2024-08-09T12:39:39-05:00 2023-09-30 593204548 JAMES MOORE & CO PL 2477 TIM GAMBLE PLACE SUITE 200 TALLAHASSEE FL 323084386 990 2022-10-01 591860916 THE INSTITUTE FOR INTERGOVERNMENTAL RESEARCH INC INST 8503850600 PO BOX 12729 TALLAHASSEE FL 32317 DANIEL E STUMP PRESIDENT/CEO 8503850600 2024-08-08 1 1 MARK PAYNE P00005495 8503866184 2024-08-05 2022 2024-08-08 14:25:15Z IIR DANIEL E STUMP PO BOX 12729 TALLAHASSEE FL 32317 43753714 0 X WWW.IIR.COM X 1978 FL IIR'S MISSION IS TO RESPOND TO THE NEEDS OF CRIMINAL JUSTICE AGENCIES ACROSS THE COUNTRY THROUGH THE ADMINISTRATION OF GRANT FUNDED PROGRAMS THAT HAVE A POSITIVE IMPACT OF LOCAL, STATE, FEDERAL, TRIBAL, AND TERRITORIAL LAW ENFORCEMENT AND CRIMINAL JUSTICE AGENCIES. 8 2 211 0 0 0 40879182 43015297 510967 738417 0 0 1729 0 41391878 43753714 14749565 12430320 0 0 19928824 21889019 0 0 0 6543590 9535336 41221979 43854675 169899 -100961 5722214 7922943 4831493 7133183 890721 789760 X IIR'S MISSION IS TO RESPOND TO THE NEEDS OF CRIMINAL JUSTICE AGENCIES ACROSS THE COUNTRY THROUGH THE ADMINISTRATION OF GRANT FUNDED PROGRAMS THAT HAVE A POSITIVE IMPACT OF LOCAL, STATE, FEDERAL, TRIBAL, AND TERRITORIAL LAW ENFORCEMENT AND CRIMINAL JUSTICE AGENCIES. 0 0 11666013 2652945 TRAINING PROGRAMS - DEVELOP AND PROVIDE SPECIALIZED TRAINING AND TECHNICAL ASSISTANCE FROM RECOGNIZED SUBJECT MATTER EXPERTS AND OTHER RESOURCES TO IMPROVE JUSTICE INFORMATION SHARING THROUGH EFFECTIVE IMPLEMENTATION OF CRIMINAL INTELLIGENCE SYSTEMS AND ENHANCED DEVELOPMENT OF PRIVACY AND CIVIL LIBERTIES POLICIES BY LAW ENFORCEMENT AGENCIES; TO FOCUS ON CRIMINAL INTELLIGENCE SHARING, THE INTELLIGENCE FUNCTION, INTELLIGENCE-LED POLICING AND LEGAL AND PRIVACY ISSUES; TO PREPARE AGENCY COMMANDERS TO EFFECTIVELY IMPLEMENT AND MANAGE A MULTIFACETED INTELLIGENCE FUNCTION; TO INCREASE THE OPERATIONAL EFFECTIVENESS OF MULTIJURISDICTIONAL TASK FORCES AND EMPHASIZE OFFICER SAFETY AND TASK FORCE PERFORMANCE MEASUREMENT; TO ENHANCE THE UNDERSTANDING OF FEDERAL GUIDELINES THAT GOVERN PROJECT PLANNING, MANAGEMENT, IMPLEMENTATION, ADMINISTRATION AND ASSESSMENT BY EMPHASIZING PROBLEM IDENTIFICATION AND DATA GATHERING, PROJECT STRATEGY AND DESIGN, COMMUNITY PARTNERSHIPS DEVELOPMENT AND MANAGEMENT STRATEGIES; TO COMBAT DOMESTIC AND INTERNATIONAL TERRORISM AND OTHER EXTREMIST CRIMINAL ACTIVITY BY PROVIDING VARIOUS TOOLS AND RESOURCES NECESSARY FOR LAW ENFORCEMENT PERSONNEL TO UNDERSTAND, DETECT, DETER, AND INVESTIGATE ACTS OF TERRORISM. TO IMPROVE THE IMMEDIATE AND LONG-TERM HEALTH, WELLNESS AND SAFETY OF LAW ENFORCEMENT PROFESSIONAL THROUGH THE DEVELOPMENT AND DELIVERY OF KNOWLEDGE AND SKILL-BASED TRAINING. 