Farm
IRS e-file Signature Authorization
8879-EO
0MB NOi 1545-1B78
for an Exempt Organization'
2013
Fo, calendar yn201a.o,l,6caly.»beBhnlng JQL 1 .2013. «id .ndha JUN 30 .2° 14
^ Do not send to the IRS. Keep for your records.
Department of the Treasury
Intnrrml RawmuB Service
ipt organization
^ Information about Farm a878-EO and Its Inatructiana u at www.lrs.goy/hrm8a
EmployMldtnlififtion numbil
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
65-0495067
Name and title of officer
CARL RITTER
PRESIDENT & CEO
Part I Type of Return and Return Informatjonjwhole Dollars Only)
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."" ?m'wooh8ckhere ^'LXJ-,b Total "»."".." any F°m 890, Part VIII, column (A), IT 12)..................... ib 3,261,001.
2a Form 990.E check here ^.1-b Totel rewnue, it any (Fomi 990.EZ, line 9) ....^..'.'..........^.^'""""""""' 2b
3a Form 1120.POL check here >. -] b Total tax (Form 1120-POL, line 22) ...'...^^^^^^^""""'""" 3^
4a Fomi990.PF check here ^Q b Taxba«edonlnvertmentincome(Fomi'890W,Panvi,'ljne5)".'^^ 4b
5a Fomi 8868 check here ^.1-I b Balance Due (Fornn 8868, Part I, line 3c or Part II, line 8c) ..^.._"""'"" 6b
I Part II Declaration and Signature Authorization of Officer
^^"SlpHe^le^retha;Lma"-°ftor^he.ab°veoWn^^^^^
Snd'^mhSdh^Tn,^g.K^'Ma"lsw!^te~mdto^^^
irtl above^ is the amount shown on the copy of the organtBtlon's efectronic'ret'um'TcorBent'to'dlow'T"'"'
;Sea^^^e^T^2:smto:.w»^'SC-?u^"^WJm6'to
riss»n,(b) the reason for any delay in'pro'cessngfte^um^r'refand;^^^^
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^s^^^lsss^^^'mw^s^m^vawa^^sa^^'^^^
Officer's PIN: check one box only
I authorize KERKERING. BARBERIO & CO.
to enter my PINl 26030
ERO firm name
Eirter five numbers, but
do not enter all zeros
Mhmy,s'?,n.Mu.rl°" the.°'Bar"mt'°n's_fax year 2°13 etoctronica"y d return. V I have indicated Within this return that a copy of the return
L5be;"°.fto,d,w a-5tate_a?B"'::yfles) reauh""B charities as part of the IRS Fedffitote'program"! alsoauthori'ze'theatorem'e'rtuned'ER'O'to
enter my PIN on the return's dlsctosure consent screen.
^,an..°fliML°f.t.he-°'?a"Katl°n' l.wl" .ntBr my PIN^8 .my 8i°"alure °n the °'8"nlatk)n'8 tax year 2013 electronically fltod return. If I have
LT^!?
SmlN8^mthal.acw.?.^tu/^8 bri'2fflefi^as^'^^^
program, I will enter nri/PIN on the retum't
Officer's signature ^
Certification and Authentication
ERO's EFIN/PIN. Enter your sixiliglt electronic filing identification
number (EFIN) followed by yourflve-digit self-selected PIN.
I 65021619908^
do not enter all zeros
^2^ l^,°^uTlc.ert.'yK,myplN:whlch's.my.s'gnatu.r' °" *he 2°13er°t">"l°ally filed return for the organization indicated above. I
^r^hv^T"BbuS ^r'"Mcort^ w'ththeraquireme"tsofpub:4iN-M^^^^
ERO's signature ^
Date ^-
ERO Must Retain This Form - See Instructions
Do Not Submit This Form To the IRS Unless Requested To Do So
mo5iF" paPe""°rk neduciion Act Notice, see Instructions.
10-01-13
Form8879-EO (2013)
0MB No. 1545-0047
Return of Organization Exempt From Income Tax
Form
Department of the Treasury
Internal Revenue Servioe
2013
Under section 501(c). 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
^ Do not enter Social Security numbers on this form as it may be made public.
^ Information about Form 990 and its instructions Is at www.irs.gov/form990.
Open to Public
(nspffctjpn
A For the 2013 calendar year, or tax year beginning JUL 1, 2013 and ending JUN 30. 2014
C Name of organization
B Check If
applicable:
D Employer identification number
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE KSD BRIDES AGAI
I-lAddress
I_] change
[Name
65-0495067
Doing Business As
(change
llnillal
IrBtum
Number and street (or P.O. box if mail is not delivered to street address)
Tgrmin-
5481 COMMUNICATIONS PKWY
lated
lAm ended
I return
alApptteapending
Itibh
Room/suite
E Telephone number
941-921-5539
4,947,571
City or town, state or province, country, and ZIP or foreign postal code
G Gross reosipts $
SARASOTA, FL 34240
H(a) Is this a group return
F Name and address of principal offtoerCARL RI TTER
for subordinates? ...... i_lYes USJNo
SAME AS C ABOVE
H(b)AreallBubOTdlnateslnduded7l-IYeS I-INo
I Tax-exempt status: LXJ 501(c)(3)
l-^ (insert no.) I_I 4947(a)(1) or I_I 527
501 (c)(
If "No," attach a list. (see instructions)
J Website: ^ WWW. CENTERFORBUILDINGHOPE.ORG
H(c] Group exemption number ^Corporation
Trust
Other^L Year of formation: 19 9 41 M State of leaal domicile: FL
K Form o1 organization:
Part! I Summary
Briefly describe the organization's mission or most significant activities: TO ENSURE THAT ALL PEOPLE
IMPACTED BY CANCER ARE EMPOWERED BY KNOWLEDGE, STRENGTHENED BY
Check this box t>-
if the organization discontinued its operations or disposed of more than 25% of its net assets,
3
Number of voting members of the governing body (Part VI, line 1 a)
Number of independent voting membere of the governing body (Part VI, line 1b)
Total number of individuals employed in calendar year 2013 (Part V, line 2a)
Total number of volunteers (estimate if necessary
7 a Total unrelated business revenue from Part VIII, column (C), line 12
12
12
57
150
0.
7a
7b
b Net unrelated business taxable income from Form 990-T, line 34
0.
Current Year
Prior Year
12 Total revenue - add lines 8 through 11 (musteaual Part VIII, column (A), line 121
2,867.972.
29,462.
90.
341.318.
3,238,842.
2,365,914.
24,476.
206.
870,405.
3,261,001.
13 Grants and similar amounts paid (Part IX, column W, lines 1-3)
14 Benefits paid to or for members (Part IX, column W, line 4)
15 Salaries, other compensatron, employee benefits (Part IX, column (^, lines 5-10)
16a Professional fundraising fees (Part IX, column (^, line 11 e),
1,582,456
62,500
1,953,284
25,000
1,718,465
3.363.421
-124,579
2,070,209
4.048,493
-787,492
8 Contributions and grants (Part Vl!l, line 1 h)
9 Program service revenue part VIII, line 2g)
10 Investment income (Part VIII, column (^, lines 3,4, and 7d)
11 Other revenue part VIII, column W, lines 5, 6d,8c,9c,1Oc, and 11 e)
b Total fundraising expenses (Part IX, column (D), line 25) ^ _634 , 543 .
17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
18 Total expenses. Add lines 1 3-17 (must equal Part IX, column W, line 25)
19 Revenue less expenses. Subtract line 18 from line 12
ss
ei
i>?^
MtU
g
Benlnnlnn of Current Year
End of Year
21 Total iabil'itiss (Part X, line 26)
9,636,956.
3.856.346.
_22 Net assets or fund balances. Subtract line 21 from line 20
5,780,610.
20 Total assets (Part X, line 16}
8,831,834
3,838,646
4.993.188
I Part II Signature Block
Under penalties of perjury, f declare that t have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true,_correct. and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Signature of officer
Sign
Here
Date
CARL HITTER, PRESIDENT Ec CEO
Type or print name and title
PrinVType preparer's name
Preparer's signature
tlEBECCA U. STONER
Paid
Use Only
Date
Check
If
I-I ] PTIN
IP00585910
i M!f-Fm1.R!f;YF^
Firm's address^. P.O. BOX 49348
SARASOTA, FL 34230-6348
Phone no.941-365-4617
LXjYes
332001 10-2B-13 LHA Far Paperwork Reduction Act Notice, see the separate instructions. Form 990 (201 3)
May the 1RS discuss this return with the preoarer shown above? (see instmctionsl
SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION
No
THE HEALTH SUPPORT NETWORK, INC. DBA
Form 990 (2013) _CENTER FOR BUILDING HOPE AND BRIDES AGAI
I Part III Statement of Program Senrice Accomplishments
65-0495067__paae2
^heck if Schedule 0 contains a response omote to any line in this Part 111
Briefly describe the organization's missun:
THE CENTER FOR BUILDING HOPE'S MISSION^BND MANDATE:
-PROVIDING SCIENTIFICALLY SUPPORTED PSYCHOSOCIAL SERVICES TO PEOPLE
IMPACTED BY A CANCER DIAGNOSIS. FREE OF CHARGE._
- IMPROVING QUALITY OF LIFE BY REDUCING THE SENSE OF ISOLATION,
Dwl the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................................................... DYCS
No
If "Yes," describe these new services on Schedule 0.
