2026-03-23T16:33:06-05:00 2025-09-30 331374517 PKF O'CONNOR DAVIES ADVISORY LLC 100 GREAT MEADOW ROAD WETHERSFIELD CT 06109 990 2024-10-01 060916407 SOUTHWESTERN CT AGENCY ON AGING INC SOUT 2033339288 1000 LAFAYETTE BOULEVARD BRIDGEPORT CT 06604 MARIE ALLEN PRESIDENT / CEO 2033339288 2026-03-23 1 1 GARRETT M HIGGINS P00543209 8602571870 2026-03-23 2024 2025-03-06 01:10:19Z MARIE ALLEN 1000 LAFAYETTE BOULEVARD BRIDGEPORT CT 06604 17206849 0 X WWW.SWCAA.ORG X 1974 CT SWCAA IS THE TRUSTED SOURCE OF ADVOCACY, INFORMATION, AND ACCESS TO CARE FOR OLDER AND VULNERABLE ADULTS THAT PROVIDES RESOURCES TO STRENGTHEN THE REGIONAL AGING NETWORK. SWCAA ENVISIONS A COMMUNITY WHERE ALL ADULTS HAVE ACCESS TO THE LONG TERM CARE SUPPORTS AND SERVICES THAT HELP THEM THRIVE AND LIVE WITH DIGNITY IN THE SETTING OF THEIR CHOICE. 17 17 130 122 205244 11617 7488798 7450426 8599685 9415456 162562 66215 73305 208104 16324350 17140201 4462670 3874461 0 0 7359179 8454012 0 0 0 4137199 4460988 15959048 16789461 365302 350740 7177217 9231179 2702163 4351235 4475054 4879944 X SWCAA IS THE TRUSTED SOURCE OF ADVOCACY, INFORMATION, AND ACCESS TO CARE FOR OLDER AND VULNERABLE ADULTS THAT PROVIDES RESOURCES TO STRENGTHEN THE REGIONAL AGING NETWORK. 0 0 5850111 0 6740129 CARE MANAGEMENT: SWCAA IS CONTRACTED BY THE DEPARTMENT OF SOCIAL SERVICES (DSS) TO PROVIDE CARE MANAGEMENT SERVICES TO INDIVIDUALS ENROLLED IN THE CONNECTICUT HOME CARE PROGRAMS. THIS MEDICAID WAIVER SUPPORTS OLDER ADULTS AND YOUNGER PERSONS WITH DISABILITIES TO REMAIN IN THEIR HOME AND FOREGO PREMATURE INSTITUTIONAL PLACEMENT. SWCAA'S SOCIAL SERVICE PROFESSIONALS ARE RESPONSIBLE TO ASSESS THE APPLICANT'S FINANCIAL AND FUNCTIONAL ELIGIBILITY FOR THE PROGRAM. THE ASSESSMENT INFORMATION IS SUBMITTED TO THE DSS FOR APPROVAL. ONCE APPROVED, SWCAA DEVELOPS A CARE PLAN BY AUTHORIZING SERVICES FROM MEDICAID PROVIDERS THAT WILL SUPPORT THE INDEPENDENCE AND IMPROVE THE QUALITY OF LIFE FOR CLIENTS. CLIENTS ARE MONITORED AND CARE PLAN AUTHORIZATIONS ARE ADJUSTED BASED ON EMERGENT CHANGES OR NEEDS. MANDATORY HOME VISITS AND MONTHLY MONITORING ARE DOCUMENTED IN A CLIENT MANAGEMENT SYSTEM. SWCAA IS REIMBURSED BASED ON THE CENSUS AND COMPLETION OF REQUIRED ACTIVITIES. 