11504016 9177905 COMPREHENSIVE OPIOID ABUSE PROGRAM - PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO STATE AND LOCAL CRIMINAL JUSTICE AND SUBSTANCE ABUSE TREATMENT AGENCIES, PRESCRIPTION DRUG MONITORING PROGRAMS (PDMPS) AND THEIR PARTNER AGENCIES TO FACILITATE A COMPREHENSIVE, COORDINATED AND BALANCED STRATEGY THROUGH GRANT PROGRAMS THAT EXPAND PREVENTION AND EDUCATION WHILE ALSO PROMOTING TREATMENT AND RECOVERY FROM OPIOID ADDITION AND ABUSE 3602495 0 0 REGIONAL INFORMATION SHARING SYSTEMS (RISS) - PROVIDE SUPPORT TO RISS, WHICH IS A NATIONAL PROGRAM OF REGIONALLY ORIENTED SERVICES DESIGNED TO ENHANCE THE ABILITY OF LOCAL, STATE, FEDERAL AND TRIBAL CRIMINAL JUSTICE AGENCIES TO IDENTIFY, TARGET AND COMBAT CRIMES OF ALL TYPES SPANNING MULTIJURISDICTIONAL, MULTISTATE AND SOMETIMES INTERNATIONAL BOUNDARIES; TO FACILITATE RAPID EXCHANGE AND SHARING OF INFORMATION AMONG THE AGENCIES PERTAINING TO KNOW SUSPECTED CRIMINALS OR CRIMINAL ACTIVITY; AND TO ENHANCE COORDINATION AND COMMUNICATION AMONG AGENCIES THAT ARE IN PURSUIT OF CRIMINAL ACTIVITIES DETERMINED TO BE INTERJURISDICTIONAL IN NATURE. RISS OFFERS SERVICES, TOOLS AND RESOURCES TO AID LAW ENFORCEMENT AND CRIMINAL JUSTICE ENTITIES TO IDENTIFY, DISRUPT AND PREVENT TERRORIST AND CRIMINAL ACTIVITIES, AND TO PROMOTE OFFICER SAFETY. 10472176 599471 738417 INFORMATION SHARING PROGRAMS - $642,071 EXPENSES; $- REVENUES: $70,347 GRANTS. IIR PROVIDES SUPPORT FOR THE GLOBAL JUSTICE INFORMATION SHARING EFFORT TO FACILITATE THE BROAD SCALE EXCHANGE OF PERTINENT JUSTICE AND PUBLIC SAFETY DATA, AS WELL AS THE PROMOTION OF STANDARDS-BASED ELECTRONIC INFORMATION EXCHANGE IN A SECURE AND TRUSTED ENVIRONMENT. COORDINATES WITH STATE, LOCAL, TRIBAL AND FEDERAL LAW ENFORCEMENT AND HOMELAND SECURITY AGENCIES, INCLUDING FUSION CENTER, TO DEVELOP, DISSEMINATE AND SUPPORT ENTERPRISE-WIDE INFORMATION EXCHANGE STANDARDS AND PROCESSES THAT CAN ENABLE JURISDICTIONS TO EFFECTIVELY SHARE CRITICAL INFORMATION IN EMERGENCY SITUATIONS, AS WELL AS SUPPORT THE DATA-TO-DAY OPERATIONS OF AGENCIES THROUGHOUT THE NATION. GANG PROGRAMS - $3,427,589 EXPENSES; $- REVENUES: DEVELOP AND PROVIDE INFORMATION AND RESOURCES TO ASSIST IN THE DEVELOPMENT OF EFFECTIVE ANTI-GANG PREVENTION AND INTERVENTION STRATEGIES. PROVIDE TECHNICAL ASSISTANCE; PRODUCE AND DISSEMINATE INFORMATIONAL AND EDUCATIONAL MATERIALS; DEVELOP ANTI-GANG CURRICULA TO IMPROVE LEVEL OF KNOWLEDGE, COMMUNICATION AND COLLABORATION AMONG CRIMINAL JUSTICE AND COMMUNITY ORGANIZATIONS; AND DELIVER TRAINING TO LOCAL, STATE, TRIBAL AND FEDERAL LAW ENFORCEMENT AND TO GANG INTERVENTION AND PREVENTION PROFESSIONALS.NATIONAL SEX OFFENDER REGISTRIES - $907,518 EXPENSES; $- REVENUES: PROVIDE SUPPORT, COORDINATION, AND TECHNICAL ASSISTANCE FOR THE DRU SJODIN NATIONAL SEX OFFENDER PUBLIC WEBSITE, THE SEX OFFENDER REGISTRATION AND NOTIFICATION ACT EXCHANGE PORTAL AND THE TRIBE AND TERRITORY SEX OFFENDER REGISTRY SYSTEM. OFFICE ON VIOLENCE AGAINST WOMEN - $1,005,441 