2020-07-14T15:36:01-05:00 2019-06-30 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2018-07-01 113590136 HUMAN FIRST INC HUMA 2126836700 80 MAIDEN LANE 8TH FL NEW YORK NY 10038 CHERYELLE CRUICKSHANK CEO 5168239500 2020-07-14 1 ARIEL F AMMIRATO P01346991 5184644080 24.194.166.226 2020-07-14 08:12:32 ED P 6F0B485C3B3761609EF88A1BD8C31F03C074873A 83DCA7CB572579BC2F7670A58B2B8A6B85EBC27A 2018 2021-01-29 14:40:06Z CHERYELLE CRUICKSHANK 80 MAIDEN LANE 8TH FL NEW YORK NY 10038 19291698 0 X WWW.HUMANFIRST.ORG X 2001 NY TO PROVIDE GREATER OPPORTUNITIES FOR INDIVIDUALS WITH SPECIAL NEEDS, AND HELP THEM REACH THEIR PERSONAL GOALS. THE ORGANIZATION IS DEDICATED TO DEVELOPING SUPPORT SYSTEMS FOR BOTH INDIVIDUALS AND THEIR FAMILIES. 4 4 588 4 0 0 261370 58378 21388137 19190342 0 33 76789 13286 21726296 19262039 0 0 0 0 14426511 12488188 0 0 30106 8919530 8744552 23346041 21232740 -1619745 -1970701 9241634 10039793 8686527 11455387 555107 -1415594 TO PROVIDE GREATER OPPORTUNITIES FOR INDIVIDUALS WITH SPECIAL NEEDS AND HELP THEM REACH THEIR PERSONAL GOALS. THE ORGANIZATION IS DEDICATED TO DEVELOPING SUPPORT SYSTEMS FOR BOTH INDIVIDUALS AND THEIR FAMILIES. 0 0 9951870 10430564 COMMUNITY HABILITATION, RESPITE, SEMP AND DAY REHABILITATION: COMMUNITY HABILITATION: THIS PROGRAM IS DESIGNED SPECIFICALLY FOR INDIVIDUALS WHO LIVE AT HOME AND WOULD BENEFIT FROM SPECIALIZED TRAINING TARGETING THE ENHANCEMENT OF DAILY LIVING ACTIVITIES, COMMUNICATION, SOCIALIZATION AND COMMUNITY AWARENESS SKILLS. RESPITE: PROVIDES TEMPORARY RELIEF FROM EVERY DAY DEMANDS, HELPING TO REDUCE OVERALL FAMILY STRESS AND IMPROVE THE QUALITY OF LIFE FOR THE ENTIRE HOUSEHOLD. THIS IS CONSIDERED AN " INDIRECT" SERVICE BECAUSE IT PROVIDES RELIEF TO INDIVIDUALS WHO ARE RESPONSIBLE FOR THE PRIMARY CARE AND SUPPORT OF AN INDIVIDUAL WITH A DEVELOPMENTAL DISABILITY. SEMP: PROVIDES THE SUPPORTS INDIVIDUALS NEED TO OBTAIN AND MAINTAIN PAID COMPETITIVE JOBS IN THE COMMUNITY, ASSISTS INDIVIDUALS TO ACHIEVE THEIR EMPLOYMENT GOALS. 7877142 8326658 INDIVIDUALIZED RESIDENTIAL ALTERNATIVE: OUR RESIDENTIAL PROGRAM FOCUSES ON PROVIDING THE NECESSARY SUPPORT INDIVIDUALS NEED TO ALLOW THEM TO REMAIN IN THEIR COMMUNITIES AND CLOSE TO THEIR FAMILIES. THE ORGANIZATION OFFERS A NUMBER OF RESIDENTIAL PROGRAMS THAT VARY WITH THE NEEDS OF THE INDIVIDUAL. PROGRAMS INCLUDE INDIVIDUALIZED RESIDENTIAL ALTERNATIVES, INDIVIDUAL SUPPORT SERVICES AND FAMILY CARE. 270032 433153 THE ORGANIZATION PROVIDES MANY OTHER SERVICES. THOSE SERVICES INCLUDE CRISIS INTERVENTION, INDIVIDUAL SUPPORT SERVICES, NHTD/HCBS/TBI, WAIVER PROGRAM, BRIDGES TO HEALTH, FAMILY EDUCATION AND TRAINING AND OTHERS. THESE PROGRAMS PROVIDE BEHAVIORAL PSYCHOLOGISTS TO PARTICIPANTS WITH INTENSE BEHAVIORAL PROBLEMS, SUPPORT TO HIGH FUNCTIONAL INDIVIDUALS TO ASSISTING THEM TO LIVE INDEPENDENTLY, HOME AND COMMUNITY BASED SERVICES TO ADULTS WITH TRAUMATIC BRAIN INJURIES AND INDIVIDUALS WHO WOULD LIKE TO TRANSITION FROM OR AVOID ENTERING A NURSING HOME, SUPPORT SERVICES TO DEVELOPMENTALLY DISABLED CHILDREN LIVING IN FOSTER CARE AND TO ASSIST FAMILIES WITH A CHILD WITH A DISABILITY ENROLLED IN HOME AND COMMUNITY BASED WAIVER PROGRAMS BY EDUCATING GUARDIANS ABOUT THE BENEFITS AND ENTITLEMENTS AVAILABLE TO THEM. 18099044 