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Return of Organization Exempt From Income Tax - Foundation Center

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762Form990<strong>Return</strong> <strong>of</strong> <strong>Organization</strong> <strong>Exempt</strong> <strong>From</strong> <strong>Income</strong> <strong>Tax</strong>Under section 501 (c), 527, or 4947 ( a)(1) <strong>of</strong> the Internal Revenue Code ( except black lungbenefit trust or private foundation)Department <strong>of</strong> the TreasuryInternal Revenue Service 0- The organization may have to use a copy <strong>of</strong> this return to satisfy state reporting requirementsA For the 2011 calendar year, or tax year beginning 07 -01-2011 and ending 06 -30-2012C Name <strong>of</strong> organizationB Check if applicableFAMILY NURTURING CENTER OF FLORIDA1 Address change INCDoing Business AsName change1 Initial return(TerminatedNumber and street (or P 0 box if mail is not delivered to street address ) Room/suite2759 BARTLEY CIRCLE1 Amended return City or town, state or country, and ZIP + 4JACKSONVILLE, FL 322071 Application pendingOMB No 1545-0047201 1MEMOtmpioyer iaenuricarion nu59-7004981E Telephone number(904) 389-4244G Gross receipts $ 291,575F Name and address <strong>of</strong> principal <strong>of</strong>ficerSTELLA JOHNSON2759 BARTLEY CIRCLEJACKSONVILLE,FL 32207I <strong>Tax</strong> - exempt status F 501(c)(3) 1 501 (c) ( ) -4 (insert no ) 1 4947(a)(1) or F_ 527J Website :1- WWW FNCFLORIDA ORGH(a) Is this a group return foraffiliates? fl Yes F NoH(b) Are all affiliates included ? fl Yes F_ NoIf "No," attach a list (see instructions)H(c) Group exemption number 0-K Form <strong>of</strong> organization F Corporation 1 Trust F_ Association 1 Other 0- L Year <strong>of</strong> formation M State <strong>of</strong> legal domicileWSummary1 Briefly describe the organization's mission or most significant activitiesTO PROVIDE A NURTURING ENVIRONMENT FOR FAMILIES IMPACTED BY DIVORCE, CUSTODY BATTLES, ANDDOMESTIC VIOLENCE, BY KEEPING CHILDREN SAFE DURING THESE CHALLENGING TIMES AND HELPING PARENTSFOSTER POSITIVE RELATIONSHIPS WITH THEIR CHILDREN2 Check this box Of- if the organization discontinued its operations or disposed <strong>of</strong> more than 25% <strong>of</strong> its net assets3 Number <strong>of</strong> voting members <strong>of</strong> the governing body (Part VI, line 1a) . . . . 3 12vt:2 4 Number <strong>of</strong> independent voting members <strong>of</strong> the governing body (Part VI, line 1b) . . . 4 1213-5 Total number <strong>of</strong> individuals employed in calendar year 2011 (Part V, line 2a) 5 306 Total number <strong>of</strong> volunteers (estimate if necessary) . 6 457aTotal unrelated business revenue from Part VIII, column (C), line 12 . 7a 0b Net unrelated business taxable income from Form 990-T, line 34 . 7bPrior YearCurrent Year8 Contributions and grants (Part VIII, line 1h) . 177,474 136,9929 Program service revenue (Part VIII, line 2g) . 68,547 98,73810 Investment income (Part VIII, column (A), lines 3, 4, and 7d . . . 48111 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 54,742 41,15812 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line12) . . . . . . . . . . . . . . . . . . . 300,763 277,36913 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . 014 Benefits paid to or for members (Part IX, column (A), line 4) . 015 Salaries, other compensation, employee benefits (Part IX, column (A ), lines5-10) 205,015 225,50316a Pr<strong>of</strong>essional fundraising fees (Part IX, column (A), line l le) . 0sC b Total fundraising expenses (Part IX, column (D), line 25) 0- 0LLJ17 Other expenses (Part IX, column (A), lines 1la-11d, 1lf-24e) . . . . 72,091 66,19518 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 277,106 291,69819 Revenue less expenses Subtract line 18 from line 12 23,657 -14,329Beginning <strong>of</strong> CurrentYearEnd <strong>of</strong> Year'M 20 Total assets (Part X, line 16) . . . . . . . . . . . 297,177 274,92221 Total liabilities (Part X, line 26) . 52,688 44,762ZLL 22 Net assets or fund balances Subtract line 21 from line 20 244,489 230,160Signature BlockUnder penalties <strong>of</strong> perjury, I declare that I have examined this return, including accoknowledge and belief, it is true, correct, and complete. Declaration <strong>of</strong> preparer (otherknowledge.SignHereSignature <strong>of</strong> <strong>of</strong>ficerSTELLA JOHNSON EXECUTIVE DIRECTORType or print name and titlePreparersDatesignature KEVIN M FRITZ 2012-11-06PaidPreparer's Firm's name (or yours RALSTON & COMPANY PA CPAUse Onlyif self-employed),address, and ZIP + 48777 SAN JOSE BLVD BLDG EJACKSONVILLE, FL 322174213May the IRS discuss this return with the preparer shown above? (see instructs


Form 990 ( 2011) Page 2Statement <strong>of</strong> Program Service AccomplishmentsCheck if Schedule 0 contains a response to any question in this Part III . F1 Briefly describe the organization 's missionTO PROVIDE A NURTURING ENVIRONMENT FOR FAMILIES IMPACTED BY DIVORCE, CUSTODY BATTLES, AND DOMESTICVIOLENCE, BY KEEPING CHILDREN SAFE DURING THESE CHALLENGING TIMES AND HELPING PARENTS FOSTER POSITIVERELATIONSHIPS WITH THEIR CHILDREN2 Did the organization undertake any significant program services during the year which were not listed onthe prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . fl Yes F NoIf"Yes,"describe these new services on Schedule 03 Did the organization cease conducting , or make significant changes in how it conducts , any programservices? . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes F NoIf"Yes,"describe these changes on Schedule 04 Describe the organization 's program service accomplishments for each <strong>of</strong> its three largest program services , as measured byexpenses Section 501(c)(3) and 501( c)(4) organizations and section 4947( a)(1) trusts are required to report the amount <strong>of</strong>grants and allocations to others , the total expenses , and revenue , if any, for each program service reported4a (Code ) ( Expenses $ 196,958 including grants <strong>of</strong> $ ) ( Revenue $TO PROVIDE A NURTURING ENVIRONMENT FOR FAMILIES IMPACTED BY DIVORCE, CUSTODY BATTLES, AND DOMESTIC VIOLENCE, BY KEEPING CHILDREN SAFEDURING THESE CHALLENGING TIMES AND HELPING PARENTS FOSTER POSITIVE RELATIONSHIPS WITH THEIR CHILDREN4b (Code ) ( Expenses $ including grants <strong>of</strong> $ ) (Revenue $4c (Code ) ( Expenses $ including grants <strong>of</strong> $ ) (Revenue $4d Other program services ( Describe in Schedule 0(Expenses $ including grants <strong>of</strong> $ ) (Revenue $4e Total program service expensesl-$ 196,958Form 990 (2011 )


Form 990 (2011) Page 3Checklist <strong>of</strong> Required Schedules1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yescomplete Schedule As . . . . . . . . . . . . . . . . . . . 12 Is the organization required to complete Schedule B, Schedule <strong>of</strong> Contnbutors(see instructions)? IN . 2 Yes3 Did the organization engage in direct or indirect political campaign activities on behalf <strong>of</strong> or in opposition to Nocandidates for public <strong>of</strong>fice? If "Yes,"complete Schedule C, Part I . . . . . . . . . . 34 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) Noelection in effect during the tax year? If "Yes,"complete Schedule C, Part II . . . . . . . . . 45 Is the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization that receives membership dues,assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, PartIII 5 N o6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have theright to provide advice on the distribution or investment <strong>of</strong> amounts in such funds or accounts? If "Yes,"completeSchedule D, Part Is . . . . . . . . . . . . . . . . . . .YesNo6 N o7 Did the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas or historic structures? If "Yes," complete Schedule D, Part II 7 No8 Did the organization maintain collections <strong>of</strong> works <strong>of</strong> art, historical treasures, or other similar assets? If "Yes,"complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . 8 N o9 Did the organization report an amount in Part X, line 21, serve as a custodian for amounts not listed in Part X, orprovide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . 9 N o10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 Nopermanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V11 If the organization's answer to any <strong>of</strong> the following questions is 'Yes/then complete Schedule D, Parts VI, VII,VIII, IX, or X as applicablea Did the organization report an amount for land, buildings, and equipment in Part X, linel0? If "Yes,"completeSchedule D, Part VI.95b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more <strong>of</strong>its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VII. llbc Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more <strong>of</strong>its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIII. 11cd Did the organization report an amount for other assets in Part X, line 15 that is 5% or more <strong>of</strong> its total assetsreported in Part X, line 16? If "Yes," complete Schedule D, Part IX. llde Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, PartX.95f Did the organization's separate or consolidated financial statements for the tax year include a footnote thataddresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete 11f NoSchedule D, Part X.9512a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"completeSchedule D, Parts XI, XII, and XIII INI12a Yesb Was the organization included in consolidated, independent audited financial statements for the tax year? If"Yes,"and if the organization answered 'No'to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional 12b N oIN13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes, "complete Schedule EllalieYesNoNoNoNo13 No14a Did the organization maintain an <strong>of</strong>fice, employees, or agents outside <strong>of</strong> the United States? . 14a Nob Did the organization have aggregate revenues or expenses <strong>of</strong> more than $10,000 from grantmaking, fundraising, business, investment,and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? if "Yes, " completeSchedule F, Part I . 14b N o15 Did the organization report on Part IX, column (A ), line 3, more than $5,000 <strong>of</strong> grants or assistance to anyorganization or entity located outside the U S ? If "Yes," complete Schedule F, Part II and IV . 15 N o16 Did the organization report on Part IX, column (A ), line 3, more than $5,000 <strong>of</strong> aggregate grants or assistance toindividuals located outside the U S ? If "Yes," complete Schedule F, Part III and IV . 16 No17 Did the organization report a total <strong>of</strong> more than $15,000, <strong>of</strong> expenses for pr<strong>of</strong>essional fundraising services onP a rt I X, column (A), lines 6 and 11 e? If "Yes, " complete Schedule G, Part I INI17 No18 Did the organization report more than $15,000 total <strong>of</strong> fundraising event gross income and contributions on PartVIII, lines 1c and 8a? If "Yes, "complete Schedule G, Part II . S 18 Yes19 Did the organization report more than $15,000 <strong>of</strong> gross income from gaming activities on Part VIII, line 9a? If 19 No"Yes,"complete Schedule G, Part III . . . . . . . . . . . . . . . . . . .20a Did the organization operate one or more hospitals? If "Yes, "complete Schedule H .b If"Yes" to line 20a, did the organization attach its audited financial statement to this return? Note . All Form 990filers that operated one or more hospitals must attach audited financial statements 20b20aNoForm 990 (2011 )