Did the organization cease conducting, or make significant changes in how it conducts, any program services?.................. I_lYes No
If "Yes," describe these changes on Schedule 0.
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses,
Section 501 (c)(3) and 501 (c)(4) organizatuns are required to report the amount of grants and allocations to others, the total expenses, and
revenue, if any, for each program service reported.
24,476. )
1»9 59,011 . Including grantt of $
) (ExpBnana t
) (RavBnue$
BRIDES AGAINST BREAST CANCER CONTRIBOTES TO PROGRAMS FOR CANCER
PATIENTS AND THEIR FAMILIES. OUR OUTREACH AND EDUCATIONAL EFFORTS
4a (coda:
DURING OOR "TOUR OF GOWNS" BRIDAL SHOWS AROUND THE COUNTRY HELP ENSURE
THAT PEOPLE IMPACTED BY CANCER HAVE THE RESOURCES ^AND^ INi'ORMBTI^L-TOISL
NEED IN THEIR BATTLE WITH CANCER^
GAAP RESULTS DO NOT NECESSARILY REFLECT THE CASH OPERATING RESULTS OF
BRIDES AGAINST BREAST CANCER^
BRIDES AGAINST BREAST CANCER DELIVERED APPROXIMATELY ^T15^QQQ^S_S^^
CONTRIBUTION WHICH INCLUDED REGISTRATION^EES PLUS^THE MM?ETIZATI^_eF_
THE DONATED DRESSES. THE CASH POSITION DURING THE YEAR FOR THE
4b (Cocfa:_ )(ExpenBM<_1,150 * 531. fndudlngflrwitBoft_ _ _____ ) (RtwanuBt. )
THERE IS A CONTINUING INCREASE IN THE NUMBER OF HOURS OF SUPPORT
PROVIDED LOCALLY IN OUR COMMONITY. TO KEEP UP WITH OCR PARTICIPANT
GROWTH. WE HAVE EXPERIENCED AN INCREASE OP LOCAL PROGRAM SERVICE HOURS
FROM 2600 HOURS OF SERVICE BEING PROVIDED IN 2013 TO 2900 HODRS OF
SERVICE BEING PROVIDED ON A MONTHLY BASIS IN 2014. IN ADDITION TO OUR
LOCALLY PROVIDED SUPPORT SERVICES, CBH HAS DEVELOPED AN ONLINE
PRESENCE.
WHILE OFFERING MULTIPLE PROGRAMS AND SERVICES TO MEET INDIVIDUAL
NEEDS, CBH CONTINUES TO GROW SUPPORT GROUPS, STRESS MANAGEMENT
PROGRAMS. AND EPaCATIONAL SEMINARS. THIS YEAR THERE HAS BEEN KS
EXPANSION OF SERVICES TO XNCLUDE EXPRESSIVE ARTS PROGRAMS AND GREATLY
4C (Cods; . ) (Expmissa $ _ Indudtng flmntB of t ^ __ _ __ _ ) (Rwenuc $
4d Ottier program services (Describe in Schedule 0.)
(Expennas $ ___ Indudnn orantB af i
4e Total proaram sen/lce expenses^3,109.542.
332002
10-29-13
1 (pawn UB t
Form 990 (2013)
SEE SCHEDULE 0 FOR CONTINUATION(S)
2
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Part IV Checklist of Required Schedules
Form 990 (2013)
65-0495067 Paae3
.es I No
1 Is the organization described in section 501(c)(3) or 4947(60(1) (other than a private foundation)?
x
If "Yes,' complete Schedule A
2 Is the organization required to complete Sc/iedute B, Schedule of Contributory
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
public office? // "Yes,' complete Schedule C, Part I
4 Section 501(c)(3] organizations. Did the organization engage in lobbying act'ivities, or have a section 501 (h) electron in effect
during the lax year? If "Yes, * complete Schedule C, Part II
5 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, Part III
6 Dkl the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? // "Yes, '. complete Schedule D, Part I
7 Did the organization receive or hold a consen/ation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes, " complete Schedule D, Part //.
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes," complete
Schedule D, Part ///
9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
If "Yes.' complete Sc/iedute D, Part IV
10 Did the organization, directly or through a related organizatton, hold assets in temporarily restricted endowments, permanent
endowments, or quasi-endowments? If "Yes, * compfete Schedule D, Part V
10
11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X
as applicable.
a Did the organization report an amount for land, buildings, and equipment in Part X, fine 10?//'IVes,"compteteSc/)eduteD,
Part VI
11a
b Did the organization report an amount for investments - cfther securities in Part X, line 12 that is 5% or more of its total
assets reported in Part X, line 16? If "Yes, " comptete Schedule D, Part VII
11b
c Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total
assets reported in Part X, line 16? ff'Yes/comptefeSchecfute D, Part W// ....................................".;.
11c
d Did the organization report an amount for other assets in Part X, line 1 5 that is 5% or more of its total assets reported in
Part X, line 16? It 'Yes, . complete Schedule D, Part IX
e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," compfete Schedule D, Part X
f Did the organization's separate or consolidated financial statements for the tax year inchjde a footnote that addresses
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? // "Yes," complete Schedule D, Part X
12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts Xl and XII
b Was the organization included in consolidated, independent audited financial statements for the tax year?
// "Yes," and if the organiwtion answered 'No' to line 12a, then completing Schedule D, Parts Xl and Xl! is optional
13 Is the organization a school described in section 170(b)(1)M(ii)? If "Yes," complete Schedule E
14a Did the organization maintain an office, employees, or agents outside of the United States?
b Did the organization have aggregate revenues or expenses off more than $10,000 from grantmaking, fundraising, business,
investment, and program sen/ice activities outside the United States, or aggregate foreign investments valued at $100,000
or more? If "Yes," complete Schedule F. Parts I and IV
11d
11c
11f
12a
12b
13
14a
14b
15 Did the organization report on Part D(, column (^, line 3, more than $5,000 crf grants or other assistance to or for any
foreign organization? If "Yes." complete Schedule F, Parts II and IV
16
16 Did the organizatron report on Part IX, column W, line 3, more than $5,000 of aggregate grants or other assistance to
or for foreign individuals? If "Yes," complete Schedute F, Parts III and IV
16
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and lie?// "Yes," comptete Schedule G, Part I
17
18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
1 c and 8a? If "Yes," complete Schedule G, Part II
19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?ff "Yes,"
i-.Lsft- t?;-hss.-^;i.!fei- r? Ps;? .'i.'
18
x
.ER !
£ws uiu uw uiyoi ii&aiiui I upBiaio uiia ui iiiuio i luapiiai la^iii 1.1001 11 ivo, ^.wiiifJicia UI*FICUUIO i F
b If "Yes" to Ijn^ 20a, did the organization attach a copy of its audited financial ^tatemente to this return?
2Db
Form 990 (2013)
332003
10-28-13
Form 990 (20131
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE_MTO_BRIDES AGAI
'art IV Checklist of Required Schedules (continued)
21
65-0495067 pane 4
Yes
Dkj the organization report more than $5,000 of grants or other assistance to any domestic oiflanizatlon or
government on Part IX, column (A), line 1 ? tf 'Yes, . complete Schedule I, Parts; and /;
22
column (A), line 27 (f .yes, . complete Schedule I, Parts I and III
23
21
Did the oiganizatlon report more than $5,000 of grants or other assistance to indivkluals in the UnNed States on Part K,
22
Did the organization answer "Yes" to Part VII, Section A, line 3,4, or 6 about compensatton of the organization's current
and former officers, directors, tmstees, key employees, and highest compensated emptoyees? H 'Yes, . complete
Schedule J
23
Z4a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the
last day of the year, that was issued after December 31,2002? tf "Yes, " answer Snes 24b thmugh 24d and complete
Schedule K. II 'No', go to line SSa
b DM the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
c DM the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
any tax-exempt bonds?
d DM the organization act as an "on behalf of Issuer for bonds outstanding at any time during the year?
