2013-04-30T10:42:35-05:00 2012-06-30 113266576 GRASSI & CO CPA'S PC 50 JERICHO QUADRANGLE JERICHO NY 11753 990 2011-07-01 112482974 QSAC INC QSAC 2122445560 253 WEST 35TH STREET 16TH FLOOR NEW YORK NY 10001 GARY A MAFFEI 2122445560 2013-04-28 1 DAVID ROTTKAMP P01303468 5162563500 2011 2016-03-07 17:11:31Z GARY A MAFFEI 253 WEST 35TH STREET 16TH FLOOR NEW YORK NY 10001 37500047 0 X HTTP://WWW.QSAC.COM/ X 1978 NY PROVIDE SOCIAL SERVICES AND EDUCATION TO PERSONS WITH AUTISM SPECTRUM DISORDER. 12 12 1146 7 0 0 157926 224218 36420201 36651714 40576 79380 243459 477746 36862162 37433058 335277 351009 0 0 28696220 29712950 0 0 258854 6984188 7038725 36015685 37102684 846477 330374 17348322 17511332 14962039 14794675 2386283 2716657 X BUILD THE CAPACITY AND SKILLS OF INDIVIDUALS, FAMILIES, COMMUNITY AGENCIES AND PROFESSIONALS TO HELP INDIVIDUALS WITH AN AUTISM SPECTRUM DISORDER REALIZE OPPURTUNITIES FOR INDEPENDENCE, SELF-RELIANCE AND SUCCESSFUL COMMUNITY INCLUSION. PROVIDE LEADERSHIP IN THE DEVELOPMENT AND DELIVERY OF SERVICES THAT ARE MARKED BY EXCELLENCE AND FLEXIBILITY AND ARE GROUNDED IN EVIDENCE-BASED TREATMENTS AND BEST PRACTICES. RAISE AWARENESS AND UNDERSTANDING OF AUTISM SPECTRUM DISORDERS AND PROMOTE THE RIGHTS OF ALL INDIVIDUALS TO BE TREATED WITH DIGNITY AND RESPECT. ENSURE TRANSPARENCY AND ACCOUNTABILITY TO ALL OF OUR STAKEHOLDERS FOR THE BEST USE OF RESOURCES. 0 0 14203581 16244927 SEE SCHEDULE OTHE QSAC DAY HABILITATION PROGRAM IS A PERSON-CENTERED PROGRAM THAT HELPS DEVELOP CONSUMER CHOICE AND THE SKILLS NECESSARY FOR INDIVIDUALS TO LEARN TO BECOME ACTIVE AND PARTICIPATING MEMBERS OF THEIR OWN HOMES AND COMMUNITIES. EACH PARTICIPANT'S INDIVIDUAL FUNCTIONING LEVEL IS CONTINUALLY ASSESSED AND PROGRAMS AND GOALS ARE DEVELOPED THAT SUIT EVERY INDIVIDUAL'S NEEDS. PARTICIPANTS IN THE DAY HABILITATION PROGRAM WORK ON TARGETED GOALS AND BEHAVIORS SUCH AS ADAPTIVE LIVING, COMMUNICATION AND FOOD PREPARATION SKILLS AND THE ELIMINATION OF INAPPROPRIATE BEHAVIORS (SUCH AS AGGRESSION). PART OF EACH PARTICIPANT'S DAY IS SPENT IN THE COMMUNITY WHERE PARTICIPANTS DEVELOP A MORE PRODUCTIVE ROLE IN SOCIETY. THE DAY HABILITATION PROGRAM IS OPEN TO INDIVIDUALS 21 YEARS OF AGE OR OVER WHO ARE DIAGNOSED WITH AUTISM OR PERVASIVE DEVELOPMENTAL DISORDER. THE PROGRAM OPERATES MONDAY THROUGH FRIDAY, YEAR ROUND, BETWEEN THE HOURS OF 8:30 AM TO 2:30 PM. SUPERVISED TRANSPORTATION TO AND FROM THE PROGRAM IS PROVIDED. 9245353 10380995 SEE SCHEDULE OQSAC RESIDENTIAL PROGRAMS FEATURE BOTH INDIVIDUALIZED RESIDENTIAL ALTERNATIVES AND INTERMEDIATE CARE FACILITIES THAT OFFER HOME ENVIRONMENTS THAT FOSTER INDEPENDENCE, COMMUNITY INTEGRATION, INDIVIDUALIZATION AND PRODUCTIVITY. EACH INDIVIDUAL RESIDING IN A QSAC RESIDENCE IS PROVIDED WITH OPPORTUNITIES TO PARTICIPATE IN MEANINGFUL ADULT ROLES AND DEVELOP SOCIAL RELATIONSHIPS WHILE AT THE SAME TIME EMPHASIZING INDIVIDUAL CHOICE. EACH RESIDENT ENJOYS VARIOUS RECREATIONAL AND SOCIAL ACTIVITIES ON A REGULAR BASIS. EACH RESIDENT IS ALSO INVOLVED IN EVERY FACET OF THEHOME ENVIRONMENT, INCLUDING COOKING THEIR OWN MEALS, SHOPPING FOR FOOD AND HOUSEHOLD SUPPLIES, AND DOING REGULAR HOUSEHOLD CHORES. THE GOAL OF QSAC'S RESIDENTIAL PROGRAMS IS TO CREATE A NURTURING ENVIRONMENT THAT PROMOTES PERSONAL GROWTH AND A SENSE OF DIGNITY IN EACH OF OUR RESIDENTS. 