STRATEGY STUDIO / PUBLIC DATA EXPLORER

INTERCOMMUNITY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INTERCOMMUNITY INC (EIN 06-0954809)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-01
IRS object ID
201343059349300724
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-01T10:24:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN060903326EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITTLESEY & HADLEY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1147 CHARTER OAK AVENUEAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060954809EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INTERCOMMUNITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINTENameControl
Phone8605695900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1281 MAIN STREETAddressLine1
CityEAST HARTFORDCity
StateCTState
ZIP Code06118ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARSHALL GAINESName
TitleCFOTitle
Phone8605695900Phone
Date Signed2013-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWARD G SULLIVANName
PTINP00579546PTIN
Phone8605223111Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARSHALL GAINESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1281 MAIN STREETAddressLine1
CityEAST HARTFORDCity
StateCTState
ZIP Code06118ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7414203GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.INTERCOMMUNITYCT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO HELP PEOPLE LIVING WITH MENTAL ILLNESS AND ADDICTION DISORDERS IMPROVE THEIR QUALITY OF LIFE BY PROVIDING OPPORTUNITIES FOR HEALING AND RECOVERY. WITHIN THIS MISSION, INTERCOMMUNITY RUNS 1) AN ADULT AND A CHILDREN'S OUTPATIENT CLINIC WITH BOTH MEDICAL AND CLINICAL SERVICES SERVING BOTH MENTAL ILLNESS AND SUBSTANCE ABUSE CLIENTS USING THE (IDDT) MODEL, 2)A REHABILITATION BRANCH INCLUDING VOCATIONAL REHABILITATION, COMMUNITY SERVICE PROFESSIONALS, 3) A SOCIAL REHABILITATION PROGRAM,WHICH IS A MEMBER DRIVEN PROGRAM, WHICH PROVIDES SOCIAL, CULTURAL, EDUCATIONAL, REHABILITATIVE AND RECREATIONAL OPPORTUNITIES AS WELL AS PEER SUPPORT AND RUN PROGRAMS. INTERCOMMUNITY RECEIVED THE SPIRIT OF THE INDUSTRY AWARD BY THE CONNECTICUT COMMUNITY PROVIDERS ASSOCIATION. INTERCOMMUNITY WAS RE-ACCREDITED BY CARF AND THE JOINT COMMISSION IN JANUARY 2012, THE ONLY LEAD MHA TO BE ACCREDITED BY BOTH ENTITIES. ALSO, IT WAS NAMED A 2011, 2012 AND 2013 HARTFORD COURANT/FOXCT TOP SMALL WORKPLACE AWARD WINNER.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees92TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5265893ContributionsGrantsPriorYear
Contributions Grants Current Year5358018ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1235567ProgramServiceRevenuePriorYear
Program Service Revenue CY1858450ProgramServiceRevenueCY
