00 • Mortgage/Rent ($ x 12 months) g ark y fi dd • Janitorial ($ x 12 months �� wel , r K_ . b L'4 r � x • Grounds Maint. ($ x 12 months) i � �� ' k wont #/lands � � , k ` " K x • Real Estate Taxes " � ` 3r• "r � & s . x _. "-hy _ v axx � �u wy � �� 1 r r 35 Printing & Publications rs 730.001 0.001 13,000. 0 1 0 Quarterly Newsletter ($ x 4) �� �� �, � z� � ��� v��� � �� �^ � , �� x � � � _ � �� � � • Letterheads , Envelopes, etc. low s Fundraising materials Other r 0, ePf�th" � err , ., "'Ile 36 Subscription/Dues/MembershipsNy ,5 1j665.001 0.001 10,000. 00 habx„ T ' Dues s qZ4Mere F7n • Subscriptions to Newspapers/magazines, 3� N . ttb " � � � " ^ k etc. kir r $ y 1 cx a gg ell i� .p �] 4 ���M .Y a � ,fi T 4 �� Pd '�.'�" k e 37 Insurance 41360.001 0.001 39,000 00 • Directors/Officers Liab. ^ LLE • Commercial/General Insurance 39' �» kr F �'� elfl5i(r ��� 1•w� FR" l ^:' Y i �' ^ �� +rl � �n" /"�i. k C ' Bond Ins. , ` "?d�`'z� 1- ' , fi ���� �r � � 5% ✓ J' x� ^ �'5 : y ''' �.� ;". � �" _ .; • Auto Insurance11 Ila gy StX9 381 Equipment: Rental & Maintenance b 4,035 0( • Copier lease ($ x 12 months) 0 00 27,000.00 ^ dgy i`n' s F z '�,n`e.,,,^ 'j, z k • Meter lease ($ x 12 months) �r Lest � > r rx y et 'te�se�2 • Copier Maintenance ($ x 12 months) Computer Maintenance ( $ x 12 months) f���j uti"���ati� l • Other 39 Advertising 56 00 0.001 18,000 00 Newspaper ads ^ ^ ^ � x " r H Fundraising ads/promotions � � ��� Ile � � ' x " Ile }} eel d ,,,�',N x. �y �' 4's;' ,r�si �N .� Other (vacancies) adsatri � r N €f ^ MR , 40 Equipment Purchases : Capital Expense r 0. 00 0.00 12,000 00 • Computer/monitor # x <" %� z it I x S" ell 3^ • Laser Printer ^ da ` + 4k W< N� . ,r ^ �e .R?',`',',-P , ,,� , . . . 41 Professional Fees (Legal, Consulting) _ ' � 0.00 0.00 0 . 00 5/15/2003 16 • Hibiscus Children's Center, Inc. Crisis Nursery • Legal advice ( estimated #hrs x $) s L° • Consultant fees'K let I � � may , ( L L k fgfl Zr Yle -q • Other .. > ` ✓ . ?� `III I 42 Books/Educational Materials w " el, 0. 00 0. 00 3 ,000 .00 • Books/videos " % telIt 3 x i 3S F '!2" i. ,W" If�'l eIY . • Materials $ x staff) x 43 Food & Nutrition 1 ,093 . 00 0.00 20,000.00 • Meals # meals x clients x 5da s x 50 wks x � � r I s . ( Y ) a � wet€�s a � of�= " • Snacks c�or3rertifliicafeds# { ti. , . . 44 Administrative Costs 30,928 000 00 308,422 00 Admin. Cost (% of total budget) M . . . . Rln%a xrfdgett, `11 x ! ' u, A.•k cte . . . � , .o• � , 1 45 Audit Expense 1 ,372 00 0.00 13 ,000 00 let Independent Audit Review tnepenclin udit fe?/itn� , L,L , , . . We I . 46 Specific Assistance to Individualsit 22 200.00 0.00 57,744 .00 1.• Medical assistance `� ' ,� x � � � 116, 1 • Meals/Food d RM LA'0 rl1SiLV�r Y6 �rrk h y 1 f ( ., ��C.,Li R • Rent Assistance °" L � " 61 , "IlreAr�i�a�ret�ageil3tillltyAss� err ree E` ; • Other $ 8fr moat avi ry , . : - 47 Other/Miscellaneousere let 450 .00 0.00 90000.00 Background check/drug test ' It Dd We %B6 ere ; �ree�6� l�Other :� It eee,z, WWWW 48 Other/Contract w( Sub-contract for program services _I "I �� ! r4 ^ It 49 TOTAL EXPENSES $309, 100 .00 $20,250.001 $3,084,225.00 5/15/2003 17 HbbaaChftw 's Cantor, h . Cda Nurw y UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Hibiscus Children's Center, Inc./Crisis Nurse FY 01/02 FY 02/03 FY 03/04 % INCREASE FYE 6/30/02 FYE6/30/03 FYE6/30/04 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (Col. Ctol. BNool. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 35 000.00 52 500.00 139 000.00 164.76% 2 Children's Services Council-Martin 55 849.99 42 500.00 45 000.00 5.88% 3 Children's Services Council-Okeechobee 10 625.007 500.00 23 000.00 206.67% 4 Advisory Committee-Indian River 25 000.00 25 000.00 20 250.00 -19.00% s United Way-St. Lucie County 0.00 19 000.00 98 300.00 417.37% 6 United Way-Martin County 0.00 0.00 17 550.00 #DIV/Ol 7 United Way-Okeechobee County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 0.00 0.00 0.00 #DIV/01 9 Department of Children & Families 195409541 ,80 Il512 526.00 1 ,365,930.00 w9.69% 10 County Funds 0.00 0.00 0.00 #DIV/01 11 Contributions-Cash 829448.58 ; 50 000.00 10000,00 -98.00% 12 Program Fees 0.00 0.00 0.00 #DIV/0l 13 Fund Raising Events-Net 0.00 0.00 0.00 #DIV/01 14 Sales to Public-Net 217 742.50 196 910.00 196 910.00 0.00% 15 Membership Dues 0.00 0.00 0.00 #DIV/01 16 Investment Income 79523. 17 11 348.00 16 700.00 47. 16% 17 Miscellaneous 0.00 0.00 0.00 #DIV/01 to Legacies & Bequests 0.00 0.00 0.00 #DIV/01 19 Funds from Other Sources 650p279.551160585,=00 191609585,00 0.00% 20a Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 20b In-Kind Donations (Not included In total) 391 714.00 391 714.00 391 714.00 0.00% 21 TOTAL 296252010.59 3 077 869.00 3 084 225.00 0.21 % e EXPENDITURES 22 Salaries 197939865.43 1 931 949.00 1 ,958,251 ,00 1 .36% 23 FICA 133 295.03 146y618.00 149 806.00 2. 17% 24 Retirement 49850,22 10 052.00 9t378.00 -6.71 % 2s Life/Health 91 537.85 100 000.00 93 798.00 -6.20% 26 Workers Compensation 47 266.69 76 786.00 73 485.00 -4.30% 27 Florida Unemployment 51554.42 51338.00 59341 ,00 0.06% 28 Travel-Daily 44 010.86 46v325.00 49 000.00 5.77% 29 Travel/Conferences/Training 11 t463,42 15 425.00 14 000.00 -9.24% 30 Office Supplies 27 692.00 28 106.00 30 000.00 6.74% 31 Telephone 40,582,73 49 002.00 42 000.00 -14.29% 32 Postage/Shipping 39212.94 39001 .00 4 000.00 33.29% 33 Utilities 34 221 .02 36 454.00 36 000.00 -1 .25% 34 Occupancy (Building & Grounds 89 292.06 87 413.00 8900000 1 .82% 35 Printing & Publications 12 722.41 1043000 13 000.00 24.64% 36 Subscription/Dues/Memberships 91149.03 81802.00 10 000.00 13.61 % 37 Insurance 29 165.88 38l552,00 39 000.00 1 .16% 38 Equipment: Rental & Maintenance 24 989.04 29 047.00 27 000.00 -7.05% 39 Advertising 16 389.39 18 159.00 18 000.00 -0.88% 4o Equipment Purchases:Ca ital Expense 0.00 24 000.00 12 000.00 -50.00% 41 Professional Fees (Legal, Consulting) 0.00 0.00 0.00 #DIV/0l 42 Books/Educational Materials 11802.95 3,498.00 3 000.00 -14.24% 43 Food & Nutrition 18 569.62 19 461 .00 20 000.00 2.77% 44 Administrative Costs 241 066.24 307 786.00 308 422.00 0.21 % 4s Audit Expense 9,616.00 1157500 13 000.00 12.31 % 46 Specific Assistance to Individuals 44v953,57 5977500 57 744.00 3.40% 47 Other/Miscellaneous 51227,72 10 315.00 900000 -12.75% 48 Other/Contract 0.00 0.00 0.00 #DIV/Ol 49 TOTAL 21740,496.52 3 077 869.00 3,084,225.00 0.21 % x�a 5o REVENUES OVER/ UNDER EXPENDITURES -115,485.931 0.001 0.001 #DIV/01 SN52003 7a Hk sChMm'sC W, Inc Chis Nurmy UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Hibiscus Children 's Center, Inc./Crisis Nurse FY 01/02 FY 02/03 FY 03/04 % INCREASE FYE 6/30/02 FYE 6130/03 FYE6/30/04 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (ca. Ccol. B)/col. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 35 000.00 35 000.00 104,000.00 ! 197. 14% 2 Children 's Services Council-Martin 25 850.00 25 000.00 45 000.00 80.00% mm�3 Children's Services Council-Okeechobee 10 625.00 7500,00 23 000.00 206.67% 4 Advisory Committee-Indian River 25 000.00 25 000.00 20 250.00 019.00% 5 United Way-St, Lucie County 19 000.00 98 300.00 417.37% 6 United Way-Martin County0.00 17 550.00 #DIV/01 7 United Way-Okeechobee County 0.00 #DIV/01 6 United Way-Indian River County 0.00 #DIV/01 9 Department of Children & Families 190 000.00 171 000.00 0.00 -100.00% 10 County Funds 0.00 #DIV/01 11 Contributions-Cash 59 800.00 0.00 19000.00 #DIV/01 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/01 16 Investment Income 0.00 #DIV/01 17 Miscellaneous 0.00 #DIV/01 t6 Legacies & Bequests 0.00 #DIV/01 19 Funds from Other Sources 0.00 #DIV/01 202 Reserve Funds Used for Operating 50 000.00 0.00 0100.00% 20b In-Kind Donations (Not Included In total) 31 117.00 #DIV/Ol 21 TOTAL 346 275.00 332,500.001 309100.00 -7.04% EXPENDITURES 22 Salaries 155 918.39 224 932.00 171 823.00 -23.61 % 23 FICA 13 422.0517 207.00 13144.00 -23.61 % 24 Retirement 404.42 12000.00 19336.00 33.60% 25 Life/Health 10 826.5212 743.00 970900 -23.81 % 26 Workers Compensation 41668, 15 10 982.00 81511 .00 -22.50% 27 Florida Unemployment 828.80 1 195.00 467.00 -60.92% 26 Travel-Dafly 81684.38 800000 89960.00 12.00% 29 Travel/Conferences/Training 841 ,281 1 t000,00 19120.00 12.00% 30 Office Supplies 5118,24 41725.00 5,292,00 12.00% 31 Telephone 8g647.94 71876.00 8 821 .00 12.00% 32 Postage/Shipping 16.68 10.00 83.00 730.00% 33 Utilities 39248. 191 2,776.00 3109.00 12.00% 34 Occupancy (Building & Grounds 10 291 .338 723.00 9g836.00 12.76% 35 Printing & Publications 539.10 650.00 730.00 12.31 % 36 Subscription/Dues/Memberships 1 r550.47 19487.00 1665.00 11 .97% 37 Insurance 39623.83 295600 436000 47.50% 38 E ui ment:Rental & Maintenance 21612.00 39603,00 41035.00 11 .99% 39 Advertising 0.00 50.00 56.00 12.00% 40 Equipment Purchases : Capital Expense 39010.72 0.00 0.00 #DIV/Ol 41 Professional Fees (Legal, Consulting) 0.00 0.00 0.00 #DIV/01 42 Books/Educational Materials 0.00 0.00 0.00 #DIV/Ol 43 Food & Nutrition 19200,00 975.00 13093.00 12.10% 44 Administrative Costs 28 639.60 30 928.00 #DIV/01 45 Audit Expense 1 619.00 1 21O, 00 1 #372.00 13.39% 46 Specific Assistance to Individuals 20p323.99 20 000.00 22 200.00 11 .00% 47 Other/Miscellaneous 360.67 400.00 450.00 12.50% 48 Other/Contract 0.00 0.00 #DIV/01 49 TOTAL 286 395.7511 332 500.00 309100.00 -7.04% 5o REVENUES OVER/ UNDER EXPENDITURES 59,879.251 0.001 0.00 #DIV/01 Y15i200� 19 Hibiscus Children's Center, Inc. Crisis Nursery UNIFORM GRANT APPLICATION PROGRAM EXPENSES AGENCY/PROGRAM NAME : Hibiscus Children 's Center, Inc./Crisis Nursery FUNDER : Children 's Services Advisory Con 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 171 ,823 .00 181810 .96 E% 950% 23 FICA 139144. 00 1 ,439 . 04 10 .95% 24 Retirement 1 ,336 . 00 0 .00 0 .00 % 25 Life/Health 91709 . 00 0 . 00 0 .00 % 26 Workers Compensation 89511 . 00 0 . 00 0 . 00 % 27 Florida Unemployment 467 . 00 0 . 00 0 . 00 % 28 Travel -Dail 89960 . 00 0 . 00 0 . 00 % 29 Travel/Conferences/Training19120 . 00 0 . 00 0 . 00 % 30 Office Supplies 5 ,292 .00 0 .00 0 . 00 % 31 Telephone 8 ,821 .00 0 . 00 0 .00% 32 Postage/Shipping83 . 00 0 . 00 0 .00 % 33 Utilities 3 , 109 . 00 0 . 00 0 .00 % 34 Occupancy (Building & Grounds 9,836 .00 0 . 00 0 .00 % 35 Printing & Publications 730 .00 0 . 00 0 .00 % 36 Subscri tion/Dues/Membershi s 1 ,665 . 00 0 . 00 0 .00 % 37 Insurance 4 ,360 .00 0 . 00 0 . 00 % 38 E ui ment : Rental & Maintenance 4,035 . 00 0 .00 0 . 00 % 39 Advertising56 . 00 0 .00 0 .00 % 40 Equipment Purchases : Capital Expense 0 . 00 0 . 00 #DIV/01 41 Professional Fees (Legal , Consulting) 0 . 00 0 .00 #DIV/01 42 Books/Educational Materials 0 . 00 0 .00 #DIV/01 43 Food & Nutrition 11093 . 00 0 . 00 0 . 00 % 44 Administrative Costs 301928 . 00 0 . 00 0. 00 % 45 Audit Expense 19372 . 00 0 . 00 0 . 00 % 46 Specific Assistance to Individuals 229200 . 00 0 . 00 0 .00 % 47 Other/Miscellaneous 450 . 00 0 . 00 0 .00 % 48 Other/Contract 0 . 00 0 . 00 #DIV/O ! 49 TOTAL $309, 100 . 00 $20 ,250 . 00 6 .550% 5/272003 20 Hibiscus Children's Center, Inc. Crisis Nursery UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Hibiscus Children's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County i/ �� .� r � . E . .. , i .. ✓�','f3 x +u. . �al S.� :. r T]�! �x » / F� Children's Services CouncilSt. Lucie No De artment of Children and Families Funding Children's Services Council-Martin No Department of Children and Families Fundin Children's Services Council-0keechobee No Department of Children and Families Funding United Wa St. Lucie Coun No Department of Children and Families Funding #DN/01 #DN/OI #DNlO! #DN/0! NDN/0! Retirement More employees are eligible this year. Postaine/ShfDoina More actual postage was used than budgeted last year, so we need to increase the budget amount to what will be used. Insurance Insurance rates have been going up by at least 25% for the last three vears. #DN/0! #DN/0! #DN/01 #DN/0! #DN/01 5*74"3 21 Hibiscus ChiUm s Center, Mc. Criss Nursery UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME : Hibiscus Chidren's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County #DIV/0! #DIV/01 #DN/01 #DN/0! 527/2003 22 HIBISCUS CHELDRE1inS CENTER OPERATING BOARD PHONE LIST 2002-2003 Mr . Daniel R . Braden-Past President 835 N . E . Bayberry Lane Jensen Beach , FL 34957 Home 772-287-8258 Office-Fax Mr. 772-287-8283 Car Phone 772-530- 1835 E-Mail n@bradenala. com Mrs . Judy M . Crompton 3966 S . E . Old Saint Lucie Blvd , Stuart, FL 34996-5119 Home 772-220- 1693 Home Fax 772-220-3892 E-Mail mcrompton@aol . com Ms . Tracey Etelson c/o Bridges Montessori 51 S . E . Central Pkwy , Stuart, FL 34994 Office-Mrs . 772-221 -9490 Office-Fax Mrs . 772-221 -9787 ii Dr . Mark W . Fedele 127 S . Shore Road Stuart, FL 34994 Home 772-337-9088 Office Mr. 772- 692-6996 Office-Fax Mr. 772- 692-7787 * Ms . Sandra Foote 1213-B N . W . Sun Terrace Circle Port St. Lucie , FL 34986 Home 772-871 -6403 Office 772468-5161 Office Fax 772-468 -5181 E-Mail footes@stlucie . kiz . fl us Mrs . Rossana Gonzalez Indiantown of Western Martin County 1883 S . W . Capri Street Chamber of Commerce Palm City, FL 34990 P . O . Box 602 Home 772-283 -5959 Indiantown, FL 34956 Office-Mrs . 772-597-2184 Office-Fax 772-597-6063 * E-Mail 1wmcc@onearrow . net 1 HIBISCUS CHILDRElbnS CENTER OPERATING BOARD PHONE LIST 2002-2003 Mrs . Susan J. Hershey 352 Ridge Lane Stuart, FL 34994 Home 772-287-3845 Office-Mrs . 772-219- 1200 Mr . George F . Lehach- Foundation Board President & Northern Trust Bank 4609 S . E . Waterford Drive Past President 2201 S . E . Kingswood Terrace Stuart, FL 34994 Stuart, FL 34996 Home 772-220-2675 Office j Mr . 772-287-7575 Office-Fax Mr . 772-287-9009 Car Phone 772-285-8886 Mr . J. D . Lewis , IV Lewis , Mortell , Lewis 1115 East Ocean Blvd , Stuart, FL 34996 Home 772-781 -7759 Office 772-286-7861 Office-Fax Mr. 772-288-2013 E-Mail jlewisiv aol . com Mr. Terence E . Nolan 1240 Starfish Lane Stuart, FL 34996 Home 772-2234153 Office-Mr. 561 -355-7308 Office-Fax Mr. 561 -355-7379 Janice Norman, R . N . , M . S . 2875 N . E . Timberlane Ct . Jensen Beach , FL 34957 Home 772-334-4953 Office-Mrs . 772-221 -2089 Office-Fax Mrs . 772-223 -5944 Car Phone 772-521 - 1867 Email jnorman@mmhsfla org 2 HIBISCUS CH ajDREXnS CENTER OPERATING BOARD PHONE LIST 2002^2003 Mr. Charles A . Olsson-Past President 5640 S . W . Orchid Bay Drive Palm City , FL 34990 Home 772- 2864909 Office-Mrs . 772-28 &6023 Office-Fax Mr. 772- 221 -2876 E-Mail olssonc2paol . com Lynn Scheel , M . D . 1701 S . E . Hillmoor Drive, Ste , 19 Port St . Lucie , FL 34952 Home 772-6924711 Office-Mrs , 772-335-8455 Office-Fax Mrs . 772-3354959 Car Phone 772-335-8455 Lorie Shekailo , C . P . A . - Treasurer 2746 N . E . Cypress Lane Jensen Beach, FL 34957 Home 772-334-4853 Office-Mrs . 772-225-8152 Office-Fax Mrs . 772-225- 1096 Car Phone 772-4854194 E-Mail Shekailos cs . com Mr. Steven M . Strickland - President c/o Riverside National Bank 989 South Federal Highway Stuart, FL 34994 Home 772-220-5825 Office-Mr. 772 -286-6154 Office-Fax Mr . 772-781 -5291 Mrs , LaVaughn Tilton j Chairman Emeritus 3462 S . E . Court Drive Stuart, FL 34997-6014 Home 772-288 -0118 E-Mail tiltonlagbellsouth com 3 HIBISCUS CHILDREMB CENTER OPERATING BOARD PHONE LIST 2002-2003 Mr . Ty Walinski 2348 N . E . Ginger Terrace Jensen Beach, FL 34957 Home 772-225-0747 Office-Mr. 772-334-0991 Office-Fax Mr. Car Phone 772-3414500 E-Mail twalinski@tol . com Ms . Sharon Walker 1849 S . W . Crane Creek Avenue Palm City, FL 34990 Home 772-2864469 Office-Mrs . 772-545-0808 .t: Office-Fax Mrs . 772-545-3173 E-Mail Pgmdir@gate . net Mrs . Judith Weber- Vice President 4161 S . W . Bimini Circle N . Palm City, FL 34990 Home 772-287-7645 . Home Fax 772-221 - 1970 Car Phone 772-486-6814 Richard J . Wegman, Psy. D . , P . A . Associates in Psychology 421 S . E . Martin Avenue Stuart, FL 34996-2611 Office 772-283-8558 Office-Fax Mr. 772-283-8559 Mr . Steven H . Wolfberg 2103 S . E . Opal Way Stuart, FL 34997 Home 772-283 -0067 Office-Mr . 772-288 -5693 Office-Fax Mr . 772-2214457 E-Mail swolfber@martin , fl . us 4 HIBISCUS CHILDREMB CENTER OPERATING BOARD PHONE LIST 2002-2003 Mrs . Judie Wolfe- Vice President Foundation Board 2871 S . W . Brighton Way Palm City, FL 34990 Home : 772-463 -6404 Car Phone 772-285-2858 E-Mail ludiewolfepc aol . com Mrs . Sarah W . Woods-Past President 32 Castle Hill Way Stuart, FL 34996 Home 772-223 -3428 Office-Mrs . 772- 288-5446 Office-Fax Mrs . 772- 223-3429 Car Phone 772-5304620 .Y E-Mail swoods3kid aol . com (*24 hour fax) If there is no asterisk fax between 8 : 00 a . m. and 10 : 00 p . m . p.. 5 HIBISCUS CHILDREN ' S CENTER INDIAN RIVER COUNTY FOUNDATION . BOARD OF DIRECTORS Karen Baker 1160 Seaview Drive Vero Beach , FL 32963 Res : 772-589-8711 Fax: 772 -589-7151 Karenibaker(�yahoo com Reese Brackins 2031 Indian River Blvd , Vero Beach , FL 32960 Res : 772-562-6903 Business : 772-562-6526 Aibrackinscaa (cDaol com J . C . Britt 1389 West Island Club Square Vero Beach , FL 32963 Res : 772-234-4453 Business : 772-234- 1090 Fax: 772-234- 1097 Jbritt(cDustrust com Mary Lou Bunger 2136 Sea Mist Court Vero Beach , FL 32963 Res : 772-234-3369 mbun -ger(afbeilsouth net Karen Faulk 129 Pelican Island Place Sebastian , FL 32958 Res: 772-388-3266 Bus : 772 -794-9912 Fax: 772- 794-9916 Karenfaulk(a�msn com Don Flood 5335 W. Harbor Village Drive Vero Beach , FL 32967 Res : 772-978-0455 dflood7983 (cr�aol com (Indian River County Foundation Board of Directors 2002-2003) 1 Janie Gould 219-13 Park Shores Circle Vero Beach , FL 32960 Res : 772-234-3016 Janie -gould(cDaol com Kevin Grady 1370 Indian Mound Trail Vero Beach , FL 32963 Res : 772-234-9865 Bus : 772-231 -5308 Ext: 208 Fax: 772-2314016 kevin . grady( pncbank com Norman Hensick 1125- 12"' Street, Suite C .r. Vero Beach , FL 32960 Res : 772-770- 1634 Bus : 772-562-6748 Norm121136(aDaol com Betty Gene Hensick 1125- 12" Street Vero Beach , FL 32960 Res : 772-770- 1634 BGH4638C aolcom Carol Jackson , ice-President 681 Lake Drive Vero Beach , FL 32963 Res : 772-231 -0019 CRA BTREE30. bellsouth net Edward Johnson 1625 St. Davids Lane Vero Beach , FL 32967- 7244 Res : 772- 778-9140 Bus : 772 -569- 1223 edwdrina aol com Don Mayerson 2935 Hammock Way Vero Beach , FL 32963 Res : 772 - 388 -2229 Bus . 772 -778-0374 (I"dia" River County Foundation Board of DirectoTs 2002-2003) 2 Fax: 772-388-2467 Don627(c, EARTHLiNK NET Steve Melchiors 6408 55th Square Vero Beach , FL 32967 Bus : 772-778-0374 FAX: 772-794-9916 stevena onsitemgmt com Debbie Santoro P . O . Box 651009 Vero Beach , FL 32965 Res : 772=567- 1990 Fax: 772-567-7234 DRS621 (cDaol com ,P; B .J . Ridings Shaffer 5156 St, Andrews Island Drive Vero Beach , FL 32967 Res : 772 -778-2504 Mike Swan 1280 Indian Mound Trail Vero Beach , FL 32963 Res : 772 -234-7397 Bus : 772 -231 -4440 Fax: 772-231 -4430 Cygnetcca (.AOL com Raquel Tilton 1395 Sunset Point Lane Vero Beach , FL 32963 Res : 772-234-0999 Bob Van Saun , President 5235 St. Andrews Island Drive Vero Beach , FL 32967 Res : 772-569-4568 Fax: 772-567-4210 LUCENTBOB(a�AOL COM Dr. Charles Waldner 160 Sago Palm Road Indian River Shores (Indian River County Foundation Board of Directors 2002-2003) J Vero Beach , FL 32963 Res : 772 -492 -0124 Melissa Weaver Wilmington Trust - 4725 Highway A1A Vero Beach , FL 32963 Bus : 772-234- 1700 FAX: 772-234- 1595 Email : mweaver@wilmingtontrust. com (Indian River County Foundation Board of Directors 2002-2003) 4 COMBINED FINANCIAL STATEMENTS ' SUPPLEMENTAL INFORMATION AND REPORTS OF INDEPENDENT CERTIFIED ' PUBLIC ACCOUNTANTS HIBISCUS CHILDREN ' S CENTER , INC . ' June 30 , 2002 I I I I I I I I I 1 1 CONTENTS Page ' Report of Independent Certified Public Accountants 1 ' Combined Financial Statements Statement of Financial Position 3 ' Statement of Activities 4 Statement of Functional Expenses 5 ' Statement of Cash Flows 6 ' Notes to Financial Statements 7 SUPPLEMENTAL INFORMATION Schedule of Combining Statement of Financial Position 13 Schedule of Combining Statement of Activities 14 Schedule of Findings and Questioned Costs Federal Programs 15 ISchedule of Expenditures of Federal Awards 16 Note to Schedule of Expenditures of Federal Awards 17 Report on Compliance and on Internal Control over Financial Reporting Based on an Audit of Financial Statements Performed Iin Accordance with Government Auditing Standards 18 Independent Auditor 's Report on Compliance and Internal Control Over Compliance Applicable to Each Major Federal Program 20 I I I i I ���c, Berger, Toombs, Elam 44C & Frank Certified Public Accountants Chartered I Royal Palm Financial Center Building III, Suite 321 759 South Federal Highway Stuart, Florida 34994 I 772/219-0220 FAX : 772/219-0260 I I REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS I The Board of Directors and Management I Hibiscus Children ' s Center, Inc . Jensen Beach , Florida I We have audited the accompanying combined statement of financial position of Hibiscus Children ' s Center, Inc . (a Florida not-for-profit corporation ) and affiliate as of June 30 , 2002 , and the related combined statements of activities , functional expenses and cash flows for the year then ended . These financial statements are the responsibility of the I Hibiscus Children ' s Center, Inc . ' s management . Our responsibility is to express an opinion on these financial statements based on our audit . I 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 , I 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 accounting I principles 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 . IIn our opinion , the financial statements referred to above present fairly , in all material respects , the financial position of Hibiscus Children ' s Center, Inc . and affiliate as of June 30 , 2002 , and the changes in their net assets , and their cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America . I In accordance with Government Auditing Standards, we have also issued our report dated December 9 , 2002 , on our consideration of Hibiscus Children ' s Center, Inc . ' 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 . I I Fort Pierce / Stuart Member AICPA Member AICPA Division For CPA Firms Member Rede 1 Private Companies Practice Section i Ic� Berger, Tombs, Elam & Fran k h/NfiedMkA¢v..nb U� I I IOur audit was performed for the purpose of forming an opinion on the basic financial statements of Hibiscus Children ' s Center, Inc . taken as a whole . The accompanying I schedule of combining statement of financial position and the schedule of combining statement of activities are presented for purposes of additional analysis and are not a required part of the financial statements of the Organization . The accompanying schedule of expenditures of federal awards is presented for purposes of additional I analysis as required by U . S . Office of Management and Budget Circular A- 133 , Audits of States, Local Governments, and Non-Profit Organizations, and is also not a required part of the basic financial statements . All information referred to above has been subjected to I the auditing procedures applied in the audit of the basic financial statements and , in our opinion , is fairly stated , in all material respects , in relation to the basic financial statements taken as a whole . I � Stuart , Florida IDecember 9 , 2002 I I I I I I I IPage 2 i Hibiscus Children ' s Center, Inc . ' STATEMENT OF FINANCIAL POSITION June 30 , 2002 I IASSETS I All Funds Temporarily Combined CURRENT ASSETS Unrestricted Restricted 2002 I Cash and cash equivalents $ 640, 908 $ 135 , 922 S 776, 830 Investments 729, 742 8 ,000 737 , 742 Accounts receivable 169, 247 - 169, 247 Prepaid and other assets 22, 720 - 22, 720 ITotal current assets 1 , 562, 617 143 , 922 1 , 706, 539 OTHER ASSETS I Deposits 10, 346 10, 346 Total other assets 10, 346 10, 346 FURNITURE, FIXTURES AND EQUIPMENT I Furniture, fixtures and equipment net of accumulated depreciation 973 , 658 - 973 , 658 ITotal assets $ 2, 546, 621 $ 143 , 922 $ 2 , 690, 543 I LIABILITIES AND NET ASSETS ICURRENT LIABILITIES Accounts payable $ 26,463 - $ 26,463 I Accrued payroll and related expenses 65 , 984 65 , 984 Current obligation of mortgage payable 6, 650 6, 650 Total current liabilities 99,097 - 99,097 I OTHER LIABILITIES Long term mortgage payable 252 , 814 - 252, 814 Total liabilities 351 , 911 - 351 , 911 I NET ASSETS Unrestricted Undesignated 1 , 340, 717 - 1 , 340, 717 I Designated 853 , 993 - 853 , 993 Temporarily restricted - 143 , 922 143 , 922 Total net assets 2 , 194, 710 143 , 922 2, 338 , 632 ITotal liabilities and net assets $ 2 , 546 , 621 $ 143 , 922 $ 2 , 690, 543 I The accompanying notes are an integral part of this statement. Page 3 i Hibiscus Children ' s Center, Inc . ISTATEMENT OF ACTIVITIES Year Ended June 30 , 2002 I IAll Funds Temporarily Combined Unrestricted Restricted 2002 IREVENUE, GAINS AND OTHER SUPPORT Support: Contracts and grants S 11787, 543 S - S 1 , 787, 543 IDonations 471 ,321 84, 607 555 , 928 Thrift shop 217, 743 - 217, 743 Fundraisers 629 ,838 14,211 644,049 ITotal support 3, 106,445 98, 818 3, 205 , 263 Revenues and gains: I Investment income (loss) (36, 618) - (36, 618) Net assets released from restrictions 123,020 ( 123,020) Total revenue and gains 86,402 ( 123,020) (36 , 618) ITotal revenue, gains and other support 3, 192,847 ( 24,202) 31168 , 645 EXPENSES AND LOSSES Functional expenses: Program services 2,404, 519 - 2,404, 519 General and administrative 213, 744 213 , 744 I Fundraising activities 493 ,002 - 493 ,002 Total functional expenses 3 , 111 , 265 - 3, 111 , 265 ITotal expenses and losses 3, 111 265 _ 3, 111 , 265 IChanges in net assets 81 , 582 (24,202) 57, 380 Net assets - beginning of year as previously reported 1 ,450,926 830, 326 2, 281 , 252 I Prior period adjustment 662, 202 (662, 202) _ INet assets - beginning of year as restated 21113, 128 168 , 124 2, 281 , 252 Net assets - end of year $ 2, 194, 710 $ 143 , 922 S 2, 338 , 632 The accompanying notes are an integral part of this statement. Page 4 i i i I Total General All Funds Thrift Program and Fund Combined Shop Services Administrative Raising 2002 I . 4 51 ,244 S 1 , 589,775 $ 109,376 $ 198,729 i 1 ,897,880 3,992 144,551 8,897 20,298 173,746 4,326 132,661 9, 255 151189 157, 105 429 429 - - 429 I590991 1 ,867,416 127,528 234,216 2,229, 160 700 80115 4,834 11501 14,450 I 684 21 ,389 8, 143 29,532 31 ,570 31 ,570 6,393 - 6,393 4,826 - - 4,826 I 6,588 60588 15,360 15,360 4, 164 - 4, 164 104 5, 134 3,871 3,501 12,506 I - - 18,750 18,750 1 ,048 31 ,743 2,347 2,635 36,725 4, 149 679 1 ,032 5,860 10,408 - 10,408 14,340 67,218 81 ,558 9,725 9,725 5,614 5,614 10,682 - - 10,682 I 4,991 27,812 3,280 1 ,353 32,445 14,420 2,430 3, 692 20,542 383 383 514 - - 514 730 7,970 2,881 16, 169 27,020 3,897 3,897 53 6,235 2,468 8,703 32,422 32,422 I 11 ,871 310 70,012 82, 193 4,354 4,354 7,234 M ft 7,234 58,975 65, 559 393 503 66,455 4,298 888 1005 6,291 I 1 ,453 28,914 11599 7,893 38,406 2,532 43,767 2,760 6,616 53, 143 22,614 1 ,930 1 ,883 26,427 2,045 43, 912 7,086 2,956 53,954 I 50901 34,236 794 1 , 185 36,215 150850 15,850 532 2,847 683 284 3,814 I139,739 2,351 , 766 212, 102 490,265 3,054, 133 6,600 52, 753 1 ,642 2, 737 57, 132 IS 146,339 S 2,404, 519 S 213,744 6 493,002� S 3L 265 I IThe accompanying notes are an integral paft of this statement. Page 5 i Hibiscus Children ' s Center, Inc . ISTATEMENT OF CASH FLOWS Year Ended June 30, 2002 I 2002 Cash flows from operating activities $ I Cash received from governmental agencies $ 1 , 778 , 301 Cash received from donors 506, 368 Cash received from fundraisers 644,049 Cash received from thrift shop 217, 743 I Cash received from interest and dividends 36, 989 Cash paid to suppliers for goods and services ( 837,051 ) Cash paid to employees for services (2 , 204, 551 ) INet cash provided by operating activities 141t848 I Cash flows from investing activities: Purchases of equipment ( 64,052) Proceeds from sale of investments 207 , 768 f Purchase of investments (262, 681 ) I Net cash used in investing activities ( 118, 965 ) ICash flows from financing activities : Payments on note payable (6 , 195 ) INet cash used in financing activities ( 6, 195 ) Net increase in cash and cash equivalents 16, 688 ICash and cash equivalents, beginning of year 760, 142 ICash and cash equivalents, end of year $ 776, 830 Reconciliation of change in net assets to net cash provided Iby operating activities Change in net assets $ 57, 380 I Adjustments to reconcile change in net assets to net cash provided by operating activities : Depreciation 57 , 132 Realized and unrealized loss on assets 73, 607 INoncash contributions received from donors (49 , 560) ( Increase) in accounts receivable ( 9, 242) Decrease in prepaid and other assets 12, 784 I ( Decrease) in accounts payable (24, 862) Increase in accrued expenses 24, 609 I $ 141 , 848 Supplemental disclosure of cash flows information: Cash paid during the year for interest was $ 20, 542 and for income taxes was zero . The accompanying notes are an integral part of this statement. Page 6 i Hibiscus Children ' s Center, Inc . INOTES TO FINANCIAL STATEMENTS June 30 , 2002 NOTE A we DESCRIPTION OF ORGANIZATION IHibiscus Children ' s Center, Inc . (the Center) is a Florida not-for-profit corporation organized to construct and operate a facility to provide temporary shelter for abused and neglected children . The organization was incorporated on September 11 , 1985 and the shelter Iopened in October 1989 . NOTE B - SUMMARY OF SIGNIFICANT ACCOUNT/NG POLICIES IA summary of the significant accounting policies consistently applied in the preparation of the accompanying financial statements follows : I1 . Fund Accounting To ensure observance of limitations and restrictions placed on the use of resources I available to the Center, the accounts of the Center are maintained in accordance with the principles of fund accounting . This is the procedure by which resources are classified for accounting and reporting into funds established according to their I nature and purpose and in accordance with activities or objectives specified by donors . In accordance with Statement of Financial Accounting Standards ( SFAS ) No . 