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 50 0 588 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 4 4 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 1 0 0 NY X RAJESH SHAH 2126836700 80 MAIDEN LANE 8TH FL NEW YORK NY 10038 ANN HILL PRESIDENT 0.50 0.00 X X 0 0 0 SHANN BERNARD SECRETARY 0.50 0.00 X X 0 0 0 GARY GERESI BOARD MEMBER 0.50 1.00 X 0 0 0 STEVEN RODRIGUEZ BOARD MEMBER 0.50 0.00 X 0 0 0 CHERYELLE CRUICKSHANK CEO 40.00 0.00 X 222462 0 57306 FRANK PENNUCCI ASSOCIATE EXECUTIVE OF QUALITY ASSURANCE 40.00 0.00 X 161500 0 1715 NICOLE APPELLO EXECUTIVE DIRECTOR OF PROGRAMS 40.00 0.00 X 125348 0 9597 509310 0 68618 3 0 1 0 ATS 231 MALTA STREET BROOKLYN NY 11207 TRANSPORTATION SERVICES 1185882 BEACON THERAPY SERVICES PLLC 1441 OLD NORTHERN BOULEVARD ROSLYN NY 11576 TEMP STAFFING 916855 AHTRAM CONSTRUCTION SERVICES INC 80 RALPH AVENUE BROOKLYN NY 11221 CONSTRUCTION COMPANY 411009 ENTERPRISE FLEET MANAGEMENT 600 CORPORATE PARK DRIVE ST LOUIS MO 63105 FLEET MANAGERS 239657 TAYLOR AUTO HEMPSTEAD 1024 ADAMS STREET UNIONDALE NY 11553 CLEANING SERVICES 125992 5 56329 2049 58378 FEES FOR SERVICES 624100 18724844 18724844 FAMILY SUPPORT SERVICES NYC 624100 193567 193567 FAMILY SUPPORT SERVICES LI 624100 176970 176970 ASSISTIVE SUPPORT - ISS PROGRAM 624100 94961 94961 19190342 33 33 29659 56329 29659 0 OTHER INCOME 900099 13286 13286 13286 19262039 19190375 0 13286 544945 238244 306701 9368373 8668239 700134 1719620 1589507 130113 855250 760239 95011 756838 756838 38713 38713 64000 64000 1778817 1606617 148047 24153 237467 195794 41303 370 1736420 1275589 456767 4064 1370409 1368535 1874 111353 102287 9066 311339 279245 31965 129 441213 397934 42878 401 652658 481010 171648 VEHICLE RENTAL AND MAIN 388426 388426 SUPPLIES 341505 339072 2305 128 EQUIPMENT RENTAL, REPAI 322605 216554 105190 861 FOOD 192789 191752 1037 21232740 18099044 3103590 30106 486416 470561 92707 41154 2072678 2064556 56987 9803 10640169 3434275 6233233 7205894 299613 247825 9241634 10039793 1694326 1351692 5897491 7304688 1094710 2799007 8686527 11455387 X 555107 -1415594 555107 -1415594 9241634 10039793 -1970701 0 X 0 1 X 1 0 X 138978 22600 212706 261370 465498 1101152 16324710 22799501 22330484 21388137 18724844 101567676 16463688 22822101 22543190 21649507 19190342 102668828 0 0 0 102668828 109 109 109 109 165745 30547 10179 29788 13286 249545 16629542 22852648 22553369 21679295 19203628 102918482 0.99760 0.99750 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RENT INCOME - 2014 AMOUNT: $ 1,750. CONTINUING EDUCATION INSURANCE SETTLEMENT - 2014 AMOUNT: $ 163,995. OTHER INCOME - 2015 AMOUNT: $ 30,547. 2016 AMOUNT: $ 10,179. 2017 AMOUNT: $ 29,788. 2018 AMOUNT: $ 13,286. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 700000 700000 5975581 864336 5111245 1866077 1176199 689878 1544892 1393740 151152 553619 553619 7205894 DUE TO GOVERNMENT AGENCIES 1255711 DEFERRED RENT 277557 DUE TO AFFILIATE 1265739 2799007 X X X X X 1 MARKETING WORKS 46 BUCCANEER LANE SETAUKET EAST SETAUK NY 11733 EVENT COORDINATION 0 0 19500 -19500 19500 -19500 NY SUMMER IN THE CITY BRUNCH 17655 11139 6516 6300 216 CASINO NIGHT 47134 28088 19046 11280 7766 1 21199 17102 4097 4050 47 85988 56329 29659 21630 8029 29659 0 X X X X 0 0 0 0 0 0 0 0 0 