2017-05-02T11:32:46-05:00 2016-06-30 521855942 TATE & TRYON 2021 L STREET NW 400 WASHINGTON DC 20036 990 2015-07-01 396095459 NATIONAL ASSOCIATION OF STATES UNITED FOR AGING AND DISABILITIES INC NATI 2028982578 1201 15TH STREET NW NO 350 WASHINGTON DC 20005 MARTHA ROHERTY EXECUTIVE DIRECTOR 2028982578 2017-05-02 1 ELIZABETH HELLER P00397829 2022932200 2015 2021-01-29 14:40:06Z NASUAD MARTHA ROHERTY 1201 15TH STREET NW NO 350 WASHINGTON DC 20005 4101760 0 X WWW.NASUAD.ORG X 1965 WI TO IMPROVE SYSTEMS AND SUPPORTS FOR PEOPLE WHO ARE OLDER OR HAVE A DISABILITY. 9 9 15 25 0 0 906262 1144174 2404624 2948315 693 304 1806 8967 3313385 4101760 0 0 0 0 1609504 1750844 0 0 170390 1855976 2486080 3465480 4236924 -152095 -135164 1108166 1327379 868776 1346661 239390 -19282 X FACILITATING THE EXCHANGE OF INFORMATION AMONG STATE AGING AND DISABILITY AGENCIES; PROVIDING EDUCATIONAL OPPORTUNITIES FOR STATE POLICYMAKERS; PROMOTING PUBLIC POLICIES THAT SUSTAIN LONG TERM SERVICES AND SUPPORTS; COLLABORATING WITH LOCAL, STATE, AND NATIONAL ORGANIZATIONS. 0 0 1129498 1744417 CONFERENCES - TWO CONFERENCES PER YEAR. ONE LARGE MULTIDISCIPLINE CONFERENCE PROVIDING INFORMATION, PROMISING PRACTICES, TECHNOLOGY ADVANCES, AND FEDERAL GUIDANCE, ON HOME AND COMMUNITY BASED SERVICES FOR CONSUMERS OF ALL AGES AND ABILITIES. A SECOND SMALLER CONFERENCE. 459406 282472 INFORMATION AND REFERRAL - THE NATIONAL I&R SUPPORT CENTER PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO STATE AND AREA AGENCIES ON AGING THAT PROVIDE INFORMATION AND REFERRAL SERVICES TO SENIORS AND INDIVIDUALS WITH DISABILITIES. 421914 869507 MEMBERSHIP SERVICES - PROVIDE TELEPHONIC AND ONSITE TECHNICAL ASSISTANCE AND SUPPORT TO STATE AGING AND DISABILITY DIRECTORS; SUPPORT TWO WEBSITES; A WEEKLY ELECTRONIC NEWSLETTER; AND MONTHLY ALLSTATE CALLS TO SUPPORT IMPROVEMENT IN HOME AND COMMUNITY BASED SERVICES AND SUPPORTS FOR SENIORS AND INDIVIDUALS WITH DISABILITIES. 195611 151187 BUSINESS ACUMEN FOR THE AGING NETWORK - PROVIDING STATES AND AREA AGENCIES ON AGING TOOLS AND TECHNICAL ASSISTANCE AS THE STATES MIGRATE FROM FEE FOR SERVICE MEDICAID PROGRAMS INTO MANAGED LONG TERM SERVICES AND SUPPORTS. 153035 84396 IMPROVING ORAL HEALTH FOR SENIORS AND INDIVIDUALS WITH DISABILITIES - WORKING WITH STATE AGENCIES TO DETERMINE WHAT PROGRAMS ARE AVAILABLE TO PROVIDE ORAL HEALTH PROGRAMS FOR SENIORS AND INDIVIDUALS WITH DISABILITIES. DISSEMINATION OF PROMISING PRACTICES WITHIN THE STATES. 285143 285000 NATIONAL CORE INDICATORS-AGING AND DISABILITY - PROVIDING STATES WITH THE TRAINING AND SUPPORT TO PARTICIPATE IN THE NCI-AD PROJECT WITH THE OBJECTIVE OF HELPING STATES TO MEASURE THE PERFORMANCE OF THEIR STATE AGENCIES BY OBTAINING INFORMATION ON THE QUALITY OF LIFE OF THE CONSUMERS ENROLLED IN OLDER AMERICANS ACT PROGRAMS AND THE MEDICAID PROGRAM. 