2019-11-07T09:14:31-06:00 2018-12-31 990 2018-01-01 222495808 FANNY ALLEN CORPORATION FANN 9786546363 100 AMES POND DRIVE SUITE 102 TEWKSBURY MA 01876 STEPHEN FORNEY CFO 9786546363 2019-11-07 155.212.6.161 2019-11-07 10:14:19 US P AEC35488C4CD91AC8DD9FF49E81978A397244AF0 A744FCA080835C7073C58A40247746B207170AF7 2018 2020-01-14 16:20:31Z STEPHEN FORNEY 100 AMES POND DRIVE SUITE 102 TEWSBURY MA 01876 373020 0 X N/A X 1983 VT THE FANNY ALLEN CORPORATION PROVIDES SUPPORT AND GRANTS TO OTHER NOT FOR PROFIT ORGANIZATIONS IN VERMONT THAT SERVE THE POOR AND MOST NEEDY. 7 7 0 0 0 0 200000 200000 0 0 112169 173020 421 0 312590 373020 299421 288000 0 0 0 0 0 0 0 791 242 300212 288242 12378 84778 9303729 8787697 0 0 9303729 8787697 THE FANNY ALLEN CORPORATION PROVIDES SUPPORT AND GRANTS TO OTHER NOT FOR PROFIT ORGANIZATIONS IN VERMONT THAT SERVE THE POOR AND MOST NEEDY. 0 0 288242 288000 THE FANNY ALLEN CORPORATION PROVIDES SUPPORT AND GRANTS TO OTHER NOT FOR PROFIT ORGANIZATIONS IN VERMONT THAT SERVE THE POOR AND MOST NEEDY. 288242 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 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 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X X STEPHEN GRUBBS 9786546363 100 AMES POND DRIVE SUITE 102 TEWKSBURY MA 01862 CHRISTINE WERNEKE DIRECTOR 1.00 1.00 X 0 0 0 DAVID JILLSON DIRECTOR/ CHAIR 3.00 3.00 X X 0 0 0 HEIDI ST PETER DIRECTOR/SECRETARY 1.00 1.00 X X 0 0 0 PETER MOINO DIRECTOR 1.00 1.00 X 0 0 0 MAUREEN O'REILLY DIRECTOR 1.00 1.00 X 0 0 0 ELLEN KANE DIRECTOR 1.00 1.00 X 0 0 0 TRACY HUNTINGTON DIRECTOR 1.00 1.00 X 0 0 0 JOHN AHLE TREASURER/CH TO 9/18 1.00 39.00 X 0 487361 19516 STEPHEN GRUBBS TREASURER/CH FROM 9/18 1.00 39.00 X 0 131501 6711 0 618862 26227 0 0 1 0 0 200000 200000 173020 173020 373020 0 0 173020 288000 288000 242 242 288242 288242 0 0 208295 195787 6985126 6601622 2110308 1990288 9303729 8787697 0 0 X 7359713 6843681 1362279 1362279 581737 581737 9303729 8787697 9303729 8787697 84778 -600810 0 X 0 1 X 0 0 X X 1 COVENANT HEALTH INC 222484505 10 1 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, QUESTION 6 THE ORANIZATION MAKES GRANTS TO CERTAIN UNRELATED ORGANIZATIONS, CONSISTENT WITH THE MISSION OF COVENANT HEALTH, INC., WHICH IS TO PROVIDE HEALTH AND HUMAN SERVICES ASSITANCE IN THE MANNER CONSISTENT WITH THE HEALING MINISTRY OF JESUS CHRIST IN THE ROMAN CATHOLIC CHRUCH. 1944016 1944016 1944016 1944016 1944016 1944016 1944016 1944016 1944016 1944016 0.29920 0.70080 1 0 0 PROVIDENTIA PRIMA TRUST 6601622 F 6601622 RESTRICTED FUNDS 1990288 1990288 X PART X, LINE 2: COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2018. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2015 THROUGH 2018 ARE OPEN AND SUBJECT TO EXAMINATION. 