Investment Income Prior Year4156InvestmentIncomePriorYear
Investment Income Current Year4480InvestmentIncomeCurrentYear
Other Revenue Prior Year25700OtherRevenuePriorYear
Other Revenue Current Year162536OtherRevenueCurrentYear
Total Revenue Prior Year6531316TotalRevenuePriorYear
Total Revenue Current Year7383484TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4745586SalariesEtcPriorYear
Salaries Etc Current Year5211158SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year17841TotalFundrsngExpCurrentYear
Other Expense Prior Year1691765OtherExpensePriorYear
Other Expenses Current Year1740798OtherExpensesCurrentYear
Total Expenses Prior Year6437351TotalExpensesPriorYear
Total Expenses Current Year6951956TotalExpensesCurrentYear
Revenues Less Expenses Prior Year93965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY431528RevenuesLessExpensesCY
Total Assets BOY2359596TotalAssetsBOY
Total Assets EOY2955508TotalAssetsEOY
Total Liabilities BOY1313032TotalLiabilitiesBOY
Total Liabilities EOY1346540TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1046564NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1608968NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO HELP PEOPLE LIVING WITH MENTAL ILLNESS AND ADDICTION DISORDERS IMPROVE THEIR QUALITY OF LIFE BY PROVIDING OPPORTUNITIES FOR HEALING AND RECOVERY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4869457Expense
Revenue1089699Revenue
DescriptionADULT SERVICES ARE COMPRISED OF:COMMUNITY SUPPORT TEAM ASSISTS PEOPLE IN RECOVERY TO ACHIEVE THEIR OPTIMAL QUALITY OF LIFE AND COMMUNITY LIVING BY WORKING IN COLLABORATION WITH THE PERSON, TEACHING THEM THE NECESSARY SKILLS TO LIVE INDEPENDENTLY IN THE COMMUNITY AND GETTING THEM LINKED TO ESSENTIAL SERVICES. ALL CST SPECIALISTS HAVE BEEN TRAINED IN PSYCHIATRIC REHABILITATION BEST PRACTICE SERVICES BY BOSTON UNIVERSITY STAFF. THE PROGRAM RECEIVED A COMMENDATION FROM THE STATE OF CONNECTICUT DEPARTMENT OF MENTAL HEALTH SERVICES (DHMAS) COMMISSIONER RECOGNIZING THE SMOOTH TRANSITION TO A NEW SERVICE DELIVERY MODEL CALLED RECOVERY PATHWAYS. THE PROGRAM WAS ALSO A FINALIST IN THE 2011 DORLAND HEALTH CASE IN POINT PLATINUM AWARDS.OUTPATIENT SERVICES PROVIDES INDIVIDUAL, FAMILY, AND GROUP THERAPY, AS WELL AS MEDICATION MANAGEMENT TO ADULTS LIVING WITH A MENTAL ILLNESS AND/OR SUBSTANCE USE. PSYCHIATRISTS, APRNS, LCSWS (LICENSED CLINICAL SOCIAL WORKERS), COUNSELORS AND NURSES FACILITATE A RANGE OF INDIVIDUALIZED TREATMENTS FOR BOTH THERAPY AND MEDICATIONS. IN ADDITION, THE INDIVIDUAL SERVICE PLAN MAY ALSO INCLUDE TRAUMA SENSITIVE SERVICES, COGNITIVE BEHAVIORAL THERAPIES, DIALECTICAL THERAPY (DBT), CO-OCCURRING DISORDERS TREATMENTS, GENDER SPECIFIC TREATMENTS, AND PSYCHO-EDUCATIONAL SERVICES. THE CLINIC WAS VOTED THE MOST IMPROVED OUTPATIENT CLINIC IN CONNECTICUT BASED ON DHMAS SATISFACTION SURVEYS IN FEB. 2008. THE CLINIC WAS ALSO RECOGNIZED AS A CO-OCCURRING ENHANCED ORGANIZATION BY DHMAS IN SEPT. 2009. STAFF PRACTICES DUAL DISORDERS TREATMENT (IDDT) IN COMPLIANCE WITH THE DARTMOUTH MODEL FOR ALL CLIENTS WITH CO-OCCURRING DIAGNOSES (MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS). INTERCOMMUNITY INTRODUCED THE OPEN ACCESS MODEL IN 2011 WHICH ALLOWS CLIENTS IMMEDIATE ACCESS TO MEDICATION AND INCOMING INTAKE ASSESSMENTS. SINCE THEN, THERE HAS BEEN AN INCREASE OF 36% IN CLIENTS SEEN BY MEDICAL PRESCRIBERS AND A 40% INCREASE IN CLIENTS SEEN FOR INTAKES.ACCESS SERVICES ACTS AS FRONT DOOR AND PROVIDES EMERGENCY ACCESS FOR INTERCOMMUNITY. DURING CRISES, WE HELP INDIVIDUALS REGAIN CONTROL AND DEVELOP A PLAN TO GET OUT OF CRISIS AND INTO RECOVERY. WE HAVE 24 HOUR TELEPHONE COUNSELING AND TRIAGE. WE HAVE MOBILE ASSESSMENTS FROM 7AM TO 10PM 7 DAYS PER WEEK. INTERCOMMUNITY HAS BEEN RECOGNIZED AS AN ENHANCED CARE CLINIC BY THE DEPARTMENT OF SOCIAL SERVICES SINCE 2007.SUPERVISED AND SUPPORTED HOUSING (HOUSING SERVICES) - PROGRAM STAFF IS AVAILABLE 24/7 AND THE OFFICE IS LOCATED OFF SITE IN AN APARTMENT IN VERY CLOSE PROXIMITY TO ALL PERSONS ENROLLED IN THE PROGRAM. THE GOAL OF THE PROGRAM IS TO ASSIST PEOPLE IN RECOVERY TO LIVE AS INDEPENDENTLY AS POSSIBLE IN COMMUNITY BASED RESIDENCES. PROGRAM STAFF PROVIDE ASSISTANCE WITH ALL AREAS OF DAILY LIVING, COMMUNITY INTEGRATION, EDUCATION ASSISTANCE, COUNSELING, PERSONAL FINANCIAL MANAGEMENT, COMMUNICATION SKILLS, USE OF LEISURE TIME AND OTHER ACTIVITIES. STAFF ALSO ASSISTS IN FINDING, OBTAINING AND MAINTAINING SAFE AND AFFORDABLE HOUSING.COMMON GROUND - A SOCIAL REHABILITATION PROGRAM WHICH IS MEMBER DRIVEN AND PROVIDES SOCIAL, CULTURAL, EDUCATIONAL, REHABILITATIVE AND RECREATIONAL OPPORTUNITIES AS WELL AS PEER SUPPORT AND PEER RUN PROGRAMS. INDIVIDUALIZED RECOVERY PLANNING IS DEVELOPED IN COLLABORATION WITH STAFF INVOLVED WITH THE CLIENTS TREATMENT. ITEMS ADDRESSED IN THE PROGRAM ARE SKILLS ON LIFE MANAGEMENT, INTERPERSONAL, DAILY LIVING, AND PRE-VOCATIONAL AREAS. PROGRAM NEWSLETTERS ARE DEVELOPED MONTHLY BY MENBERS. THE PROGRAM FACILITATES MANY SPECIAL EVENTS THROUGHOUT THE YEAR SUCH AS ACADIA, ME CAMPING TRIPS, TRIPS TO LOCAL EVENTS AND OTHER CULTURALLY DIVERSE ACTIVITIES. COMMON GROUND WAS NAMED CLUBHOUSE OF THE YEAR IN OCT. 2009 BY KEEP THE PROMISE. IT PLACED 2ND OUT OF 17 CLUBS IN THE STATE IN SAMSHA/CT BEHAVIORAL WALK FOR WELLNESS IN 2011. IN JAN. 2011, IT BECAME THE LOCUS OF A NEW MODEL OF CARE CALLED SECURE AND DEVELOPED BY INTERCOMMUNITY TO PROVIDE STRUCTURE AND SECURITY TO CLIENTS TRANSITIONING FROM IN-PATIENT CARE BACK TO THE COMMUNITY. IT HAS BEEN RECOGNIZED BY THE DMHAS COMMISSIONER AND IN 2012 IT WON THE CASE IN POINT AWARD FOR BEHAVIORAL HEALTH CASE