24a
24b
24c
24d
25a Section 601(c)(3) and 601(c)(4) organlations. Did the organization engage In an excess benefN transaction with a
disqualified person during the year? ff 'Yas, . complele Schedule L, Part I
26a
b Is the organization aware that N engaged in an excess benefit transaction with a disqualified person in a prior year, and
that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ7 If 'Yes,' complete
Schedule L. Part I
26
26b
Did the organization report any amount on Part X, line 5,6, or 22 for receivables from or payabtes to any current or
former officers, directors, trustees, key emptoyees, highest compensated employees, or disqualified poisons? It so,
comfriete Schedule L, Part II
Z7
Did the organization provide a grant or other assistance to an officer, director, tiustee, key employee, substantial
contributor or employee thereof, a grant setoctton committee member, or to a 35% controlled entity or family member
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV
of any of these persons? If 'Yes," confpfele Schedule L, Part III
28
27
Inshuctions for applicabto flllng thresholds, conditions, and exceptions):
a A current or former officer, director, trustee, or key employee? If 'Yes, . compfete Schedule L, Part IV
b A (andly member of a current or foimer oflicer, director, trustee, or key employee? It 'Yes, . complete Schedule L, Part IV
c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereofl was an offlcer,
director, tmstee, or direct or indirect owner? ff Tes," complete Schedule L, Part IV
28
30
Did the organization receh/e more than $25.000 in nonosh contributions? ff "yes,, . complete Schedule M
31
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets7ff 'Yes,' complete
Schedule N, Part II
33
30
Did the organization liquidate, terminate, or dissolve and cease operations?
ff 'Yes." complete Schedule N, Part I
32
28c
2B
DM the oiaanizatlon receive contributtons of art, historical treasures, or other similar assets, or qualified conservation
contrtoutions? If 'Yes," compteto Scftedute M
31
28b
32
Did the organization own 1 00% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301 .7701-3? II .yes," comptete Schedule R. Put I
34
Was the organization related to any tax-exempt or taxable entity? If -Yes, . con^tete Schedufe R, Part II, III, or IV, end
Part V, line 1
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)?
34
35a
b « 'Yes" to line 35a, did the organization receive any payment from or engage In any transaction with a controlled entity
wnhin the meaning of section 512(b)(13)? ff 'Yes, . complete Schedule R. Part V. the 2
36
35b
Section 501(c)(3) organizations. DM the organization make any transfers to an exempt non-charitable related oiganization?
If 'Yes." complete Sc/iedufe R. Part V. line 2
ST
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
38
and that is treated as a partnership for federal income tax purposes? H 'Yes, . complete Schedule R, Part VI
Did the oiganization complete Schedule 0 and provide explanations in Schedule 0 for Part VI. lines 11b and 19?
Note. All Form 990 fliers are required to complBte Schedule 0
36
37
38 I X
Form 990 (2013)
332004
10-28-13
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE JUTO BRIDES AGAI
PartV Statements Regarding Other IRS Filings and Tax Compliance
Farm 980 (2013)
65-0495067 PaaeS
D.
Check 'rf Schedule 0 contains a response or note to any line in this Part V
es I No
1a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable
1a
39
1b
c Did the organization comply with backup wthholding rules for reportable payments to vendors and reportable gaming
1c
(gambling) winnings to prize winners?
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,
filed for the calendar year ending with or within the year covered by this return .............................. I 2a
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1 a and 2a is greater thai 250, you may be required to e-ffite (see instructions)
3a Did the organization have unrelated business gross income of $1 ,000 or more during the year?
b If "Yes," has it filed a Fomn 990-T for this year? If "No," to line 3b, provide an explanation in Schedule 0
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
financial account in a foreign country (such as a bank account, securities account, or other financial account)?
b If "Yes," enterthe name of the foreign country; t^See instructions for filing requirements for Form TD F 90-22.1 , Report of Foreign Bank and Financial Accounts.
5a Was the organizatton a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?.,.
57
c H "Yes," to line 5a or 5b, dkl the organization flle Form 8886-T? ..........................................................................
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
any contributrons that were not tax deductible as charitable contributions?
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
2b
3a
x
3b
4a
x
5a
Sb
Sc
x
8a
x
x
6b
were not tax deductible?
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment In excess of $75 made partly as a contribution and partly for goods and services provided to the payor?
b If "Yes," did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exrtiange, or otherwse dispose of tangible personal property for which it was required
7a
7b
7c
to file Form 8282?
d If "Yes," indicate the number of Forms 8282 filed during tiie year ................................................ I 7d
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
T Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
7e
7f
g If the organization received a contribution of qualified intellectual property, did Uie organization fito Form 8899 as required?. ..
h If the organization received a contribution of care, boats, arplanes, or other vehicles, did the orgwiization file a Form 1098-C?
2a
x
7h
1 Sponsorini oifanizations miintalnlnB donor adviied fundi and icctlon 509(a)(3) supportlna ornaniiationt. Did the supporting
organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
l Sponsoring organizations maintaining donor adwsed^unds.
a Did e organization make any taxable distributions under section 4966?.
9a
9b
b Did the organization make a distribution to a donor, donor advisor, or related person?
10 Section 501(c)(7) organizations. Enter:
a Initiation fees and capita) contributions included on Part VII), line 12
b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
lOa
lOb
11 Section 501(c)(12) organizations. Enter:
Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources aganst
amounts due or received from them.)
1 la
lib
12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 ?
isa
b lf"Yes,"entertheamountoftax-exemptinterestreceivedoraccnjedduringtheyeaT .................. 112b
13 Section 501(c)(29) qualified nonprofit health insurance Issuers.
13a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule 0.
Enter the amount of reserves the organization is required to maintain by the states in wrtiich the
organization is licensed to issue qualified health plans
f-^if- i>-- --.^. T.t -.r ^^..
13b
.t^f-
i**a uiu 11 ie uiyai ii&auuii IOI/BIVC uiiy payiiioiia lui 11 luuui i.ni iiiiiiy 001 vii/oo ui
b If "Yes." has it filed a Form 720 to report these payments? ff "JSfo,11 provide anexfilanation in Schedule 0
14b
Form 990 (2013)
332005
10-29-13
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI 6 5 -0495067 Pane6
Part VI Governance, Management, and Disclosure For each'Yes'response to lines 2 thnwgf) 76 jbetow,andfora- 'response
Fgrm 990(2013)
to line 8a, Sb, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions.
Check if Schedule 0 contains a resDonse or note to anv line in this Part VI ................-....-.-.-.-....--............................................. I X
Section A. Governing Body and Management
Yes
la Enter the number of vding members of the governing body at the end of the tax year
If there are material differences In voting rinlits amonn mambars of the governing body, or if the oovemlng
body delegated broad authority to an executive committee or similar committee, explain in Schedule 0.
b Enter the number of vding members inckided in line 1 a, above, who are independent
1a
12
1b
12
Did any officer, director, tmstee, or key employee have a family relationship or a business relationship with any other
officer, director, trustee, or key emptoyee?
Dkl the organization delegate control over management duties customarily performed by or under the direct supervisnn
of officers, directors, or tmstees, or key emptoyees to a management company or orther person?
4 Did ie organization make any signifksant changes to its governing documents since the prior Form 990 was filed?
5 Did the organization become aware during the year of a significant diversion ctf the organization's assets?
6 Did the organization have members or stockhoklere?
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
7a
more members of the governing body?
b Are any governance decisions of the organizatton reserved to (or subject to approval b^ members, stockholders, or
persons other than the governing body?
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
The governing body?
Each committee with authority to act on behalf of the governing body?
9 Is there any officer, director, trustee, or key employee listed In Part VII, Section A, who cannot be reached at the
7b
8a
ab
organization's mailing address? tf'Vfes.'Di5_wcfe the names ancfadcfressesmSchedufeO .......................................
Secrtion B. Policies (This Section B reouests information about oolides not reouAed by the IntemaJ Revenue Cocfe.}
Yes
IQa
lOu Did the organization have tocal chapters, branches, or affiliates?
b If "Yes," did the organization have written poluies and procedures governing the activities of such chapters, affiliates,
lOb
and branches to ensure their operations are consistent with the organization's exempt purposes?
1 la Has the organization provided a complete copy af ttiis Form 990 to all members of Its governing body before filing the form? 11a
b Describe In Schedule 0 the process, if any, used by the organization to review this Form 990.
12a IMd the organization have a written conflict of interest policy? If "No," go to Sne 13
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
12a
12b
Dkl the organization regulariy and consistenUy monitor and enforce compliance witti the policy? // "Yes," describe
12c
13
14
in Schecfute 0 how ihis was done
13 Did the organization have a written whistlebtower policy?
14 Did the organization have a written document retention and destruction policy?
15 Did the process for determining compensation of the following persons include a review and approval by independent
persons, comparability data, and contemporaneous substantiation of the deUberatnn and decision?
a The organization's CEO, Executive Director, or top management official
b Other officers or key employees of the oiflanization
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions).
Did the organi2atlon Invest In, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?
x
IBa
16b
16a
If "Yes," did the organization follow a written policy or procedure requiring the o^anizatun to evaluate its participation
in }oint venture arrangements under applksabte federal tax law, and take steps to safeguard the organization's
16b
exempt status with respect to such arranoements? .................................................._.................
Section C. Disclosure
17 Ust the states with which a copy o«f this Form 990 is required to be filed ^-FL,NC,SC , MS
18 Section 6104 requires an organization to make its Forms 1023(or1024ifappfcabte),990, and 990-T (Section 501 (c)(3)s only) available
for public inspectton. Indteate how you made these available. Check all that apply.