EXPENSES: $- REVENUES; $18,715 GRANTS. - PROVIDE SUPPORT, COORDINATION, TECHNICAL ASSISTANCE AND TRAINING TO ASSIST IN THE DEVELOPMENT OF EFFECTIVE STRATEGIES TO REDUCE VIOLENCE AGAINST WOMEN AND ADMINISTER JUSTICE FOR AND STRENGTHEN SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING. SOUTHWEST BORDER RURAL LE TTA - $595,178 EXPENSES; $- REVENUES; $434,369 GRANTS. - DEVELOP AND PROVIDE A PROCESS THAT WILL ENABLE SOUTHWEST BORDER STATES AGENCIES TO REQUEST SPECIFIC TECHNICAL ASSISTANCE THAT COULD INCLUDE PROVIDING HARDWARE/SOFTWARE, SPECIALIZED EQUIPMENT, AND OTHER FORMS OF ASSISTANCE. OTHER PROGRAMS - $3,894,379 EXPENSES; $738,417 REVENUES; $76,040 GRANTS. - PROVIDE SUPPORT AND TECHNICAL ASSISTANCE TO OTHER CRIMINAL JUSTICE RELATED PROGRAMS. 10472176 599471 738417 37244700 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 183 0 1 211 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 2 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 X KATHLEEN T MASTERSON 8503850600 2073 SUMMIT LAKE DRIVE SUITE 302 TALLAHASSEE FL 32317 GINA W HARTSFIELD BOARD CHAIR / TREASURER 40.00 X X 216685 0 63031 RICK S GREGORY BOARD VICE-CHAIR 40.00 X X 171367 0 58769 ROBERT CUMMINGS SECRETARY AS OF JANUARY 2023 1.50 X X 5031 0 2700 LEHEW W MILLER TRUSTEE / PRESIDENT & CEO 40.00 X X 164301 0 51201 ADAM LEHMANN TRUSTEE / CIO 40.00 X X 178757 0 59967 MICHELLE MILLER TRUSTEE / COO 40.00 X X 170232 0 46812 DAN ISOM TRUSTEE 0.50 X 0 0 0 MICHAEL RAMAGE TRUSTEE 25.00 X 132305 0 29969 D DOUGLAS BODRERO TRUSTEE UNTIL DECEMBER 2022 1.50 X 1994 0 1390 DOROTHY WILLIAMS SECRETARY UNTIL DECEMBER 2022 1.00 X X 0 0 1080 EMORY WILLIAMS TRUSTEE UNTIL MAY 2023 2.00 X 480 0 1370 KERRY WILLIAMS TRUSTEE UNTIL JULY 2023 0.25 X 0 0 0 KATHLEEN T MASTERSON CFO / TREASURER 40.00 X 167382 0 52115 MEENA HARRIS EXECUTIVE VICE PRESIDENT 40.00 X 142850 0 53438 R CLAY JESTER CHIEF TECHNOLOGY OFFICER/SENIOR VICE PRESIDENT 40.00 X 141217 0 52692 PATRICIA D HODGES SENIOR VICE PRESIDENT/SENIOR MANAGER 40.00 X 159294 0 50478 THOMAS L'ESPEARANCE SENIOR RESEARCH ASSOCIATE/SENIOR MANAGER 40.00 X 144281 0 31508 DONNA LINDQUIST SENIOR VP/SENIOR RESEARCH MANAGER/SENIOR MANAGER 40.00 X 142837 0 41291 JENNIFER SKINNER SENIOR RESEARCH ASSOCIATE 40.00 X 140436 0 46271 SARAH CHERVENAK SENIOR RESEARCH ASSOCIATE 40.00 X 140139 0 29783 DANIEL STUMP SENIOR RESEARCH ASSOCIATE 40.00 X 136497 0 52169 2356085 0 726034 39 0 1 0 VISCONTI FAMILY LTD IIR OFFICE LLC 2928 WELLINGTON CIRCLE SUITE 201 TALLAHASSEE FL 32309 RENT 214375 HEALTHCARE REALTY TRUST INC PO BOX 645782 CINCINNATI OH 45264 RENT 197721 2 42991589 23708 43015297 INFORMATION SHARING/TRAINING PROJ 541900 642144 642144 TECHNICAL ASSISTANCE SUPPORT 541900 72000 72000 REGISTRATION FEES 541900 24273 24273 738417 43753714 738417 0 0 12430320 12430320 1963714 828270 