5850111 0 2675327 TRANSITION: SWCAA IS DESIGNATED BY THE DEPARTMENT OF SOCIAL SERVICES TO ASSIST INDIVIDUALS WISHING TO TRANSITION OUT OF NURSING FACILITATES BACK TO THE COMMUNITY. THE SOCIAL SERVICE PROFESSIONALS WORK WITH NURSING HOME RESIDENTS TO OVERCOME BARRIERS THAT WOULD PREVENT THE INDIVIDUAL FROM RETURNING HOME. WORKING CLOSELY IN A TEAM THAT INCLUDES TRANSITION AND HOUSING COORDINATORS, THE SOCIAL SERVICE PROFESSIONALS DEVELOP A PLAN TO FIND APPROPRIATE HOUSING, IDENTIFY NECESSARY IN-HOME SUPPORTS AND INITIATE OTHER FORMAL AND IN-FORMAL SERVICES TO SUPPORT THE INDIVIDUAL. STAFF STAY WITH THE INDIVIDUAL FOR ONE YEAR POST TRANSITION TO SUPPORT THE CLIENT IN HIS OR HER NEW ENVIRONMENT. 3874461 3874461 0 GRANTS: SWCAA'S ANNUAL REQUEST FOR PROPOSALS INVITES NONPROFIT AGENCIES SERVING OLDER ADULTS TO APPLY FOR OLDER AMERICANS ACT (OAA) FUNDING ADMINISTERED BY SWCAA. EVERY THREE YEARS, A ROBUST AREA PLAN IS DEVELOPED TO INCLUDE A NEEDS ASSESSMENT FOR OLDER ADULTS IN SOUTHWESTERN CONNECTICUT. THE IDENTIFIED NEEDS FORM THE FOUNDATION FOR EVALUATING THE APPLICATIONS FOR FUNDING. SWCAA ACTIVELY RECRUITS AND PROVIDES TECHNICAL ASSISTANCE TO NONPROFITS TO ASSIST THEM IN APPLYING FOR FUNDS THROUGH THE OAA. THE INVITATION TO APPLY INCLUDES PUBLIC NOTICE IN THE NEWSPAPER, PROMOTION ON THE WEBSITE AND FACEBOOK, AND POSTCARDS SENT TO NONPROFITS, MASS EMAILS TO ORGANIZATIONS WITHIN SWCAA'S DISTRIBUTION LIST AND THE DISTRIBUTION LISTS OF OTHER MEMBER ORGANIZATIONS SUCH AS THE UNITED WAY. APPLICATION MATERIALS ARE POSTED ON THE SWCAA WEBSITE ALONG WITH OTHER RESOURCES TO GUIDE THE APPLICANT. ALL APPLICATIONS RECEIVED BY DEADLINE ARE REVIEWED BY THE GRANTS MANAGER FOR MINIMAL REQUIREMENTS AND COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. SWCAA BOARD OF DIRECTORS AND ADVISORY COUNCIL EVALUATE APPLICATIONS USING A STANDARDIZED EVALUATION TOOL. AWARDS ARE MADE BASED ON THE EXISTING LEVEL OF FUNDS, THE ANTICIPATED ABILITY OF THE APPLICANT TO MEET THE IDENTIFIED NEEDS AND THE APPLICANT'S ABILITY TO COMPLY WITH ALL REQUIREMENTS. 15574683 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 130 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RACHAEL HARVEY 2033339288 1000 LAFAYETTE BOULEVARD BRIDGEPORT CT 06604 MARIE ALLEN PRESIDENT / CEO 40.00 X 164755 0 45309 MARY DONNELLY DIRECTOR, CARE MANAGEMENT 40.00 X 130938 0 23593 CYNTHIA MAJERSKY DIRECTOR, COMMUNITY OPTIONS 40.00 X 113075 0 72375 STEPHANIE MINCEY SYSTEMS ADMINISTRATOR 40.00 X 112033 0 37727 RACHAEL HARVEY FINANCE DIRECTOR 40.00 X 92654 0 0 A MARJOLIJN BAXENDALE CHAIRMAN THRU 09/30/25 2.00 X X 0 0 0 JEANETTE BOGDAN VICE CHAIRMAN 2.00 X X 0 0 0 KATE MAXHAM VICE CHAIRMAN 2.00 X X 0 0 0 ELLEN ABEND TREASURER 2.00 X X 0 0 0 SUE BRANNELLY MARTIN SECRETARY 2.00 X X 0 0 0 KATHLEEN BORDELON DIRECTOR THRU 09/30/25 