Form 990 (2011) Page 4Checklist <strong>of</strong> Required Schedules (continued)21 Did the organization report more than $5,000 <strong>of</strong> grants and other assistance to governments and organizations in 21 Nothe United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II . .22 Did the organization report more than $5,000 <strong>of</strong> grants and other assistance to individuals in the U nited Stateson Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III .23 Did the organization answer "Yes" to Part VII, Section A, questions 3, 4, or 5, about compensation <strong>of</strong> theorganization's current and former <strong>of</strong>ficers, directors, trustees, key employees, and highest compensated 23employees? If "Yes,"completeScheduleJ . . . . . . . . . . . . . . . .24a Did the organization have a tax-exempt bond issue with an outstanding principal amount <strong>of</strong> more than $100,000as <strong>of</strong> the last day <strong>of</strong> the year, that was issued after December 31, 2002? If "Yes," answer questions 24b-24d andcomplete Schedule K. If "No,"go to line 25 . . . . . . . . . . . . . . . 24ab Did the organization invest any proceeds <strong>of</strong> tax-exempt bonds beyond a temporary period exception?c Did the organization maintain an escrow account other than a refunding escrow at any time during the yearto defease any tax-exempt bonds? . 24cdDid the organization act as an "on behalf <strong>of</strong>" issuer for bonds outstanding at any time during the year?25a Section 501(c)(3) and 501 ( c)(4) organizations . Did the organization engage in an excess benefit transaction witha disqualified person during the year? If "Yes," complete Schedule L, Part I . 25a Nob Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prioryear, and that the transaction has not been reported on any <strong>of</strong> the organization's prior Forms 990 or 990-EZ? If 25b No"Yes,"complete Schedule L, Part I . . . . . . . . . . . . . . . .26 Was a loan to or by a current or former <strong>of</strong>ficer, director, trustee, key employee, highly compensated employee, ordisqualified person outstanding as <strong>of</strong> the end <strong>of</strong> the organization's tax year? If "Yes," complete Schedule L, 26Part II . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Did the organization provide a grant or other assistance to an <strong>of</strong>ficer, director, trustee, key employee, substantialcontributor, or a grant selection committee member, or to a person related to such an individual? If "Yes," 27 Nocomplete Schedule L, Part III . . . . . . . . . . . . . . .28 Was the organization a party to a business transaction with one <strong>of</strong> the following parties? (see Schedule L, Part IVinstructions for applicable filing thresholds, conditions, and exceptions)2224b24dNoNoN oNoa A current or former <strong>of</strong>ficer, director, trustee, or key employee? If "Yes,"complete Schedule L, PartIV . . . . . . . . . . . . . . . . . . . . . . . . .b A family member <strong>of</strong> a current or former <strong>of</strong>ficer, director, trustee, or key employee? If "Yes,"complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . 28bc A n entity <strong>of</strong> which a current or former <strong>of</strong>ficer, director, trustee, or key employee (or a family member there<strong>of</strong>) wasan <strong>of</strong>ficer, director, trustee, or owner? If "Yes," complete Schedule L, Part IV . 28c29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes, "complete Schedule M 29 No30 Did the organization receive contributions <strong>of</strong> art, historical treasures, or other similar assets, or qualifiedconservation contributions? If "Yes, "complete Schedule M . . . . . . . . . . . 30 No31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,Part I . . . . . . . . . . . . . . . . . . . . . . . . . . 3132 Did the organization sell, exchange, dispose <strong>of</strong>, or transfer more than 25% <strong>of</strong> its net assets? If "Yes, " completeSchedule N, Part II . . . . . . . . . . . . . . . . . . . . . . 32 N o33 Did the organization own 100% <strong>of</strong> an entity disregarded as separate from the organization under Regulationssections 301 7701-2 and 301 7701-3? If "Yes,"complete Schedule R, PartI . . . . . . . 33 No34 Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Parts II, III, IV,and V, line 1 . . . . . . . . . . . . . . . . . . . . . 34 N o35a Is any related organization a controlled entity <strong>of</strong> the filing organization within the meaning <strong>of</strong> section 512(b)(13)7b Did the organization receive any payment from or engage in any transaction with a controlled entity within themeaning <strong>of</strong> section 512(b)(13)? If "Yes,"complete Schedule R, Part V, line2 .36 Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable relatedorganization? If "Yes,"complete Schedule R, Part V, line2 . . . . . . . . . . 36 No37 Did the organization conduct more than 5% <strong>of</strong> its activities through an entity that is not a related organizationand that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI 3738 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19?Note . All Form 990 filers are required to complete Schedule 0 . . . . . . . . . . . 38 No28a35a35bNoN oNoN oN oNoNoForm 990 (2011 )


Form 990 (2011) Page 5Statements Regarding Other IRS Filings and <strong>Tax</strong> ComplianceKEWCheck if Schedule 0 contains a response to any question in this Part Vla Enter the number reported in Box 3 <strong>of</strong> Form 1096 Enter-0- if not applicableYesNo2a3ab Enter the number <strong>of</strong> Forms W-2G included in line la Enter-0- if not applicablecla 1lb 0Did the organization comply with backup withholding rules for reportable payments to vendors and reportablegaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c NoEnter the number <strong>of</strong> employees reported on Form W-3, Transmittal <strong>of</strong> Wage and <strong>Tax</strong>Statements filed for the calendar year ending with or within the year covered by thisreturn . . . . . . . . . . . . . . . . . . . . 2a 30b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?Note . If the sum <strong>of</strong> lines la and 2a is greater than 250, you may be required to e-file (see instructions)Did the organization have unrelated business gross income <strong>of</strong> $1,000 or more during theyear? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a Nob If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule O . . . . 3b4a At any time during the calendar year, did the organization have an interest in, or a signature or other authorityover, a financial account in a foreign country (such as a bank account or securitiesaccount)? . . . . . . . . . . . . . . . . . . . . . . 4a Nob If "Yes," enter the name <strong>of</strong> the foreign country 0-See instructions for filing requirements for Form TD F 90-22 1, Report <strong>of</strong> Foreign Bank and Financial Accounts2bN o5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . 5a Nob Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?c If"Yes" to line 5a or 5b, did the organization file Form 8886-T?6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the 6a Noorganization solicit any contributions that were not tax deductible? . .b If "Yes," did the organization include with every solicitation an express statement that such contributions or giftswere not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . 6b7 <strong>Organization</strong>s that may receive deductible contributions under section 170(c).a Did the organization receive a payment in excess <strong>of</strong> $75 made partly as a contribution and partly for goods and 7a Noservices provided to the payor? . . . . . . . . . . . . . . . . . . . .b If "Yes," did the organization notify the donor <strong>of</strong> the value <strong>of</strong> the goods or services provided? . 7bc Did the organization sell, exchange, or otherwise dispose <strong>of</strong> tangible personal property for which it was required t<strong>of</strong>ile Form 82827 . . . . . . . . . . . . . . . . . . . . . . . . . . 7c Nod If "Yes," indicate the number <strong>of</strong> Forms 8282 filed during the year . 7d5b5cNoe Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefitcontract? . . . . . . . . . . . . . . . . . . . . . . . . . 7e N <strong>of</strong> Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f Nog If the organization received a contribution <strong>of</strong> qualified intellectual property, did the organization file Form 8899 asrequired? . 7g Noh If the organization received a contribution <strong>of</strong> cars, boats, airplanes, or other vehicles, did the organization file aForm 1098-C? . 7h No8 Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations. Didthe supporting organization, or a donor advised fund maintained by a sponsoring organization, have excessbusiness holdings at any time during the year? .9 Sponsoring organizations maintaining donor advised funds.a Did the organization make any taxable distributions under section 4966? . 9ab Did the organization make a distribution to a donor, donor advisor, or related person? . 9b10 Section 501(c )( 7) organizations. Entera Initiation fees and capital contributions included on Part VIII, line 12 . 10ab Gross receipts, included on Form 990, Part VIII, line 12, for public use <strong>of</strong> club 10bfacilities11 Section 501(c )( 12) organizations. Entera Gross income from members or shareholders . . . . . . . . 11ab Gross income from other sources (Do not net amounts due or paid to othersources against amounts due or received from them ) . . . . . . 11b12a Section 4947( a)(1) non -exempt charitable trusts. Is the organization filing Form 990 in lieu <strong>of</strong> Form 1041? 12abIf "Yes," enter the amount <strong>of</strong> tax-exempt interest received or accrued during theyear13 Section 501(c )( 29) qualified nonpr<strong>of</strong>it health insurance issuers.a Is the organization licensed to issue qualified health plans in more than one state?Note . All 501(c)(29) organizations must list in Schedule 0 each state in which they are licensed to issuequalified health plans, the amount <strong>of</strong> reserves required by each state, and the amount <strong>of</strong> reserves the organizationallocated to each stateb Enter the aggregate amount <strong>of</strong> reserves the organization is required to maintain bythe states in which the organization is licensed to issue qualified health plans 13bcEnter the aggregate amount <strong>of</strong> reserves on hand14a Did the organization receive any payments for indoor tanning services during the tax year? . . . 14a Nob If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0 . 14b12b13c813aForm 990 (2011 )