1135444 13888629 11139615 2749014 2599373 2094000 505373 2287125 1793004 494121 1150178 879314 270864 14899 14899 44280 44280 679654 577644 102010 1053725 948851 104874 2039704 1517337 522367 411518 64791 346727 1337377 1247413 89964 941299 941299 2513905 2512622 1283 5718 4218 1500 45683 1805 43878 EXPENDABLE EQUIPMENT 403015 250370 152645 EMPLOYEE TRAINING 37450 13827 23623 EMPLOYMENT EXPENSE 6464 6464 TAXES, LICENSES, & COPY 645 645 43854675 37244700 6609975 0 981845 3243663 4303049 2536178 58868 24000 358446 318082 214369 198245 5102 16124 1784896 14904 0 5722214 7922943 4511960 2291795 319533 2991700 0 1849688 4831493 7133183 X 890721 789760 890721 789760 5722214 7922943 -100961 0 X 0 1 X 1 1 1 X 24371886 29878105 34035488 40879182 43015297 172179958 24371886 29878105 34035488 40879182 43015297 172179958 172179958 21 81 1 1729 1832 172181790 2539951 1.00000 1.00000 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: DISCOUNTS - 2018 AMOUNT: $ 21. 2019 AMOUNT: $ 81. 2020 AMOUNT: $ 1. 2021 AMOUNT: $ 1,729. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 214369 198245 16124 16124 OPERATING LEASE LIABILITY 1849688 1849688 X 43753714 0 43753714 0 43753714 43854675 0 43854675 0 43854675 PART X, LINE 2: THE INSTITUTE FOR INTERGOVERNMENTAL RESEARCH, INC., IS GENERALLY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION'S INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES AND MAY CHANGE UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED AND EVALUATED THE RELEVANT TECHNICAL MERITS OF EACH OF THEIR TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES TRAINING AND RESEARCH SERVICES 1672611 0 0 0 0 0 0 1672611 0 1672611 0 0 0 0 0 0 PART I, LINE 2: IIR PROVIDES TRAINING TO LAW ENFORCEMENT INDIVIDUALS FOR THE "GANG RESISTANCE EDUCATION AND TRAINING (GREAT) PROGRAM". IIR DOES NOT PROVIDE GRANTS TO ORGANIZATIONS OR INDIVIDUALS OUTSIDE OF THE U.S. PART III ACCOUNTING METHOD: PART I, COLUMN F EXPENDITURES ARE RECORDED IN IIR'S ACCOUNTING SYSTEM BASED ON INVOICES RECEIVED FOR PURCHASE/SERVICES (E.G. 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ASSOCIATED WITH OPIOIDS OTERO COUNTY 1101 NEW YORK AVENUE ALAMOGORDO NM 88310 856000236 115 6003 0 PROVIDE RESOURCES TO SMALL, RURAL, AND TRIBAL LAW ENFORCEMENT AGENCIES LOCATED IN A SOUTHWEST BORDER STATE PORTER-STARKE SERVICES INC 601 WALL STREET VALPARAISO IN 46383 351330771 501(C)(3) 218245 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS PORTSMOUTH COUNTY 605 WASHINGTON ST PORTSMOUTH OH 45662 316400238 115 531465 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS PRISMA HEALTH - UPSTATE 701 GROVE ROAD GREENVILLE SC 29605 811723202 501(C)(3) 328549 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS PUEBLO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 101 WEST 9TH STREET PUEBLO CO 81003 846003013 115 77455 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS PUEBLO OF POJOAQUE 2 PETROGLYPH CIRCLE SANTE FE NM 87506 850219423 115 18424 0 PROVIDE RESOURCES TO SMALL, RURAL, AND TRIBAL LAW ENFORCEMENT AGENCIES LOCATED IN A SOUTHWEST BORDER STATE RENO COUNTY HEALTH DEPARTMENT 209 WEST 2ND HUTCHINSON KS 67502 486015542 115 125987 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS RHODE ISLAND DEPARTMENT OF HEALTH 3 CAPITOL HILL PROVIDENCE RI 02908 560000522 115 175673 0 SUPPORT STATEWIDE OVERDOSE DETECTION MAPPING APPLICATION PROGRAM RIO ARRIBA COUNTY PO BOX 127 TIERRA AMARILLA NM 87575 856000240 115 13280 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS ROSS COUNTY HEALTH DISTRICT 150 E SECOND STREET CHILLICOTHE OH 45601 316400085 115 42534 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS SALT LAKE COUNTY HEALTH DEPARTMENT 2001 S STATE ST S2-600 SALT LAKE CITY UT 84009 876000316 115 230648 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS SEMINOLE COUNTY SHERIFF'S OFFICE 100 ESLINGER WAY SANFORD FL 32773 596000860 115 112598 0 SUPPORT STATEWIDE OVERDOSE DETECTION MAPPING APPLICATION PROGRAM SMA HEALTHCARE INC 150 MAGNOLIA AVE DAYTONA BEACH FL 32114 590976866 501(C)(3) 95250 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS SOUTH HEALTH DISTRICT 206 SOUTH PATTERSON STREET VALDOSTA GA 31601 581111978 115 11874 0 PROVIDE A SECURE DRUG-TAKE BACK PROGRAM ST JOSEPH DEPARTMENT OF HEALTH 227 W JEFFERSON BLVD SOUTH BEND IN 46601 356000194 115 99925 0 PROVIDE A SECURE DRUG-TAKE BACK PROGRAM ST LOUIS COUNTY 100 N 5TH AVE W 214 DULUTH MN 55802 416007162 115 40498 0 OPIOID OVERDOSE PREVENTION ACTIVITIES AND CARE PROGRAMS UPON RELEASE FROM INCARCERATION ST MARY'S REGIONAL HEALTH CENTER 1027 WASHINGTON AVE DETROIT LAKES MN 56501 411620386 501(C)(3) 195680 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS STARR COUNTY 102 E 6TH STREET RIO GRANDE CITY TX 78582 746001976 115 93496 0 PROVIDE RESOURCES TO SMALL, RURAL, AND TRIBAL LAW ENFORCEMENT AGENCIES LOCATED IN A SOUTHWEST BORDER STATE STATE OF MINNESOTA DEPARTMENT OF HEALTH 84 EAST SEVENTH PLACE SUITE 220 SAINT PAUL MN 55164 416007162 115 105138 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 390806261 501(C)(3) 11248 0 DEVELOP AN OVERDOSE FATALITY REVIEW DATABASE THE URBAN INSTITUTE 2100 M ST NW WASHINGTON DC 20037 520880375 501(C)(3) 56967 0 COMPLETE A REPORT THAT SUMMARIZES THE NATURE AND EXTENT OF OPIOID ABUSE AND ILLEGAL DISTRIBUTION IN THE US TOWN OF FLORENCE 775 NORTH MAIN STREET FLORENCE AZ 85132 866000245 115 39000 0 PROVIDE RESOURCES TO SMALL, RURAL, AND TRIBAL LAW ENFORCEMENT AGENCIES LOCATED IN A SOUTHWEST BORDER STATE TOWN OF KEARNY 375 ALDEN ROAD KEARNY AZ 85137 866007119 115 8444 0 PROVIDE RESOURCES TO SMALL, RURAL, AND TRIBAL LAW ENFORCEMENT AGENCIES