2017-08-02T11:28:22-05:00 2017-03-31 020476956 TYLER SIMMS & ST SAUVEUR PC 19 MORGAN DRIVE LEBANON NH 03766 990 2016-04-01 030277908 THE UPPER VALLEY HAVEN INC UPPE 8022956500 713 HARTFORD AVENUE WHITE RIVER JUNCTION VT 05001 SARA KOBYLENSKI EXECUTIVE DIRECTOR 8022956500 2017-08-02 1 KENNETH P GOODROW CPA P00435339 6036530044 2017-08-01 75.150.94.18 2017-08-02 09:06:05 ED P 79B3321B4D1BD7CE0ABF3C680D0C419C7D521C9B 706AF443F63CC73EBF7F8E404BB6A399F5CF892B 2016 2021-01-29 14:40:06Z SARA KOBYLENSKI 713 HARTFORD AVE WHITE RIVER JUNCTION VT 05001 5058153 0 X WWW.UPPERVALLEYHAVEN.ORG X 1980 VT NON-PROFIT PRIVATE ORGANIZATION THAT SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING FOOD... ...SHELTER, EDUCATION, PROBLEM SOLVING AND SUPPORT. 15 15 48 1351 0 0 4636426 4841788 0 0 97642 48158 113333 120014 4847401 5009960 0 0 0 0 1798980 1944748 0 0 348657 3327759 3314813 5126739 5259561 -279338 -249601 5658029 5627485 203337 325036 5454692 5302449 NON-PROFIT ORGANIZATION THAT SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING FOOD, SHELTER, EDUCATION, PROBLEM SOLVING AND SUPPORT. 0 0 1235192 SHELTER- FAMILY SHELTER HAS CAPACITY TO HOUSE 8 HOMELESS FAMILIES WITH CHILDREN. WE SERVED 42 FAMILIES IN FY 2017. THE ADULT SHELTER HAS CAPACITY TO HOUSE 20. WE SERVED 110 IN FY 2017. WE SERVED 111 INDIVIDUALS IN THE SEASONAL SHELTER IN FY 2017. 3533212 COMMUNITY SERVICES, WHICH INCLUDES ALL OTHER DIRECT SERVICE ACTIVITIES, SUCH AS THE FOOD SHELF. THE PUBLIC SHOWER, AND COMMUNITY CASE MANAGEMENT WITH AFTERCARE.FOOD SHELF-PROVIDES FOOD FOR FAMILIES AND INDIVIDUALS IN NEED OF FOOD. DISTRIBUTED FOOD 14,752 TIMES.EDUCATION- PROVIDES TRAINING AND LIFE SKILLS FOR CHILDREN AND ADULTS.COMMUNITY CASE MANAGEMENT OR SERVICE COORDINATION ASSISTED 3,382 PEOPLE WITH PROBLEMS AROUND BASIC SURVIVAL NEEDS. 4768404 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 12 0 1 48 1 0 0 0 0 0 0 0 0 0 1 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X THE ORGANIZATION 8022956500 713 HARTFORD AVENUE WHITE RIVER JUNCTION VT 05001 DENISE ANDERSON MEMBER 2.00 X 0 0 0 JANE DARRACH CO-VICE PRESIDENT 3.00 X X 0 0 0 ANNE HILL MEMBER 2.00 X 0 0 0 ELLEN ROCKMORE CO-VICE PRESIDENT 2.00 X X 0 0 0 RALPH CARLTON MEMBER 2.00 X 0 0 0 JOHN SANDS TREASURER 2.00 X X 0 0 0 DAVID NIERENBERG MEMBER 2.00 X 0 0 0 SARAH MILES MEMBER 2.00 X 0 0 0 CATHRYN NUNLIST SECRETARY 3.00 X X 0 0 0 CASS OLSEN MEMBER 5.00 X 0 0 0 MERRITT PATRIDGE PRESIDENT 3.00 X X 0 0 0 KEITH MILNE MEMBER 2.00 X 0 0 0 ROGER SHEPARD MEMBER 3.00 X 0 0 0 TIMOTHY VAN LEER MEMBER 5.00 X 0 0 0 FRED WALTER MEMBER 2.00 X 0 0 0 SARA KOBYLENSKI EXECUTIVE DIRECTOR 40.00 X 85000 0 3089 85000 0 3089 0 0 0 0 0 34000 294955 4512833 2218965 4841788 28420 28420 18838 900 0 0 18838 900 19738 19738 167557 48193 119364 119364 MISC INCOME 624200 650 650 650 5009960 0 0 168172 87772 43886 21943 21943 1439995 1235821 26961 177213 302468 261912 7949 32607 114513 96286 3680 14547 33563 33563 93468 63502 11231 18735 141250 135152 3987 2111 17693 16930 499 264 IN-KIND DONATION 2172720 2172720 FOOD PROCUREMENT 342755 342755 OTHER EXPENSES 330643 