2016-05-13T08:12:05-05:00 2015-06-30 521855942 TATE & TRYON 2021 L STREET NW 400 WASHINGTON DC 20036 990 2014-07-01 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 2016-05-13 1 ELIZABETH HELLER P00397829 2022932200 2014 2016-08-17 19:52:53Z NASUAD MARTHA ROHERTY 1201 15TH STREET NW NO 350 WASHINGTON DC 20005 3313385 0 X WWW.NASUAD.ORG X 1965 WI TO IMPROVE SYSTEMS AND SUPPORTS FOR PEOPLE WHO ARE OLDER OR HAVE A DISABILITY. 16 16 17 25 0 0 1041758 906262 2150138 2404624 -2358 693 0 1806 3189538 3313385 0 0 0 0 1478582 1609504 0 0 83171 1694803 1855976 3173385 3465480 16153 -152095 1201595 1108166 810110 868776 391485 239390 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 827242 558941 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. 722851 1476100 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. 141006 GOVERNMENT RELATIONS - EDUCATING STATE AGENCY MEMBERS ON FEDERAL APPROPRIATIONS, REGULATIONS, LAWS, AND ACTIONS THAT MAY IMPACT STATE LONG TERM SERVICES AND SUPPORT PROGRAMS. 1216439 369583 OTHER PROGRAM SERVICES 1216439 369583 2907538 1 1 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 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 17 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 0 1 1 1 1 0 X THE ORGANIZATION 2028982578 1201 15TH STREET NW NO 350 WASHINGTON DC 20005 JAMES BULOT PRESIDENT (AS OF SEPT 14) 4.00 X X 0 0 0 GARY JESSEE VICE PRESIDENT (AS OF SEPT 14) 4.00 X X 0 0 0 LORA CONNOLLY TREASURER (AS OF SEPT 14) 4.00 X X 0 0 0 JAMES ROTHROCK SECRETARY (AS OF SEPT 14) 4.00 X X 0 0 0 GLORIA LAWLAH IMMEDIATE PAST PRESIDENT (AS OF SEPT 14) 4.00 X X 0 0 0 LANCE ROBERTSON PAST PRESIDENT 4.00 X X 0 0 0 LOWELL ARYE DIRECTOR 2.00 X X 0 0 0 HEATHER BABBITT DIRECTOR (AS OF JAN 15) 2.00 X 0 0 0 MELINDA BERTUCCI DIRECTOR (AS OF DEC 14) 2.00 X 0 0 0 BONNIE KANTOR-BURMAN DIRECTOR 2.00 X 0 0 0 CORINDA CROSSDALE DIRECTOR (AS OF SEPT 14) 2.00 X 0 0 0 BRIAN DUKE DIRECTOR (SEPT 14 - JAN 15) 2.00 X 0 0 0 CELESTA HARTGRAVES DIRECTOR 2.00 X 0 0 0 ANN HARTSTEIN DIRECTOR (UNTIL DEC 14) 2.00 X 0 0 0 DONNA HARVEY DIRECTOR 2.00 X 0 0 0 NELS HOLMGREN DIRECTOR 2.00 X 0 0 0 KRISTA HUGHES DIRECTOR (UNTIL MAR 15) 2.00 X 0 0 0 WESLEY LUM DIRECTOR (UNTIL FEB 15) 2.00 X 0 0 0 DUANE MAYES DIRECTOR 2.00 X 0 0 0 BILL MOSS DIRECTOR 2.00 X 0 0 0 CHARLES REHBEIN DIRECTOR (UNTIL SEPT 14) 2.00 X 0 0 0 GINO RINALDI DIRECTOR 2.00 X 0 0 0 DAVID ROGERS DIRECTOR (AS OF SEPT 14) 2.00 X 0 0 0 MELANIE STARNS DIRECTOR (UNTIL MAR 15) 2.00 X 0 0 0 SUSAN WEHRY DIRECTOR (UNTIL JUNE 15) 2.00 X 0 0 0 JEAN K WOOD DIRECTOR 2.00 X 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 40.00 X 186102 0 35693 ERIC RISTEEN COO (UNTIL JAN 15) 40.00 X 122072 0 9747 BRYAN PROCTOR COO (FROM JAN 15) 40.00 X 8038 0 1146 DEBORAH MERRILL SENIOR POLICY ADVISOR 40.00 X 143230 0 17024 459442 0 63610 3 0 1 0 HUMAN SERVICES RESEARCH INSTITUTE 2336 MASSACHUSETTS AVENUE CAMBRIDGE MA 02140 WEBSITE & SURVEY DEVELOPMENT 117138 1 906262 906262 CONF & REGISTRATION 900099 1476100 1476100 MEMBERSHIP DUES 900099 558941 558941 CONTRACT REVENUE 900099 212083 212083 NCI STATE FEES 900099 81900 81900 CONSULTING INCOME 900099 75600 75600 2404624 693 693 OTHER INCOME 900099 1806 1806 1806 3313385 2404624 0 2499 X 364852 306111 49985 8756 930652 780817 127499 22336 314000 263446 43018 7536 3076 2581 421 74 24159 20269 3310 580 424588 356229 58169 10190 255709 214540 35032 6137 193590 162422 26522 4646 153165 128505 20984 3676 702764 589619 96279 16866 70679 59300 9683 1696 11842 9936 1622 284 16404 13763 2247 394 3465480 2907538 474771 83171 631336 482164 197669 180473 36725 88518 15000 101510 16504 590581 265074 234355 325507 1201595 1108166 153583 297108 600662 524741 55865 46927 810110 868776 X 391485 239390 391485 239390 1201595 1108166 -152095 0 X X 0 0 1 0 X 1918033 1651187 1452081 1623656 1465203 8110160 1918033 1651187 1452081 1623656 1465203 8110160 8110160 3496 2288 480 432 693 7389 8938 975 1806 11719 8129268 1845683 0.99760 0.99730 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193162 81516 111646 397419 183558 213861 325507 LEASE INCENTIVE LIABILITY 46927 46927 X 1 1 X X 1 0 0 0 0 0 0 0 0 MARTHA ROHERTY EXECUTIVE DIRECTOR 186102 0 0 0 0 0 13027 0 23652 0 222781 0 0 0 DEBORAH MERRILL SENIOR POLICY ADVISOR 141230 0 2000 0 0 0 10026 0 7984 0 161240 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID $1,287 CLUB DUES FOR MARTHA ROHERTY IN 2014. THIS AMOUNT WAS INCLUDED IN HER TAXABLE COMPENSATION ON FORM W-2. PART I, LINE 4A ERIC RISTEEN RECEIVED $9,434 IN CASHED-OUT VACATION AND SICK LEAVE. MARTHA ROHERTY EXECUTIVE DIRECTOR BRIDGE LOAN X 15000 15000 0 1 1 15000 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 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 MEMBER IS ENTITLED TO ONE VOTE ON EACH MATTER FOR CONSIDERATION. THE PERSON DESIGNATED BY THE STATE AGENCY ON AGING AND/OR DISABILITIES DIRECTOR TO REPRESENT THE AGENCY 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 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 356,229. MANAGEMENT AND GENERAL EXPENSES 58,169. FUNDRAISING EXPENSES 10,190. TOTAL EXPENSES 424,588. FORM 990, PART XII, LINE 2: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2015 WILL BE COMPLETED AFTER THIS RETURN IS FILED. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: THE REQUIRED AUDIT WILL BE COMPLETED AFTER THIS RETURN IS FILED.