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ObjectId: 201711329349301891 - Submission: 2017-05-12
TIN: 59-1787777
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
15
Open to Public Inspection
Name of the organization
MIAMI BEHAVIORAL HEALTH CENTER INC
Employer identification number
59-1787777
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
MMHC HOLDING CORP
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
59-2486587
TO HOLD AND MAINTAIN REAL ESTATE FOR 501(C)(3) ORGANIZATION
FL
501(C)(2)
No
(2)
SPECTRUM PROGRAMS INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
59-1415981
DRUG AND ALCHOHOL REHABILITATION SERVICES
FL
501(C)(3)
170(B)(1)(A)(VI)
No
(3)
PHOENIX MANOR INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
65-0119646
HOUSING FOR LOW INCOME MENTALLY DISTURBED INDIVIDUALS
FL
501(C)(3)
509(A)(2)
No
(4)
BANYAN COMMUNITY HEALTH FOUNDATION INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
26-2019697
MANAGE, OPERATE, MAINTAIN, SUPPORT & PROMOTE INTERESTS OF OTHER 501(C)(3)'S
FL
501(C)(3)
509(A)(2)
No
(5)
BANYAN HEALTH SYSTEMS INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
65-0373584
DRUG AND ALCHOHOL REHABILITATION SERVICES
FL
501(C)(3)
509(A)(3), TYPE II
No
(6)
BANYAN COMMUNITY HEALTH CENTER INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
27-3164934
HEALTH CARE SERVICES
FL
501(C)(3)
170(B)(1)(A)(VI)
No
(7)
SPECTRUM PROGRAMS REAL ESTATE HOLDINGS INC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
23-7448238
TO HOLD AND MAINTAIN REAL ESTATE FOR 501(C)(3) ORGANIZATION
FL
501(C)(2)
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Page 2
Schedule R (Form 990) 2015
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
SMB HEALTH SERVICES LLC
6100 BLUE LAGOON DRIVE SUITE 400
MIAMI
,
FL
33126
02-0687654
MANAGEMENT SERVICES
FL
No
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2015
Page 3
Schedule R (Form 990) 2015
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
BANYAN COMMUNITY HEALTH FOUNDATION INC
E
535,210
BOOK VALUE
(2)
SPECTRUM PROGRAMS REAL ESTATE HOLDINGS INC
D
1,050
BOOK VALUE
(3)
PHOENIX MANOR INC
D
2,046
BOOK VALUE
(4)
MMHC HOLDING CORP
D
823,916
BOOK VALUE
(5)
MMHC HOLDING INC
K
40,000
RENT PAID
Schedule R (Form 990) 2015
Page 4
Schedule R (Form 990) 2015
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2015
Page 5
Schedule R (Form 990) 2015
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2015
Additional Data
Software ID:
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