MANAGEMENT. EMPLOYMENT SERVICES - THIS PROGRAM IS VOCATIONAL IN NATURE. THE REHABILITATIVE GOAL IS TO ASSIST PEOPLE IN RECOVERY IN FINDING, OBTAINING AND MAINTAINING COMPETITIVE EMPLOYMENT. VOCATIONAL COUNSELORS MAY PROVIDE ON SITE JOB COACHING, JOB DEVELOPMENT, FUNCTIONAL VOCATIONAL TRAINING, HELP IN COMPLETING JOB APPLICATIONS, RESUME DEVELOPMENT, INTERVIEW PREPARATION AND GENERAL COUNSELING AROUND JOB RELATED ITEMS. COUNSELORS ALSO ASSIST WITH ENROLLING IN GED CLASSES AND LOCAL COLLEGES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense438157Expense
Revenue411313Revenue
DescriptionCHILDREN SERVICES ARE COMPRISED OF:THE CHILDREN'S OUTPATIENT CLINIC (OPCC) USES A PHILOSOPHY OF A COLLABORATIVE STRENGTHS-BASED PERSPECTIVE. THE OPCC PROVIDES BEHAVIORAL, COGNITIVE, AND PSYCHIATRIC INTERVENTIONS TO CREATE POSITIVE GROWTH AND CHANGE FOR CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. THE CLINIC SERVICES ARE DESIGNED TO PROMOTE MENTAL HEALTH, IMPROVE FUNCTIONING AND EFFECTIVELY DECREASE THE PREVALENCE AND INCIDENCE OF MENTAL ILLNESS, EMOTIONAL DISTURBANCE AND SOCIAL DYSFUNCTION IN CHILDREN, YOUTH, AND THEIR FAMILIES. CHILDREN AGES 2-18 AND THEIR FAMILIES ARE ELIGIBLE FOR SERVICES AT THE OPCC. THE CLINIC PROVIDES AN EXTENSIVE ARRAY OF SERVICES INCLUDING DIAGNOSTIC EVALUATIONS, INDIVIDUAL, FAMILY AND GROUP THERAPIES, MEDICATION MANAGEMENT AND WHERE INDICATED, PSYCHOLOGICAL TESTING AND CRISIS INTERVENTIONS. THE CLINIC ALSO PROVIDES CONSULTATIONTO SCHOOLS AND OTHER AGENCIES. INTERCOMMUNITY VIEWS THE CHILD AND FAMILY (OR GUARDIANS) AS CENTRAL PARTS OF THE TREATMENT TEAM. COLLLABORATION WITH SCHOOLS AND OTHER SUPPORT AGENCIES IS ENCOURAGED. WHEN APPROPRIATE, PARENTS OF MINORS RECEIVING SERVICES MAY BE REFERRED TO THE ADULT OUTPATIENT CLINIC FOR ADDITIONAL SUPPORT.THE PARENTING GROUP A DEPARTMENT OF CHILDREN AND FAMILY CONTRACT TO PROVIDE PARENTING CLASSES IN 5 AREAS OF THE STATE. THIS PROGRAM IS A NATIONALLY RECOGNIZED PROGRAM FOR PARENTS WITH DIFFICULT OR OUT OF CONTROL CHILDREN.CHILDFIRST A DEPARTMENT OF PUBLIC HEALTH SUBCONTRACT FOR 2 TEAMS TO PROVIDE SERVICE IN THE COMMUNITY FOR CHILDREN AND FAMILIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense34157Expense
Revenue79859Revenue
DescriptionJUDICIAL SERVICES THIS PROGRAM HELPS THOSE INDIVIDUALS IN NEED OF ASSISTANCE WHO ARE BEING RELEASED FROM THE PRISONS.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
2786260HUD INTERCOMMUNITY HAS 2 SEPARATE HUD HOUSING PROGRAMS AGGREGATING 22 APARTMENTS. THESE APARTMENTS ARE FOR THE CHRONICALLY HOMELESS PERSONS WITH MENTAL ILLNESS OF SUBSTANCE ABUSE DISORDERS. THE AIM OF THIS PROGRAM IS TO STABILIZE HOUSING ISSUES, OBTAIN SUPPORTS AND STABILIZE HOUSING FOR THESE CLIENTS. EACH CLIENT HAS AN INDIVIDUALIZED PLAN OF SUPPORT TO ADDRESS PERSONAL ISSUES.
