2013-11-13T12:36:20-06:00 2013-06-30 020476956 TYLER SIMMS & STSAUVEUR CPAS PC 19 MORGAN DRIVE LEBANON NH 03766 990 2012-07-01 222593431 DAVID'S HOUSE INC DAVI 6036432298 PO BOX 660 LEBANON NH 03766 STACEY CHIOCCHIO 6036432298 2013-11-12 1 JAMES N GODFREY CPA P00913422 6036530044 2013-11-12 2012 2016-02-24 21:20:13Z STACEY CHIOCCHIO PO BOX 660 LEBANON NH 03766 4581104 0 X WWW.DAVIDS-HOUSE.ORG X 1985 NH DAVID'S HOUSE PROVIDES GUEST ROOMS FOR FAMILIES OF SICK OR INJURED CHILDREN. 17 17 9 91 0 0 1699216 1397794 28225 36421 116814 445622 141470 199841 1985725 2079678 0 0 0 0 448669 488377 0 0 223421 550697 431359 999366 919736 986359 1159942 8889034 10538319 61085 213415 8827949 10324904 TO PROVIDE A HOME-AWAY-FROM-HOME AND SUPPORT FOR FAMILIES OF CHILDREN RECEIVING MEDICAL TREATMENT THROUGH THE CHILDREN'S HOSPITAL AT DARTMOUTH-HITCHCOCK MEDICAL CENTER. 0 0 489658 36421 DAVID'S HOUSE PROVIDED 4,594 BED NIGHTS FOR GUESTS FROM JULY 2012 THROUGH JUNE 2013. THE OCCUPANCY RATE DURING FISCAL-YEAR 2013 AVERAGED 84%. THE AVERAGE LENGTH OF STAY PER VISIT WAS 4.98 NIGHTS.VOLUNTEERS CONTRIBUTED 4,345 HOURS OF HOSPITALITY SERVICE WHICH INCLUDED TAKING RESERVATIONS, CHECKING GUESTS IN AND OUT, GIVING FACILITY TOURS, COOKING MEALS AND SUPPORTING STAFF. DAVID'S HOUSE CONCLUDED AN 18 MONTH CAPITAL FUNDRAISING CAMPAIGN TITLED "KEEPING DAVID'S PROMISE" DURING THE 2012-2013 YEAR THAT SUCCESSFULLY RAISED SUPPORT TO ADD 4 GUEST ROOMS AND TO SUPPORT A LONG-TERM ENDOWMENT PLAN WHILE MAINTAINING OPERATIONS. 489658 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 9 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X X DON DUTTON 6036432298 DAVIDS HOUSE INC LEBANON NH 03766 RICHARD A CYR 8.00 X 0 0 0 STACY CHIOCCHIO 10.00 X X 0 0 0 BUFF MCLAUGHRY 3.00 X X 0 0 0 DAVID AGAN 3.00 X X 0 0 0 AMITY OLLIS 4.00 X X 0 0 0 DAN GAUTHIER 2.00 X X 0 0 0 LORI CARRIER 1.00 X 0 0 0 JIM DICLERICO 1.00 X 0 0 0 ETHAN FRECHETTE 1.00 X 0 0 0 BOB FRISCH 1.00 X 0 0 0 SEAN GORMAN 1.00 X 0 0 0 KRISTEN JOHNSON 1.00 X 0 0 0 RICHARD MOUNCE 1.00 X 0 0 0 NANCY WHITMAN 1.00 X 0 0 0 TERRY DURKIN 1.00 X 0 0 0 DAVID LEENDERS 1.00 X 0 0 0 ELMORE WAKEFIELD 1.00 X 0 0 0 APRIL PRESTON TERM EXP 11712 1.00 X 0 0 0 JEFF HASTINGS TERM EXP 11712 1.00 X 0 0 0 BILL HALL TERM EXP 11712 1.00 X 0 0 0 CHRIS WHITNEY TERM EXP 11712 1.00 X 0 0 0 DON DUTTON 40.00 X 59810 0 14238 DAWN STANHOPE 40.00 X 73573 0 16415 133383 0 30653 0 0 0 0 COMMUNITY COUNSELING SERVICE PO BOX 27462 NEW YORK NY 100877462 CAPITAL CAMPAIGN CONSULTING 115696 1 108916 1288878 6579 1397794 GUEST FEES 900099 36421 36421 36421 189645 189645 2724480 2468503 255977 255977 255977 232764 108916 32923 199841 199841 2079678 36421 0 645463 179379 52985 92972 33422 240069 130165 13846 96058 41643 22825 5296 13522 27286 12279 6276 8731 14954 14954 40323 40323 20939 9423 11516 115710 104139 11571 90475 85951 4524 19211 13640 5379 192 PUBLIC RELATIONS 52323 13081 39242 GROCERIES & SUPPLIES 36452 36452 CAPITAL CAMPAIGN COSTS 32411 32411 IN-KIND EXPENSE-BOOK DO 8479 8479 82 239 -157 919736 489658 206657 223421 43686 106702 799144 524323 17880 9017 5504 18744 24402 3361849 1025317 1549315 2336532 5735790 6214551 437706 1037952 295632 270473 8889034 10538319 40225 191325 20860 22090 61085 213415 X 8137192 9817236 623859 440620 66898 67048 8827949 10324904 8889034 10538319 