6519474 7314335 SEE SCHEDULE OTHE PRESCHOOL AND SCHOOL PROGRAMS PROVIDE A COMPREHENSIVE EDUCATION FOR CHILDREN 3 - 21 YEARS OLD ON THE AUTISM SPECTURM USING THE PRINCIPLES OF APPLIED BEHAVIOR ANALYSIS. THE PROGRAMS ARE FULL DAY AND OPERATE 12 MONTHS A YEAR. THE SCHOOL HAS A 6:1:3 CHILD TO STAFF RATIO AND THE PRESCHOOL HAS 6:1:3, 8:1:2, AND 12:1:2 RATIOS. THE AFTER SCHOOL PROGRAM IS A THERAPEUTIC, BEHAVIORAL-ORIENTED PROGRAM USING THE SAME PRINCIPLES OF APPLIED BEHAVIOR ANALYSIS. THE MISSION OF THE PROGRAM IS TO IMPROVE THE BEHAVIORAL AND SOCIAL FUNCTIONING OF EACH STUDENT. CHILDREN RANGE IN AGE FROM 8-21. 2209962 2711457 SERVICE COORDINATION AND OTHER SERVICES 2209962 2711457 32178370 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 0 0 0 0 0 1 137 0 1 1146 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X P NARANJO 2122445560 253 WEST 35TH STREET NEW YORK NY 10001 Y WATTS 1.00 X X 0 0 0 J SILBER 1.00 X X 0 0 0 P HALVATZIS 1.00 X X 0 0 0 E METALIOS ESQ 1.00 X X 0 0 0 D PARISY 1.00 X X 0 0 0 L FOSTER 1.00 X 0 0 0 E GREENBERG 1.00 X 0 0 0 G LOUIS 1.00 X 0 0 0 P MAHOTRA 1.00 X 0 0 0 H CAPELL 1.00 X 0 0 0 R KOVEN 1.00 X 0 0 0 G MAFFEI 40.00 X 212069 0 109306 P NARANJO 40.00 X 133944 0 63938 C POLSHANSKY 40.00 X 164803 0 49752 L VEGLIA 40.00 X 161333 0 50171 M CHOI 40.00 X 105421 0 13957 777570 0 287124 5 0 1 0 RCM TECHNOLOGIES 575 8TH AVE NEW YORK NY 10018 SPEECH THERAPY 109275 1 116524 107694 224218 HABILITATION SERVICES 900099 16244927 16244927 RESIDENTIAL SERVICES 900099 10380995 10380995 EDUCATIONAL SERVICES 900099 7314335 7314335 SERVICE COORDINATION A 900099 2711457 2711457 36651714 79380 79380 280726 116524 66989 213737 213737 MISCELLANEOUS INCOME 900099 178423 178423 GAIN ON DISPOSAL OF AS 900099 16699 16699 68887 68887 264009 37433058 36651714 0 557126 351009 351009 1046803 81427 965376 22277861 20416255 1706304 155302 246114 242870 3244 3734572 3328293 382438 23841 2407600 2015135 377303 15162 33078 4021 29057 81856 81856 17290 17290 285804 235439 27394 22971 115868 44203 56476 15189 985605 688639 279252 17714 344111 266988 76913 210 2632073 2196210 435863 207828 132336 75351 141 29076 23970 5051 55 150095 126424 23671 381452 365998 12023 3431 545429 463307 80725 1397 CONSUMER RELATED EXPENS 1115498 1110822 4479 197 MISCELLANEOUS EXPENSE 77084 49314 27770 MEDICAL SUPPLIES 30332 30121 211 FINGERPRINTING 6246 5589 657 37102684 32178370 4665460 258854 25332 19829 3241324 3881770 5749695 5422470 2830669 2951724 10078978 5756139 4539606 4322839 205954 173144 755742 739556 17348322 17511332 6030490 7120987 1026096 1175713 2356198 2041198 1867835 1690165 3681420 2766612 14962039 14794675 X 2278272 2545840 108011 170817 2386283 2716657 17348322 17511332 330374 0 X X 0 1 1 X 0 X 919846 432937 