2016-03-10T12:43:02-06:00 2015-06-30 020417217 LEONE MCDONNELL & ROBERTS PA 5 NELSON STREET DOVER NH 038203714 990 2014-07-01 020267404 TRI-COUNTY COMMUNITY ACTION PROGRAM INC TRI- 6037527001 30 EXCHANGE STREET BERLIN NH 03570 ROBERT BOSCHEN INTERIM CEO 6037527001 2016-03-01 1 DAVID J VERNO CPA P00195956 6037492700 2014 2016-08-17 19:52:53Z ROBERT BOSCHEN 30 EXCHANGE STREET BERLIN NH 03570 17493626 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 10 350 1000 0 0 14804454 13968055 3568391 3311900 9806 16981 140246 151651 18522897 17448587 5605902 5331344 0 0 7363844 7481848 0 0 4498 4676502 4351202 17646248 17164394 876649 284193 8788148 8974831 6904438 6764601 1883710 2210230 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 7433283 5303742 916957 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. 2064035 90 25942 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. 1060858 740 134825 COMPREHENSIVE SENIOR SERVICES: PROVIDES SERVICES TO THE ELDERLY WITH PROGRAMS SUCH AS SENIOR MEALS ON WHEELS, CONGREGATE DINING, FOCAL POINTS, ALZHEIMER PROGRAM, RETIRED AND VOLUNTEER PROGRAM (RSVP), HEALTH INSURANCE COUNSELING EDUCATION AND ASSISTANCE SERVICES (HICEAS), SENIOR COMPANION AND SENIOR WHEELS (A TRANSPORTATION SERVICE). 5446854 26772 2293063 5446854 26772 2293063 16005030 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 0 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 1 447 0 350 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 ROBERT BOSCHEN 6037527001 30 EXCHANGE STREET BERLIN NH 03570 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 ANDREW LEFEBRVE - COOS COUNTY MEMBER 5.00 X 0 0 0 LINDA MASSIMILLA - GRAFTON COUNTY MEMBER 5.00 X 0 0 0 SANDY ALONZO - COOS COUNTY CHAIR 5.00 X X 0 0 0 CATHY CONWAY - COOS COUNTY TREASURER 5.00 X X 0 0 0 GAERY COULOMBE - COOS COUNTY SECRETARY 5.00 X X 0 0 0 DINO SCALA - CARROL COUNTY VICE CHAIR 5.00 X X 0 0 0 ROBERT BOSCHEN CFO/COO 40.00 X 99231 0 7150 MICHAEL COUGHLIN CEO 40.00 X 143631 0 197 CHRIS KEMPTON DENTIST 40.00 X 122677 0 7289 365539 0 14636 2 0 0 0 0 3395 13465271 499389 13968055 UTILITY PROGRAMS 623990 916957 916957 OTHER OCCUPANCY 623990 631412 631412 GUARDIANSHIP 623990 443215 443215 DENTAL 623990 435222 435222 AOD 623990 422228 422228 462866 462866 3311900 421 421 70243 0 70243 70243 70243 57265 40705 16560 16560 16560 43415 4334 39081 39081 GAIN ON INTEREST RATE 900099 42327 42327 42327 17448587 3370787 0 109745 5331344 5331344 153632 153632 5843734 5363255 480479 1484482 1332158 152324 198261 98667 99594 205219 175189 30030 824900 647450 177450 238125 222744 15381 241246 238523 2723 415752 415752 287514 283198 4316 SUPPLIES 1038313 1022145 16168 UTILITIES 408490 399931 8559 VEHICLE EXPENSE 209684 204123 5561 BUILDING AND GROUNDS MA 167446 167428 18 116252 103123 8631 4498 17164394 16005030 1154866 4498 375399 486556 704665 469403 592948 726338 240729 535654 66039 116150 27286 30678 10658231 4063544 6764012 6594687 16252 15365 818 0 8788148 8974831 1147882 1241505 230994 192444 3016868 2948780 405593 280474 176036 132725 1097407 1513479 779945 447809 49713 7385 6904438 6764601 X 1220497 1464320 663213 745910 1883710 2210230 8788148 8974831 284193 42327 0 X X 0 1 X 1 1 1 X 19694297 16312960 14408381 14804454 13817004 79037096 2322900 3276539 3783176 3343674 3478179 16204468 53848 124694 59798 59975 298315 22017197 19643347 18316251 18207926 17355158 95539879 0 0 0 95539879 410178 45380 50482 65476 112991 684507 410178 45380 50482 65476 112991 684507 665559 665559 23092934 19688727 18366733 18273402 17468149 96889945 0.98610 0.96900 0.00710 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 0 0 1 X 585467 585467 7904175 2501194 5402981 2168589 1562350 606239 0 6594687 INTEREST RATE SWAP LIABILITY 7385 7385 X 17701076 252489 252489 17448587 0 17448587 17416883 252489 252489 17164394 0 17164394 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 2011. 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 43415 43415 4334 43415 43415 4334 4334 39081 0 AOD AND IMPAIRED DRIVER PROGRAM 466 116 CASH ASSIST CLIENTS WITH ALCOHOL AND DRUG ADDICTION ELDERLY PROGRAM 11994 740 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 405 CASH PROVIDES HIGH QUALITY GUARDIANSHIP, PROTECTIVE, AND FIDUCIARY SERVICES TO INCAPACITATED RESIDENTS OF NEW HAMPSHIRE. HEAD START 706 90 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. RESTORATIVE JUSTICE 311 CASH WORKS ON THE PREMISE THAT THE EFFECTS OF CRIME ARE BEST ADDRESSED BY INVOLVING THE OFFENDER, THE VICTIM, AND THE COMMUNITY IN REPAIRING THE DAMAGE CASUED BY THE CRIME OR CONFLICT. THE RESTORATIVE JUSTICE CENTER OFFERS PROGRAM THAT HELP ADDRESS ISSUES SPECIFIC TO THE OFFENDER, THE VICTIM, AND THE COMMUNITY AT LARGE. PROGRAMS INCLUDE MEDIATION, SUPERVISED VISITATION, ASSESSMENT, AND THERAPY. RETIRED AND SENIOR VOLUNTEER PROGRAM 331 CASH PART OF AMERICA'S LARGEST VOLUNTEER NETWORK FOR INDIVIDUALS AGE 55 AND OLDER. EMERGENCY ASSISTANCE PROGRAMS 14524 5303742 CASH PROVIDE IMMEDIATE ENERGY ASSISTANCE AND WEATHERIZATION SERVICES TO INCOME-ELIGIBLE CLIENTS. WORKFORCE INVESTMENT ACT 105 7481 CASH ADULT AND DISLOCATED WORKERS EMPLOYMENT TRAINING. (NHEP) WORKPLACE SUCCESS CAREER CENTERS AND ON-THE-JOB TRAINING 128 CASH WORKFORCE DEVELOPMENT AND EMPLOYMENT TRAINING. EMERGENCY FOOD AND SHELTER PROGRAM 1150 17472 CASH PROVIDES EVICTION DEFESE SERVICES SUCH AS RENT SUPPLEMENTS, SECURITY DEPOSITS, AND UTILITY ASSISTANCE FOR INCOME-ELIGIBLE CLIENTS. THE SUPPORT CENTER AT BURCH HOUSE 413 1087 CASH PROVIDES 24-HOUR CRISIS INTERVENTION, DIRECT SERVICES, AND EMERGENCY SHELTER FOR DOMESTIC AND SEXUAL VIOLENCE, AS WELL AS STALKING VICTIMS. TRANSPORTATION 3316 CASH PROVIDES SERVICES FOR THE PUBLIC AND FOR THE ELDERLY AND DISABLED IN COOS COUNTY, CARROLL COUNTY, AND NORHTERN GRAFTON COUNTY. 0 0 0 0 0 0 0 0 0 CHRIS KEMPTON DENTIST 122677 0 0 0 0 0 0 0 7289 0 129966 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 MADELINE P COSTELLO OPERATING X 43641 12578 1 1 1 SOUTHERN NH SERVICES OPERATING X 150000 120147 1 1 1 132725 FORM 990, PART VI, SECTION B, LINE 11 THE CURRENT BOARD OF DIRECTORS WILL REVIEW AND APPROVE AND THE CEO 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 8658 MANAGEMENT FEE