Form 990 ( 2011) Page 6LamGovernance , Management , and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule0. See instructions.Check if Schedule 0 contains a response to any question in this Part VI .FSection A .Governing Body and ManagementYesNolaEnter the number <strong>of</strong> voting members <strong>of</strong> the governing body at the end <strong>of</strong> the taxyear . . . . . . . . . . . . . la 12b Enter the number <strong>of</strong> voting members included in line la, above, who areindependent . . . . . . . . . . . . . . . . lb 122 Did any <strong>of</strong>ficer, director, trustee, or key employee have a family relationship or a business relationship with anyother <strong>of</strong>ficer, director, trustee, or key employee? 2 No3 Did the organization delegate control over management duties customarily performed by or under the directsupervision <strong>of</strong> <strong>of</strong>ficers, directors or trustees, or key employees to a management company or other person? . 3 No4 Did the organization make any significant changes to its governing documents since the prior Form 990 wasfiled? 4 No5 Did the organization become aware during the year <strong>of</strong> a significant diversion <strong>of</strong> the organization's assets? 5 No6 Did the organization have members or stockholders? 6 No7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one ormore members <strong>of</strong> the governing body? . . . . . . . . . . . . . . . . 7a Nob Are any governance decisions <strong>of</strong> the organization reserved to (or subject to approval by) members, stockholders, 7b Noor persons other than the governing body?8 Did the organization contemporaneously document the meetings held or written actions undertaken during theyear by the followinga The governing body? 8a Yesb Each committee with authority to act on behalf <strong>of</strong> the governing body? . 8b YesFT9 Is there any <strong>of</strong>ficer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at theorganization's mailing address? If"Yes," provide the names and addresses i n Schedule 0 . . . 9 NoSection B. Policies (This Section B requests information about policies not required by the InternalRevenue Code. )10a Did the organization have local chapters, branches, or affiliates? 10a NobIf"Yes," did the organization have written policies and procedures governing the activities <strong>of</strong> such chapters,affiliates, and branches to ensure their operations are consistent with the organization's exemptpurposes? . .11a Has the organization provided a complete copy <strong>of</strong> this Form 990 to all members <strong>of</strong> its governing body before filingthe form? 11a Nob Describe in Schedule 0 the process, if any, used by the organization to review the Form 99010bYesNo12a Did the organization have a written conflict <strong>of</strong> interest policy? If "No,"go to line 13 . 12a YesbcWere <strong>of</strong>ficers, directors or trustees, and key employees required to disclose annually interests that could giverise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . 12b YesDid the organization regularly and consistently monitor and enforce compliance with the policy? If"Yes," describein Schedule 0 how this was done . . . . . . . . . . . . . . . . . . . 12c Yes13 Did the organization have a written whistleblower policy? 13 Yes14 Did the organization have a written document retention and destruction policy? . 14 Yes15 Did the process for determining compensation <strong>of</strong> the following persons include a review and approval byindependent persons, comparability data, and contemporaneous substantiation <strong>of</strong> the deliberation and decision?a The organization's CEO, Executive Director, or top management <strong>of</strong>ficial 15a Yesb Other <strong>of</strong>ficers or key employees <strong>of</strong> the organization 15b NoIf "Yes," to line 15a or 15b, describe the process in Schedule 0 (see instructions)16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with ataxable entity during the year? . . . . . . . . . . . . . . . . . . . . . 16a Nob If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate itsparticipation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements?Section C.Disclosure17 List the States with which a copy <strong>of</strong> this Form 990 is required to be filed-18 Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable ), 990, and 990 -T (501(c)(3 )s only ) available for public inspection Indicate how you made these available Check all that applyfl Own website F Another' s website F Upon request19 Describe in Schedule 0 whether ( and if so, how ), the organization made its governing documents , conflict <strong>of</strong>interest policy, and financial statements available to the public See Additional Data Table20 State the name, physical address, and telephone number <strong>of</strong> the person who possesses the books and records <strong>of</strong> the organization -STELLA JOHNSON2759 BARTLEY CIRCLEJACKSONVILLE,FL 32207(904)389-424416bForm 990 (2011 )


Form 990 (2011)Form 990 (2011) Page 7Compensation <strong>of</strong> Officers , Directors , Trustees, Key Employees , Highest CompensatedEmployees , and Independent ContractorsCheck if Schedule 0 contains a response to any question in this Part VII (-Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employeesla Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization'stax year* List all <strong>of</strong> the organization' s current <strong>of</strong>ficers, directors, trustees (whether individuals or organizations), regardless <strong>of</strong> amount<strong>of</strong> compensation, and current key employees Enter -0- in columns (D), (E), and (F) if no compensation was paid* List all <strong>of</strong> the organization' s current key employees, if any See instructions for definition <strong>of</strong> "key employee "* List the organization's five current highest compensated employees (other than an <strong>of</strong>ficer, director, trustee or key employee)who received reportable compensation (Box 5 <strong>of</strong> Form W-2 and/or Box 7 <strong>of</strong> Form 1099-MISC) <strong>of</strong> more than $100,000 from theorganization and any related organizations* List all <strong>of</strong> the organization 's former <strong>of</strong>ficers , key employees, or highest compensated employees who received more than $100,000<strong>of</strong> reportable compensation from the organization and any related organizations* List all <strong>of</strong> the organization' s former directors or trustees that received, in the capacity as a former director or trustee <strong>of</strong> theorganization, more than $10,000 <strong>of</strong> reportable compensation from the organization and any related organizationsList persons in the following order individual trustees or directors, institutional trustees, <strong>of</strong>ficers, key employees, highestcompensated employees, and former such persons1 Check this box if neither the organization nor any related organizations compensated any current or former <strong>of</strong>ficer, director, or trustee(A) (B) (C) (D ) ( E) (F)Name and Title Average Position (do not check Reportable Reportable Estimatedhours more than one box, compensation compensation amount <strong>of</strong> otherper unless person is both from the from related compensationweek an <strong>of</strong>ficer and a organization (W- organizations from the(describe director/trustee) 2/1099-MISC) (W- 2/1099- organization andhours 0 = MISC) relatedfor - 3uo organizationsrelateda rt0--organizationsrtin C: C^Schedule 5M0)50T0q(1) SANDRA MATHISPRESIDENT(2) SHARON JOHNSONVICE PRESIDE(3) ED SCHMITZERTREASURER(4) CORRINE BYLUNDSECRETARY(5) ROSA L DUBOSEDIRECTOR(6) AMY PIETRODANGELO MEYERDIRECTOR(7) LA-RAE HENDRIXDIRECTOR(8) ASHLEE LANEDIRECTOR(9) KAREN MILLARD ESQDIRECTOR(10) JAMES KEENENDIRECTOR(11) ALEXA ALVAREZDIRECTOR(12) STEVEN B WHITTINGTONDIRECTOR(13) STELLA JOHNSONEXEC DIR00-1 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 01 00 X 0 0 040 00 X 49,029 0 4,340