117 , " Financial Statements of Not-for-Profit Organization , " fund balances and transactions have been classified into three classes of net assets - unrestricted and temporarily restricted as follows : I a . Unrestricted - Represents the portion of expendable funds that are available for support of operations . I b . Temporarily Restricted - Represents the portion of expendable funds that are restricted by the grantor or donor as to the way they may be utilized . The Center primarily uses this fund for various grant funds received . IAll contributions/donations are considered available for unrestricted use unless specifically restricted by the donor . Contributions/donations are I considered temporarily restricted if a donor imposes a restriction that may be satisfied by the passage of time or the actions of the organization . A permanently restricted contribution /donation stipulates that the contribution/donation be maintained permanently but may allow the organization to use all or part of the income derived from the underlying asset for unrestricted purposes . When a donor restriction expires , that is , I when a stipulated time restriction ends or purpose restriction is accomplished , temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions . I I IPage 7 i I Hibiscus Children ' s Center, Inc . NOTES TO FINANCIAL STATEMENTS June 30 , 2002 I NOTE B - SUMMARY OF SIGNIFICANT ACCOUNT/NG POLICIES (continued I2 . Basis of Accounting I Basis of accounting is used to describe when revenues and expenses are recognized in the accounts and reported in the financial statements . I The Center prepares its financial statements on the accrual basis in accordance with generally accepted accounting principles . Assets and related revenue are recorded when earned and related liabilities and expenses are recognized as incurred . IIn applying the accrual basis to grant revenue, the legal and contractual requirements of the individual programs are used as guidance . I3 . Property , Plant and Equipment I Uses of funds for acquisitions of physical properties are generally accounted for as unrestricted net assets . These properties are recorded at cost, or fair market value if donated , plus additional capitalized expenditures which are required on certain I constructed assets . If donors of property stipulate how long the assets must be used , the contributions are recorded as restricted support . In the absence of such stipulations , contributions of property and equipment are recorded as unrestricted Isupport . The Organization has elected to capitalize those assets costing or having a fair market value at time of donation of $ 500 or more . I4 . Cash Equivalents I For purposes of the Statement of Cash Flows, cash equivalents include cash on hand , time deposits , certificates of deposit and all highly liquid debt instruments with original maturities of three months or less . Cash and cash equivalents at I June 30 , 2002 includes $ 776 , 730 in interest bearing accounts . 5 . Income Taxes I Hibiscus Children ' s Center, Inc . is exempt from federal and state income tax as an organization described in Section 501 (c ) ( 3 ) of the Internal Revenue Code . In accordance with the Internal Revenue Code , Hibiscus Children ' s Center, Inc . is not Iconsidered a private foundation . 6 . ' In-kind Contributions IHibiscus Children ' s Center, Inc . records in- kind contributions at fair market values consistent with those amounts which would be paid for similar products and Iservices . I Page 8 i I Hibiscus Children ' s Center, Inc . NOTES TO FINANCIAL STATEMENTS June 30 , 2002 NOTE B - SUMMARY OF SIGNIFICANTACCOUNTING POLICIES (continued) I7 . Donated Services While the Center receives donated services throughout the year that enhance the effectiveness of the programs , these services do not create or enhance non-financial assets nor do they require specialized skills that if not provided by a volunteer I would be purchased . Accordingly , while these services contribute to the success of the programs , they have not been reflected in the accompanying financial statements . I8 . Accounting Estimates The preparation of financial statements in conformity with generally accepted Iaccounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported I amounts of revenues and expenses during the reporting period . Actual results could differ from those estimates . INOTE C - PROPERTY AND EQUIPMENT Depreciation is provided for all classes of equipment using straight-line and double declining Ibalance methods over estimated useful lives ranging from 3 to 40 years . At June 30 , 2002 property and equipment consist of the following : IProperty and Equipment I Building and Improvements $ 854 ,471 Land and Improvements 156 , 131 Furniture and Equipment 162 , 342 I Data Processing Equipment 103 , 281 Vehicle and Improvements 65 , 694 1 , 341 , 919 Less : accumulated depreciation 368 , 261 I $ 973 , 658 Depreciation expense for the year ended June 30, 2002 was $ 57 , 132 . Page 9 ' Hibiscus Children ' s Center, Inc . NOTES TO FINANCIAL STATEMENTS June 30 , 2002 NOTED - CONCENTRATIONS OF CREDIT RISK ' Financial instruments that potentially subject the Center to concentrations of credit risk consist principally of temporary cash , investments and grants receivable . Cash balances are maintained at several financial institutions located in Martin County . Cash accounts at ' each of these institutions are insured by the Federal Deposit Insurance Corporation up to $ 100, 000 . At June 30 , 2002 uninsured cash balances were approximately $ 389 , 306 . ' Securities held by brokerage institutions are insured by the Securities Investor Protection Corporation (SIPC ) up to $ 500 ,000 . The asset protection provided by the SIPC is not against loses from fluctuations in the value of the securities , but rather only if the ' brokerage firm ceases doing business . Investments subject to market risk of fluctuations in value are as follows , Money Market Funds reported as cash & cash equivalents $ 194 , 466 ' Corporate bonds , priced securities , and common stock 523 , 829 $ 718 , 295 IThe Center had no significant concentrations of credit risk with respect to grants receivable due to the number of grantors comprising the grantor base . INOTE E - INVESTMENTS Purchased investments are reported at fair market value . Donated investments are I recorded at their fair market value on the date of donation . Investment interest, dividends , gains and losses on sales of securities and unrealized gains are reflected in the statement of activities as unrestricted revenue . The composition of investment loss included in the Statement of Activities is : Interest and dividends — unrestricted $ 36 , 916 Net realized and unrealized losses on investments ( 73 , 534 ) $ ( 36 , 618 ) IInvestments at June 30 , 2002 summarized as follows . Certificates of Deposit $ 132 , 035 I Equity and Mutual Funds 605 707 I $ 737 , 742 Page 10 i - Hibiscus Children ' s Center, Inc . — -- NOTES TO FINANCIAL STATEMENTS June 30 , 2002 I NOTE F - MORTGAGE COMMITMENT Hibiscus Children ' s Center, Inc . has a note payable for the renovation of a new administration building . Terms of the note provide for monthly payments of interest only until December 1 , 2001 at which time monthly principal and interest payments of $ 2 , 225 I will begin . The note bears interest at a fixed rate of 7 . 8 % and is secured by the Center ' s real property . The note matures and a balloon payment is required in September of 2009 of $ 196 , 800 . Total interest expense at June 30, 2002 was $ 20, 542 .. Future principal obligations are as follows : 2003 $ 6 , 650 2004 7 , 186 I 2005 7 , 765 2006 8 , 320 2007 8 , 986 Thereafter 220, 557 $ 259 , 464 ICarrying amounts of mortgage payable approximate their fair value . NOTE G - RETIREMENT PLANS IThe Center sponsors a 401 ( k) plan that covers all employees who have worked 1 , 000 hours in a 12 month period and who are at least 21 years of age . Employees deferring I compensation into the plan receive up to an optional 1 . 5 percent match . For the year ended June 30 , 2002 , the amount of pension expense was $ 5 , 652 NOTE H = ACCOUNTS RECEIVABLE IThe Center anticipates collection on all accounts receivable , therefore , there has been no allowance for doubtful accounts established . INOTE / - NET ASSETS RELEASED FROM RESTRICTIONS Net assets were released from donor/grantor restrictions by incurring expenses satisfying restricted purposes as follows : Shelter programs $ 41 , 219 Crisis Nursery programs 11228 Capital funds 67 , 403 Other 1 ,403 Martin County Guild 8 , 916 Indian River County Guild 810 Devon Green fundraisers 21041 $ 123 ,020 Page 11 Hibiscus Children ' s Center, Inc . - - ' NOTES TO FINANCIAL STATEMENTS June 30, 2002 ' NOTE J - TEMPORA RX Y RESTRICTED NET ASSETS Temporarily restricted net assets are available for the following purposes or periods . Shelter programs $ 43 , 538 Crisis Nursery programs 11 , 452 Capital funds 60 , 336 I Other 368 Martin County Guild 7 , 678 Indian River County Guild 380 Devon Green fundraisers 12 , 170 IDevon Green endowment 8 , 000 S 143 , 922 NOTE K - AFFILIATED CORPORATION I The Hibiscus Children ' s Foundation , Inc . was established for the purpose of conducting fundraising activities and for generating and maintaining endowment funds exclusively for the Center. The accompanying combined financial statements include the accounts of the I Center and Foundation . Intercompany transactions and balances have been eliminated in combination . NOTE L - BOARD DESIGNATED NET ASSETS Unrestricted net assets have been designated by the Board for the following purposes : Endowment S 772 , 352 Capital funds 67 , 310 Shelter programs 10 , 332 Other 21138 I Crisis nursery programs 11371 Martin County guild 460 Indian River County guild 30 IS 853 , 993 I Page 12 i i i i i i i SUPPLEMENTAL INFORMATION I I I I I I I i Hibiscus Children ' s Center, Inc . ISCHEDULE OF COMBINING STATEMENT OF FINANCIAL POSITION June 30 , 2002 IASSETS Hibiscus I Hibiscus Children ' s Children ' s Center, Inc . Foundation , Inc. Total CURRENT ASSETS I Cash and cash equivalents S 360, 584 S 416, 246 S 776, 830 Investments 97, 291 640,451 737 , 742 Accounts receivable 168 , 706 541 169 , 247 Prepaid expenses 22,470 250 22 , 720 Due from foundation 64, 255 64, 255 Total current assets 713 , 306 1 , 057 , 488 1 , 770, 794 I OTHER ASSETS - Deposits 10, 346 10, 346 Total other assets 10, 346 - 10, 346 IFURNITURE, FIXTURES AND EQUIPMENT Furniture, fixtures and equipment net of Iaccumulated depreciation 973 , 658 - 973 , 658 Total assets S 1 , 697,310 $ 1 , 057 ,488 S 21754, 798 I LIABILITIES AND NET ASSETS ICURRENT LIABILITIES Accounts payable S 26, 260 S 203 S 26,463 Accrued payroll and related expenses 65 , 984 - 65 , 984 Due to operating - 64, 255 64, 255 Current obligation of mortgage payable 6, 650 61650 Total current liabilities 98 , 894 64, 458 163 , 352 I OTHER LIABILITIES Long term mortgage payable 252,814 - 252, 814 Total liabilities 351 , 708 64,458 416 , 166 INET ASSETS Unrestricted Undesignated 1 , 140, 209 200, 508 1 , 340, 717 Designated for endowment 81 , 641 772, 352 853 , 993 Temporarily restricted 123, 752 200170 143 , 922 ITotal net assets 1 , 345 , 602 993 , 030 21338 , 632 Total liabilities and net assets S 1 , 697 , 310 S 1 , 057 ,488 S 2 , 754, 798 The accompanying notes are an integral part of this statement. Page 13 i ' Hibiscus Children ' s Center, Inc . SCHEDULE OF COMBINING STATEMENT OF ACTIVITIES Year Ended June 30, 2002 Hibiscus IHibiscus Children 's Children ' s Center, Inc . Foundation, Inc . Total I REVENUE, GAINS AND OTHER SUPPORT Support: Contracts and grants $ 1 , 787, 543 $ - $ 1 , 787 , 543 Donations 124, 205 431 , 723 555, 928 IThrift shop 217, 743 - 217 , 743 Fundraisers 644,049 644, 049 Total support 2, 129, 491 1 , 075 , 772 3 , 205 , 263 IRevenues and . gains Investment income (loss) 10, 725 (47 , 343) (36,618 ) I Total revenue and gains 10, 725 (47 , 343 ) ( 36, 618) Total revenue, gains and other support 2, 140, 216 1 , 028 ,429 3 , 168, 645 IEXPENSES AND LOSSES Functional Expenses : IProgram services 2,404, 519 - 21404, 519 General and administrative 196, 049 17 , 695 213 , 744 Fundraising activities 283 , 040 2090962 493, 002 ITotal expenses and losses 2, 883 , 608 227 , 657 31111 , 265 Change in net assets before transfer between entities (743, 392) 800, 772 57 , 380 ITransfer from Foundation to Center 594, 850 ( 594, 850) _ Change in net assets after transfer between entities ( 148, 542 ) 205 , 922 57 , 380 Net assets - beginning of year as previously reported 1 ,494, 144 787 , 108 2 , 281 , 252 INet assets - end of year $ 1 , 345 , 602 $ 993 , 030 $ 21338 , 632 I Page 14 Hibiscus Children ' s Center, Inc . ' SCHEDULE OF FINDINGS AND QUESTIONED COSTS FEDERAL PROGRAMS Year Ended June 30, 2002 SECT/ON / - SUMMARY OF A UD/TOR 'S RESULTS ' Financia/ Statements Type of auditor ' s report issued : unqualified ' Internal control over financial reporting : Material weakness (es ) identified yes X no ' Reportable condition (s ) identified not considered to be material weaknesses ? yes X none reported INoncompliance material to - financial statements noted ? yes X no Federal Awards Internal Control over major programs : Material weakness (es ) identified ? yes X no IReportable condition (s ) identified not considered to be material weaknesses ? yes X none reported IType of auditor ' s report issued on compliance for major programs : unqualified Any audit findings disclosed that were required to be reported in accordance with I Circular A- 133 , Section . 510 (a ) ? yes X no Identification of major program (s ) ICFDA Number: 93 . 558 Department of Health and Human Services - Temporary Assistance for Needy Families IDollar threshold used to distinguish between Type A and Type B programs : $ 300 ,000 SEC TION // - F/NANC/AL STATEMENT FINDINGS INo matters were reported . ISECTION /V - FEDERAL AWARD FINDINGS AND QUEST/ONED COSTS No matters were reported . I Page 15 i Hibiscus Children ' s Center, Inc . ISCHEDULE OF EXPENDITURES OF FEDERAL AWARDS Year Ended June 30, 2002 I Federal Federal Grantor, Pass-Through CFDA Grant Funding Total Grantor/Program Title Number Number. Period Expended Department of Health and Human Services I Family Builders / ICCP Program Social Services Block Grant 93 . 667 ZJ142 07/01 /01 - 06/30/02 $ 44, 703 Social Services Block Grant Prevention/Intervention 93 . 667 ZJ135 07/01 /00 - 06/30/01 ( 195 ) I Emergency Shelter Care Facility Program Social Services Block Grant 93 . 667 SZJ11 01 /01 /02 - 06/30/02 31 , 822 76,330 I Family Builders / ICCP Program Promoting Safe and Stable Families 93 . 556 ZJ142 07/01 /01 - 06/30/02 28 , 925 I Family Builders / ICCP Program Temporary Assistance for Needy Families 93 . 558 ZJ142 07/01 /01 - 06/30/02 57 ,851 I Emergency Shelter Care Facility Program Temporary Assistance for Needy Families 93 . 558 SZJ11 01 /01 /02 - 06/30/02 136 ,483 194, 334 I Foster Care Program IV-E Non-Vol Foster Care Administration 93 . 658 ZJ001 05/09/01 - 06/30/02 68 , 167 Emergency Shelter Care Facility Program Foster Care Title IV-E 93 . 658 SZJ11 01 /01 /02 - 06/30/02 76,014 144, 181 Foster Care Program Title IV-B Child Welfare Services 93 . 645 ZJ001 05/09/01 - 06/30/02 13 , 605 Emergency Shelter Care Facility Program Child Welfare Services 93 . 645 SZJ11 01 /01 /02 - 06/30/02 1 ,056 14, 661 Department of Education Food and Nutrition Management 10. 555 01 -0265 07/01 /01 - 06/30/02 150109 Food and Nutrition Management 10 . 553 01 /0265 07/010/01 - 06/30/02 7 , 815 Total Expenditures of Federal Awards S 481 , 355 Page 16 Hibiscus Children ' s Center, Inc . - - ' NOTE TO SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS June 30, 2002 I - ' NOTE 1 - BASIS OF PRESENTATION The accompanying schedule of expenditures of federal awards includes the federal grant activity of Hibiscus Children ' s Center, Inc . and is presented on the accrual basis of ' accounting . The information in the schedule is presented in accordance with the requirements of OMB Circular A- 133 , Audits of States, Local Governments, and Non-Profit Organization. Therefore, some amounts presented in this schedule may differ from Iamounts presented in , or used in the preparation of, the basic financial statements . I I I I I I I i Page 17 i cmc Berger, Toombs , Elam & Frank Certified Public Accountants Chartered I Royal Palm Financial Center Building III, Suite 321 759 South Federal Highway Stuart, Florida 34994 I 772/219-0220 FAX: 772/219 -0260 IREPORT ON COMPLIANCE AND ON INTERNAL CONTROL OVER FINANCIAL REPORTING BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IIN ACCORDANCE WITH GOVERNMENTAUDITING STANDARDS FThe Board of Directors and Management I Hibiscus Children ' s Center, Inc . Jensen Beach , Florida I We have audited the financial statements of Hibiscus Children ' s Center, Inc . as of and for the year ended June 30, 2002 , and have issued our report thereon dated December 9 , 2002 . 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 Iin Government Auditing Standards, issued by the Comptroller General of the United States . Compliance IAs part of obtaining reasonable assurance about whether Hibiscus Children ' s Center, Inc . ' s financial statements are free of material misstatement, we performed tests of its I 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 I opinion . The results of our tests disclosed no instances of noncompliance that are required to be reported under Government Auditing Standards. IInternal Control Over Financial Reporting In planning and performing our audit , we considered Hibiscus Children ' s Center, Inc . ' s internal control over financial reporting in order to determine our auditing procedures for I the purpose of expressing our opinion on the financial statements and not to provide assurance on the internal control over financial reporting . Our consideration of the internal control over financial reporting would not necessarily disclose all matters in the internal I control over financial reporting that might be material weaknesses . 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 . We noted no matters involving the internal control over financial reporting and its operation that we consider to be material weaknesses . I I I Fort Pierce / Stuart Member AICPA Member AICPA Division For CPA Firms Membpa gm 18 Private Companies Practice Section i IBerger, Toombs, Elam & Frank I I IThis report is intended solely for the information of management and federal awarding agencies and pass-through entities and is not intended to be and should not be used by Ianyone other than those specified parties . 1' � �x6o� �arnv I Stuart , Florida December 9 , 2002 I I I I I I I I I I IPage 19 i IC, c Berger, Toombs, Elam -� & Frank Certified Public Accountants Chartered Royal Palm Financial Center Building III, Suite 321 759 South Federal Highway Stuart, Florida 34994 I 772/219-0220 FAX: 772/219-0260 I IINDEPENDENT AUDITOR'S REPORT ON COMPLIANCE AND INTERNAL CONTROL OVER COMPLIANCE APPLICABLE TO EACH MAJOR FEDERAL PROGRAM IThe Board of Directors and Management Hibiscus Children ' s Center, Inc . Jensen Beach , Florida Compliance IWe have audited the compliance of Hibiscus Children ' s Center, Inc . ( a nonprofit organization ) with the types of compliance requirements described in the U. S. Office of Management and Budget (OMB) Circular A - 133 Compliance Supplement that are applicable I to each of its major federal programs for the year ended June 30 , 2002 . Hibiscus Children ' s Center, Inc . ' s major federal programs are identified in the summary of auditor ' s results section of the accompanying schedule of findings and questioned costs . I Compliance with the requirements of laws , regulations , contracts and grants applicable to each of its major federal programs is the responsibility of Hibiscus Children ' s Center, Inc . ' s management . Our responsibility is to express an opinion on Hibiscus Children ' s Center, Inc . ' s compliance based on our audit . IWe conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America , the standards applicable to financial audits I 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. Those standards and OMB Circular A- 133 require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the Itypes of compliance requirements referred to above that could have a direct and material effect on a major federal program . An audit includes examining , on a test basis , evidence about Hibiscus Children ' s Center, Inc . ' 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 Hibiscus Children ' s Center, Inc . ' s compliance with those requirements . In our opinion , Hibiscus Children ' s Center, Inc : , complied , in all material respects , , with the requirements referred to above that are applicable to each of its major federal programs for the year ended June 30 , 2002 . Fort Pierce / Stuart pp Member AICPA Member AICPA Division For CPA Firms Member4twA20 Private Companies Practice Section i Icr Berger, Toombs, Elam & Frank CarlMkd P.blk Aaw..nb Ch.xed ' I I I Internal Control Over Compliance IThe management of Hibiscus Children ' s Center, Inc . is responsible for establishing and maintaining effective internal control over compliance with the requirements of laws , regulations , contracts and grants applicable to federal programs . In planning and I performing our audit , we considered Hibiscus Children ' s Center, Inc . ' s internal control over compliance with requirements that could have a direct and material effect on a major federal I program 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 . I Our consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses . 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 I 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 . I We noted no matters involving the internal control over compliance and its operation that we consider to be material weaknesses . This report is intended solely for the information of management , applicable federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than those specified parties . 3t �60� Mix., TJ004 IStuart , Florida December 9 , 2002 I I I IPage 21 I I Form 99 O Return of Organization Exempt From Income Tax OMB No. 1545-0047 Under section 501 (c) , 527 , or 4947(a)(1 ) of the Internal Revenue Department of the Treasury benefit trust or private foundation) Code ( except black lung 20 O 1 Internal Revenue Service 111 7" . organization may have to use a copy of this return to satisfy state reporting requirements. >> 1tE#tAU(f(I1G ># sE A For the 2001 calendar year, or tax year period beginning JUL 1 2 0 O 1 and ending JUN 30r 2 0 0 2 B Check if Please C Name of organization ' applicable: use IRS D Employer identification number =change label or change p�"tor IBISCUS CHILDREN ' S CENTER =Name type. 591111111112632361 change See Number and street (or P.O. box if mail is not delivered to street address Initial $0X 305 return Specific a 0 . ) RoonVsufte E Telephone number Final )nada°- 772 - 334 - 9311 return eons. City or town , state or country, and ZIP + 4 Amended F Accountigmelhod a Cash � Accrual return Nam' BEACH FL 34958 a other ► =pending FL 501 (c)(3) organizations and 4947(a )(1 ) nonexempt charitable trusts sea must attach a completed Schedule A (Form 990 or 990-EZ) . H and I are not applicable to section 527 organizations. G Web site: ►N / A H(a) Is this a group return for affiliates ? 0 Yes []X No H(b) If 'Yes ," enter number of affiliates ► J Organization type No K Check here (checkonlyonel ► 0 501 (c) ( 3 ) (insert no.) H(c) Are all affiliates included? N / A [- Yes 011" g 0 4947(a )(1 ) or Q 527 (If 'No ; attach a list.) 0 if the organization 's gross receipts are normally not more than $25 ,000. The H(d) Is this a separate return filed by an arm organization need not file a return with the IRS; but if the organization received a Form 990 Package anization covered by a group ruling ? Yes M No in the mail , it should file a return without financial data . Some states require a complete return . I Enter 4-di it GEN ► L Gross receipts : Add lines 6b, 8b , 9b , and 10b to line 12 ► 2 752 140 M Check ► 0 If the organization is not required to attach '! t Revenue, Ex enses, and Changes in Net Assets or Fund Balances ch . a (Form 990 , 9so-Ez, or 990-PF). 1 Contributions , gifts , grants, and similar amounts received: a Direct public support •''����•"��'"�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 124 205 ort P PP b Indirect public support • =:'> ?:::s :::: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 594 , 850 c Government contributions (grants ) If Total (add lines la through lc) . • • . . • • . • . 1c 1 787 543X ? ?: (cash $ 2r506 598 noncash $ 2 Program service revenue including government fees and contracts (from Part VII, Ii ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ne 93 ) • • • • - . • . . . • • • • . 1d 2 509 - 900 3 Membership dues and assessments 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Interest on savings and temporary cash investments " " " " " " 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 12 2 0 0 " 6 a Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: rental expenses o c Net rental income or (loss ) (subtract line 6b from line 6a) XI C 7_ Other investment income (describe ► 6c we 8 a Gross amount from sale of assets other 7 A Securities than inventory B Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 599 . b Less : cost or other basis and sales expenses 8a 15 752 . 8b 1 322 . ;'.:;.;;,;::< c Gain or (loss ) (attach schedule ) < 153 . d Net gain or (loss ) (combine line 8c, columns (A) and (B )) StIRt 1 8c < 3 2 2 • "''':''. " 9 Special events and activities (attach schedule ) " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tmt . . 2. . . . 8d < 1 47C; . > a Gross revenue (not including $ of contributions reported on line 1a ) . . . . . . . . . . . . . <a::s:�;:<:>:• b Less : direct expenses other than fundraising expenses c Net income or (loss ) from special events (subtract line 9b from line9a ) 911 10 a Gross sales of inventory, less returns and allowances " . . . . . . . . . . . . 9c b Less : cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1oa 17 743 c Gross profit or (loss ) from sales of inventory (attach schedule ) ( > '> 'subtract line 10b from line 10a ) • . , • • . • • Stmt . . . 3 . »> • . . . 10c 217 r 74 3 " 11 Other revenue (from Part VII , line 103 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 12 2 735 066 12 Total revenue add lines 1d 2 3 4 5 A. 7 8d 9c 10c and 11 . . . . . . . . _ _ _ 13 Program services (from line 44 , column ( e )) 11 • • - " - " ' . " " r 14 Management and general (from line 44 , column (C)) 13 2 , 404 519 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x 15 Fundraising (from line 44 , column ( D)) 14 19 6 0 111 9 . w 16 Payments to affiliates (attach schedule ) ' " " " 15 2 8 3 0 4 0 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Total ex enses add H. -s i6 and 44 column A . . . . . . . . . . . . . . _ • � • • • • • • • • � • • � • � • • � " - " " " " 18 Excess or (deficit) for the year (subtract line 17 from line 12 17 2r 8 8 3 6 0 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 < 148 , 542 . > y 19 Net assets or fund balances at beginning of year (from line 73 , column (A)) a 20 Other changes in net assets or fund balances (attach explanation ) " " " . . . . . . . . . . . " " " " " ' 19 1 , zaoo, 494 14 4 . 21 Net assets or fund balances at end of year (combine lines 18, 19 , and 20) " 20 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . 21 1 t345 602 . 01 -04-02 LHA For Paperwork Reduction Act Notice , see the separate Instructions) 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 1Form 990 8252A(211 ) Form sso (zool) HIBISCUS CHILDREN ' S CENTER i _ Statement of All organizations must compl111111 ete column (A). Columns ( B ), (C ), and ( D) are'required 5911111111, 2632361 6 012(c)(3 and Page 2 Functional Expenses (4 organizations and section 4947(a (1 nonexempt charitable trusts but optional for Do not include amounts reported on line P others . ::;::;> 6b, 8b, 9b, 10b, or 16 of Part 1. (A) Total (8) Program (C) Management 22 Grants and allocations (attach schedule ) . . . . services and eneral ID) Fundraising cash $ noncash cas h a 22 23 Specific c sist as ' a n ceto individuals' ' d du al s (attach h hed ul e 2 schedule ) 24 3 B en ' efI t saI ' d to or P for members mb e rs a ch schedule )h ed ul e 24 25 Compensation to n Pens ' of officers ,rsdirectors ,rec to rs etc. 37 066 . 26 Other salaries and wages _ 121 , 148 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 1 702 099 . 1 468 627 . 37 567 . 27 Pension plan contributions 27 72 310 . 161 162 . . . . . . . . . . . . 28 Other employee benefits 2g 173r746 * 29 Payroll taxes . . . . . . . . . . 144 551 * 8 8970 2 0 298 30 Professional fundraising fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 157 10 5 . 13 2 , 6 61 . 9 2 5 5 a . . . . . . . . . . . . 30 15 189 . 31 Accounting fees . . . . . . . w " . . . . . 81 11 450 * 32 Legal fees . 8 115 . 1 8340 1 501 . 33 Supplies . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . 33 35 075 . 28 914 . 1 599 . 34 Telephone . . . . . . . . . . 3q 5 3 14 3 . 4 562 * 35 Postage and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . .......... 35 1 9 85 . 4 3 7 6 7 . 2 7 6 0 . 6 616a 36 Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 66 455 a 5 91 985 . 37 Equipment rental and maintenance 37 5 , 8 6 0 . 3 9 3 • 5 0 3 . 4 149 . 38 Printing and publications 38 13 0 3 3 . 6 7 9 • 1 , 0 3 2 . . . . . . . . . . . . . . . 11 , 8 71 . 39 Travel . . . . 39 53 954 . 310 . 852 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 4 3 912 . 40 Conferences, conventions , and meetings 40 7 0 8 6 • 2 9 5 6 . 4tInterest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 20 5 4 2 . 42 Depreciation , depletion , etc. (attach schedule ) _ . _ 42 5 7 132 . 14 420 * 2 4 3 0 . 3 692 * 43 Other expenses not covered above (itemize ): 52 7 5 3 . 1 642 * 2 7370 a b 43a c 43b d 43c 3d e See Statement 4 43e 336 248 . 264 072 . 44 Total functional expenses (add lines 22 through a3) 49 788 . 2 2 3 8 8 . Organizations completing columns (13)-(D), carry these totals to lines 13-15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 2 8 8 3 f 6 0 861 2 4 0 4 519 . Joint Costs . Check PooQ if you are following SOP 98.2. 19 6 049 . 283 040 . Are any joint costs from a combined educational campaign and fundraising solicitation reported in (8) Program services ? If "Yes ; enter (i) the aggregate amount of these joint costs $ 111111IEDYes FX No . . . . . . . . . . . . . fil the amount allocated to Mana ement and eneral $ ; (ii) the amount allocated to Program services $ �'�?!ar � Statement of Program Service Accomplishments iv the amount allocated to Fundraisin What is the organization's primary exempt purpose? ► Se.e Statement 5 All organizations must describe their exempt purpose achievements in a dear and condse manner, State pie number of dients served, pubiicatons Issued etc, 019 ss Preg�am Service achievements that are not measurable. (Sedlon 501 (c)(3) and 4 o EJ(pensee allocations to others.) ( ) organizations and 4947(x)(1) nonexempt charitable trusts must also enter the amount of grants and (Required for os., annse and a PROVIDING TEMPORARY SHELTER CARE FOR ABUSED AND NEGLECTED t' ' buttl pne94forothers.) CHILDREN b Grants and allocations 2 404IF5190 C Grants and allocations $ d Grants and allocations It e Other program services attach schedule Grants and allocations f Total of Program Service Ez enses should equal line 44 , column B , Pro ram se(Grants and allocations $ 123011 ► 2 4 0 4 519 . 01 -02-02 13550208 781536 18252A 2 Form 990 (2001 ) 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 Form 990 (2001 ) HIBISCUS CHILDREN ' S CENTER ' 59 - 2632361 Page 3. ��• :�s � :�� � Balance Sheets Note : Where required, attached schedules and amounts within the description column should be for end-of-year amounts only. (A) ( B) Beginning of year End of year Tgs - non-interest-bearing . _ . . . 19 , 177 . as and temporary cash investments 16 3250 p ry 624 , 413 . 46 344 259ccounts receivable b Less: allowance for doubtful accounts 47a . . . . . . . . . . . . . . . . . . 47c 48a a e d sr receivable ' 9e able 2 0 0 b Less: allowance for doubtful accounts 48a 48b 49 Grants receivable 200 . 48c. . _ . . 200 * 50 Receivables from 159 , 460 . 49 168 506 . officers , directors , trustees , , M and key employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H 51 a Other notes and loans receivable " " 50 51a Xwww Less : allowance for doubtful accounts • , . , 52 Inventories for sale or use 51C 53 Prepaid expenses and deferred charges . . • . . . . . . • . . . . " . " " " " " ' 52 54 Investments - securities Stmt 6 _ _ _ • � " " � " � " " " � " " " " " " . . . . . . . . . . 18 561 . 53 22 470 . 55 a Investments - land , buildings , and Cost FMV 0 • 54 97 291 . equipment: basis % . . . . . . . . . . . . . . . . . . 552 >:;:•:::zs::- b Less: accumulated depreciation 55b 56 Investments - other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ 55c 57 a Land, buildings , and equipment: basis . . . . . . . . . . . . . . . . . . 56 57a 1 3 41 , 919 . b Less: accumulated depreciation • . . . . . . . . . . . . . ''�""�� 57b 368 , 261 . 968 133 . +5.," 58 Other assets (describe ► 58 388 See Statement 7 57C 973 , 6. 58 74 60101 L650therliabilities al assets add lines 45 through 58 must equal line 74 . . . . . . . . . . . . . . . . ounts payable and accrued expenses " " 1 , 8 4 8 3326 59 1 697 310 . p y 88 529 . 50 92 244 . nts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rred revenue 61 s from officers, directors , trustees , and key employees62 xempt bond liabilities " " " " " " 63 gages and other notes payable " " " " 64a r liabilities (describe ► 2 6 5 6 5 9 . 64b259 464 .65l liabilities ladrf lines 60 throw h 65 Organizations that follow SFAS 117, check here Pr3 5 4 18 8 . 66 351 7 0 8 . and complete lines 67 through 69 and lines 73 and 74. 67 Unrestricted �•>� ��•���<• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •:,.::.::;:�• a 68 Temporarily restricted 1 0 8 4 719 . 67 1 221 8500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . 409 , 425 . 68 123 752 . M 69 Permanently restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C Organizations that do not follow SFAS 117, check here ► 69 LL 70 through 74. and complete lines W 70 Capital stock, trust principal, or current funds y71 Paid-in or capital surplus , or land , building , and equipment fund 70 a 72 Retained eamings , endowment, accumulated income, or other funds71 Z 73 Total net assets or fund balances (add lines 67 through 69 OR lines 70 through 72; 72 column (A) must equal line 19; column (8 ) must equal line 21 ) . . . _ _ 74 Total liabilities and net assets / fund balances (add lines 66 and 73 " " " ' 1 494 144 . 73 . ... 1 345 602 . 8 332 0 Form 990 is available for public inspection and , for same people, serves as the primary or sole source of information 8about a particular organization . How the public0 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 organization 's programs and accomplishments . 123021 01 -02-02 13550208 781536 18252A 3 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 Form 990 2001 HIBISCUS CHILDREN ' S CENTER LP aii > Reconciliation of Revenue per Audited 59 - 2632361 Pa e 4 Financial Statements with Revenue pe I� Reconciliation of Expenses per Audited Return p Financial Statements With Expenses per a Total revenue , gains , and other support Return per audited financial statements a Total expenses and losses per . . . . . . . . . . . . . . . . . . a N A audited financial statements ► a N / A b Amounts included on line a butb Amounts include no don line line 2F Form not n ea but not 990:0. line17 Form rm 990 : (1 Net unrealized ed gains s (1 1 Donated ted services d use of facilities cih on investments s tme n is an ti es (21 Prior Ye ara 1 u stm en is(2) Donated and use of facilities re Porte d on line 20 , Form rm 990) Recoveries of prior (3 1 Losses ses reported rted on $ ' lin e2 OF Form 99 0 4 Other (specify):c fii)• 4 Other (specify): ' $ P Add amounts u is on lines s 1 hr 4 through . . . . .. 9 ) b Add amounts on lines (1 ) through (4) . c Line a minus line b • • • • • • • • ► b ► c c Line a minus line b d Amounts included on line 12 , Form ::::> >:::::::::<:::» ::::<:> : » :;:::;<:; >::>:_::> ::::::; : . . . . . . . . . . . . . . . . . . . . . . ► c d Amounts n ' is m 99 clu 0 but included d 0 on line t n ' n o Im a 17 e a . Form 990 but not on line e a • (1 ) Investment (1 1 Investment stm en t ex P e ns esnof included on included lin e 6b Form rm 990 not o n 2 Other ' lin e 6b Form 0 F 9 9 (specify):dY): 2 1 Other (specify): S dY Add da amounts on lines s ( ) and (2) . . . . . . . . . . . ► d � . . ... . . :. . . . . :. :.:.::::::::.�:: ..;:•::;.::.: e Total revenue per line 12, Form 990 . . . . Add amounts on lines (1 ) and (2) ► d (line c plus line d) a Total expenses per line 17, Form 990 . . . . . . . . . . . . • • • • • • • • • ► e (line c plus line d) Dow l List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated e (A) Name and address (B) Title and average hours (C) Compensation ( D)conbibudons to (E) Expense per week iteovroted to (If not pal , enter P,n�& d bene account and - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - oom ensadon other allowances See Statement 8 - - - - - - - - - - - - - - - - - - - 195 781 . 14 010 . 0 . . . . . . . . . . . - . . . . . . . - . . . . . . i7 - - - - O 75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $ 100 ,000 from your or anization and all related organizations , of which more than $ 10 ,000 was provided b the related organizations ? If •Yes ; attach schedule. ► [ Yes []X No Form 990 2001 Form 990 (2001 ) HIBISCUS CHILDREN ' S CENTER at ' > E Other Information 59 - 2632361 Page 5 76 Did the organization engage in any activity not previously reported to the IRS ? If "Yes ; attach a detailed description of each activityYes No 77 Were any changes made in the organizing or governing documents but not reported to the IRS ? 76 X If "Yes ," attach a conformed copy of the changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " " " ' . . . . . . . . . . . . . . . . . . . . . . . . • • • . . . 77 X 78 a Did the organization have unrelated business gross income of $ 1 ,000 or more during the year covered by this return ? b If "Yes ," has it filed a tax return on Form 990 -T for this year? . . . . . . • • 78a X - . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . N /A . . . . . . . . . 78b 79 Was there a liquidation , dissolution , termination , or substantial contraction during the year? . . , • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 0 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 m governing bodies trustees , 9 membership X.w . 9 tees , officers , etc. , to any other exempt or nonexempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80a X b If "Yes ," enter the name of the organization ► HIBISCUS HOUSE CHILDREN ' S FOUNDATION and check whether ther ' ' ii X is ex 0 em 81 t OR a Enter n direct o e P 0 nex ct or indirect Political ex empt. P expenditures . See line 81 instructions b Did the organization file Form 1120-POL for this year? 0 ' < : >:i «.:'•>:::'•> ::> ::> ::: :>? ffi . . . 82 a Did the organization receive donated services or the use of materials , equipment, or facilities at no cha.rge or at substantially less than 81b X fair rental value? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes ; you may indicate the value of these items here . Do not in this amount as revenue . . Part I or a.. an 82a X expense in Pan' II. (See instructions in Part 111 . ) 83 a . . . . . . . . . . . . . . . . . . . 82b N / A ::> <:: :>< ::: : ::?:>::`::::>::: Did the organization comply with the public inspection requirements for returns and exemption applications ? • . b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? • . . . " ' " " " " ' • • . . . . 83a X 84 a Did the organization solicit any contributions or gifts that were not tax deductible? . . . " " " " " " " " " ' • • . . . . • • 836 X I "Yes ; did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible ? . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . >::>» ; . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84b 85 501 (c)(4), (5), or (6) organizations. a Were substantia%lly all dues nondeductible by members? , • . . " ' N • A . . . . . - b Did the organization make only in-house lobbying expenditures of $2 ,000 or less ? . . . • • - _ • . NSA . . . . . . . . . 85a If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver fo pr xy tax 85b owed for the prior year. C Dues , assessments , and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Section 162(e) lobbying and political expenditures " " " " " 85c N / A . . . . . . . . . . . . . . . . . . . . . . e Aggregate nondeductible amount of section 6033(e)(1 )(A) dues notices . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . 85e N /A :> >:: ': :'> : :;>•: :: ? z :• f Taxable amount of lobbying and political expenditures (line 85d less 85e) g Does the organization elect to pay the section 6033(e ) tax on the amount in 85f? ' . . . . .. . . . . .. . . . . . . . . . . . . . . .. . . . :. . ffiw awe " o * 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 esoffitimate004 gow of duAes 85 allocable to nondeductible lobbying and political expenditures for the following tax year? 86 501 c NI!A . . . . . . . . . 85h ( )(7) organizations. Enter: a Initiation fees and capital contributions included on line 1286a N / A_ b Gross receipts , included on line 12, for public use of club facilities , , . . , . • , • • _ . , . . • � � � � „ -�-�•'`•`�''•`� `•''•"'""' '"�"'±`�"� % 87 501 (c)(12) organizations. Enter. a Gross income from members or shareholders . • . . . • b Gross income from other sources . (Do not net amounts due or paid to other sources " " 87a N / A against amounts due or received from them .) 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, V Oran entity disregarded as separate from the organization under Regulations sections 301 .7701 -2 and 301 .7701 -3 ? If "Yes ; complete Part IX • , • . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 a 501 (c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: 88 X section 4911 POP 0 . ; section 4912 ► 0 . ; section ectron 4955 ► b 501 c 0 . ( )(3) and 501 c 4 0 r9 rd the organization engage in any section 4958 excess benefit • ' " " " " transaction during the year or did ft become aware of an excess benefit transaction from a pdoryear?. If "Yes ; attach a statement explaining each transaction c Enter: Amount of tax imposed on the organization managers or disquall fie d persons during the year under . . . . . . . a . . . . . . . . . . . ' • " " " • • 89b X sections 4912 , 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Enter: Amount of tax on line 89c, above , reimbursed by the organization _ _ � � • • • • � � " ' � � " ' 90 a List the states with which a copy of this return is filed ► NONE ' . . . . . . . . . . . . . . . . ► 0 b Number of employees employed in the pay period that includes March 12, 2001 . . . . . . . . . . . . . . . . 91 The books are in care of ► ROBERT DEYO , JR . Telephone no. ► 772 - 334 - 9311 Locatedat ► 2400 N . E . DIXIE HIGHWAY JENSEN BEACH , FLORIDA ZIP + 4 ► 34957 92 Section 4947(a)(1) nonexempt charitable trusts filingForm 990 in lieu of Form 1041 - Check here 123041 and enter the amount of tax-exem t interest received or accrued during the tax ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • ► 92 � N / A 01 -02-02 5 Form 990 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 1- 8252A(211 ) Form 990 (2001 ) HIBISCUS CHILDREN ' S CENTER Analysis of Income- Producing Activities (See Specific instructions on page 32.) 59 - 2632361 Page 6 Note : Entergross amounts unless otherwise Unrelated business income Excluded b section 512, 513, or 514 indicated. (A) B 93 Program service revenue: Business Amount sigCn- ( D) (E) Amount Related or exempt a code code function income b C d e I Medicare/Medicaid payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Fees and contracts from government agencies . . _ . . . . . 94 Membership dues and assessments 95 Interest on savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Dividends and interest from securities . 97 Net rental income or (loss ) from real este . _ .•. 41 14 12 , 200a a debt-financedproperty :;•:;.:•: ::::<;:•;:• •;;>:::: ::»;::: .:•:;•;:•;::;::;:;:.:•;•;•;:::�;<.: :.::.:�:;:>:;:;•::.:•:;:• ::::::s b not debt-financed property 98 Net rental income or (loss ) from personal property . . . . 99 Other investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Gain or (loss ) from sales of assets other than inventory . . . . . . . . . 101 Net income or (loss ) from special events 18 < 1 475 * 102 Gross profit or (loss ) from sales of inventory 103 Other revenue: A . 0 . . . . 0 5 217 , 7 4 3 a a b C d e 104 Subtotal (add columns (B ), (D) , and (E) ) . . . . . . . . . . . . . . . . . . ::.:::;:.;:.;:.;:.::.... . . .. . X:X IN 105 Total (add line 104, columns B , (D), and E 0 ' ''' 2 2 8 4 6 8 . ( ) ( ) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Note: Line 105 plus line 1 d, Pan I, should equal the amount on line 12, Part 1. . . . . . . . . . . . . . . ► 228 , 468 = (f( Relationship of Activities to the Accomplishment of Exempt Purposes (see specific Instructions on page 32.) 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 providing funds for such purposes ). I?a1C '? Information Regarding Taxable Subsidiaries and Disregarded Entities (see specific Instructions on page 33.) A B C Name , address , and EIN of corporation , Peroeotage of D Partnershipor disre arded enti 0 Perce i interest Nature of activities Total income E End oflear N / A % assets 'P > ' Information Re ardin Transfers Associated with Personal Benefit Contracts (See Specific Instructions on page 33 .) (a ) Did the organization , during the year, receive any funds , directly or indirectly, to pay premiums on a personal benefit contract? (b) Did the organization , during the year, pay premiums, directly or indirectly, on a Personal benefit contract . . . . . . . . . . " " " 0 Yes I A% No Note : If "Yes " to h rile Form 8870 and Form 4720 see instructions . P 0 Yes 0 No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Under penalties of perjury, l declare that I have examined this return, inducting accompanying schedules and statements, and to the gest of correct, and complete. Declaration of preparer (other than officer) is based on all Information of which Please Preparer has any knowledge. � knowletlge and belief, It is true, Sign Here ' Signature of officer Paid Preparer s _ ' WE; or print name and title signature , f Date Check PreparersssNorPnN Preparer's Fim+ sname (or ` '/,l employed ► Use Only ycursir BE ER , TOOMBS , ELAM & FRANK , CPA ' S 700115391 address, )' 759 S FEDERAL HWY . , SUITE 321 EIN ► 59 - 1785250 1231 s1 STUART FL 34994 01 -02-02 ZIP + 4 13550208 781536 18252A 6 Phone no. ► ( 772 ) 219-0220 Form 990 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A(211 ) SCHEDULE A Organization Exempt Under Section 501 (c) (3) OMB No. 15450047 (Form.. 990 or 990-EZ) (Except Private Foundation) and Section 501 (e) , 501 (f) , 501 (k) , 501 (n) , or Section 4947(a)(1 ) Nonexempt Charitable Trust ^ 0 O Department of the Treasury Supplementary Information-(See separate instructions.) L Internal Revenue Service ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ. Name of the organization HIBISCUS CHILDREN ' S CENTER Empioyeridentificationnumber 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 ') (a) Name and address of each employee paid (b) Title and average hours (d) contributions to more than $50,000 per week devoted to (c) Compensation employee benefit (e) Expense ositlon plans $ deferred account and other compensation allowances None Total number of other employees paid over $50 ,000 Co 0 :.::.::.::.:::::.:::':::'::•::::.:::: :•:.:::.i:. ::::. :. ::::.:::.�: . .. . . . :t . . . . .•.... . . .: . . . .. . . .•:. . . . . .. . . m e a tt 0 o ft he Fiv Pns n e Highest g t Paid Independent p ent Contractors for Professional Services - . . . . (See page 2 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 service (c) Compensation None Total number of others receiving over 50 0KX f $ O0 or r of e on I P sslas services ce s LHA For Paperwork Reduction t P uc i on Act Notice , see the Instructions for Form 990 a 123101 nd Form 990-�Z. Schedule A ( Form 990 or 990-EZ) 2001 1. 12-29-01 7 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 Schedule A (Form 990 or 990-EZ) 2001 HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Paget • i Statements About Activities (See page 2 of the instructions. ) 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? If "Yes ; enter the total expenses paid or incurred in connection with the lobbying activites ► $ $ or line I of Part VI-B . )or equal amounts on line 38 , Part VI-A, Organizations that made an election under section 501 (h ) by filing Form 5768 must complete Part VI-A. Other organizations checking 1 X "Yes , must complete Part VI-8 AND attach a statement givinga detailed description scnption of the lobbying activities. 2 Duringthe ear, has th Y e organization , either ' 9 directly or indirectly,city, enga ed in an of the fall 9 y owing acts with an substantial al contributorstrustees , directors officers , creators , key employees , , V. or oftheirf families , or an taxable organization on with which an such person is affiliated a Y s an officer, director, trustee, owner, or principal beneficiary? �� P p eficiary . of the answer to attach a de any question is Yes, tailed statement explaining the transactions.)g bons.) . . . . . .. . .. a Sale , exchange, or leasing of property? » >: •'• : . • • • �>::::::>::>:<:: :s::>::>s ::<:> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Lending of money or other extension of credit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2h X c Furnishing of goods, services, or facilities ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . 0 . . . . . . . . . . . . . d Payment of compensation (or payment or reimbursement of expenses if more than $1 ,000) ? . . . ee . . Part V � . . . Form 9 9 0 2d X . . . . . . . . . . . . . . . . . e Transfer of any part of its income or assets ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Does the organization make grants for scholarships , fellowships , student loans , etc.? (See Note below.) 4 Do you have a section 403 (b) annuity plan for your employees ? . . . . . 3 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ Note : Attach a statement to explain how the organization determines that individuals or organizations receivin 4 from it in furtherance of its charitable programs "quay a payments " to receive 9 9ranfs or loans •.': ? : : ' ' . Rea so �.�. n for Non— Private Foundation Status (See pages 3 through 6 of the instructions .) Rim The organization is not a private foundation because it is : (Please check only ONE applicable box.) 5 Q A church , convention of churches, or association of churches. Section 170(b)(1 )(A)(i). 6 A school. Section 170(15)(1 )(A)(ii) . (Also complete Part V.) 7 Q A hospital ora 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)(iii). Enter the hospital's name , city, and state 10,- 10 10 Q 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.) 11a FX 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.) 11b A community trust. Section 170(b )(1 )(A)(vi). (Also complete the Support Schedule in Part IV-A.) 12 Q An organization that normally receives: (1 ) more than 331/3% 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 331 /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 Q An organization that is not controlled by any disqualified persons (other than foundation managers ) and supports organizations described in : 1 lines 5 throu h 12 above • or (2 ) section 501 (c)(4 ) (5) or (6) if they meet the test of section 509(a )(2) (See section 509(a )(31. ) Provide the following information about the supported organizations . (See page 5 of the instructions.) (a ) Name(s ) of supported organization (s ) (b) Line number from above 14 An organization organized and operated to test for public safety. Section 509(a (4 ) . (See page 6 of the instructions.) Schedule A ( Form 990 or 990-EZ) 2001 123111 01 -07-02 8 14070208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 i Schedule A (Form 990 or 990-EZ) 2001 HIBISCUS CHILDREN r S CENTER 59 - 2632361 Pago p { ' Support Schedule (Compeonly If lte you checked a box on line 10 , 11 , or 12.) Use cash method of accounting. Note: You ma use the worksheet in the instructions for convertin from the accrual to the cash method of accountin . Calendar year (or fiscal year beginning In . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► (a ) 2000 (b) 1999 15 Gifts, grants, and contributions received. (g) 1998 ( d) 1997 ( e) Total (Do not include unusual grants. See line 28.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 , 461 r 314 . 68012 514 , 602a 448f6679 4 104 , 843 . 16 Membershi fees received . . . . . . . . . 17 Gross receipts from admissions , merchandise sold or services performed , or furnishing of facilities in any activity that is related to the organization 's charitable , etc. , purpose . . . . . . . . . 18 7 0 61 18 Gross income from interest, 18 7 r 0 61 . dividends , amounts received from payments on securities loans (sec- tion 512(a )(5 )), rents , royalties , and unrelated business taxable income (less section 511 taxes ) from businesses acquired by the organization after June 30 , 1975. _ . 21 910 . 21 , 2 6 3 . 16 9 21 . 19 Net income from unrelated business 7 115 . 67 209 . activities not included in line 18 20 Tax revenues levied for the organization's 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 Include gain or I]oss) from saie of capital assets . . . . . . . . . . . . 23 Total of lines 15 through 22 . , , . . , 2 6 7 0 2850 701 , 523 . 5 31 24 Line 23 minus line 17 . . • . . . 2 483 224 . 701 523 . 531 523 . 455 782 . 4 , 172 , 052 . 25 Enter 1 % of line 23 . . . . . . . . . . . . 29 7 0 3 26 Organizations described on lines• 10 or 11 : a Enter 2% of amount in column (e) , tine 24 , . . . . . ► 26a 83 441 . b Prepare a list for your records to show the name of and amount contributed by each person (other than aovemme ' 9 ntal unit or publicly c IYsu supported organization )'za ti on ) whose ose total gifts for 1997 through h 2 Do not file this list w 9 0 exceeded the amount shown in line 26a . with .. . . . o et . . . urn . :.. . Y ter . . . . the total of all these excess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • . . . . . . . . .. ss amounts c Total support for section 509(a )(1 ) test: Enter line 24 , column (e) . • . . . . . . . . . . . . • • • • . ► 26b 0 d Add : Amounts from column (e ) for lines : 18 67 2 0 g ; 19 . " " " " " " " " " " " " " " " " ' ► 26c 4 17 22 2sb . . . . . . ► 26d 6 7 209 . e Public support (line 26c minus line 26d total) . . . . . . . . . . . .. . . ► 26e 4104 843 . f Public suport ercerrta a line 26e numerator divided b line 26c denominator 27 Organizations described on I(ne 12: a For amounts included in lines 15116, roma 000* 26f 98 . 3891 % to show the name of, and total amounts received in each year from, each 'disq alified person ." Dont file this list with your return . Enter the sare aum of such amoust for your nt for each year: N / A (2000 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (1999) ( 1998 ) b For any amount included in line 17 that was received from each peson (other than 'disqualified p arsons' 1997 . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . amount received for each year, that was more than the larger of (1 ) the amount online 25 for the year or (2) $5 000. ( include lnrthe list organizations described n cords to show the name of, and lines 5 through 11 , as well as individuals .) Do not file this list with your return . 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: N / A (2000 ) . . . . . . . . . . . . . . . . . . . . . A . . . . . . . . . . . A . . . . . ( 1999) ( 1998) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 1997) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Add : Amounts from column (e) for lines : 15 16 7 20 21 d Add: Line 27a total 1 1 ► 27c N / A ► e Public support (line 27c total minus line 27d total) . . . . . . . and line 27b total . . . . . . . . . . . . . . . . . . 27d N / A . . . . . . . . . . . . . . . . . . . . . . . .( . � . . . . . . . . . . . . . . . . .27f ► 27e N / A f Total support for section 509(a )(2) test: Enter amount on line 23 , column e Pu N / A Public Support 0 percentage P n .. P to . . . .. P It . . . n . . e 2 . . . . . (numerator) divided by line 27f (denominator)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 27 N / A % h Investment income ercenta a line 18 column a numerator divided byline 27f denominator . . 28 Unusual Grants: Foran organization described in line 10, 11 , or 12 , that received any unusual grants during 1997 through 2000, prepare a list for your`rec ds to% show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Da not file this fist with your return . Do not include these grants in line 15 . 123121 12-29-01 9 None 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDRENrSScCENTERm918252A211 Schedule A (Form 990 or 990-EZ) 2001 HIBISCUSCHILDREN ' S CENTER Fr < F Private School Questionnaire (See page 7 of the instructions.) 59 - 2632361 Page a (To be completed ONLY by schools that checked the box on line 6 in Part M NSA 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws , other governing Yes No instrument, or in a resolution of its governing body? . . . . . . . . . . . . . . . . .30 Does the organization include a statement of its racially nondiscriminatory and other written communications with the public dealingwith policy toward students in all its brochures, catalogues, th student admissions , programs, and scholarships? 31 Has the organization publicized its racially nondiscriminatory • • 30 policy through newspaper or broadcast media during the period of solicitation for students , or during the re registration 9 period N it has no solicitation program, in a way that makes the Policy known to all parts of the general community ? P cy own dY d serves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 If "Yes ," please describe; if 'No ; please explain . (If you need more space , attach a separate statement.) 32 Does the organization 9 maintain the following : a Records indicatingh the racial composition of the student body, faculty, and admin ' � " " ' � � � � � � • • • • •• • 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? . . . . . . . . . d Copies of all material used by the organization or on its behalf to solicit contributions ? • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32d I you answered "No" to any of the above, please explain . (If you need more space, attach a 0 separate statement.) 33 Does the organization g tion discriminate by race any � '� � f :'. s`�� s�:`•ii`' ' y way with respect to : aStudents' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Admissions policies? . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Employment of faculty or administrative staff? . . . . . . 33b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Scholarships or other financial assistance ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33c e Educational policies ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " " " " " ' f Use of facilities? • • • • • • _ • • • • • • • . . . . . . . . . . . . . . . . . . . . . . 33e g Athletic programs ? . . . . . . . . . . . . . . . . 33f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . ? 33 h Other extracurricular activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .If . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . 33h you answered "Yes" to any of the above, please explain . (If you need more space, attach a separate statement.) emu ode M 34 a Does the organization receive an financial 4 Y aid or assistance from a governmental agency . b Has the organization 's right to such aid ever been revoked or suspended? . . . " " " " " " " " . . " " " " " " " . . • • • . . . . • 34a If you answered "Yes" to either 34a or b, please explain using an attached statement. 34b 35 Does the organization certify that it has complied with the applicable requirements of sections 4 .01 through 4.05 of Rev. 1975-2 C . B . 587, covering racial nondiscrimination ? If 'No; attach an explanation g Proc. 75-50, Schedule A (Form 990 or 9904Z) 2001 123131 12-29-01 10 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 , Schedule (Form 990 or990-EZ) 2001 HIBISCUS CHILDREN ' S CENTER ' '!2 « ? Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions. 5 9 - 2 6 3 2 3 61 Page 5 (To be completed ONLY by an eligible organization that filed Form 5768) ) N / A Check 1110� a if the or anization beton s to an affiliated nmyn. Check ► b Orf ou checked "a" and olimited control" rovisions a ply. Limits on Lobbying Expenditures (a ) (b) be completed for (T1 11 he term expenditures' means amounts paid or incurred.) Affiliated tota9roup Telecting organizations L 36 Total lobbying expenditures to influence public opinion (grassroots lobbying ) N / A 37 Total lobbying expenditures to influence a legislative body (direct lobbying ) . . . . . . • . . . . . . . . • . . . . . . . . • . . . • . 37 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures „ , , . • • 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 40 Total exempt purpose expenditures (add lines 38 and 39 ) . . . . . . . . . . . . . . . . . . . . 41 Lobbying nontaxable amount. Enter the amount from the following' ” " " " " " " " 40 - If the amount nt 9 table on line e0 is 4 ' - The lobbying i n 9 nontaxable ax s bl e amount unt Is lover $ 500 , 000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 /a of the amount on line 40 •:::::�:::. -.:::::.� .:.�: .:::::.�: .::: .:::.::•:::•::::•.: . . :. . . . . . . . . . . . . . .. . . . .. Over 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •>•.::::.::;•: :.:•,:•.:>:•.::;.::•:>,•.::::.:::.::::::::.:�.:;:-:•. >:•::•.::; :.:.::..:::.:::: :: :a:::• ;:-:;:::::::•:_:::::::. :•::•:;:�: $ 00,000 but not over $1 000 000 . . $ 00 . . . 000 . . plus 5 % o f the P e excess over 500 $ 000 Over $1 00 . . . . . . . . . ::; i :: ::i :: ::::3 :: ;:: i:; i:: ::: ::i::: :t:::i;::::::::::::•:;:;;:: :•:::->:•:x�:•;;:•:::;:.�::.�:.�::.:::::�:.�::::::::•: 0,000 but not over $1 ,500,000 $175,000 plus 10% of the excess over $11000,000 . . . . . . . . . 41 $ Over 1 ,500,000 but not over $17,000,000 . . . . . . . . . $225,000 plus 5% of the excess ov � :::: :<:;#::: : : z':i:: :: ;;: ;: :t: r%::::-: : i::::i:>:::i:::t::::i:::::.:::: -:•::::<.:;::;•:;.::•:::;.�:.�:::::.::: . . . . . . . . . . . . . . . Over $17,000,000 42 Grassroots nontaxable amount of line 41 . . . .. . . . . . . . . . . . . . . 42 .. . . . . . . . . . :. . . . . • ••• - . . . . .•• .. . . . .. . . . . . . . . 43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 . . . . . . . . . . . . . . . . 4 43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Caution: If t there is an amount one ' rt he line n e 43 orline 4 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 lines 45 through 50 on page 11 of the instructions.) Calendar year (or (a ) Lobbying Expenditures During 4-Year Averaging Period N / A fiscal year beginning in) ► 2001 (b) (c) (d ) (e) 45 Lobbying nontaxable 2000 1999 1998 Total amount . . . . . . . . . . . . . . . . . . . . . . . . 46 Lobbying ceiling amount •;:•:•;;:;.;•::.::.<•;:•;:•;:.;..:�:::;.:•;;:•;;:<::::: :;::•;:•::•;:::::.�._::•::•>:•:�.