2017-11-01T15:57:09-05:00 2016-12-31 311119890 BARNES DENNIG & CO LTD 5750 CASTLE CREEK PKWY STE 245 INDIANAPOLIS IN 46250 990 2016-01-01 351116629 INTERLOCAL COMMUNITY ACTION PROGRAM INC INTE 7655294403 PO BOX 449 NEW CASTLE IN 47362 MICHAEL DOWNHAM TREASURER 7655294403 2017-10-24 1 RICKEY ROYSDON CPA P00645916 3175721130 216.196.129.6 2017-10-24 16:58:08 ED P 1CC12918659019CB9956EBBFB3F01E92D4F3F060 1CC12918659019CB9956EBBFB3F01E92D4F3F060 2016 2017-02-10 21:41:12Z KEVIN POLIVICK PO BOX 449 NEW CASTLE IN 47362 5965946 0 X WWW.ICAPCAA.ORG X 1965 IN TO PROVIDE SPECIFIC ASSISTANCE AND EDUCATION TO LOW INCOME, DISADVANTAGED INDIVIDUALS. 18 18 148 910 0 0 5818181 5785140 206351 167953 42 11 8426 9717 6033000 5962821 1844064 1854869 0 0 2813264 3044020 0 0 0 1297881 1060701 5955209 5959590 77791 3231 2195320 2174339 371212 347000 1824108 1827339 X TO PROVIDE SPECIFIC ASSISTANCE AND EDUCATION TO LOW INCOME, DISADVANTAGED INDIVIDUALS. 0 0 2039106 229522 HEADSTART - TO PROIVDE PRE-SCHOOL SERVICES TO LOW-INCOME FAMILIES TO HELP THEIR CHILDREN GET A HEADSTART ON SCHOOL. 1067501 945310 167953 SECTION 8 HOUSING 1035663 305675 WEATHERIZATION - TO WEATHERWIZE THE DWELLING UNITS OF LOW-INCOME INDIVIDUALS TO HELP KEEP ENERGY COSTS TO A MINIMUM AND TO USE THEIR HEATING MORE EFFICIENTLY. 1631485 374362 COMMUNITY SERVICE BLOACK GRANT (CSBG)- IS TO HELP LOW-INCOME PEOPLE WHO OWN HOUSES WITH REPAIRS TO THEIR HOMES.ENERGY ASSISTANCE - TO PROVIDE SPECIFIC ASSISTANCE TO INDIVIDUALS TO HELP MEET HIGH COSTS OF HOME ENERGY AND TO INSURE THAT THEIR HEAT IS NOT DISCONNECTED DUE TO FAILURE TO PAY. OTHER- SEVERAL OTHER PROGRAMS TO HELP LOW-INCOME OR OTHER INDIVIDUALS WHO ARE IN NEED OF HELP.FOSTER GRANDPARENTS - TO PROVIDE A PROGRAM WHERE SENIOR CITIZENS HELP CHILDREN FROM LOW-INCOME FAMILIES BY SPENDING TIME AND DOING ACTIVITIES WITH THEM.WOMEN, INFANT, CHILDREN (WIC) - IS A PROGRAM TO HELP WITH DIETARY NEEDS OF WOMEN WHO ARE PREGNANT OR NURSING AN INFANT AND CHILDREN UP TO AGE 5. 1631485 374362 5773755 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 140 0 1 148 1 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X KEVIN POLIVICK 7655294403 PO BOX 449 NEW CASTLE IN 47362 MARJORIE AMOS DIRECTOR 2.00 X 0 0 0 OLENE VEACH DIRECTOR 2.00 X 0 0 0 DOUG MATHIS DIRECTOR 2.00 X 0 0 0 DEBBIE DOTY DIRECTOR 2.00 X 0 0 0 BETH MCCULLY DIRECTOR 2.00 X 0 0 0 KEN BRASHABER DIRECTOR 2.00 X 0 0 0 WILLIE HUGHES DIRECTOR 2.00 X 0 0 0 KEN MASTERS DIRECTOR 2.00 X 0 0 0 DEBBIE MORAN DIRECTOR 2.00 X 0 0 0 MARY ANN BUTTERS DIRECTOR 2.00 X 0 0 0 RANDY OVERMAN DIRECTOR 2.00 X 0 0 0 AUNDREA