1.00 X 0 0 0 JULIE DEMARCO DIRECTOR JOINED 10/01/24 1.00 X 0 0 0 LIZA ESTEVEZ DIRECTOR 1.00 X 0 0 0 TERRY GIEGENGACK DIRECTOR JOINED 10/01/24 1.00 X 0 0 0 CARL GLAD ESQ DIRECTOR 1.00 X 0 0 0 STEPHEN GRAMPS DIRECTOR THRU 09/30/25 1.00 X 0 0 0 PAMELA HOFFMAN DIRECTOR 1.00 X 0 0 0 ANN MARIE HYNES ESQ DIRECTOR 1.00 X 0 0 0 RANDIE KATZ DIRECTOR JOINED 10/01/24 1.00 X 0 0 0 KEVIN KELLY ESQ DIRECTOR 1.00 X 0 0 0 STEPHANIE PAULMENO DIRECTOR THRU 09/30/25 1.00 X 0 0 0 STEPHANIE ROSS DIRECTOR 1.00 X 0 0 0 ASHA SCHER DIRECTOR JOINED 10/01/24 1.00 X 0 0 0 DONNA SPELLMAN DIRECTOR JOINED 10/01/24 1.00 X 0 0 0 PENNY YOUNG DIRECTOR 1.00 X 0 0 0 613455 0 179004 4 0 1 0 SAGE 70 INC 1114 OLDHAM FOREST XING CARY NC 27513 TECHNICAL PROJECT MANAGEMENT 245625 COMPASS MSP 67 PROSPECT AVE STE 202 HARTFORD CT 06106 IT MANAGED SERVICES PROVIDER 220400 DEEP WHY DESIGN LLC 203 WASHINGTON STREET 222 SALEM MA 01970 SALESFORCE CONSULTANTS 120105 CLIFTONLARSONALLEN LLP PO BOX 829709 PHILADELPHIA PA 191829709 FINANCE CONSULTANTS 107927 4 7393705 56721 7450426 HOME CARE SERVICES 621610 6740129 6740129 VA SWCAA ASSESSMENTS 621610 2666258 2666258 OTHER PROGRAM SERVICES 621610 9069 9069 9415456 59951 59951 72912 66648 6264 6264 6264 IT SYSTEM DEVELOPMENT 900099 205244 205244 OTHER REVENUE 900099 2860 0 2860 208104 17140201 9415456 205244 69075 3803658 3803658 70803 70803 309524 61237 248287 6471547 5977268 494279 203407 191531 11876 954871 866520 88351 514663 460029 54634 494 494 31737 31737 17092 17092 558900 506527 52373 216146 193237 22909 626457 501166 125291 346842 294816 52026 72649 64937 7712 14331 12810 1521 20333 18175 2158 30127 26929 3198 VETERAN ADMINISTRATION 2458915 2458915 OTHER PROGRAM EXPENSES 54569 54569 BAD DEBT EXPENSE 4822 4822 7574 6734 840 16789461 15574683 1214778 0 1501967 3597618 2083328 105855 1437391 1714825 156532 137493 591482 582189 29626 9293 1418298 2052738 550075 1613357 7177217 9231179 592661 565427 1312546 2099136 796956 1686672 2702163 4351235 X 4475054 4879944 4475054 4879944 7177217 9231179 350740 54150 0 X X 0 1 X 1 1 1 X 7401938 7338589 7899194 7485944 7450426 37576091 7401938 7338589 7899194 7485944 7450426 37576091 37576091 30649 50175 62279 74816 59951 277870 14477 14477 15580 5021 4059 9585 34245 37902683 38863893 0.99140 0.99210 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2021 AMOUNT: $ 5,021. 2022 AMOUNT: $ 4,059. 2023 AMOUNT: $ 9,585. REFUNDS - 2020 AMOUNT: $ 15,580. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 53457 53457 0 538025 528732 9293 9293 SECURITY DEPOSITS 27876 OTHER ASSETS 152104 SENIOR HOUSING ASSISTANCE FUND 33976 ALZHEIMER'S RESPITE FUND 3994 OPERATING LEASE ASSET 1395407 1613357 DUE TO GRANTEES AND CONTRACTORS 239471 OPERATING LEASE LIABILITY 1447201 1686672 X 17177259 54150 54150 17123109 17092 17092 17140201 16772369 0 16772369 17092 17092 16789461 PART X, LINE 2: SWCAA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE SWCAA HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE SWCAA IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAX JURISDICTIONS FOR PERIODS PRIOR TO 2022. 1 RW SOLUTIONS INC 200 MYRTLE STREET NEW BRITAIN CT 06053 874478882 501 (C) (3) 1633869 0 ELDERLY NUTRITION / HOME CARE SERVICES CATHOLIC CHARITIES 238 JEWETT AVENUE BRIDGEPORT CT 06606 060653053 501 (C) (3) 1385068 0 ELDERLY NUTRITION / HOME CARE SERVICES SILVERSOURCE 1100 SUMMER STREET SUITE 201 STAMFORD CT 06905 060646916 501 (C) (3) 49180 0 ELDERLY NUTRITION / HOME CARE SERVICES FAMILY CENTERS 40 ARCH STREET GREENWICH CT 06830 060646656 501 (C) (3) 44412 0 ELDERLY NUTRITION / HOME CARE SERVICES ELDERHOUSE 7 LEWIS STREET NORWALK CT 06851 060963343 501 (C) (3) 40757 0 ELDERLY NUTRITION / HOME CARE SERVICES FAMILY & CHILDREN'S AGENCY 9 MOTT AVE 4TH FLOOR NORWALK CT 06850 060970985 501 (C) (3) 39935 0 ELDERLY NUTRITION / HOME CARE SERVICES MOZAIC SENIOR LIFE 4200 PARK AVENUE BRIDGEPORT CT 06604 060846991 501 (C) (3) 38690 0 ELDERLY NUTRITION / HOME CARE SERVICES STAMFORD SENIOR CENTER INC 888 WASHINGTON BLVD 2ND FLOOR STAMFORD CT 06901 061456561 501 (C) (3) 37945 0 ELDERLY NUTRITION / HOME CARE SERVICES MONITOR MY HEALTH 1000 LAFAYETTE BLVD STE 1100 BRIDGEPORT CT 06604 814498882 501 (C) (3) 36346 0 ELDERLY NUTRITION / HOME CARE SERVICES HALL NEIGHBORHOOD HOUSE 52 GEORGE E PIPKINS WAY BRIDGEPORT CT 06608 060676851 501 (C) (3) 34304 0 ELDERLY NUTRITION / HOME CARE SERVICES CITY OF BRIDGEPORT 999 BROAD STREET BRIDGEPORT CT 06604 636001209 CITY OF BRIDGEPORT 32818 0 ELDERLY NUTRITION / HOME CARE SERVICES TOWN OF MONROE 235 CUTLERS FARM ROAD MONROE CT 06468 066002038 TOWN OF MONROE 30095 0 ELDERLY NUTRITION / HOME CARE SERVICES GREENWICH ADC RIVERHOUSE 125 RIVER ROAD EXTENSION COS COB CT 06807 222894544 501 (C) (3) 29551 0 ELDERLY NUTRITION / HOME CARE SERVICES CONNECTICUT LEGAL SERVICES INC 1000 LAFAYETTE BLVD 9TH FLOOR BRIDGEPORT CT 06604 060955461 501 (C) (3) 27609 0 ELDERLY NUTRITION / HOME CARE SERVICES UNIVERSITY OF BRIDGEPORT 126 PARK AVENUE BRIDGEPORT CT 06604 861274088 501 (C) (3) 27378 0 DENTAL NORWALK