�:::.�.�:•>:.;:•:�:: •::::::::•:•:•;:.;.:.:•.�:::::::;:�:.;:.; ::::.: :::::. :.::::: . . . . . . . . . . . . . . . . . on 150%/o of line e 4 5e 47 Total lobbying' v 0 . 9 e enditures . . . . . . . . . . . . . . . . . . 48 Grassroots nontaxable 0 . amount . . . . . . . . . . . . . . . . . . . . . . . . 49 Grassroots 00 is Ce . . :::>;:-:�;:: ::;:: <: ::�: <: � :>:: :::::::::: < :>:: :::::::> :;»:>:.:�::;:<:>: ::-;;::.> Iling amount �; :;::>::>:<;;:•>:::;;::;:•;:.;:•;:.>:.::•:�;:.::.::.;;:.;:. . . . . . . . .:.:::.:s:;:::::.:,::::::. ;.�:::::.�._ .:..•:;::;�:::::::::;::.::;::.�::. : :::::.. :::: . . . 150% of [in 48 e 0 50 Grassroots lobbying —expenditures . . . . . . . . . . . . . . . . . . ?!2 >V4l«8 Lobbying Activity by Nonelecting Public Charities 0 (For reporting only by organizations that did not complete Part VI-A) (See page 12 of the instructions .) During the year, did the organization attempt to influence national, state or local legislation , including any attempt to N / A influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount a Volunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Paid staff or management Include or . . . n lin . . . . . . thro through . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 compensation in expenses reported on lines c through h . , , , , C Media advertisements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :::::> :�::>::>::> : ::::>" <::::� :>#»:'•> »: <-.s>:: ::: '•: ::>: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ d Mailings to members , legislators , or the public " ' " " " " " " " " " " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Publications , or published or broadcast statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . I Grants to other organizations for lobbying Y 9 Purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Direct contact with legislators , their staffs , government officials , or a legislative body „ - , - • . • h Rallies , demonstrations , seminars , conventions , speeches , lectures , or any other means I Total lobbying expenditures (Add lines through h .) - , . - , . • . . " " - . . " - " " . . . . . . . . . . If 'Yes " to any of the above , also attach a statement giving a detailed description of the lobbying activities . 123141 00 12-29-01 Schedule A ( Form 990 or 990 -EZ) 2001 13550208 781536 18252A 11 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A1 Schedule A (Form 990 or 990-EZ) 2001 HIBISCUS CHILDREN ' S CENTER ar> 59 - 2632361 Pages [t Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Or anizatlOns See a e 12 I.of the instructions . 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section gamma 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 ( 1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . 0 . . . . . . . . 51a (1) X ( ii) Otherassets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a (II) X b Other transactions : • • • ( 1) Sales or exchanges of assets with a noncharitable exempt organization b( l) X ( ii) Purchases of assets from a noncharitable exempt organization . . . • • • . • . , . • . • _ . • • • _ • • • • b(ii) X (111) Rental of facilities , equipment, or other assets b(ill) X wage . . . . . . . . . (iv) Reimbursement arrangementsmemo * " " " " ' " . . . . . . . . . . . . memo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wage . . . . . . . ( ) X b Iv (v) Loans or loan guarantees • • . • _ blv) X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (vi) Performance of services or membership or fundraising solicitations b(vl) X c Sharing of facilities , equipment, mailing lists , other assets , or paid employeeso 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 c X goods , other assets , or services given by the reporting organization . If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d ) the value of the goods, other assets , or services received : N / A (a ) (b ) (c) Id) Line no. Amount involved Name of noncharitable exempt organization Description of transfers , transactions , and sharing arrangements Image wome ago 52 a 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 (otherthan section 501 (c)(3)) orin section 527?.,,, . . . . • No . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . 0 Yes EX b If 'Yes ; complete the following schedule: N / A ( Name of aganization (b) (c) Type of organization Description of relationship 123151 12-29-01 12 Schedule A ( Form 990 or 990-EZ) 2001 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 Schedule B Schedule of Contributors (Form 990, 990-EZ, or OMB No. 1545-0047 990-PF) oepartrnent of the Treasury Supplementary Information for A 0 O Internal Revenue Service line 1 of Form 990, 990-EZ and 990-PF (see instructions) L Name of organization Employer identification number HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Organization type (check one) : Filers of: Section: Form 990 or 990-EZ MI 501 (c)( 3 ) (enter number) organization EJ 4947(a)(1 ) nonexempt charitable trust not treated as a private foundation El 527 political organization Form 990-PF 0 501 (c)(3) exempt private foundation 0 4947(a)(1 ) nonexempt charitable trust treated as a private foundation 0 501 (c)(3) taxable private foundation Check if your organization is covered by the General rule or a Special rule. (Note: Only a section 501 (c)(7), (8), or (10) organization can check box(es) for both the General rule and a Special rule-see instructions.) General Rule- For organizations filing Form 990, 990-Q, or 990-PF that received, during the year, $5 ,000 or more (in money or property) from any one contributor. (Complete Parts I and 11 .) Special Rules- For a section 501 (c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1 /3 % support test of the regulations under sections 509(a)(1 )/170(b)(1 )(A)(v) and received from any one contributor, during the year, a contribution of the greater of $5 ,000 or 2 % of the amount on line 1 of these forms. (Complete Parts I and II .) 0 For a section 501 (c)(7) , (8), or (10) organization .filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1 ,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, 11 , and III .) 0 For a section 501 (c)(7) , (8), or (10) organization filing Form 990, or Form 990-E7, that received from any one contributor, during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1 ,000 . (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc. , purpose. Do not complete any of the Parts unless the General rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5 ,000 or more during the year.) loo. Caution: Organizations that are not covered by the General rule and/or the Special rules do not file Schedule B (Form 990, 990-E2; or990-PF), but they must check the box in the heading of their Form 990, Form 990-Q, or on line 1 of their Form 990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PFJ. Schedule 0 ( Form 990, 990-EZ, or 990-11F) (2001 ) 123451 12-29-01 13 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1_ Schedule B (Form 990, 990-EZ, or 990-PF) (2001 ) Page 1 to 1 of Part I Name of organization Employer identification number HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Contributors (See Specific Instructions.) (a) (b) (c) (CQ No. Name, address and ZIP + 4 Aggregate contributions Type of contribution 1 HIBISCUS HOUSE CHILDRENS FOUNDATION Person QX Q P . O . BOX 305 Payroll $ 5 9 4 r 8 5 0 e Noncash JENSEN BEACH r FLORIDA 34957 (Complete Part there is a noncash conn tribution .) (a) (b) (c) (d) No. Name, address and ZIP + 4 Aggregate contributions Type of contribution 2 AGENCY FOR HEALTH CARE ADMINISTRATION Person FX Payroll Q 2312 LILLEARN CENTER BLVD $ 67 r 771 e Noncash 0 TALLAHAS S EE r FLORIDA 32309 (Complete Part II if there is a noncash contribution .) (a) (b) (c) (CO No. Name, address and ZIP + 4 Aggregate contributions Type of contribution 3 STATE OF FLORIDA Person QX Payroll 0 $ 1 , 4 2 9 r 214 a Noncash (Complete Part 11 if there TALLAHASSEE , FLORIDA 32 309 is a noncash contribution .) (a) (b) (c) (dl No. Name, address and ZIP + 4 Aggregate contributions Type of contribution Person Q Payroll 0 $ Noncash Q (Complete Part If if there is a noncash contribution .) (a) (b) (c) (CO No. Name, address and ZIP + 4 Aggregate contributions Type of contribution Person Payroll Q $ Noncash Q (Complete Part II if there is a noncash contribution .) (a) (b) (c) (dI No. Name, address and ZIP + 4 Aggregate contributions Type of contribution Person 0 Payroll Q $ Noncash Q (Complete Part 11 if there is a noncash contribution .) 123452 12-29-01 14 Schedule B ( Form 990 , 990-EZ, or 990 -13F) (2001 ) 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Form 990 Gain ( Loss ) From Publicly Traded Securities Statement 1 Gross Cost or Expense Net Gain Description Sales Price Other Basis of Sale or ( Loss ) VARIOUS SECURITIES 15 , 599 . 15 , 752 . 0 . < 153 . > To Form 990 , Part I , line 8 15 , 599 . 15 , 752 . 0 . < 153 . > 15 te 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER18252A ) HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Form 990 Gain ( Loss ) From Sale of Other Assets Statement 2 Date Date Method Description Acquired Sold Acquired VARIOUS FIXED ASSETS Various Various PURCHASED Gross Cost or Expense Net Gain Name of Buyer Sales Price Other Basis of Sale Deprec or ( Loss ) 0 . 11 , 021 . 0 . 9 , 699 . < 1 , 322 . > To Fm 990 , Part I , In 8 11 , 021 . 0 . 9 , 699 . < 1 , 322 . > 16 Statement ( s ) 2 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A1 HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Form 990 Income and Cost of Goods Sold Statement 3 Included on Part I , Line 10 Income 1 . Gross receipts 217 , 743 2 . Returns and allowances . . . . . . . . 3 . Line 1 less line 2 . . . . . 217 , 743 4 . Cost of goods sold ( line 13 ) . 5 . Gross profit ( line 3 less line 4 ) 217 , 743 Cost of Goods Sold 6 . Inventory at beginning of year . 7 . Merchandise purchased 8 . Cost of labor . . . 9 . Materials and supplies . 10 . Other costs . . . . 11 . Add lines 6 through 10 . . 12 . Inventory at end of year . . . . . . . . . . 13 . Cost of goods sold ( line 11 less line 12 ) . . 17 te 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER18252A ) 13 HIBISCUS CHILDREN ' S CENTER 59 - 2632361 Form 990 Other Expenses Statement 4 ( A ) AB ) ( C ) ( D ) Program Management Description Total Services and General Fundraising TEMPORARY SERVICES 429 . 429 . ADVERTISING 21 , 389 . 21 , 389 . AID TO FAMILIES 31 , 570 . 31 , 570 . BOARD EXPENSES 61393 . 6 , 393 . CAMP EXPENSES 41826 . 41826 . CLOTHING & SHOES 6 , 588 . 6 , 588 . CONSULTING FEES 15 , 360 . 15 , 360 . DUES & SUBSCRIPTIONS 12 , 336 . 5 , 134 . 31701 . 31501 . EQUIPMENT & BUILDING MAINTENANCE 36 , 725 . 31 , 743 . 2 , 347 . 21635 . EXECUTIVE DIRECTOR DISCRETIONARY 10 , 408 . 10 , 408 . FOOD 14 , 885 . 14 , 340 . 545 . GUILD 91725 . 91725 . HOUSEHOLD SUPPLIES 10 , 682 . 10 , 682 . INSURANCE 32 , 445 . 27 , 812 . 3 , 280 . 11353 . JANITORIAL 383 . 383 . LICENSES 514 . 514 . MISCELLANEOUS 8 , 805 . 7 , 970 . 663 . 172 . NURSERY AND EDUCATION 3 , 897 . 3 , 897 . OFFICE SUPPLIES 81703 . 61235 . 21468 . PHARMACEUTICAL 4 , 354 . 4 , 354 . RECREATION 7 , 234 . 7 , 234 . SERVICE CONTRACT 6 , 291 . 4 , 298 . 888 . 1 , 105 . TRAINING 26 , 427 . 22 , 614 . 1 , 930 . 1 , 883 . UTILITIES 36 , 215 . 34 , 236 . 794 . 1 , 185 . VERO VILLAGE 15 , 850 . 15 , 850 . VOLUNTEER 3 , 814 . 2 , 847 . 683 . 284 . Total to Fm 990 , In 43 336 , 248 . 264 , 072 . 49 , 788 . 22 , 388 , Form 990 Statement of Organization ' s Primary Exempt Purpose Statement 5 Part III Explanation TO PROVIDE TEMPORARY SHELTER FOR ABUSED AND NEGLECTED CHILDREN AND SUPPORT TO FAMILIES AT RISK FOR ABUSE . 18 Statement ( s ) 4 , 5 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 T VZSZ81 HHSNHO S . NgHQZIHO SnOSIgIH 00080 ' TOOZ VZSZ8T 9EST8L 8OZOSSET L 19 ( s ) 4ualuagpgS 6T ' T091VL g uiunToO ' 89 auTT ' AI a4aPd ' 066 mao3 04 T12401 : SSZiv9 HSvIZI33v WOH3 Hna 9VE OT SSISOdHQ 04unotuV uoigdiaosaQ . L 4uaula -4pgS sgassv aag40 066 Wa03 ' T6Z ' L6 ' T6Z ' L6 g T00 PS UT 1066 01 ' T6Z ' L6 ' T6Z ' L6 SISOdHQ 30 SHZvoiaiLHHO s9 ? 4ianoaS saT4ianoaS s8T4TanoaS spuog sxoogs uoTgdraosaQ dgTanoaS :4 , AoO- uoN aagg0 paplas eq -eaodao0 agEaodao0 TplOs ATOTTgnd aaq � 0 9 quauiagp4s s8T4TanoaS 4u8Uuaano0- uoN 066 UIa03 T9EZE9Z - 65 HSINSO S . NHHQZIHO SnDSISIH T VZSZBT HHyNHO S . NHHa 'IIHO SfIOSIHIH 000800TOOZ KZSZBT 9 £ ST8L 8OZO99ET 8 ( s ) quamagegs 0Z i� 66PE VGIHO'Ia ' lUVfIIS 0 ' 0 ' 0 Z HNFPI HOaIH ZS £ HOyOHHIa XHHSHHH Of NKSIIS 066 £ VCIIHO'I3 ' 1�yIO WIKd • 0 . 0 � 0 Z yHHHyS IUcIVO ' M ' S £ 88T HOyoHHIa ZarIVZNoo VNVSSOH 986fii £ VGIHO'Ia ' HIofl 'I * ,LS LHOd 0 0 0 Z H'IOHIO HOKHHHy NfIS ' M ' N S- £ TZT HOILOH2IIa Hy003 VHQNVS V 6 6 i� £ VCI IHo'Ia 1 ,LUVfII S ' 0 . 0 ' 0 Z ,. aKOH HHOHS ' S LZT HoyOHHIa H'IHQH3 ' M ?IHVW P66V £ VGIHO'Ia ' IUVaIS . 0 ' 0 ' 0 Z AVMXUVCI 'IVHINHO ' H ' S TS umoaula NOSrIH,LH XDVHI 966V £ V(IIHO'Ia ' �LUVfIIS . 0 � O � O Z aA'Ig HIOfI'I ' LLS a'IO ' H ' S 996 £ HOLLOHHIa NOIcIWOHO OW aaflr L 96 P £ VGIHO'Ia ' HDFIHS NHSNaf • � • � � � Z HNK'I 7.HHHSxHg ' H ' N S £ 8 UOIDaHIa NHQKHS ' H 'IHINVCI L66V £ KQIUoaa JLLUVf1yS ' 0 ' 0 ' 0 Z HAIxa IWIOD ' H ' S Z9V £ NVWUIKHO NOVA L NHOfIVAVU L S 6 P £ VCIIHO'Ia ' HOFZHS NHSNaf • 0 - 0 ' 0 Z HNVU SSHHdXO ' H ' N 9VLZ Uaurlsvaul OUIVHaHS HIHOU 066fii £ daIUoaa ' XZIO 1aWd � 0 � O � 0 Z ' N H'IOHIO INI14IS ' M ' S T9Tt INHQISHHd HOIA HHSHM HIIaflf t66i� £ VC[ IHO 'Ia ' S,UVMS ' 0 ' 0 ' 0 Z XVMHDIH gVHHQHa HyflOS 686 IMUSHHd aNTUDIHIS * W NHAalS -4un000v gi :iw4uo0 U0T4ES XM / s -TH bind ssa �pp� puE auiEN asuadxa uETd u89 - uaduioO puE 9T4iy aaAoTduia sa8AOTduia dax pup saagsn .ay g � uauza � E � S ' saogoaaTa I s .aaoT -TO ; o 4STU - A 4aPd 066 uIaOa T9 £ Z £ 9Z - 65 HHLLNHO S , NHHa 'IIHO SfIOSIgIH HIBISCUS CHILDREN ' S CENTER 59 - 2632361 GEORGE LEHACH DIRECTOR 4609 WATERFORD DRIVE 2 0 . 0 . 0 . STUART , FLORIDA 34994 J . D . LEWIS IV DIRECTOR 1115 EAST OCEAN BLVD 2 0 . 0 . 0 . STUART , FLORIDA 34996 TERENCE E . NOLAN DIRECTOR 1240 STARFISH LANE 2 0 . 0 . 0 . STUART , FLORIDA 34996 JANICE NORMAN DIRECTOR 2875 N . E . TIMBERLANE CT 2 0 . 0 . 0 . JENSEN BEACH , FLORIDA 34957 CHARLES A . OLSSON DIRECTOR 5640 S . W . ORCHID BAY DRIVE 2 0 . 0 . 0 . PALM CITY , FLORIDA 34990 LYNN SHEEL DIRECTOR 1701 S . E . HILLMOOR DRIVE STE 19 2 0 . 0 . 0 . PORT ST . LUCIE , FLORIDA 34952 TY WALINSKI DIRECTOR 2348 N . E . GINGER TERRACE 2 0 . 0 . 0 . JENSEN BEACH , FLORIDA 34957 SHARON WALKER DIRECTOR 1849 S . W . CRANE CREEK AVENUE 2 0 . 0 . 0 . PALM CITY , FLORIDA 34990 RICHARD J . WEGMAN DIRECTOR 421 S . E . MARTIN AVENUE 2 0 . 0 . 0 . STUART , FLORIDA 34996 STEVEN H . WOLFBERG DIRECTOR 2103 S . E . OPAL WAY 2 0 . 0 . 0 . STUART , FLORIDA 34997 1, JUDIE WOLFE DIRECTOR 2871 S . W . BRIGHTON WAY 2 0 . 0 . 0 . PALM CITY , FLORIDA 34990 SARAH W . WOODS DIRECTOR 32 CASTLE HILL WAY 2 0 . 0 . 0 . STUART , FLORIDA 34996 JILL M . BOROWICZ CHIEF EXECUTIVE OFFICER 2400 N . E . OLD DIXIE HIGHWAY 40 84 , 379 . 51504 . 0 . JENSEN BEACH , FLORIDA 34957 21 Statement ( s ) 8 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 HIBISCUS CHILDREN ' S CENTER 59 - 2632361 JAN E . SWINK CHIEF OPERATING OFFICER 2400 N . E . OLD DIXIE HIGHWAY 40 61 , 185 . 4 , 196 . 00 JENSEN BEACH , FLORIDA 34957 LAWRENCE BROOKS CHIEF PROJECT OFFICER 2400 N . E . OLD DIXIE HIGHWAY 40 50 , 217 . 4 , 310 . 0 , JENSEN BEACH , FLORIDA 34957 Totals Included on Form 990 , Part V 195 , 781 . 14 , 010 . 00 22 te 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER18252A ) 18 18252 HI [ ; US HOUSE , INC . 10/ 16/2002 33 AM 59-2632361 Tax Asset Detail 1 /01 /01 - 6/30/02 FYE : 6/30/2002 Page 1 Date In Sec 179 Exp Salvage Prior Current End Net Asset Property Description Service Cost Current = c Value Depreciation RteLeciafion Depreciation Book Value Method Period Group: Administration Building 72 Administration Asbestos Consultinj 8/03/99 895 .00 0.00 0. 00 171 . 54 89.50 261 .04 633 .96 S/L 73 Administration Building Down PaN 8/03/99 15,000.00 0.00 0.00 718.75 375. 00 1 ,093 . 75 13 ,906.25 S/L 10, 0 40. 0 74 Administration Asbestos Abatement 8/26/99 2,768 . 75 0.00 0.00 126 .90 69.22 196 . 12 23572.63 S/L 40.0 75 Administration Phase I Site Assessn 8/03/99 1 ,450.00 0.00 0.00 69.48 36.25 105 . 73 1 ,344.27 S/L 40.0 76 Administration Septic Tank 1/ 12/00 11550.00 0. 00 0. 00 232.50 155 .00 387.50 1 , 162.50 S/L 10. 0 78 Administration Construction Groza 2/11 /00 14,450.00 0.00 0. 00 511 .77 361 .25 873 .02 13 ,576. 98 S/L 40.0 79 Administration Parking Lot Reseal 3/01 /00 2,000.00 0. 00 0.00 66 .67 50. 00 116.67 1 , 883 . 33 S/L 40.0 80 Administration Wiring for Phones 9 2/29/00 4,900.00 0. 00 0.00 163 .33 122.50 285 . 83 4,614. 17 S/L 40.0 81 Administration Electric Work 4/ 13/00 514.62 0. 00 0. 00 16. 09 12. 87 28.96 485 . 66 S/L 40. 0 82 Administration Flag Pole 5/05/00 489. 80 0.00 0.00 57. 14 48.98 106, 12 383 , 68 S/L 84 Administration Building 9/01 /99 270,000.00 0.00 0. 00 12,375 .00 69750. 00 19, 125 .00 2502875 .00 S/L 10.0 120 Hurricane Panels 1 / 19/01 21179.00 0.00 0.00 90.79 217.90 308.69 19870.31 S/L 40. 0 143 Fire Alarm - Admin 8/31 /01 _ 2,900.00 0. 00c 0.00 0.00 241 .67 241 . 67 2,658.33 S/L 10. 0 Administration Building 319,097. 17 0.00c 10. 0 0.00 14 599. 96 8,530. 14 23 130. 10 295,967. 07 ®� ®� Group: Building 4 Tiles 3/26/98 1 ,524.00 0.00 0.00 514.35 152.40 666. 75 857. 25 S/L 10.0 15 Building 10/31 /89 269,057. 17 0. 00 0.00 79,035 .55 6,726.43 85,761 . 98 183 ,295 . 19 S/L 17 Fen ovements 10/30/90 11050.00 0. 00 0.00 1 ,050. 00 0.00 11050.00 0. 00 S/L 10.0 39. 0 5/31 /92 728 .00 0.00 0.00 445. 71 48 .53 494.24 233 . 76 S/L 15 . 0 42 Plumbing 4/ 15/99 1 , 107.00 0.00 0. 00 62.67 28.38 91 . 05 1 ,015 . 95 S/L 39 .0 46 Work in Progress : Shelter Expansic 7/01 /99 22,636.00 0. 00 0.00 1 , 131 . 80 565 . 90 1 ,697. 70 209938.30 S2 40. 0 52 Manatee Floors Shelter 6/ 16/00 > 4,018.00 0. 00 0.00 401 . 80 401 . 80 803 .60 3 ,214.40 S/L 10. 0 55 Drainage for Shelter 8/03/99 29474.00 0. 00 0.00 237.09 123 . 70 360. 79 21113 .21 S/L 20.0 56 Shelter Construction Mosley & Son 8/31 /99 413917.00 0.00 0. 00 11921 .20 11047.93 22969. 13 38 ,947. 87 S/L 40. 0 57 Shelter Construction Mosley & Son 9/30/99 20,888.00 0.00 0. 00 913 . 85 522.20 1 ,436. 05 19,451 .95 S/L 40.0 58 Shelter Construction Mosley & Son 10/29/99 34$ 84.00 0.00 0. 00 19432. 67 859.60 21292. 27 32,091 . 73 S/L 40. 0 59 Shelter Construction Mosley & Son 11 /30/99 22,834.00 0.00 0. 00 903 . 85 570. 85 13474. 70 21 ,359.30 S/L 40.0 60 Shelter Construction Mosley & Son 12/31 /99 41308.00 0.00 0.00 161 .55 107. 70 269.25 42038 . 75 S/L 40.0 61 Recognition Display Shelter 1 /06/00 2,897.75 0.00 0.00 434. 67 289. 78 724.45 2, 173 . 30 S/L 10. 0 62 Shelter Construction Mosley & Son 1 /31 /00 249706.00 0.00 0.00 875 .00 617.65 1 ,492. 65 23 ,213 . 35 S/L 40. 0 63 Shelter Septic Tank 1200 Gallon 2/02/00 21965.00 0. 00 0.00 420.04 296.50 716 .54 2,248 .46 S/L 10. 0 64 Shelter Construction Mosley & Son 2/29/00 139797.00 0.00 0.00 459.91 344. 93 804. 84 129992. 16 S/L 40.0 65 Shelter Fence Treasure Coast Fence 4/04/00 675 .00 0.00 0.00 84.38 67.50 151 . 88 523 . 12 S/L 10. 0 66 Phone Installation Shelter Joy Coma 3/ 15/00 668.79 0.00 0.00 89. 17 66. 88 156. 05 512. 74 S/L 10.0 67 Shelter Landscape Aiello 4/ 12/00 490.00 0.00 0.00 61 .25 49. 00 110.25 379. 75 S/L 10. 0 68 Shelter Irrigation Repair 5/08/00 510.00 0. 00 0.00 59.50 51 .00 110.50 399.50 S/L 10. 0 69 Recognition Display Shelter 4/28/00 39101 .90 0.00 0.00 361 . 89 310. 19 672.08 2,429. 82 S/L 10. 0 70 Shelter Landscape Aiello 5/09/00 220.00 0.00 0.00 25 . 67 22.00 47.67 172.33 S/L 10. 0 71 Shelter Sidewalk, Pads and Fence 5/23/00 2,612.00 0.00 0.00 70. 74 65 . 30 136.04 2,475 . 96 S/L 40. 0 112 Awning Shelter 5/23/01 580.00 0.00 0. 00 4. 83 58 .00 62. 83 517. 17 S/L 10. 0 113 Kitchen - Shelter 6/29/01 950.66 0. 00 0.00 0.00 23 . 77 23 . 77 926. 89 S/L 40. 0 114 Playground - Shelter 8/29/00 42933 .00 0.00 0. 00 411 .08 493 . 30 904.38 41028.62 S/L 10.0 115 Playground Shelter 11 / 16/00 1 ,873 .24 0. 00 0. 00 109.27 187.32 296. 59 19576.65 S/L 10. 0 116 Hurricane Panels 5/ 11 /01 142419.00 9419 . 0o 0.00 0. 00 240. 32 19441 .90 19682.22 12,736. 78 S/L 10.0 117 Playground - Fence 10/ 19/00 500. 00 0.00 0. 00 33 .33 50.00 83 . 33 416. 67 S2 ] 0. 0 118 Sprinkler - Shelter 6/29/01 1 ,900.00 0. 00 0.00 0. 00 190.00 190.00 1 ,710.00 S/L 10. 0 18252 HIF DUS HOUSE , INC . 10/ 16/2002 33 AM 59-2632361 Tax Asset Detail r /01 /01 - 6/30/02 Page 2 FYE : 6/30/2002 Date In Sec 179 Exp Salvage Prior Current End Net Asset Property Description Service Cost Current = c Value Depreciation Depreciation Depreciation Book Value Method Period Group : Building (continued) 119 Landscape - Shelter 6/27/01 19100.00 0.00 0.00 0.00 110.00 110.00 990.00 S/L 10. 0 133 Kitchen - Shelter 7/09/01 • 121 .35 0.00c 0.00 0.00 3 .03 3 . 03 118.32 S/L 40.0 134 Kitchen - Shelter 7/23/01 456.04 0.00c 0.00 0. 00 10.45 10.45 445 .59 S/L 40. 0 135 Kitchen - Shelter 7/31 /01 12633 .46 0.00c 0.00 0.00 37.43 37.43 12596. 03 S/L 40.0 136 Kitchen - Shelter 8/07/01 123 .20 0.00c 0.00 0.00 2. 82 2. 82 120.38 S/L 40: 0 137 Kitchen - Shelter 8/07/01 31286. 88 0.00c 0.00 0.00 75 .32 75 .32 32211 . 56 S/L 40.0 138 Kitchen 8/08/01 264.41 0.000 0.00 0.00 6. 06 6.06 258 .35 S/L 40. 0 139 Kitchen - Shelter 8/ 14/01 2,705 . 60 0.00c 0.00 0.00 62.00 62.00 2,643 .60 S/L 40. 0 140 Kitchen - Shelter 8/16/01 2,623 .32 0.00c 0.00 0.00 54.65 54. 65 29568 . 67 S/L 40.0 141 Kitchen - Shelter 8/20/01 21172.00 0.00c 0. 00 0.00 45 .25 45 .25 2, 126.75 S/L 40. 0 142 Landscaping 8/27/01 289. 88 0.00c 0.00 0.00 24. 16 24. 16 265 . 72 S/L 10. 0 144 Parking Lot - Shelter 9/ 14/01 1 ,794.00 0.00c 0.00 0.00 37.38 37.38 11756.62 S/L 40. 0 145 Fence - Shelter 9/25/01 175 . 00 0.00c 0.00 0. 00 8. 75 8. 75 166.25 S/L 15 . 0 146 Kitchen - Shelter 9/27/01 98.98 0.00c 0.00 0. 00 1 . 86 1 . 86 97. 12 S/L 40. 0 147 Kitchen - Shelter 10/25/01 142.27 0.00c 0.00 0.00 2.37 2.37 139.90 S/L 40.0 148 Kitchen - Shelter 11 /05/01 244. 73 0.00c 0.00 0.00 4.08 4.08 240.65 S/L 40.0 149 Playground - Shelter 12/04/01 506.29 0.00c 0.00 0.00 29.53 29.53 476.76 S/L 10.0 150 Playground - Shelter 12/ 10/01 332.48 0.00c 0. 00 0.00 19.39 19. 39 313 .09 S/L 10.0 151 Kitchen - Shelter 10/10/01 167.66 0. 000 0.00 0.00 3 . 14 3 . 14 164.52 S/L 40.0 152 Parking Lot - Shelter 12/ 17/01 2, 130.00 0.00c 0.00 0.00 26.63 26 . 63 22103 .37 S/L 40.0 153 Kitchen - Shelter 1 /14/02 147.97 0.00c 0.00 0. 00 1 . 85 1 . 85 146. 12 S/L 40.0 154 Landscaping 2/04/02 975 .00 0.00c 0.00 0. 00 40. 63 40.63 934.37 S/L 10. 0 155 Playground - Shelter 3/20/02 1 ,000. 00 0.00c 0.00 0.00 25 .00 25 . 00 975 .00 S/L 10.0 156 Irrigation 4/12/02 210.00 0.00c 0.00 0.00 5 .25 5 .25 204.75 S/L 10.0 157 Irrigation 4/22/02 200.00 0.00c 0.00 0. 00 3 .33 3 .33 196.67 S/L 10.0 Building 527 625 .03 0.00c 0,00 9111953 , 1416� 801083 94 419 25 1 v09 Group: Computers 28 Computers 5/30/90 21 ,776.00 0. 00 0. 00 219776.00 0.00 219776.00 . 0.00 20ODB 5 .0 29 Computers 7/31 /90 24,532.28 0.00 0.00 24,532.28 0.00 24,532.28 0.00 20ODB 5 . 0 30 Computers 3/29/95 29879.00 0.00 0.00 2,879.00 0. 00 2,879. 00 0. 00 20ODB 5 .0 31 Computer - Milennia Pro 2. 18013 1 /17/97 21697.00 0.00 0.00 29382.35 314.65 2,697.00 0.00 S/L 5 . 0 32 Printer - laserjet 1 /28/97 1 ,506. 89 0.00 0. 00 12331 .09 175. 80 11506. 89 0.00 S/L 5 .0 33 Computer (Presario) & printer 1 / 10/97 29238.97 0.00 0.00 20015.06 223 .91 29238.97 0.00 S/L 5 .0 34 Computer(Acute Systems) 2/ 10/97 7,476.00 0. 00 0.00 6,603 . 80 872.20 71476.00 0.00 S/L 5 . 0 35 Computer (Gateway 2000) 4/17/98 2,237.00 0.00 0.00 11777.97 244. 82 2,022. 79 214.21 20ODB 5 . 0 39 Dell Computer 3/30/99 11445 .99 0.00 0. 00 19003 .52 176.99 1 , 180.51 265 .48 20ODB 5 .0 40 Printer LaserJet 4000SE 4/07/99 11149. 99 0.00 0.00 756.70 157.32 914.02 235 .97 20ODB 5 .0 41 Dell Computer 6/24/99 29732.95 0.00 0.00 19798.28 373 . 87 2, 172. 15 560. 80 20ODB 5 .0 77 NetGear 16 Port Hub & HP Jet Dire 1 /29/00 899.90 0.00 0. 00 254.97 179.98 434. 95 464. 95 S/L 5 .0 89 Software - GL/AP/AR 8/08/00 815.00 0.00 0.00 249.03 271 .67 520. 70 294.30 S/L 3 .0 90 Dell Poweredge Server 8/29/00 59000. 00 0.00 0. 00 833 .33 12000.00 1 , 833 .33 39166. 67 S/L 5 . 0 91 HP 2100 Printer 8/29/00 1 ,550.00 0. 00 0.00 258 .33 310.00 568 .33 981 .67 S/L 5 .0 92 Dell Dimension Workstation 9/05/00 1 ,000. 00 0.00 0.00 166.67 200.00 366. 67 633 .33 S/L 5 . 0 93 Dell Optiplex GX110 9/05/00 19000.00 0.00 0. 00 166.67 200.00 366 . 67 633 .33 S/L 5 .0 94 Dell Optiplex GX110 9/05/00 11000.00 0.00 0.00 166.67 200.00 366.67 633 .33 S/L 5 .0 95 Dell Optiplex GX110 9/05/00 1 ,000.00 0.00 0.00 166. 67 200.00 366. 67 633 .33 S/L 5 . 0 �4 18252 HIE ; US HOUSE , INC . 10/ 16/2002 33 AM 59-2632361 Tax Asset Detail r /01 /01 - 6/30/02 Page 3 FYE : 6/30/2002 Date In Sec 179 Exp Salvage Prior Current End Net Asset Property Description Service Cost Current = c Value Depreciation Depreciation Depreciation Book Value Method Period Group: Computers (continued) 96 Dell Optiplex GX 110 9/05/00 19000.00 0.00 0.00 166. 67 200.00 366. 67 633 .33 S/L 5 . 0 97 Dell Optiplex GX110 9/05/00 1 ,000.00 0.00 0.00 166.67 200.00 366.67 633 .33 S/L 5 .0 98 Dell Optiplex GX110 8/24/00 1 , 148.00 0.00 0.00 191 .33 229 .60 420. 93 727.07 S/L 5 .0 99 Dell Optiplex GX110 8/24/00 1 , 148 .00 0.00 0.00 191 .33 229.60 420. 93 727.07 S/L 5 .0 100 Dell Optiplex GXI 10 8/24/00 1 , 148.00 0. 00 0. 00 191 .33 229.60 420.93 727.07 S/L 5 .0 101 Dell Optiplex GX 110 8/24/00 11148 .00 0.00 0.00 191 .33 229.60 420.93 727.07 S/L 5 . 0 102 Dell Optiplex GX110 8/24/00 11148 .00 0.00 0.00 191 .33 229. 60 420. 93 727. 07 S/L 5 .0 103 Software Nutrikids 8/18/00 860.00 0.00 0.00 238 . 89 286.67 525.56 334.44 S/L 3 .0 104 Dell Dimension L667 11 /30/00 1 ,350.00 0.00 0.00 157.50 270.00 427.50 922.50 S/L 5 .0 105 Dell 933 GX110 6/29/01 2,212.00 0.00 0.00 0.00 442.40 442.40 12769. 60 S/L 5 .0 106 Dell Optiplex GX110 6/12/01 1 ,565 .00 0.00 0.00 26. 08 313 .00 339. 08 1 ,225 . 92 S/L 5 . 0 161 2-E Machine 8/28/01 1 ,559. 92 O.00c 0.00 0.00 259.99 259 .99 1 ,299 .93 S/L 5 .0 162 Apple iMac Computer 11 / 19/01 19538.00 0.000 0. 00 0.00 179.43 179.43 1 ,358 . 57 S/L 5 . 0 163 Netopia ADSL Router 3/26/02 625. 00 0. 00c 0. 00 0. 00 31 .25 31 . 25 593 .75 S/L 5 .0 164 Norton Enterprise Anti-Virus 4/08/02 12000. 00 0.000 0.00 0.00 50.00 50.00 950.00 S/L 5 . 0 165 Dell Optiplex 240 Computer 5/ 16/02 11895 . 00 0.00c 0.00 0.00 31 .58 31 .58 19863 .42 S/L 5 .0 Computers 103�,281 .®89� c 7085 8513 ,5379 23 ,937. 51 Group: Equipment 7 Office equipment 94 10/31 /93 845 .00 0. 00 0.00 845 .00 0.00 845 . 00 0. 00 20ODB 5 . 0 8 Copier 1 /01 /96 61000.00 0.00 0. 00 6,000. 00 0.00 6,000.00 0.00 20ODB 5 .0 9 HP Fax 750 12/10/96 554.98 0.00 0.00 508. 75 46.23 554.98 0.00 S/L 5 .0 10 Beepers (27) 10/08/97 3 , 108 .99 0.00 0.00 2,623 .01 353 .44 29976.45 132 .54 20ODB 5 . 0 11 Phone System 7/31 /97 32133 .00 0.00 0.00 29744. 88 345 .00 3 ,089. 88 43 . 12 20ODB 5 .0 22 * Computer 11 /30/88 79711 . 11 0.00 0.00 7,711 . 11 0.00 71711 . 11 0. 00 20ODB 5 .0 23 Office equipment 6/30/89 80520.43 0.00 0.00 81520.43 0.00 8,520.43 0. 00 20ODB 7.0 24 Phone 7/31 /90 883 . 12 0.00 0.00 883 . 12 0.00 883 . 12 0.00 20ODB 7.0 25 Vacuum 7/31 /90 299.00 0.00 0.00 299.00 0. 00 299.00 0.00 20ODB 7. 0 26 Copier, Washer/Dryer, Fax 10/31 /91 2,352.67 0.00 0.00 22352.67 0.00 21352.67 0.00 S/L 7. 0 27 Equipment 6/30/92 61923 .99 0.00 0.00 69232.40 0.00 69232.40 691 .59 S/L 5 . 0 43 Mailing Machine 12/16/98 3 ,272.00 0.00 0.00 19900. 72 391 .79 2,292.51 979.49 20ODB 7. 0 44 Panasonic Copier 6/ 15/99 39623 .20 0.00 0.00 12840.65 509.30 21349.95 19273 .25 20ODB 7.0 47 Pitney Bose Mailing Machine 9/14/99 817.00 0.00 0.00 214.24 116. 71 330. 95 486 .05 S/L 7. 0 88 Panasonic Fax Machine 7/31 /00 19288.00 0.00 0. 00 236. 13 257.60 493 .73 794.27 S/L 5 .0 110 Panasonic Digital 816 Telephone 9/ 11 /00 4,975.00 0.00 0.00 829. 17 995 .00 19824. 17 32150. 83 S/L 5 . 0 111 Panasonic OF-885 Fax Machine 4/ 17/01 1 ,288.00 0.00 0. 00 42.93 257.60 300.53 987.47 S/L 5 .0 124 Freezer - Shelter 8/03/01 51082.40 0.00c 0.00 0.00 931 . 77 931 . 77 4, 150. 63 S/L 5 . 0 125 Refrigerator 8/03/01 22572.78 0.000 0.00 0.00 471 .68 471 .68 2, 101 . 10 S/L 5 .0 126 Cooler - Shelter 8/03/01 2,392.34 0.00c 0. 00 0.00 438.60 438 . 60 12953 . 74 S/L 5 . 0 127 Dishwasher - Shelter 8/07/01 61670.46 0.000 0.00 0. 00 19222.92 1 ,222.92 5 ,447.54 S/L 5 .0 128 Range - Shelter 8/14/01 62. 74 0.000 0. 00 0.00 11 .50 11 .50 51 .24 S/L 5 . 0 129 Range - Shelter 8/20/01 22469.75 0.00c 0. 00 0.00 411 .63 411 .63 2,058. 12 S/L 5 .0 130 Cooler - Shelter 11 /30/01 1 ,328 .67 0.00c 0.00 0. 00 155 . 01 155 .01 11173 . 66 S/L 5 .0 131 Cannon Digital Camera 12/10/01 799.00 0. 000 0.00 0. 00 93 .22 93 .22 705 . 78 S/L 5 . 0 Equipment 76,973 .63 0.00c 0. 00 439784.21 71009.00 50,793 .21 26, 180.42 18252 HIE SUS HOUSE , INC . 10/ 16/2002 33 AM 59-2632361 Tax Asset Detail 1/01 /01 - 6/30/02 Page 4 FYE : 6/30/2002 Date In Sec 179 Exp Salvage Prior Current End Asset = Property Description Service Cost Current = c Value Depreciation Depreciation Depreciation Book epValue Method Period Group: Equipment (continued) *Less: Dispositions 7,711 . 11 0.00 0.00 _ 7,711 . 11 0.00 79711 . 11 0. 00 Net Equipment 69,262 5@2 0. 00c 0.00 36,073 . 10 ====7600=9,001 082. 10 26, 180.42 Group : Furnishings 5 A/C condenser 11 / 19/97 19295.00 0.00 0. 00 907.34 114. 86 11022. 20 272. 80 20ODB 7.0 6 A/D air handler 7/23/97 19425 .00 0. 00 0.00 1 , 104.38 285 . 00 1 $ 89.38 35 .62 S/L 5 . 0 18 Household furnishings 10/31 /89 75 232.26 0. 00 0. 00 759232.26 0. 00 75 ,232.26 0. 00 S/L 10. 0 19 * Furniture/appliances 10/30/90 v 1 ,498. 84 0.00 0.00 1 ,498. 84 0.00 1 ,498. 84 0.00 S/L 10. 0 20 Dryer - Unimac DTB30CE 12/27/96 1 ,785 .00 0.00 21 Bunker Beds & Matress 6 0. 00 1 ,606.50 178.50 1 ,785 .00 0.00 SL 5 . 0 45 Shelter Washer ( ) 2/27/98 1 , 175 .00 0.00 0.00 792.67 109.24 901 . 91 273 .09 20ODB 7.0 8/05/98 12900.00 0.00 0.00 1 , 172. 96 207. 73 1 ,380. 69 519.31 20ODB 7.0 49 * C&R Air 4 Ton Air Handler Shelter 8/04/99 1 ,500.00 0.00 0.00 410. 72 71 .43 482. 15 11017. 85 S/L 7.0 50 C&R Air 4 Ton Air Handler Shelter 9/21 /99 1 , 155 .00 0.00 0.00 288 . 75 165.00 453 . 75 701 .25 SL 51 C&R Air 3 . 5 Ton Air Compressor S 1 /07/00 859.00 0.00 0.00 184.07 122. 71 306.78 552.22 S/L 7. 0 87 CEO Office Equipment 8/22/00 19674.00 0.00 0.00 199.29 239. 14 438 .43 1 ,235 .57 S/L 7.p 107 Shelving & Racks 1 /31 /01 > 921 . 10 0.00 0.00 38.38 92. 11 130.49 790.61 SL 10.0 121 * C&R Air 4-ton Handler - Shelter 8/20/01 310. 86 0.00c 0.00 0.00 7.40 7.40 303 .46 SL TO 122 54on Rheem Air Conditioner 10/29/01 4,780.00 0.00c 0. 00 0100 461 .33 S/L 123 Sofa 6/06/02 878.00 0. 00c 0.00 0.00 318.67 14.63 314.63 18,67 4863 . 37 S/L 15 .0 Furnishings 969389.06 0.00c 0. 00 839436. 16 12926.42 852362.58 111026.48 *Less: Dispositions 32309. 70 0. 00 0. 00 1 ,909.56 0.00 _ 1 ,988.39 1 ,321 .31 Net Furnishings 93 ,79.36 � 0.00c � 0. 00 811526.60 1 ,926.42 83 ,374 . 19 9,705 . 17 Group: Land -� 1 Land 6/30/89 45,000.00 0. 00 0. 00 0.00 0.00 0. 00 45 ,000.00 Land 0.0 2 Landscaping 10/31 /89 10, 130.70 0.00 0.00 0.00 0.00 0. 00 10, 130. 70 Land 0.0 3 Well 10/31 /89 19000.00 0. 00 0. 00 0.00 0. 00 0.00 1 ,000.00 Land 0.0 83 Land Vero Beach 4.29 Acres 2/01 /00 1009000.00 0.00 0.00 0. 00 0.00 0.00 100,000. 00 Land 0.0 Land 156213070 0. 00c X0.00 � 0, 00 0 00 156, 130. 