221584 96526 OMBUDSMAN - PROVIDING SUPPORT TO THE NATIONAL RESOURCE CENTER ON OMBUDSMAN PROGRAMS SPECIFICALLY TO SUPPORT OF STATE UNITS ON AGING'S WORKING WITH THE STATE LONG TERM CARE OMBUDSMAN. NASUAD PROVIDES TECHNICAL GUIDANCE TO THE STATE UNITS AND FACILITATES IMPROVE COMMUNICATIONS BETWEEN THE OMBUDSMAN PROGRAM AND THE STATE UNITS. 281003 244172 IMPROVING ENROLLMENT IN SPECIAL PROGRAMS FOR INDIVIDUALS WITH DISABILITIES IN MEDICARE - WORKING WITH THE NATIONAL COUNCIL ON AGING TO IMPROVE ENROLLMENT OF INDIVIDUALS WITH DISABILITIES IN PROGRAMS SPECIFICALLY FOR LOW-INCOME MEDICARE POPULATIONS. SERVING AS AN EXPERT IN THE DISABILITY FIELD. 31785 GOVERNMENT RELATIONS - EDUCATING STATE AGENCY MEMBERS ON FEDERAL APPROPRIATIONS, REGULATIONS, LAWS, AND ACTIONS THAT MAY IMPACT STATE LONG TERM SERVICES AND SUPPORT PROGRAMS. 90379 69817 ENGAGING VOLUNTEERS FOR THE AGING NETWORK - DEVELOPING OUTREACH MATERIALS FOR THE AGING NETWORK TO EXPAND THE NUMBER OF VOLUNTEERS THROUGHOUT THE NETWORK. 460572 274266 OTHER PROGRAM SERVICES 1719112 1205364 3729930 1 1 0 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 15 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2028982578 1201 15TH STREET NW NO 350 WASHINGTON DC 20005 GARY JESSEE PRESIDENT (AS OF FEB 2016) 4.00 X X 0 0 0 JAMES BULOT PRESIDENT (THRU FEB 2016) 4.00 X X 0 0 0 JAMES ROTHROCK FIRST VP 4.00 X X 0 0 0 LORA CONNOLLY SECOND VP 4.00 X X 0 0 0 LANCE ROBERTSON PAST PRESIDENT 4.00 X X 0 0 0 DONNA HARVEY TREASURER 4.00 X X 0 0 0 PATTI KILLINGSWORTH SECRETARY 4.00 X X 0 0 0 ALICE BONNER AT LARGE 2.00 X 0 0 0 JED ZIEGENHAGEN AT LARGE 2.00 X 0 0 0 MYLES COPELAND DIRECTORS (JULY 15 - FEB 16) 2.00 X 0 0 0 GLORIA LAWLAH DIRECTOR (THRU JULY 2015) 2.00 X 0 0 0 LOWELL ARYE DIRECTOR (SEPT 2015 - JAN 2016) 2.00 X 0 0 0 HEATHER BABBITT DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 MELINDA BERTUCCI DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 BONNIE KANTOR-BURMAN DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 CORINDA CROSSDALE DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 CELESTA HARTGRAVES DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 NELS HOLMGREN DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 DUANE MAYES DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 BILL MOSS DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 GINO RINALDI DIRECTOR (THRU JULY 2015) 2.00 X 0 0 0 DAVID ROGERS DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 JEAN K WOOD DIRECTOR (THRU FEB 16) 2.00 X 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 40.00 X 246511 0 47723 BRYAN PROCTOR CHIEF OPERATING OFFICER 40.00 X 117692 0 21986 CAMILLE DOBSON DEPUTY EXECUTIVE DIRECTOR 40.00 X 160700 0 22195 DEBORAH MERRILL SENIOR POLICY DIRECTOR 40.00 X 143230 0 20994 DAMON TERZAGHI SENIOR PROJECT DIRECTOR 40.00 X 129410 0 16563 797543 0 129461 5 0 1 0 HILTON WASHINGTON 1919 CONNECTICUT AVENUE WASHINGTON DC 20009 CONFERENCE SERVICES 538773 HUMAN SERVICES RESEARCH INSTITUTE 2336 MASSACHUSETTS AVENUE CAMBRIDGE MA 02140 WEBSITE & SURVEY DEVELOPMENT 323918 2 1144174 1144174 CONF & REGISTRATION 900099 1744417 1744417 MEMBERSHIP DUES 900099 595399 595399 CONSULTING INCOME 900099 308228 308228 NCI STATE FEES 900099 215875 215875 CONTRACT REVENUE 900099 84396 84396 2948315 304 304 OTHER INCOME 900099 8967 8967 8967 4101760 2957282 0 304 X 621790 573836 1588 46366 853455 790078 92 63285 275599 250071 4355 21173 24462 24225 237 100436 9583 90853 627826 525216 100510 2100 301298 241833 47874 11591 196917 162262 21350 13305 232812 208136 19270 5406 870650 862546 6516 1588 67254 55754 6919 4581 10044 8523 847 674 54381 17867 36193 321 4236924 3729930 336604 170390 482164 454832 180473 361701 88518 207712 15000 860 16504 40912 580752 319390 325507 261362 1108166 1327379 297108 392941 524741 915732 46927 37988 868776 1346661 X 239390 -19282 239390 -19282 1108166 1327379 -135164 -123508 0 X X 0 1 X 1 1 1 X 1651187 1452081 1623656 1465203 1739573 7931700 1651187 1452081 1623656 1465203 1739573 7931700 7931700 2288 480 432 693 304 4197 8938 975 1806 8967 20686 7956583 4198599 0.99690 0.99760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 8,938. 2012 AMOUNT: $ 975. 2014 AMOUNT: $ 1,806. 2015 AMOUNT: $ 8,967. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193162 103227 89935 387590 216163 171427 261362 LEASE INCENTIVE LIABILITY 37988 37988 4101760 0 4101760 0 4101760 4236924 0 4236924 0 4236924 X 1 1 X X 0 0 0 0 0 0 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 246511 0 0 0 0 0 12273 0 37409 0 296193 0 0 0 CAMILLE DOBSON DEPUTY EXECUTIVE DIRECTOR 160700 0 0 0 0 0 9282 0 14630 0 184612 0 0 0 DEBORAH MERRILL SENIOR POLICY DIRECTOR 141230 0 2000 0 0 0 8269 0 14315 0 165814 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID $1,707 IN HEALTH CLUB DUES FOR MARTHA ROHERTY IN 2015. THIS AMOUNT WAS INCLUDED IN HER TAXABLE COMPENSATION ON FORM W-2. MARTHA ROHERTY EXECUTIVE DIRECTOR BRIDGE LOAN X 15000 860 0 1 1 860 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE OFFICERS OF THE ASSOCIATION AND THE PAST PRESIDENTS OF THE ASSOCIATION WHILE THEY SERVE ON THE BOARD. THIS COMMITTEE SHALL HAVE THE AUTHORITY TO ACT ON MATTERS BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED TO REDUCE THE BOARD COMPOSITION TO 7 POSITIONS. ADDITIONALLY, MEMBERSHIP WAS EXPANDED TO INCLUDE LTSS MEDICAID DIRECTORS EXPLICITLY IN ADDITION TO AGING AND DISABILITY DIRECTORS. THE BYLAWS WERE VOTED UPON AND APPROVED FEBRUARY 19TH, 2016 BY THE NASUAD BOARD AND MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 6 ELIGIBILITY - MEMBERS OF THE ASSOCIATION SHALL BE THE STATE AGENCY ON AGING AND/OR DISABILITIES, AS IDENTIFIED BY THE STATE. THE TERM "STATE" INCLUDES THE DISTRICT OF COLUMBIA, THE VIRGIN ISLANDS, GUAM, AMERICAN