Form 990 (2011) Page 8Section A. Officers , Directors, Trustees , Key Employees , and Highest Compensated Employees (continued)(A)Name and Title(B)Averagehoursperweek(describehoursforrelatedorganizations(C)Position (do not checkmore than one box,unless person is bothan <strong>of</strong>ficer and adirector/trustee)E-C0,p =3uoart, {7a0To(D)Reportablecompensationfrom theorganization (W-2/1099-MISC)(E)Reportablecompensationfrom relatedorganizations(W- 2/1099-MISC)(F)Estimatedamount <strong>of</strong> othercompensationfrom theorganization andrelatedorganizationsSchedule0)Da,^- Fry^J4'Q^+lb Sub -Total . . . . . . . . . . . . . . . 0-c Total from continuation sheets to Part VII, Section A . . . 0-d Total ( add lines lb and 1c ) . . . . . . . . . . . . 0- 49,029 4,340Total number <strong>of</strong> individuals (including but not limited to those listed above) who received more than$100,000 <strong>of</strong> reportable compensation from the organizationO-Did the organization list any former <strong>of</strong>ficer, director or trustee, key employee, or highest compensated employeeon line la? If "Yes," completeScheduleJforsuch individual . . . . . . . . . . . . 3 No4 For any individual listed on line la, is the sum <strong>of</strong> reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If "Yes," complete Schedule -7 for suchindividual . . . . . . . . . . . . . . . . . . . . . . . . . . 4 N oNoDid any person listed on line la receive or accrue compensation from any unrelated organization or individual forservices rendered to the organization? If "Yes,"complete Schedule J for such person .5 NoSection B.Independent Contractors1 Complete this table for your five highest compensated independent contractors that received more than$100,000 <strong>of</strong> compensation from the organization Report compensation for the calendar year ending withor within the organization's tax year(A) (B) (C)Name and business address Description <strong>of</strong> services Compensation2 Total number <strong>of</strong> independent contractors (including but not limited to those listed above) who received more than$100.000 <strong>of</strong> compensation from the organization -Form 990 (2011)


Form 990 (2011) Page 9NStatement <strong>of</strong> Revenuela Federated campaigns . la(A) (B) (C) (D)Total revenue Related or Unrelated Revenueexempt business excluded fromfunction revenue tax underrevenuesections512, 513, or514CCb Membership dues . . . . lbc Fundraising events . 1c45 •Cx^d Related organizations . lde Government grants (contributions) le 108,451i f All other contributions, gifts, grants, and if 28,541similar amounts not included abovegNoncash contributions included inlines la-1f $h Total. Add lines la-1f . 0- 136,992Business Code2a PROGRAM FEES 98,738 98,738bcdef All other program service revenueg Total . Add lines 2a-2f . . . . . . . . 98,7383 Investment income (including dividends, interestand other similar amounts) 481 4814 <strong>Income</strong> from investment <strong>of</strong> tax-exempt bond proceeds ,5 Royalties . . . . . . . . . . . .6aGross rentsb Less rentalexpensesc Rental incomeor (loss)(i) Real (ii) Personald Net rental inco me or (loss) . .7a Gross amountfrom sales <strong>of</strong>assets otherthan inventoryb Less cost orother basis andsales expensesc Gain or (loss)(i) Securities (ii) Otherd Net gain or (loss) . . . . . . . . . .8a Gross income from fundraisingwevents (not including3 $<strong>of</strong> contributions reported on line 1c)See Part IV, line 18 .L a 53,4499ab Less direct expenses . b 14,206c Net income or (loss) from fundraising events . 39,243 39,243Gross income from gaming activitiesSee Part IV, line 19 . .b Less direct expenses . b10aGross sales <strong>of</strong> inventory, lessreturns and allowances .aab Less cost <strong>of</strong> goods sold . bc Net income or (loss) from sales <strong>of</strong> inventory . 0-Miscellaneous RevenueBusiness Code11a MISCELLANEOUSb1,915 1,915cd All other revenue . .e Total .Add lines 11a-11d . .0- 1,91512 Total revenue . See Instructions . . .c Net income or (loss) from gaming activities . . .0-10-277,369 1 100,653 , 39,724 ,Form 990 (2011)


Form 990 (2011) Page 10Statement <strong>of</strong> Functional ExpensesSection 501(c)(3) and 501(c)(4) organizations must complete all columnsAll other organizations must complete column (A) but are not required to complete columns (B), (C), and (D)Check if Schedule 0 contains a response to any question in this Part IX (-Do not include amounts reported on lines 6b ,7b, 8b , 9b, and 10b <strong>of</strong> Part VIII .1 Grants and other assistance to governments and organizationsin the United States See Part IV, line 212 Grants and other assistance to individuals in theUnited States See Part IV, line 223 Grants and other assistance to governments,organizations , and individuals outside the UnitedStates See Part IV, lines 15 and 164 Benefits paid to or for members5 Compensation <strong>of</strong> current <strong>of</strong>ficers, directors , trustees, andkey employees . .6 Compensation not included above, to disqualified persons(as defined under section 4958( f)(1)) and personsdescribed in section 4958( c)(3)(B)( A)Total expenses(B)Program serviceexpenses(C)Management andgeneral expenses7 Other salaries and wages 200,399 135,186 65,2138 Pension plan contributions ( include section 401(k) and section403(b) employer contributions)9 Other employee benefits 7 ,957 5,368 2,58910 Payroll taxes . . . . . . . . . . 17,147 11,567 5,58011 Fees for services ( non-employees)a Management . .b Legal . .c Accounting 7,120 4,803 2,317d Lobbying . .e Pr<strong>of</strong>essional fundraising See Part IV, Tine 17 . .f Investment management fees . .g Other . .12 Advertising and promotion 4,882 3,293 1,58913 Office expenses 3,813 2,572 1,24114 Information technology15 Royalties16 Occupancy 8,624 6,001 2,62317 Travel . .18 Payments <strong>of</strong> travel or entertainment expenses for any federal,state, or local public <strong>of</strong>ficials19 Conferences , conventions , and meetings 4,822 3,253 1,56920 Interest 1,400 944 45621 Payments to affiliates22 Depreciation , depletion, and amortization 9,096 6,136 2,96023 Insurance . . . . . . . . . . . . . 9,222 6,221 3,00124 Other expenses Itemize expenses not covered above (Listmiscellaneous expenses in line 24f If line 24f amount exceeds 10% <strong>of</strong>line 25, column ( A) amount, list line 24f expenses on Schedule 0a MISCELLANEOUS 6,625 4,469 2,156b BAD DEBT 5,326 3,593 1,733c SUPPLIES 2,865 1,933 932d WEBSITE DEVELOPMENT 2,300 1,552 748ef All other expenses 100 67 33(D)Fundraisingexpenses25 Total functional expenses . Add lines 1 through 24f 291,698 196,958 94,740 026 Joint costs. Check here 1F- if followingSOP 98-2 (ASC 958-720) Complete this line only if theorganization reported in column ( B) joint costs from acombined educational campaign and fundraising solicitationForm 990(2011)


Form 990 (2011) Page 11Balance Sheet(A)Beginning <strong>of</strong> year1 Cash-non-interest-bearing 1(B)End <strong>of</strong> year2 Savings and temporary cash investments . 97,376 2 75,9533 Pledges and grants receivable, net 4,462 3 11,1584 Accounts receivable, net 45 Receivables from current and former <strong>of</strong>ficers, directors, trustees, key employees, andhighest compensated employees Complete Part II <strong>of</strong>Schedule L 56 Receivables from other disqualified persons (as defined under section 4958(f)(1)) andpersons described in section 4958(c)(3)(B) Complete Part II <strong>of</strong>Schedule L 67 Notes and loans receivable, net 78 Inventories for sale or use 89 Prepaid expenses and deferred charges 4,534 9 4,81410a Land, buildings, and equipment cost or other basis Complete Part 253,931VI <strong>of</strong> Schedule D10ab Less accumulated depreciation 10b 70,934 190,805 10c 182,99711 Investments-publicly traded securities . 1112 Investments-other securities See Part IV, line 11 1213 Investments-program-related See Part IV, line 11 . 1314 Intangible assets 1415 Other assets See Part IV, line 11 1516 Total assets . Add lines 1 through 15 (must equal line 34) . 297,177 16 274,92217 Accounts payable and accrued expenses 15,507 17 8,58118 Grants payable 1819 Deferred revenue 1920 <strong>Tax</strong>-exempt bond liabilities 2021 Escrow or custodial account liability Complete Part IV<strong>of</strong> Schedule D 2122 Payables to current and former <strong>of</strong>ficers, directors, trustees, keyemployees, highest compensated employees, and disqualifiedpersons Complete Part II <strong>of</strong> Schedule L . 2223 Secured mortgages and notes payable to unrelated third parties 37,181 23 36,18124 Unsecured notes and loans payable to unrelated third parties 2425 Other liabilities (including federal income tax, payables to related third parties,and other liabilities not included on lines 17-24) Complete Part X <strong>of</strong> ScheduleD . 2526 Total liabilities . Add lines 17 through 25 . 52,688 26 44,762<strong>Organization</strong>s that follow SFAS 117 , check here 1- F and complete lines 27through 29, and lines 33 and 34.C5 27 Unrestricted net assets 242,789 27 228,460Mcar_W_28 Temporarily restricted net assets 1,700 28 1,70029 Permanently restricted net assets 29<strong>Organization</strong>s that do not follow SFAS 117, check here 1 F- and completelines 30 through 34.30 Capital stock or trust principal, or current funds 3031 Paid-in or capital surplus, or land, building or equipment fund 31< 32 Retained earnings, endowment, accumulated income, or other funds 3233 Total net assets or fund balances 244,489 33 230,16034 Total liabilities and net assets/fund balances 297,177 34 274,922Form 990 (2011 )


Form 990 (2011) Page 12« Reconcilliation <strong>of</strong> Net AssetsCheck if Schedule 0 contains a response to any question in this Part XI (-1 Total revenue (must equal Part VIII, column (A), line 12)2 Total expenses (must equal Part IX, column (A), line 25)3 Revenue less expenses Subtract line 2 from line 1 .4 Net assets or fund balances at beginning <strong>of</strong> year (must equal Part X, line 33, column (A))5 Other changes in net assets or fund balances (explain in Schedule O) .1 277,3692 291,6983 -14,3294 244,4896 Net assets or fund balances at end <strong>of</strong> year Combine lines 3, 4, and 5 (must equal Part X, line 33, column(B)) 6 230,160Financial Statements and ReportingGZMM-Check if Schedule 0 contains a response to any question in this Part XII (-5YesNoAccounting method used to prepare the Form 990 fl Cash 17 Accrual (OtherIf the organization changed its method <strong>of</strong> accounting from a prior year or checked "Other," explain inSchedule 02a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a Nob Were the organization's financial statements audited by an independent accountant? . 2b Yesc If "Yes," to 2a or 2b, does the organization have a committee that assumes responsibility for oversight <strong>of</strong> theaudit, review, or compilation <strong>of</strong> its financial statements and selection <strong>of</strong> an independent accountant?If the organization changed either its oversight process or selection process during the tax year, explain inSchedule 0 . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Yesd If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issuedon a separate basis, consolidated basis, or bothfl Separate basis F Consolidated basis fl Both consolidated and separated basis3a As a result <strong>of</strong> a federal award, was the organization required to undergo an audit or audits as set forth in theSingle Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . 3a Nob If"Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required 3baudit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits .Form 990 (2011)


l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762OMB No 1545-0047SCHEDULE APublic Charity Status and Public Support(Form 990 or 990EZ)Complete if the organization is a section 501(c )( 3) organization or a section 2011Department <strong>of</strong> the Treasury4947 (a)(1) nonexempt charitable trust.Internal Revenue Service► Attach to Form 990 or Form 990-EZ . ► See separate instructions.Name <strong>of</strong> the organizationEmployer identification numberFAMILY NURTURING CENTER OF FLORIDAINC159-7004981Reason for Public Charity Status (All organizations must complete this part.) See InstructionsThe organization is not a private foundation because it is (For lines 1 through 11, check only one box)1 1 A church, convention <strong>of</strong> churches, or association <strong>of</strong> churches section 170 ( b)(1)(A)(i).2 1 A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E )3 1 A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(A)(iii).4 1 A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter thehospital's name, city, and state5 fl An organization operated for the benefit <strong>of</strong> a college or university owned or operated by a governmental unit described insection 170 ( b)(1)(A)(iv ). (Complete Part II )6 fl A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).7 F An organization that normally receives a substantial part <strong>of</strong> its support from a governmental unit or from the general publicdescribed insection 170 ( b)(1)(A)(vi ) (Complete Part II )8 fl A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )9 1 An organization that normally receives (1) more than 331/3% <strong>of</strong> its support from contributions, membership fees, and grossreceipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% <strong>of</strong>its support from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization after June 30, 1975 See section 509 (a)(2). (Complete Part III )10 fl An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).11 fl An organization organized and operated exclusively for the benefit <strong>of</strong>, to perform the functions <strong>of</strong>, or to carry out the purposes <strong>of</strong>one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Checkthe box that describes the type <strong>of</strong> supporting organization and complete lines 11e through 11ha fl Type I b fl Type II c fl Type III - Functionally integrated d fl Type III - Othere fl By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified personsother than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1 ) orsection 509(a)(2)f If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,check this box Fg Since August 17, 2006, has the organization accepted any gift or contribution from any <strong>of</strong> thefollowing persons?(i) a person who directly or indirectly controls, either alone or together with persons described in (ii) Yes Nohand (iii) below, the governing body <strong>of</strong> the the supported organization? 11g(i)(ii) a family member <strong>of</strong> a person described in (i) above? 11g(ii)(iii) a 35% controlled entity <strong>of</strong> a person described in (i) or (ii) above? 11g(iii)Provide the following information about the supported organization(s)0)Name <strong>of</strong>supportedorganization(ii)EIN(iii)(iv)Type <strong>of</strong>( v)(vi)Is theorganizationDidorganization inyou notify theIs the(described onorganization inorganization incol (i) listed inlines 1- 9 abovecol (i) <strong>of</strong> yourcol (i) organizedyour governingor IRC sectionsupport?in the U S ?document?(seeinstructions)) Yes No Yes No Yes NoviiAmount <strong>of</strong>support?TotalFor Paperwork Reduction Act Notice , seethe Instructions for Form 990 Cat No 11285F Schedule A (Form 990 or 990-EZ) 2011


Schedule A (Form 990 or 990-EZ) 2011Schedule A (Form 990 or 990-EZ) 2011 Page 2Support Schedule for <strong>Organization</strong>s Described in IRC 170(b )( 1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 <strong>of</strong> Part I or if the organization failed to qualifyunder Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)Section A . Public SupportCalendar year (or fiscal year beginningin)(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total1 Gifts, grants, contributions, andmembership fees received (Do notinclude any "unusual331,781 296,980 273,998 177,474 136,992 1,217,225grants ")2 <strong>Tax</strong> revenues levied for theorganization's benefit and eitherpaid to or expended on itsbehalf3 The value <strong>of</strong> services or facilitiesfurnished by a governmental unit to 20,125 34,500 36,000 90,625the organization without charge4 Total . Add lines 1 through 3 331,781 296,980 294,123 211,974 172,992 1,307,8505 The portion <strong>of</strong> total contributionsby each person (other than agovernmental unit or publiclysupported organization) included on 71,031line 1 that exceeds 2% <strong>of</strong> theamount shown on line 11, column(f)6 Public Support . Subtract line 5 fromline 41,236,819Section B. Total Su pp ortCalendar year ( or fiscal year beginningin)( a) 2007 ( b) 2008 (c) 2009 ( d) 2010 ( e) 2011 (f) Total7 Amounts from line 4 331,781 296,980 294,123 211,974 172,992 1,307,8508 Gross income from interest,dividends, payments received onsecurities loans, rents , royalties 481 481and income from similarsourcesNet income from unrelatedbusiness activities, whether ornot the business is regularlycarried on10 Other income (Explain in PartIV ) Do not include gain or loss39,60,481 32, 6,343 1,915140,791from the sale <strong>of</strong> capital assets11 Total support (Add lines 7through 10)1,449,12212 Gross receipts from related activities, etc (See instructions )12100,65313First Five Yearslf the Form 990 is for the organization's first, second, third, fourth, orfifth tax year as a 501(c)(3) organization,check this box and stop here llik^F-Section C. Computation <strong>of</strong> Public Support Percentage14 Public Support Percentage for 2011 (line 6 column (f) divided by line 11 column (f)) 14 85 350 %15 Public Support Percentage for 2010 Schedule A, Part II, line 14 15 86 130 %16a 331 / 3%support test-2011 . Ifthe organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this boxand stop here . The organization qualifies as a publicly supported organizationb 33 1 / 3%support test - 2010 . Ifthe organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check thisbox and stop here . The organization qualifies as a publicly supported organization17a 10%-facts-and -circumstances test - 2011 . If the organization did not check a box on line 13, 16a, or 16b and line 14is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explainin Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supportedorganizationb 10%-facts -and-circumstances test-2010 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publiclysupported organization18 Private <strong>Foundation</strong> If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and seeinstructions


Schedule A (Form 990 or 990-EZ) 2011Schedule A (Form 990 or 990-EZ) 2011 Page 3IMMITM Support Schedule for <strong>Organization</strong>s Described in IRC 509(a)(2)(Complete only if you checked the box on line 9 <strong>of</strong> Part I or if the organization failed to qualify underPart II. If the organization fails to qualify under the tests listed below, please complete Part II.)Section A . Public SupportCalendar year (or fiscal year beginningin)(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total1 Gifts, grants, contributions, andmembership fees received (Do notinclude any "unusual grants ")2 Gross receipts from admissions,merchandise sold or servicesperformed, or facilities furnished inany activity that is related to theorganization's tax-exemptpurpose3 Gross receipts from activities thatare not an unrelated trade orbusiness under section 5134 <strong>Tax</strong> revenues levied for theorganization's benefit and eitherpaid to or expended on itsbehalf5 The value <strong>of</strong> services or facilitiesfurnished by a governmental unit tothe organization without charge6 Total . Add lines 1 through 57a Amounts included on lines 1, 2,and 3 received from disqualifiedpersonsb Amounts included on lines 2 and 3received from other thandisqualified persons that exceedthe greater <strong>of</strong>$5,000 or 1% <strong>of</strong> theamount on line 13 for the yearc Add lines 7a and 7b8 Public Support (Subtract line 7cfrom line 6 )Section B. Total Su pp ortCalendar year (or fiscal year beginningin)(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total9 Amounts from line 610a Gross income from interest,dividends, payments received onsecurities loans, rents, royaltiesand income from similarsourcesb Unrelated business taxableincome (less section 511 taxes)from businesses acquired afterJune 30, 1975c Add lines 10a and 10b11 Net income from unrelatedbusiness activities not includedin line 10b, whether or not thebusiness is regularly carried on12 Other income Do not includegain or loss from the sale <strong>of</strong>capital assets (Explain in PartIV )13 Total support (Add lines 9, 10c,11 and 12)14 First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,check this box and stop hereSection C. Com p utation <strong>of</strong> Public Su pp ort Percenta g e15 Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) 1516 Public support percentage from 2010 Schedule A, Part III, line 15 16Section D . Computation <strong>of</strong> Investment <strong>Income</strong> Percentage17 Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) 1718 Investment income percentage from 2010 Schedule A, Part III, line 17 1819a 33 1/3%support tests-2011 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is notmore than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organizationb 33 1 / 3% support tests- 2010 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization20 Private <strong>Foundation</strong> If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions


Schedule A (Form 990 or 990-EZ) 2011 Page 4Supplemental Information . Supplemental Information. Complete this part to provide the explanationrequired by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for anyadditional information. (See instructions).Facts And Circumstances TestExplanationSchedule A (Form 990 or 990-EZ) 2011


lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 934933110117621SCHEDULE D(Form 990)Supplemental Financial Statements1- Complete if the organization answered "Yes," to Form 990,Department <strong>of</strong> the Treasury Part IV , line 6 , 7 , 9 , 10 , 11a 11b 11c 11d 11e 11f 12a , or 12bInternal Revenue Service 1- Attach to Form 990. 1- See separate instructions.OMB No 1545-00472011bafffimName <strong>of</strong> the organizationEmployer identification numberFAMILY NURTURING CENTER OF FLORIDAINC 59-7004981<strong>Organization</strong>s Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if theor g anization answered "Yes" to Form 990 Part IV , line 6.(a) Donor advised funds1 Total number at end <strong>of</strong> year2 Aggregate contributions to (during year)3 Aggregate grants from ( during year)4 Aggregate value at end <strong>of</strong> year( b) Funds and other accounts5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advisedfunds are the organization's property , subject to the organization ' s exclusive legal control? F Yes F No6 Did the organization inform all grantees , donors, and donor advisors in writing that grant funds may beused only for charitable purposes and not for the benefit <strong>of</strong> the donor or donor advisor, or for any other purposeconferring impermissible private benefit fl Yes F NoMRSTI-Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.1 Purpose(s) <strong>of</strong> conservation easements held by the organization (check all that apply)1 Preservation <strong>of</strong> land for public use ( e g , recreation or pleasure ) 1 Preservation <strong>of</strong> an historically importantly land area1 Protection <strong>of</strong> natural habitat 1 Preservation <strong>of</strong> a certified historic structureflPreservation <strong>of</strong> open spaceComplete lines 2a-2d if the organization held a qualified conservation contribution in the form <strong>of</strong> a conservationeasement on the last day <strong>of</strong> the tax yeara Total number <strong>of</strong> conservation easements 2ab Total acreage restricted by conservation easements 2bc Number <strong>of</strong> conservation easements on a certified historic structure included in (a) 2cd Number <strong>of</strong> conservation easements included in (c) acquired after 8/17/06 2dHeld at the End <strong>of</strong> the YearN umber <strong>of</strong> conservation easements modified, transferred, released, extinguished, or terminated by the organization duringthe taxable year 0-4 N umber <strong>of</strong> states where property subject to conservation easement is located 0-5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling <strong>of</strong> violations, andenforcement <strong>of</strong> the conservation easements it holds? fl Yes F NoStaff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year 1-Amount <strong>of</strong> expenses incurred in0-$monitoring, inspecting, and enforcing conservation easements during the yearDoes each conservation easement reported on line 2 ( d) above satisfy the requirements <strong>of</strong> section170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? 1 Yes F No9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, andbalance sheet, and include, if applicable, the text <strong>of</strong> the footnote to the organization's financial statements that describesthe organization's accounting for conservation easements<strong>Organization</strong>s Maintaining Collections <strong>of</strong> Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.la If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works <strong>of</strong>art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance <strong>of</strong> public service,provide, in Part XIV, the text <strong>of</strong> the footnote to its financial statements that describes these itemsb If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works <strong>of</strong> art,historical treasures, or other similar assets held for public exhibition, education, or research in furtherance <strong>of</strong> public service,provide the following amounts relating to these items(i) Revenues included in Form 990, Part VIII, line 1 $(ii)Assets included in Form 990, Part X $If the organization received or held works <strong>of</strong> art, historical treasures, or other similar assets for financial gain, provide thefollowing amounts required to be reported under SFAS 116 relating to these itemsa Revenues included in Form 990, Part VIII, line 1 $b Assets included in Form 990, Part X $For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990 Cat No 52283D Schedule D ( Form 990) 2011


Schedule D (Form 990) 2011 Page 2r:FTnFW <strong>Organization</strong>s Maintaining Collections <strong>of</strong> Art, Historical Treasures , or Other Similar Assets (continued)3 Using the organization's accession and other records, check any <strong>of</strong> the following that are a significant use <strong>of</strong> its collectionitems (check all that apply)a F_ Public exhibition d fl Loan or exchange programsb 1 Scholarly research e (- Otherc F Preservation for future generations4 Provide a description <strong>of</strong> the organization's collections and explain how they further the organization's exempt purpose inPart XIV5 During the year, did the organization solicit or receive donations <strong>of</strong> art, historical treasures or other similarassets to be sold to raise funds rather than to be maintained as part <strong>of</strong> the organization's collection? 1 Yes F NolaEscrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990,Part IV, line 9, or reported an amount on Form 990, Part X, line 21.Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X7 1 Yes F Nob If "Yes," explain the arrangement in Part XIV and complete the following tablec Beginning balance 1cd Additions during the year lde Distributions during the year lef Ending balance ifAmount2a Did the organization include an amount on Form 990, Part X, line 21? fl Yes F Nob If"Yes," explain the arrangement in Part XIVMITIT-Endowment Funds . Com p lete If the or g anization answered "Yes" to Form 990, Part IV , line 10.(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years BacklaBeginning <strong>of</strong> year balanceb Contributions .cInvestment earnings or lossesd Grants or scholarships . .efOther expenditures for facilitiesand programsAdministrative expensesg End <strong>of</strong> year balance .2 Provide the estimated percentage <strong>of</strong> the yearend balance held asa Board designated or quasi-endowment 0-b Permanent endowment 0-c Term endowment 0-3a Are there endowment funds not in the possession <strong>of</strong> the organization that are held and administered for theorganization by Yes No(i) unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) No(ii) related organizations . . . . . . . . . . . . . . . . . . . . . . 3a(ii) Nob If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? . . I 3b I I No4 Describe in Part XIV the intended uses <strong>of</strong> the organization's endowment fundsITTMvi d Land . Buildinas . and Eauioment . See Form 990. Part X. line 10.Description <strong>of</strong> property(a) Cost or otherbasis (investment)(b)Cost or otherbasis (other)(c) Accumulateddepreciation(d) Book valuela Land 10,260 10,260b Buildings 211,978 43,647 168,331c Leasehold improvements . .d Equipment 31,693 27,287 4,406eOtherTotal . Add lines la-le (Column (d) should equal Form 990, Part X, column (B), line 10(c).) . . 0- 182,997Schedule D (Form 990) 2011


Schedule D (Form 990) 2011 Page 3Investments-Other Securities . See Form 990 , Part X , line 12.(a) Description <strong>of</strong> security or category(c) Method <strong>of</strong> valuation(b)Book value(including name <strong>of</strong> security)Cost or end-<strong>of</strong>-year market value(1 )Financial derivatives(2)Closely-held equity interestsOtherTotal . (Column (b) should equal Form 990, Part X, col (B) line 12 ) 01 1Investments - Program Related . See Form 990, Part X, line 13.(a) Description <strong>of</strong> investment type (b) Book value I(c) Method <strong>of</strong> valuationCost or end-<strong>of</strong>-vear market valueTotal . (Column (b) should equal Form 990, Part X, col (B) line 13 ) 01 1Other Assets . See Form 990 , Part X line 15.(a) DescriDtion( b) Book valueTotal . (Column (b) should equal Form 990, Part X, co/.(8) line 15.)Other Liabilities . See Form 990 , Part X line 25.1 (a) Description <strong>of</strong> Liability (b) AmountFederal <strong>Income</strong> <strong>Tax</strong>esTotal . (Column ( b) shou ld equa l Form 990, Part X, col (B) line 25) P .2. Fin 48 (ASC 740 ) Footnote In Part XIV, provide the text <strong>of</strong> the footnote to the organization ' s financial statements that reports theorganization ' s liability for uncertain tax positions under FIN 48 (ASC740)Schedule D (Form 990) 2011