70 Group: Leasehold improvements 12 * Leasehold improvements 11 /30/94 29637.50 0.00 0.00 19714. 38 131 . 88 19846.26 791 .24 SL 10. 0 13 * Leasehold imp. - Thrift shop 1 /27/97 52982.50 0.00 0.00 838. 81 0.00 838. 81 52143 . 69 S/L 31 .5 14 * Security System (Adm) 2/11 /98 810.00 0.00 0. 00 273 .38 10. 13 283 .51 526.49 SL 10. 0 48 Thrift Shop Sign 1 /27/00 800.00 0.00 0.00 113.33 80.00 193 .33 606.67 SL 10. 0 86 * Martin County Thrift Shop 2/01 /01 49833 . 10 0.00 0.00 201 .38 0.00 201 .38 4,631 .72 S/L 10.0 108 • Thrift Store - Floors 2/16/01 868.00 0.00 0.00 28.93 0.00 28. 93 839.07 SL 10. 0 109 Thrift Shop Signs 2/28/01 1 ,840.00 0.00 0.00 61 .33 184.00 245 .33 12594. 67 SL 10. 0 132 Flooring 9/04/01 1 ,227. 64 0.00c 0.00 0.00 102. 30 102.30 1 , 125 .34 SL 10.0 Leasehold improvements 18,998. 74 0.00c 0.00 3 ,231 .54 508.31 39739. 85 15,258. 89 *Less: Dispositions _ 15, 131 . 10 0.00 0.00 32056. 88 0.00 3 , 198. 89 11 ,932.21 Net Leasehold improvements .3, 867,64 0.00c 0.00 174. 66 508. 31 540. 96 3 ,326 .68 18252 HIE ; US HOUSE , INC . 10/ 16/2002 33 AM 59-2632361 Tax Asset Detail Y101 /01 - 6/30/02 Page 5 FYE : 6/30/2002 Date In Sec 179 Exp Salvage Prior Current End Net Asset _ Property Description Service Cost Current = c Value . Depreciation Depreciation Depreciation Book Value Method Period Group: Vehicle 38 Ford Club-Wagon 1993 6/04/98 14,241 .00 0.00 0.00 8,900.63 21848 .20 11 ,748 . 83 2,492. 17 S/L 5 .0 53 1999 Isuzu Truck 2/18/00 24,526.00 0.00 0.00 6,540.27 41905 .20 119445 .47 13 ,080.53 S/L 5.0 54 Truck Lettering Sign Co 3/05/00 500.00 0.00 0.00 133 .33 100. 00 233 .33 266.67 S/L 5 .0 85 Dodge Ram Wagon 5/30/01 24, 123 .50 0. 00 0.00 402.06 4, 824.70 52226.76 18, 896 .74 S/L 5 .0 158 Ford Club Wagon 9/25/01 1 ,303 . 73 0.00c 0.00 0.00 195 .56 195. 56 11108 . 17 S/L 5 . 0 159 Isuzu Truck 10/19/01 1 ,000.00 0.00c 0.00 0.00 133 .33 133 .33 866.67 S/L 5 .0 Vehicle65694.23 0.00c 0,00 15 13 ,006,9928 _ 36,710.95 Group: Vero Beach Start-Up � z 160 Building Pemuts 1 / 14/02 19855.00 0. 00c 0.00 0.00 185 .50 185.50 19669.50 Amort 5 . 0 166 Illustration of Hibiscus Village 6/30/01 21026.00 0.00 0.00 0. 00 405 .20 405 .20 1 ,620. 80 Amort 5 .0 Vero Beach Start-Up 31881 ,00 ®c 0.00 0. 00s 59030590, 70 31290.30 Grand Total 1 ,368,071 .45 0.000 0.00 323 ,812. 15 56,505 . 89 3802318 . 04 9875753 .41 Less: Dispositions 26, 151 .91 0.00 0.00 121677. 55 0.00 12, 898.39 13 ,253 .52 Net Grand Total 1 ,34154 0.00c X0,00 3111 13460 _ 562505 89367419 65 974,499. 89 3 ? e) c s : Tl Form 8868 Application for Extension of Time To File an (December theTreasury Exempt Organization Return Department of the TOMB No. 1545-1709 Internal Revenue Service ► File 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 11 (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 riled Form 8868, Part. I Automatic 3 -Month Extension of Time — Only submit original ( no copies needed ) Note : Form 990- T corporations requesting an automatic 6-month extension — check this box and complete Part 1 only . . . . ► ❑ All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns. Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041 . Type or Name of Exempt Organization Employer identification number print HIBISCUS CHILDREN ' S CENTER 59 - 2632361 File by the Number, street, and room or suite lte­no. If a P. O . box, see instructions . due date for P . O , BOX 305 filing your return. See City, town or post office, state, and ZIP code. For a foreign address , see instructions . instructions. JENS EN BEACH , FL 34958 Check type of return to be filed (file a separate application for each return ) : ❑X Form 990 ❑ Form 990-T (corporation) ❑ Form 4720 ❑ Form 990- BL ❑ Form 990-T (sec. 401 (a) or 408(a ) trust) E] Form 5227 ❑ Form 990-EZ ❑ Form 990-T (trust other than above) ❑ Form 6069 ❑ Form 990-PF ❑ Form 1041 -A ❑ Form 8870 • If the organization does not have an office or place of business in the United States , check this box . . . . . . . . . . . . . . . . . . ► ❑ • If this is for a Group Return , enter the organization '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 1 request an automatic 3-month (6- month , for 990-T corporation) extension of time until FEBRUARY 17 , 20 03 to file the exempt organization return for the organization named above. The extension is for the organization's return for: ► ❑ calendar year 20 ._. or ► ❑X tax year beginning JULY 1 20 01 — , and ending JUNE 30 , 20 02 . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ c Balance Due. Subtract line 3b from line 3a . Include your payment with this form , or, if required , deposit with FTD coupon or, if required , by using EFTPS ( Electronic Federe1- , o menfS� stem} See instructions Signature and Verification $ Under penalties of perjury, 1 declare that I have examined this f including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complet thorized to pr is m_ Signature ► / � QD V Title ► PA nn Date ► 11 / 11 / 02 For Paperwork Reduction Act Notice, see Instruction Form 8868 (12-2000 ) ISA STF FED9056F . 1 5/15/200.3 - 3: 10:03 PM Hibiscus Children 's Center Pagel Balance Sheet FUND 11 - OPERATIONS APRIL , 2003 Actual ASSETS CURRENT ASSETS CASH - UNRESTRICTED PETTY CASH PETTY CASH - SHELTER $300.00 PETTY CASH - FAMILY BUILDERS $ 150.00 PETTY CASH - CRISIS NURSERY $75 .00 PETTY CASH - ADMINISTRATION $50.00 PETTY CASH -FUND DEVELOPMENT $ 100.00 TOTAL PETTY CASH $675.00 BANK ACCOUNTS CENTER MONEY MARKET $ 152,770. 89 CENTER CHECKING $47866.02 PAYROLL CHECKING $221 . 76 NORTHERN TRUST CD $ 1119729.96 RIVERSIDE NATIONAL CD $96,687.60 TOTAL CASH IN BANK $366,276.23 TOTAL CASH - UNRESTRICTED $366,951 .23 ACCOUNTS RECEIVABLE A/R - STATE OF FLORIDA A/R - D.C.F/SHELTER $43 ,892. 15 A/R - D.C.F./FAMILY BUILDERS $367149. 76 A/R - D.C.F./CRISIS NURSERY $ 14,250.00 A/R- DCF FOSTER CARE $ 16,000.00 A/R MEDICAID $39912.50 TOTAL A/R - D.C.F. $ 110,291 .91 A/R - LOCAL AGENCIES $8,607.26 A/R - BOARD OF DIRECTORS $800.00 A/R - OTHER $661 . 73 TOTAL ACCOUNTS RECEIVABLE $ 120,360.90 OTHER CURRENT ASSETS PREPAID EXPENSES $ 191776. 55 PREPAID POSTAGE $ 1 ;935 .05 DEPOSITS $ 10,265 .60 TOTAL OTHER CURRENT ASSETS $31 ,977.20 TOTAL CURRENT ASSETS $523 ,201 . 83 5/15/2003 - 3 : 10:03 PM Hibiscus Children 's Center Page Balance Sheet FUND 11 - OPERATIONS APRIL , 2003 Actual FIXED ASSETS LAND $ 156, 130.70 BUILDINGS $8469647.20 START UP COSTS VERO BEACH RANCH $3,881 .00 FURNISHINGS $939079.36 EQUIPMENT $70,736. 17 COMPUTER'S $ 107,836. 79 VEHICLE $659694.23 LEASEHOLD IMP - THRIFT SHOP $39867.64 ACCUMULATED DEPRECIATION ($368, 186.52) TOTAL FIXED ASSETS $979,686. 57 DUE FROM'S DUE FROM RESTRICTED ($4,476.07) DUE FROM FOUNDATION UNRESTR $4,059. 57 TOTAL DUE FROM'S ($416.50) TOTAL ASSETS $ 195029471 .90 LIABILITIES AND FUND BALANCES LIABILITIES CURRENT LIABILITIES ACCOUNTS PAYABLE A/P - VENDORS $21 ,208.52 A/P STATE UNEMPLOYMENT $ 1 ,037.06 TOTAL A/P - TAXES $22,245 .58 A/P - BENEFITS A/P - EMPLOYEE LIFE ($71 .92) A/P - COBRA HEALTH REIMBU $257.28 TOTAL A/P - BENEFITS $ 185.36 A/P - SALES TAX $ 1 ,296. 74 TOTAL ACCOUNTS PAYABLE $23,727.68 ACCRUED EXPENSES $709993 .34 TOTAL CURRENT LIABILITIES $949721 .02 NOTE PAYABLE - NORTHERN TRUST $2539919.39 5/15/2003 - 3: 10:03 PM Hibiscus Children ' s Center Page Balance Sheet FUND 11 = OPERATIONS APRIL , 2003 Actual DUE TO'S DUE TO RESTRICTED $ 159111 .48 TOTAL DUE TO'S $ 159111 .48 TOTAL LIABILITIES $363,751 .89 FUND BALANCES UNRESTRICTED $ 1 ;140,013 .25 TOTAL FUND BALANCE $ 1 , 140,013 .25 NET SURPLUS/(DEFICIT) ($ 19293 .24) ENDING FUND BALANCE $ 191389720.01 TOTAL LIABILITIES/FUND BALANCE $ 1 ,5021471 .90 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance SUPPORT AND REVENUE SUPPORT GOVERNMENT FUNDING SHELTER GOVERNMENT FUNDING D.C.F.- SHELTER $769;361 .00 $42,486. 15 $641 , 134.20 $551 ,517.94 ($89,616.26) FOOD & NUTRITION PROGRAM $202000.00 $2,615.00 $ 165666. 70 $ 16, 120.00 ($546.70) MEDICAID $353 ,920.00 $21 ,242.00 $294,933 .30 $ 185 ,721 .26 ($ 109,212.04) TOTAL SHELTER FUNDING 50 $ 11143;281 .00 $66,343. 15 $952,734.20 $7539359.20 ($ 1999375 .00) FAMILY BUILDERS GOVT FUNDING D.C.F. - FAMILY BUILDERS $410, 165 .00 $367149.76 $3417804.20 $331 ,776.69 ($ 102027.51 ) MARTIN CO CSC - FAMILY BUILDERS $ 17,500.00 $0.00 $ 14,583 .30 $7,920.08 ($62663 .22) ST. LUCIE CO. CSC - FAMILY BUILDERS $ 17,500.00 $ 1 ,458 .34 $ 10,207.96 $ 10,208.38 $0.42 TOTAL FAMILY BLDERS FUNDING $4459165 .00 $379608. 10 $366,595 .46 $349,905 . 15 ($ 162690.31 ) CRISIS NURSERY GOVT FUNDING D.C.F. - CRISIS NURSERY $ 171 ,000.00 $ 14,250.00 $ 142,500.00 $ 1420500.00 $0.00 MARTIN CO CSC - CRISIS NURSERY $252000.00 $29148.92 $202833 .30 $20,420.95 ($412.35) ST LUCIE CO CSC-CRISIS NURSERY $355000.00 $2,916.67 $272221 .95 $209416.69 ($69805 .26) OKEECHOBEE CO CSC-CRISIS NURS $79500.00 $0.00 $59625.00 $5,875 .00 $250.00 INDIAN RIVER CO CSN-CRIS NURS $259000.00 $2,083 .33 $20,833 .30 $209833 .34 $0.04 TOTAL CRISIS NURSERY FUNDING $263,500.00 $219398 .92 $217,013 .55 $2109045 .98 ($6,967.57) DCF - FOSTER CARE $ 1629000.00 $ 16,000.00 $ 1359000.00 $ 100,838.50 ($34, 161 .50) FOSTER CARE-MISC INCOME $0.00 $0.00 $0.00 $27. 85 $27. 85 HEALTHY FAMILIES FLORIDA $0.00 $0.00 $0.00 ($ 1 ,913 .55) ($ 1 ,913 .55) TOTAL GOVERNMENT FUNDING $2,0137946.00 $ 141 ,350. 17 $ 10671 ,343 .21 $ 1 ,4121235 .28 ($2599107.93) 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance NON-GOVERNMENT FUNDING UNITED WAY - ST. LUCIE COUNTY - CRISIS Ni $ 19,000.00 $ 1 ,666.67 $ 14,630.00 $ 169666. 70 $25036.70 UNITED WAY - MARTIN COUNTY - CRISIS NUI $0.00 $0.00 $0.00 $ 10,000.00 $ 109000.00 FOUNDATION MISSION SUPPORT- FUNDRAISI $2945875 .00 $24,572.92 $245 ,729.20 $270$ 02 . 12 $24,572.92 FOUNDATION MISSION SUPPORT - ADMINIST] $ 188,871 .00 $ 159739.25 $ 157,392.50 $ 173 , 131 .75 $ 15,739.25 FOUNDATION MISSION SUPPORT - SHELTER $302,524.00 $25,210.33 $252, 103 .30 $277,313 .63 $25,210.33 FOUNDATION MISSION SUPPORT - SHELTER C $395 .00 $32.92 $329.20 $362. 12 $32.92 BOARD DUES/FEES $0.00 $0.00 $0.00 $49900.00 $4,900.00 TOTAL NON-GOVERNMENT SUPPORT $8057665 .00 $67,222.09 $670, 184.20 $7525676.32 $82,492. 12 TOTAL SUPPORT $2,819,611 .00 $2085572.26 $2 ,3415527.41 $22164,939.45 ($ 176,587.96) REVENUES DONATIONS GENERAL DONATIONS $0.00 $0.00 $0.00 ($9.73) CRISIS NURSERY DONATIONS ($9.73) $50,000.00 $ 15000.00 $50,000.00 $32105 .00 ($46,895 .00) FAMILY BUILDERS DONATIONS $0.00 $0.00 $0.00 $8.70 $8.70 SHELTER CLINICAL DONATION $0.00 $0.00 $0.00 $ 15 ,333 .33 $ 159333 .33 FOSTER CARE DONATIONS $0.00 $0.00 $0.00 $450.00 $450.00 TOTAL DONATIONS $503000.00 $ 1 ,000.00 $509000.00 $ 185887.30 ($319112.70) OTHER REVENUE THRIFT SHOP-MARTIN COUNTY $ 1965910.00 $21 ,721 .70 $ 164,091 .70 $ 1820372.36 $ 182280.66 MISCELLANEOUS INCOME $0.00 $0.21 $0.00 THRIFT SHOP MARTIN CO. CREDIT CARD $0.00 $0. 1 $0.21 $0.00 $0.00 $ 1 ,772. 10 $ 12772. 10 TOTAL OTHER REVENUE $ 196,910.00 $21 ,721 .91 $ 1649091 .70 $ 1849144.67 $20,052.97 TOTAL REVENUE $246,910.00 $229721 .91 $214,091 .70 $2039031 .97 ($ 119059.73) INVESTMENT INCOME 5/15/2003 - 3: 11 :07 PM Hibiscus Children 's Center Page 3 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance INTEREST - ADMINISTRATION $ 11 ,348.00 $404.59 $99456. 70 $69436.26 ($35020.44) INTEREST - FOSTER CARE $0.00 $0.00 $0.00 $0.00 $0.00 GAIN/LOSS ON STOCK SALE $0.00 $0.00 $0.00 $0.00 $0.00 GAIN/LOSS ON SALE OF ASSET $0.00 $200.00 $0.00 $200.00 $200.00 TOTAL INVESTMENT INCOME $ 113348.00 $604. 59 $9,456.70 $69636.26 ($2,820.44)m TOTAL SUPPORT AND REVENUE $39077,869.00 $2319898 .76 $225659075 . 81 $2,374,607.68 ($ 190,468. 13) EXPENSES SHELTER OPERATIONS EXPENSES SALARIES SHELTER SUPPORT STAFF $3329333 .00 $209179. 80 $2769944.20 $221 , 123 .57 CHILDCARE WORKERS ($55,820.63) $535,748.00 $35,945 .20 $4465456.70 $446,274.90 ($ 181 .80) CN SHELTER SALARY REIMB ($809362.00) ($6,696. 83) ($66,968.30) ($66,968 .30) $0.00 TOTAL SALARIES $787,719.00 $49,428 . 17 $656,432.60 $600,430. 17 ($562002.43) PAYROLL TAXES SH FICA $66,408.00 $4,383 .36 $559340.00 $52,653 .77 CN SHELTER FICA REIMB ($2,686.23) ($6, 148.00) ($512.33) ($5 , 123 .30) ($5, 123 .30) $0.00 SH STATE UNEMPLOYMENT $6,359.00 $565 .25 $5,299.20 TOTAL PAYROLL TAXES $5,400. 83 $ 101 .63 $66,619.00 $43436.28 $55,515 .90 $52,931 .30 ($2,584.60) SH EMPLOYEE BENEFITS SH HEALTH INSURANCE $55,557.00 $32197.89 $469297.50 $36,246. 31 SH DENTAL/VISION INSURANCE ($ 10,051 . 19) $7,924.00 $296.79 $6,603 .30 $32522.50 ($31080.80) SH SHORT TERM DISABILITY INSURANCE $0.00 ($351 .56) $0.00 SH LIFE & LONG TERM DISABILITY ($2,941 .51 ) ($2,941 .51 ) $6,304.00 $ ] , 157.61 $59253 .30 $7,681 . 19 $2,427.89 SH RETIREMENT PLAN CONTRIB $8,003 .00 $ 177.08 $69669.20 $22179.75 ($49489.45) 5/15/2003 - 3 : 11 : 07 PM Hibiscus Children ' s Center Page 4 Income Statement FUND 11 - OPERATIONS APRIL , 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance SH WORKERS COMPENSATION $635478.00 $2440.38 $527898 .30 $265521 .22 ($26,377.08) CN SHELTER WORK COMP REIMB ($5 ,320.00) ($443 .33 ) ($49433 .30) ($4,433 .30) $0.00 SH OTHER EMPLOYEE EXPENSES $7,986.00 $733 .78 $6,655 .00 $6, 185 .40 ($469.60) SH TOTAL BENEFITS $ 1435932.00 $7,208 .64 $ 119,943 .30 $745961 .56 ($44,981 .74) SH INSURANCE SH PROPERTY INSURANCE $99751 .00 $807.64 $8, 125 . 80 $8,016.29 ($ 109.51 ) SHELTER AUTO INSURANCE $ 109504.00 $870.30 $8,753 .30 $8,638.27 ($ 115 .03) SH LIABILITY INSURANCE $49063 .00 $336.46 $3,385 .80 $32339.56 ($46.24) CN SHELTER INSURANCE REIMB ($ 1 , 109.00) ($92.42) ($924.20) ($924.20) $0.00 SH TOTAL INSURANCE $23,209.00 $ 19921 .98 $ 19,340.70 $ 199069.92 ($270. 78) SH UTILITIES/TELEPHONE/RENT SH UTILITIES $25,014.00 $2,047.93 $20,845 .00 $ 19,663 .30 SH TELEPHONE ($ 1 , 181 .70) $99699.00 $836.02 $8,082.50 $7,333 . 18 ($749.32) CN SHELTER UTILITIES REIMB ($23752.00) ($229.33) ($2,293 .30) ($2,293 .30) $0.00 SH STORAGE RENTAL $ 100.00 $0.00 $83.30 SH TOTAL UTIL/TELEPHONE/RENT $0.00 ($83 .30) $32,061 .00 $2,654.62 $26,717.50 $24,703 . 18 ($25014.32) SH TRAVEL SH AUTO $ 1 ,441 .00 $924.33 $ 19200.80 SH LOCAL MILEAGE REIMBURSEMENT $2,742.57 $ 1 , 1 .77 $561 .00 $77.92 $467.50 $589.24 $ 12121 . 74 SH CONFERENCE/TRAINING $ 1 ,000.00 $ 11 .75 $833 .30 $2,900.94 $2,067.64 SH TOTAL TRAVEL $35002.00 $ 1 ,014.00 $29501 .60 $61232.75 $39731 . 15 SH OFFICE SUPPLIES SH POSTAGE $322.00 $29.33 $268.30 SH SUPPLIES $201 .37 ($66.93) $4,878.00 $612.72 $4,065 .00 $39615.71 ($449.29) SH TOTAL OFFICE SUPPLIES $5 ,200.00 $642.05 $49333 .30 $3 ,817.08 ($516.22) 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance SH PROFESSIONAL FEES SH ACCOUNTING $4,070.00 $351 .50 $4,070.00 $4,078.88 $8 . 88 SHELTER SOFTWARE MAINTENANCE $2,873 .00 $234.34 $2,394.20 $29537. 18 $ 142.98 SH TOTAL PROFESSIONAL FEES $65943 .00 $585 . 84 $62464.20 $6,616.06 $ 151 . 86 SH GENERAL OPERATING EXPENSES SH ADVERTISING $4, 130.00 $ 129.03 $3 ,441 .70 $39088.72 ($352.98) SH DUES/LICENSES/FEES $624.00 $29.99 $520.00 $573 .85 $53 . 85 SH EQUIPMENT RENTAL $32350.00 $0.00 $2,791 .70 $0.00 ($25791 .70) SH MAINTENANCE $ 15,480.00 $ 15517.83 $ 12,900.00 $ 14,979.96 $2,079.96 CN SHELTER MAINTENANCE REIMB ($ 19540.00) ($ 128.33) ($ 1 ,283 .30) ($ 1 ,283 .30) $0.00 SH PRINTING $ 100.00 $0.00 $83 .30 $262.05 $ 178 .75 SHELTER VOLUNTEER EXPENSE $2, 188 .00 $22. 14 $ 1 ,823 .30 $633 .67 ($ 1 , 189.63) SH TOTAL GENERAL EXPENSES $24,332.00 $ 1 ,570.66 $20,276.70 $ 18,254.95 ($2,021 .75) SH PROGRAM SERVICES SH CHILD ID PHOTOS $ 100.00 $0.00 $83 .30 $0.00 ($83.30) SH CLOTHING/SHOES $0.00 ($ 113 .64) $0.00 $0.00 $0.00 SH EDUCATIONAL MATERIALS $ 100.00 $ 186.39 $83 .30 $574.24 $490.94 SH PERSONAL SUPPLIES $4,441 .00 $ 128.29 $39700.80 $45293 .31 $592 .51 SH LINENS $ 100.00 $0'.00 $83 .30 $ 105 .80 $22.50 SH PHARMACEUTICAL $4,469.00 $ 155 .80 $3 ,724.20 $29301 .22 ($ 1 ,422.98) SH THERAPEUTIC $665 .00 $0.00 $554.20 $0.00 ($554.20) SH RAW FOOD $6,306.00 $2,040.92 $5,255 .00 $93364.36 $4, 109.36 SH Milk $200.00 $ 192.54 $ 166.70 $346.66 $ 179.96 CN SHELTER FOOD REIMB ($976.00) ($91 .93) ($813 .30) ($813 .30) $0.00 SH KITCHEN/JANITORIAL $ 11 ,501 .00 $590.35 $9,584.20 $79501 . 11 ($2,083 .09) CN SHELTER SUPPLIES REIMB ($ 1 ,725 .00) ($ 143 .75) ($ 1 ,437.50) ($ 13437.50) $0.00 SH PRE-SCHOOL $ 100.00 $0.00 $83 .30 $ 142.37 $59.07 SH TOTAL PROGRAM SERVICES $25,281 .00 $2,944.97 $219067.50 $229378 .27 $ 1 ,310.77 5/15/2003 - 3 : 11 : 07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance TOTAL SHELTER OPERATION $ 1 , 118,298 .00 $729407.21 $9329593 .30 $829,395 .24 ($ 103 , 198 .06) ADMINISTRATION EXPENSES ADMINISTRATION STAFF $ 123 , 111 .00 $72358.52 $ 1029592 .50 $749478 .98 ($289113 .52) ADMIN PAYROLL TAXES ADMIN FICA $99418 .00 $567.98 $7,848.30 $7,645 .70 ($202.60) ADMIN STATE UNEMPLOYMENT $ 1 ,070.00 $ 14. 15 $891 .70 $740.72 ($ 150.98) ADMIN TOTAL PAYROLL TAXES $ 10,488.00 $582. 13 $8,740.00 $8,386.42 ($353 .58) ADMIN EMPLOYEE BENEFITS ADMIN HEALTH INSURANCE $89122.00 $512.62 $6,768.30 $55485 .47 ($ 12282. 83) ADMIN DENTAL INSURANCE $ 1 , 158.00 $50.68 $965 .00 $599 .02 ($365 .98) ADMIN SHORT TERM DISABILITY INSURANCI $0.00 ($77.69) $0.00 ($515 .47) ($515.47) ADMIN LIFE & LONG TERM DISABIL $922.00 $263 .27 $768.30 $ 1 ,594. 14 $825 . 84 KEY EMPLOYEE LIFE INSURANCE $0.00 $0.00 $0.00 $0.00 $0.00 ADMIN RETIREMENT PLAN $ 1 ,662.00 $77.36 $ 1 ,385 .00 $999 .28 ($385.72) ADMIN WORKERS COMPENSATION $2,802.00 $89.01 $2,335 .00 $ 1 ,405 .51 ($929.49) ADMIN VEHICLE ALLOWANCE $89300.00 $295 .46 $62916.70 $59070.46 ($ 1 ,846.24) ADMIN OTHER EMPLOYEE EXPENSES $924.00 $70.63 $770.00 $ 19277.88 $507.88 ADMIN TOTAL EMPLOYEE BENEFITS $23 ,890.00 $ 1 ,281 .34 $ 19,908 .30 $ 15 ,916.29 ($3,992.01 ) ADMIN INSURANCE ADMIN PROPERTY INSURANCE $430.00 $35 .52 $358 .30 $352.59 ($5.71 ) ADMIN GENERAL LIABILITY $653 .00 $60.99 $544.20 $605 .41 $61 .21 ADMIN DIRECTORS & OFFICERS $39578.00 $255 .00 $29981 . 70 $29213 .33 ($768.37) ADMIN TOTAL INSURANCE $4,661 .00 $351 .51 $39884.20 $3 , 171 .33 ($712.87) ADMIN UTILITIES/TELEPHONE/RENT ADMIN UTILITIES $822.00 $58.60 $685 .00 $627.22 ($57.78) 5/ 15/2003 - 3: 11 : 07 PM Hibiscus Children ' s Center Pagel Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance ADMIN TELEPHONE $27731 .00 $244. 13 $2,275 .80 $29544.71 $268.91 ADMIN RENT & STORAGE $5,844.00 $70.75 $4,870.00 $673 .50 ($49196.50) MOTRGAGE INTEREST $0.00 $231 .59 $0.00 $2,338.67 $2,338.67 ADMIN TOTAL UTILITIES/PHONE/RE $99397.00 $605 .07 $7,830.80 $6, 184. 10 ($ 1 ,646.70) ADMIN TRAVEL ADMIN LOCAL MILEAGE $ 144.00 $54.29 $ 120.00 $ 172.26 $52.26 ADMIN CONFERENCE/TRAINING $ 19000.00 $0.00 $833 .30 $327. 13 ($506. 17) ADMIN TOTAL TRAVEL $ 1 , 144.00 $54.29 $953 .30 $499.39 ($453 .91 ) ADMIN OFFICE SUPPLIES ADMIN POSTAGE $ 1 ,914.00 $230.55 $ 19595 .00 $29408.93 $813 .93 ADMIN SUPPLIES $ 19381 .00 ($241 . 10) $ 1 , 150.80 ($ 19760.75) ($2,911 .55) ADMIN TOTAL OFFICE SUPPLIES $3 ,295 .00 ($ 10.55) $2,745 .80 $648 . 18 ($2,097.62) ADMIN PROFESSIONAL FEES ADMIN ACCOUNTING $660.00 $57.00 $660.00 $661 .44 $ 1 .44 ADMIN LEGAL $ 100.00 $0.00 $83 .30 $0.00 ($83 .30) ADMIN CONSULTING/SOFTWARE SUPPORT $ 1 ,000.00 $4,682.24 $833 .30 $5 ,727.21 $4,893 .91 ADMIN TOTAL PROFESSIONAL FEES $ 1 ,760.00 $4,739.24 $ 1 ,576.60 $69388.65 $49812.05 ADMIN GENERAL OPERATING EXPENS ADMIN ADVERTISING/HIRING EXPEN $459.00 $2,414.26 $382.50 $29647.43 $2,264.93 ADMIN BANK CHARGES $953 .00 $98.33 $794.20 $825 .02 $30.82 ADMIN OPERATING BOARD EXPENSES $3 ,381 .00 $504.62 $2,817.50 $ 19796. 16 ($ 19021 .34) ADMIN FOUNDATION BOARD EXPENSE $3 ,773 .00 $ 191 .30 $3 , 144.20 $ 1 ,341 .80 ($ 1 ,802 .40) INDIAN RIVER FOUNDATION BOARD EXPENS $0.00 $ 193 .63 $0.00 $684.57 $684.57 ADMIN DUES/LICENSES/FEES $4,691 .00 $29.99 $39909.20 $ 1 ,339.96 ($2,569.24) PROPERTY TAXES $0.00 $0.00 $0.00 $3 ,379.91 $3,379.91 ADMIN EQUIPMENT RENTAL $55127.00 $61 .29 $4,272.50 $680. 15 ($3 ,592.35) ADMIN MAINTENANCE/REPAIRS $2,491 .00 $ 149. 16 $2,075 . 80 $ 1 ,588.76 ($487 .04) 5/15/2003 - 3: 11 : 07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance ADMIN MEALS/MEETINGS $468 .00 $0.00 $390.00 $390.37 $0.37 ADMIN PRINTING $343 .00 $68. 88 $285 . 80 $353 .21 $67.41 ADMIN VOLUNTEER EXPENSE $378.00 $3 .63 $315.00 $267.00 ($48 .00) ADMIN SUBSCRIPTIONSBOOKS $ 100.00 $0.00 $83 .30 $0.00 ($83 .30) ADMIN MISC EXPENSES/ADJUSTMENT $0.00 $0.00 $0.00 $ 18 . 16 $ 18. 16 ADMIN X-MAS PARTY EXPENSES $0.00 $0.00 $0.00 $ 1 ,005 . 11 $ 1 ,005. 11 ADMIN TOTAL GENERAL EXPENSES $229164.00 $3 ,715 .09 $ 18,470.00 $ 169317.61 ($2, 152.39) ADMIN PROGRAM SERVICES ADMIN RAW FOOD $ 100.00 $29.95 $83.30 $72.65 ($ 10.65) ADMIN KITCHEN/JANITORIAL SUP $294.00 $ 102 .29 $245 .00 $507.66 $262.66 ADMIN PUBLIC EDUC/ADVOCACACY $914.00 $49.95 $761 .70 $524.45 ($237.25) ADMIN TOTAL PROGRAM SERVICES $ 15308.00 $ 182. 19 $ 11090.00 $ 1 , 104.76 $ 14.76 TOTAL ADMINISTRATION $2019218 .00 $ 18,858 . 83 $ 1679791 .50 $ 133 ,095 .71 ($345695 .79) FOSTER CARE SALARIES $ 105,781 .00 $89924.28 $88, 150.80 $ 107,550.64 $ 19,399.84 FOSTER CARE PAYROLL TAXES FOSTER CARE STATE UNEMPLOY TAX $434.00 $ 10.84 $361 .70 $660.34 $298.64 FOSTER CARE FICA $89092.00 $668.24 $6,743 .30 $8, 178.26 $ 1 ,434.96 FOSTER CARE PAYROLL TAXES TOTAL $82526.00 $679.08 $7, 105 .00 $89838 .60 $ 1 ,733 .60 FOSTER CARE EMPLOYEE BENEFITS FOSTER CARE HEALTH INSURANCE $7,614.00 $593 .70 $6,345 .00 $39273 .88 ($39071 . 12) FOSTER CARE DENTAL/VISION INSURANCE $ 1 ,086.00 $60.35 $905 .00 $845 .25 ($59.75) SHORT TERM DISABILITY $0.00 ($96.69) $0.00 ($750.94) ($750.94) FOSTER CARE LIFELONG TERM DISABILITY $864.00 $303 .51 $720.00 $ 1 ,612. 17 $892. 17 FOSTER CARE RETIREMENT PLAN $ 19405 .00 $ 14.78 $ 15170.80 $29.56 ($ 1 , 141 .24) FOSTER CARE WORKER'S COMP $3 ,459.00 $ 177.87 $2,882.50 $ 19988.07 ($894.43) 5/15/2003 - 3: 11 : 07 PM Hibiscus Children ' s Center Page Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance FOSTER CARE OTHER EMPLOYEE EXP $ 1 ,233 .00 $0.00 $ 19027.50 $429.20 ($598.30) FOSTER CARE EMPLOYEE BENEFIT TOTAL $ 15 ,661 .00 $ 1 ,053 . 52 $ 139050. 80 $79427. 19 ($5,623 .61 ) FOSTER CARE INSURANCE EXPENSE FOSTER CARE PROPERTY INSURANCE $62.00 $5 .03 $51 .70 $49.89 ($ 1 .81 ) FOSTER CARE LIABILITY INSURANCE $ 1 $ 50.00 $ 111 .93 $ 19125 .00 $ 1 , 110.99 ($ 14.01 ) FOSTER CARE INSURANCE TOTAL $ 19412.00 $ 116.96 $ 1 , 176.70 $ 1 , 160. 88 ($ 15 . 82) FOSTER CARE UTIL/TELE/RENT FOSTER CARE UTILITIES $ 1 ,394.00 $61 .82 $ 15161 .70 $651 .46 ($510.24) FOSTER CARE TELEPHONE $7,220.00 $568 .91 $6,016.70 $6,038. 70 $22.00 FOSTER CARE RENT $3 ,000.00 $250.00 $29500.00 $3 ,750.00 $ 1 ,250.00 FOSTER CARE UTIL/TELE/RENT TTL $ 119614.00 $880.73 $9,678.40 $ 109440. 16 $761 . 76 FOSTER CARE TRAVEL EXPENSES FOSTER CARE LOCAL MILEAGE $5,636.00 $365 .73 $4,696.70 $49974.45 $277.75 FOSTER CARE CONFER/TRAINING $59363 .00 $0.00 $4,469.20 $ 19013 . 19 ($39456.01 ) FOSTER CARE TRAVEL TOTAL $ 10,999.00 $365 .73 $9, 165 .90 $55987.64 ($3 , 178.26) FOSTER CARE OFFICE SUPPLIES FOSTER CARE POSTAGE $706.00 $ 123 .20 $588.30 $ 010.52 $722.22 FOSTER CARE SUPPLIES $39578.00 $290.55 $29981 .70 $39981 . 16 $999.46 FOSTER CARE SUPPLIES TOTAL $4,284.00 $413 .75 $39570.00 $5,291 .68 $ 1 ,721 .68 FOSTER CARE PROFESSIONAL FEES FOSTER CARE ACCOUNTING FEES $660.00 1 $57.00 $660.00 $661 .44 $ 1 .44 SOFTWARE SUPPORT $444.00 $38.00 $370.00 $411 .47 $41 .47 FOSTER CARE PROFES FEES TOTAL $ 1 , 104.00 $95 .00 $ 19030.00 $ 1 ,072.91 $42.91 FOSTER CARE OPERATING EXPENSES 5/15/2003 - 3: 11 :07 PM Hibiscus Children ' s Center Page 10 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance FOSTER CARE ADVERTISING $ 12,000.00 $ 19355 .76 $ 109000.00 $ 119788. 83 $ 1 ,788 .83 FOSTER CARE DUES/LIC/FEES $862.00 $ 14.29 $718.30 $ 14.29 ($704.01 ) FOSTER CARE EQUIPMENT RENTAL $609.00 $0.00 $507.50 $0.00 ($507.50) FOSTER CAREMAINT/REPAIR $ 19862.00 ($2.42) $ 12551 .70 $73 .60 ($ 1 ,478. 10) FOSTER CARE PRINTING $73240.00 $0.00 $69033 .30 $2,626.84 ($3,406.46) FOSTER CARE GENERAL EXP TOTAL $22,573 .00 $ 19367.63 $ 18,810.80 $ 149503 .56 ($4,307.24) FOSTER CARE PROGRAM EXPENSES MAPP TRAINING SUPPLIES $33000.00 $50.00 $2,500.00 $67.51 ($2,432 .49) FOSTER CARE PROGRAM EXPENSES $0.00 $0.00 $0.00 $275 .00 $275 .00 FOSTER CARE PROGRAM EXP TOTAL $3,000.00 $50.00 $2,500.00 $342.51 ($29157.49) FOSTER CARE EXPENSE TOTAL $ 184,954.00 $ 132946.68 $ 154,238.40 $ 162,615 .77 $81377.37 FUND DEVELOPMENT EXPENSES FUND RAISING STAFF SALARIES $2149510.00 $ 159215.67 $ 178,758.30 $ 199,447.23 $20688.93 FUND RAISING PAYROLL TAXES FUND RAISING FICA $ 16,410.00 $ 1 ,000. 74 $ 13 ,675 .00 $ 13,387.38 ($287.62) FUND RAISING STATE UNEMPLOY $ 1 ,244.00 ($ 1 .60) $ 19036.70 $610.37 ($426.33 ) FUUND RAISING TOTAL PSR TAXES $ 17,654.00 $999. 14 $ 14,711 .70 $ 13,997.75 ($713 .95) FR EMPLOYEE BENEFITS FUND RAISING HEALTH INSURANCE $ 132223 .00 $703 .71 $ 11 ,019.20 $75542.08 ($33477. 12) FUND RAISING DENTALNISION INSURANCE $ 13886.00 $93 .27 $ 1 ,571 . 70 $965 . 19 ($606.51 ) SHORT TERM DISABILITY $0.00 ($ 178.93 ) $0.00 ($677.65) ($677.65) F R LIFE & LONG TERM DISABILI $ 1 ,500.00 $519.73 $ 19250.00 $2,534.21 $ 1 ,284.21 FR RETIREMENT PLAN $3 ,034.00 $ 144.99 $29528.30 $ 19721 .98 ($806.32) FUND RAISING WORKERS COMP $39754.00 $ 188 .70 $39128 .30 $ 1 ,731 .33 ($ 19396.97) 5/15/2003 - 3: 11 : 07 PM Hibiscus Children ' s Center Page 11 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance F R OTHER EMPLOYEE EXPENSES $801 .00 $33 .50 $667.50 $ 1 ,339. 54 $672 .04 F R TOTAL EMPLOYEE BENEFITS $24, 198.00 $ 1 ,504.97 $20, 165 .00 $ 15 , 156.68 ($55008.32) FUND RAISING INSURANCE FUND RAISING PROPERTY INSURANCE $675 .00 $55 .96 $562.50 $555 .45 ($7.05) FUND RAISING LIABILITY INSURANCE $ 1 ,060.00 $951 .28 $883 .30 $951 .28 $67.98 FUND RAISING INSURANCE TOTAL $ 19735 .00 $ 1 ,007.24 $ 1 ,445.80 $ 1 ,506.73 $60.93 F R UTILITIES/TELEPHONE/RENT FR UTILITIES $ 1 ,229.00 $ 103 .32 $ 1 ,024.20 $ 19092.27 $68.07 FUND RAISING TELEPHONE $6,495 .00 $830.51 $5,412.50 $7,649. 18 $29236.68 FUND RAISING RENT $4,470.00 $55.00 $39725 .00 $559.00 ($3 , 166.00) MORTGAGE INTEREST $0.00 $363 .92 $0.00 $3 ,675.07 $3 ,675 .07 F R TOTAL UTILITIES/PHONE/RENT $ 129194.00 $ 19352. 75 $ 10, 161 .70 $ 12,975.52 $25813 .82 FUND RAISING TRAVEL FUND RAISING LOCAL MILEAGE $2,545 .00 $340.32 $2, 120. 80 $2,669. 10 $548 .30 FUND RAISING CONFERENCE $ 1 ,400.00 $0.00 $ 1 , 166.70 $ 1 ,345 .98 $ 179.28 FUND RAISING TOTAL TRAVEL $39945 .00 $340.32 $3 ,287.50 $49015 .08 $727.58 FUND RAISING OFFICE SUPPLIES FUND RAISING POSTAGE $ 19782 .00 $ 158.24 $ 19485.00 $ 12882 .70 $397. 70 FUND RAISING SUPPLIES $4,031 .00 $311 . 13 $39359.20 $33618.84 $259.64 FUND RAISING SUBSCRIPTIONS $409 .00 $0.00 $340.80 $305 .31 ($35 .49) F R TOTAL OFFICE SUPPLIES $6,222.00 $469.37 $5 , 185 .00 $5 ,806.85 $621 .85 FUND RAISING PROFESSIONAL FEES FUND RAISING ACCOUNTING $ 1 , 100.00 $95 .00 $ 1 , 100.00 $ 19102.40 $2.40 FUND RAISING SOFTWARE SUPPORT $739.00 $63 .33 $615. 80 $685 .74 $69.94 F R TOTAL PROFESSIONAL FEES $ 1 ,839.00 $ 158.33 $ 1 ,715 .80 $ 1 ,788. 14 $72.34 5,15,2003 _ 3: 11 :07 PM Hibiscus Children ' s Center Page 12 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance F R GENERAL OPERATING EXPENSES FUND RAISING ADVERTISING $300.00 $0.00 $250.00 $520.63 $270.63 F R GENERAL LIABILITY INSUR $0.00 ($855 .44) $0.00 $0.00 $0.00 FUND RAISING DUE/LICENSES/FEES $39249.00 $ 14.28 $2,707.50 $3,719.48 $ 1 ,011 .98 FUND RAISING EQUIPMENT RENTAL $39283 .00 $96.32 $2,735.80 $ 1 , 178.89 ($ 1 ,556.91 ) FUND RAISING MAINT/REPAIR $25730.00 $26. 18 $29275 .00 $29142.63 ($ 132.37) FUND RAISING PRINTING $ 1 , 193 .00 $ 108 .24 $994.20 $ 19122. 12 $ 127.92 FUND RAISING MEALS/MEETINGS $ 179.00 $230.00 $ 149.20 $337.09 $ 187.89 FUND RAISING PUBLIC EDUCATION $ 1 ,298.00 $428. 10 $ 19081 .70 $564.31 ($517.39) F R TOTAL GENERAL EXPENSES $ 129232.00 $47.68 $ 109193 .40 $9$ 85 . 15 ($608.25) F R PROGRAM EXPENSES FUND RAISING VOLUNTEER APPREC $ 164.00 $482. 87 $ 136.70 $ 1 ,020.33 $883 .63 FUND RAISING PHOTOGRAPHY $ 168.00 $ 17.21 $ 140.00 $39.68 . ($ 100.32) FUND RAISING PROMOTIONAL ITEM $ 15 .00 $0.00 $ 12.50 $0.00 ($ 12.50) TOTAL PROGRAM EXPENSES $347.00 $500.08 $289.20 $ 15060.01 $770. 81 TOTAL FUNDRAISING $2949876.00 $21 ,595 .55 $245 ,913 .40 $265 ,339. 14 $ 195425 .74 THRIFT SHOP EXPENSES MC THRIFT SHOP OPERATING EXP'S MARTIN COUNTY TH MILEAGE $658.00 $ 164.33 $548.30 $ 19122.66 $574.36 MARTIN COUNTY THRIFT SHOP CONFERENCI $50.00 $0.00 $41 .70 $0.00 ($41 .70) MARTIN COUNTY THRIFT AUTO $647.00 $0.00 $539.20 $0.00 ($539.20) MARTIN COUNTY TH AUTO INSUR $22626.00 $217 .49 $29188.30 $2, 158 .73 ($29. 57) MARTIN COUNTY TH ADVERTISING $ 148.00 $0.00 $ 123 .30 $ 114. 17 ($9. 13) MARTIN COUNTY TH ACCOUNTING $440.00 $38 .00 $440.00 $440.96 $0.96 MARTIN COUNTY THRIFT SHOP SOFTWARE S $296.00 $25 .33 $246.70 $274.28 $27.58 5„ 5/2003 . 3 : 11 : 07 PM Hibiscus Children ' s Center Page 13 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance MARTIN COUNTY TH CASUAL LABOR $378.00 $0.00 $315 .00 $229.00 ($86.00) MARTIN COUNTY TH SALARY $45,979.00 $35586.64 $389315 .80 $352372. 15 ($2,943 .65) MARTIN COUNTY TH FICA $39517.00 $246.20 $25930.80 $2,578.28 ($352.52) MARTIN COUNTY TH SUTA $326.00 $41 .85 $271 .70 $320.92 $49.22 MARTIN COUNTY TH RETIREMENT $352.00 $5 .42 $293 .30 $56.91 ($236.39) MARTIN COUNTY TH HEALTH INSUR $2,538.00 $296.83 $2, 115 .00 $2,715 .35 $600.35 MARTIN COUNTY TH DENTAL/VISION INSUR $362.00 ($ 1 .91 ) $301 .70 $ 136.99 ($ 164.71 ) MARTIN COUNTY TH LIFE/LONG TERM DIS $288.00 $81 .67 $240.00 $233 .23 ($6.77) SHORT TERM DISABILITY $0.00 ($37 .56) $0.00 ($ 189. 18 ($ 189. 18) MARTIN COUNTY TH WORKERS COMP $4,400.00 $36. 12 $39666.70 $351 .54 ($39315. 16) M C TH OTHER EMPLOYEE EXPENSE $99.00 $0.00 $82.50 $321 .20 $238.70 MARTIN COUNTY TH SUPPLIES $ 10900.00 $55 .00 $ 1 ,583 .30 $625 .71 ($957.59) MC THRIFT POSTAGE EXPENSE $50.00 $0.00 $41 .70 $0.56 ($41 . 14) MARTIN COUNTY TH RENT $48,234.00 $4, 134.36 $40, 195 .00 $399965 .58 ($229.42) MARTIN COUNTY TH DUES/LIC/FEES $73 .00 $0.00 $60.80 $ 104.70 $43 .90 MARTIN COUNTY THRIFT SHOP PRINTING $50.00 $0.00 $41 .70 $ 169.25 $ 127.55 M C TH LIABILITY INSUR $ 1 ,887.00 $ 156. 17 $ 1 $ 72.50 $ 1 ,550. 13 ($22 .37) MC THRIFT VOLUNTEER EXPENSE $77.00 $27. 17 $64.20 $554.31 $490. 11 M C TH REPAIRS AND MAINTENANCE $811 .00 $20.00 $675.80 $ 19481 .25 $805 .45 MARTIN COUNTY TH TELEPHONE $ 1 ,884.00 $ 158 .88 $ 1 ,570.00 $ 1 ,715 .06 $ 145 .06 MARTIN COUNTY TH UTILITIES $4, 116.00 $383 .45 $3,430.00 $3 ,942.03 $512.03 MARTIN COUNTY TH MISC EXP $356.00 $ 10.98 $296.70 $ 10.98 ($285 .72) TOTAL MC THRIFT OEPRATING EXP $ 1229542.00 $9,646.42 $ 102, 191 .70 $96,356.75 ($59834.95) VB THRIFT OPERATING EXPENSES VB RENT $0.00 $0.00 $0.00 ($ 1 ,050.00) ($ 1 ,050.00) VB MISCELLANEOUS. $0.00 $0.00 $0.00 $ 10. 17 $ 10. 17 VB TH VOLUNTEER EXP $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL VB OPERATING EXPENSES $0.00 $0.00 $0.00 ($ 1 ,039.83) ($ 15039.83) 5/15/2003 - 3: 11 :07 PM Hibiscus Children ' s Venter Page 14 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance SHELTER CLINICAL PROGRAM EXPENSES SALARIES SHELTER CLINICAL SALARIES $259,014.00 $ 143278.98 $215,845 .00 $ 170,539.34 ($45 ,305 .66) SH CLINICAL PER DIEM CONSULTANT $ 15 ,360.00 $ 1 ,280.00 $ 12,800.00 $ 12,800.00 $0.00 TOTAL SALARIES $274,374.00 $ 15,558.98 $2289645 .00 $ 1839339.34 ($45,305 .66) PAYROLL TAXES SHELTER CLINICAL FICA $ 19,815 .00 $960.51 $ 163512.50 $ 10,200.93 ($69311 .57) SHELTER CLINICAL SUTA $ 12122.00 $ 105 .00 $935.00 $ 1 ,081 .00 $ 146.00 SH CLINICAL OTHER EMPLOYEE EXPENSE $350.00 ($67.00) $291 .70 $ 161 .24 ($ 130.46) TOTAL PAYROLL TAXES $21 ,287.00 $998 .51 $ 179739.20 $ 11 ,443 . 17 ($6,296.03) SHELTER CLINICAL EMPLOYEE BENEFITS SH CLINICAL HEALTH $ 16,370.00 $546.75 $ 13,641 .70 $ 1 ,832.60 ($ 119809. 