2024-05-15T15:00:49-05:00 2023-06-30 362929601 FGMK LLC 2801 LAKESIDE DRIVE 3RD FLOOR BANNOCKBURN IL 60015 990 2022-07-01 364444200 A SAFE HAVEN FOUNDATION ASAF 7734358300 2750 WEST ROOSEVELT ROAD CHICAGO IL 60608 NELI VAZQUEZ-ROWLAND PRESIDENT 3123726707 2024-05-15 1 NELI VAZQUEZ-ROWLAND 999009999 0 PHILLIP A LEVSKY P00611875 8473740400 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARK MULROE 2750 W ROOSEVELT ROAD CHICAGO IL 60608 15950242 0 X WWW.ASAFEHAVEN.ORG X 2001 IL A SAFE HAVEN IS A 501(C)3 NOT FOR PROFIT, SOCIAL ENTERPRISE THAT HELPS PEOPLE ASPIRE, TRANSFORM AND SUSTAIN THEIR LIVES AS THEY TRANSITION FROM HOMELESSNESS TO SELF-SUFFICIENCY WITH PRIDE AND PURPOSE. A SAFE HAVEN PROVIDES THE TOOLS FOR EACH INDIVIDUAL TO OVERCOME THE ROOT CAUSES OF HOMELESSNESS THROUGH A HOLISTIC, SCALABLE MODEL. A SAFE HAVEN'S VISIBLE SOCIAL AND ECONOMIC IMPACT UNITES FAMILIES, STABILIZES NEIGHBORHOODS, AND CREATES VIBRANT, VIABLE COMMUNITIES. 10 10 146 334 0 0 15935906 9960450 6461708 5620880 366305 359362 -18761 2844 22745158 15943536 0 0 0 0 10033199 8532754 0 0 589825 12031966 10551279 22065165 19084033 679993 -3140497 38633365 38800428 23114117 26100564 15519248 12699864 X A SAFE HAVEN IS A 501(C)3 NOT FOR PROFIT, SOCIAL ENTERPRISE THAT HELPS PEOPLE ASPIRE, TRANSFORM AND SUSTAIN THEIR LIVES AS THEY TRANSITION FROM HOMELESSNESS TO SELF-SUFFICIENCY WITH PRIDE AND PURPOSE. A SAFE HAVEN PROVIDES THE TOOLS FOR EACH INDIVIDUAL TO OVERCOME THE ROOT CAUSES OF HOMELESSNESS THROUGH A HOLISTIC, SCALABLE MODEL. A SAFE HAVEN'S VISIBLE SOCIAL AND ECONOMIC IMPACT UNITES FAMILIES, STABILIZES NEIGHBORHOODS, AND CREATES VIBRANT, VIABLE COMMUNITIES. 0 0 6695192 1273231 HOUSING: THIS PROGRAM IS DESIGNED TO PROVIDE INTERIM HOUSING AND SUPPORTIVE CASE MANAGEMENT SERVICES FOR THE HOMELESS AND OTHER POPULATIONS OF CHICAGO THAT TEMPORARILY LIVE AT 2750 W ROOSEVELT ROAD. 3771998 3816924 SOCIAL ENTERPRISE: A SAFE HAVEN ENGAGES WITH A NETWORK OF FOR-PROFIT AND NON-PROFIT SOCIAL BUSINESS ENTERPRISES TO HELP INDIVIDUALS TRANSITION FROM HOMELESSNESS TO SELF-SUFFICIENCY BY ENABLING HOMELESS MEN AND WOMEN, VETERANS, AND INDIVIDUALS RETURNING TO THE COMMUNITY RE-ENTER THE JOB MARKET WITH CRITICAL JOB SKILLS. 3245557 SUPPORTIVE SERVICES: THIS SET OF PROGRAMS ARE DESIGNED TO PROVIDESUPPORTIVE CASE MANAGEMENT SERVICES ONLY TO THOSE INDIVIDUALS ANDFAMILIES THAT LIVE IN OTHER FACILITIES THAN 2750 W ROOEVELT ROAD. 1871904 530725 A SAFE HAVEN FOUNDATION'S OTHER PROGRAM SERVICES INCLUDING, WORKFORCE/AFFORDABLE HOUSING DEVELOPMENT AND OWNERSHIP, WORKFORCE DEVELOPMENT SERVICES, LIFE SKILLS AND FINANCIAL LITERACY EDUCATIONAL SERVICES, COVID-19 ISOLATION CENTER SERVICES AND OTHER SUPPORTIVE SERVICES. 1871904 530725 15584651 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 59 0 1 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IL X X X BARB GORCZYCA 3123726707 15507 CICERO AVENUE 2ND FLOOR OAK FOREST IL 60452 MARK MULROE PRESIDENT 1.00 X X 0 0 232161 JOHN LOSCH TREASURER 1.00 X X 0 0 0 ANN SICKON JD SECRETARY 1.00 X X 0 0 0 JAMIL BOU-SAAB DIRECTOR 1.00 X 0 0 0 DR TARIQ H BUTT MD DIRECTOR 1.00 X 0 0 0 MARK DOYLE DIRECTOR 1.00 X 0 0 0 MIKE FAVIA DIRECTOR 1.00 X 0 0 0 ESTHER MACCHIONE DIRECTOR 1.00 X 0 0 0 ABE THOMSON DIRECTOR 1.00 X 0 0 0 DR CHANDRA VEDAK MD DIRECTOR 1.00 X 0 0 0 GREG ARMSTRONG ASSISTANT SECRETARY 1.00 X 0 0 0 BARBARA GORCZYCA ASSISTANT TREASURER 1.00 X 0 0 155361 EDWARD KUSH CHIEF ENGINEER 40.00 X 119271 0 0 MARGARITA NIEVES-GONZALEZ DIRECTOR OF SUPPORTIVE HOU 40.00 X 103625 0 0 222896 0 387522 2 0 0 0 CIVIC STAFFING L3C 2750 ROOSEVELT RD CHICAGO IL 60608 STAFFING SERVICES 1636787 AMERICAN GUARD GRP LLC 2333 N SEELEY AVE STE 15 CHICAGO IL 60647 BUILDING SECURITY SERVICES 678615 LU PARTNERS INC 15507 CICERO AVENUE OAK FOREST IL 60452 MANAGEMENT FEES 467838 RUSH UNIVERSITY 600 SOUTH PAULINA CHICAGO IL 60612 PROFESSIONAL SERVICES 240000 4 171539 6748348 3040563 1464761 9960450 SOCIAL ENTERPRISE INCOME 561000 3816924 3816924 SUBCONTRACT RENTAL INCOME 561000 1273231 1273231 MANAGEMENT OF HOMELESS SHELTER 561000 530725 530725 5620880 357962 357962 1400 0 1400 1400 1400 9550 171539 6706 2844 2844 15943536 5620880 0 362206 7137096 5717344 1087911 331841 124731 99919 19013 5799 807612 646957 123105 37550 463315 371150 70623 21542 1194188 935738 179187 79263 361757 283465 54281 24011 532298 197134 302532 32632 2126366 2119111 7255 244874 221576 21954 1344 494802 17592 477210 514622 97476 417146 235091 141395 93696 PROGRAM FOOD, CLOTHING 4134729 4131466 3263 MISCELLANEOUS 481103 475278 3824 2001 REAL ESTATE TAXES 117940 90862 27078 TELEPHONE 50427 37251 10824 2352 63082 937 10655 51490 19084033 15584651 2909557 589825 1563802 214814 0 230000 3915327 2895564 18500928 20542576 138065 134527 16812661 5628400 11592869 11184261 2922374 2922374 0 676312 38633365 38800428 1129923 1020789 916957 836817 8095131 8139467 12972106 16103491 23114117 26100564 X 15519248 12699864 15519248 12699864 38633365 38800428 X -3140497 321113 X X 0 1 X 1 0 X 19778952 21797688 23459130 22397614 15581330 103014714 19778952 21797688 23459130 22397614 15581330 103014714 103014714 9295 60855 244467 366305 359362 1040284 -86202 -165316 -15873 -18762 2844 -283309 103771689 0.99270 0.99130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: COSTS OF FUNDRAISING EVENTS REVENUE INCLUDED IN SECTION A PART II LINE 1 - 2018 AMOUNT: $ -86,202. 2019 AMOUNT: $ -165,316. 2020 AMOUNT: $ -15,873. 2021 AMOUNT: $ -18,762. 2022 AMOUNT: $ 2,844. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1041407 1041407 14154576 4241543 9913033 1616678 1386857 229821 11184261 INVESTMENT IN PARTNERSHIPS 2922374 C 2922374 DUE TO RELATED PARTIES 8257862 DEFERRED GRANT REVENUE 7845629 16103491 19572086 79312 3549238 3628550 15943536 0 15943536 25604506 79312 6441161 6520473 19084033 0 19084033 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 6,706. AFFILIATES' REVENUE 3,221,419. FMV CHANGE ON INTEREST SWAP 321,113. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 6,706. AFILIATE EXPENSES 6,434,455. RUN TO END HOMELESS 107833 98283 9550 319 END OF YEAR GIVING 25610 25610 12 47646 47646 6387 181089 171539 9550 6706 6706 2844 LU PARTNERS MORE THAN 35% CONTROLED DIRECTLY AND INDIRECTLY BY NELI VAZQUEZ-ROWLAND. 467838 MANAGEMENT FEES - LU PARTNER'S SERVES AS THE SUCCESSOR MANAGEMENT SERVICES COMPANY. SERVICES INCLUDE ACCOUNTING, LEGAL, INFORMATION TECHNOLOGY, HUMAN RESOURCES AND OTHER OPERATIONAL DUTIES. 