LOCATED IN A SOUTHWEST BORDER STATE TULALIP TRIBES OF WASHINGTON 6406 MARINE DRIVE TULALIP WA 98271 910557816 115 174963 0 PREVENTION AND INTERVENTION ACTIVITIES TO REDUCE OVERDOSE DEATHS AND FACILITATE ACCESS TO TREATMENT AND RECOVERY UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 500 SOUTH LIMESTONE LEXINGTON KY 40526 616033693 501(C)(3) 24231 0 TRAINING TO PROVIDE EDUCATION AND INCREASING AWARENESS AND RECOGNITION OF LE SUICIDE UNIVERSITY OF MARYLAND COLLEGE PARK 4101 CHESAPEAKE BLDG COLLEGE PARK MD 20742 526002033 115 163551 0 STUDY TERRORISM AND RESPONSES TO TERRORISM (SLATT) AND PROVIDE SUPPORT TO SLATT UNIVERSITY OF NEBRASKA BOARD OF REGENTS 2200 VINE STREET LINCOLN NE 68583 470049123 501(C)(3) 70347 0 NATIONWIDE SUSPICIOUS ACTIVITY REPORTING (SAR) INITIATIVE (NSI) INDICATOR REVIEW PROJECT UNIVERSITY OF NORTH DAKOTA 264 CENTENNIAL DRIVE STOP 7306 GRAND FORKS ND 58202 456002491 115 74099 0 CREATE A RURAL COMMUNITY TOOLBOX WEBSITE UPPER CUMBERLAND HUMAN RESOURCES AGENCY 580 S JEFFERSON AVE COOKEVILLE TN 38501 265008404 54934 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS WESTCARE TENNESSEE INC 1711 WHITNEY MESA DRIVE HENDERSON NV 89014 273702109 501(C)(3) 108983 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC 10 HEALTHY WAY ELLENVILLE NY 12428 134111638 501(C)(3) 99133 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS WHITE EARTH BEHAVIORAL HEALTH DIVISION 35500 EAGLE VIEW ROAD OGEMA MN 56569 411737979 115 292689 0 PREVENTION AND INTERVENTION ACTIVITIES TO REDUCE OVERDOSE DEATHS AND FACILITATE ACCESS TO TREATMENT AND RECOVERY WHITLEY COUNTY HEALTH DEPARTMENT 368 PENNY LANE WILLIAMSBURG KY 40769 611031769 115 279186 0 PREVENTING AND REDUCING OVERDOSE DEATHS ASSOCIATED WITH OPIOIDS WISCONSIN DEPARTMENT OF JUSTICE 17 W MAIN STREET MADISON WI 53707 396006427 115 59865 0 PROVIDE A SECURE DRUG-TAKE BACK PROGRAM YORK BUREAU OF HEALTH 11 SOUTH GEORGE STREET YORK PA 17401 236001908 115 99262 0 PROVIDE A SECURE DRUG-TAKE BACK PROGRAM 85 3 PART I, LINE 2: ALL SUBRECIPIENTS ARE ASKED TO COMPLETE AND SUBMIT A SUBRECIPIENT MONITORING FORM AND PROVIDE ALL REQUESTED DOCUMENTATION. THE SUBRECIPIENT MONITORING FORM ASKS THE SUBRECIPIENT ADMINISTRATIVE, PROGRAMMATIC, AND FINANCIAL QUESTIONS AND THE SUBRECIPIENT IS REQUIRED TO SIGN THE FORM CERTIFYING THAT THE INFORMATION THEY ARE PROVIDING IS TRUE AND CORRECT AND THAT ALL RELEVANT DISCLOSURES HAVE BEEN REFERENCED. IIR WILL START THE MONITORING BY VERIFYING THAT THE SUBRECIPIENT IS STILL ACTIVE IN THE SYSTEM FOR AWARD MANAGEMENT (SAM) SYSTEM AND THAT THE ENTITY HAS NO EXCLUSIONS. IIR WILL REQUEST THE SUBRECIPIENT'S MOST RECENT AUDIT (FINANCIAL STATEMENTS AND/OR SINGLE AUDIT), OR THEIR MOST RECENT COMPILED FINANCIAL STATEMENTS AND MOST RECENT TAX RETURN. IIR WILL ALSO REQUEST THE SUBRECIPIENT'S MOST RECENT NEGOTIATED INDIRECT COST RATE AGREEMENT, IF APPLICABLE. X 1 1 X 0 0 0 0 0 0 0 0 0 GINA W HARTSFIELD BOARD CHAIR / TREASURER 216685 0 0 0 0 0 44979 0 18052 0 279716 0 0 0 ADAM LEHMANN TRUSTEE / CIO 166257 0 12500 0 0 0 37776 0 22191 0 238724 0 0 0 RICK S GREGORY BOARD VICE-CHAIR 171367 0 0 0 0 0 36225 0 22544 0 230136 0 0 0 KATHLEEN T MASTERSON CFO / TREASURER 167382 0 0 0 0 0 34568 0 17547 0 219497 0 0 0 MICHELLE MILLER TRUSTEE / COO 168982 0 1250 0 0 0 34257 0 12555 0 217044 0 0 0 LEHEW W MILLER TRUSTEE / PRESIDENT & CEO 164301 0 0 0 0 0 34177 0 17024 0 215502 0 0 0 PATRICIA D HODGES SENIOR VICE PRESIDENT/SENIOR MANAGER 149294 0 10000 0 0 0 33383 0 17095 0 209772 0 0 0 MEENA HARRIS EXECUTIVE VICE PRESIDENT 142225 0 625 0 0 0 31148 0 22290 0 196288 0 0 0 R CLAY JESTER CHIEF TECHNOLOGY OFFICER/SENIOR VICE 141217 0 0 0 0 0 30635 0 22057 0 193909 0 0 0 DANIEL STUMP SENIOR RESEARCH ASSOCIATE 136497 0 0 0 0 0 29864 0 22305 0 188666 0 0 0 JENNIFER SKINNER SENIOR RESEARCH ASSOCIATE 140436 0 0 0 0 0 29574 0 16697 0 186707 0 0 0 DONNA LINDQUIST SENIOR VP/SENIOR RESEARCH MANAGER/SE 132837 0 10000 0 0 0 28865 0 12426 0 184128 0 0 0 THOMAS L'ESPEARANCE SENIOR RESEARCH ASSOCIATE/SENIOR MAN 144281 0 0 0 0 0 28856 0 2652 0 175789 0 0 0 SARAH CHERVENAK SENIOR RESEARCH ASSOCIATE 135764 0 4375 0 0 0 28028 0 1755 0 169922 0 0 0 MICHAEL RAMAGE TRUSTEE 126055 0 6250 0 0 0 27034 0 2935 0 162274 0 0 0 PART I, LINE 1A FIRST CLASS AIRFARE BASED ON DOCTOR RECOMMENDATION FOR EMPLOYEE OR WHEN ONLY FIRST CLASS SEATS ARE AVAILABLE. FORM 990, PART VI, SECTION A, LINE 2 EMORY WILLIAMS (BOARD TREASURER) AND DOROTHY WILLIAMS (BOARD SECRETARY) ARE HUSBAND AND WIFE. BRIAN WILLIAMS (SENIOR VICE PRESIDENT) AND KERRY WILLIAMS (BOARD TRUSTEE) ARE SONS OF EMORY AND DOROTHY WILLIAMS. FORM 990, PART VI, SECTION A, LINE 8B IIR'S BOARD DOES NOT HAVE STANDING COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS REVIEWED INTERNALLY BY THE CFO AND A PDF COPY IS SENT TO THE CEO/ PRESIDENT & BOARD CHAIRMAN FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES AND OTHER OFFICERS OF THE ORGANIZATION ARE AWARE OF THE POTENTIAL FOR CONFLICTS OF INTEREST AND MONITOR PROGRAMS AND PERSONNEL ON AN ONGOING BASIS THROUGHOUT THE YEAR AS PART OF THE OVERALL MANAGEMENT OF THE ORGANIZATION AND THE INDIVIDUAL PROGRAMS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES REVIEWS AND DETERMINES THE COMPENSATION FOR THE ORGANIZATION'S OFFICERS BASED ON INFORMATION FROM THE U.S. OFFICE OF PERSONNEL MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION ARE ON FILE WITH FLORIDA DEPARTMENT OF THE STATE, DIVISION OF CORPORATIONS. THE BYLAWS AND CONFLICT OF INTEREST STATEMENT ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE ON FILE WITH THE FEDERAL AUDIT CLEARINGHOUSE AND CAN BE PROVIDED UPON REQUEST.