10) SHORT TERM DISABILITY $0.00 ($56.81 ) $0.00 $29. 19 $29. 19 SHELTER CLINICAL LIFE & LONG-TERM DISA $ 1 ,858.00 $98. 81 $ 19548.30 $217.71 ($ 1 ,330.59) SH CLINICAL DENTAL/VISION INSURANCE $2,335 .00 $99.65 $ 1 ,945 . 80 $285 .00 ($ 1 ,660.80) SH CLINICAL WORKER'S COMP. $ 179030.00 $462.24 $ 14, 191 .70 $25767.72 ($ 11 ,423 .98) SH CLINICAL RETIREMENT EXPENSE $3 , 186.00 $9.43 $2,655.00 $ 177. 82 ($29477. 18) TOTAL BENEFITS $409779.00 $ 1 , 160.07 $339982.50 $5,310.04 ($28,672.46) TOTAL EMPLOYEE BENEFITS $336,440.00 $ 17,717.56 $280,366.70 $200,092.55 ($80,274. 15) SHELTER CLINICAL INSURANCE SHELTER CLINICAL PROPERTY INSURANCE $ 123 .00 $267. 83 $ 102.50 $360.55 $258.05 SHELTER CLINICAL LIABILITY INSURANCE $ 1 ,511 .00 $91 .49 $ 19259.20 $908.08 ($351 . 12) SHELTER CILINCAL INSURANCE TOTAL $ 1 ,634.00 $359.32 $ 19361 .70 $ 1 ,268 .63 ($93 .07) 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page 15 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance SH CLINICAL ADVERTISING EXPENSE $ 100.00 $0.00 $83 .30 $324.71 $241 .41 SH CLINICAL DUES/LICENSES/FEES $ 100.00 $ 14.29 $83 .30 $ 147.63 $64.33 SHELTER CLINICAL TRAVEL SH CLINICAL LOCAL MILEAGE REIMB $ 1 ,000.00 $ 125 .00 $833 .30 $ 19305. 16 $471 .86 SH CLINICAL CONFERENCE/TRAINING $977.00 ($59.69) $814.20 $ 1 ,749.08 $934. 88 SHELTER CLINCIAL TRAVEL TOTAL $2, 177.00 $79.60 $ 19814. 10 $3 ,526.58 $ 1 ,712.48 SHELTER CLINICAL OFFICE SUPPLIES SH CLINICAL POSTAGE $77.00 $0.00 $64.20 $2.65 ($61 .55) SHELTER CLINICAL SUPPLIES $ 19944.00 $52.57 $ 19620.00 $316.23 ($ 19303 .77) SHELTER CLINICAL OFFICE SUPPLIES TOTAL $2,021 .00 $52.57 $ 13684.20 $318.88 ($ 19365 .32) SHELTER CLINICAL GENERAL OPERATING EXPE SH CLINICAL PROFESSIONAL LIABILITY $0.00 $0.00 $0.00 $0.00 $0.00 SH CLINICAL-RENT $39406.00 $5.00 $2,838.30 $ 19300.00 ($ 1 ,538 .30) MORTGAGE INTEREST $0.00 $33 .08 $0.00 $334. 10 $334. 10 SH CLINICAL ACCOUNTING EXPENSE $880.00 $76.00 $880.00 $881 .92 $ 1 .92 SH CLINICAL SUPPLIES $0.00 $44. 11 $0.00 $584.64 $584.64 SH CLINICAL UTILITIES $805 .00 $26.60 $670. 80 $291 .48 ($379.32) SH CLINICAL TELEPHONE $45191 .00 $245 .48 $3 ,492.50 $3, 141 .84 ($350.66) SH CLINICAL EQUIPMENT RENTAL $ 1 ,769.00 $8.76 $ 19474.20 $97.21 ($ 1 $ 76.99) SH CLINICAL PRINTING $0.00 $72.84 $0.00 $ 103 .02 $ 103.02 SHELTER CLINICAL MAINT/REPAIR $400.00 $4.80 $333 .30 $ 139.94 ($ 193 .36) SH CLINICAL SOFTWARE SUPPORT $592.00 $50.67 $493 .30 $548.58 $55 .28 SHELTER CLINICAL EXPENSE TOTAL $ 12,043 .00 $567.34 $ 10, 182.40 $79422.73 ($29759.67) FAMILY BUILDERS OPERATIONS FB SALARIES $278,654.00 $21 ,631 .88 $232,211 . 70 $258,620.03 $26,408 .33 FB PAYROLL TAXES 5/15/2003 - 3: 11 :07 PM Hibiscus Children ' s Center Page 16 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance FB FICA $21 ,317.00 $ 1 ,619.24 $ 17,764.20 $ 182856.74 $ 1 ,092 .54 FB STATE UNEMPLOYMENT $ 19658.00 $43 .26 $.1 ,381 .70 $ 1 ,403 .66 $21 .96 FB TOTAL PAYROLL TAXES $229975 .00 $ 19662.50 $ 193145 .90 $209260.40 $ 19114.50 FB EMPLOYEE BENEFITS FB HEALTH INSURANCE $229208.00 $922. 19 $ 18,506.70 $ 14,285.93 ($4,220.77) FB DENTAL/VISION INS $3 , 168.00 $ 123 . 75 $2,640.00 $ 19370.64 ($ 1 ,269.36) FB SHORT TERM DISABILITY INSURANCE $0.00 ($ 181 .48) $0.00 ($ 1 , 171 .21 ) ($ 1 , 171 .21 ) FB LIFELONG TERM DISABILITY $2,520.00 $610.00 $2, 100.00 $39582 .52 $ 19482.52 FB RETIREMENT PLAN CONTRIB $4,072.00 $37.01 $3 ,393 .30 $542.28 ($29851 .02) FB WORKERS COMPENSATION $9,003 .00 $411 .37 $7,502.50 $4,621 .82 ($29880.68) FB OTHER EMPLOYEE EXPENSE $ 19320.00 ($67.00) $ 1 , 100.00 $29445 .74 $ 13345.74 FB TOTAL BENEFITS $42,291 .00 $ 1 ,855 .84 $359242.50 $25,677.72 ($99564.78) FB INSURANCE FB PROPERTY INSURANCE $ 1 , 197.00 $99.20 $997.50 $984.57 ($ 12.93) FB LIABILITY INSURANCE $ 19896.00 $ 170.24 $ 1 ,580.00 $ 1 ,689.73 $ 109.73 FB TOTAL INSURANCE $3,093 .00 $269.44 $2,577.50 $2,674.30 $96.80 FB OCCUPANCY EXPENSE FB UTILITIES $23496.00 $ 171 .69 $2,080.00 $ 1 ,887. 87 ($ 192. 13) FB TELEPHONE $ 135013 .00 $818.45 $ 10,844.20 $99852. 81 ($991 .39) FB RENT/STORAGE $83223 .00 $57.50 $6,852. 50 $651 .50 ($6,201 .00) MORTGAGE INTEREST $0.00 $645 . 13 $0.00 $67514.91 $69514.91 FB TOTAL OCCUPANCY $23,732 .00 $ 1 ,692.77 $ 19,776.70 $ 18,907.09 ($869.61 ) FB TRAVEL FB LOCAL MILEAGE REIMB $209925.00 $ 19755 .65 $ 17,437.50 $ 18,527 . 15 $ 1 ,089.65 FB CONFERENCE/TRAINING $35547.00 $54. 19 $2,955 .80 $ 19362.53 ($ 19593 .27) TOTAL FB TRAVEL $249472.00 $ 1 ,809.84 $20,393 .30 $ 19,889.68 ($503 .62) 5/15/2003 - 3: 11 : 07 PM Hibiscus Children ' s Center Page 17 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance FB OFFICE SUPPLIES FB POSTAGE $54.00 $ 1 .48 $45 .00 $232.70 $ 187.70 FB Supplies $49050.00 $483 .78 $3 ,375 .00 $4,225 . 15 $850. 15 TOTAL FB OFFICE SUPPLIES $45104.00 $485 .26 $39420.00 $4,457 . 85 $ 1 ,037. 85 FB PROFESSIONAL FEES FB ACCOUNTING $3 ,215 .00 $ 171 .00 $3,215 .00 $ 1 ,984.32 ($ 1 ,230.68) FB SOFTWARE SUPPORT FEES $ 1 ,051 .00 $254.00 $875 . 80 $ 1 ,934.32 $ 1 ,058. 52 TOTAL FB PROFESSIONAL FEES $4,266.00 $425.00 $42090. 80 $39918 .64 ($ 172. 16) FB GENERAL OPERATING EXPENSE FB ADVERTISING $ 1 ,431 .00 $618 .70 $ 1 , 192.50 $736. 73 ($455.77) FB DUES/FEES/SUBSCRIPTIONS $ 19998 .00 $ 14.28 $ 1 ,665 .00 $29017.70 $352.70 FB EQUIPMENT RENTAL $3 ,305 .00 $ 170.74 $29754.20 $ 1 ,894.76 ($859.44) FB MAINTENANCE $3 ,647.00 $46.41 $3,039.20 $3,798.29 $759.09 FB PRINTING $ 19197.00 $ 191 .88 $997.50 $ 19189.81 $ 192.31 TOTAL FB GENERAL OP EXPENSE $ 11 ,578 .00 $ 19042.01 $9,648.40 $9,637.29 ($ 11 . 11 ) FB PROGRAM SERVICES FAMILY BLDRS FLEX FUNDS $309000.00 $4,468.96 $25,000.00 $ 14,972.20 ($ 10,027.80) FAMILY BLDRS FLEX D & E $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FB PROGRAM SERVICES $302000.00 $4,468.96 $252000.00 $ 14,972 .20 ($ 10,027. 80) TOTAL FAMILY BUILDERS EXPENSE $463 ,040.00 $36,402.33 $3869549.20 $3919552.02 $59002. 82 CRISIS NURSERY OPERATIONS CN SALARIES CN SALARIES $ 144,570.00 $ 119274.92 $ 120,475.00 $ 124,956.48 $4,481 .48 CN CHILDCARE WORKERS $80,362.00 $6,696.83 $66,968.30 $669968.30 $0.00 5/15/2003 _ 3 : 11 :07 PM Hibiscus Children ' s Center Page 18 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance TOTAL CN SALARIES $224,932.00 $ 175971 .75 $ 187,443 .30 $ 191 ,924.78 $4,481 .48 CN PAYROLL TAXES CN FICA $ 11 ,059.00 $823 .24 $99215 . 80 $8,570.83 ($644.97) CN SHELTER FICA $6, 148.00 $512.33 $59123 .30 $59123 .30 $0.00 CN STATE UNEMPLOYMENT $ 19195.00 $61 .65 $995 .80 $541 .37 ($454.43) CN TOTAL PAYROLL TAXES $ 189402.00 $ 12397.22 $ 15,334.90 $ 145235 .50 ($ 1 ,099.40) CN EMPLOYEE BENEFITS CN HEALTH INSURANCE $ 10,505 .00 $547.63 $8,754.20 $59491 .76 ($33262.44) CN DENTAL/VISION INS $ 19000.00 $69.74 $833 .30 $ 13403 .60 $570.30 CN SHORT TERM DISABILITY INSURANCE $0.00 ($ 114.73) $0.00 ($604.56) ($604.56) CN LIFELONG TERM DISABILITY $ 1 ,238.00 $356.47 $ 19031 .70 $ 12906.58 $874.88 CN RETIREMENT PLAN $ 1 ,000.00 $25 .89 $833 .30 $359.81 ($473 .49) CN WORKERS COMPENSATION $5,662.00 $216.72 $4,718.30 $2,025.55 ($2,692. 75) CN SHELTER WORKERS COMP $52320.00 $443 .33 $49433 .30 $4,433 .30 $0.00 CN OTHER EMPLOYEE EXPENSE $400.00 $67.00 $333 .30 $ 15191 .00 $857.70 CN TOTAL BENEFITS $25 , 125 .00 $ 19612.05 $209937.40 $ 16,207.04 ($49730.36) CN INSURANCE CN PROPERTY INSURANCE $706.00 $58.65 $588.30 $582.09 ($6.21 ) CN LIABILITY INSURANCE $ 1 , 141 .00 $994.57 $950.80 $994.57 $43 .77 CN SHELTER LIABILITY INSURANCE $ 19109.00 ($801 .95) $924.20 $924.20 $0.00 CN TOTAL INSURANCE $2,956.00 $251 .27 $29463 .30 $2,500.86 $37 .56 CN OCCUPANCY EXPENSE CN UTILITIES $ 1 ,400.00 $ 117. 15 $ 1 , 166. 70 $ 1 , 180. 59 $ 13 . 89 CN TELEPHONE $6,500.00 $454.91 $59416.70 $5,055 .43 ($361 .27) CN RENT/STORAGE $4,500.00 $ 112.50 $39750.00 $957.25 ($29792.75) MORTGAGE INTEREST $0.00 $380.47 $0.00 $3 ,842. 14 $3,842. 14 CN SHELTER UTILITIES/PHONE $2,752.00 $229.33 $2,293 .30 $2,293 .30 $0.00 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page 19 Income Statement FUND 11 - OPERATIONS APRIL, 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance CN TOTAL OCCUPANCY $ 152152.00 $ 19294.36 $ 122626.70 $ 137328.71 $702.01 CN TRAVEL CN LOCAL MILEAGE REIMB $8,000.00 $776.83 $6,666.70 $6, 166. 17 ($500.53) CN CONFERENCE/TRAINING $ 19000.00 $66. 12 $833 .30 $866. 73 $33 .43 TOTAL CN TRAVEL $99000.00 $842.95 $75500.00 $7,032.90 ($467. 10) CN OFFICE SUPPLIES CN POSTAGE $ 10.00 $ 11 . 84 $8 .30 $246. 88 $238.58 CN SUPPLIES $3,000.00 $254.74 $29500.00 $2, 126.57 ($373 .43) TOTAL CN OFFICE SUPPLIES $3,010.00 $266.58 $29508 .30 $29373 .45 ($ 134.85) CN PROFESSIONAL FEES CN ACCOUNTING $ 1 ,210.00 $ 104.50 $ 1 ,210.00 $ 1 ,212.64 $2.64 SOFTWARE SUPPORT FEES $ 1 , 103 .00 $69.67 $919.20 $754.28 ($ 164.92) TOTAL CN PROFESSIONAL FEES $2,313 .00 $ 174. 17 $2, 129.20 $ 1 ,966.92 ($ 162.28) CN GENERAL OPERATING EXPENSE CN ADVERTISING $50.00 $0.00 $41 .70 $ 127.98 $86.28 CN DUES/LIC/FEES $ 1 ,487.00 $ 14.28 $ 15239.20 $ 1 ,287. 17 CN EQUIPMENT RENTAL $47.97 $2,500.00 $ 100.69 $2,083 .30 $ 1 , 117.39 ($965 .91 ) CN MAINTENANCE $27683 .00 $27.37 $2,235.80 $2,240.00 CN SHELTER MAINTENANCE $4.20 $ 1 ,540.00 $ 128 .33 $ 13283 .30 $ 17283 .30 $0.00 CN SHELTER FOOD $976.00 $81 .33 $813 .30 $813 .30 $0.00 CN SHELTER SUPPLIES $ 1 ,725 .00 $ 143 .75 $ 1 ,437.50 $ 19437. 50 $0.00 CN PRINTING $650.00 $ 113 . 16 $541 .70 $743 .67 $201 .97 TOTAL CN GENERAL OP EXPENSE $ 11 ,61 1 .00 $608.91 $99675 . 80 $91050.31 ($625 .49) CN PROGRAM SERVICES CRISIS NURSERY FLEX FUNDS $209000.00 $ 1 ,650. 15 $ 16,666. 70 $ 15,939. 13 ($727.57) 5/15/2003 - 3 : 11 :07 PM Hibiscus Children ' s Center Page 20 Income Statement FUND 11 - OPERATIONS APRIL , 2003 Current Year Current Month Year to Date Year to Date Year to Date Budget Actual Budget Actual Variance UNITED WAY HOMELESS GRANT $0.00 $90.00 $0.00 $39933 .97 $3 ,933 .97 TOTAL CN PROGRAM SERVICES $20,000.00 $ 1 ,740. 15 $ 16,666.70 $ 199873 . 10 $3 ,206.40 TOTAL CN EXPENSES $3329501 .00 $265159.41 $2779285 . 60 $278,493 .57 $ 19207.97 TOTAL EXPENSES $3 ,0539869.00 $216,733 .99 $295469929. 80 $2,3559900.92 ($ 191 ,028.88) TRANSFERS TRANSFERS TO RESTRICTED $24,000.00 $29000.00 $209000.00 $205000.00 $0.00 TOTAL TRANSFERS $24,000.00 $2,000.00 $202000.00 $20,000.00 NET SURPLUS/(DEFICIT) $0.00 $ 139164.77 ($ 11853 .99) ($ 15293 .24) $560.75 \��\� \ \ � ���� 7�7��1 z���« » � ����� u . i I . L tx - HimscuS CHILDREN"S CENTER 2001 -2002 ANNUAL REPORT a MESSAGE FROM THE CEO ti Y +.t w • y Dear Friends: This has been an incredibly flying year for all of us Who would have believed that our country could have been devastated and turned upside down, as it was? The children of Hibiscus probably could have imagined it Their worlds have constantly been turned upside down through abus4 neglect or other unspeakable acts of violence. They have lived with the fear and anxiety that many of us have just become acquainted with over the past year. The good news is that through the concerted effortsof marry individuals, businesses, and civic groups, churches, etc Hibiscus Children's Center has been able to work to decrease the fear and anxiety these chiI- dren have grown up with The programs of Hibiscus offer support and help in dealing with these VERY difficult issues We see miracles everyday ... children who lived with us for almost 3 years, placed in a preadoptive home; a homeless family placed in appropriate housing with all of their basic needs met a family identified as abusive kept intact and were taught new skills to deal with the hard job of parenting in this day and age These miracles would not have been possible without the love and support the community provides to this or Everyone helps make the difference through different venues ofgMng, time, money, per- sonal belongings. We are eternallygrateful for all that is done to help us help the children Inside you will frnd'ditt about our accomplishments over the past year. We are proud of the work we do and humbled by the degree of support received for the children Hibiscus Children's Center wants you to be y aware of what has been done over the pastyear so you understand how important everyone is to the suc- cess of this wonderful organization. sincerely, t s Jill Sorowiq CEO Hibiscus Children 's Center 1 r / provide i services to iml, � I �V children More than 2,527 children and families were served by Hibiscus programs during fiscal year 2001 -2002, j and families Since October 1989, Hibiscus Children's Shelter has provided j in an effort safe haven to 860 children 104, 593 nights of service. to prevent Since February 1993, Hibiscus Family Builders has served 1046 ? ; families in all four counties of the Treasure Coast with 87% and reduce of all cases being designated as closed successfully in fiscal year 2001 -2002. abuse on • Since October 1994, Hibiscus Crisis Nursery has served 10, 609 I the Treasure children and families with an average of 99. 99% success in ? ' keeping families out of the child welfare system in fiscal year Coast 2001 -2002. 41 ! ' Licensed 30 new foster care homes. Hibiscus Children 's Center Statement of Financial Position - June 30, 2002 ' I A55ET5 2002 2001 Cash 457, 876 643,590 Promises to give 0 1,000 it Accounts Receivable 168,706 235,254 Prepaid Expenses 22,470 18,561 Due from affiliate 64,255 0 ` Land, Building & Equipment — Net 973, 658 968,133 Deposits 10,346 91360 ! j $ 1 , 697,311 $ 1 , 875, 898 LIABILITIES & NET AssEr5 Accounts Payable 91,192 88,528 Due to affiliate 0 27567 Notes Payable 2591464 265, 659 TOTAL LIABILITIE5 $ 350, 656 $ 381 , 754 NEr AsSETs Unrestricted 1,222, 7031 , 084, 719 Temporarily Restricted 123,952 409,425 TOTAL NET AssETs $ 11346,655 $ 1 , 494, 144 $ 1 , 6971311 5 1 , 875 , 898 2 y Center Statements of&tiwties - For the Year Ending June 30, 2002 it LINRESTRICTED TEMPORARILY TOTAL I RESTRICTED j REVENUES I Government 11773,432 6,050 11779,482 Donations 655, 996 711120 727,116 } Thrift Shop 217, 742 - 217, 742 Investment Income 12,200 - 12 200 Net Assets Released ' x ; from Restriction 362,581 (362,581 ) 1f $ 3, 021, 951 $ (285,411 ) $ 21736,540 i EXPENSES Program Services - Shelter 1,3381415 11338,415 PS - Thrift Shop 1451901 - 145, 901 PS - Family Builders 467,579 - 467,579 PS - Crisis Nursery 287,124 - 287,124 PS - Foster Care 164, 624 - 164 624 Village 15,850 15, 850 _ - Fundraising Expense 273,314 - 273,314 General & Administrative 189, 748 - 189, 748 Loss of sale assets 11321 _ 1,321 s Loss of sale of investments 91 62 153 � I $ 21883,967 $ 62 $ 2,884, 029 j CHANGE IN NET ASSETS 137, 984 (285,473) (147,489) NET ASSETS, BEGINNING OF YEAR 11084, 719 409,425 1,494,144 NET ASSETS, END OF YEAR $ 1 ,222, 703 $ 123, 952 $ ) , ^ r 346,655 y a ; Expenses by Program - Fiscal Year 2001 - 2002 I Shelter 46% — Thrift Shop 5 % Family Builders 16% Crisis Nursery 10% I e, — Foster Care 6% village 1 % Fundralsing Expenses 9% — General & Administrative 7% 0 % 10% 20 % ° 30 /° 40 % 50 % m provide for the ' 1 / • 1 , financial Banner year in fundraising. The following achieve rates are most notable: a future of the Fashion Show achieved 135 % of goal. programs Pals membership achieved 749% of goal. I� of Hibiscus Outside events had a 203% achieve -rate. I j Children 's , l General Donations were at 737% of goal. Center. j Direct Mail achieved 172% of goal. Overall efforts fundraising were at a 130% achieve rate for • ! the year. • °Taste of the Tropics" event held debuting Hibiscus' Cookbook _ l I First Black Tie event - `tenter Wonderland' hosted by the Indian River � ! Guild, achieved 155 % of goal. 7 /l udited Statements of Financial Position - June 30, 2000 3 I AssErs tl Cash & Cash Equivalents j Investments 450, 991 Accounts Receivable 605,706 541 Prepaid Expenses 250 ' i $ 11057,488 1 LIABILITIES & NEr ASSETS Accounts Payable Donor Designated Center Funds 20464,255 TOTAL LIABILITIES $ 64,459 NET AsSErs Unrestricted 972,858 Temporarily Restricted 20,171 TOTAL NET ASSETS $ 993, 029 $ 11057,488 4 Audited Statements ofActivities - For the Year Fndin gJune 30, 2000 UNRE5TRICTED TEMPORARILY s ' RESTRICTED TOTAL CHANGES IN NET A55ETS REVENUES AND GAINS y , Fundraisers 644,055 377, 825 Donations - 644,055 - r Investment Income 24, 717 377,825 } Donor Designated Donations _ - 24, 717 - F i Donations to Endowment Fund 31, 680 14,211 81000 399,, 6868 0 Net Assets Released 407,555 ' from Restriction 407 555) $ 1,485, 832 $ (385,344) $ 1,100,488 14 W EXPENSES & LOSSES General and Administrative Expenses 17, 696 _ ` Fundraising Expenses 209f962 17, 696 Program support donations - - 209 962 to Center 579,464 15,386 Loss on sale of investments 49,531 594, 850 Unrealized loss on investments 22,528 _ 49,531 22,528 $ 879,181 $ 15 386 $ 894,567 t CHANGE IN NET ASSETS 606, 651 (400, 730) t 205, 921 NET ASSETS, BEGINNING OF YEAR 366,207 420, 901 787,108 a NET ASSETS, END OF YEAR $ 972, 858 $ 201171 $ 993,029 Sources of Funds - Fiscal Year 2001 - 2002 Donations 32% — Bequests 7% P special Events 22% Direct Mall 17% ■ Investments 2% 0 0 /0 10 % 20 % 30% 40% 50 % 5 ©ibiscus ChiIdren 's Center HIBISCUS VOLUNTEERS has a rich history 440 active volunteers for a year. of dedication • 25,200 hours of voluntary service provided at our Shelter, Thrift from staff, Shop and through our Women's Guilds, volunteers and Monetary value of volunteer service to the organization figured @ the community $ 7.00 per hour (average hourly wage in shelter) times 25,200 hours = $ 176,400. . . in support • 520 hours of community service performed, i of the effort to if "Break the Cycle ; i of Child Abuse" HIBISCUS CHILDREN'S SHELTER � ! on the Treasure A state-licensed emergency residence serving abused, neglected t l Coast Celebrating and abandoned children ages birth to 12. 17year5 of Provided 11,054 safe nights of service. This equates to a 90% 11 utilization rate for the year. i providing services • Provided 678 nights of respite service to 105 Crisis Nursery children. _ .. to children Average cost per night of service per child was $ 91 , and families, Admitted 69 children who had an average length of stay of nine Hibiscus ChiIdren 's to 12 months in our program. Center continues Turned away 97 children, due it - k of bed availability. to work towards In-kind donations totaled $ 140, 750 for the shelter this year. i the day when our programs i will not be needed i' 6 { HIBISCUS FAMILY BUILDERS Bin - home counseling 4 • Provided families with $43,447 (thrift shop prices) in clothing program for families furniture, appliances and many other household goods through at imminent risk of the Hibiscus Thrift Shops. This also includes in-kind professional losing their children ? services. due to abuse or neglect. All Family Builders families were provided with food and gifts for all of the major holidays throughout the year through the Clients are referred a generosity of the community.- by the Department ati • 871/b success rate for this year, servicing 84 families and 199 of Children and Families. children throughout the Treasure Coast • Average cost per client for 90-180 days of service was $5,477 for an entire family. HIBISCUS CRISIS NURSERY ® prevention program • Served 572 families and 1,392 children, that families in crisis, 105 children used respite services during this contract year. with children newborn Hibiscus Thrift Shops provided $31,117 (thrift shop prices) in to 17, seek voluntarily. furniture, clothing and other household goods to families. Through the program, Awarded two college education assistance to applicants from the steps are taken to program. reduce the impact • Average cost per family was $493, of stressful family situations which can precipitate child abuse. HIBISCUS FOSTER CARE RECRUITMENT Bc TRAINING ® foster parent recruiting • Completed first full year of the program. program that conducts 123 families completed the 10 session Model Approach to training, provides intensive Partners in Parenting (MAPP) program. home studies and back- i • 30 families were licensed. ground checks on prospec- • 23 families were referred for prospective adoptions. five families for the 300 plus children needing tem- porary, safe homes in our community. 7 Mr. & Mrs. James D. Mackey Mr. & Mrs. Robert A Cline, Jr. Mr. & Mrs. F. Shields McManus i The Tilton Family Ms. Eileen D. Morris Mrs. Mary Cochran Mr. & Mrs. Leonard ,a, Meldeau Mr. & Mrs. William Thomas Trude E Neese Mr. & Mrs. Norval H. Copple, Jr. Mr. & MrsKent Mergler Nina Haven Charitable Foundation Ms. Maralyn B. Crape ' The Michnal Foundation LUME I I I I 1 Northern Trust i Mr. & Mrs. Dean W. Crawford i Anonymous Orchid Island Juice CompanyMrs• Alice W Munro Mr. & Mrs. Pierce K. Crompton, Jr. Nettles Island Church Inc Mr. & Mrs. Ira Greenberg Mr. & Mrs. Robert Sexton ' Cruisers Tavern I Mr. & Mrs. Melvin K Nielson j Mr. & Mrs. Norman Hensick Ms. Margaret Rk hebourg Mr. & Mrs. Philip J. D'Angdo Mrs. Mimi T. Obersheimer f Ronald McDonald Children's Ms. Sharyon Oaigneau The P.apitto Foundation Chanties of South Florida - Dr. Carol Dorgan Polo Factory Store #53 & Mrs. Fredric Ayres Mr. & Mrs. Owen C Schwaderer Mrs. Marjorie L Dunn Ms. Sally Batz Scripps-Howard Foundation The M&/wardAmaAmis Fa* brdgbm ! Mr. & Mrs. William A. Dunn Mr. & Mrs. Stuart Tenney Mr. Thomas A Reynolds, Sr. Bonaventura Devine Foundation I Eagle Marsh Golf Cub H. Thompson Jr. Family Foundation Mr. & Mrs. Charles R Saulls Mr. & Mrs. Kingsley Durant Mr. & Mrs. Andrew W I IMr. & Mrs. Edmonds Mr. & MrsCharles A Sawicki B.D. Jane E McIntyredd White ntyre Foundation Mrs. Donald R Findlay M Winston and Strawn Mr. & Mrs. Ronald A Schiavone J ! . r. & Mrs. John Hohman First National Bank And Trust 7}e�w&� V*s Mr. & Mrs. Robert G Sexton Mr. & Mrs. Charles McIntyre0'r'�4 � ntyre First Presbyterian Church Anonymous I Mariner Sands Chapel Ms. Denise J. Freihofer Pearl M & Mrs. Richard Spears Mr. & Mrs. Owen Schwaderer I I I r.Dr. & Mrs. Albert E Gardner ` Adrian Dominican Generalate Mr. & Mrs. John Staluppi Mr. & MrsCharles R Walgreen, III Mr. & Mrs. T. R Gorlin n, Jr. Mr. & Mrs David W. Akers �o Mr. & Mrs. Patrick Strapuzi I Mrs. Margaret Williams Angels of Chanty, Inc Mr. & Mrs. Lawrence Gochb e'6 Stuart Jeep, Inc Wolcott Family foundation Ms. Jean Gould F I Mr. & Mrs. Vac Armin Mr. & Mrs. Baird Tewksbury Mr. & MrsGuy A Hardy Mr. & Mrs. Clayton M. Timmons Mr. & Mrs. Patrick Armstrong iDr. & Mrs. James E Harrell The Wackenhut Corporation Anonymous Armstrong International, Inc Mr. At Mrs. Wood Haynes Mr. & Mrs. Thomas J. Walsh, Jr. Mr. Merrill H. Armstrong or Mrs, Josephine 0. Bannon Or. & Mrs. David Helmick Barnett Bank NA Mm Estelle Weiner ' Ms. Nancy Ayres Mr. & Mrs. Richard Hierson Ms. Mary M. Bayley Mr Raymond H. Bisbing ! The Wellspring Trust Inc Mr. & Mrs. Dennis 5. Hudson, Jr. Mr. & Mrs. Thomas V. Williams, Jr. Community Foundation of Palm Dr. & MrsRobert N. Blews Mr. Richard Hupfell Wilmington Trust Beach & Martin Cty, Inc Mrs. Patricia A Borg Mr Lawrence E Ingall Mr. & Mrs. Don Winer Florida RV. Trade Association Region 8 Mr. & Mrs. Morty Bouchard, Jr. Jensen Beach Community Church Mr. & Mrs. 0. Franklin Wolfe Ms. Mary Gaffney Pod Mr. & Mrs. Phillip R Braden Mr. & Mrs. James F. Kress Mr. & Mrs. Michael S. Yocom Hagedorn Fund: Braden & Bradet AK PA _ Den Braden Mr. Robert Rosenthal Dr. & Mrs. Jeffrey J. Lazarus Mrs. Mary Lou Bunger Mr. & Mrs. James 8. Young Loyal Order of the Moose Mr. & Mrs. Carl O. B. Hoffman *7282 MrMr. & Mrs. Lary Zehfuss . & Mrs. Keith Carroll Kiwanis Club of Jensen Beach Mariner Sands Golf Classic Mrs. Lucy M. Zipko Mr. & Mrs. Thomas J. Christenson Legend Properties Inc Mr. & Mrs. Jack McCarthy Mr. & Mrs. Leon E Zygmun Mr Mahlon A Gine Mr. & Mrs. Charles P. McCormick Jr. 8 Hmscm 1 ' 1 1 ' (510,000.00 + ) Ms. Jean B. Hamm Mr. & Mrs. NI. Lanning Fox Treasure Coast Women Angels of Charity, Inc Holy Cross Catholic Church Dr. & !Mrs. Albert E Gardner Mrs. Edward C Trimble Anonymous Mr. & Mrs. John F. Krahnert Mr. & Mrs. Edward W. Gaston Veteran Motor Car Club of America Ms. Sally A Batz & Mr. Henley Sandidge iVlr. & Mrs. lames F. Kress Gentle Dental Care of the Treasure Coast Harry Webster walker II Charitable Taut Bonaventura Devine Foundation Frances Langford Foundation Mr. & Mrs. John F. Gilmore, Jr. Mr. & Mrs. Thomas J. Walsh, Jr. Mr. & Mrs. Kingsley S. Durant Mr. & Mrs. Jeffrey P. Lea The John and OiarbroeGilmore Foundation Mr. & Mrs. Gurdon S. Wattles Mr. & Mrs. Andrew W. Edmonds Martin County Parade of Turtles, Inc Glavan Feher Architects, Inc Mr. & Mrs. Ronald W. Werner Florida R.V. Trade Assodation, Region 8 Mr. & Mrs. Jack McCarthy Mr. Charles A Glessing Mr. & Mrs. Richard B. Whittington Mrs. Lauri Friedland Mr. & Mrs. Charles P. McCormick, Jr. The H.E. Graves, Jr. Family Fourdatioq Inc Mr. & Mrs. Donald L Wilks Ms. Jean Gould Mr. & Mrs. Kent Merrggler Dr. & Mrs. George J. Haas Mr. & Mrs. Thomas V. Williams, Jr. Mr. & Mrs. Ira Greenberg Dr. & Mrs. Ralph B. Monnett Jr. Mr. & Mrs. Billy L Hankins, Jr. Mr. & Mrs. Donald B. Winer Mrs. H. James Kenny, Jr. Mangan Stanley Foundation Harbor FederalWiner Savings Bank The Irving Foundation Kiwanis Club of Jensen Beach Nettles Island Church Inc Mrs. Charlotte K. Hams Mr. & Mrs. 0. Franklin Wolfe Lena LeClair Mr. & Mrs. H. E Rupp, 11 Dr. & Mrs. N. David Helmid, 11 World Savings Bank B.O. and Jane E McIntyre Foundation Mr. & Mrs. Charles A Sawicki Mr. & Mrs. Kenneth R Hessler ' Mr. & Mrs. Michael S. Yocom Ms. Mary Gaffney-Pod Mr. & Mrs. Ronald A Schiavone Mr. & Mrs. Peter G. Hewitt Mr. & Mrs. Sam Zemsky Scripps-Howard Foundation Schiavone Family Foundation Mr. & Mrs. Richard D. Hoffman Zemsky Family Trust Mr. & Mrs. Stuart Tenney Mr. & Mrs. Richard A Schott Mr. & Mrs. James A Hogan, Sr. Zimmer Family Foundation Mrs. William A Thomas St Lucie Draft House & Sports Bar, Inc Holiday Out Pavilion Church Zugelter Construction Corp. H.L. Thompson Jr. Family Foundation Mr. & Mrs. John Staluppi Mr. George B. Hough, Jr. Anita R. Tilton Trust Mr. & Mrs. Harold C Stuart Mr. Kenneth S. Hyde (5500.00-5999.99 ) r Mr. & Mrs. Charles R. Walgreen, III Stuart Jeep, Inc Ms. Beverly B. Jerk Mr. William H. Addeo Mrs. Margaret B. Williams Mr. & Mrs. Clayton M. Timmons Jensen Beach Church of God Alpha Building Cleaning Services, Inc Winston and Strawn Dr. James Vopal Joy Family Foundation Mr. & Mrs. Darryl W. Baker 1 The Norman & Rosie Wislonfwidafim Inc Mrs. Estelle Weiner Mr. & Mrs. John H. Kennedy Mr. & Mrs. Charles Barker Mr. & Mrs. William A Welsheimer Mr. & Mrs. Thomas G. Kenny, III Mr. & Mrs. Herman F. Becker ($5,000.00- 59,999.99 ) Mr. Roger Wilcox Mr. & Mrs. Jules F. Knapp Mr. William J. Begley Armstrong Foundation Ms. Patricia A Williams Jules & Gwen Knapp Family Foundation BellSouth Corporation Mr. & Mrs. George C Balzereit Mr. & Mrs. James R. Koch Mr. & Mrs. Crawford Black Mr. Leo C Balzereit ($1,000.00 -52499.99 ) Ms. Ruth A Lawrence Blaze Mechanical, Inc Mr. Leo G. Balzereit Adelphia Cable Company Dr. & Mrs. Jeffrey J. Lazarus BMW Car Club of America The Betty & Leo Balzereit Foundation . Mr. & Mrs. Richard E Allen Mr. & Mrs. Arthur Levitt Mr. & Mrs. Fred Borowicz Mrs. Josephine 0. Bannon Allen Family Foundation, Inc .. Mr. & Mrs. David A Lowry Mr. & Mrs. William M. Bramson Miss Mercy Barnes Mr. & Mrs. Robert H. Appleby Mr. & Mrs. George T. Maloney Mr. & Mrs. Lawrence Breault Ms. Mary M. Bayley AVTEK, INC Catherine Maloney Foundation, Inc Mr. & Mrs. Lawrence B. Brooks Ruth Camp CampbellCharitableTrust Mr. & Mrs. Wade Aycock Manatee Floors, Inc Mr. & Mrs. F. William Bryan Mr. & Mrs. Richard T. Cassell B. R. FedeI4 Inc Martin & St Lucie Chapter Ms. Susan L Bryan Mr. & Mrs. Norval H. Copple, Jr. Mr. & Mrs. Lawrence Beck S.P.EBS.CI,SA Lee Bryan Real Estate, Inc Mrs. Joan L Cutting Mrs. Candice Beckham Mr. & Mrs. James E McGirr Mrs. Mary Lou Bunger Dr. & Mrs. Daniel E Dunn Mr. & Mrs. William C Bevins Mr. & Mrs. Robert C McNally Raymond LBuse Mwmrial Foundation, Inc Eagle Marsh Golf Uub Mr. & Mrs. S. Prestley Blake Mr. & Mrs. Robert J. Midinal Mr. & Mrs. Thomas A Butz Mr. Miles Fisk Dr. & Mrs. Robert N. Blews The Michnal Foundation Dr. & Mrs. John M. Carino Mr. & Mrs. Lawrence Gochberg Ms. Nicola J. Boone Mr. Thomas Mowitt Carmody's Mrs. Jane S. Gruson Mr. & Mrs. Bennett Boulden, Jr. Andrew Neurvelt Center for the Arts, Inc Mr. Derek E. Heath Mr. & Mrs. Gerald R. Bouwkamp Northern Star Foundation Dr. Catherine C Chandler Mr. Richard G. Hupfel Mr. Robert 0. Boyhan Oceanside Business Associates, Inc Charles Schwab Investments Mr. Lawrence E. Ingall Mr. & Mrs. Daniel Braden Mr. & Mrs. Michael Oristano Church of the Good Shepherd Mr. & Mrs. Alan Innes Mr. & Mrs. Phillip R. Braden Oristano Foundation Mrs. Pe C Clute Knights of Cokrmbw Florida State Cour d Braden & Braden, AIA, P.A. Mr. & Mrs. W. Donald Osteen Colleu Live Desi Inc 1 Ms. Eileen 0. Morns Mr. Morgan T Brandt Palmetto Retailers Columbiettes orlvtartin County Northern Trust Mr. & Mrs. John W. Brown Peace Presbyterian Church Counsel #6241 a Ms. Margaret Richebourg Mr. & Mrs. Daniel B. Burke Mr. & Mrs. William E Peach Community Savings Anne L Roach Charitable Trust Mr. & Mrs. S. Roy Burtouahs Piper's Landings Country Club Mr. & Mrs. Norman B. Cooling Mr. & Mrs. Robert G. Sexton Burroughs Family Found on Publix Super arkets Charities Mr. & Mrs. Thomas L Corr Tozzolo Brothers Construction Christ Child Society of Stuart Ms. Marrgqaret A Ranger Ms. Cynthia L Cox Mr. & Mrs. Harry W. Walker, II ✓#i Mr. & Mrs Robert A Uine Jr. Rik lM1kmusuA#imChrsHmHaae Crary, Buchanan, et all Wilmington Trust Mr. & Mrs. Morris J. Cohen Mr. & Mrs. Max C Rice Cruisers Tavem Mr. & Mrs. James B. Young Conchy Joe's Restaurants, Inc Mr. & Mrs. Robert Ritter Mr. & Mrs. Philip J. O'Angelo Mr. & Mrs. Charles Cooper Riverside National Bank Mr. & Mrs. James W. Dawson (52,500.00 -54,999.99 ) Mr. & Mrs. Albert M. Covell! Ms. Sharon Russell Mr. & Mrs. J. Neal DeLettre e A & A Manufacturing Co, Inc The Albert M. Covelli Foundation Mr. & Mrs. Leroy B. Schier Mr. & Mrs. Michael B. Dewey Mr. & Mrs. David W. Akers Mr. & Mrs. Nelson Cover, Jr. Mr. & Mrs. Owen C Srhwaderer Mr. & Mrs. Joseph G. 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Kinnard Whlticar Boat Warks, Inc Mr. Jeffrey L Glavan Mr. & Mrs. Daniel W. McCravy, III Mrs. Patricia P. Kinneft Mrs. Antoinette Wilkes Gold Coast Anesthesia Assoda PA Mrs. Margaret M. McCudden The Keplinger Washingqttoon Editors, Inc 0. Franklin n Wolfe Realeld tyCorlphams Mr. & Mrs. Alan J. Golden Ms. GrierlC Mcfariand Mr. & Mrs. Steven J.lGrkenslager Mr. & Mrs. Charles H. Wood Mr. Peter A Goodridge Mr. & Mrs. Joseph J. McGavodk i Mr. Christian L Klein Mrs. Joseph K Gordon Mr. & Mrs. Daniel W. McGlaughlin Dr. & Mrs. Gary A Krosin Mr. & Mrs. Paul R Young Or. Conrad A Goulet Mr. & Mrs. Michael J. McGuinness j Mr. Karl J Krueger Jr Mr. & Mrs. Frank J. Zappala, Jr. Mr. & Mrs. Stewart M. Cranfield Mr. & Mrs. AI McHale i eg Mr. & Mrs. Lawrence T. Zehfuss Great Day Salons & Spas, Inc Mr. & Mrs. Stuart B. McKinney Ms. Arlene Laino Mr. & Mrs. Jeremy C Zimmerman P Or. & Mrs. George E McLain Mr. & Mrs. Lionel Lamoureux Y Ms. Colette Gregory Mr. & Mrs. Parker M. 