1 ADDISON COUNTY COMMUNITY ACTION GROUP 282 BOARDMAN STREET MIDDLEBURY VT 05753 237393720 501(C)(3) 10500 EMERGENCY SUPPORT FOR HOMELESS AND SICK OF ADDISON COUNTY, VT ANEW PLACE PO BOX 1481 BURLINGTON VT 05402 030287599 501(C)(3) 10000 SUPPORT FOR HOMELESS ADULTS BOYS AND GIRLS CLUB OF BURLINGTON 62 OAK STREET BURLINGTON VT 05401 030179307 501(C)(3) 6000 AFTER SCHOOL PROGRAM FOR CHILDREN CANCER PATIENT SUPPORT FUND PO BOX 1804 WILLISTON VT 05495 030365270 501(C)(3) 5000 EMERGENCY SUPPORT FOR CANCER PATIENTS. CAMP AGAPE VERMONT PO BOX 8283 ESSEX VT 05451 263990854 501(C)(3) 10000 SUMMER CAPE FOR UNDER PRIVILEGED YOUTH CAMP EXCLAMATION POINT INC PO BOX 91 RICHMONT VT 05477 030329568 501(C)(3) 6000 DAY CAMP FOR LOW INCOME CHILDERN FAMILY ROOM VERMONT 20 ALLEN ST BURLINGTON VT 05401 815449524 501(C)(3) 8000 PROVIDE SUPPORT FOR FAMILIES OF GREATER BURLINGTON. CHAMPLAIN VALLEY OFFICE OF ECONOMIC OPPORTUNITY 255 SOUTH CHAMPLAIN STREET BURLINGTON VT 05402 030216837 501(C)(3) 10000 SUPPORT LOW INCOME SEEKING FOOD AND EMPLOYMENT CHARTER HOUSE COALITION 27 NORTH PLEASANT STREET MIDDLEBURY VT 05401 562531802 501(C)(3) 10000 EMERGENCY SHELTER AND COMMUNITY MEAL PROGRAM COMMITTEE ON TEMPORARY SHELTER 95 NORTH STREET BURLINGTON VT 05401 030285606 501(C)(3) 10000 HOMELESS PREVENTION FUND AND DAY SHELTER COMMUNITY HEALTH CENTERS OF BURLINGTON 617 RIVERSIDE AVE BURLINGTON VT 05401 237182584 501(C)(3) 15000 COMMUNITY HOUSING DISMAS HOUSE OF VERMONT INC 96 BUELL STREET BURLINGTON VT 05401 030369442 501(C)(3) 7500 HALFWAY HOUSE FOR FORMER PRISONERS TO ADJUST TO LIFE IN GENERAL SOCIETY ELDERY SERVICES INC 112 EXCHANGE STREET MIDDLEBURY VT 05753 030280968 501(C)(3) 7500 SERVICES FOR ELDER DAY CARE INCLUDING TRANSPORTATION, MEALS, ACTIVITES AND EDUCATION. FAITH IN ACTION NORTHERN COMMUNITIES PTRSHP INC 2 COMMON WAY PO BOX 157 CABOT VT 05647 208406050 501(C)(3) 15000 PROVIDE BASIC NEEDS TO SENIORS AND THE DISABLED GREATER BURLINGTON YMCA 266 COLLEGE STREET BURLINGTON VT 05401 030185810 501(C)(3) 5000 PROMOTE YOUTH DEVELOPMENT, HEALTHY LIVING, AND SOCIAL RESPONSIBILITY. GREEN MOUNTIAN HABITAT FOR HUMANITY 300 CORNERSTONE DR STE 335 WILLISTON VT 05495 222558923 501(C)(3) 6000 AFFORABLE HOMES HOWARD CENTER 1138 PINE STREET BURLINGTON VT 05401 030179433 501(C)(3) 10000 SUPPORT COMMUNITY CENTER JOHN GRAHAM SHELTER 69 MAIN ST VERGENNES VT 05491 030275219 501(C)(3) 10000 HOMELESS SHELTER JOINT URBAN MINISTRY PROJECT 38 SOUTH WINOOSKI AVENUE BURLINGTON VT 05401 202055113 501(C)(3) 10000 EMERGENCY ASSITANCE DIRECT AID KING STREET YOUTH CENTER PO BOX 1615 BURLINGTON VT 05402 237236312 501(C)(3) 10000 PROGRAMS FOR CHILDREN LUND 76 GLEN ROAD BURLINGTON VT 05401 030179434 501(C)(3) 10000 EARLY CHILDHOOD EDUCATION OUR COMMUNITY CARES CAMP PO BOX 503 RICHMOND VT 05477 264398448 501(C)(3) 7500 SUMMER FOOD AND ACTIVITIES SAMARITAN HOUSE 20 KINGMAN ST SUITE 1 ST ALBANS VT 05478 030330331 501(C)(3) 12200 SHELTER AND TRANSITIONAL HOUSING FOR THE HOMELESS SARA HOLBROOK COMMUNITY CENTER 66 NORTH AVENUE BURLINGTON VT 05401 030179595 501(C)(3) 10000 SUPPORT SUMMER WORLD ACADEMY PROGRAM SPECTRUM YOUTH AND FAMILY SERVICES 31 ELMWOOD BURLINGTON VT 05401 030253232 501(C)(3) 10000 HOMELESS YOUTH FOOD PROGRAM VERMONT CATHOLIC CHARITIES INC 55 JOY DRIVE BURLINGTON VT 05403 030181216 501(C)(3) 10000 MULTIPY PROGRAMS SUPPORTING THE YOUNG AND THE ELDERLY, INDIVIDUALS