2025-03-19T16:19:07-05:00 2024-06-30 273858252 DEAN DORTON ALLEN FORD PLLC 4130 PARKLAKE AVE STE 400 RALEIGH NC 27612 990 2023-07-01 561735937 GOVERNOR'S INSTITUTE GOVE 9199909559 1121 SITUS COURT 320 RALEIGH NC 27606 SARA MCEWEN EXECUTIVE DIRECTOR 9199909559 2025-03-19 1 1 MICHELLE FOOTE P01387279 9198792909 2023 2025-03-06 01:10:19Z SARA MCEWEN 1121 SITUS COURT 320 RALEIGH NC 27606 3262202 0 X HTTP://WWW.GOVERNORSINSTITUTE.ORG/ X 1992 NC IMPROVING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES BY REDUCING THE TOLL OF SUBSTANCE USE THROUGH EDUCATION, RESEARCH, AND COMMUNITY PARTNERSHIPS. 14 14 19 19 0 0 3561196 3148308 110195 112970 140 131 3254 793 3674785 3262202 411544 377573 0 0 1620056 1500242 0 0 72 1495488 1228476 3527088 3106291 147697 155911 1863448 1927721 860792 769154 1002656 1158567 IMPROVING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES BY REDUCING THE TOLL OF SUBSTANCE USE THROUGH EDUCATION, RESEARCH, AND COMMUNITY PARTNERSHIPS. 0 0 2508106 377573 113763 TO IMPROVE ACCESS TO QUALITY SUBSTANCE USE DISORDER PREVENTION, TREATMENT, AND RECOVERY SERVICES AND SUPPORTS THROUGH TRAINING, TECHNICAL ASSISTANCE, MULTI-STAKEHOLDER COMMUNITY PARTNERSHIPS, AND WORKFORCE DEVELOPMENT INITIATIVES. 2508106 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 19 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X ANTHONY MCLEOD 9199909559 1121 SITUS COURT STE 320 RALEIGH NC 27606 DAVID C FITZPATRICK CHAIR 1.00 X X 0 0 0 MATTHEW SULLIVAN TREASURER 1.00 X X 0 0 0 PATRICE CHERRY BOARD MEMBER 1.00 X 0 0 0 PHILLIP GRAHAM BOARD MEMBER 1.00 X 0 0 0 STEVE KEARNEY JR BOARD MEMBER 1.00 X 0 0 0 FREIDA MACDONALD BOARD MEMBER 1.00 X 0 0 0 ANGEL M MENENDEZ BOARD MEMBER 1.00 X 0 0 0 ANURADHA RAO-PATEL BOARD MEMBER 1.00 X 0 0 0 CHRISTINA ROSEN BOARD MEMBER 1.00 X 0 0 0 NIDHI SACHDEVA BOARD MEMBER 1.00 X 0 0 0 CAROLINE SLADE BOARD MEMBER 1.00 X 0 0 0 CLARK TROY BOARD MEMBER 1.00 X 0 0 0 MARTIN WOODARD BOARD MEMBER 1.00 X 0 0 0 ADAMA WASHINGTON BOARD MEMBER 1.00 X 0 0 0 SARA MCEWEN EXECUTIVE DIRECTOR 40.00 X 165297 0 16873 ANTHONY MCLEOD ASSOCIATE EXECUTIVE DIRECT 40.00 X 111289 0 13933 276586 0 30806 2 0 1 0 MILLBROOK STUDIOS LLC 3305 DURHAM DRIVE STE 111 RALEIGH NC 27603 VIDEO PRODUCTION SUBCONTRACTOR 230000 REBECCA PATTON KEEN CPA 10500 SALTSBY COURT RALEIGH NC 27615 PROFESSIONAL ACCOUNTING CONSULTING SERVI 124004 2 3096033 52275 3148308 CONFERENCE FEES 611430 112970 112970 112970 131 131 MISCELLANEOUS REVENUE 611430 793 793 793 3262202 113763 0 131 X 34125 34125 343448 343448 183927 183927 1057605 821917 235688 63457 63349 108 106133 95989 10144 89120 71127 17993 145076 145076 603440 594490 8950 143412 142605 807 44652 8439 36213 8922 1081 7841 117414 117414 28755 28755 120101 118854 1175 72 10750 10750 5954 5954 3106291 2508106 598113 72 270217 729485 813059 533991 45620 22853 157331 141382 15786 15949 718766 625443 1863448 1927721 72740 67743 48558 48409 739494 653002 860792 769154 X 994363 1149984 8293 8583 1002656 1158567 1863448 1927721 155911 0 X 0 1 X 1 1 1 X 2927977 3041227 3296879 3561196 3148308 15975587 2927977 3041227 3296879 3561196 3148308 15975587 15975587 22 5 7 140 131 305 68 2658 3254 793 6773 15982665 380790 0.99960 0.99960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 157331 141382 15949 15949 SALES TAX RECEIVABLE 9914 OPERATING LEASE - RIGHT OF USE 615529 625443 OPERATING LEASE LIABILITY 653002 653002 3262202 0 3262202 0 3262202 3106291 0 3106291 0 3106291 PART IV, LINE 2B: THE GOVERNOR'S INSTITUTE ACTS AS AN ADMINISTRATOR AND FIDUCIARY AGENT FOR GROUPS AND PROJECTS THAT ARE EITHER TOO SMALL OR TOO INFREQUENT IN NATURE TO REQUIRE FULL-TIME OVERSIGHT. THE PROJECTS ARE DEEMED BY OUR BOARD TO BE CONSISTENT WITH MISSION AND INCLUDE NC SOCIETY OF ADDICTION MEDICINE, REDUCE ALCOHOL SALES AND SERVICE, AND THE FRIENDS OF BRIDGES. 