1349431 288546 224218 3214978 919846 432937 1349431 288546 224218 3214978 3214978 81514 78503 51275 40576 79380 331248 63947 63489 57936 39936 376498 601806 4148032 165111299 0.77510 0.86950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 17290 0 0 17290 0 526235 526235 5032246 2394230 2638016 2308542 1688992 619550 1197935 739541 458394 1014020 933376 80644 4322839 DUE TO GOVERNMENT AGENCIES 2766612 2766612 37433058 37102684 330374 330374 38078002 644944 644944 37433058 0 37433058 37747628 644944 644944 37102684 0 37102684 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS ADOPTED THE PROVISIONS PERTAINING TO UNCERTAIN TAX PROVISIONS (FASB ASC TOPIC 740) AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ANNUAL GALA 268479 78752 189727 57260 5K WALK-RUN FOR AUTISM 91306 26782 64524 60 7579 1 37465 10990 26475 200 1890 397250 116524 280726 200 60 66729 66989 213737 0 GRANTS / ASSISTANCE 73 351009 0 SCHEDULE I, PART I, LINE 2: THE ASSISTANCE IS BROKEN DOWN BETWEEN TWO PROGRAMS - $157,833 FOR THE RESIDENTIAL PROGRAM. THIS PART REPRESENTS THE PERSONAL ALLOWANCE AND CLOTHING ALLOWANCE THAT EACH INDIVIDUAL LIVING IN OUR RESIDENTIAL FACILITIES IS ENTITLED TO THROUGH OUT THE YEAR. THESE MONIES ARE PAID TO OUR 73 COSUMERS (RESIDENTS) ON A MONTHLY BASIS FOR THE P/A, AND EVERY 6 MONTHS FOR THE C/A GUIDLINES GOVERNING THESE FUNDS COME FROM THE STATE MENTAL HYGIENCE LAW. THE REMAINING GRANT IN THE AMOUNT OF $193,176 IS FOR SERVICE COORDINATION AND OTHER SERVICES PROGRAM. X X X 0 1 0 0 0 0 0 0 0 G MAFFEI 192629 0 0 0 19440 0 109306 0 0 0 321375 0 0 0 P NARANJO 129262 0 0 0 4682 0 60869 0 3069 0 197882 0 0 0 C POLSHANSKY 161207 0 0 0 3596 0 48739 0 1013 0 214555 0 0 0 L VEGLIA 161207 0 0 0 126 0 50015 0 156 0 211504 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 4B: THE FOLLOWING EMPLOYEES HAD PAYMENTS MADE TO 457F PLANS DURING THE 2011/2012 CALENDAR YEAR. THESE FUNDS REMAIN ASSETS OF THE EMPLOYER UNTIL RETIREMENT AGE OF THE EMPLOYEE. G MAFFEI: $86,124 P NARANJO: $41,624 C POLSHANSKY: $26,827 L VEGLIA: $28,072 G MAFFEI'S AMOUNT REPRESENTS A CURRENT CONTRIBUTION AND A CATCH UP AMOUNT. NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2004 132906040 2004-08-19 395000 FUNDING PROPERTY/EQUIPMENT 0 0 0 NASSAU COUNTY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2006 2006-06-15 840000 FUNDING PROPERTY/EQUIPMENT 0 0 0 399593 39000 7949 2137 350507 2006 0 0 1 1 841510 84000 55583 1510 700417 2008 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 MARRIAGE FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY MANAGEMENT AND THEN PRESENTED TO THE BOARD OF DIRECTORS, PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CERTIFICATE OF NO CONFLICT IS SIGNED ANNUALLY BY THE BOARD OF DIRECTORS, AND EXECUTIVE MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY COMPARISON OF 990'S, INDUSTRY SURVEYS, AND APPROVED BY THE BOARD OF DIRECTORS AND DECISIONS DOCUMENTS. 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 ONLINE. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.