Own webs'rte I I Another's webaite LXJ Upon request I I Other fexpte/n in Schaduie 0)
19 Describe in Schedule 0 whether (and if so, how), the organization made its governing documents, conflict af Interest poBcy, and financial
statements available to the public during the tax year.
20 State the name, physical address, and telephone number c»f the person vrtio possesses the books and records of the organization: ^
NANCY HENDRICKS - 941-921-5539
5481 COMMUNICATIONS PKWY. SARASOTA. FL 34240
332006
10-2S-13
FOFm
990
(2013)
THE HEALTH SUPPORT NETWORK, INC. DBA
65-0495067 Page?
CENTER FOR BUILDING HOPE AND BRIDES AGAI
[ Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Employees, and Independent Contractors
Check if Schedule 0 contains a response or note to any line in Uiis Part VII .............. V__\
Form 990 (2013)
Section A. Officers. Directors, Trustees, Key Employees, and Highest Compensated Emolovees
la Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.
. Ust all of the oi^anEation's^yrrent officers, directors, tmstees (whether individuals or organizat'ions), regardless of amount of compensation,
Enter -0- in columns (D), (E), and (F) if no compensation was paid.
. List all of the organization's current key employees, if any. See instructions for definition of "key employee."
. List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-M1SC) of more than $100,000 from the organization and any related organizations.
. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the o^anization and any related organizations.
. List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization,
more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual tmstees or directors; institutional trustees; officers; key employees; highest compensated employees;
and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
(B)
Name and Title
Average
hours per
week
(c)
Position
(do not check more than one
box, unless pwson Is both an
ofltcer and a dirBctor/trustee)
(list any
hours for
(D)
(E)
(F)
Reportable
Reportable
compensation
from
compensation
from related
Estimated
amount of
the
organizations
organization
other
(W-2/1099-MISC)
(W-2/1089-MISC)
related
organizations
organization
and related
JEl
below
compensation
from the
organizations
line)
(1) ANGELA FREEMAN
10.00
0.
TRUSTEE
(2) DWIGHT FITCH
5.00
TRUSTEE
(3) GERALD BILLER
TRUSTEE
(4) SALLY WRIGHT
x
0.
x
0.
5.00
10.00
0.
TRUSTEE
(5) SUSIE XLINGEMBN
5.00
TRUSTEE
(6) JENNIFER SWMISON
TRUSTEE
(7) SANDRA GURLEY
x
0.
x
0.
5.00
10.00
0.
TRUSTEE
(8) CAROL ANN KALISH
10.00
0.
TRUSTEE
(S) BRIAN MARI&SH
10.00
TRUSTEE
(10) DAVID SHAVER
TRUSTEE
(11) ALFRED ROSE
x
0.
x
0.
10.00
10.00
0.
TBEASUSER
(12) JIM BRAIM
15.00
0.
CHAIRMAN
(13) CARL UTTER
40.00
CHIEF EXECUTIVE OFFICER
(14) AMY PAULISHAK
SENIOR VP BABC DIVISION
332007 10-28-13
309,575
0.
25,716
101,719
0.
10,976
40.00
x
Form 990 (2013)
THE HEALTH SUPPORT NETWORK, INC. DBA
65-0495067 PageS
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Form 990 (2013)
I Part VIIJ Section A. Officers. Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
(B)
(C)
(D)
(E)
(F)
Name and title
Average
hours per
Position
Reportable
compensation
Reportable
compensation
from related
organizations
Estimated
amount of
other
week
(do not ehaek mora than ona
box, unless parann Is both an
offiow and a dirBctor/tnutBB)
(Tist any
from
the
organization
hours for
related
(W-2/1099-MISC)
(W-Z/1099-MISC)
rganizations
compensation
from the
organization
and related
below
wganizations
line)
>
1b Sub-total
c Total from continuation sheets to Part VII, Section A
>
d Total (add lines 1b and Id......................
^.
411,294
36,692.
0.
411,294
36,692.
Total number of individuals (Including but not limited to those listed above) vrtw received more than $100,000 of reportable
compensation from the organization ^
Yes I No
Ud the organization list any former officer, director, or tmstee, key employee, or highest compensated employee on
line 1a? If "Yes,'complete Schedule J for su
m
Name and business address
NONE
Description of services
(C)
Compensatmn
Total number of independent contractors (induding but not limited to those listed above) who received more than
S100.000 of compensation from the oraanlzatbn ^ _ _ Q.
Form iWU (2013)
332008
10-2B-13
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Form 990 (2013)
Part VIII' Statement of Revenue
Check if Schedule 0 contains a response or note to any line in this Part VIII
(AT
Total revenue
II
I'i
os
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
g'i
I"
e Government grants (contributions)
f All other contributions, gifts, grants, and
'is
S Noncash contributions included in lines la-lf: $
Eg
°-1
II
a
.w.
Related or
lc)
exempt function
Unrelated
business
revenue
revenue
(D)
Revenue excluded
from tax under
^"%
1a
similar amounts nol included above
(Sl
65-0495067 Page9
1b
1c
Id
Ie
575.426.
If
1.780.488.
1.049.085.
^
h Total. Add lines 1a-1f
2 365 914
Pusiness Cod^
8
i«
a>
2a PROSRJU! REVENUES
b
"=
S00099
24.476
24.476
c
IS
d
p
e
0
f All other program service revenue
Total. Add lines 2a-2f
24 4'76
Investment income (including dividends, interest, and
other similar amounts).."......,._."".".."_""".". t>
206
4
Income from investment of tax-exempt bond proceeds ^-
6
Royalties ..............................^^.^................................. >
(U Real
Persona)
6a Gross rents
b Less: rental expenses
c Rental income or pass)
d Net rental income or (loss)
7 a Gross amount from sales of
0) Securities
206.
(II) Other
assets other than inventory
Less: cost or other basis
and sales expenses
Gain or (loss)
Net gain or (loss) ........................................................ f>
8a Gross income from fundraising events (not
including $ 575.426. of
contributions reported on line 1c). See
Part IV, line 18 ..,.."".,.. a
Less: direct expenses.............................. b
284.483.
225.765.
c Net income or (loss) from fundraising events
8a Gross income from gaming activities. See
PartlV,line19 ...............,.^^^^,^,. a
b Less: direct expenses ...................._....._ b
.58.718.
58.718.
3.010
3.010
c Net income or (loss) from gaming activities
10 a Gross sales of inventory, less returns
and allowances ...................._.............. a
1.463.815.
b Less: cost of goods sold ........................ b 1.460.805.
c
Net income or (loss) from sates of inventory
Miscellaneous Revenue
11 a BABC REGISTRATION FEES
h
(Business Codel
900099
712.420
^72.420
MT F! F'WT -T - E-»T???^TTf
^.f, ?t-.'7
d All other revenue
e Total. Add lines 11 a-11d
12 Total revenue. See instructions.
332009
10-28-13
>
±.
808.677
3.261 001
24 476
870 611
Form 990 (2013)
Form 990 (2013>
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
65-0495067 PaaelO
PartJXJStetement of Functional Expenses
Section 5011c)l3} and 5011c)(41 oraanizatlons must complete all columns. Al other omenizatmns must complete column^).
^heck if Schedule 0 contains a response or note to any line in this Part IX
Do not Inchide amounts reported on lines 66,
7b, Sb, Sb, end lOb of Part VIII.
(A)
Total expenses
m
Program service
expenses
VT
Management and
general expenses
l raising
expenses
1 Grants and other assistance to governments and
organizations in th« United States. See Part IV. line 21
2 Grants and other assistance to individuals in
the UnBed States. See Part IV. line 22
3 Grants and other assistance to governments,
organizations, and individuals outskje the
Un'ited States. See Part IV, lines 15 and 16
4 Benefits paid to or for members
5 Compensation of current officers, directors,
trustees, and key employees
292,935.
110.760
89,759.
1,329.124.
895.971
61,342
371,811.
5,000
26.149
17,648
25,994.
17,551.
92,416.
6 Compensation not included above, to dlsqualififld
persons (as detined under section 4958(t)(1)) and
parsons described in section 4958(c)(3)(B)
7 Other salaries and wages
8 Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contrlbutloiis)
9 Other employee benefits
10 Payroll taxes
33,914.
23,942
177,606.
119,705.
125,463
84.506
4,367.
32,425.
4,247
31.531
4,972.
11 Fees for services (non-employees):
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraisina services. See Part IV, line 17
60.
447.
25.000.
60.
447.
25,000.
f Investment management fees
g Other. (If line 1 1g amount exceeds 10% of line 25,
column (A) amount, list line 11g expenses on Sch 0.)
165,618.
154,912
349,734.
193,608.
345,038
179.372
4,652
16 Occupancy
122,233.
532,864.
108.974
532.760
7,179
45
6,080.
17 Travel
184,938.
154,030
15,454
15,454.
255,103.
132,775.
199,237
79,133
27,933
27,933.
27,835
25,807.
a CREDIT CARD AND BANK FE
60,062.
b OUTREACH PROGRAM
c DUES & SUBSCRIPTIONS
d TAXES & LICENSES
46.322
16.991
13,740
16,991.
11,220.
8,271.
8.976
7.377
1,122
447
4,048.493.
3.109.542
304,408
12 Advertising and promotion
13 Office expenses.
5,353
5,353.
243
4,453.
9,584.
14 Information technology
15 Royalties
59.
18 Payments of travel or entertainment expenses
for any federal, state, or local pubHc officials
18 Conferences, conventions, and meetings
20 Interest
21 Payments to affiliates
22 Depreciation, depletion, and amortizatton
23 Insurance
24 Ottier expenses. Itemize expenses not covered
iAove. (List miscellaneous expenses in line 24e. If line
24e amount exceeds 10% of line 25, column (A)
amount, list line 24e expenses on Schedule 0^1
1,122.
447.
a AN other expenses
26 Total functional expenseB. Add lines 1 throuoh 24e
26 Joint costs. Complete this line only if the organization
634,543
reported in column (B) joint costs from a combined
educational campaign and fundralslno solicitation.
Chadt here ^1 J jf fcllowing SOP 98-2 (ASC B6B-72Dt
332010 10-2B-13
Form 990 (2013)
10
THE HEALTH SUPPORT NETWORK, INC. DBA
Form 990 (2013)
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Part X I Balance Sheet
65-0495067 Page 11
Checit if Schedule 0 contains a response or note to any line in this Part X
.(A)
(B)
Beginning of year
1 Cash - non-interest-bearing
2 Savings and temporary cash investments
End of year
20,401
43,436
462,006
592,313
49,398
3 Pledges and grants receivable, net
4 Accounts receivable, net
59,969
5 Loans and other receivables from current and former officers, directors,
tmstees, key emptoyees, and highest compensated employees. Complete
Part II of Schedule L
6 Loans and other receivables from other disqualified persons (as defined under
section 4958(1)(1)), persons described in section 4958(c)(3)(B), and contributing
employers and sponsoring organizations of section 501 (c)(9) voluntary
employees' beneficiary organizations (see instrl. Complete Part II of Sch L
7 Notes and loans receivable, net
2,263,062
51,890
8 Inventories for sale or use
9 Prepaid expenses and deferred charges
IQa Land, buikiings, and equipment; cost or other
basis. Complete Part VI of Schedule D
b Less: accumulated depreciation
11 Investments . publicly traded securities
lOa
10b
1,807,491
78,161
7,154.359.
786,994.
6,618,757
8,004
12 Investments - other securities. See Part IV. line 1 1
13 Investments - program-related. See Part IV, line 11
14 Intangible assets
15 Other assets. See Part IV, line 11
33,131
9,636,956
341,786
16 Total assets. Add lines 1 through 15 (must equal line 341
17 Accounts payable and accrued expenses
18 Grants payable
70,638
19 Deferred revenue
20 Tax-exempt bond liabilities
21 Escrow or custodial account liability. Complete Part IV of Schedule D
10c
11
12
13
14
15
16
17
18
19
20
21
6,367,365
8,004
5,402
8,831,834
369,185
177,443
22 Loans and other payables to current and former officers, directors, trustees,
key emptoyees, highest compensated employees, and disqualified persons.
Complete Part It of Schedule L
23 Secured mortgages and notes payable to unrelated third parties
24 Unsecured notes and loans payable to unrelated third parties
25 Other liabilities (including federal income tax, payables to related third
parties, and other lisdailities not included on lines 17-24). Complete Part X of
Schedule D
26 Total liabilities. Add lines 17 through 25
Organizations that follow SFAS 1 17 (ASC 958), check here ^-
3,408,582
22
23
24
3,242,046
35,340
3.856.346
25
26
49,972
3.838.646
5,101,596
27
28
29
4,354,173
and
complete fines 27 Uirough 29, and fines 33 and 34.
u
s
a
.o
27 Unrestricted net assets
679,014
28 Temporarily restricted net assets
29 Permanently restricted net assets
639.015
Organizations that do not follow SFAS 117 (ASC 968), check here ^ II
and complete lines 30 through 34.
s 30 Capital stock or trust principal, or current funds
InformaUon about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization THE HEALTH SUPPORT NETWORK, INC. DBA
Employer idontification number
CENTER FOR BUILDING HOPE AND BRIDES AGAI
65-0495067
I Part I Reason for Public Charity Status (All organlzatrons must complete this part.) Seejnstructtons^
The organization is not a private foundation because it is: (For lines 1 through 1 1, check only one box.)
1 I_I A church, convention of churches, or association of churches described in section 170(b)(1)(A%l).
2 1__1 A school described in section 170(b)(1)(AXii). (Attach Schedule E.)
3 I_I A hospital or a cooperative hospital service organization described in section 170{b)(1)(A)(iii).
4 I_I A medical research organization operated in conjunction with a hospital described in section 170(b)(1)tA>(iii). Enter the hospital's name,
city, and state:
5 I_I An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(bX1)(A)(iv). (Complete Part II.)
6 I 1 A federal, state, or local government or governmental unit described in section 170(b){1)(A)(^.
7 L2U An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
section 170(b)(1)(AXw). (Complete Part II.)
8 I_I A community trust described in section 170(b%1)(/y(w). (Complete Part II.)
9 I_1 An organization that normally receives: (1) more than 331^% of its support from contributions, membership fees, and gross receipts from
activities related to its exempt functions - subject to certain excepttons, and (2) no more than 33 ~\/3% of its support from gross investment
income and unrelated business taxable income (tess section 511 tax) from businesses acquired by the organization after June 30,1975,
See section 509(aK2). (Complete Part 111.)
10 I_I An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 1-1 An organization organized and operated exclusively for the benefit of, to perform the functions af, or to carry out the purposes of one or
more publicly supported organizations described in section 509(^(1) or sectton 509(a)(2). See section 509(a){3). Check the box that
,a
describes the type of supporting organizatton and complete lines lie through 11 h,
a I_I Type I b I_I Type II c I_I Type III - Functionally integrated d I_I Type III - Non-functronally Integrated
By checta'ng this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than
foundation managers and other than one or more publicly supported organizations described in section 509(a){1) or section 509(^(2).
If the organization received a written determinatnn from the IRS that it is a Type I, Type II, or Type 111
supporting organization, crfieck this box
Since August 17,2006, has the organizatun accepted any gift or contribution from any <»f the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iiQ below,
the governing body of the supported organization?
(ii) A family member of a person described in (j) above?
(iii) A 35% controlled entity of a person described in (i) or (ii) above?
Provide the following information about the supported organizationfs).
(i) Name of supported
organization
(II) EIN
Yes No
11n(i)
11n(in
11g(iii)
(yl) Is the
(ill) Type of organization [iv) Is the organization (v) Did you nirtify the prganiaiUonincpl.
(vii) Amount o1 monetary
(described on lines 1-9 in col. (i) listed in your organization in col. [il
support
governing document? (i)of your support?
above or IRC section
'U.S.?
(eec inatructIonB))
Yes
No
Yes
No
Yes
No
LHA For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Schedule A (Form 990 or 990-EZ) 2013
332G21
OB-Z5-13
13
THE HEALTH SUPPORT NETWORK, INC. DBA
Schedule A (Form 990 or 990.EZ) 2013 CENTER FOR BUILDING HOPE AND BRIDES AGAI65-0495067 Pages
I Part II support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part 111. If the organization
fails to qualify under the tests listed betow, please complete Part 111.)
Section A. Public Support
C>lendar yeai (01 fiicil yell beflnnlng In) ^
1 GHls, grants, contributions, and
memberehip fees received. (Do not
include any "unusual grants.")
(a)2009
Jb] 2010
(d 2011
(d) 2012
(e) 2013
(fl Total
2.318 527.
962,460.
2.701-971.
2.867.972.
2 195 244.
11.346.174
2.318 527.
962,460.
_2,701.97l.
2.867.S71.
2 495.244.
11.346.174.
2 Tax revenues levied for the organization's benefit and either psud to
or expended on its behalf
3 Ttie value of services or facilities
furnished by a governmental unit to
the organization without charge
4 Total. Add lines 1 through 3
6 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 1 1,
column (f)
1.240.316.
6 Public BUDDDTt. Subtract line 5 ftwn line 4.
10 105 858-
Section B. Total Support
Calendar year (or fiscal year beginning In) ^
7 Amounts from line 4
(a) 2009
2.318.527.
(b)2010
962,460.
(c)Z011
(d)2012
(e)2013
2.701.371.
2.867.972.
2.485.244.
1.519.
9Q_.
(fl Total
11.346.174.
8 Gross income from interest,
dh/ldends, payments received on
securities loans, rents, royalties
and income from similar sources
28,592.
91,215.
207_. 121,623.
8 Net income from unrelated business
activities, whether or not the
business is regularly carried on
10 Other income. Do not include gain
or toss from the sale of capital
700.
25.738. 425.879.
assets (Explain in Part IV.)
1.481.828.
1 029 611.
11 Total support. Add lines 7 through 10
12.949.725.
12 Gross receipts from related activities, etc. (see instructions)
3.510,539.
12
13 Fh^t five years, tf the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)pi)
oraanization, check this box and stoo here
SecUon C. Computation of Public Support Percentage
14 Public support percentage for 201 3 pine 6, column (f) dh/lded by line 11 , column (0)
IS Publte support percentage from 2012 Schedule A, Part II, line 14
14
16
78.04
83.29
16a331Wii support test - 2013. IftheoroaneatBndld notch9cktheboxonline13,andline 14 is331/3% ormore,ched 2012
If) Total
9 Amounts from line 6
IGa Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar sources ...
b Unrelated business taxable income
(less section 511 taxes) from businesses
acquired after June 30,1975
c Add lines 10a and 10b
11 Net income from unrelated business
activities not included in line 10b,
whether or not the business is
regularly carried on
12 Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part IV.)
13 Total SUppOrt. {Add llnas B, lOc, 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 section 501 (c)(3) organization,
check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2013 (line 8, column (fl divided by line 13, column (f))
16 Public suoDort percentaae from 201 2 Schedule A, Part II). line 15
15
16
%
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2013 (line 10c, column (I) divkled by line 13, column
18 Investment income percentage from 2012 Schedule A, Part III, line 17
IT
18
".S-. 11 -i<-5A^ ^..r.^.f.^ t^^^ . 'i-t-e.^ "^= ^r-,-:.-:^st;-,^ -<:-i -^( -'"tif-L AS-:e i-- - !:-= Attach to Form 800.
Open to Pvblic
Inspection
Information about Schedule D (Form 9901 and Its Insfructions is at www.irs.gov/fonn990.
THE HEALTH SUPPORT NETWORK, INC. DBA
Employer identification number
65-0495067
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts, complete if the
Name of the organization
Part!
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds
(b) Funds and other accounts
Total number at end of year
Aggregate contributions to (during year)
Aggregate grants from (during yeai)
Aggregate value at end of year
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds
are the organization's property, subject to the organization's exclusive legal control? ...................................................... I_I Yes I_I No
6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only
for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring
imDemnissible Drivate benefit? .................................................................................................................................... I_1 Yes )_I No
Part II Conservation Easements. Complete ff the oinanization answered "Yes" to Form 990, Part IV, line 7.
1 Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g., recreation or education) I_I Preservation of an historically important land area
Protection of natural habitat i_I Preservation of a certified historic structure
Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last
day of the tax year.
Held it the End of the Tax Ye>i
a Total number of conservation easements
2a
2b
b Total acreage restricted by conservation easements
2c
c Number of conservation easements on a certified historic structure included in (^
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure
listed in the National Register
2d
3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax
year ^
4 Number of states where property subject to conservation easement is located ^
6 Does the organization have a written policy regarding the periodte monitoring, inspection, handling of
Yes
violations, and enforcement oif the conservation easements it holds?
a No
6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year ^
7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year ^ $
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
Yes D
and section 170(h)(4)(B)(i(?
9 In Part XIII, describe how the organization reports conservation easements in its revenue and 8)^>ense statement, and balance sheet, and
include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for
No
conservation easements.
Part III Organizations Maintaining Collections of 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 (ASC 958), not to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assess held for public exhibition, education, or research in furtherance crf public servtee, provide, in Part XIII,
the text of the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balsuice sheet works of art, historical
treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts
relating to these items:
(i) Revenues included in Form 990, Part VIII, line 1 .................................................................................... t>- $
(if) Assets included in Form 990, Part X ................................................................................................... > $
2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide
ths fn!!r*uri"" t'r'.ns 'n+i* nt"! :irF"< t" ^p- ..K""'+"'< ' ."'<=.. '?FA?'- "* "1 ^ fA?'?^ Q^R^ rR!=t:r-~ .*.". th?;?.?- :t?""= .
b Assets included in Form 990, Part X ......................................................................................................... ^ $
LHA For Paperwork Reduction Act Notice, see the Insfa'uctlons for Form 990.
Schedule D (Form 990) 2013
332051
09-25-13
22
Schedule D (Form 990) 2013
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI 65-0495067 Paae2
Part III Organizations Maintaining Collections of Art, HistoriralTreasures, or Other Similar Assetsl^tou^
3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of Ns collection items
(check all that apply):
Public exhibition
d LJ Loan or exchange programs
e D Other
research
Preservation for future generations
ProvUe a description of the organization's collections and explain how they further the oiganization's exempt purpose m Part XIII.
During the year, did the oiganizatton solicit or receive donations of art, historical treasures, or other similar assets
to- .Bs°ld to 'aise funds ratt'erthan to be maintained as part of the organization's collection? EZI Y<
Part N
Escrow and Custodial Arrangements. Complete if the oiBanlzation answered -Yes" to Form 990 Part IV. line 9. or
a.
reported an amount on Form 990, Part X. line 21 .
1a Is the organization an agent, trustee, custodian or other Intermediary for contributions or other assets not Included
on Form 990, Part X? ................................................................................................. ..^^^^^^^^^^^^^^^^^^^^^^^^ Q
b If "Yes," explain the arrangement in Part XIII and complete the following table:
No
Amount
c Beginning balance
1c_
1d
d Addittons during the year
e Distributions during the year
Ie
If
f Ending balance
2a Did the organization include an amount on Form 990, Part X, line 21 ?
I-I Yes I_\ No
.b .lf.".Yes'lexDlal"the a"a"°ement in Part XIII. Check here if the explanation has been provided in Part XIII
'art V Endowment Funds. Complete ifthe oiBanlzatton answered .Yes" to Form 990, Part IV line 10
la} Current year
la Beginning of year balance
(b) Prior year
4.865.
_96.669
231.
3.678.
3.195
95.000
(c) Two years back (d) Three years back (e) Four years back
_106.558
88.304
97.118
_943
18 740
9.528
17.880
10.366
_165
S6.668
486
106.558
462
SB.304
b Contributions
c Net investment earnings, gains, and kisses
d Grants or scholarships
Other expenditures for facilities
and programs
Administrative expenses
^
g End of year balance
l.<12.
4.865
2 Provide the estimated percentage of the cuirent year end balance (line 1g, column (^) held as7
a Board designated or quasi-endowment ^ 100.00 %
b Permanent endowment ^ %
c Temporarily restricted endowment ^ %
The percentages in lines 2a, 2b. and 2c should equal 100%.
3a Are there endowment funds not In the possession of the organization that are held and administered for the oiganteation
by:
Yes No
p) unrelated organizattons
Oi) related organizations
3a(i)
aim
Sb
b H .Yes" to 3a(ii), are the related organizations listed as required on Schedule R?
^-Describe in Part XIII the intended uses of the oroanlzation'e endowment funds.
Part VI I Land, Buildings, and Equipment.
Complete «the oraanlzatlon answered "Yes" to Form 990, Part IV, Bna 11 a. Sae Form 990. Part X. line 10.
Description of property
la Land
b Buildings
c Leasehold improvements
d Equipment
(a) Cost or other
basis (investment)
) Cost or other
basis (attier)
1.080.155
5.594.938
24,459
282.067
e Other
172.740
Total. Add lines 1 a through 1e. tColumn Idl must equal Form 990, PvtX. column IB}. toe tOfc).)
(c) Accumulated
(cQ Book value
depreciation
538,477.
24,459.
156,024.
68.034
1.080.155
5.056.461
0
126,043
104.706
6.367.365
Schedule D (Form 990) 2013
332052
08-25-13
23
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI 65-0495067 Paae3
Schedule D (Form 990) 2013
Part VIII Investments - Other Securities.
Complete if the organization answered "Yes" to Form 990, Part IV, line 11 b. See Form 990, Part X, line 12.
(c) Method of valuation: Cost or end-of-year market value
(b) Book value
(a) Description of security or cateflory (including nams of secsurtty)
(1) Financial derivatives
(2) Ciosely-held equity interests
(3) Other
(A)
-0.
_(CL
SL
JS.
s(G)
MTotal. (Col. (b) must enual Form 990. Part X. col. (B) line 12.) ^-
Part Vm ] Investments - Program Related.
Complete if the organization answered "Yes" to Form 990, Part IV, line 11c. See Form 990. Part X, line 13.
(c) Method off valuation: Cost or end-of-year market value
(b) Book value
(a) Description of investment
Jll
&.
SL
J4L
-@L
J6L
JZL
J8L
-@L
Total. ICol. Ib) must eoual Form 990. Part X. col. (B) line 13.) ^
Part IX Other Assets.
Complete if the organization answered "Yes" to Form 990, Pan IV, line 11d. See Form 990, Part X, line 15.