SENIOR CENTER INC 11 ALLEN ROAD NORWALK CT 06851 237121169 501 (C) (3) 26333 0 ELDERLY NUTRITION / HOME CARE SERVICES STERLING HOUSE COMMUNITY CENTER 2282 MAIN STREET STAMFORD CT 06615 060665192 501 (C) (3) 23598 0 ELDERLY NUTRITION / HOME CARE SERVICES COMMUNITY HEALTH CENTER INC 635 MAIN STREET MIDDLETOWN CT 06457 060897105 501 (C) (3) 23146 0 LEGAL SERVICES TOWN OF STRATFORD SENIOR SERVICES 1000 W BROAD STREET STRATFORD CT 06615 066002103 TOWN OF STRATFORD 23023 0 ELDERLY NUTRITION / HOME CARE SERVICES OVER 60 CLUB 628 MAIN STREET STAMFORD CT 06901 455398824 501 (C) (3) 20000 0 ELDERLY NUTRITION / HOME CARE SERVICES WHEEL IT FORWARD 48 UNION STREET STAMFORD CT 06906 133848582 501 (C) (3) 17267 0 ELDERLY NUTRITION / HOME CARE SERVICES CONNECTICUT FAIR HOUSING CENTER 60 POPIELUSZKO CT HARTFORD CT 06106 061453727 501 (C) (3) 12368 0 LEGAL SERVICES WESTPORT CENTER FOR SENIOR ACTIVITIES 21 IMPERIAL AVENUE WESTPORT CT 06880 060002128 TOWN OF WESTPORT 11637 0 ELDERLY NUTRITION / HOME CARE SERVICES SCHOKE JEWISH FAMILY SERVICES OF FAIRFIELD COUNTY 196 GREYROCK PLACE STAMFORD CT 06901 061130830 501 (C) (3) 11511 0 ELDERLY NUTRITION / HOME CARE SERVICES TOWN OF TRUMBULL HUMAN SERVICES 23 PRISCILLA PLACE TRUMBULL CT 06611 066002110 TOWN OF TRUMBULL 10820 0 ELDERLY NUTRITION / HOME CARE SERVICES FAIRFIELD UNIVERSITY SCHOOL OF NURSING 1073 N BENSON ROAD FAIRFIELD CT 06824 060646623 501 (C) (3) 9816 0 ELDERLY NUTRITION / HOME CARE SERVICES BRIDGE HOUSE INC 880 FAIRFIELD AVENUE BRIDGEPORT CT 06605 130522302 501 (C) (3) 9178 0 ELDERLY NUTRITION / HOME CARE SERVICES JEWISH FAMILY SERVICES OF GREENWICH 1 HOLLY HILL LANE GREENWICH CT 06830 061073590 501 (C) (3) 8633 0 ELDERLY NUTRITION / HOME CARE SERVICES FAIRFIELD COUNTY HOUSE 1 DEN ROAD STAMFORD CT 06902 454166197 501 (C) (3) 7887 0 ELDERLY NUTRITION / HOME CARE SERVICES CARDINAL SHEHAN CENTER 1494 MAIN STREET BRIDGEPORT CT 06604 061101081 501 (C) (3) 7219 0 ELDERLY NUTRITION / HOME CARE SERVICES 30 0 NATIONAL FAMILY CAREGIVER AND SUPPLEMENTAL PROGRAM 77 70803 PART I, LINE 2: ORGANIZATION GRANTS: SWCAA'S ANNUAL REQUEST FOR PROPOSALS INVITES NONPROFIT AGENCIES SERVING OLDER ADULTS TO APPLY FOR OLDER AMERICANS ACT FUNDING ADMINISTERED BY SWCAA. EVERY THREE YEARS, A ROBUST AREA PLAN IS WRITTEN TO INCLUDE A NEEDS ASSESSMENT FOR OLDER ADULTS IN SOUTHWESTERN CONNECTICUT. THE IDENTIFIED NEEDS FORM THE FOUNDATION FOR EVALUATING THE APPLICATIONS FOR FUNDING. THE INVITATION TO APPLY INCLUDES PUBLIC NOTICE IN THE NEWSPAPER, PROMOTION ON THE WEBSITE