290736277579LLC & OTHER - THE AGENCY HAS SEVERAL OTHER SPECIALIZED SERVICES INCLUDING INTERCONNECTIONS, LLC OFF SITE OUTPATIENT CLINIC, INTENSIVE OUTPATIENT, SMOKING CESSATION, WISE AND ABI SERVICES.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp569362TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev277579TotalOfOtherProgramServiceRev
Total Program Service Expense5911133TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109688NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees92NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARSHALL GAINESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605695900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1281 MAIN STREETAddressLine1
CityEAST HARTFORDCity
StateCTState
ZIP Code06118ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MATTHEW KURTZ
CHAIRMAN1.00X000
KENNETH REED
VICE CHAIRMAN1.00X000
GUERGANA RANGATCHEVA
TREASURER1.00X000
SARAH GUTIERREZ
SECRETARY1.00X000
SCOTT LEE
DIRECTOR1.00X000
JACK LOGAN
DIRECTOR1.00X000
RUSSELL MORIN
DIRECTOR1.00X000
SUSAN SMITH
DIRECTOR1.00X000
REBECCA PAOLINO
DIRECTOR1.00X000
TIMOTHY BEBOUT
DIRECTOR1.00X000
ETHAN REID
DIRECTOR1.00X000
SAMUEL BEASON
DIRECTOR1.00X000
KIMBERLY L BEAUREGARD
CEO40.00163346030165X
MARSHALL GAINES
CFO40.00128910032001X
DR ANN PRICE
CHIEF MEDICAL OFFICER15.0010200800X
TYLER BOOTH
COO40.00121593032885X
RONALD HENSLEY
PSYCHIATRIST40.00146335015985X
ANEES AHMED
ASSISTANT MEDICAL DIRECTOR40.00148125016134X
FieldValueIRS element (for citing)
Total Reportable Comp From Org810317TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation127170TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AETNABusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1151 FARMINGTON AVEAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06156ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHEALTH INSURANCEDescriptionOfServices
Compensation480901Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants4944056GovernmentGrants
All Other Contributions413962AllOtherContributions
Total Contributions5358018TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCLIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column1858450TotalRevenueColumn
Related Or Exempt Function Income1858450RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1858450TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4480TotalRevenueColumn
Exclusion$4,480ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events52624GrossIncomeFundraisingEvents
Fundraising Direct Expenses30719FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column21905TotalRevenueColumn
Exclusion$21,905ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code621400BusinessCode
Total Revenue Column140631TotalRevenueColumn
Exclusion$140,631ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue140631TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7383484TotalRevenueColumn
Related Or Exempt Function Income1858450RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$167,016ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total918385Total
Program Services638189ProgramServices
Management And General279959ManagementAndGeneral
Fundraising237Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3278677Total
Program Services2990911ProgramServices
Management And General278728ManagementAndGeneral
Fundraising9038Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total152763Total
Program Services128307ProgramServices
Management And General24456ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total505446Total
Program Services437154ProgramServices
Management And General65657ManagementAndGeneral
Fundraising2635Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total355887Total
Program Services302504ProgramServices
Management And General53383ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total129902Total
Program Services100782ProgramServices
Management And General29120ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5778Total
Program Services5778ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total61853Total
Program Services60212ProgramServices
Management And General1641ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total91402Total
Program Services83254ProgramServices
Management And General7545ManagementAndGeneral
Fundraising603Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROFESSIONAL FEES398567253189145378
CLIENT SUPPORT267706267706
TELEPHONE AND SUPPORT22341817039552885138
MAINTENANCE1226151153047311

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total439557Total
Program Services357448ProgramServices
Management And General76919ManagementAndGeneral
Fundraising5190Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6951956Total
Program Services5911133ProgramServices
Management And General1022982ManagementAndGeneral
Fundraising17841Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1482829BOY
EOY1778929EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY85004BOY
EOY142561EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY102839BOY
EOY351980EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY51486BOY
EOY51944EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1421691LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec801697LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY627338BOY
EOY619994EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10100BOY
EOY10100EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2359596BOY
EOY2955508EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY911759BOY
EOY1121128EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY156380BOY
EOY129551EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY244893BOY
EOY95861EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1313032BOY
EOY1346540EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1008837BOY