1159942 333187 3826 0 X 0 1 X 1 0 X 565936 519938 702308 1676031 1397794 4862007 32750 49912 32447 28225 36421 179755 598686 569850 734755 1704256 1434215 5041762 0 0 0 5041762 117641 101357 145101 171207 189645 724951 117641 101357 145101 171207 189645 724951 122496 169760 130779 234478 232764 890277 838823 840967 1010635 2109941 1856624 6656990 0.75740 0.73960 0.10890 0.11890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 106969 150 8637 115756 106240 1800 -1071 106969 86575 19665 106240 60873 25702 86575 60873 60873 0.57920 0.42080 1 1 1 2772085 721482 2050603 158519 75287 83232 431245 228548 202697 2336532 CASH AND CASH EQUIVALENTS 1037952 F 1037952 2409291 333187 3826 32923 369936 2039355 40323 40323 2079678 912336 32923 32923 879413 40323 40323 919736 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: OUR VISION FOR THE USE OF THE ORGANIZATIONS'S ENDOWMENT FUNDS IS TO USE THE INCOME GENERATED TO ENSURE LONG-TERM SUSTAINABILITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: OTHER FUNDRAISING EXPENSES 32,923. PART XII, LINE 2D - OTHER ADJUSTMENTS: OTHER FUNDRAISING EXPENSES 32,923. GIVING TREE CAMPAIGN 54303 20464 33839 5213 RICKY'S RACE FOR KIDS 41271 41271 11 198461 83253 115208 24482 294035 103717 190318 29695 29695 160623 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A CORPORATE MEMBERSHIP. INDIVIDUALS MUST BE 18 YEARS OF AGE OR OLDER, AND EACH MEMBER IN GOOD STANDING SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A CORPORATION MEMBERS MEET ANNUALLY TO ELECT THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE FORM 990 IS SENT TO EACH MEMBER OF THE GOVERNING BODY ONE WEEK PRIOR TO ITS SUBMISSION, OR MAILED UPON REQUEST. ALL QUESTIONS ARE DIRECTED TO THE FINANCE DIRECTOR WHO MUST PROVIDE A RESPONSE BEFORE THE FORM IS DUE TO BE FILED. FORM 990, PART VI, SECTION B, LINE 12C DAVIDS HOUSE HAS A CONFLICT OF INTEREST POLICY WHICH REQUIRES COVERED MEMBERS (BOARD MEMBERS, COMMITTEE MEMBERS AND STAFF) TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST INVOLVING THEMSELVES, FAMILY MEMBERS AND/OR RELATED PARTIES. A CONFLICT OF INTEREST DISCLOSURE REPORT IS REQUIRED TO BE COMPLETED BY EACH OF THESE MEMBERS ON AN ANNUAL BASIS. THE SOLICITATION AND COLLECTION OF DISCLOSURE STATEMENTS IS ORGANIZED BY THE EXECUTIVE COMMITTEE OF THE BOARD WHO SUBMIT TO THE BOARD OF DIRECTORS ANY STATEMENTS THAT DISCLOSE A POTENTIAL CONFLICT OF INTEREST. MATERIAL MATTERS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF DIRECTORS; WHEREUPON ANY ACTION INCLUDING, BUT NOT LIMITED TO, RESTRICTION WOULD BE DETERMINED. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON ON THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IT IS EXPECTED THAT ALL POTENTIAL CONFLICTS BE IMMEDIATELY DISCLOSED TO THE PRESIDENT OF THE BOARD AS THEY BECOME KNOWN AND THAT COVERED PERSONS WILL ABSTAIN FROM ANY VOTES IN WHICH THEY MAY HAVE A CONFLICT OF INTEREST WITH. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE IS ESTABLISHED TO REVIEW COMPENSATION FOR THE ORGANIZATION'S TOP OFFICIAL, USING COMPARABILITY DATA, BEFORE THE COMPENSATION IS AUTHORIZED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 ALL 990 TAX FORMS ARE AVAILABLE ON THE GUIDESTAR WEBSITE AND UPON REQUEST. FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM DAVID'S HOUSE, INC.