AND FACEBOOK, AND A MASS EMAIL ANNOUNCEMENT TO NON-PROFIT ORGANIZATIONS WITHIN SWCAA'S DISTRIBUTION LIST. APPLICATION MATERIALS ARE POSTED ON THE SWCAA WEBSITE ALONG WITH OTHER RESOURCES TO GUIDE THE APPLICANT. ALL APPLICATIONS RECEIVED BY THE DEADLINE ARE SUBJECT TO REVIEW BY THE GRANTS MANAGER FOR MINIMAL REQUIREMENTS. SWCAA BOARD OF DIRECTORS AND ADVISORY COUNCIL EVALUATE APPLICATIONS USING A STANDARDIZED EVALUATION TOOL. AWARDS ARE MADE BASED ON THE EXISTING LEVEL OF FUNDS, THE ANTICIPATED ABILITY OF THE APPLICANT TO MEET THE IDENTIFIED NEEDS AND THE APPLICANT'S ABILITY TO COMPLY WITH ALL REQUIREMENTS. NATIONAL FAMILY CAREGIVER AND SUPPLEMENTAL PROGRAM: FAMILY CAREGIVERS AND CARE RECIPIENTS APPLY FOR FUNDING FOLLOWING AN APPLICATION FORM FILING. CAREGIVERS MUST: (1) BE OVER 18 AND CARING FOR A PERSON AGED 60 YEARS OR OLDER, OR (2) BE A RELATIVE CAREGIVER AGE 55 OR OLDER, WHO IS NOT A PARENT AND IS CARING FULL-TIME FOR AN ADULT AGE 19-59 WITH DISABILITIES. THE CARE RECIPIENT MUST: (1) NEED ASSISTANCE WITH AT LEAST TWO ACTIVITIES OF DAILY LIVING (ADLS). ADLS INCLUDE BATHING, DRESSING, TOILETING, EATING, WALKING WITHOUT SUBSTANTIAL HUMAN ASSISTANCE, OR (2) HAVE A COGNITIVE OR OTHER MENTAL IMPAIRMENT THAT REQUIRES SUBSTANTIAL SUPERVISION. PRIORITY WILL BE GIVEN TO OLDER INDIVIDUALS WITH THE GREATEST SOCIAL AND ECONOMIC NEED, WITH PARTICULAR ATTENTION TO LOW-INCOME OLDER ADULTS; OR OLDER INDIVIDUALS PROVIDING FULL-TIME CARE AND SUPPORT TO ADULTS WITH SEVERE DISABILITIES. X X X 0 0 0 0 0 0 0 1 0 MARIE ALLEN PRESIDENT / CEO 164755 0 0 0 0 0 8322 0 36987 0 210064 0 0 0 MARY DONNELLY DIRECTOR, CARE MANAGEMENT 130938 0 0 0 0 0 6631 0 16962 0 154531 0 0 0 CYNTHIA MAJERSKY DIRECTOR, COMMUNITY OPTIONS 113075 0 0 0 0 0 6134 0 66241 0 185450 0 0 0 PART I, LINE 7 INDIVIDUALS INCLUDED IN PART VII, SECTION A, LINE 1A RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2024, WHICH WAS INCLUDED IN THEIR 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. FORM 990, PART VI, SECTION B, LINE 11B SWCAA REVIEWS THE FORM 990, WHICH AN OUTSIDE ACCOUNTING FIRM PREPARES. AFTER FORM 990 HAS BEEN PREPARED, IT IS PRESENTED TO AND REVIEWED BY THE FINANCE & AUDIT COMMITTEE. CHANGES, EDITS, OR CONCERNS ARE DISCUSSED AT THE FINANCE COMMITTEE MEETING, WITH MEMBERS OF THE AUDIT FIRM AVAILABLE TO ADDRESS THEM. AFTER THE FINANCE COMMITTEE APPROVES THE DRAFT, THE FINANCE CHAIR PRESENTS A COPY TO THE BOARD FOR APPROVAL. THE BOARD RECEIVES THE DRAFT ONE WEEK BEFORE THE FINANCE CHAIR'S PRESENTATION. THE BOARD DISCUSSES/EDITS AND APPROVES THE 990. THE AUDIT FIRM THEN SUBMITS IT TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND STAFF MEMBERS WILL BE ASKED TO SIGN AN ANNUAL DECLARATORY STATEMENT WHICH DISCLOSES EMPLOYMENT OR PARTICIPATION IN ALL OTHER ORGANIZATIONS, BOARDS AND COMMISSIONS ON WHICH THEY CURRENTLY SERVE. A SIGNATURE ACKNOWLEDGING RECEIPT OF AND ACCEPTANCE OF THE ETHICS POLICY IS ALSO REQUIRED AND DECLARES THEIR INTENT TO AVOID PARTICIPATION IN DISCUSSION OR IN VOTING ON ANY ISSUE AFFECTING ONE OF THOSE BOARDS OR COMMISSIONS OR THAT DOES NOT SERVE THE BEST INTEREST OF THE SOUTHWESTERN CT AGENCY ON AGING. BOARD MEMBERS, EMPLOYEES AND OFFICERS OF PRIVATE AGENCIES OR OTHER COMMUNITY AGENCIES OR OF ANY MUNICIPAL OR GOVERNMENT BODY MAY SERVE ON THE BOARD OF DIRECTORS; BUT MAY NOT VOTE OR PARTICIPATE IN DISCUSSION OF MATTERS RELATED TO THE FINANCIAL OR CONTRACTUAL AFFAIRS OF THEIR AGENCY OR BODY. ALL VOTES TAKEN BY THE BOARD MEMBERS ARE REVIEWED AND ANYONE HAVING A POTENTIAL CONFLICT OF INTEREST IS RECUSED. FORM 990, PART VI, SECTION B, LINE 15 PRESIDENT/CEO COMPENSATION - THE PRESIDENT/CEO RECEIVED THE SAME COST-OF-LIVING INCREASE AS ALL OTHER STAFF MEMBERS. THE COST-OF-LIVING INCREASE IS RECOMMENDED BY THE FINANCE COMMITTEE AND VOTED ON AS PART OF THE BOARD'S BUDGET APPROVAL PROCESS IN SEPTEMBER OF EACH YEAR FOR THE FISCAL YEAR BEGINNING OCTOBER 1. THE EXECUTIVE DIRECTOR'S COMPENSATION WAS PREVIOUSLY EVALUATED BY THE PERSONNEL COMMITTEE, WHICH REVIEWED COMPARABILITY DATA FROM OTHER AREA AGENCIES ON AGING AND NONPROFIT LEADER SALARIES. A FORMAL RECOMMENDATION WENT FROM THE PERSONNEL COMMITTEE TO THE FINANCE COMMITTEE AND WAS APPROVED BY THE FULL BOARD. THIS APPROVAL IS DOCUMENTED IN A PERSONNEL MEMO FROM THE BOARD CHAIR, AND THE BOARD'S APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. DIRECTOR OF CARE MANAGEMENT, OPERATIONS DIRECTOR, FINANCE DIRECTOR, AND COMMUNITY OPTIONS DIRECTOR - SALARIES WERE ESTABLISHED UPON HIRE USING COMPARABILITY AND HISTORICAL SALARY DATA. IN SUBSEQUENT YEARS, THESE POSITIONS RECEIVED THE SAME COST-OF-LIVING INCREASE AS ALL OTHER STAFF MEMBERS. THE COST-OF-LIVING INCREASE IS RECOMMENDED BY THE FINANCE COMMITTEE AND VOTED ON AS PART OF THE BOARD'S BUDGET APPROVAL PROCESS IN SEPTEMBER OF EACH YEAR FOR THE FISCAL YEAR BEGINNING OCTOBER 1. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO POSTED ON THE GUIDESTAR. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE & AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.