CHERYELLE CRUICKSHANK CEO 222462 0 0 0 0 0 0 0 57306 0 279768 0 0 0 FRANK PENNUCCI ASSOCIATE EXECUTIVE OF QUALITY ASSUR 161500 0 0 0 0 0 0 0 1715 0 163215 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A AS A MEMBER ADAPT COMMUNITY NETWORK (THE CORPORATION) CAN ELECT AND APPOINT MEMBERS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEES ARE MADE UP OF MEMBERS OF THE GOVERNING BODY. AS A RESULT ADDITIONAL DOCUMENTATION IS NOT NECESSARY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE ADAPT COMMUNITY NETWORK CFO FOR REVIEW. PRIOR TO THE FILING OF THE FORM 990, IT IS REVIEWED AND APPROVED BY THE ADAPT COMMUNITY NETWORK CHAIR OF THE AUDIT COMMITTEE. THE FORM 990 IS THEN DISTRIBUTED TO EACH OF THE BOARD MEMBERS OF THE ORGANIZATION BEFORE IT IS FILED WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. AN AMENDED FORM MUST BE FILED IN THE EVENT OF A MATERIAL CHANGE OF CIRCUMSTANCES. THE COMPLETED FORM SHALL BE REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND ANY OTHER STAFF AS NECESSARY TO DISCERN IF THERE MAY BE A CONFLICT OF INTEREST IN THE CONDUCT OF ORGANIZATION BUSINESS THAT MAY CREATE AN APPEARANCE OF INVOLVING A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER SHALL REPORT TO THE BOARD AT LEAST ANNUALLY ON ANY DISCLOSED CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION USES AN OUTSIDE INDEPENDENT ACCOUNTING CONSULTING FIRM WITH EXPERTISE IN THE NOT-FOR-PROFIT INDUSTRY TO PERFORM A COMPENSATION ANALYSIS OF THE CEO. THE COMPENSATION ANALYSIS INCLUDES COMPENSATION SURVEYS FOR THE POSITION BASED UPON THE COMPENSATION AND FRINGE BENEFITS REPORTED ON 990 TAX RETURNS FOR COMPARABLE AGENCIES IN THE INDUSTRY. THE RESULTS OF THIS COMPENSATION ANALYSIS ARE PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS, WHO REVIEW THE ANALYSIS TO DETERMINE APPROPRIATE COMPENSATION LEVEL AND ENSURE COMPLIANCE WITH THE DUE DILIGENCE GUIDELINES OUTLINED IN IRC 4958. THE BASIS FOR ITS DETERMINATION AND ALL DECISIONS MADE ARE CONTEMPORANEOUSLY DOCUMENTED IN MEETING MINUTES AND BOARD RESOLUTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT FO INTEREST POLICY, AND FINANCIAL STATEMENT OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST. ADAPT COMMUNITY NETWORK 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 135654532 ASSIST PERSONS WITH DISABILITIES NY 501(C)(3) LINE 7 N/A 0 UCP HOUSING DEVELOPMENT FUND CORP INC 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 133004772 DEVELOP & MAINTAIN APT. BLDG. MOSTLY FOR PEOPLE WITH CEREBRAL PALSY NY 501(C)(3) LINE 10 ADAPT COMMUNITY NETWORK 1 UCP OF NYC COMMUNITY OF MENTAL RETARDATION SERVICES INC 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 237270415 MAINTAINS BUILDING WHERE SERVICES ARE PROVIDED NY 501(C)(3) LINE 12A, I ADAPT COMMUNITY NETWORK 1 THE NEW YORK CITY FOUNDATION FOR CEREBRAL PALSY INC 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 273060240 SOLICITING AND RAISING FUNDS FOR UCP OF NYC, INC. NY 501(C)(3) LINE 12A, I ADAPT COMMUNITY NETWORK 1 NEW YORK LEAGUE FOR EARLY LEARNING INC 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 112513824 PROVIDE INFANTS & CHILDREN EDUCATIONAL & THERAPEUTIC SERVICES NY 501(C)(3) LINE 2 ADAPT COMMUNITY NETWORK 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0