SAMOA, THE TRUST TERRITORY OF THE PACIFIC ISLANDS, AND THE NORTHERN MARIANA ISLANDS. REPRESENTATIVES SHALL BE THE DIRECTOR OF THE STATE AGENCY ON AGING AND/OR DISABILITIES, OR AN INDIVIDUAL DESIGNATED BY THE DIRECTOR OF THE STATE AGENCY ON AGING AND/OR DISABILITIES. FORM 990, PART VI, SECTION A, LINE 7A VOTING - EACH ACTIVE STATE IS ENTITLED TO ONE VOTE ON EACH MATTER FOR CONSIDERATION. THE PERSON DESIGNATED BY THE STATE WILL CAST THE VOTE, IN THE ABSENCE OF AN EFFECTIVE PROXY PROVIDING OTHERWISE. IF THE MEMBERSHIP IS IN THE NAME OF TWO OR MORE PERSONS, ONE VOTE BINDS ALL. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CHIEF OPERATING OFFICER AND THEN BY THE EXECUTIVE DIRECTOR PRIOR TO FILING. THE DRAFT IRS FORM 990 IS PROVIDED TO NASUAD'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ASSOCIATION RELIES ON ANNUAL SELF-REPORTING OF ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING STAFF OR BOARD MEMBERS TO THE EXECUTIVE DIRECTOR. IF A STAFF OR BOARD MEMBER IDENTIFIES A POTENTIAL CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR WILL WORK WITH THAT INDIVIDUAL TO ENSURE THAT ANY RISK BE MITIGATED OR AVOIDED. THIS MAY INCLUDE ESTABLISHING PROTOCOLS FOR NON-DISCLOSURE OF INFORMATION, AND WORKING WITH REPRESENTATIVES OF WHERE THE POTENTIAL CONFLICT MIGHT EXIST TO ADDRESS SITUATIONS IN ADVANCE. THERE ARE CURRENTLY NO KNOWN CONFLICTS OF INTEREST WITH THE BOARD OR STAFF OF THE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL PERFORMANCE EVALUATION OF EACH EMPLOYEE SHALL BE CONDUCTED AT THE END OF THE CALENDAR YEAR. 1. THE EMPLOYEE AND THE SUPERVISOR WILL REVIEW ALL EVALUATIONS JOINTLY. UPON COMPLETION, THE EVALUATION WILL BECOME PART OF THE EMPLOYEE'S PERSONNEL FILE. ALL PERFORMANCE EVALUATIONS WILL BE FORWARDED TO THE ACCOUNTING DEPT. FOR INCLUSION IN AN EMPLOYEE'S PERSONNEL FILE. 2. EVALUATIONS OF STAFF WILL BE CONDUCTED UTILIZING STANDARDIZED NASUAD EVALUATION FORMS. THE EVALUATION WILL INCLUDE A DISCUSSION OF GOALS AND OBJECTIVES OF THE EMPLOYEE FOR THE NEXT YEAR. 3. EMPLOYEES HAVE THE RIGHT TO FILE, IN WRITING, AN ACCEPTANCE OR REJECTION OF THE ANNUAL EVALUATION AND THE DOCUMENT WILL BE PLACED IN THE EMPLOYEE'S PERSONNEL FILE. THE EMPLOYEE MUST SIGN AND RESPOND TO THE EVALUATION WITHIN TEN (10) DAYS. 4. IF THE REPORT IS SUBSTANDARD, ANOTHER APPRAISAL SHOULD BE GIVEN WITHIN NINETY (90) DAYS AND AGAIN IN NINETY (90) DAYS UNTIL THE DEFICIENCY IS RESOLVED. 5. THE EXECUTIVE COMMITTEE, USING AN EVALUATION FORMAT DEVELOPED BY THE EXECUTIVE COMMITTEE BASED ON THE JOB DESCRIPTION AND PERFORMANCE IN FURTHERING ASSOCIATION OBJECTIVES, WILL CONDUCT AN EVALUATION OF THE EXECUTIVE DIRECTOR OF NASUAD. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 525,216. MANAGEMENT AND GENERAL EXPENSES 100,510. FUNDRAISING EXPENSES 2,100. TOTAL EXPENSES 627,826. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR.