2024-05-15T15:45:01-05:00 2023-06-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2022-07-01 592976392 LIFESTREAM BEHAVIORAL CENTER FOUNDATION INC LIFE 3523157500 PO BOX 491000 LEESBURG FL 34749 RICK HANKEY PRESIDENT & CEO 3523157500 2024-05-15 1 RICK HANKEY 999009999 1 VICKI L HINZ CPA P00356696 4077405400 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALISE MORRIS PO BOX 491000 LEESBURG FL 34749 122112 0 X WWW.LSBC.NET/GET-INVOLVED/#FOUNDATION X 1989 FL FUNDRAISING FOR LIFESTREAM BEHAVIORAL CENTER INC. 12 11 0 11 0 0 163283 122112 0 0 12147 -767 -11752 -2750 163678 118595 18098 236935 0 0 0 0 0 0 0 11448 1994 29546 238929 134132 -120334 819053 698719 1885 1885 817168 696834 FUNDRAISING FOR LIFESTREAM BEHAVIORAL CENTER INC. 0 0 236935 236935 RAISING AWARENESS AND SEEKING FINANCIAL SUPPORT FOR LIFESTREAM BEHAVIORAL CENTER TO ENSURE THE CONTINUED DELIVERY OF LIFE ENRICHMENT SERVICES. 236935 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ERIC FONTANA 3523157500 1616 S 14TH STREET LEESBURG FL 34748 RICK HANKEY PRESIDENT & CEO (BEG. JUNE 2023) 0.65 40.00 X X 0 221840 38263 TRACEY CLEMENT PRESIDENT 0.50 X X 0 0 0 FRANK PELOT VICE PRESIDENT 0.65 0.50 X X 0 0 0 VALARIE GRAY SECRETARY 0.50 X X 0 0 0 GAIL BAKER TREASURER 0.50 X X 0 0 0 DAWN CARY DIRECTOR 0.50 X 0 0 0 TERA FORTIN DIRECTOR 0.50 X 0 0 0 BELITA GRASSEL DIRECTOR 0.50 X 0 0 0 CLAIRE HEDGCOCK DIRECTOR 0.50 X 0 0 0 TERRY KRACHT DIRECTOR 0.50 X 0 0 0 KATHY SMITH DIRECTOR 0.50 X 0 0 0 JACK WOOD DIRECTOR 0.50 X 0 0 0 CAROL E DOZIER CHIEF FINANCIAL OFFICER 0.65 40.00 X 0 154837 26707 ALISE MORRIS EXECUTIVE DIRECTOR 16.00 24.00 X 0 76105 10198 JONATHAN M CHERRY PRESIDENT & CEO (END. JUNE 2023) 0.65 40.00 X 0 365065 62966 0 817847 138134 0 1 1 0 0 12500 109612 122112 767 -767 -767 -767 0 12500 2750 -2750 -2750 118595 0 0 -3517 236935 236935 367 367 BANK CHARGES & FEES 1627 1627 238929 236935 1994 0 545976 426776 40262 11171 7780 3758 3391 229057 268552 819053 698719 1885 1885 1885 1885 X 349190 165488 467978 531346 817168 696834 819053 698719 -120334 0 X X 0 1 X 1 0 X 146391 129618 192925 163283 122112 754329 90457 71426 161883 236848 201044 192925 163283 122112 916212 0 0 0 916212 4461 15036 12147 31644 4461 15036 12147 31644 236848 205505 207961 175430 122112 947856 0.96660 0.96720 0.03340 0.03280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 467978 2231 470209 412465 73744 18231 467978 390433 89622 67590 412465 389283 100246 99096 390433 287152 149806 47675 389283 1.00000 0 0 11171 7780 3391 3391 DUE TO RELATED LIFESTREAM BEH. CTR. 1885 1885 X PART V, LINE 4: FUNDS ARE INTENDED TO BE USED IN SUPPORT OF LIFESTREAM BEHAVIORAL CENTER INC TO ENSURE THE CONTINUED DELIVERY OF LIFE ENRICHMENT SERVICES. PART X, LINE 2: THE ORGANIZATION AND ITS AFFILIATES HAVE RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE ("IRS") THAT THEY ARE EXEMPT FROM FEDERAL INCOME TAX AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). THEY ARE ALSO EXEMPT FROM STATE INCOME TAX PURSUANT TO FLORIDA LAW. 1 LIFESTREAM BEHAVIORAL CENTER INC PO BOX 491000 LEESBURG FL 34749 591561501 501(C)(3) 200000 0 OPEN DOOR PROG & GEN PART I, LINE 2: REVIEW INTERNALLY GENERATED MONTHLY FINANCIALS AND FISCAL YEAR-END AUDIT. X 0 0 0 0 0 0 0 0 0 JONATHAN M CHERRY PRESIDENT & CEO (END. JUNE 2023) 0 365065 0 0 0 0 0 14018 0 48948 0 428031 0 0 RICK HANKEY PRESIDENT & CEO (BEG. JUNE 2023) 0 221840 0 0 0 0 0 8519 0 29744 0 260103 0 0 CAROL E DOZIER CHIEF FINANCIAL OFFICER 0 154837 0 0 0 0 0 5946 0 20761 0 181544 0 0 PART I, LINE 3 THE COMPENSATION POLICY OF THE RELATED ENTITY, LIFESTREAM BEHAVIORAL CENTER INC, IS AS FOLLOWS FOR THE INDIVIDUAL REPORTED ON SCHEDULE J, PART II, LINE 1: THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, PROVDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPESATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED. COMPENSATION IS REVIEWED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SUITED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. THIS POLICY IS AS REPORTED ON THE RELATED ENTITY'S FORM 990. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: BOARD MEMBERS ARE PROVIDED A DRAFT COPY OF THE FORM 990 FOR REVIEW, CHANGES NOTED BY MEMBERS ARE MADE IF NECESSARY, AND THE FINAL FORM 990 IS THEN FILED UPON SIGNATURE OF AN AUTHORIZED OFFICER. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND MANAGEMENT STAFF MEMBER SHALL SIGN ANNUALLY A STATEMENT THAT AFFIRMS THE FOLLOWING: (1) THEY HAVE RECEIVED A COPY OF CONFLICTS OF INTEREST POLICY; (2) THEY HAVE READ AND UNDERSTOOD; (3) THEY HAVE AGREED TO COMPLY WITH THE PROCEDURE; (4) THEY UNDERSTAND LIFESTREAM MUST ENGAGE ONLY IN ITS EXEMPT PURPOSE ACTIVITIES. IF THERE IS REASONABLE CAUSE TO BELIEVE THEY HAVE FAILED TO DISCLOSE, AN INVESTIGATION MAY BE WARRANTED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, TAX DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR A REASONABLE COPY FEE. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. LIFESTREAM BEHAVIORAL CENTER INC PO BOX 491000 LEESBURG FL 34749 591561501 MENTAL HLT FL 501(C)(3) LINE 7 N/A 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0