248998 25494 56151 DEVELOPMENT EXPENSES 71787 44299 4061 23427 110934 106143 3132 1659 5259561 4768404 142500 348657 467960 528555 79861 119770 1722 24050 43441 68595 4759968 1356939 3446821 3403029 1606851 1475773 11373 7713 5658029 5627485 128934 176199 26750 24247 0 82395 47653 42195 203337 325036 X 5044335 4926603 178857 144346 231500 231500 5454692 5302449 5658029 5627485 -249601 97358 0 X X 1 X 0 1 0 X 2959837 3603875 3922234 4636426 4841788 19964160 2959837 3603875 3922234 4636426 4841788 19964160 19964160 31424 30518 31514 29635 28420 151511 130897 108818 159744 140635 157622 697716 20813387 0.95920 0.95730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1732851 46245 144616 321939 1601773 1801932 21709 2197 92987 1732851 1826181 53968 121983 200200 1801932 1598454 195436 193787 161496 1826181 1582216 36812 145354 165928 1598454 0.83700 0.14450 0.01850 1 0 201018 201018 4143095 1062693 3080402 392864 274738 118126 22991 19508 3483 3403029 FUNDS HELD FOR OTHERS 42195 42195 X 5166827 97358 59509 156867 5009960 0 5009960 5319070 59509 59509 5259561 0 5259561 PART V, LINE 4: PROVIDE FOUNDATION FOR LONGEVITY OF ORGANIZATION PART X, LINE 2: THE ORGANIZATION ADOPTED THE ACCOUNTING METHODS UNDER FASB ASC SUBTOPIC 740-10 FOR UNCERTAIN TAX POSITIONS (UTP) ON JULY 1, 2009. THE UTP RULES PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN IN AN ORGANIZATION'S TAX RETURN. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT MIGHT RESULT IN A MATERIAL IMPACT ON THE ORGANIZATION'S STATEMENTS OF FINANCIAL POSITION, ACTIVITIES AND CHANGES IN NET ASSETS AND CASH FLOWS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATIONS FOR THE YEARS PRIOR TO 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 48,193. IN-KIND INVESTMENT MANAGEMENT 11,316. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 48,193. IN-KIND INVESTMENT MANAGEMENT 11,316. MUDBALL 49527 49527 13171 GOLF TOURNAMENT 51790 51790 23779 2 66240 66240 11243 167557 167557 48193 48193 119364 X 17 46245 FMV X 4883 2172720 ESTIMATE 0 1 1 PART I, LINE 32B: STOCK CONTRIBUTIONS ARE MADE DIRECTLY INTO THE SCHWAB LONG TERM INVESTMENT FUND AS PERMITTED INVESTMENTS UNDER THE INVESTMENTS GUIDELINES (BOARD APPROVED). JUDGMENTS ARE MADE ON THE BEST TIMING FOR THE SALE OF SUCH GIFTS BY THE INVESTMENT ADVISOR/FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C IF ANY MEMBER OR THE BOARD OF DIRECTORS HAS A CONFLICT, IT NEEDS TO BE DISCLOSED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN VOTES TO DETERMINE IF THE MEMBER CAN CONTINUE TO SERVE OF THE BOARD. IN ADDITION, THE MEMBER WITH THE CONFLICT MUST REPORT TO THE REST OF THE BOARD OF DIRECTORS ON THE STATUS OF THE CONFLICT. THE GOVERNANCE COMMITTEE OF THE BOARD MONITORS COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS USED REGIONAL COMPARABLES TO DETERMINE THE SALARY OF THE ORGANIZATION'S EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS AND INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C THE FINANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF OVERSIGHT AUDIT/REVIEW AND SELECTION OF INDEPENDENT AUDITOR.