2023-12-20T16:17:45-06:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2022-07-01 362167724 ARDEN SHORE CHILD AND FAMILY SERVICES ARDE 8476231730 329 NORTH GENESEE STREET WAUKEGAN IL 60085 DORA E MAYA PRESIDENT & CEO 8476231730 2023-12-20 1 DORA MAYA 999009999 0 KIMBERLY ANDERSON P00188889 6086628600 2023-12-20 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DORA E MAYA 329 NORTH GENESEE STREET WAUKEGAN IL 60085 8108026 0 X WWW.ARDENSHORE.COM X 1906 IL TO REBUILD CHILDREN'S LIVES IN A CARING COMMUNITY. THE ORGANIZATION IS A NONPROFIT CHILD WELFARE AGENCY THAT PROVIDES SERVICES TO STATE WARDS AND THE COMMUNITY AT LARGE. 13 13 73 13 0 0 441697 483361 5919252 6886384 -448138 649441 0 0 5912811 8019186 931406 1204807 0 0 3987019 4873218 0 0 109824 1037189 1139817 5955614 7217842 -42803 801344 8753070 9924488 1426556 1631473 7326514 8293015 X TO REBUILD CHILDREN'S LIVES IN A CARING COMMUNITY. THE ORGANIZATION IS A NONPROFIT CHILD WELFARE AGENCY THAT PROVIDES SERVICES TO STATE WARDS AND THE COMMUNITY AT LARGE. 0 1 5197988 1196400 5995975 CASE MANAGEMENT: THE CASE MANAGEMENT DIVISION IS COMPRISED OF INTACT FAMILY SERVICES AND FOSTER CARE SERVICES. INTACT FAMILY SERVICES PROVIDES A FULL RANGE OF SERVICES TO LATINO FAMILIES TO ASSURE THE SAFETY AND WELL BEING OF CHILDREN WITH THE GOAL OF MAINTAINING INTACT FAMILIES. THE FOSTER CARE PROGRAM IS A NON-RESIDENTIAL PROGRAM PROVIDING ENGLISH AND SPANISH SPEAKING FOSTER CARE SERVICES TO CHILDREN OF ALL AGES IN TEMPORARY TO LONG-TERM HOME SETTINGS. 509473 8319 889779 RESIDENTIAL: THE RESIDENTIAL DIVISION IS COMPRISED OF TWO COMMUNITY BASED GROUP HOMES PROVIDING 24-HOUR THERAPEUTIC SERVICES INCLUDING, BUT NOT LIMITED TO MENTAL ASSESSMENTS, INDIVIDUAL TREATMENT PLANS, THERAPY, AND MILIEU SERVICES. THE ORGANIZATION CEASED THE RESIDENTIAL PROGRAM IN NOVEMEBER OF 2022. 262064 88 630 BEHAVIORAL HEALTH: THE BEHAVIORAL HEALTH DIVISION PROVIDES A VARIETY OF BILINGUAL OFFICE BASE AND IN-HOME COUNSELING SERVICES TO THE COMMUNITY AT LARGE WITH THE PURPOSE OF ENHANCING AND PRESERVING PERSONAL, FAMILY AND COMMUNITY WELL-BEING. 5969525 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 73 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 IL X MAURELLA BOCHENKO 8476231730 329 N GENESEE STREET WAUKEGAN IL 60085 SCOTT YELVINGTON BOARD CHAIRMAN 1.00 X X 0 0 0 ANN KIDD VICE CHAIR, RESOURCE DEVEL 1.00 X X 0 0 0 M FAISAL PANDIT VICE CHAIR, BOARD DEVELOPM 1.00 X X 0 0 0 KEITH SCHOENFELD TREASURER 1.00 X X 0 0 0 DAVID AUDLEY DIRECTOR 1.00 X 0 0 0 LUIS BARRIOS DIRECTOR 1.00 X 0 0 0 STEVE SCHENKER DIRECTOR 1.00 X 0 0 0 ANAND SHETH DIRECTOR 1.00 X 