2015-05-07T10:57:01-05:00 2014-06-30 650209137 GOLDSTEIN SCHECHTER KOCH 2121 PONCE DE LEON BLVD STE 1100 CORAL GABLES FL 33134 990 2013-07-01 650032862 CAMILLUS HOUSE INC CAMI 3053741065 PO BOX 11829 MIAMI FL 33101 ALEJANDRO RAMIREZ CFO 3053741065 2015-05-05 1 VINCENT CARRODEGUAS P00739985 3054422200 2013 2016-02-25 16:41:14Z SHEDRICK BOREN PO BOX 11829 MIAMI FL 33101 20025671 0 0928 X WWW.CAMILLUS.ORG X 1987 FL PROVIDE FOOD, SHELTER & SVCS TO HOMELESS/INDIGENT 51 51 220 631 0 0 19164882 17787215 660979 727990 94013 175101 768367 452144 20688241 19142450 0 315445 0 0 6774059 7254669 0 0 734487 8489683 9251279 15263742 16821393 5424499 2321057 74344348 51045331 28997045 7953226 45347303 43092105 X TO PROVIDE HUMANITARIAN SERVICES TO MEN, WOMEN AND CHILDREN WHO ARE POOR AND HOMELESS. SUCH SERVICES INCLUDE FOOD, SHELTER, HOUSING, REHABILITATIVE TREATMENT, AND HEALTH CARE. EACH SERVICE IS CARRIED OUT WITH THE DEEPLY HELD BELIEF THAT EVERY HUMAN BEING DESERVES LOVE, RESPECT AND AN OPPORTUNITY TO LIVE A DIGNIFIED LIFE. 0 0 5082991 315445 678922 HOUSING SERVICES: TO PROVIDE HOUSING, CASE MANAGEMENT, JOB DEVELOPMENT AND OTHER SERVICES RELATED TO AIDING A CLIENT TO ACHIEVE SELF-SUFFICIENCY. 5705906 80062 HOSPITALITY SERVICES: TO PROVIDE BASIC SOCIAL SERVICES SUCH AS CLOTHING, FOOD, SHELTER, AND CASE MANAGEMENT TO CLIENTS WHO ARE CHRONICALLY HOMELESS. 3303918 121679 HEALING INSTITUTE FOR SOCIAL & PERSONAL ADJUSTMENTS: TO PROVIDE TREATMENT FOR HOMELESS INDIVIDUALS WHO SUFFER FROM CO-OCCURRING DISORDERS TO ENABLE THEM TO BREAK THE CYCLE OF HOMELESSNESS. 14092815 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 1 286 0 1 220 1 0 0 0 0 0 1 1 0 0 0 0 0 X 51 51 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X ALEJANDRO RAMIREZ 3053741065 1603 NW 7TH AVENUE MIAMI FL 33136 ROBERT DICKINSON CHAIRMAN 1.00 X X 0 0 0 CHIP VANDENBERG TREASURER 1.00 X X 0 0 0 MARIA C ALONSO DIRECTOR 1.00 X 0 0 0 JOHN W CHIDSEY DIRECTOR 1.00 X 0 0 0 ALBERTO COSIO DIRECTOR 1.00 X 0 0 0 PAUL DIMARE DIRECTOR 1.00 X 0 0 0 JOHN DUBOIS DIRECTOR 1.00 X 0 0 0 MIGUEL G FARRA DIRECTOR 1.00 X 0 0 0 SUE GALLAGHER DIRECTOR 1.00 X 0 0 0 RENE GARCIA DIRECTOR 1.00 X 0 0 0 THEODORE TED GELMAN DIRECTOR 1.00 X 0 0 0 ALAN GREER VICE-CHAIRMAN 1.00 X X 0 0 0 JULIE G GRIMES DIRECTOR 1.00 X 0 0 0 MARY HELEN HAYDEN EDD DIRECTOR 1.00 X 0 0 0 EUGENIO GENE HERNANDEZ DIRECTOR 1.00 X 0 0 0 EDITH HUDSON DIRECTOR 1.00 X 0 0 0 RON KOHN CCIM DIRECTOR 1.00 X 0 0 0 JAQUELINE LARRALDE-SANCHEZ DIRECTOR 1.00 X 0 0 0 STEVEN MARIN DIRECTOR 1.00 X 0 0 0 BROTHER RICHARD MCPHEE DIRECTOR 1.00 X 0 0 0 ALFREDO MESA DIRECTOR 1.00 X 0 0 0 JOHN T MESTEPEY DIRECTOR 1.00 X 0 0 0 BR RAPHAEL MIESZALA SECRETARY 1.00 X X 0 0 0 ALBERTO R MOLINA DIRECTOR 1.00 X 0 0 0 WILLIAM H PARKER DIRECTOR 1.00 X 0 0 0 WILLIAM D TALBERT III DIRECTOR 1.00 X 0 0 0 LEE I WEINTRAUB DIRECTOR 1.00 X 0 0 