1 UNC-SCHOOL OF NURSING 301A CARRINGTON HALL CB7460 CHAPEL HILL NC 275997460 566001393 34125 0 BOOK TO CONTINUE TO IMPLEMENT THE "CDC QUALITY IMPROVEMENT AND COORDINATED CARE PROJECT" (REFERRED TO AS CDC QI PROJECT) IN PARTNERSHIP WITH SELECTED CLINICAL SITES AND THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING (UNC-CH SON) TO IMPROVE ACCESS TO SAFE, QUALITY DRIVEN, COORDINATED HEALTH CARE FOR INDIVIDUALS IN RURAL AND/OR UNDERSERVED AREAS OF NC WHO SUFFER FROM COMORBID PHYSICAL AND BEHAVIORAL HEALTH DISORDERS INCLUDING CHRONIC PAIN AND SUBSTANCE USE DISORDERS. SCHOLARSHIP TO ASSIST STUDENTS PURSUING LCAS (LICENSED CLINICAL ABUSE SPECIALIST) 151 339678 SCHOLARSHIP TO ATTEND ADDICTION MEDICINE ESSENTIALS 18 1410 SCHOLARSHIP TO ATTEND ADDICTION MEDICINE 22 3885 PART I, LINE 2: GRANTS ARE PROVIDED TO MASTERS STUDENTS WORKING ON THEIR LCAS CREDENTIAL. REQUIRE UNIVERSITIES TO VERIFY ENROLLMENT OF SCHOLARSHIP RECEPIENTS, RECEIVE INVOICES FROM SCHOOLS, AND COLLECT OTHER SUPPORTING DOCUMENTATION AS NEEDED. GRANTS ARE PROVIDED TO CLINICIANS PRACTICING IN THE FIELD, INCLUDING THOSE WHO ARE WORKING TOWARD LICENSURE, TO COVER REGISTRATION SO THAT THEY MAY ATTEND CERTAIN SELECTED TRAININGS. THERE IS AN APPLICATION PROCESS TO GUIDE SELECTION. GRANTS ARE PROVIDED TO PHYSICIAN/ADVANCED PRACTICE PROVIDERS STUDENTS AND TRAINEES TO COVER REGISTRATION AND/OR TRAVEL EXPENSES SO THAT THEY CAN ATTEND THE ADDICTION MEDICINE CONFERENCES THAT THEY WOULD OTHERWISE NOT BE ABLE TO ATTEND. THERE IS AN APPLICATION PROCESS TO GUIDE SELECTION. FOR UNC-SCHOOL OF NURSING: PROGRAM STAFF PREPARE THE FUNDING ALLOCATION LETTERS. PROGRAM STAFF ALSO RECEIVE QUARTERLY REPORTS ON THE COMPLETED WORK FROM THE UNC-SCHOOL OF NURSING BEFORE ISSUING FUNDING. GI AND UNC-SCHOOL OF NURSING MEET WITH DPH QUARTERLY TO REPORT ON WORK COMPLETED. X 0 0 0 0 0 0 0 0 0 SARA MCEWEN EXECUTIVE DIRECTOR 165297 0 0 0 0 0 9997 0 6876 0 182170 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING STAFF AND CONTRACT CPA REVIEW THE 990 IN DETAIL BEFORE IT IS FINALIZED. IN ADDITION, A COPY OF THE DRAFT 990 IS PROVIDED TO THE BOARD FINANCE COMMITTEE FOR THEIR REVIEW BEFORE IT IS FINALIZED. THE GOVERNOR'S INSTITUTE WILL PROVIDE A PAPER COPY OF THE DRAFT FORM 990 TO ANY BOARD MEMBERS WHO WANT TO SEE IT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ENCOURAGED TO SELF DISCLOSE CONFLICTS OF INTEREST. DECISIONS ARE MADE BASED ON THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 A PUBLIC FOLDER IS AVAILABLE AT ALL TIMES IN THE DIRECTOR OF FINANCE'S OFFICE. FORM 990, PART IX, LINE 11G PROJECT CONSULTANTS: PROGRAM SERVICE EXPENSES 588,490. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,490. BENEFIT ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,264. MEETING REGISTRATION: PROGRAM SERVICE EXPENSES 6,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,000. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,686.