0 0 0 SHELLY CHRISTIAN DIRECTOR 1.00 X 0 0 0 SARGON GULIANA DIRECTOR 1.00 X 0 0 0 SUSAN KUNIN DIRECTOR 1.00 X 0 0 0 CRAIG LEVY DIRECTOR 1.00 X 0 0 0 LIZBETH MENJIVAR DIRECTOR 1.00 X 0 0 0 DORA MAYA PRESIDENT & CEO 40.00 X 364897 0 29590 MARK DYBAS VICE PRESIDENT OF HR 40.00 X 250468 0 38320 MONICA BADIANO VICE PRESIDENT OF CASE MANAGEMENT 40.00 X 114021 0 22078 MAURELLA BOCHENKO DIRECTOR OF FINANCE 40.00 X 155668 0 20040 DEONDRE HUDSON YOUTH TREATMENT SPECIALIST 40.00 X 122758 0 6565 1007812 0 116593 5 0 1 0 0 40890 156195 286276 483361 IL DEPT OF CHILDREN & 624100 6477650 6477650 MEDICAID BILLING 624100 408064 408064 COUNSELING CENTER - CL 624100 630 630 IL DEPT OF HUMAN SERVI 624100 40 40 6886384 138960 138960 334321 265000 0 88840 334321 176160 510481 510481 8019186 6886384 0 649441 1204807 1204807 859066 681003 173312 4751 3312912 2658697 634344 19871 59877 37891 21847 139 352547 237137 114311 1099 288816 248420 39303 1093 33789 33789 29643 29643 237236 164256 11119 61861 158188 144843 7908 5437 146843 142395 4338 110 118271 117810 293 168 85407 27238 43170 14999 25038 23760 1252 26 83398 80541 2800 57 174016 167729 6150 137 MISCELLANEOUS 12574 9734 2764 76 MEMBERSHIP DUES 12550 400 12150 HOUSEHOLD EXPENSES 11856 11856 BAD DEBT 10962 10962 46 46 7217842 5969525 1138493 109824 748915 855693 91189 21102 946269 899270 66395 88824 1814852 750372 1051461 1064480 4305698 5349336 1543143 1645783 8753070 9924488 903989 1181385 25000 522567 425088 1426556 1631473 X 5600034 6463895 1726480 1829120 7326514 8293015 8753070 9924488 X 801344 165157 X 0 1 X 1 0 X 4458972 5470343 837025 441697 483361 11691398 4458972 5470343 837025 441697 483361 11691398 292362 11399036 96069 95533 80325 121642 138960 532529 12223927 18956774 0.93250 0.96250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5848841 600000 608795 62517 6995119 6137179 600000 -798927 89411 5848841 4799603 300000 1111709 74133 6137179 4779446 6154 96851 82848 4799603 4553569 77329 212616 64068 4779446 0.76472 0.23527 0 0 231000 231000 539939 259171 280768 817944 327885 490059 225969 163316 62653 1064480 BENEFICIAL INTEREST IN IRREVOCABLE TRUST 1645783 1645783 8154700 165157 165157 7989543 29643 29643 8019186 7188199 0 7188199 29643 29643 7217842 PART V, LINE 4: THE AGENCY'S ENDOWMENTS CONSIST OF ONE FUND ESTABLISHED TO HELP FINANCE NEW BOARD OF TRUSTEES (THE BOARD) APPROVED PROGRAMS, GENERATE INCOME FOR OPERATING PURPOSES, IF NEEDED, AND PROVIDE FOR THE LONG-TERM FINANCIAL STABILITY OF THE AGENCY. ITS ENDOWMENTS CONSIST OF BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN VALUE OF BENEFICIAL INTEREST IN IRREVOCABLE TRUST 165,157. 