AND FAMILIES, THE IMPRISONED AND NEWLY RELEASED. VERMONT FOODBANK 33 PARKER ROAD BARRE VT 05641 223021942 501(C)(3) 10000 COMMUNITY KITCHEN VERMONT YOUTH CONSERVATION CORP 1949 EAST MAIN STREET RICHMOND VT 05477 030328834 501(C)(3) 7500 HEALTH CSA FOR LOW INCOME FAMILIES LEROYER EMPLOYEE EMERGENCY FUND 111 COLCHESTER AVENUE BURLINGTON VT 05401 030219309 501(C)(3) 5000 EMERGENCY SUPPORT FOR THE EMPLOYEES OF UVMMC RESOURCE 329 HAVEST LANE SUITE 200 WILLISTON VT 05495 030326293 501(C)(3) 5000 EMPOWERING INDIVIDUALS AND STRENGTHENING VERMONT COMMUNITIES THROUGH WORKFORCE DEVELOPMENT, POVERTY RELIEF, AND ENVIRONMENTAL STEWARDSHIP. PART I, LINE 2: INTERVIEW GRANTEE ORGANIZATIONS SEEKING DONATIONS AND MONITOR THEIR ACTIVITIES INCLUDING RECEIVING AND REVIEWING OUTCOME REPORTS FROM EACH GRANTEE. 0 0 0 0 0 0 0 1 0 JOHN AHLE TREASURER/CH TO 9/18 0 409835 0 75000 0 2526 0 2700 0 16816 0 506877 0 0 PART I, LINE 7 THE RELATED ORGANIZATION, COVENANT HEALTH, MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY THAT ORGANIZATION'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. THE ENTITLEMENT TO AWARDS FOR A PARTICULAR YEAR IS NOT DETERMINED UNTIL EARLY THE FOLLOWING YEAR. THE ORGANIZATION PAYS INCENTIVE COMPENSATION AWARDS TO OFFICERS INCLUDING THE TREASURER IN THE CURRENT YEAR BASED ON PERFORMANCE DURING THE PRECEDING YEAR. DURING 2018, THE ORGANIZATION DID NOT PAY ANY ACCRUED INCENTIVE COMPENSATION TO THE OFFICERS. DURING 2018, JOHN AHLE WAS PAID A RETENTION BONUS OF $75,000. FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH, INC. IS THE SOLE MEMBER OF FANNY ALLEN CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH, INC. IS THE SOLE MEMBER OF FANNY ALLEN CORPORATION AND AS SUCH HAS CERTAIN RESERVED RIGHTS. FORM 990, PART VI, SECTION A, LINE 7B COVENANT HEALTH, INC. IS THE SOLE MEMBER OF FANNY ALLEN CORPORATION AND AS SUCH HAS CERTAIN RESERVED RIGHTS TO APPROVE CERTAIN DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS AN OPERATIONAL INTEGRITY OFFICER THAT MONITORS ALL AREAS FOR POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 FOR THE RELATED PARTY, COVENANT HEALTH, INC. - EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED A HUMAN RESOURCES CONSULTING FIRM TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THIS ANALYSIS ARE TO: - ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM. - DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS. - ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 ALL POLICIES AND FORM 990'S ARE MAINTAINED WITH THE BOOKS AND RECORDS AND ARE AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST. FORM 990 PART VII & SCHEDULE J THE REPORTABLE AND OTHER COMPENSATION PAID BY A RELATED ORGANIZATION TO JOHN AHLE WAS PAID BY COVENANT HEALTH, INC. FANNY ALLEN HOLDINGS 101 COLLEGE PARKWAY COLCHESTER VT 05446 030181052 REAL ESTATE HOLDING VT 501(C) 3 11 CH 0 COVENANT HEALTH INC 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 HEALTH CARE MANAGEMENT AND RESOURCE ORGANIZATION MA 501(C) 3 9 CH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1