DAILEY DIRECTOR 2.00 X 0 0 0 SHAUN HARRISON DIRECTOR 2.00 X 0 0 0 JIM SPENCE DIRECTOR 2.00 X 0 0 0 SHERRY RIGGIN SECRETARY 2.00 X X 0 0 0 MICHAEL DOWNHAM TREASURER 2.00 X X 0 0 0 PHIL HINSEY VICE PRESIDENT 2.00 X X 0 0 0 PAUL WILKINSON PRESIDENT 2.00 X X 0 0 0 KEVIN POLIVICK EXECUTIVE DIRECTOR 40.00 X 93565 0 28196 93565 0 28196 0 0 0 0 0 4475 5558548 222117 20843 5785140 PROGRAM INCOME 531110 167953 167953 167953 11 11 10448 4475 2876 7572 7572 219 249 -30 -30 LOAN REPAYMENT 900099 1978 1978 LAUNDRY 900099 197 197 2175 5962821 167953 0 9728 1854869 1854869 121761 120722 1039 2141476 2123205 18271 780783 774122 6661 156 156 14579 14579 123343 116865 6478 2960 2842 118 334079 315341 18738 256344 228387 27957 106178 107043 -865 20892 20894 -2 6172 5925 247 87159 87159 61201 54807 6394 OTHER 39328 40755 -1427 DUES & MEMBERSHIPS 8310 7978 332 5959590 5773755 185835 0 430094 526944 791342 732001 5093 3771 35126 43839 2814049 1946265 933665 867784 2195320 2174339 136732 141896 62435 50000 168345 152204 3700 2900 371212 347000 X 1464108 1467339 360000 360000 1824108 1827339 2195320 2174339 3231 0 X X 0 1 X 1 1 1 X 5875675 5610817 5366173 5818181 5785140 28455986 5875675 5610817 5366173 5818181 5785140 28455986 28455986 119 55 77 42 11 304 1992 635 1525 2106 2175 8433 28464723 432542 0.99970 0.99970 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CONCESSION INCOME - 2012 AMOUNT: $ 498. 2013 AMOUNT: $ 341. 2014 AMOUNT: $ 394. LAUNDRY - 2013 AMOUNT: $ 27. 2015 AMOUNT: $ 128. 2016 AMOUNT: $ 197. LOAN REPAYMENT - 2015 AMOUNT: $ 1,978. 2016 AMOUNT: $ 1,978. PATIENT FEES - 2012 AMOUNT: $ 1,494. 2013 AMOUNT: $ 267. 2014 AMOUNT: $ 1,131. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79000 79000 1834069 1113649 720420 900980 832616 68364 867784 SECURITY DEPOSITS 2900 2900 X 6280388 314442 3125 317567 5962821 0 5962821 6277157 314442 3125 317567 5959590 0 5959590 PART X, LINE 2: INTERLOCAL COMMUNITY ACTION PROGRAM, INC. (ICAP) IS EXEMPT FROM INCOME TAXATION UNDER PROVISION OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). MANAGEMENT BELIEVES THAT ICAP HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THAT THERE ARE NO UNRECORDED TAX LIABILITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,876. CONCESSIONS 249. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,876. CONCESSIONS 249. 1 HEADSTART 300 211188 18334 FMV MEALS AND SUPPLIES ENERGY ASSISTANCE 12500 6589 SECTION 8 HOUSING 215 945310 FOSTER GRANDPARENTS 60 138941 1747 FMV MEALS WEATHERIZATION 76 305675 COMMUNITY SERVICE BLOCK GRANTS 385 224085 OTHER 15 2238 762 FMV MEALS & SUPPLIES PART I, LINE 2: ONLY COSTS THAT ARE ALLOWABLE WITH THE FEDERAL A-122 COST PRINCIPLES AND APPROPRIATE CONTRACT PROVISIONS WILL BE ALLOCATED TO BENEFITING PROGRAMS BY INTERLOCAL COMMUNITY ACTION PROGRAMS. THE GENERAL APPROACH OF INTERLOCAL COMMUNITY ACTION PROGRAM IN ALLOCATING COSTS TO PARTICULAR GRANTS AND CONTRACTS IS AS FOLLOWS: A.) ALL ALLOWABLE DIRECT COSTS ARE CHARGED DIRECTLY TO PROGRAMS, GRANTS, ETC. (INCLUDING GENERAL AND ADMINISTRATIVE COSTS). B.) ALL ALLOWABLE JOINT OR SHARED COSTS ARE PRO-RATED INDIVIDUALLY USING A BASE MOST APPROPRIATE FOR THE PARTICULAR COST BEING PRO-RATED. C.) ALL OTHER ALLOWABLE GENERAL AND ADMINISTRATIVE COSTS ARE ALLOCATED TO PROGRAMS, GRANTS, ETC. BASED UPON LABOR DISTRIBUTION (TIMESHEET) METHOD FOR THOSE GENERAL AND ADMINISTRATIVE STAFF. D.) WHERE GRANT FUNDS DO NOT ALLOW FOR THE DISTRIBUTION OF ALLOWABLE SHARED COSTS, CSBG FUNDS ARE USED. FORM 990, PART VI, SECTION B, LINE 11B INTERLOCAL COMMUNITY ACTION PROGRAM INC.'S FORM 990 AND ALL RELATED SCHEDULES, STATEMENTS AND ATTACHMENTS ARE REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS AS APPLICABLE. FORM 990, PART VI, SECTION B, LINE 12C INTERLOCAL COMMUNITY ACTION PROGRAM, INC. ANNUALLY REQUESTS EACH OFFICER AND MEMBER OF THE BOARD OF DIRECTORS TO COMPLETE A CONFLICT OF INTEREST POLICY QUESTIONNAIRE. THE POLICY INCLUDES STATEMENTS REGARDING OTHER EMPLOYMENT, BEING RELATED TO ANYONE ON THE BOARD AND OTHER ITEMS THAT MAY CREATE AN APPEARANCE OF A POTENTIAL INDEPENDENCE ISSUE. THE IDENTIFICATION, EVALUATION AND RESOLUTION OF THOSE ISSUES ARE DISCUSSED WITH THE APPROPRIATE LEVEL OF MANAGEMENT OR MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 INTERLOCAL COMMUNITY ACTION PROGRAM, INC.'S BOARD OF DIRECTORS DETERMINES AND SET ALL STAFFING COMPENSATION RATES, WHICH ARE BASED ON PERIODIC THOROUGH REVIEWS OF ALL RELATED ISSUES, SALARY SURVEYS, CONSULTATION WITH INDEPENDENT PERSONS REVIEW OF COMPARABLE DATA AND DELIBERATION. INTERLOCAL COMMUNITY ACTION PROGRAM, INC.'S BOARD OF DIRECTORS DETERMINES AND SET ALL STAFFING COMPENSATION RATES, WHICH ARE BASED ON PERIODIC THOROUGH REVIEWS OF ALL RELATED ISSUES, SALARY SURVEYS, CONSULTATION WITH INDEPENDENT PERSONS REVIEW OF COMPARABLE DATA AND DELIBERATION. FORM 990, PART VI, SECTION C, LINE 19 INTERLOCAL COMMUNITY ACTION PROGRAM, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, AS APPLICABLE, AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST MADE TO THE ATTENTION OF OUR EXECUTIVE DIRECTOR AND RECEIVED AT OUR CORPORATE ADDRESS. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE CURRENT TAX YEAR.