(b) Book value
(a) Description
^1.
JS.
s.
x
^L
(6)
£L
J8L
-iSL
Total. (Column (b) must equal Form 990. Part X, col. (B] line 15..
Part X Other Liabilities.
Complete if the organization answered "Yes" to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
(a) Description of liability
(b) Book value
(1) Federal income taxes
49,972
(2) OTHER LIABILITIES
-BL
ja.
jaSL
so.
J8L
ja.
, //','sfc ;fnn ,(.,1
49 - 972-1
'* ^""-sf F^fv- QQ^ 0^--* '.' -,-i-i /"' "ns P^ '
l_IOU l]iy U UI !Li
184,448
11 Net mcome summary. Subtract line 10 from line 3, column (d)
fc.
-129.188
Part III 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.
(a) Bingo
(b) Pull tabs/lnstant
bingo/progressive bingo
(c) Other gaming
(d) Total gaming (add
col. (a) through col, (c))
1 Gross revenue
2 Cash prizes
3 Noncash prizes
4 Rent/lacility costs
6 Other direct expenses
6 Volunteer labor
I_lYes_
a No
C_]Yes_
Yes
No
a No'
%
7 Direct expense summary. Add lines 2 through 5 in column (d)
t-
_8__Net gaming income summary. Subtract line 7 from line 1 . column (dl
fe.
9 Enter the state(s) in which the organization operates gaming activities:
a Is the organization licensed to operate gaming activities in each of these states?
b If "No," explain:
Yes I_I No
10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
I_I Yes I_I No
b It "Yes," explain:
Schedule G (Form 900 or 990-EZ) 2013
332082 08-12-13
28
THE HEALTH SUPPORT NETWORK, INC. DBA
Sphedule G (Form 990 or 990.EZ) 2013 CENTER FOR BUILDING HOPE AND BRIDES_AGAI65-0495067 Paaea
11 D°estheor9ani2ati°"°psrategamingactivttieswithnonmembers?...................... _...... I I Yes II No
12 Is the organization a grantor, beneflctary or trustee of a trust or a member of a partnership or other entity formed
to administer charitable gaming? ............................................"..................,....,...............' - yg, -] ^
13 Indicate the percentage of gaming acthrity operated in:
The organization's facility
b An outside facility
13a
13b
14 Enterthe name and address of the person who prepares the oraanization's gamlng/epectal events books and records:
%
Name ^
Address ^
16a Does the organization have a contract with a third party from whom the organizatton receives gaming revenue? .................. Q Yes II Nn
b If "Yes," enter the amount of gaming revenue received by the organization ^
of gaming revenue retained by the third party ^ $
c If "Yes," enter name and address of the third party:
and the amount
Name ^
Address ^
Gaming manager information:
Name ^
Gaming manager compensation ^ $
Description of services provided ^
Director/officer
Emptoyee
Independent contractor
17 Mandatory distributions:
a Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................................................................ EZ] Yes I-I No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organization's own exempt activities duitna the tax year ^ $
JV) Supplemental Information. Provide the expianations required by Part I, line 2b, columns Oil) and (v), and Part III. Unas 9,9b, 10b, 15b,
15c, 16, and 17b, as applicable. Also complete this part to provide any addlUonal Information (see instryctjon^.
SCHEDULE G, PART I. LINE 2B. LIST OF TEN_HIffl!EST PAID FUNDRAISERS;
(I) NAME OF FUNDRAISER: RICHARD B. BERGMAN - BERGMAN CONSULTING
(I) ADDRESS OP FUNDRAISER: 5481 COMMONICATIONS PKWY. SARASOTA, FL 34240
3320B3 08-12-13
29
Schedule G (Form 990 or 990-EZ) 2013
Compensation Information
SCHEDULE J
[Form 990)
Department of the Treasury
OMS No. 1545-0047
^013
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
^ Complete It the organization answered "Yes" on Form 990, Part IV, line 23.
t> Attach to Form 990. ^ See separate inste-uctions.
OpentoPubllc
Inspection
t>- Information about Schedule J (Form 990) and Its insb-uctions is at www.lrs.oov/form990.
Employw
identification
number
Name of the organization
THE HEALTH SUPPORT NETWORK, INC. DBA
65-0495067
CENTER FOR BUILDING HOPE AND BRIDES AGAI
Part I Questions Regarding Compensation
Internal Revenue Swvice
es
No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990,
Part VII, Section A, line 1a. Complete Part 111 to provide any relevant information regarding these items.
First-class or charter travel f ^ Housing allowance or residence for personal use
r I Travel -for companions Li Payments for business use of personal residence
[ 1 Tax indemniffcation and gross-up payments I_I Health or social club dues or initiation fees
Discretionary spending account 1 I Personal services (e.g., maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or
reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,
tmstees, and officers, including the CEO/Executive Director, regarding the items checked in line 1a?
1b
Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's
CEO/Executhfe Director. Check all that apply. Do not check any boxes ft>r methods used by a related organization to
establish compensation of the CEO/Execut'ive Director, but explain in Part III.
Compensation committee L2J Written employment contract
Independent compensation consultant I_J Compensation survey or study
l^D Form 990 of other organizations I X 1 Approval by the board or compensation committee
During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing
organization or a related organization:
Receh/e a severance payment or change-of-control payment?
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
Participate in, or receive payment from, an equity-based compensatron arrangement?
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for eacrfi item in Part III.
4a
4b
4c
x
Only section 501(cK3) and 601(c)(4) organizations must complete lines 5-9.
For persons listed in Form 990, Part VII, Section A, line 1 a, dki the organization pay or accme any compensation
contingent on the revenues of:
a 7^8 organization?
6a
5b
b Any related organization?
x
x
If "Yes" to line 5a or 5b,describe in Part lil.
8 For persons listed in Form 990, Part VII, Section A, line 1 a, did the organization pay or accrue any compensation
contingent on the net earnings of:
a The organization?
b Any related organization?
8a
6b
If "Yes" to line 6a or 6b, describe in Part III.
7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments
not described in lines 5 and 6? If "Yes," describe in Part III
x
8 Were any amounts reported in Form 990, Part VII, paid or accmed pursuant to a contract that was subject to the
initial contract exception described in Reaulations section 53.49SM(a)(3)? If "Yes," describe in Part III
9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in
Regulations section 53.4958-6(c)?
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 890.
332111
08-13-13
30
Schedule J (Form 890) 2013
THE HEALTH SUPPORT NETWORK, INC. DBA
ScheiluteJIFomi 990) 2013
Page 2
CENTER FOR BUILDING HOPE AND BRIDES AGAI 65-0495067
Part II Officers, Directors, Trustees, Key Emplofwa^and Hlaheat CompBnaated Emplowas. Use duplicate copies if addNional space is naeded.
For eECh'lndhldual whose compensation must be reported in Schedule J, report compensatton from the organization on row (i) and frem related organizations, described in the instructions, on row (ii).
Do net fet any indinduals that are not listed on Form 990, Part VII.
Note. The sum of cokjmns (B)(i-(ih-) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(B) Breakdown of W-2 and/or 1099-MISC compensation
(I) Base
<»mpensatton
(A) Name and Title
(il) Bonus &
(iii) Other
incentive
reportable
compensation
compensation
(I)
(D CARL RITTER
'FICER
259,575
50,000
0
0
(C) Retirement and
other deferred
(E) Total of columns
(B)(0-(D)
benefits
compensation
13,716
l^L
0.
(D) Nontaxable
0,
0
335,291
0
(F) Compensation
reported as deferred
in prior Form 990
0.
0.
(U
0)
w
(i)
(t)
0)
(I)
Schedule J (Form 990) 2013
332112
09-13-13
31
Scheduls J (ForrPart III Suppi la i cental Information
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
65-0495067
Pages
Providefteintor;:;»tion, explanation, or descriptions required for Part I, lines 1a, 1b, 3,4a, 4b, 4c, 5a, 5b,6a, 8b,7, and 8, and for Part II. Also complete this part for any additional infom,atlon.
Schedule J (Form 990) 2013
332113
Og-13-13
32
SCHEDULE M
Noncash Contributions
(Form 990)
0MB No. 1545-0047
> Complete if the Otganlzations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Dapartment of the Treasury
htmnt Renmnue Snn/ice
^ Attach to Form 990.
