2017-02-13T19:33:19-06:00 2016-09-30 860133881 HENRY & HORNE LLP 2055 E WARNER RD STE 101 TEMPE AZ 85284 990 2015-10-01 260446321 CRISIS RESPONSE NETWORK CRIS 6024274603 1275 W WASHINGTON ST NO 201 TEMPE AZ 85281 JUSTIN CHASE CEO 6024274603 2017-02-11 1 COLETTE KAMPS CPA P00367616 4808394900 2017-02-11 2015 2021-01-29 14:40:06Z JUSTIN CHASE 1275 W WASHINGTON ST NO 201 TEMPE AZ 85281 14567559 0 X WWW.CRISISNETWORK.ORG X 2007 AZ CRISIS RESPONSE NETWORK DIRECTLY OPERATES A 24 HOUR CRISIS TELEPHONE HOTLINE (CONT ON SCH O)CONTINUED FROM PART 1, LINE 1: THROUGH WHICH ITS OPERATORS PROVIDE CRISIS INTERVENTION COUNSELING, GUIDANCE, AND ASSISTANCE TO THOSE PERSONS WHO ARE SEEKING EMERGENCY BEHAVIORAL HEALTH SERVICES. IN ADDITION, THE NETWORK DISPATCHES MOBILE CRISIS RESPONSE TEAMS, COORDINATES CRISIS TRANSPORTATION SERVICES, AND PROVIDES RAPID RESPONSE TEAMS THAT DEAL DIRECTLY WITH CHILDREN IN THE CUSTODY OF CHILD PROTECTIVE SERVICES, AS NEEDED. 11 11 209 11 0 0 0 2980 11155252 14521242 865 758 461181 42579 11617298 14567559 0 0 0 0 8546523 10284150 0 0 0 2369473 3142236 10915996 13426386 701302 1141173 3989928 4868475 1148190 885564 2841738 3982911 INSPIRING HOPE. 0 0 7662085 9192894 CALL CENTER - THE CALL CENTER AND WARM LINE RECEIVED OVER 424,000 CALLS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016. TRAINED CRISIS INTERVENTION SPECIALISTS ARE AVAILABLE AROUND THE CLOCK, EVERY DAY OF THE YEAR TO PROVIDE TRIAGE AND SUPPORT SERVICES. THE CRISIS LINE ASSISTS INDIVIDUALS IN DEALING WITH CONCERNS ABOUT A LOVED ONE, DEALING WITH DIFFICULT RELATIONSHIPS, TALKING ABOUT THOUGHTS OF SUICIDE, ARRANGING COUNSELING, PROVIDING EMOTIONAL SUPPORT TO CHILDREN WHO HAVE BEEN REMOVED FROM THEIR HOMES, STABILIZING VIOLENT OR THREATENING SITUATIONS, PRESENTING OPTIONS FOR DEALING WITH OTHER URGENT SITUATIONS, AND HELPING TO IDENTIFY RESOURCES FOR CARE. 3830239 5370927 ELIGIBILITY CARE SERVICES - CRN ADMINISTERS THE SERIOUSLY MENTAL ILL ELIGIBILTY DETERMINATION PROGRAM ACROSS ARIZONA BY EVALUATING WHETHER APPLICANTS MEET DIAGNOSTIC AND FUNCTIONAL CRITERIA TO RECEIVE COMPREHENSIVE COMMUNITY BASED MENTAL HEALTH CARE. 11492324 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 209 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AZ X CRISIS RESPONSE NETWORK INC 6024274600 1275 W WASHINGTON ST NO 201 TEMPE AZ 85281 NEAL THOMAS CHAIR 2.00 1.00 X X 0 0 0 MIKE SHORE VICE CHAIR 2.00 X X 0 0 0 LARRY VILLANO TREASURER 2.00 X X 0 0 0 DEAN PEDROTTI SECRETARY 2.00 X X 0 0 0 LAURA LARSON-HUFFAKER BOARD MEMBER 2.00 1.00 X 0 0 0 ROB FERRARO BOARD MEMBER 2.00 X 0 0 0 ERIN SOTO BOARD MEMBER 2.00 X 0 0 0 TRISH BLETH BOARD MEMBER 2.00 X 0 0 0 JIM MCDOUGALL BOARD MEMBER 2.00 X 0 0 0 ASHLEY BRIDWELL BOARD MEMBER 2.00 X 0 0 0 ZAIDA ZAVITZ BOARD MEMBER 2.00 X 0 0 0 JUSTIN CHASE CEO 24.00 16.00 X 164544 0 25824 RODRIGO OLIVARES COO 24.00 16.00 X 125869 0 14636 CECILIA BOWMAN CFO 24.00 16.00 X 125040 0 9997 BAHAR GOLESTAN CMO 40.00 X 187232 0 7779 ANDREW ERWIN CCO 40.00 X 113027 0 12680 MICHELE GRIGNON VP OF CONTACT CENTER OPERATIONS 40.00 X 118248 0 8548 ELIZABETH SMITHHART SR. DIRECTOR, BUSINESS IMPLEMENTATION 40.00 X 112122 0 9164 946082 0 88628 7 0 1 0 VONAGE BUSINESS LTD 9237 EAST VIA DE VENTURA SCOTTSDALE AZ 85258 PHONE SERVICES 226492 DELL MARKETING LP ONE DELL WAY RR1-33 ROUND ROCK TX 78682 INFORMATION TECHNOLOGY 181793 DELTA-T GROUP PHOENIX INC 7500 N DREAMY DRAW DR 205 PHOENIX AZ 85020 STAFFING SERVICES 135750 3 2980 2980 CALL CENTER 900099 9150315 9150315 ELIGIBILITY CARE SERVICES 900099 5370927 5370927 14521242 758 758 ADMIN REVENUE 900099 36113 36113 6466 6466 