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Baxter Proctor Construction Co. Mr. & Mrs. Robert D. Van Saun Mr. & Mrs. Henry W. Angsten Bays Corporation Vero Beady Laboratories Professional Risk Insurers, Inc Nlr. & Nlm Lawnmce Van Someren, Sr. Anon Mrs. William Annese Sayshore Industrial Properties, Inc Mr. & ,Mrs. Milan Purigraski Mr. & Mrs. Hendrik Vermeulen BD Matching Gift Program Ms. Myrna C Rapp Mrs. Mrs. Von rk Ver uckeul Ms. Martha G. Anthony Beachcomber Hair Studio Mr. & Mrs. C Brent Rasmussen Mr. & Mrs. John Walsh Mr. & Mrs. Richard E Appleby Mrs. Mary S. Beale Sheriff & Mrs. Roy H. Raymond Walt Disney World Agree Salon & Day Spa Mr. Paul M. Beall Raz Dai Inc y Mr. Nick Aganval Mr. & Mrs. Donn A Bearman Wamer,Fox,Wackeen,Dungey,Seeley, Mr. & Mrs. Hamilton G. Arden, Jr. Mr. William J. Beaucher RCL Development Inc Sweet & Beard,LLP Dr. & Mrs. Anthony . Arena 1 Mr. & Mrs. George R. 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Weber, Jr. Mr. & Mrs. Anthony C Woomer 7 Mr. & Mrs. Robert M. Sussman Mr. & Mrs. Charles D. Turner Ms. Theresa M. Weber Workforce Board Mr. & Mrs. John H. Sutherland Mr. & Mrs. Norman L Tomer Mrs• Jeanine C. Webster Mr. & Mrs. Daniel A Woron Mrs. Margaret S. Sutton Ms. Nancy K Turrell Mr. & Mrs. John Webster Ms. Camille C. Worsnop Mr. Richard K Swan Ms Jean Tuthill Mr. & Mrs. Daniel Weinstein Mr. & Mrs. Gary B. Wri ht Mrs. DorothySweek Mr. & Mrs. James B. Weir Mr. & Mr. Gregory Writ Mr. William Tuttle & Ms. peen Bums Mr. & Mrs. Ronald Weir Mr. & Mrs. Stuart G Wn t Mr. & Mrs. Charles E Sweeney Mr. Christopher Underhill Ms. Gunnel Weiser Mr. & Mrs. Ga L Sweet Mr. & Mrs. Dourslas F. Wulffieff y Mr. & Mrs. David F. Swett Mr & Mrs. Lake Underwood Mr. & Mrs. Roberti. Weissman Mr. & Mrs. J.R Wunderlich Mr. & Mrs. Georrgge H. $wi III Ms. Edith L Unger Mrs. Pam Welch Mr. & Mrs. Albert Wunsch Ms. Dawn $ vaster Mrs. Judith P. Unger Ms. Arlon Wells Ms. Shirley E Wrt Ms. Lillian es Unger Mr. & Mrs James 0. Wills Mr. Andre P. Wybou .< urz Mr. & Mrs. Thomas E Sylvester United States Treasury Mrs. F. Colleen Welsford s I TJ. Maxx Department Store United Way of Dade CountyWynne Building Corpoation Mr. & Mrs. Pasquale R Taddeo Mr. & Mrs. Jeff J. UrcaMr. & Mrs. Joseph Welsh Ms. Virrqq�inia C Yankovich Jeffrey Mr. & Mrs. Edward Welter Mr. & Mrs. Brendan J. Yates • � I Mr. & Mrs. Lawrence N. Tadross Ms. Patricia 0. Urso Wendalyn s Jewelers { Mr. & Mrs. Joseph Taglia Ms. Nancy S. Usher We & Mrs Lewis a Weriin Ms. Virginia Yates & Mr. Edward Harm Tail Clothing Inc J Mr. & Mrs Vual Uygur M Susan R Wertheim Ms. Dixie G. Yeager a Mr. & Mrs. Sam V. Tamborello Mr. Francis M. Valen i Mr. & Mrs. David L West Mr. & Mrs. Edward D. Yewell Ms. Tracey Tango Mr. & Mrs. Richard I. Van Doren Ms. Rebecca A West YMCA bf the TreMr. Jeffrey L radsyure Coast Mrs. Eileen Taranto Mr. Robert Van Kawsky Or & Mrs. Robert E Westlake, Sr. Mr. Mrs. James Young Mr. & Mrs Herman W. Taube III Mr. & Mrs. Herman T. Van Mill Wet'n Wild Mr. & Mrs. Charles W. Taylor Mr. & Mrs. Joseph W. Van Sickle Mr. & Mrs Fonds F. W Mr. & Mrs. cam Young Mrs, Fiona S. Taylor Ms. Megan Van Vledk Weyer Ms. Melissa Yusko Ms Roberta L. Taylor Or. Shirt"ey A Vandenberg Mr. & Mrs. Kenneth R Whalen Mr. & Mrs. Richard Zemenick + Mr. & Mrs. Russell S. Taylor Mr. Fred Vander Ploe Ms. & Mrs Logan H. Wharton Mr. & Mrs. Daniel J. Zicari TCOS, Inc gg Ms. Kimberly Wheeler Mr. & Mrs. Paul E. Zimmerman Mr. & Mrs. Ronald Teal Mr. & Mrs. Nicholas Vandestad Mrs. Margaret L Wheeler Mr. & Mrs. Stanley Zinggle Ms. Irene Vandenwerff Whisperingg Sounds Women's Club Mr. & Mrs. Georg Zing Or & Mrs. Alan lesson Ms. Dallal H. Vanhoeck Mrs. John T. Whitaker j Mr. & Mrs. Baird Tewksbury Ms. Virginia Vannata Mrs. Claire S. White Mr. & Mrs. Richard Zolla Mr. & Mrs. Morton G. Thalhimer, Jr. Mr. Camilo E Vargas Mr. & Mrs. Gregory R White Mr. F. W. Zwigard t , Mrs. Joann Thatcher Mr. & Mrs. William Vaught ry Mr. & Mrs. Lon E Zygmun Ms. Lois Theisen Mr. & Mrs. Melvin Veenema Mr. & Mrs. Hug J. White Mr. & Mrs. James H. White Mr. & Mrs. David G. Thomas Venture Three Recreation Ms. Janice H. Thompson Mr. & Mrs. Joseph F. Vessel Mr. & Mrs. John G. White Mr. & Mrs. Paul W. Thompson victory Christian Center y Mr. Paul D. White Mr. & Mrs. Warren R. Thomson Vietnam Veterans of America Mr. & Mrs. Ronald M.Mr. & Mrs. Charles W. Thom Village Beach Market, Inc. White Mr. 8: Mrs. Edwin A Thomberg Mr. & Mrs. Louis viscosi Ms. Caron. Walter M. White Mrs. Suzanne 8. Thome r & Mr. & Mrs. Vidor M. Vitale Mr. & Mrs. Richard K. Whitehill Mr & A1. Mrs. William Thornton Ms. Marion G. Vogt Ve . Mrs. Merle L. Thorpe Mr. & Mrs. Henry Von Kohom Mr. & Mrs. ars. F nkk PFWhitridger 17 Internal Revenue Service Department of the Treasury P . O . Box 2508 Cincinnati , OH 45201 Date : January 16 , 2003 Person to Contact . Cassandra E . Jackson 31 -07417 Customer Service Representative Hibiscus Children 's Center, Inc . Toll Free Telephone Number, P . O . Box 305 8 : 00 a.m. to 6: 30 p.m. EST Jensen Beach , FL 34958-0305 877-829-5500 Fax Number. 513-263-3756 Federal Identification Number: 59-2632361 Dear Sir or Madam : This is in response to the amendment to your organization 's Articles of Incorporation filed with the state on November 30 , 1994 . We have updated our records to reflect the name change as indicated above . Our records indicate that a determination letter issued in March 1987 granted your organization exemption from federal income tax under section 501 (c )( 3 ) of the Internal Revenue Code . That letter is still in effect. Based on information subsequently submitted , we classified your organization as one that is not a private foundation within the meaning of section 509(a ) of the Code because it is an organization described in sections 509( a )( 1 ) and 170( b )( 1 )(A )(vi ) . This classification was based on the assumption that your organization's operations would continue as stated in the application . If your organization 's sources of support , or its character, method of operations , or purposes have changed , please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization . Your organization is required to file Form 990 , Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25 , 000 . If a return is required , it must be filed by the 15th day of the fifth month after the end of the organization 's annual accounting period . The law imposes a penalty of $20 a day, up to a maximum of $ 10 , 000 , when a return is filed late , unless there is reasonable cause for the delay. All exempt organizations ( unless specifically excluded ) are liable for taxes under the Federal Insurance Contributions Act (social security taxes ) on remuneration of $ 100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act ( FUTA ) . Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code . However, these organizations are not automatically exempt from other federal excise taxes . Donors may deduct contributions to your organization as provided in section 170 of the Code . Bequests , legacies , devises , transfers , or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106 , and 2522 of the Code . -2- Hibiscus Children 's Center, Inc . 59-2632361 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code . If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return . In this letter, we are not determining whether any of your organization 's present or proposed activities are unrelated trade or business as defined in section 513 of the Code . The law requires you to make your organization 's annual return available for public inspection without charge for three years after the due date of the return . If your organization had a copy of its application for recognition of exemption on July 15 , 1987 , it is also required to make available for public inspection a copy of the exemption application , any supporting documents and the exemption letter to any individual who requests such documents in person or in writing . You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials . The law does not require you to provide copies of public inspection documents that are widely available , such as by posting them on the Internet (World Wide Web ) . You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection ( up to a maximum of $ 10 , 000 in the case of an annual return ) . Because this letter could help resolve any questions about your organization ' s exempt status and foundation status , you should keep it with the organization 's permanent records . If you have any questions , please call us at the telephone number shown in the heading of this letter. This letter affirms your organization 's exempt status . Sincerely, g,w, Z (� John E . Ricketts , Director, TE/GE Customer Account Services - - A NOT FOR PROFIT CORPORATION —� '- - " — __ — . The undersigned , President and Secretary of CHILD ABUSE -- --- ,._. PREVENTION . INC : ,-::_ Hereby certify_: that__ the Ar ticlesoF_ — Incorporation - of •CHILD ABUSE- PREVENTION ; INC, , ' were amended" and-- restated pursuant to resolution adopted by the members at a special meeting of the members on Februa =y q , 1987 , and henceforth the Articles shall be and read as follows : 1 — '— - The- undersigned-f - desiring- to- form- a• • corporation- o m pursuant to the Not - for - Profit Corporation Law of the State of . Florida , pursuant to Florida Statute 617 , does hereby make , subscribe and acknowledge these articles as follows : ARTICLE I . . F •- _-.- . . . NAME ... _ i The name of this corporation shall be as follows : CHILD ABUSE PREVENTION ; INC . ' ARTICLE I2 . DURATION _ This corporation shall have perpetual ' eXistence : : - • ARTICLE TTT i NON - PROFIT PURPOSE AND POWERS The purposes for which CHILD ABUSE PREVENTION , INC . , is : organized are exclusively religious , charitable , scientific , organization shall not carry on-"ahi - other -activit-ies– not­- - • – =— permitted to be carried on by an organization exempt from ;Federal . Income Tax under Section 501 ( C ) ( 3 ) of the Internal' Revenue code of 1954 or the corresponding provision of any future United _. . .- -. – States- Interna ] ARTICLE IV . _ MEMBERSHIP The qualifications of members- and the manner of. there : Ii admission shall be as regulated by the By— Laws , ; ! ARTICLE V. . REGISTERED OFFICE AND REGISTERED AGENT Theregistered office shall be , 10758 S . E . Federal Highway , Post Office Box 2063 , Hobe Sound , Florida 33455 and the registered agent at that address shall be . VICXI J . . 4UNOD . ARTICLE VI • ; BOARD OF DIRECTORS _- The number of persons constituting the" Board of Directors is sixteen ( 16 ) . The names and addresses of the persons who shall serve as Directors .'until the next - election of the Board . of Directors are . as follows : LaVAUGHN TILTON P . O . Box 713 Jensen Beach , FL 33457 JILL STALKER 700 Savannah . Vista Jensen Beach , FL 33457 -- JOY KEATIILEY 6510 S . E • Heritage Blvd . Hobe- Sound , FL 33455 SUSAN SHERRARD 1861 SE •Greendon Avenue Port St . Lucie , FL 33452 __� '; -- - - - - _ --- - -- --_ OANILL IiHALLL%j J 1 j a iw& Q �. v .. ... .. ..� _. .- _ s — .- ,e Stuart-; FL- - 33494- -- -- •- -- •--- � _.. ._.. �_._._ _ MARION CAMPBELL 3736 S . E . Federal Highway I Stuart , FL 33494 DAVID HEATON 2123 SE Meadowbrook Road Stuart , ' FL 33497 - - ----- THERINE' STRAUSS- _- 1809 • NW River Terrace. ... - _ Stuart , FL 33-49. 4- - ... - -- ---- BARBARA GROSSNICKLE 1600 S . E . Ste Lucie Blvd . X408 . Stuart , FL 33494 MARY WALTON 2414 Nebraska Avenue - I Fort Pierce , FL 33450 JEAN GRAVES 95 E1Mar Drive; Jensen Beach , FL 33457 � . -•- - DIAMOND. . HORNE. ____. ..._ 4107 Spinnaker Court Ste Lucie Village , FL 3345. 0 ` - - - - --- � . HAZEii KREIS 3 Timor Street Stuart , FL 33494 i . WILLIAM GRAVES 95 E1Mar Drive ' Jensen Beach , FL 33457 ARTICLE VII -- - ---- -. �._ _—_ _ , INDEMNIFICATION OF OFFICERS AND DIRECTORS ( a ) The otganization hereby indemnifies any Director or . Officer made a party or threatened to be made a party to _ any _ ' threatened , pending or completed action , suit , or proceeding : 1 . Whether civil , criminal , administrative , or . investigative , other than one by or in the right of the organization torocure a p judgment in its favor , brought to : • impose a liability or penalty on such person for : an act alleged to have been committed b such . _ 7 y person in his capacity of Director c or Officer of , the Oryarizsticr. o � in his capacity Iof Director , Officer , employee or agent of any other 'corporation , partnership , action suit or --_-- - � _ � - proceeding or any appear therein if such person - acted in good faith in the reasonable belief that such action was . in the best interests of the Organization , and in criminal actions or proceedings , without reasonable ground for belief that such action was- unlawful The-- termination-- of- any- s.uch ' action , fir,;•- : -- - - suitor proceddings by judgment , order , settlement ," - cbnviction , - '--- or upon a plea of nolo contendere or its equivalent shall not in . itself create a presumption that any such Director or Officer did not act in good faith in the reasonable belief that such action - _ wasin the best interests of the Organization or that he had reasonable grounds•- for- ' berief- tlTar- such-- action •- was- -unlawful .— ___ -. .._ • '• __ -- 2 . By or in the right of the Organization to procure a . .. judgment in its favor by reason of his being or having been , a , Director or Officer of the Organization , or by reason of his being a Director , Officer , employee or agent of anyother _ -- corporation , . partnership , joint venture , trust or ocher enterprises which lie served at the request of the Organization , . I against the reasonable expenses , including attorney ' s fees , actually and necessarily incurred by him in connection with the defense or settlement of such action , or in connection with an appeal therein , if such person acted in good faith in the - .- - reasonable belief that such action was in the best interests of the . Organization . Such person shall' not be entitled - to indemnification in relation to matters as to which such person has been adjudged - to have been guilty of negligence or I misconduct in the performance of his duty to the Organization • - unless_ and. . only to the . extent that the court , administrative • proper . . _ --- -- - ( b ) The Board of Directors shall determine whether amounts for which a Director seeks indemnification were properly incurred and whether such Director or Officer acted in good faith — - " — and - in'- a- manner lie- reasonably-- believed-.to- be_ in-_ the_ best_.in.ter. est --_- -'---- of the Organization , and whether , with respect '-to - any mcriminal ' . , .q . - action or proceeding , he had no reasonable ground for 'belief ' that such action was unlawful . Such determination shall be made by the Board of Directors by - a majority vote of a ' quorum consisting of Directors who were, not parties to such action , suit or proceeding -- - - -- ----. ( c ) The foregoing rights of indemnification shall not be deemed to limit in any way the powers of the Organization: to indemnify under applicable law . ARTICLE VIII TRkRSACTION IN W[3ICIi DIRECTORS OR ---_— .._ - -- '-- - - -- OFFICERS ARE INTERESTED ( a ) No contract or transaction between the Organization . and one or more of its Directors or Officers , or between the Organization and any other corporation , partnership , association . or other organization in which one or more of ita: Directors or Officersare Directors or Officers , or have` a firianaial - int"eresC ; --"'- - -- ," • -• •• shall be invalid , void or voidable solely for this , reason , or '- solely because the Director or Officer is present at or �. _ participates in the meeting of the Board . or committee thereof - - . .which authorized the contractor transaction , or solely because * acknowledgments in the State and County s/et -forth personally appeared 414 c, , � �, 1, � .e ,� and known to me and known by me to be the President and - Secretary respectively of CHILD . ABUSE — PREVENTION ,— INC ._r._.who_. executed=. the_ foregoing - Amended` and- Restated - Articles of Incorporation ; and- they- acknowledged before me that•. _- . they executed the same freely and voluntarily . — _ . IN WITNESS WHEREOF , I have hereunto set my hand and affixed my official/ seal , in the State and County aforesaid , . this . day of . I —e� L. rc<..., , . 1987 . Notary Pu ic _ 14y Commission Expires : �. NOTARY POOLIC STATE OF FLORIDA ' 1 NY COMMISSION EXP , AUG 22 , 1909 OOMOEO 11190 GE",ERAL INS . UNO . ACCEPTANCE- OF RESIDENT AGENT fir I , having•: been named , to accept service of processrocess .. for . the above- named corporation , at the place designated in the Articles of Incorporation , her accept to act in this capacity and agree to comply with the provision of said Act- . relative to keeping open said office . VICKI 47 . J OD • lLJ / lIlLC1CDVC�i W+ i = UL. UL .2 iliaY Lc ' %: UUULtu llt ueCCtmiLing . the a presence of •' — - quorum at a meeting of the Board of Directors or of a committee which authorized the contract or transaction . - — ARTICLE IX DISSOLUTION In the event of dissolution , the residual assets of the organization will be turned over to one or more organizations which - themselves'-are exempt` as - organizations described -fn Sections 501 ( C ) ( 3 ) and 170 ( C ) ( 2 ) of the Internal Revenue code of . ' 1954 or corresponding sections' of any prior or future Internal Aevenue code or to the federal , state , or local government for exclusive public purpose , ARTICLE X — . . .. ...,._. _.. . _. :. . ._ INCORPORATOR i The original Incorporator of the Articles �f i Incorporaton was THE EXCHANGE CLUB CENTER FOR PREVENTION OF CHILD ABUSE OF THE TREASURE COAST , INC , , whose address • was 2414 Nebraska Avenue , : 'Fort` Pierce ,' Zlor:da ' •33 _ -- N" WITNESS=WHEREOF',-- ' the- •President and Secretary hereunto set their hands and seals this day of APX7 . - 1987 . WITNESSES : &4 s� AJ jI COD AYE iyc��i FLORIDA DEPARTMENT OF STATE Jim Smith Secretary of State December 1 , 1994 . HIBISCUS CHILDREN ' S CENTER P . O . BOX 305 JENSEN BEACH , FL 34958 Re : Document Number N11043 The Articles of Amendment to the Articles of Incorporation of HIBISCUS HOUSE, INC . which changed its name to HIBISCUS CHILDREN ' S CENTER , INC . , a Florida corporation , were filed on November 30 , 19940 . Should you have any questions regarding this matter, please telephone ( 904) 487-6050 , the Amendment Filing Section . Kelley Shank Corporate Specialist Division of Corporations Letter Number: 994A00051480 Division of Corporations - P . O . BOX 6327 -Tallahassee! rids, 32314 g�e1scmYciXv/Q�rkN ✓°C✓°`r✓°fir✓°fir✓IV`r✓�©�C✓ C✓� 'Jr`.���'Jrr.�� Jr`� ^ [YLJIti7C�1iJ4�Z�UlilCtlLJk7GdUltij �✓�fir ✓��✓�Cr Mg of :J1 NO ta Or aVo 0% t spy on •• •` • ✓^A 1 a 'M X00 w (. 7FU51 . . G �QC , i �P�FII'fIZtP21f. IIf ���ItB QVC xyjg ° nc eV ° ?VC I certify that the attached is a true and correct co of the �QC PY Articles of n V C Incorporation of CHILD ABUSE PREVENTION, INC ., a , o ' V V corporation organized under the Laws of the State of Florida , filed on j NIO September 11 , 1985 .as show ° V n by the records of this office . n The document number of this corporation is N11043 , ° V °C KnqQ °C � �� °C n �nC (gibm unbEr mp bantr an the ° O OrW �ea10f the Marr °f ginriba, V nC at �GaIlafjagg�, the ita Kul h �' I ' the rhP� __ _ �0 1 -2th bap of September, 1985 . 1V Man . =e = r - 1C . - fib ° ws V V V V V V V V V V V V V V V V V V V V ti I HIBISCUS CHILDREN ' S CE T Eproviding service- ns cnegectechildren R November 28 , 1994 Florida Department of State Division of Corporations Board Of Directors P . 0 e BOX 6327 LaVau¢hn Tilton Tallaha wee , Florida 32314 Charman % rice Board Wrrmenc er . Preridenc SUBJECT : Letter Number 794A000049627 Pam Gage Hibiscus House Inc . Ref * Number N11043 V•rte President Joyce Hobson Treasurer A notice of adoption of Articles of Amendment' to the members ent LynnHavms Articles of Incorporation is attached . Thera are no secre�ry itled to vote on this: amendment . The Board of iarmBauer Directors did take the appropriate vote on October 20 , 1994 Barbara Blew at their regular meeting as noted . A majority vets is required for approval of amendments .. The number r Fedele• D M-D• cast for the amendment was suf no I of votes c t f or a Frank Ferraro pproval . Pamela Gardner The letter I received indicated that our check for 2 Linda SloanGriairh was being returned , There was no check in the letter and Susan Laoretri our bank has confirmed the check was paid on 11 / 16 / 94 . Chuck Olsson If any further information is re Lindaschwaderer at ( 407 ) 334 - 9311 . Quired , please contact me Brenda Simpson Doris Spears Sincerely , Gayle Swift JeArey Thomas Jeffrey L Weber 2Suzana Pe Cabrera E=udve D == Executive Director Suzanne P. Cabrera Post Office Box 305 , Jensen Beach, FL 34958 •• Phone: (407) 334-9311 • Fax: (407 ) 334-1 99 1 �tsa Ail Joltlot VMoei FLORIDA DEPARTMENT OF STATE Jim Smith Secretary of state November 15, 1994 HIBISCUS CHILDREN 'S CENTER P . O . BOX 305 JENSEN BEACH , FL 34958 SUBJECT: HISISC (3 HOUSE, INC . Ref. Number: N11043 We have received your document for HIBISCUS HOUSE, INC . and. checks ) totaling $52 . 50 . However, your check(s) and document are being returned for the following : If there are MEMBERS NTITL D TO VOTE on a proposed amendment, the document must contain : ( 1 ) the date of adoption of the amendment by the members and (2 ) a statement that the number of votes cast for the amendment was sufficient for approval . If there are NO MEMBERS QR MEMBERS ENTiT ED IQ VOTE on a proposed amendment , the document must contain : ( 1 ) a statement that there are no members or members entitled to vote on the amendment and (2 ) the date of adoption of the amendment by the board of directors . The person shall state his name and title underneath his signature . Please return your document, along with a copy of this letter, within 60 days or your filing will be considered abandoned. If you have any questions concerning the filing of your document, please call ( 904) 487-6903. Kelley Shank Corporate Specialist Letter Number: 794A00049627 Division_ of4Corporations P . O . BOX 6327 -Tallahassee, Florida. 32314 ARTICLES OF AMENDMENT OF THE ARTICLES OF INCORPORATION %OF HIBISCUS HOUSE, INC . The undersigned , as the Secretary of HIBISCUS HOUSE , INC . , states that the following Articles of Amendment to the Articles of Incorporation were adopted by the Board of Directors of HIBISCUS HOUSIf, C . on October 20 , 1994 . The amendment was approved at a meeting of the members of the corporation at a meeting held on L C . �- h �'. r' L� , 1994 . 1 . The name of the Corporation is HIBISCUS HOUSE, INC . . ? . The Articles of Incorporation are amended so that Article I will read in its entirety as follows : . The name of this corporation shall be : HIBISCUS CHILDREN' S CENTER , INC . 3 . This Amendment was adopted by a majority of the membership entitled to vote, at a regularly scheduled. meeting on C° 1994 . Dated .at Martin County , Florida, this G " day of October, 1994 . HMISCXUS HUSE, INC . President_ _ ... a nli ice- } 7nc5 t . . . SecSdtary _ BYLAWS OF HIBISCUS CHILDREN'S CENTER, INC. (A NOT-FOR PROFIT CORPORATI019 Article I The Corporation Section L Name. The name of the corporation shall be "Hibiscus Children ' s Center, Inc . " The Corporation is referred to in these Bylaws as "Hibiscus . " Section 2. Seal. The seal of Hibiscus shall be in the form of a circle and shall bear the name of Hibiscus and the year of its incorporation. The seal shall be kept by the Secretary and shall be affixed to formal documents executed in the name of Hibiscus to which by law or custom the corporate seal is required to be affixed or is customarily affixed. Section 3. Offices. The principal office of Hibiscus shall be located at 2400 Northeast Dixie Highway, City of Jensen Beach, County of Martin, and State of Florida. Hibiscus may have such other offices at such other places, either within or without the State of Florida, as the Board of Directors may designate from time to time by resolution. Article II Mission and Purpose Hibiscus is organized exclusively for one or more of the following purposes : Section L To break the cycle of child abuse by providing emergency shelter and other services as may be necessary. Section 2. To be Non-Sectarian and Non-Partisan in its delivery of services . Section 3. To primarily serve the needs of children and their families residing in Martin, St. Lucie, Indian River, Okeechobee, and Palm Beach Counties , Section 4. To have such other health, religious , charitable , scientific, testing for public safety, literary, or educational purposes, as specified in Section 501 (c)(3 ) of the Internal Revenue Code of 1986 (hereinafter the "Code") , and shall not carry on any activities not permitted to be carried on by a corporation exempt from federal income tax under Section 501 (c) (3 ) of the Code. Article III Earnings and Distribution Section L Earnings. No part of the net earnings of Hibiscus shall inure to the benefit of any director of Hibiscus, officer of Hibiscus , or any private individual (except Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 that reasonable compensation may be paid for services rendered to or for Hibiscus effecting one or more of its purposes) , and no director, or officer of Hibiscus , or any private individual, shall be entitled to share in the distribution of any of the corporate assets upon dissolution of Hibiscus . No substantial part of the activities of Hibiscus shall be the lobbying for, or otherwise attempting to influence legislation, unrelated to the mission of purpose of Hibiscus, and Hibiscus shall not participate in, or intervene in (including the publication on distribution of statements) any political campaign on behalf of any candidate for public office. Section 2. Distribution. Upon dissolution of Hibiscus or the winding up of its affairs, the assets of Hibiscus shall be distributed exclusively to an endowment fund of a recognized charity with the appropriate Internal Revenue Code Exemption, Section 501 (c)(3), which will provide housing for abused children. If none can be located, then to such other organization whose purpose and philosophy most closely approximate that of Hibiscus. If none can be located, then to such other charitable, religious, scientific, testing for public safety, literary, or educational organizations which would then qualify under the provisions of Section 501 (c)(3) of the Code, as it now exists or may hereafter be amended. Article IV Board of Directors Section 1. Management ofHibiscus. The affairs of Hibiscus shall be managed by a Board of Directors, who shall advise Hibiscus on its policies, management, planning, finances , use of resources, and service delivery. 1. 1 Policies. The Board shall establish and maintain a set of approved and current personnel policies and operating procedures . The Board assumes responsibility for policy development and maintenance by: adopting policies, reviewing policies biannually and whenever legal requirements change, and approving any changes to policies resulting from recommendations or negotiations with a recognized collective bargaining unit. 1. 2 Finance. By June of each year, unless otherwise determined by the Board, the Board shall approve an annual operating budget of anticipated expenditures necessary to provide the services set forth in the objectives of Hibiscus and of anticipated revenues therefrom. While the Board may approve a deficit budget, the Board may not expend, or authorize expenditures in excess of cash assets or incur any long term debt without approval of three4ourth (3/4) of the Board present and voting at a special meeting called for the purpose of approving such an expense . 1. 3 Audit The Board shall retain an independent audit of Hibiscus ' financial status at the end of each fiscal year by a reputable certified public accounting firm. Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 Section 2. Composition of the Board There shall be no fewer than five (5) and no more than twenty-five (25) Directors of Hibiscus, who shall be representative of the public or community. One ( 1 ) Director shall be the President of Hibiscus Foundation, or his or her designee. Section 3. Term. Each seat on the Board shall have a term of three (3 ) years, however, if the immediate past president is completing his or her Board term, then he or she shall continue to serve on the Board for one ( 1 ) additional year. The Board is to make best efforts to ensure that seats are staggered so that one-third ( 1 /3 ) of the Board is elected at the Annual Meetings. There are no limitations as to the number of terms, whether continuous or not, that a Board member may serve . The employment of Board members and his or her immediate family is allowed but not encouraged. "Immediate family" is defined as a spouse, sibling, parent or child of a Board member. "Employee" shall not be defined to include independent contractor services . Section 4. Elections. 4. 1 Term. A Director shall serve on the Board of Directors until the Annual Meeting of the Board. 4. 2 Nominations. Candidates to be considered by the Nominations Committee for Membership to the Board must be submitted to the Nominations Committee by the March Board meeting. At the May Board Meeting preceding the Annual Meeting, the Nominations Committee shall present candidates for Membership to the Board. 4. 3 Ballots. Ballots will be distributed at the Annual Meeting. Ballots shall be counted at the Annual Meeting by three (3) Board members, whose terms have not yet expired. Section S. Vacancy. Vhcancies on the Board of Directors occurring during the year may be filled for the unexpired term by the Board of Directors of Hibiscus at any Regular Meeting or at any Special Meetings called for that purpose. A Director may not resign a current seat in order to fill another seat. Candidates shall be screened by the Nominations Committee . Section 6. Resignation. Any Director may resign at any time by delivering his or her written resignation to the Board of Directors or to the President or Secretary. Such resignation shall become effective upon acceptance by a vote of a majority of the Directors present at a Regular or Special Meeting, unless it is specified to be effective at some other time or upon the happening of some other event. Section 7. Removal Any Director may be removed for three (3) unexcused absences within a Board year or whenever in the Board ' s judgment the best interests of Hibiscus will be served by such a removal .. This action requires a two-thirds (2/3) vote of Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 _ .3 the Directors present at a Regular or a Special Meeting called for that purpose and for which advance notice of not less than fifteen ( 15) days shall be given; provided, further, that a quorum is present. Section 8. Committees. 8. 1 Appointments. The President shall appoint all standing committees and committee chairpersons . The President may appoint such ad hoc or special committees and their chairpersons as he/she deems necessary to carry out the programs of Hibiscus . 8. 2 Limitation of Powers. No action by any committee, division, employee, director, or officer shall be binding upon or constitute an expression of the policy of Hibiscus until it shall have been approved by the Board of Directors . 8. 3 Ex-officio Members. The President or his or her designee shall be an ex- officio member of all committees . 8. 4 Committee Quorums. For any committee, except the Nominations Committee, a majority of the members present shall constitute a quorum. A quorum for the Nominations Committee shall be fifty-one (51 %) percent of the committee . 