^01T
Open to Public
Inapwtlon
^IrtonnaUonahoutSchedul* K (Form BBO) and Ha liufructlona te at www.ffs.oov/fonnS90
Nameoftheo^anlzation THE HEALTH SUPPORT NETWORK ,-'INC'.r"DBA"
Employer identification number
)ns
CENTER FOR BUII,DING HOPE AND BRIDES AGAI
Types of Property
(a)
(b)
Check If
Number of
applicable conthbutions or
items contributed
1 Art-Works of art
2 Art - Historical treasures
(c)
Noncash contribution
amounts reported on
Form 990. Part VIII. Una 1p
65-0495067
(d)
Method of determining
noncash contribution amounts
3 M - Fractional interests
4 Books and publications
5 Ckrthmg and household goods
1.049.085. FAIR VALUE
6 Cars and other vehicles
7 Boats and planes
8 Intellectual property
8 Securities . Publicly traded
10 Securities . Closely held stock
11 Securities . Partnership, LLC, or
trust interests
12 Securities . Miscellaneous
13 Quaffied conservation contribution Historic structures
14 QuaTified conservation conthbution - Other
15 Real estate - Residential
16 Real estate - Commercial
17 Real estate-Other
18 Collectibles
19 Food Inventory
20 Dnigs and medical supplies
21 Taxklermy
22 Historical artifacts
23 Scientific specimens
24 Archeological artifacts
25 Other ^- ( __ )
26 Other > ( _ )
Z7 Other ^- ( _ )
28 Other ^ (_^
29 Number of Forms 8283 received by the organizatton during the tax year for conWbutions
for which the orsanizatton completed Form 8283, Part IV, Donee Acknowledgement
s»
Yu No
During the year, did the organization receive by contribution any property reported in Part I, lines 1 - 28. that it must hold for
at least three years from the date of the initial contribution, and which is not required to be used for exempt puiposesto
the entire holding period?
If "Yes," describe the arrangement in Pan II.
30a
31
Does the organization have a gift acceptance policy that requires the review of any non-standaid contributions?
32a Does the organization hire or use third parties or related oiganizatlons to solicit, process, or sell noncash
cwntributions?
32a
b If "Yes," describe in Part II.
33
31
x
Ifdescribe
the Otganization did not
report an amount In column (c) for a type of property for which column (a) Is checked,
in Part II. - - - -__-_-....,_," _.._-..^_,
LHA For Paperwork Reduction Act Notice, «ee the ln«tructlon« for Form 990.
332141
00-03-13
33
Schedule M (Fonn 990) (2013)
THE HEALTH SUPPORT NETWORK, INC. DBA
Schedule MIFormB90) (2013) CENTER FOR BUILDING HOPE AND BRIDES AGAI 65-0495067 Paae2
Part IIJ Supplemental Information, provide the information required by Part I, lines 30b, 32b. and 33, and whether the organization
is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete
this part for any additional information.
Schedule M (Form 990) (2013)
332142 08-03-13
34
SCHEDULE 0
^
(Form 990 or 990-EZ)
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to speciflc questions on
Form 990 or S90-EZ or to provide any additional Informatton.
Department of the Treasury
Internal Rwenue Service
Name of ttre organization
^- Attach to Form 990 or 990-E2.
InfCrroftn '1'°"' Schulute 0 (Fnnn 9SO or Bao-ETl
dlhlnAudk
THE HEALTH SUPPORT NETWORK, INC. DBA
CENTER FOR BUILDING HOPE AND BRIDES AGAI
./fonnSSO.
0MB No. 1545-OD47
2013
Open to Public
h
Employer identification number
65-0495067
FORM 990, PART I, LINE 1, DESCRIPTION OF_QRGANIZATION MISSION:
ACTION, AND SUSTAINED BY COMMUNITY,
FORM 990, PART I. LINE 6 VOLUNTEERS
VOLUNTEERS ANSWER PHONES, MEET & GREET P^TICIPANTS, FILE,
COPY, ORGANIZE MAILINGS. SERVE AT INFORMATION BOOTHS AT EVENTS AND
HEALTH FAIRS. SET-UP & BREAK DOWN AT EVENTS. ACT AS AMBASSADORS, AND
PERFORM VARIOUS OTHER NEEDS FOR EVENTS AND GATHERINGS HELD BY THE
ORGANIZATION. IN ADDITION. THE BOARD OF DIRECTORS IS MADE UP OF
VOLUNTEERS.
FORM 990. PART III, LINE 1. DESCRIPTION OF ORGANIZATION MISSION:
ANXIETY AND DEPRESSION TYPICALLY ASSOCIATED WITH A CANCER DIAGNOSIS,
- CONTINUOUSLY REVIEWING AND UPDATING PROGRAMS AND SERVICES TO MEET THE
EVOLVING NEEDS OF OUR COMMnNITY ,
- ENSURING SOUND CORPORATE GOVERNANCE AND MAINTAINING_a_BALANCED BUDGET
IN ORDER TO CONTINUE TO PROVIDE SERVICES AT NO COST TO EVERX_INDIVIDUAL
AND FAMILY IMPACTED BY CANCER
FORM 990, PART III. LINE 4A. PROGRAM SERVICE ACCOMPLISHMENTS
ORGANIZATION IMPROVED OVERALL BY S23.035
FORM 990. PART III. LINE 4B. PROGRAM SERVICE ACCOMPI.ISHMRKFTS :
EXPANDED INDIVIDUAL COUNSELING SERVICES. CURRENTLY THERE ARE 150
PROGRAMS OFFERED MONTHLY IN THE SARASOTA/MAN&TEE COUNTIES AS WELL AS ON
^A Far Paperwork Heductlon Act NoUce, see the Instructions for Form 990 or 990-EZ.
Schedule 0 (Fonn B90 or 990-EZ) (2013)
OB-04-13
35
Schedule 0
Page 2
990-EZ1E013)
Employer identification number
Name of the organization THE HEALTH SUPPORT NETWORK, INC. DBA
65-0495067
CENTER FOR BUILDING HOPE AND BRIDES AGAI
DEMAND PROGRAMS BY_WAY_OF HEALTHSUPPORTNETWORK. ORG ONLINE.
WHILE OFFERING MULTIPLE PROGRAMS AND SERVICES TO MEET INDIVIDUAL NEEDS,
CBH CONTINUES TO GROW SUPPORT GROUPS. STRESS MANAGEMENT PROGRAMS^_AND_
EDUCATIONAL SEMINARS. THIS YEAR THERE HAS BEEN AN EXPANSION OF SERVICES
TO INCLUDE EXPRESSIVE ARTS PROGRAMS AND GREATLY EXPANDED INDIVIDUAL
COUNSELING SERVICES. CURRENTLY THERE ARE 150 PROGRAMS OFFERED MONTHLY
IN THE SABASOTA/MANATEE COUNTIES AS WELL AS ON DEMAND PROGRAMS BY WAY
OF HEALTHSUPPORTNETWORK.ORG ONLINE
FORM 990, PART VL_SECTION A. LINE 8B
THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE
GOVERNING BODY, HOWEVER. IF A COMMITTEE WAS PROVIDED WITH THIS AUTHORITY,
MINUTES WOULD BE KEPT TO DOCUMENT THESE MEETINGS.
FORM 990, PART VI. SECTION B. LINE 11:
THE FINANCE AND AUDIT_COMMITTEE AND THE CEO REVIEW THE_91fi.
BEFORE DISTRIBUTING TO THE BOARD FOR QUESTIONS AND ANSWERS PRIOR TO FILING.
FORM 990, PART VI. SECTION B, LINE 12C:
EACH TRUSTEE AITO_OFFICER SHALL ANNUALLY SIGN A STATEMENT THAT
AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST
POLICY, HAS READ_AND UNDERSTANDS THE POLICY. HAS AGREED TO COMPLY WITH THE
POLICY. AND UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION
AND THAT IN ORDEE_TO_ MAINTAIN ITS FEDERAL TAX EXEMPTION IT MOST ENGAGE
.P^TWI^TT" TM »pn 941-921-5539
If the organization does not have an offtoe or place of business in the United States, check this box
If this is'for a Group Return, enter the organization's four digrtGroup Exemption Number (OEM) -. If this Is for the whole group, check this
is for Dart of the oroup. check this bnr ^- I and attach a list with the names and EINs of all members the extension is for.
MAY 15, 2015
I request an additional 3-month extension of time until
, and ending JUN 30. 2014
JUL
1. 2013
For calendar year _ , or other tax year beginning
If the tax year entered in line 5 is for less than 1Z months, check reason: D Initial return I-I Final return
1 _1 Change in accounting pehod
State in detail why you need the extension _-__-__ ____...__"" """""".n-u- mi
TAXPAYER 'REQUIRES ADDITIONAL TIME TO GATHER INFORMATION NECESSARY TO
FILE-A COMPLETE AND ACCURATE RETURN,
Ba If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
dable credits. See Instiuctic
b If this application is for Forms 99D.PF, 990.T, 4720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
ilv with Form 8868.
Sb
<: Balance due. Subtract line Sb from line 8a. Include your payment with this form, N required, by using
Federal Tax P
8c
it System). See instructions
0.
Sa.
A.
Signature and Verification must be completed for Part II only.
Under penalties of periury, I declare that I have enmmed this form, Including accompanying schedules and statements, and to the best of my knowledge and belief,
i'is'truercorrect, and complete, and that ] am authorized to prepare this form.
Title fc- CPA
Date ».
Form 8888 (Rev. 1-2014)
323842
12-31-13
38