42579 14567559 14563821 0 758 774766 387768 386998 7898348 7270170 628178 137097 132705 4392 822897 767283 55614 651042 580882 70160 116412 33707 82705 26050 26050 363348 317826 45522 77863 21615 56248 115686 76786 38900 865670 779084 86586 736809 572662 164147 23152 19769 3383 159366 100431 58935 4341 4341 269461 224406 45055 58646 52679 5967 OTHER OPERATING EXPENSE 185448 50399 135049 DUES AND LICENSES 51368 34819 16549 RECRUITING 45500 40111 5389 TRAINING 43116 29222 13894 13426386 11492324 1934062 0 2216552 2973539 629598 630356 134370 310841 199655 243624 1679188 1000799 630473 678389 179280 31726 3989928 4868475 1032110 471804 36750 270351 79330 143409 1148190 885564 X 2841738 3982911 2841738 3982911 3989928 4868475 1141173 0 X X 0 1 X 1 0 X 364 1405 2980 4749 23440735 23642053 21721660 13711656 14557355 97073459 23440735 23642053 21722024 13713061 14560335 97078208 0 0 0 97078208 1034 1498 1048 1104 758 5442 1034 1498 1048 1104 758 5442 2011 1168 14199 2636 6466 26480 23443780 23644719 21737271 13716801 14567559 97110130 0.99970 0.99980 0.00010 0.00000 X PART III THE ORGANIZATION CHANGED ITS FISCAL YEAR-END FROM JUNE 30 TO SEPTEMBER 30 AS OF SEPTEMBER 30, 2014. THE AMOUNT IN COLUMN C OF PART III OF SCHEDULE A REPRESENTS THE PERIOD OF JULY 1, 2013 TO JUNE 30, 2014. THE AMOUNT IN COLUMN D OF PART III OF SCHEDULE A REPRESENTS 15 MONTHS - FOR THE SHORT YEAR RETURN FILED FOR THE PERIOD OF JULY 1, 2014 THROUGH SEPTEMBER 30, 2014, PLUS THE AMOUNTS FROM THE RETURN FILED FOR THE YEAR ENDED SEPTEMBER 30, 2015. 159942 75538 84404 1076480 558998 517482 442766 366263 76503 678389 DEFERRED RENT 143409 143409 X 14567559 0 14567559 0 14567559 13426386 0 13426386 0 13426386 PART X, LINE 2: THE ORGANIZATION RECOGNIZES UNCERTAINTY IN INCOME TAXES IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY-THAN-NOT THAT THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF SEPTEMBER 30, 2016, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 JUSTIN CHASE CEO 155544 0 9000 0 0 0 3329 0 22495 0 190368 0 0 0 BAHAR GOLESTAN CMO 181982 0 5250 0 0 0 7532 0 247 0 195011 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS NEGOTIATED BETWEEN THE BOARD OF DIRECTORS AND THE CEO. CURRENT SALARY AND EXPERIENCE LEVEL ARE COMPARED TO COMPENSATION SURVEY DATA DURING THESE NEGOTIATIONS. ANY CHANGES IN THE CEO'S COMPENSATION REQUIRES APPROVAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CFO AND CEO WILL REVIEW AND APPROVE THE FORM 990 BEFORE FILING. IT WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS ELECTRONICALLY AND WILL BE REVIEWED AND DISCUSSED AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C AS STATED IN THE ORGANIZATION'S BYLAWS, NO MEMBER OF THE BOARD OF DIRECTORS SHALL PARTICIPATE IN A DISCUSSION OR DECISION OF THE BOARD OF DIRECTORS IN WHICH HE OR SHE HAS A PERSONAL FINANCIAL INTEREST OR A PROFESSIONAL CONFLICT. IT SHALL BE THE RESPONSIBILITY OF EACH BOARD MEMBER TO MAKE SUCH CONFLICTS KNOWN TO THE BOARD. THE MINUTES SHALL CLEARLY REFLECT THESE ACTIONS. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS NEGOTIATED BETWEEN THE BOARD OF DIRECTORS AND THE CEO. CURRENT SALARY AND EXPERIENCE LEVEL ARE COMPARED TO COMPENSATION SURVEY DATA DURING THESE NEGOTIATIONS. ANY CHANGES IN THE CEO'S COMPENSATION REQUIRES APPROVAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION GENERALLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. CRISIS RESPONSE NETWORK OF SOUTHERN ARIZONA 1275 W WASHINGTON ST SUITE 108 TEMPE AZ 85281 451564583 TO PROVIDE 1ST RESPONDER TRAINING AZ 501(C)(3) 509(A)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0