0 MICHAEL CARRICARTE DIRECTOR 1.00 X 0 0 0 MARK D BLOOM DIRECTOR 1.00 X 0 0 0 PHILLIS OCTERS DIRECTOR 1.00 X 0 0 0 DR DANIEL OSMAN DIRECTOR 1.00 X 0 0 0 THOMAS M CORNISH DIRECTOR 1.00 X 0 0 0 XAVIER GONZALEZ DIRECTOR 1.00 X 0 0 0 EDWARD P BOLAND DIRECTOR 1.00 X 0 0 0 GEORGE CHESNEY DIRECTOR 1.00 X 0 0 0 CARMEN CORVOS-ROIG DIRECTOR 1.00 X 0 0 0 GUSTAVO HIQUEREY DIRECTOR 1.00 X 0 0 0 VICTOR LOPEZ DIRECTOR 1.00 X 0 0 0 BEN MOLLERE DIRECTOR 1.00 X 0 0 0 ALEX MONTAGUE DIRECTOR 1.00 X 0 0 0 MARC STEPHEN SHUSTER DIRECTOR 1.00 X 0 0 0 TONY CABRERA DIRECTOR 1.00 X 0 0 0 THOMAS G ABRAHAM DIRECTOR 1.00 X 0 0 0 EDWARD JOYCE DIRECTOR 1.00 X 0 0 0 AARON R PATIENCE DIRECTOR 1.00 X 0 0 0 LINDA QUICK DIRECTOR 1.00 X 0 0 0 OTI ROBERTS DIRECTOR 1.00 X 0 0 0 SHARON THOMPSON DIRECTOR 1.00 X 0 0 0 ANDRES TORO DIRECTOR 1.00 X 0 0 0 VINCE VENTO DIRECTOR 1.00 X 0 0 0 ANA VIAMONTE ROS DIRECTOR 1.00 X 0 0 0 ALEJANDRO RAMIREZ VP OF FINANCE & CFO 40.00 5.00 X 119464 0 9130 SHEDRICK BOREN PRESIDENT & CEO 5.00 X 0 0 0 PAUL R AHR PRESIDENT & CEO 40.00 X 268996 0 10663 DENISE GOLDSON-RAU FORMER VP/INSTITUIONAL ADVANCEMEN 40.00 X 113213 0 9918 501673 0 29711 3 1 1 0 BLASCO CONSTRUCTION CORP 1850 SW 8TH ST MIAMI FL 33135 BUILDING REPAIRS AND MAINTENANCE 139708 THE DESIGN GROUP OF MIAMI 7227 NORTHWEST 54TH STREET MIAMI FL 33166 SPECIAL EVENTS (GALAS) CONSULTANTS 115620 JOHN KUCZWANSKI 3628 ROYAL PALM AVENUE COCONUT GROVE FL 33133 CONSULTANT (VARIOUS SOFTWARE PROJECTS) 106702 3 1519347 868630 10155983 5243255 1942296 17787215 CLIENT CONTRIBUTIONS 900099 727990 727990 727990 190571 190571 15470 -15470 -15470 -15470 1129130 1519347 867751 261379 261379 INCOME FROM SHEPHERD'S COURT LLC 900099 49713 49713 NAP REVENUE FROM CHCC 900099 43335 43335 PROCEEDS FROM INSURANCE CLAIM 900099 38092 38092 59625 59625 190765 19142450 880663 0 474572 315445 315445 648999 361726 220456 66817 5128167 4931014 78846 118307 1053355 965029 54572 33754 424148 388583 21974 13591 98296 7354 86358 4584 66282 4959 58232 3091 290655 21744 255357 13554 393189 130 16722 376337 154965 75784 58649 20532 102388 61021 26974 14393 1545768 1269506 251253 25009 41996 17743 20596 3657 20475 2090 16070 2315 817348 749892 57482 9974 500898 460527 35016 5355 PROGRAM COSTS 2513065 1913787 599211 67 IN-KIND DONATIONS 1487369 1428863 58506 REPAIRS & MAINTENANCE 614969 578324 32010 4635 HEALTH SERVICES 418214 410587 7627 185402 128707 38180 18515 16821393 14092815 1994091 734487 878375 2574901 3109418 81919 8666638 7799030 14171035 14171035 199920 888381 27776326 4566734 44588712 23209592 125236 140107 914443 914443 1690571 1265923 74344348 51045331 1580356 1640349 55050 126993 27047974 6143288 313665 42596 28997045 7953226 X 33634001 31378803 11538752 11538752 174550 174550 45347303 43092105 74344348 51045331 X 2321057 234612 147345 -4958212 X 0 1 X 1 1 1 X 14240201 22900033 