1 BOARD PAYMENTS TO FOSTER PARENTS 195 1110747 CLIENT CLOTHING, HYGIENE SUPPLIES & ALLOWANCES 5 6719 FAIR MARKET VALUE CLOTHING, HYGIENE SUPPLIES & ALLOWANCES CLIENT TRANSPORTATION 322 12864 FAIR MARKET VALUE CLIENT TRANSPORTATION MISCELLANEOUS (EMERGENCY FOOD, INITIAL PLACEMENT NEEDS, EMERGENCY RENT, MENTORING, ETC) 322 71934 PART I, LINE 2: ANY NONCASH ASSISTANCE IS GIVEN DIRECTLY TO THE ELIGIBLE INDIVIDUALS FOR USE AS THEY SEE FIT OR FOR A SOCIAL WORKER TO DISTRIBUTE. CASH ASSISTANCE THAT IS GIVEN DIRECTLY TO INDIVIDUALS IS SUBSTANTIATED BY RECEIPTS TO MAKE SURE FUNDS ARE USED PROPERLY. X X X X X X 0 1 0 0 0 0 0 0 0 DORA MAYA PRESIDENT & CEO 364897 0 0 0 0 0 15954 0 13636 0 394487 0 0 0 MARK DYBAS VICE PRESIDENT OF HR 250468 0 0 0 0 0 11133 0 27187 0 288788 0 0 0 MAURELLA BOCHENKO DIRECTOR OF FINANCE 155668 0 0 0 0 0 6553 0 13487 0 175708 0 0 0 PART I, LINE 4B DORA MAYA, MARK DYBAS, AND MAURELLA BOCHENKO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DORA, MARK, AND MAURELLA ARE ELIGIBLE TO RECEIVE A CASH PAYMENT AFTER RETIREMENT BASED ON THEIR YEARS OF SERVICE AND ANNUAL SALARY FOR THE PRECEDING TWO YEARS. FORM 990, PART III, LINE 3 RESIDENTIAL: THE RESIDENTIAL DIVISION IS COMPRISED OF TWO COMMUNITY BASED GROUP HOMES PROVIDING 24-HOUR THERAPEUTIC SERVICES INCLUDING, BUT NOT LIMITED TO MENTAL ASSESSMENTS, INDIVIDUAL TREATMENT PLANS, THERAPY AND MILIEU SERVICES. THE GROUP HOME PROGRAM WAS CLOSED ON 11/30/2022. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE PRESIDENT/CEO, DIRECTOR OF FINANCE, AND THE FINANCE AND AUDIT COMMITTEES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE STATEMENTS ARE SUBMITTED ANNUALLY BY EACH COVERED PERSON. IF IT HAS BEEN DETERMINED THAT A CONFLICT OF INTEREST EXISTS, A COURSE OF ACTION TO RESOLVE THE CONFLICT WILL BE DETERMINED. FORM 990, PART VI, SECTION B, LINE 15 OFFICERS AND KEY EMPLOYEES COMPENSATION IS DETERMINED WHEN HIRED BASED OFF MARKET RATES AND THERE IS AN EMPLOYEE CONTRACT WRITTEN UP. THIS CONTRACT STATES WHAT THEIR ANNUAL MERIT INCREASE MAXIMUM (FOR EXAMPLE, THEY CAN RECEIVE UP TO 5% ANNUALLY). IF THE ORGANIZATION BELIEVES THEY SHOULD RECEIVE ABOVE THEIR CONTRACTED INCREASE RATE, THE EXECUTIVE COMMITTEE WILL DISCUSS AND VOTE. ALL COMPENSATION IS REVIEWED AND APPROVED BY A COMMITTEE OF THE BOARD OF DIRECTORS AND COMPARED TO RELEVANT COMPARABLE DATA. DELIBERATION AND DECISION IS DOCUMENTED IN THE MINUTES OF BOARD MEETINGS. THIS PROCESS WAS LAST CONDUCTED IN 2022. 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: INCREASE/DECREASE IN VALUE OF BENEFICIAL INTEREST IN IRREVOCABLE TRUST 165,157.