EOY1517827EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY37727BOY
EOY91141EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1046564BOY
EOY1608968EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2359596BOY
EOY2955508EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses431528ReconcilationRevenueExpenses
Reconcilation Other Changes130876ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5205142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5009794CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5225346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5265893CurrentTaxYearMinus1Year
Current Tax Year5358018CurrentTaxYear
Total26064193Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5205142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5009794CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5225346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5265893CurrentTaxYearMinus1Year
Current Tax Year5358018CurrentTaxYear
Total26064193Total
FieldValueIRS element (for citing)
Public Support Total17026064193PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11887CurrentTaxYearMinus1Year
Current Tax Year145461CurrentTaxYear
Total286030Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year53432CurrentTaxYearMinus1Year
Current Tax Year52624CurrentTaxYear
Total106056Total
FieldValueIRS element (for citing)
Total Support26456279TotalSupport
Gross Receipts From Admissions Etc6219897GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98520PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99140PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis107200OtherCostOrOtherBasis
Book Value107200BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1039404OtherCostOrOtherBasis
Depreciation572563Depreciation
Book Value466841BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis275087OtherCostOrOtherBasis
Depreciation229134Depreciation
Book Value45953BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings619994TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED INCOMEDescription
Amount$95,861Amount
FieldValueIRS element (for citing)
Total Of Amounts95861TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7414203TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7414203RevenueSubtotal
Other Revenues Not Included-30719OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-30719RevenueNotRptdOnFinStmt
Total Revenue Per Form9907383484TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6982675TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6982675ExpensesSubtotal
Other Expenses Not Included-30719OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-30719ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906951956TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:INTERCOMMUNITY HAS IMPLEMENTED THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING CERTAIN PROVISIONS OF ASC 740, INCOME TAXES. USING THIS GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2013, INTERCOMMUNITY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR INCOME TAX POSITIONS TAKEN IN ITS TAX RETURNS. CURRENTLY, INTERCOMMUNITY'S INFORMATIONAL RETURNS FOR 2009-2011 REMAIN OPEN TO INSPECTION BY THE IRS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1NIGHT OF LAUGHTERNameOfEvent1
Gross Receipts Event152059GrossReceiptsEvent1
Gross Revenue Event152059GrossRevenueEvent1
Other Direct Expenses Event125059OtherDirectExpensesEvent1
Name Of Event25K RUN/WALKNameOfEvent2
Gross Receipts Event2565GrossReceiptsEvent2
Gross Revenue Event2565GrossRevenueEvent2
Other Direct Expenses Event2280OtherDirectExpensesEvent2
Gross Receipts Total52624GrossReceiptsTotal
Gross Revenue Total Events52624GrossRevenueTotalEvents
Other Direct Expenses Total Events25339OtherDirectExpensesTotalEvents
Direct Expense Summary Events25339DirectExpenseSummaryEvents
Net Income Summary27285NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKIMBERLY L BEAUREGARDNamePerson
TitleCEOTitle
Base Compensation Filing Org163346BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org163346TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4NEW BYLAWS WERE ADOPTED BY INTERCOMMUNITY DURING THE LAST FISCAL YEAR.
FORM 990, PART VI, SECTION B, LINE 11THIS YEAR, THE 990 WAS REVIEWED BY THE AUDIT COMMITTEE, AND THE AUDIT COMMITTEE PRESENTED IT TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE DIRECTORS ARE REQUIRED TO SIGN THE POLICY AS COMPLIANT.
FORM 990, PART VI, SECTION B, LINE 15REVIEWS OF OTHER SIMILAR AGENCY'S 990 FORMS ON GUIDESTAR PLUS CCPA HAS A COMPARATIVE COMPILATION WHICH IS USED INTERNALLY. THE CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS DOCUMENTS AVAILIBLE UPON REQUEST.
FORM 990, PART XI, LINE 9:TO REMOVE ASSETS FOR INTERCOMMUNITY FOUNDATION. SEPERATE 990-EZ NOW FILED. 130,876.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1INTERCONNECTIONS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1893 MAIN ST SUITE 203AddressLine1
CityEAST HARTFORDCity
StateCTState
ZIP Code06118ZIPCode
FieldValueIRS element (for citing)
EIN060954809EIN
Primary ActivitiesOUTPATIENT BEHAVIORAL HEALTH CLINICPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Total Income92936TotalIncome
EOY Assets23559EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INTERCOMMUNITY INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE INTERCOMMUNITY FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1281 MAIN STREETAddressLine1
CityEAST HARTFORDCity
StateCTState
ZIP Code06118ZIPCode
FieldValueIRS element (for citing)
EIN273739973EIN
Primary ActivitiesPROPERTY MANAGEMENTPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(2)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INTERCOMMUNITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1INTERCONNECTIONSBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType