2019-12-24T10:59:53-06:00 2019-06-30 020417217 LEONE MCDONNELL & ROBERTS PA 5 NELSON STREET DOVER NH 03820 990 2018-07-01 020267404 TRI-COUNTY COMMUNITY ACTION PROGRAM INC TRI- 6037527001 30 EXCHANGE STREET BERLIN NH 03570 RANDALL PILOTTE CFO 6037527001 2019-12-10 1 SHAUNA BROWN CPA P01390350 6037492700 50.202.1.70 2019-12-10 08:45:05 ES P D6D028B83EC7BAE48696A0FE418AC7215527A94E 608FD1761048D8D98D757E6245DB238C9F6C736B 2018 2020-03-31 21:24:44Z RANDALL PILOTTE 30 EXCHANGE STREET BERLIN NH 03570 17925262 0 X WWW.TCCAP.ORG X 1996 NH TRI-COUNTY COMMUNITY ACTION PROGRAM IS DEDICATED TO IMPROVING THE LIVES AND WELL-BEING OF NEW HAMPSHIRE'S PEOPLE AND COMMUNITIES WITHIN COOS, CARROLL AND GRAFTON COUNTIES. WE PROVIDE OPPORTUNITIES AND SUPPORT FOR PEOPLE TO LEARN AND GROW IN SELF-SUFFICIENCY, AND TO GET INVOLVED IN HELPING THEIR NEIGHBORS AND IMPROVING THE CONDITIONS IN THEIR COMMUNITIES. 10 10 324 652 0 42474 14704311 14706099 2890167 3054423 48777 -287824 117674 93658 17760929 17566356 5536546 5786314 0 0 7297887 7621420 0 0 0 4043310 3809604 16877743 17217338 883186 349018 8896177 8767176 5521932 5043913 3374245 3723263 X TRI-COUNTY COMMUNITY ACTION PROGRAM IS DEDICATED TO IMPROVING THE LIVES AND WELL-BEING OF NEW HAMPSHIRE'S PEOPLE AND COMMUNITIES WITHIN COOS, CARROLL AND GRAFTON COUNTIES. WE PROVIDE OPPORTUNITIES AND SUPPORT FOR PEOPLE TO LEARN AND GROW IN SELF-SUFFICIENCY, AND TO GET INVOLVED IN HELPING THEIR NEIGHBORS AND IMPROVING THE CONDITIONS IN THEIR COMMUNITIES.SOME OF OUR PROGRAMS INCLUDE ALCOHOL AND OTHER DRUGS EDUCATION COUNSELING, HOUSING REHAB SERVICES, DOMESTIC VIOLENCE ASSISTANCE, FUEL ASSISTANCE, GUARDIANSHIP SERVICES, HEAD START, HOMELESS PREVENTION AND INTERVENTION, SENIOR MEALS, MEAL ON WHEELS, SERVICE LINK, DENTAL CARE, TRANSPORTATION, VOLUNTEER PROGRAMS, WEATHERIZATION AND WORKFORCE DEVELOPMENT. 0 0 7788560 5594754 1287103 ENERGY ASSISTANCE PROGRAMS: PROVIDE INCOME ELIGIBLE HOUSEHOLDS WITH ASSISTANCE IN PAYING THEIR ENERGY BILLS DURING THE WINTER HEATING SEASON. THE PROGRAM ALSO PROVIDES WEATHERIZATION ASSISTANCE TO IMPROVE ENERGY EFFICIENCY OF THE HOME AND CONSERVE ENERGY. AN ENERGY AUDIT IS PERFORMED AND SPECIFIC ENERGY CONSERVATION MEASURES AND HEATING SOURCE REPAIRS ARE IMPLEMENTED. 2451296 0 0 CHILDREN AND YOUTH SERVICE - HEAD START PROGRAM: PROVIDES COMPREHENSIVE HEALTH, EDUCATIONAL, NUTRITIONAL, SOCIAL AND OTHER SERVICES PRIMARILY TO ECONOMICALLY DISADVANTAGED PRE-SCHOOL CHILDREN AND THEIR FAMILIES PURSUANT TO THE FEDERAL HEAD START PROGRAM. 1462613 0 126067 THE ORGANIZATION'S ELDER PROGRAM PROVIDES SENIOR MEALS IN 15 COMMUNITY DINING SITES, HOMEDELIVERED MEALS (MEALS ON WHEELS) TO THE FRAIL AND HOMEBOUND ELDERLY, AND SENIOR NUTRITION EDUCATION AND RELATED PROGRAMMING. THE COOS COUNTY SERVICELINK AGING & DISABILITY RESOURCE CENTER ASSISTS WITH PERSON-CENTERED COUNSELING, MEDICARE COUNSELING, MEDICAID ASSISTANCE, LONG-TERM CARE COUNSELING SERVICES, AND CAREGIVER SUPPORTS. 4482663 191560 1352869 4482663 191560 1352869 16185132 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 484 0 1 324 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X RANDALL PILOTTE 6037527001 30 EXCHANGE STREET BERLIN NH 03570 SANDY ALONZO - COOS COUNTY CHAIR 5.00 X X 0 0 0 DINO SCALA - CARROLL COUNTY VICE CHAIR 5.00 X X 0 0 0 CATHY CONWAY - COOS COUNTY TREASURER 5.00 X X 0 0 0 GARY COULOMBE - COOS COUNTY SECRETARY 5.00 X X 0 0 0 ANNE BARBER - CARROLL COUNTY MEMBER 5.00 X 0 0 0 KAROLINA BRZOZOWSKA - CARROLL COUNT MEMBER 5.00 X 0 0 0 MICHAEL DEWAR - CARROLL COUNTY MEMBER 5.00 X 0 0 0 TRICIA GARRISON - GRAFTON COUNTY MEMBER 5.00 X 0 0 0 LINDA MASSIMILLA - GRAFTON COUNTY MEMBER 5.00 X 0 0 0 RICHARD MCLEOD - GRAFTON COUNTY MEMBER 5.00 X 0 0 0 JEANNE ROBILLARD CEO 40.00 X 115000 0 8350 115000 0 8350 1 0 0 0 HARVARD PILGRIM HEALTH CARE 93 WORCESTER ST WELLESLEY MA 02481 INSURANCE 1075181 NORTHCENTER FOODSERVICE PFG 3 SUMMER DR DOVER NH 03820 FOOD WHOLESALER 218542 GRANITE STATE HEALTH CARE & HUMAN SERVIC 20 CHENELL DRIVE CONCORD NH 03301 INSURANCE 170423 FIRST NATIONAL BANK OMAHA 1620 DODGE STREET OMAHA NE 68197 BANKING 165082 IRVING ENERGY DIST - LEWISTON 674 MAIN STREET LEWISTON ME 04330 UTILITIES 140281 5 10000 14396807 299292 14706099 UTILITY PROGRAMS 623990 1287103 1287103 DENTAL 623990 608501 608501 OTHER OCCUPANCY 623990 409161 409161 GUARDIANSHIP 623990 371358 371358 OTHER INCOME 623990 190650 190650 187650 187650 3054423 560 560 64250 0 64250 64250 64250 60627 349011 -288384 -288384 -288384 39303 9895 29408 29408 17566356 2766039 0 94218 5786314 5786314 123350 123350 5929896 5448439 481457 1131999 1026877 105122 436175 386373 49802 189156 94416 94740 238347 222318 16029 590285 523717 66568 317754 296965 20789 153918 152965 953 383439 380282 3157 115871 85100 30771 SUPPLIES 854763 843327 11436 UTILITIES 358163 352455 5708 VEHICLE EXPENSE 199965 199965 BUILDING AND GROUNDS MA 159782 159752 30 248161 225867 22294 17217338 16185132 1032206 0 1303339 1370034 572858 823622 1179079 1235442 188002 267064 87569 85886 25640 34037 9276278 4384005 5526632 4892273 12705 11818 353 47000 8896177 8767176 755524 719834 191069 197157 13832 2719260 2634595 384871 583963 1444037 881159 14500 9618 12671 3755 5521932 5043913 X 2556454 3045009 817791 678254 3374245 3723263 8896177 8767176 349018 0 X X 0 1 X 1 1 1 X 13817004 12872333 13142292 14763847 14745403 69340879 3478179 3689289 3380993 2890167 3054423 16493051 59975 -139842 20863 -59004 17355158 16421780 16544148 17654014 17799826 85774926 0 0 0 85774926 112991 50760 53439 66451 64810 348451 112991 50760 53439 66451 64810 348451 17468149 16472540 16597587 17720465 17864636 86123377 0.99600 0.99600 0.00400 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 0 0 1 X 317840 317840 7014201 2874847 4139354 1941737 1509158 432579 2500 2500 4892273 CAPITAL LEASE OBLIGATIONS 3355 POLICY COUNCIL CHECKING 400 3755 X 18053419 477167 477167 17576252 -9896 -9896 17566356 17704401 477167 477167 17227234 -9896 -9896 17217338 PART III, LINE 4: COLLECTIONS AND RELATION TO EXEMPT PURPOSE THE NORTHERN FOREST HERITAGE PARK HAS VARIOUS ARTIFACTS LOCATED IN THE BROWN COMPANY HOUSE MUSEUM. THE COLLECTIONS HELP PROMOTE THE NORTH COUNTRY ARE PROVIDE AN EDUCATIONAL EXPERIENCE. PART IV, LINE 2B: THE ORGANIZATION'S GUARDIANSHIP PROGRAM PROVIDES ADVOCACY AND GUARDIAN SERVICES FOR THE VULNERABLE POPULATION OF NEW HAMPSHIRE (NH) RESIDENTS (DEVELOPMENTALLY DISABLED, CHRONICALLY MENTALLY ILL, TRAUMATIC BRAIN INJURY, AND THE ELDERLY SUFFERING FROM ALZHEIMER'S, DEMENTIA, AND MULTIPLE MEDICAL ISSUES) WHO NEED A GUARDIAN AND WHO HAVE NO FAMILY MEMBER OR FRIEND WILLING, ABLE, OR SUITABLE TO SERVE IN THAT CAPACITY. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT SECTION 501(C) (3) ORGANIZATION OF THE INTERNAL REVENUE CODE. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE INTERNAL REVENUE CODE AND QUALIFIES FOR A CHARITABLE CONTRIBUTION DEDUCTION FOR INDIVIDUAL DONORS. THE ORGANIZATION FILES INFORMATION RETURNS IN THE UNITED STATES. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR YEARS PRIOR TO 2015. THE ORGANIZATION FOLLOWS FASB ASC, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION DOES NOT BELIEVE THEY HAVE TAKEN UNCERTAIN TAX POSITIONS , THEREFORE, A LIABILITY FOR INCOME TAXES ASSOCIATED WITH UNCERTAIN TAX POSITIONS HAS NOT BEEN RECOGNIZED. THE ORGANIZATION'S FEDERAL FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX), SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER IT IS FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: SCHEDULE G FUNDRAISING PART XII, LINE 4B - OTHER ADJUSTMENTS: SCHEDULE G FUNDRAISING FUNDRAISING 39303 39303 9895 39303 39303 9895 9895 29408 0 ELDERLY PROGRAM 7121 0 0 CASH PROVIDE COMMUNITY DINING AND HOME-DELIVERY MEALS, INFORMATION AND REFERRAL SUPPORT SERVICES, MEDICARE AND LONG-TERM CARE COUNSELING, ACTIVITIES, AND VOLUNTEER OPPORTUNITIES GUARDIANSHIP PROGRAM 414 0 0 CASH PROVIDES HIGH QUALITY GUARDIANSHIP, PROTECTIVE, AND FIDUCIARY SERVICES TO INCAPACITATED RESIDENTS OF NEW HAMPSHIRE. HEAD START 261 0 0 CASH TO PROVIDE COMPREHENSIVE HEALTH, EDUCATIONAL, NUTRITIONAL, SOCIAL AND OTHER SERVICES PRIMARILY TO ECONOMICALLY DISADVANTAGED PRE-SCHOOL CHILDREN AND THEIR FAMILIES PURSUANT TO THE FEDERAL HEAD START PROGRAM. RETIRED SENIOR VOLUNTEER PROGRAM 394 0 0 CASH PLACING INDIVIDUALS 55 AND OLDER IN VOLUNTEER OPPORTUNITIES WITHIN NON-PROFITS AND COMMUNITIES. EMERGENCY ASSISTANCE PROGRAMS 11086 0 5619372 CASH PROVIDE IMMEDIATE ENERGY ASSISTANCE AND WEATHERIZATION SERVICES TO INCOME-ELIGIBLE CLIENTS. WORKFORCE INVESTMENT ACT 72 690 110 CASH ADULT AND DISLOCATED WORKERS EMPLOYMENT TRAINING. (NHEP) WORKPLACE SUCCESS CAREER CENTERS AND ON-THE-JOB TRAINING 132 0 0 CASH WORKFORCE DEVELOPMENT AND EMPLOYMENT TRAINING. EMERGENCY FOOD AND SHELTER PROGRAM 962 890 151421 CASH PROVIDES EVICTION PREVENTION SERVICES: RENTAL ARREARS AND UTILITY PAYMENTS: EMERGENCY FOOD, SHELTER, AND TRANSPORTATION: RRH SERVICES: SECURITY DEPOSITS, RENTAL AND UTILITY PAYMENT ASSISTANCE FOR HOMELESS OR IMINENT RISK INDIVIDUALS AND FAMILIES IN COOS COUNTY, CARROL COUNTY, AND GRAFTON COUNTY. THE SUPPORT CENTER AT BURCH HOUSE 404 0 13831 CASH PROVIDES 24-HOUR CRISIS INTERVENTION, DIRECT SERVICES, AND EMERGENCY FOOD AND SHELTER PROGRAMS. ALSO PROVIDES HOUSING EVICTION PREVENTION AND RRH RENTAL ASSISTANCE, UTILITY PAYMENTS, AND SECURITY DEPOSITS FOR VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT. TRANSPORTATION 2744 0 0 CASH RFRANGER000 - 09/27/19 10:28AM WORKSHEET PART III X 0 0 0 0 0 0 0 0 0 A BUSINESS FINANCE AUTHORITY STATE OF NH 026000618 2010-07-29 3255000 CONSTRUCTION FUNDING 0 0 0 A 3255000 3255000 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE CURRENT BOARD OF DIRECTORS WILL REVIEW AND APPROVE AND THE CFO WILL SIGN THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS FOR CONFLICT OF INTEREST AND IF ANYONE IS AWARE OF A CONFLICT, THE BOARD MEMBER DOES NOT PARTICIPATE IN THE DISCUSSION RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEW AND APPROVE COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 ALL EXISTING DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE TRI-COUNTY COMMUNITY ACTION PROGRAM, WHICH OFFICE IS LOCATED IN BERLIN, NH. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR THE OVERSITE OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CORNERSTONE HOUSING NORTH INC 30 EXCHANGE STREET BERLIN NH 03570 510538131 PROVIDE LOW INCOME HOUSING FOR ELDERLY PEOPLE NH 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 CORNERSTONE HOUSING NORTH INC L 11529 MANAGEMENT FEE