8. 5 Conflicts. No member of a committee shall participate in the decision making process or cast a vote in the event that the subject matter of an action to be taken by the committee shall involve Hibiscus doing business with (a) that member of the committee, (b) the committee member ' s immediate family, and/or (c) a business for which the committee member works . 8. 6 Standing Committees. The following shall be standing committees of Hibiscus : 8. 6. 1 Finance Committee. This Committee shall be responsible for recommending to the Board a yearly budget of Hibiscus. It shall present a proposed budget to the Board at least ten ( 10) days prior to the May Meeting setting forth its recommendations for funding sources , and allocations of those resources for the ensuing fiscal year. It shall conduct a review of the overall finances of Hibiscus with the Hibiscus Foundation on a quarterly basis . The Treasurer shall serve as a member of the Committee. 8. 6. 2 Program Committee This committee shall provide leadership and guidance to ensure all Hibiscus programs are providing for the physical, social/emotional, intellectual and spiritual needs of the Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 children. Further, at regular intervals , this committee will assist in evaluating the implementation of policies . 8. 6. 3 Nominations Committee This Committee shall review applications of individuals desiring to join the Board of Directors and make recommendations as to prospective Board members . The Committee shall select a slate of officers at the May Meeting for election at the Annual Meeting. The Committee shall establish criteria upon approval of the Board to become a member of the Board. The Committee shall be at least twenty-five (251/o) percent of the Board, but in no event less than three (3 ) people . 8. 6. 4 Compliance Committee The purpose of this committee shall be to provide the leadership and guidance to ensure adherence to all bylaws, to review all contracts and applicable local, state, and federal laws and regulations are to ensure they are followed and adhered to by the Board and Hibiscus . Further they are to conduct a biannual evaluation of management ' s implementation of policy. 8. 6. 5 Facilities Committee. The purpose of this committee shall be to provide leadership and project management support for all facility expansions as well as ensuring optimal operating environments for all Hibiscus facilities . 8. 6. 6 Bylaw Committee. This Committee shall review the Bylaw of Hibiscus annually and make recommendations for changes as they become necessary. 8. 6. 7 Executive Committee This Committee shall act between Board Meetings in the absence of the Board. However all decisions made must be taken to the Board for approval or ratification. This Committee shall consist of the Officers and the Executive Director, who shall be an Ex Officio Member. 8. 6. 8 Management Information Systems (MIS) Committee This committee will provide leadership and technical resources to ensure Hibiscus technology is current, supports efficient work processes , and can control overhead expenses through improved information management. 8. 6. 9 Public Relations Committee. This committee shall ensure Hibiscus Board members , volunteer organizations , and our communities have a full understanding of the mission and programs of Hibiscus and shall promote the "Hibiscus " brand name . Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 1 8a 630 Standing Rules, All Committees shall comply with the Standing Rules adopted by the Board from time to time. Section 9. Eligibility Requirements for Board of Directors Membership. The Board shall develop guidelines associated with the recruitment and selection of its members . These guidelines shall not only ensure the recruitment of Board members who will advance Hibiscus ' mission and purpose, but will also provide for the recruitment of members who are reflective of the composition of the community, and possess the skills , education, training, or experience necessary to accomplish the purpose of the Board. Residents residing in the service area, specified in Article II, Section 3 , are eligible for Board membership . In addition to residency, an individual ' s contribution to the organization through knowledge, time, professional or personal experience, and/or sphere of influence shall be assessed prior to extending an offer to become a Board member. Article V Meetings of the Board of Directors Section L Place of Meetings. The day of the regular monthly meetings of the Board of Directors shall be designated by the President or at such other time or at any place within or without the State of Florida that the Board may from time to time designate . Section Z Annual Meetings. There shall be an Annual Meeting in June or as otherwise provided by resolution of the Board. Section 3. Special Meetings. Special meetings of the Board of Directors may be called at any time by the President, or by three (3 ) or more Directors . Section A Notice of Meetings. Notice of any regular or special meeting of the Board of Directors shall be given at least three (3) days prior to the meeting by written notice sent by any usual means df communication to each Director at his or her address as shown by the records of Hibiscus ; however, notice may be waived by a Director before, at, or after any meetings . Section S. Waiver of Notice- Attendance of a Director at a meeting shall constitute a waiver of notice of such meeting, except when a Director attends a meeting for the express purpose of objecting to the transaction of any business because the meeting is not lawfully called or convened. Section 6. Quorum . At all meetings of the Board of Directors , forty (40%) percent of all the Directors then in office shall constitute a quorum for the transaction of business , except where a greater number is required by statute or these Bylaws . When a quorum is once present to organize the meeting, it is not broken by the subsequent withdrawal of any of those present, and a meeting may be adjourned despite the absence Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 of a quorum. Attendance of the Chair Emeritus at any meeting will not be considered in determining a quorum. Section 7. Voting ofDirectors. The vote of the majority of the Directors at a meeting at which a quorum is present shall be the act of the Board, unless a vote of a greater number is required by statute or these Bylaws . Section 8. Procedure. The order of business and all other matters of procedure at every meeting of Directors shall be determined by the presiding officer. Section 9. Action by Written Consent of Directors Without Meeting. Whenever pursuant to statute or these Bylaws the Directors are required or permitted to take any action by vote, such action may be taken without a meeting on written consent, setting forth the action so taken, signed by all of the Directors . Written consent thus given by the Directors shall have the same effect as a unanimous vote of the Directors . Article VI Officers Section L Officers. The Officers of Hibiscus shall be the Chair Emeritus , President, Vice President, Secretary, Treasurer, and Past President, and such other officers as may be prescribed from time to time by the Board of Directors. All Officers must be Directors . Section 2. Election and Term of Office. The Officers of Hibiscus shall be elected directly by the Board of Directors at its regular meeting in June to serve until the next ensuing Annual Meeting, or until the successors shall have been duly elected and qualified. Any officer may be removed at any time with or without cause, by the affirmative vote of two-thirds (2/3) of the Board of Directors . If the office of any officers becomes vacant for any reason, the vacancy shall be filled by the Board of Directors . Section 3. Resignation. Any officer may resign at any time by notifying the Board of Directors or the President or the Secretary of Hibiscus . Such resignation shall take effect at the time specified therein, and unless otherwise specified in such resignation, the acceptance thereof shall not be necessary to make it effective. Section 4. Chair Emeritus. The Chair Emeritus shall be LaVaughn Tilton, who agrees to serve as a Hibiscus representative at appropriate functions and meetings . Section S. President The President shall serve as ex officio member of all duly constituted committees , shall supervise the general management and the affairs of Hibiscus, and shall carry out the orders and resolutions of the Board of Directors . Except as otherwise authorized by resolution of the Board of Directors, the President or his or her designee shall execute (manually or by facsimile signature) all agreements, contracts , deeds, bonds , notes, or other evidences of indebtedness and any other instruments of Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 Hibiscus on behalf of Hibiscus . The President shall insure that a minimum of five (5) Hibiscus Board members serve on the Hibiscus Foundation Board, by appointment if necessary, one of which may be the President. The President may serve no more than two (2) consecutive years at the will of the Board. Section 6. Vice President. The Vice President shall have all the powers and functions of the President in the absence or disability of the President of Hibiscus . The Vice President shall perform such other duties as the Board of Directors shall prescribe or as delegated by the President. Section 7. Secretary. The Secretary shall be responsible for keeping the minutes of the Board of Directors, shall have custody of the seal of Hibiscus, and shall affix and attest the same to documents when duly authorized by the Board of Directors, shall attend to the giving or serving of all notices of Hibiscus , shall have charge of such books and papers as the Board of Directors may order, shall attend to such correspondence as may be assigned, and shall perform all the duties incidental to his or her office. Section 8. Treasurer. The Treasurer shall have the care and custody of all the funds and securities of Hibiscus, shall deposit said funds in the name of Hibiscus in such bank or trust company as the Board of Directors may elect, shall make investments , other than deposits , only with the approval of the Board of Directors , shall sign such instrument as may require the Treasurer' s signature but only with the approval of the President, shall at all reasonable times exhibit the corporate books and accounts to any Director or officer of Hibiscus upon request, and at the end of each corporate year shall present an annual report setting forth in full the financial condition of Hibiscus . Article VII Chief Executive Officer Section L Duties. The Board of Directors of Hibiscus is authorized to hire a Chief Executive Officer. The Chief Executive Officer shall be duly authorized and responsible for organizational management and policy implementation over Hibiscus and shall report directly to the Board. The Chief Executive Officer shall attend all board meetings, unless the Board is in executive session, but shall not have a vote on the Board. Section Z Performance. The performance of the Chief Executive Officer shall be assessed annually in writing. The Executive Committee, in consultation with the Chief Executive Officer, shall establish identifiable goals and objectives in order to accurately and objectively measure the Chief Executive Officer' s performance . Section 3. Planned Short Term (three (3) months or less) Absence of Chief Executive Officer. During planned absences, the Chief Operating Officer shall assume the responsibilities of the Chief Executive Officer. If the Chief Operating Officer is unavailable, then the Chief Executive Officer shall appoint another senior manager to assume the Chief Executive Officer ' s responsibilities and notify the Operating Board President in advance of this designation. Date of Approval by Committee: March 27, 2002 Date of Approval by Board: April 24, 2002 G Section 4. Unplanned or Long Term (in excess of three (3) months) Absence of Chief Executive Officer. The Operating Board President shall appoint the Chief Operating Officer or another senior manager to assume the responsibilities of the Chief Executive Officer until the next Operating Board meeting, at which time an interim Chief Executive Officer will be formally appointed. If necessary, the Board shall form a committee with the responsibility of, and the resources for transitional planning, identifying qualified candidates , and conducting a formal search. Article VIII Miscellaneous Section L Sureties and Bonds. In case the Board of Directors shall so require, any officer or agent of Hibiscus shall execute to Hibiscus a bond in such sum and with such surety or sureties as the Board of Directors may direct, conditioned upon the faithful performance of his or her duties to Hibiscus and including responsibility for the negligence and for the accounting for all property, funds, or securities of Hibiscus which may come into the officer' s or agent ' s hands . Section 2. Fiscal Year. The fiscal year of Hibiscus shall be fixed by the Board of Directors from time to time, subject to applicable law. Section 3. Indemnification. 3. 1 To the extent permitted by law, Hibiscus shall indemnify any person, made a party to an action, other than one by or in the right of Hibiscus to procure judgment in its favor, by reason of the fact that he or she is or was a Director or officer of Hibiscus, against the reasonable expenses , including attorneys ' fees, actually and necessarily incurred by him or her in connection wfth the defense of such action, or in connection with an . appeal therein, except in relation to matters as to which such Director or officer is adjudged to have breached his or her duty to Hibiscus under Chapter 617 of the Florida Not-For-Profit Corporation Law. 3. 2 To the extent permitted by law, Hibiscus shall indemnify any person, made or threatened to be made, a party to an action or proceeding other than one by or in the right of Hibiscus to procure judgment in its favor, whether civil or criminal, including an action by or in the right of any Hibiscus of any type or kind, domestic or foreign, or any partnership, joint venture, trust, employee benefit plan, or other enterprise, which any Director or officer of Hibiscus served in any capacity at the request of Hibiscus , by reason of the fact that he or she, his or her testator, or personal representative was a Director or officer of Hibiscus, or served such other corporation, partnership, joint venture, trust, employee benefit Date of Approval by Committee: March 27, 2002 Date of Approval by Board. April 24, 2002 plan, or other enterprises in any capacity, against judgments, fines, amounts paid in settlement and reasonable expenses , including attorneys ' fees actually and necessarily incurred as a result of such action or proceeding, or any appeal therein, if such Director or officer acted in good faith for a purpose which he or she reasonably believed to be or, in the case of service for any other corporation or any partnership, joint venture, trust, employee benefit plan, or other enterprise, not opposed to, the best interest of Hibiscus and, in criminal actions or proceedings, in addition, had no reasonable cause to believe that his or her conduct was unlawful . 3. 3 The foregoing rights of indemnification shall not be exclusive of other rights to which any Director, officer or other person maybe entitled. 3. 4 Hibiscus may procure or cause to be procured any insurance for Directors and officers authorized by law. Article M Amendment These Bylaws may be altered, amended, or repealed by the Board of Directors of Hibiscus at any regular meeting or at any special meeting called for that purpose, provided, however, that notice of the proposed amendment, alteration, or repeal shall be given to each Director at the meeting prior to the meeting at which a vote will be taken on proposed amendments, alterations, or repeals . These bylaws must be reviewed and revised every four years . •e Date of Approval by Committee: March 27, 2002 Date of Approval by Board. April 24, 2002 / �3 HIBISCUS CHILDREN'S CENTER ' , PERSONNEL POLICIES EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION It is the policy of Hibiscus Children ' s Center to recruit, hire, train and advance the best qualified applicants or employees without regard to race, color, religion, gender, marital status, age, national origin, disability, or any other protected class under relevant state and federal and local laws . All job applications are processed and evaluated in accordance with these standards and current staffing needs without discrimination. Every year, Hibiscus Children's Center completes an annual staffing plan to analyze and compare its current employment patterns to include a minimum of: education and experience level, demographic composition of populations served, need to make changes such as reassignments and transfers, and need for culturally responsive and competent practitioners. When the analysis demonstrates that ethnic and racial backgrounds of personnel do not reflect the community ' s composition, HCC will implement a plan to promote equal employment opportunities that establishes goals for recruitment, employment and promotion, `and includes timeframes for correction of any deficiencies identified in the analysis , HIRING AUTHORITY With the exception of the Chief Executive Officer, who is hired by the Board of Directors, all paid staff shall be hired by the Chief Executive Officer, Chief Operating Officer, or their designees. CONTRACTS AND/OR SPECIAL TERMS OF EMPLOYMENT Any special agreement concerning employment which does not conform to Hibiscus Children ' s Center policy and these personnel practices, and/or provides for employment for a specific period of time, must be submitted to the Chief Operating Officer for review and approval. All agreements shall be in writing and signed by both the Supervisor and the employee or individual contracting with Hibiscus Children ' s Center. Unless such approval is given in writing by the Chief Operating Officer, then such agreement shall have no validity, ' Hibiscus Children's Center carefully reviews it ' s retention of independent contractors, volunteers, and temporary employees with respect to exposure to tax law, wage and hour laws, and other applicable employment and labor laws, conforms with legal requirements , and does not place the organization at financial risk, Hibiscus Children ' s Center provides student field placements and/or internships . All student supervision must be provided by a trained and certified School of Social Work and Florida Field Consortium professional. Background and pre-employment screening is required. Regular supervision and accountability of work performed must be maintained. (6/1S/00/rev.429/O2Js) 3 Goals and Outcomes Workshop Attendance Lawrence Brooks, Chief Projects Officer, attended the 2003 Goals and Outcomes Workshop on behalf of Hibiscus Children ' s Center. Mr. Brooks attended the session offered at St . Lucie West and presented by Sean Boyle and Elizabeth Whittles with Children ' s Services Council of St . Lucie and Martin Counties respectively. OCT- 10-2002 12 : 20 RV JOHNSON! INS . 561 287 4255 P . 01i01 r+ &. vnAAW c Or LIMOIL1 I T 11V0Ut'Cf'IIVI: � OPID PRODUCER BI S �2 10 / 10 / 02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R . V , Johnson Agency , Inc . HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2041 SE Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Stuart FL 34996 Phone : 772 -287 - 3366 Fax : 772 - 287 - 4255 INSURERS AFFORDING COVERAGE INSURED INSURER /A CNA Hibiscus Childrena Center Inc INSURER B: Brid afield Employers Znsuranc &Hibiacus hildxens Foundation INSLIRERc: P O Box 309 Jensen Beach FZ 34958 n INSURER D; 33Y "L INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTrMSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUWECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO 0 MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE 41 000 000 A X coMMERCIALGENERAL LIABILITY 92082343277 07 / 12 / 02 07 / 12 / 03 FIRE DAMAGE (Any one ft) s200 , 000 CLAIMS MADE a OCCUR MED EXP (Any one person) 8 1$ 000 X Abuse 6 PERSONAL & AOV INJURY S l 000 000 Molestation $ 1 , 000 , 000 GENERAL AGGREGATE x 3 , 000 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO-CT LOC PRODUCTS - COMP/OPAGG S 3 000 OOO AurouoeltJo LULetuTY Ban . $ 1M/ $ 3M A X ANYAUTO S1082343277 0EOsaED1,INGLELIMIT 211000 , 000 07 / 12 / 02 07 / 12 / 03 ALL OWFIED AUTOS SCHEDULED AUTOS BODILY INJURY s (Per penes) X HIRED AUTOS X NON BODILY INJURY $ -0WNEDAUTOS (Perecciaerd) PROPERTY DAMAGE 3 (Per ea Wena GARAGE LIABILITY AUTO ONLY . EA ACCIDENT 6 ANY AUTO NOT COVERED EA ACC s OTHER THAN AUTO ONLY: AGO E EXCE38 UA6ILTTY FJLCHOCCURRENCE s 1 000 000 A X occuR CLAIMS MADE 9192343277 07 / 12 / 02 07 / 12 / 03 AGGREGATE S 1 , 000 000 DEDUCTIBLE a RETENTION 6 S WORKERS COMPENSATION AND _ s EMPLOYERS' LABILITY WA X TORY LIMITS ER B 0830 - 28580 02 /22 / 02 02 /22 / 03 EL EACH ACCIDENT s 500 000 E.L. DISEASE - EAEMPL S5O0 , 000 OTHER EL DIFF - M - POLICYLIMIT 1 9 500 OOO DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONSAODED BY ENDORSEMENTISPECLAL PROVISIONS Certificate Holder is added as additional insured . Attn : Joyce Johnston Carlson CERTIFICATE HOLDER i1 I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION BOARD041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IBBUIN13 INSURER WILL ENDEAVOR TO MAIL 10 ; DAYS WRIT(EN Board Of County Co>mmissianora NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO EO SHALL Indian River County Childrens Sery Advisory Commit IMPOSE NO OBLIGATION OR UAD Ure OF ANY KIND UPON THE INSURFJL ITS AGENTS OR 1840 25th Street REPRESENTATIVES, Vero Beach rL 32960 AUTHo P ESENyLi1VE ACORD 26-S (7197) r OACORD CORPORATION 1988 TOTAL P . 01 BRIDGEFIELD EMPLOYERS INSURANCE COMPANY A Stock Insurer • P. O. Box 988 a Lakeland, FL 33802-0988 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Carrier code 31267 Policy number 830 - 28580 Item 1 , Insured Prior policy number 0830-28580 Name Hibiscus Childrens Center, Inc. RISK I .D . 097428905 and 2400 S .E. Dixie Highway Address Jensen Beach, FL 34957 _ Individual X Corporation Partnership _ Subchapter "S" Other Other workplaces not shown above : FEIN 59-2632361 SEE EXTENSION OF INFORMATION PAGE Item 2. Policy period From 2/22/03 To 2/22/04 12 : 01 a. m . standard time at the address of the insured as stated herein . Item 3 . Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: Florida B. Employers Liability Insurance : Part Two of the policy applies to work in each state listed in Item 3 .A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 each employee Bodily Injury by Disease $ 500,000 policy limit C . Other States Insurance: Part Three of the policy applies to the states, if any, listed here: D . This policy includes these endorsements and schedules: See Schedule Item 4 . Premium The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis: Classnlcations Total Estimated RabPer $10o EstImated Code No, Annual Remuneration of Remuneration Annual Premium See Extension of Information Page Total Estimated Annual Premium $ 50, 162 . 06 Minimum Premium $ .00 Expense Constant $ 200 . 00 This policy, including all endorsements issued there ith , is hereby Countersigned by L nd� �` 'I Date 12/ 19/02 2112 R. V. Johnson Agency NAI Date Prepared : 12/ 19/02 (5 0000 t)1A Includes copyright material of the National Council on Compensation Insurance. Used with its permission. BEIC00014 STATE REV 9/02 ( 02 -521 ) 01987 National Council on Compensation Insurance Florida Department of Agriculture & Consumer Services CHARLES H. BRONSON, Commissioner Tallahassee, Florida * _ May 8, 2003 Division of Consumer Services * 2005 Apalachee Pkwy Tallahassee, Florida 32399-6500 Phone : 1 -800-HELP-FLA URL : http ://www. 800helpfla. com HIBISCUS CHILDREN' S CENTER, INC . Refer To : CH90 POST OFFICE BOX 305 JENSEN BEACH, FL 34958 RE : HIBISCUS CHILDREN'S CENTER, INC . REGISTRATION# : CH90 EXPIRATION DATE : May 18, 2004 Dear Sir or Madam : The above-named organization/sponsor has complied with the registration requirements of Chapter 496, Florida Statutes, the Solicitation of Contributions Act. A COPY OF THIS LETTER SHOULD BE RETAINED FOR YOUR RECORDS , The Solicitation of Contributions Act requires an annual renewal statement to be filed on or before the date of expiration of the previous registration. The Department will send a renewal package approximately 60 days prior to the date of expiration as shown above . Thank you for your cooperation . If we may be of further assistance, please contact the Solicitation of Contributions section . Sincerely, CHARLES H. BRONSON COMMISSIONER OF AGRICULTURE Nina J McLeod Regulatory Consultant 850-410-3700 / 800435- 7352(Florida Only) mcleodn@doacs . state.fl .us NOT FOR PROFIT AGENCY CERTIFICATION The County of Indian River requires , as a matter of policy, that any Consultant or firm receiving a contract or award resulting from the Request for Qualifications issued by the County of Indian River, Florida , shall make certification as below. Receipt of such certification , under oath , shall be a prerequisite to the award of contract and payment thereof. I (we) hereby certify that if the contract is awarded to me , our firm , partnership , or corporation , that no members of the elected governing body of Indian River County, nor any professional management, administrative official or employee of the County, nor members of his or her immediate family, including spouse , parents , or children , nor any person representing or purporting to represent any member or members of the elected governing body or other official , has solicited , has received or has been promised , directly or indirectly, any financial benefit, including but not limited to a fee , commission , finders fee , political contribution , goods or services in return for favorable review of any Proposal submitted in response to the Request for Qualifications or in return for execution of a contract for performance or provision of services for which Proposals are herein sought. The undersigned certifies that he/she is a principal or officer of the firm applying for consideration and is authorized to make the above acknowledgments and certifications for and on behalf of the applicant. The undersigned certifies that the Applicant has not been convicted of a public entity crime within the past 36 months , as set forth in Section 287. 133 , Florida Statutes. Failure to sion this form will result in disoualiFcation HandwrittenS ' rrnature of Auth ize ri cipal (s) : DATE : S 6' NAME : �V- � . TITLE : NAME OF FIRM/PARTNERSHIP/CORPORATION : �O UtV AC Sworn to and subscribed to FOR AND ON BEHALF OF THE APPLICANT: me , a Notary Public, this Z7 day of Nat**V, 2003 . BY: e ,p - Pp 1 �� TRACY L. SLAUGHTER M 41SSION # DD025716 (TYPE NAME & T E) rFor f0 EXPIRES: May 14, 2005 ` +'PrXV4-Nf1TARY FL Notary SeM e & Bonding, Inc. X Indian River Board of County Commissioners 1840 25th Street Vero Beach , FL 32960 AUTHORIZATION FOR RELEASE OF INFORMATION Indian River County and r, ; 1 ; & .,J C�.'1��� ; Ct ,� rAgency/Individual are in the process ofnegotiationof a contract for C I'i1 i Indian River tounty is ! authorized to make an investigation of the Agency/Individual regarding its experience and qualifications . The Agency/Individual authorized the release of all relevant information concerning prior services furnished , contracts and background information of the Agency/Individual . The Agency/Individual authorizes any individual or organization that is in possession of relevant factual contract and background information , to release such data to Indian River County in response of the County's request. When an individual employee of the Agency signs Authorization for Release of Information , such individual authorizes the County to obtain relevant background information concerning such employee 's criminal record , if any, and such other information that may be relevant to employee 's good character and work experience . Authorization is given here by the Agency/Individual and such employees who execute this authorization with the understanding and limitation that Indian River County will utilize the information obtained for the purposes set forth herein and that such information shall not be disclosed to third parties except as provided by law. Name Agency/Individual SS ¢,. s &4Jf oe GA Print name � Name Employee Providing authorizatio 6/X So Pu Q,r -� Pri n m Signature (in blue ink) Date XI SWORN STATEMENT UNDER SECTION 105 . 08, INDIAN RIVER COUNTY CODE , ON DISCLOSURE OF RELATIONSHIPS THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS . dff 1 . This sworn statement is submitted with RFP No . S 494 for 2 . This sworn statement is submitted by: ( Name of entity submitting Statement) whose business address is : P o• ev X s a s ILOOlicn.9abxoi , FL 3 'fr.r8' and (if applicable ) its Federal Employer Identification Number (FEIN ) is32 1111111111, ( If the entity has no FEIN , include the Social Security Number of the individual signing this sworn statement 3 . My name is ( Please print name of individual signing ) and my relationship to the entity named above is 4 . I understand that an "affiliate " as defined in Section 105 . 08 , Indian River County Code , means : The term "affiliate" includes those officers , directors , executives , partners , shareholders , employees , members , and agents who are active in the management of the entity. XII 5 . 1 understand that the relationship with a County Commissioner or County employee that must be disclosed as follows : Father, mother, son , daughter, brother, sister, uncle , aunt, first cousin , nephew, niece , husband , wife , father-in -law, mother- in- law, daughter- in -law, son -in-law, brother-in-law, sister-in -law, stepfather, stepmother, stepson , stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, or grandchild . 6 . Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [Please indicate which statement applies . ] Neither the entity submitting this sworn statement, nor any officers , directors , executives , partners , shareholders , employees , members , or agents who are active in management of the entity, have any relationships as defined in section 105 . 08 , Indian River County Code , with any County Commissioner or County employee . The entity submitting this sworn statement, or one or more of the officers , directors , executives , partners , shareholders , employees , members , or agents , who are active in management of the entity have the following relationships with a County Commissioner or County employee : Name of Affiliate Name of County Commissioner Relationship or entity or employee XIII (signature) (date ) STATE OF on 6- a,, COUNTY OFCcr^h ✓L The foregoing instrument wq,$, ckno led d before me this 27 day of _ , 20 65, by .� rc ,vt known to , who is pars Wally a or who has produced o as identification . NOTARY PU IC SIGN : PRINT: j 7 T-I State of Florida at L ge yl My Commission Expires : (Seal ) III "Y ° , TRACY L. SLAUGHTER MY COMMISSION # DD 025716 EXPIRES: May 14, 2005 1-001). OTARY FL Notary SeMca & BoncKn9, Inc. xiv