Schedule D (Form 990) 2011Schedule D (Form 990) 2011 Page 4« Reconciliation <strong>of</strong> Chan g e in Net Assets from Form 990 to Financial Statemen ts1 Total revenue (Form 990, Part VIII, column (A), line 12) 1 277,3692 Total expenses (Form 990, Part IX, column (A), line 25) 2 291,6983 Excess or (deficit) for the year Subtract line 2 from line 1 3 -14,3294 Net unrealized gains (losses) on investments 45 Donated services and use <strong>of</strong> facilities 56 Investment expenses 67 Prior period adjustments 78 Other (Describe in Part XIV) 89 Total adjustments (net) Add lines 4 - 8 910 Excess or (deficit) for the year per financial statements Combine lines 3 and 9 10 -14,329« Reconciliation <strong>of</strong> Revenue p er Audited Financial Statements With Revenue p er <strong>Return</strong>1 Total revenue, gains, and other support per audited financial statements . 1 317,2692 Amounts included on line 1 but not on Form 990, Part VIII, line 12a Net unrealized gains on investments . 2ab Donated services and use <strong>of</strong> facilities . 2b 39,900c Recoveries <strong>of</strong> prior year grants 2cd Other (Describe in Part XIV) . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . 2e 39,9003 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . 3 277,3694 Amounts included on Form 990, Part VIII, line 12, but not on line 1a Investment expenses not included on Form 990, Part VIII, line 7b 4ab Other (Describe in Part XIV) . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c5 Total Revenue Add lines 3 and 4c. (This should equal Form 990, Part I, line 12 . . . . . 5 277,369« Reconciliation <strong>of</strong> Expenses per Audited Financial Statements With Expenses per <strong>Return</strong>1 Total expenses and losses per audited financial 331,598statements . . . . . . . . . . . . 12 Amounts included on line 1 but not on Form 990, Part IX, line 25a Donated services and use <strong>of</strong> facilities . 2a 39,900b Prior year adjustments 2bc Other losses . . . . . . . . . . . . . . . 2cd Other (Describe in Part XIV) . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . 2e 39,9003 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . 3 291,6984 Amounts included on Form 990, Part IX, line 25, but not on line 1:a Investment expenses not included on Form 990, Part VIII, line 7b . 4ab Other (Describe in Part XIV) . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c5 Total expenses Add lines 3 and 4c. (This should equal Form 990, Part I, line 18 . . . . . 5 291,6989711SN'IM Su pp lemental InformationComplete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,Part V, line 4, Part X, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b Also complete this part to provide anyadditional informationIdentifier <strong>Return</strong> Reference Explanation


l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762SCHEDULEG(Form 990 or 990-EZ)Supplemental Information RegardingFundraising or Gaming ActivitiesOMB No 1545-00472011Complete if the organization answered " Yes" to Forth 990, Part IV, lines 17, 18, or 19,Department <strong>of</strong> the Treasury or if the organization entered more than $15,000 on Form 990 - EZ, line 6a . Open to PublicInternal Revenue Service Attach to Form 990 or Forth 990 - EZ. See separate instructions. InspectionName <strong>of</strong> the organizationEmployer identification numberFAMILY NURTURING CENTER OF FLORIDAINC 59-7004981Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17.Indicate whether the organization raised funds through any <strong>of</strong> the following activities Check all that applya 1 Mail solicitations e 1 Solicitation <strong>of</strong> non-government grantsb 1 Internet and e-mail solicitations f 1 Solicitation <strong>of</strong> government grantsc 1 Phone solicitations g 1 Special fundraising eventsd1 In-person solicitations2a Did the organization have a written or oral agreement with any individual (including <strong>of</strong>ficers, directors, trusteesor key employees listed in Form 990, Part VII) or entity in connection with pr<strong>of</strong>essional fundraising services? r Yes r Nob If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser isto be compensated at least $5,000 by the organization Form 990-EZ filers are not required to complete this table(i) Name and address <strong>of</strong>individualor entity (fundraiser)(ii) Activity (iii) Didfundraiser havecustody orcontrol <strong>of</strong>contributions?Yes No(iv) Gross receiptsfrom activity(v) Amount paid to(or retained by)fundraiser listed incol (i)(vi) Amount paid to(or retained by)organizationTotal . . . . . . . . . . . . . . . .3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration orlicensingFor Privacy Act and Paperwork Reduction Act Noticee see the Instructions for Form 990 . Cat No 50083H Schedule G ( Form 990 or 990-EZ) 2011


Schedule G (Form 990 or 990-EZ) 2011 Page 2Fundraising Events . Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reportedmore than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.co(a) Event #1 (b) Event #2 (c) Other Events (d) Total Events(Add col (a) throughCHOCOLATE GALA col (c))(event type) (event type) (total number)1 Gross receipts 53,449 53,4492 Less Charitablecontributions3 Gross income (line 1minus line 2)53,449 53,4494 Cash prizesu75 Non-cash prizes6 Rent/facility costs7 Food and beverages8 Entertainment .9 Other direct expenses 14,206 14,20610 Direct expense summary Add lines 4 through 9 in column (d) . ► ( 14,20611 Net income summary Combine lines 3 and 10 in column (d). . . . . . . . . .Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than$15,000 on Form 990-EZ, line 6a.co (a) Bingo ( b) Pull tabs /Instant (c) Other gaming (d) Total gamingbingo /progressive bingo (Add col (a) throughco col (c))co1 Gross revenue .cn 2 Cash prizes .39,2433 Non-cash prizes .LIJ4 Rent/facility costsn 5 Other direct expenses6 Volunteer labor F Yes F Yes F Yesfl No7 Direct expense summary Add lines 2 through 5 in column ( d) . . . . . . . . . . . Ilk-8 Net gaming income summary Combine lines 1 and 7 in column (d) . . . . . . . . . . ►9 Enter the state ( s) in which the organization operates gaming activitiesa Is the organization licensed to operate gaming activities in each <strong>of</strong> these states? . . . . . . . . . . . . . Yes F NobIf "No," Explain---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------10a Were any <strong>of</strong> the organization ' s gaming licenses revoked, suspended or terminated during the tax year? . . . . . r-Yes Nob If "Yes," Explain------------- ------------------------- ------------------------- ------------------------- ------------------------ ------------------------- ------------------------- ------------------------- -------------1Schedule G ( Form 990 or 990 - EZ) 2011


Schedule G (Form 990 or 990-EZ) 2011 Page 311 Does the organization operate gaming activities with nonmembers? . . . . . . . . . . . . . . . . . r-Yes No12 Is the organization a grantor , beneficiary or trustee <strong>of</strong> a trust or a member <strong>of</strong> a partnership or other entityformed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes r- No13 Indicate the percentage <strong>of</strong> gaming activity operated ina The organization's facility 13ab An outside facility 13b14 Provide the name and address <strong>of</strong> the person who prepares the organization's gaming/special events books andrecordsName ►Address ►15a Does the organization have a contract with a third party from whom the organization receives gamingrevenue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fl Yes fl Nob If "Yes," enter the amount <strong>of</strong> gaming revenue received by the organization ► $ and theamount <strong>of</strong> gaming revenue retained by the third party $cIf "Yes," enter name and addressName ►------------ ----------------------- ---------------------- ----------------------- ----------------------- ----------------------- ---------------------- ----------------------- --------Address ►------------------------16 Gaming manager informationName ►------------------------------------------------------------Gaming manager compensation 11111 $ _ -----------------------Description <strong>of</strong> services provided ► ---------- ------------------ ------------------ ------------------ ------------------- ------------------ ------------------ ------------------ ----------r- Director/ <strong>of</strong>ficer Employee Independent contractor17 Mandatory distributionsa Is the organization required understate law to make charitable distributions from the gaming proceeds toretain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes F Nob Enter the amount <strong>of</strong> distributions required under state law distributed to other exempt organizations or spent' in the organization s own exempt activities during the tax $Complete this part to provide additional information for responses to quuestion on Schedule G (seeinstructions.)Identifier <strong>Return</strong>Reference ExplanationSchedule G (Form 990 or 990-EZ) 2011


efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762SCHEDULE 0(Form 990 or 990-EZ)Department <strong>of</strong> the TreasuryInternal Revenue ServiceSupplemental Information to Form 990 or 990-EZOMB No 1545 00472011Complete to provide information for responses to specific questions onForm 990 or to provide any additional information .Open1- Attach to Form 990 or 990-EZ. InspectionName <strong>of</strong> the organizationEmployer identification numberFAMILY NURTURING CENTER OF FLORIDAINC rn -nno1Identifier <strong>Return</strong> ExplanationReferenceORGANIZATION'S FORM 990 - TO PROVIDE A NURTURING ENVIRONMENT FOR FAMILIES IMPACTED BY DIVORCE, CUSTODYMISSION ORGANIZATION'S BATTLES, AND DOMESTIC VIOLENCE, BY KEEPING CHILDREN SAFE DURING THESEMISSIONCHALLENGING TIMES AND HELPING PARENTS FOSTER POSITIVE RELATIONSHIPS WITH THEIRCHILDRENORGANIZATION'S FORM 990, PAGE NO REVIEW WAS OR WILL BE CONDUCTEDPROCESS USED TO 6, PART VI, LINEREVIEW FORM 990 11BENFORCEMENT OF FORM 990, PAGE ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY STATING THAT ANY BOARDCONFLICTS POLICY 6, PART VI, LINE MEMBER HAVING AN ACTUAL OR PERCEIVED CONFLICT SHALL INFORM THE EXECUTIVE12C DIRECTOR AND/OR BOARD CHAIR, WHO WILL DETERMINE IF IT IS NECESSARY TO MAKE ADISCLOSURE TO THE FULL BOARD BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIALCONFLICT OF INTEREST SHOULD NOT PARTICIPATE IN DISCUSSIONS OR VOTE ON MATTERSAFFECTING TRANSACTIONS BETWEEN THE ORGANIZATION AND THE OTHER GROUPADDITIONALLY, ANY BOARD MEMBER WHO SERVES AS COUNSEL FOR A CLIENT USING FNCSERVICES SHALL ENDEAVOR TO ENSURE THAT HIS OR HER POSITION AS A BOARD MEMBER ISNOT USED TO GARNER SPECIAL TREATMENT, UNFAIR ADVANTAGE, OR OTHER SPECIALPRIVILEGE WHILE PROVIDING PROFESSIONAL SERVICES TO CLIENTS BOARD MEMBERS WHOREPRESENT CLIENTS OF FNC SHALL USE THEIR DISCRETION WITH REGARD TO DISCLOSING THERELATIONSHIP TO THEIR CLIENT, OPPOSING COUNSEL, AND THE COURTSCOMPENSATION FORM 990, PAGE THE BOARD OF DIRECTORS USED COMPARABLE SALARY SCHEDULES WITH REGARD TOPROCESS FOR TOP 6, PART VI, LINE DETERMINING THE COMPENSATION FOR FNCS EXECUTIVE DIRECTOROFFICIAL15AGOVERNING FORM 990, PAGE THE TAX FORMS ARE AVAILABLE BY EMAIL UPON REQUEST AND THEY ARE ALSO LISTED ONDOCUMENTS 6, PART VI, LINE 19 GUIDESTARDISCLOSUREEXPLANATION


efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762Form4562Depreciation and Amortization OMB No 1545-0172(Including Information on Listed Property)2011Department <strong>of</strong> the TreasuryInternal Revenue Service (99)► See separate instructions. ► Attach to your tax return .AttachmentSequence No 179Name ( s) shown on returnBusiness or activity to which this form relatesFAMILY NURTURING CENTER OF FLORIDAINCINDIRECT DEPRECIATIONElection To Expense Certain Property Under Section 179Note ; If you have any listed p rop erty, comp lete Part V before y ou com p lete Part I.Identifying number59-70049811 Maximum amount ( see instructions) 1 500,0002 Total cost <strong>of</strong> section 179 property placed in service (see instructions ) 23 Threshold cost <strong>of</strong> section 179 property before reduction in limitation ( see instructions ) 3 2,000,0004 Reduction in limitation Subtract line 3 from line 2 If zero or less, enter - 0- 45 Dollar limitation for tax year Subtract line 4 from line 1 If zero or less, enter -0- If married filingseparately , see instructions 56 (a) Description <strong>of</strong> property(b) Cost (business useonly)I(c) Elected cost7 Listed property Enter the amount from line 29 78 Total elected cost <strong>of</strong> section 179 property Add amounts in column (c), lines 6 and 79 Tentative deduction Enter the smaller <strong>of</strong> line 5 or line 810 Carryover <strong>of</strong> disallowed deduction from line 13 <strong>of</strong> your 2010 Form 456211 Business income limitation Enter the smaller <strong>of</strong> business income (not less than zero) or line 5 (see instructions)12 Section 179 expense deduction Add lines 9 and 10, but do not enter more than line 1113 Carryover <strong>of</strong> disallowed deduction to 2012 Add lines 9 and 10, less line 12 13Note : Do not use Part II or Part III below for listed p rop erty . Instead, use Part V.S p ecial De p reciation Allowance and Other De p reciation ( Do not include listed14 Special depreciation allowance for qualified property (other than listed property) placed in service during thetax year (see instructions)15 Property subject to section 168(f)(1) election16 Other depreciation (including ACRS)MACRS Depreciation ( Do not include listed property.) (See Instructions.)Section A17 MACRS deductions for assets placed in service in tax years beginning before 2011 17 2,78018 If you are electing to group any assets placed in service during the tax year into one or moregeneral asset accounts, check hereFSection B-Assets Placed in Service Durin 20 11 <strong>Tax</strong> Year Usin the General De p reciation S y stem(c) Basis for(b) Month and depreciation(a) Classification <strong>of</strong>(d) Recovery(g)Depreciationyear placed in (business/investment(e) Convention (f) Methodpropertyperioddeductionserviceuseonly-see instructions)19a 3-year propertyb 5-year propertyc 7-year propertyd 10-year propertye 15-year propertyf 20-year propertyg 25-year property 25 yrs S/LhResidential rental 27 5 yrs MM S/Lproperty 27 5 yrs M M S/Li Nonresidential real 39 yrs MM S/Lproperty M M S/L20a Class lifeSection C-Assets Placed in Service During 2011 <strong>Tax</strong> Year Using the Alternative Depreciation Systemb 12-year 12 yrs S/Lc40-year 40 yrs MM S/L•;^vi Summar y ( see instructions )21 Listed property Enter amount from line 28 2122 Total . Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21 Enter hereand on the appropriate lines <strong>of</strong> your return Partnerships and S corporations-see instructions 22 9,09623 For assets shown above and placed in service during the current year, enter theportion <strong>of</strong> the basis attributable to section 263A costs 23For Paperwork Reduction Act Notice, see separate instructions . Cat No 12906N Form 4562 (2011)S/Lp ro89101112rty ) (See instructions '6,316


Form 4562 (2011) Page 2Listed Property ( Include automobiles , certain other vehicles, certain computers, and property used forentertainment , recreation , or amusement.)Note : For any vehicle for which you are using the standard mileage rate or deducting lease expense,complete only 24a , 24b, columns (a) through (c) <strong>of</strong> Section A, all <strong>of</strong> Section B, and Section C if applicable.Section A - De p reciation and Other Information ( Caution : See the instructions for limits for p assen ger automobiles. )24a Do you have evidence to support the business / investment use claimed? fl Yes fl No 24b If 'Yes," is the evidence written? 1 Yes F No(a) (b) Business/ (d) Basis for depreciation (f) (g) (h) ElectedType <strong>of</strong> property (list Date placed in investment Cost or other(business/investment Recovery Method/ Depreciation/ section 179vehicles first) service use basisperiod Convention deductionuse only)costpercentage25Special depreciation allowance for qualified listed property placed in service during the tax year and used more than50% in a qualified business use (see instructions) 2526 Property used more than 50% in a qualified business use27 Property used 50% or less in a qualified business use28 Add amounts in column ( h), lines 25 through 27 Enter here and on line 21 , page 1 2829 Add amounts in column ( i), line 26 Enter here and on line 7, page 1 29Section B-Information on Use <strong>of</strong> VehiclesComplete this section for vehicles used by a sole proprietor, partner, or other more than 5% owner," or related personIf you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles30Total business/investment miles driven during theyear ( d o not inc l u d e commu t ing mi l es)31 Total commuting miles driven during the year32 Total other persona I(noncommuting) miles driven33 Total miles driven during the year Add lines 30through 32 .( a)Vehicle 1(b)Vehicle 2S/L-S/L-S/ L -(c)Vehicle 3(d)Vehicle 4(e)Vehicle 5(f)Vehicle 634 Was the vehicle available for personal use Yes No Yes No Yes No Yes No Yes No Yes Noduring <strong>of</strong>f-duty hours? .35 Was the vehicle used primarily by a more than 5%owner or related person? .36Is another vehicle available for personal use?Section C-Questions for Employers Who Provide Vehicles for Use by Their EmployeesAnswer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than5% owners or related persons (see instructions)37 Do you maintain a written policy statement that prohibits all personal use <strong>of</strong> vehicles, including commuting, by your Yes Noemployees?38 Do you maintain a written policy statement that prohibits personal use <strong>of</strong> vehicles, except commuting, by youremployees? See the instructions for vehicles used by corporate <strong>of</strong>ficers, directors, or 1% or more owners .39 Do you treat all use <strong>of</strong> vehicles by employees as personal use?40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use <strong>of</strong> thevehicles, and retain the information received?41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions ) . . .Note : If your answer to 37, 38, 39, 40, or 41 is "Yes," do not complete Section B for the covered vehiclesAmortization(a) Date A morteizationAmortizable Code Amortization forDescription <strong>of</strong> costs amortization period oramount section this yearbeginspercentage42 Amortization <strong>of</strong> costs that begins during your 2011 tax year ( see instructions)43 Amortization <strong>of</strong> costs that began before your 2011 tax year 4344 Total . Add amounts in column (f) See the instructions for where to report 44Form 4562(2011)


l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493311011762TY 2011 Genera IDependencySma 11Name : FAMILY NURTURING CENTER OF FLORIDAINCEIN: 59-7004981Business Name or Person Name:<strong>Tax</strong>payer Identification Number:Form, Line or InstructionReference:Regulations Reference:Description :OUT OF BONUS DEPR-ALL PROPAttachment Information : YEAR ENDED: JUNE 30, 2012 59-7004981 FAMILY NURTURINGCENTER OF FLORIDA, INC. 2759 BARTLEY CIRCLE JACKSONVILLE,FL 32207 ELECTING OUT OF BONUS DEPRECIATION ALLOWANCEFOR ALL ELIGIBLE DEPRECIABLE PROPERTY THE TAXPAYER ELECTSOUT OF FIRST-YEAR BONUS DEPRECIATION ALLOWANCE UNDERIRC SECTION 168(K) FOR ALL ELIGIBLE ASSET CLASSES OFDEPRECIABLE PROPERTY ACQUIRED AFTER DECEMBER 31, 2007.THIS ELECTION APPLIES TO ALL ELIGIBLE DEPRECIABLE PROPERTYPLACED IN SERVICE DURING THE TAX YEAR.


Additional DataS<strong>of</strong>tware ID:S<strong>of</strong>tware Version:EIN: 59 -7004981Name :FAMILY NURTURING CENTER OF FLORIDAINCForm 990, Special Condition Description:Special Condition Description

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