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ObjectId: 201540439349301889 - Submission: 2015-02-12
TIN: 54-0855731
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
Attach to Form 990.
See separate instructions.
Information about Schedule J (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
CENTRAL FAIRFAX SERVICES INC
Employer identification number
54-0855731
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate 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 III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes in 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
1b
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a?
..
2
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
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:
a
Receive a severance payment or change-of-control payment?
................
4a
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
No
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
...........................
5a
No
b
Any related organization?
5b
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
No
b
Any related organization?
6b
No
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
............
7
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
.............................
8
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013
Page 2
Schedule J (Form 990) 2013
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) 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.
(A)
Name and Title
(B)
Breakdown of W-2 and/or 1099-MISC compensation
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation
reported as deferred
in prior Form 990
(i)
Base compensation
(ii)
Bonus & incentive compensation
(iii)
Other reportable compensation
1
JANET SAMUELSON
PRESIDENT & CEO
(i)
(ii)
14,624
277,861
3,000
57,000
1,092
20,752
0
0
2,164
41,118
20,880
396,731
0
0
2
DAVID HODGE
EXECUTIVE VP & CFO
(i)
(ii)
12,767
242,569
2,500
47,500
688
13,084
0
0
462
8,784
16,417
311,937
0
0
3
BRUCE PATTERSON
EXECUTIVE VP & COO
(i)
(ii)
23,189
208,701
4,500
40,500
1,009
9,076
0
0
2,829
25,465
31,527
283,742
0
0
4
MARK HALL
EXEC VP CORPORATE DEVELOPMENT
(i)
(ii)
10,273
195,190
1,850
35,150
512
9,719
0
0
1,625
30,867
14,260
270,926
0
0
5
LISA WARD
EXEC VP COMMUN. & COMMUNITY
(i)
(ii)
8,382
159,267
1,750
33,250
537
10,194
0
0
1,469
27,911
12,138
230,622
0
0
6
PAUL J WEXLER
SENIOR PROGRAM EXECUTIVE
(i)
(ii)
154,205
0
12,500
0
5,717
0
0
0
11,646
0
184,068
0
0
0
7
KENNETH J CRUM
EXECUTIVE DIRECTOR
(i)
(ii)
45,966
85,366
4,364
8,105
2,225
4,132
0
0
8,988
16,693
61,543
114,296
0
0
8
THOMAS CHANG
VP FINANCE
(i)
(ii)
13,015
160,522
1,275
15,725
968
11,941
0
0
1,887
23,275
17,145
211,463
0
0
9
TASHIA N MALLETTE
VP HUMAN RESOURCES
(i)
(ii)
10,569
130,347
1,050
12,950
569
7,026
0
0
2,063
25,449
14,251
175,772
0
0
10
LISA LONG
VP INFORMATION TECHNOLOGY
(i)
(ii)
6,614
125,666
600
11,400
273
5,184
0
0
694
13,189
8,181
155,439
0
0
11
JEFFERY RING
VP CONTRACT MANAGEMENT
(i)
(ii)
3,285
128,123
300
11,700
190
7,386
0
0
226
8,796
4,001
156,005
0
0
12
SCOTT KUEBLER
VP RISK MANAGEMENT
(i)
(ii)
11,584
104,255
1,200
10,800
717
6,456
0
0
1,518
13,664
15,019
135,175
0
0
Schedule J (Form 990) 2013
Page 3
Schedule J (Form 990) 2013
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference
Explanation
Schedule J (Form 990) 2013
Additional Data
Software ID:
Software Version: