2018-01-09T13:22:21-06:00 2017-06-30 020417217 LEONE MCDONNELL & ROBERTS PA 5 NELSON STREET DOVER NH 038203714 990 2016-07-01 020267404 TRI-COUNTY COMMUNITY ACTION PROGRAM INC TRI- 6037527001 30 EXCHANGE STREET BERLIN NH 03570 RANDALL PILOTTE CFO 6037527001 2017-11-15 1 DAVID J VERNO CPA P00195956 6037492700 73.61.104.57 2017-11-15 07:33:14 ES P 6BD111C27217961FCB3F5792F71A42483637BC7F 4F977CC6F70E56C834971A1EAF0AE285F264B108 2016 2021-01-29 14:40:06Z RANDALL PILOTTE 30 EXCHANGE STREET BERLIN NH 03570 16645395 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 10 326 555 0 0 12872333 13142292 3689289 3380993 -175705 -16464 86623 90766 16472540 16597587 4876991 4377437 0 0 7604011 7530627 0 0 4873 4230050 4165703 16711052 16073767 -238512 523820 9020028 9058893 7052789 6567834 1967239 2491059 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 ADDICITON CRISIS/SOBRIETY MAINTENANCE, ALCOHOL AND OTHER DRUGS EDUCATION COUNSELING, ADULT DAY CARE, HOUSING REHAB SERVICES, DOMESTIC VIOLENCE ASSISTANCE, FUEL ASSISTANCE, GUARDIANSHIP SERVICES, HEAD START, HOMELESS PREVENTION AND INTERVENTION, JUVENILE COURT DIVERSION, SENIOR MEALS, MEAL ON WHEELS, SERVICE LINK, DENTAL CARE, TRANSPORTATION, VOLUNTEER PROGRAMS, WEATHERIZATION AND WORKFORCE DEVELOPMENT. 0 0 6263845 4263487 972359 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. 1974697 434 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. 1165000 497417 SERVICES PROVIDED THROUGH THE AOD PROGRAM INCLUDE ASSISTING THE ALCOHOLIC/ADDICTED PERSON ON THE ROAD TO RECOVERY, THROUGH THREE PHASES: CRISIS INTERVENTION, SOBRIETY MAINTENANCE, AND ASSESSMENT AND REFERRAL TO APPROPRIATE TREATMENT FACILITIES. THE RESIDENTIAL TREATMENT PROGRAMS (FRIENDSHIP HOUSE) PROVIDE CHEMICALLY DEPENDENT INDIVIDUALS WITH THE FUNDAMENTAL TOOLS OF RECOVERY, INCLUDING EDUCATIONAL CLASSES, GROUP AND INDIVIDUAL COUNSELING, WORK AND RECREATIONAL THERAPY, AND ATTENDANCE AT IN-HOUSE AND COMMUNITY-BASED ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS MEETINGS. THE AOD PROGRAM ALSO OFFERS ASSISTANCE WITH ITS IMPAIRED DRIVER PROGRAMS. 5451927 113950 1894098 5451927 113950 1894098 14855469 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 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 512 0 1 326 1 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 ROBERT BOSCHEN CEO 40.00 X 126744 0 8255 CHRIS KEMPTON DENTIST 40.00 X 134699 0 8255 261443 0 16510 2 0 0 0 HARVARD PILGRIM HEALTH CARE 93 WORCESTER ST WELLESLEY MA 02481 INSURANCE 918964 NORHTERCENTER FOODSERVICE PFG 3 SUMMER DR DOVER NH 03820 FOOD WHOLESALER 229105 PHILADELPHIA INSURANCE COMPANIES ONE CITY CENTER SUITE 400 PORTLAND ME 04101 INSURANCE 162200 IRVING ENERGY DIST - LEWISTON 190 COMMERCE WAY PORTSMOUTH NH 03801 HEAT FUEL 160531 BERKSHIRE HATHAWAY GUARD INSURANCE COMPA 547 AMHERST ST 205 NASHUA NH 03063 INSURANCE 151798 5 4000 12595693 542599 13142292 UTILITY PROGRAMS 623990 972359 972359 OTHER OCCUPANCY 623990 656805 656805 AOD 623990 497417 497417 DENTAL 623990 485014 485014 GUARDIANSHIP 623990 433345 433345 336053 336053 3380993 221 221 53218 0 53218 53218 53218 26250 42935 -16685 -16685 -16685 42421 4873 37548 37548 16597587 3364308 0 90987 4377437 4377437 145624 145624 5879437 5378108 501329 1505566 1347802 157764 175921 93207 82714 202044 190347 11697 819884 591090 228794 274794 267624 7170 213451 208781 4670 424752 424752 218246 212071 6175 SUPPLIES 900451 889358 11093 UTILITIES 322365 318615 3750 OTHER DIRECT PROGRAM CO 222259 194597 22789 4873 VEHICLE EXPENSE 165503 165503 226033 196177 29856 16073767 14855469 1213425 4873 574285 486225 706168 849014 1142364 1204840 335238 320306 88880 65641 40992 42399 10734595 4657718 6117623 6076877 14478 13591 9020028 9058893 1233675 1062169 233366 197548 2896533 2801159 510910 645311 84563 24533 1971120 1801243 108148 19144 14474 16727 7052789 6567834 X 1189296 1788459 777943 702600 1967239 2491059 9020028 9058893 523820 0 X X 0 1 X 1 1 1 X 14408381 14804454 13817004 12872333 13142292 69044464 3783176 3343674 3478179 3689289 3380993 17675311 124694 59798 59975 -139842 20863 125488 18316251 18207926 17355158 16421780 16544148 86845263 0 0 0 86845263 50482 65476 112991 50760 53439 333148 50482 65476 112991 50760 53439 333148 18366733 18273402 17468149 16472540 16597587 87178411 0.99620 0.99640 0.00380 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 0 0 1 X 357840 357840 7984159 2967611 5016548 2392596 1690107 702489 0 6076877 CAPITAL LEASE OBLIGATIONS 16727 16727 X 17034461 436874 436874 16597587 0 16597587 16510641 436874 436874 16073767 0 16073767 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 2013. 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. FUNDRAISING 42421 42421 4873 42421 42421 4873 4873 37548 0 AOD AND IMPAIRED DRIVER PROGRAM 568 CASH ASSIST CLIENTS WITH SUBSTANCE ABUSE DISORDERS ELDERLY PROGRAM 6103 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 407 CASH PROVIDES HIGH QUALITY GUARDIANSHIP, PROTECTIVE, AND FIDUCIARY SERVICES TO INCAPACITATED RESIDENTS OF NEW HAMPSHIRE. HEAD START 217 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 380 CASH PART OF AMERICA'S LARGEST VOLUNTEER NETWORK FOR INDIVIDUALS AGE 55 AND OLDER. EMERGENCY ASSISTANCE PROGRAMS 11300 4281692 CASH PROVIDE IMMEDIATE ENERGY ASSISTANCE AND WEATHERIZATION SERVICES TO INCOME-ELIGIBLE CLIENTS. WORKFORCE INVESTMENT ACT 65 20174 33500 CASH ADULT AND DISLOCATED WORKERS EMPLOYMENT TRAINING. (NHEP) WORKPLACE SUCCESS CAREER CENTERS AND ON-THE-JOB TRAINING 143 CASH WORKFORCE DEVELOPMENT AND EMPLOYMENT TRAINING. EMERGENCY FOOD AND SHELTER PROGRAM 3258 39431 CASH PROVIDES EVICTION DEFESE SERVICES SUCH AS RENT SUPPLEMENTS, SECURITY DEPOSITS, AND UTILITY ASSISTANCE FOR INCOME-ELIGIBLE CLIENTS. THE SUPPORT CENTER AT BURCH HOUSE 414 1511 CASH PROVIDES 24-HOUR CRISIS INTERVENTION, DIRECT SERVICES, AND EMERGENCY SHELTER FOR DOMESTIC AND SEXUAL VIOLENCE, AS WELL AS STALKING VICTIMS. TRANSPORTATION 2249 CASH PROVIDES SERVICES FOR THE PUBLIC AND FOR THE ELDERLY AND DISABLED IN COOS COUNTY, CARROLL COUNTY, AND NORHTERN GRAFTON COUNTY. 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 SOUTHERN NH SERVICES OPERATING X 150000 24533 1 1 1 24533 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 10053 MANAGEMENT FEE