1 600 S WABASH LP PRES OF ASHF IS RELATED TO A BOARD MEM OF CCIL-SOLE OWNER OF 600 S WABASH 41683 SPECIAL BILLING 0 600 S WABASH LP PRES OF ASHF IS RELATED TO A BOARD MEM OF CCIL-SOLE OWNER OF 600 S WABASH 11621 LANDSCAPE SERVICES 0 A SAFE HAVEN LLC PRESIDENT IS A 51% DIRECT OWNER & HAS INDIRECT OWNERSHIP THROUGH FAMILY 862050 BED LEASING REVENUE - A SAFE HAVEN, LLC LEASES ROOMS FROM FOUNDATION AS PART OF AN ORIGINAL AGREEMENT NEGOTIATED WITH THE CITY OF CHICAGO TO PROVIDE SUPPLEMENTAL RENTAL INCOME TO SUPPORT THE FOUNDATIONS HOMELESS SERVICE OPERATIONS. LLC CURRENTLY PAYS FOUNDATION A MINIMUM OF 125% OF THE RATE PAID BY THE CITY OF CHICAGO. THE CITY RATE INCLUDES ALL STAFFING HOUSING, FOOD AND SERVICE COSTS. THE RATE PAID BY LLC INCLUDES ONLY HOUSING AND FOOD. LLC IS RESPONSIBLE FOR ITS OWN STAFFING AND PROGRAM SERVICES. 0 A SAFE HAVEN LLC PRESIDENT IS A 51% DIRECT OWNER & HAS INDIRECT OWNERSHIP THROUGH FAMILY 12826 SUPPORTIVE SERVICES.LIST 85 _ 3EHIGA@FGMK.COM - 02/16/23 16:09 PM WORKSHEET SCHEDULE L - TRANSACTIONS WITH INTERESTED PERSONS _ 191433 _ 9860 0 KMA HOLDINGS LLC PRESIDENT OF ASHF HAS INDIRECT OWNERSHIP THROUGH HER SPOUSE 121000 PROPERTY RENT EXPENSE 0 CIVIC STAFFING L3C PRESIDENT OF ASHF IS ON BOD OF HARBORQUEST SOLE OWNER OF CIVIC STAFFING L3C 1636787 STAFFING EXPENSE - THE FOUNDATION CONTRACTS WITH CIVIC STAFFING FOR PLACEMENT HOMELESS AND FORMERLY INCARCERATED INDIVIDUALS IN EMPLOYED POSITIONS IN ITS CULINARY AND LANDSCAPING DIVISIONS. 0 X 368637 COST OF DONATED PROPERTY X DONATED FOOD FOR HOMELESS INDIVIDUALS 1 923156 VALUATION BY GREATER X OTHER DONATED FOOD FOR HOMELESS INDIVIDUALS 2 172967 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 THE PRESIDENT AND DIRECTOR (M DOYLE) ARE INVESTORS IN THE SAME CLOSELY HELD BUSINESS (VETERANS ROASTERS). FORM 990, PART VI, SECTION A, LINE 3 A MANAGEMENT AGREEMENT WAS ENTERED INTO WITH AN ENTITY WITH COMMON CONTROL. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WILL BE PRESENTED AT THE NEXT BOARD MEETING BEFORE THE FILING DUE DATE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY ENFORCES ITS CONFLICT OF INTEREST POLICY BY ENSURING THAT EACH OFFICER AND DIRECTOR ANNUALLY UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 1023, AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE WWW.ASAFEHAVEN.ORG AND THROUGH CHARITY RATING SERVICES GUIDESTAR AND CHARITY NAVIGATOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: FMV CHANGE INTEREST RATE SWAP 321,113. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE IN THE OVERSIGHT OR SELECTION PROCESS CHICAGO CHRISTIAN INDUSTRIAL LEAGUE 2750 WEST ROOSEVELT ROAD CHICAGO IL 60608 362192807 REHABILITATION IL 501(C)(3) LINE 11 A SAFE HAVEN FOUNDATION 0 HARBORQUEST 2750 WEST ROOSEVELT ROAD CHICAGO IL 60608 363722101 EMPLOYMENT SERVICES IL 501(C)(3) LINE 11 A SAFE HAVEN FOUNDATION 0 KMA HOLDINGS VIII LLC 15507 CICERO AVENUE OAK FOREST IL 60452 383923430 REAL ESTATE IL A SAFE HAVEN FOUNDATION C 0.70000 1 KMA HOLDINGS V LLC 15507 CICERO AVENUE OAK FOREST IL 60452 452392388 REAL ESTATE IL A SAFE HAVEN FOUNDATION C 1.00000 1 ASH IV 15507 CICERO AVENUE OAK FOREST IL 60452 384062375 REAL ESTATE IL A SAFE HAVEN FOUNDATION C 1.00000 0 ASH HOBART LLC 15507 CICERO AVENUE OAK FOREST IL 60452 844974989 REAL ESTATE IL A SAFE HAVEN FOUNDATION C 0.79000 0 ASH V 15507 CICERO AVENUE OAK FOREST IL 60452 384055272 REAL ESTATE IL ASH HOBART LLC C 1.00000 0 ASH VI 15507 CICERO AVENUE OAK FOREST IL 60452 843075600 REAL ESTATE IL A SAFE HAVEN FOUNDATION C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0