18550370 19825861 17787215 93303680 14240201 22900033 18550370 19825861 17787215 93303680 93303680 94975 120232 64340 184499 190571 654617 159434 32222 358676 146048 38092 734472 94692769 8938221 0.98530 0.98610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1726603 1726603 23022549 2628809 20393740 712261 494105 218156 2314913 1443820 871093 23209592 DUE TO AFFILIATES 42596 42596 20009805 234612 147345 485398 867355 19142450 0 19142450 19296948 2475555 2475555 16821393 0 16821393 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES NETTED WITH FUNDRAISING EVENT INCOME 674,549. INCOME OF RELATED ORGANIZATIONS -189,151. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES NETTED WITH FUNDRAISING EVENT INCOME 674,549. EXPENSES OF RELATED ORGANIZATIONS 1,801,006. HOPE FOR ALL BALL - DINNER/AUCTION 1799934 1173797 626137 106975 147257 281837 SPRING EVENT - DINNER/AUCTION 844595 345550 499045 86227 109294 115422 7 3948 3948 20739 2648477 1519347 1129130 193202 256551 417998 867751 261379 1 NEW CAMILLUS HOUSE CAMPUS INC PO BOX 11829 MIAMI FL 33101 274182310 501(C)(3) 315445 CASH PROVISION OF SHELTER AND HOUSING FOR THE POOR AND HOMELESS 1 1 PART I, LINE 2: THE USE OF GRANTS IS IN ACCORDANCE WITH FLORIDA COMMUNITY LOAN FUND REQUIREMENTS AND IS SUBJECT TO THE APPROVAL BY THE 5 MEMBERS OF THE LITTLE BROTHERS OF THE GOOD SHEPHERD. SCHEDULE I, PART II, LINE 1 - NEW CAMILLUS HOUSE CAMPUS, INC. BOTH ORGANIZATIONS ARE UNDER COMMON CONTROL BY THE LITTLE BROTHERS OF THE GOOD SHEPHERD, A ROMAN CATHOLIC RELIGIOUS ORDER, WHO OVERSEES AND MONITORS THE APPLICATION AND USE OF THE FUNDS. X X X X 0 0 0 0 0 0 0 0 0 PAUL R AHR PRESIDENT & CEO 268996 0 0 0 0 0 0 0 10663 0 279659 0 277540 0 DENISE GOLDSON-RAU FORMER VP/INSTITUIONAL ADVANCEMEN 113213 0 0 0 0 0 0 0 9918 0 123131 0 111114 0 ROBERT DICKINSONCABBAGE PATCH INVESTMENTS INC JOINT VENTURE CHAIRMAN OF THE ORGANIZATION LEASE AGREEMENT BETWEEN ROBERT DICKINSON/CABBAGE PATCH INVESTMENTS, INC JOINT VENTURE (LANDLORD) AND CAMILLUS HOUSE, INC (TENANT) SIGNED ON 6/30/2014. THE LEASE COMMENCES ON JULY 1, 2014 AND ENDS ON JUNE 30, 2019. LEASE AGREEMENT IS ENTERED INTO WITH THE INTENT OF COMPENSATING LESSORS FOR OUT-OF-POCKET BUILDING OCCUPANCY EXPENSES FOR THIS PROPERTY, WHICH IS BEING USED BY CAMILLUS HOUSE TO FURTHER ITS MISSION ACTIVITIES. 0 X 26 57830 COMPARABLE SALES X 577686 COMPARABLE SALES X 324 763197 COMPARABLE SALES X FORGIVABLE LO 1 408770 COST X ITEMS FOR AUC 45 135372 COMPARABLE SALES 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE 5 MEMBERS WHO HAVE ULTIMATE AUTHORITY OVER THE ORGANIZATION. THESE MEMBERS MUST BELONG TO THE LITTLE BROTHERS OF THE GOOD SHEPHERD, A RELIGIOUS ORGANIZATION OF THE CATHOLIC CHURCH. FORM 990, PART VI, SECTION A, LINE 7A THE 5 MEMBERS OF THE LITTLE BROTHERS OF THE GOOD SHEPHERD HAVE THE ULTIMATE AUTHORITY TO APPOINT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ALL MAJOR DECISIONS ARE SUBJECT TO THE APPROVAL BY THE 5 MEMBERS OF THE LITTLE BROTHERS OF THE GOOD SHEPHERD. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE PRESIDENT, CFO AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST QUESTIONNAIRE IS ADMINISTERED TO MEMBERS OF THE BOARD AS WELL AS EMPLOYEES TO DISCLOSE INTERESTS THAT MIGHT RESULT IN A CONFLICT OR THE APPEARANCE OF A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES COMPARABILITY DATA AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT TO REMOVE NET ASSETS OF AFFILIATED ORGANIZATION NEW CAMILLUS -4,958,212. HOUSE CAMPUS INC (EIN: 27-4182310) WHICH FILED ITS OWN 2013 TAX RETURN. SHEPHERD'S COURT INVESTOR LLC 336 NW 5TH STREET MIAMI FL 33128 450901972 INVESTMENT FL 0 0 CAMILLUS HOUSE INC CHARITY UNLIMITED OF FLORIDA INC PO BOX 11829 MIAMI FL 33101 650627797 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 BROTHER KEILY PLACE INC PO BOX 11829 MIAMI FL 33101 262449799 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 EMMAUS PLACE INC PO BOX 11829 MIAMI FL 33101 262466746 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 MATT TALBOT HOUSE INC PO BOX 11829 MIAMI FL 33101 262466977 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 LABRE PLACE INC PO BOX 11829 MIAMI FL 33101 262449416 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 CHARITY UNLIMITED FOUNDATION INC PO BOX 11829 MIAMI FL 33101 262449875 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 GOOD SHEPHERD VILLAS INC PO BOX 11829 MIAMI FL 33101 262466926 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 SOMERVILLE RESIDENCE INC PO BOX 11829 MIAMI FL 33101 262466816 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 BROWNSVILLE HOUSING INC PO BOX 11829 MIAMI FL 33101 262449736 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 CAMILLUS HEALTH CONCERN INC PO BOX 11829 MIAMI FL 33101 650063921 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 NEW CAMILLUS HOUSE CAMPUS INC PO BOX 11829 MIAMI FL 33101 274182310 PROVIDE SHELTER FOR THE HOMELESS FL SECTION 501(C)(3) PUBLIC / RELIGIOUS 5 RELIGIOUS BROTHERS OF THE BROTHERS OF THE GOOD SHEPHERD 0 SHEPHERD'S COURT LLC 336 NW 5TH STREET MIAMI FL 33128 208725209 LOW INCOME HOUSING FL CAMILLUS SHEPHERD'S LLC RELATED 0 0 0.00010 CAMILLUS SHEPHERD'S LLC 1603 NW 7TH AVE MIAMI FL 33136 454109856 LOW INCOME HOUSING FL CAMILLUS HOUSE INC C -94 1248 0.01000 0 0 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 1 0 0 CAMILLUS HEALTH CONCERN INC M 418214 CASH ACTIVITY EMMAUS PLACE INC E 127393 CASH ACTIVITY NEW CAMILLUS HOUSE CAMPUS INC B 315445 CASH ACTIVITY NEW CAMILLUS HOUSE CAMPUS INC K 117600 CASH ACTIVITY NEW CAMILLUS HOUSE CAMPUS INC C 868630 CASH ACTIVITY CAMILLUS HEALTH CONCERN INC L 34665 CASH ACTIVITY SHEPHERD'S COURT LLC Q 49713 CASH ACTIVITY