2017-10-25T10:48:02-05:00 2016-12-31 061253566 WALTER J MCKEEVER & COMPANY LLC PO BOX 5147 15 VALLEY DRIVE GREENWICH CT 06831 990 2016-01-01 454166197 FAIRFIELD COUNTY HOSPICE HOUSE INC FAIR 2033231412 22 FIRST STREET STAMFORD CT 06905 ROBERT J GRANATA TREASURER 2033231412 2017-10-22 1 DENISE C DORIA P01283182 2036228625 X 108.58.227.250 2017-10-22 14:29:41 ED P 8C0DAEE30629953E4B57DD49B50DE5EBD6A95C4B 8C0DAEE30629953E4B57DD49B50DE5EBD6A95C4B 2016 2021-01-29 14:40:06Z LAWRENCE P WEISMAN 22 FIRST STREET STAMFORD CT 06905 469721 0 X WWW.FCHOSPICEHOUSE.ORG X 2010 CT TO OFFER A SUPPORTIVE HOME TO PEOPLE FACING THE END OF LIFE AND THEIR FAMILIES, WITH A COMMITMENT TO PROVIDING QUALITY HOSPICE CARE IN A STAND-ALONE SETTING. 18 17 0 30 0 0 1241759 409987 0 0 179 228 0 -38291 1241938 371924 0 0 0 0 92779 26830 0 0 106343 28065 118385 120844 145215 1121094 226709 1378146 1605533 139 817 1378007 1604716 TO OFFER A SUPPORTIVE HOME TO PEOPLE FACING THE END OF LIFE AND THEIR FAMILIES, WITH A COMMITMENT TO PROVIDING QUALITY HOSPICE CARE IN A STAND-ALONE SETTING. 0 0 20328 DURING THE YEAR ENDED 12/31/15 CONSTRUCTION OF THE HOSPICE HOUSE FACILITY BEGAN AND CONTINUED IN 2016. 20328 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 0 0 0 0 0 0 0 1 1 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 CT X WALTER J MCKEEVER & CO LLC 2036228625 15 VALLEY DRIVE GREENWICH CT 06831 LAWRENCE P WEISMAN CO-CHAIR 5.00 X X 0 0 0 RICHARD W REDNISS CO-CHAIR 6.73 X X 0 0 0 ROBERT J GRANATA TREASURER 1.45 X X 0 0 0 RUSSELL GASDIA SECRETARY 2.31 X X 0 0 0 CAROLYN COUTANT DIRECTOR 0.06 X 0 0 0 DONNA FARBER DIRECTOR 2.00 X 0 0 0 THERESA CARLUCCI-TYSKA DIRECTOR 11.00 X 0 0 0 DONNA GETREUER DIRECTOR 1.16 X 0 0 0 LORETTA LACCI DIRECTOR 1.50 X 0 0 0 LISA MILLER DIRECTOR 2.00 X 0 0 0 JANET NEVAS DIRECTOR 1.00 X 0 0 0 LISA RICH DIRECTOR 2.50 X 0 0 0 MERLE SPIEGEL DIRECTOR 1.39 X 0 0 0 LYNDA TUCKER DIRECTOR 1.47 X 0 0 0 RICHARD ZELKOWITZ DIRECTOR 0.02 X 0 0 0 SAMUEL LIEBERMAN DIRECTOR 0.23 X 0 0 0 SHARON BRADLEY DIRECTOR 4.00 X 0 0 0 JULIA PORTALE EXECUTIVE DIRECTOR 40.00 X 75789 0 0 75789 0 0 0 0 0 0 0 131088 278899 55079 409987 39734 39506 228 228 228 20000 131088 58291 -38291 -38291 371924 0 0 -38063 X 24923 2492 22431 1907 191 1716 75789 7580 7579 60630 6653 6653 3108 899 2209 1286 288 288 710 8950 8950 175 88 87 416 416 1949 1949 PRINTING & COPYING 7824 302 7522 STORAGE 4708 2354 2354 POSTAGE & SHIPPING 3248 812 2436 UTILITIES 1424 1068 356 2855 906 1949 145215 20328 18544 106343 994880 381169 1224855 926 383266 1223929 0 435 1378146 1605533 139 817 139 817 X 1333007 1579716 45000 25000 1378007 1604716 1378146 1605533 226709 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 333440 333440 891415 926 890489 1223929 CREDIT CARD PAYABLE 817 817 X PART X, LINE 2: ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS IN THE FINANCIAL STATEMENTS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF 12/31/16, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GOLF TOURNAMENT - 2016 151088 131088 20000 34916 400 17975 GOLF TOURNAMENT - PREPARE FOR 2017 0 0 5000 151088 131088 20000 39916 400 17975 58291 -38291 X 2 39734 MEAN FMV AT DONATION X BUILDING SUPPLIES 4 29839 APPROX COST X AUCTION ITEMS 0 14748 APPROX COST X STORAGE 1 4708 APPROX COST X LANDSCAPING SERVICES 1 4000 APPROX COST X PRINTING 2 1335 APPROX COST X PHOTOGRAPHY 1 400 APPROX COST X REFRESHMENTS 1 49 APPROX COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 IS REVIEWED IN DETAIL BY THE TREASURER BEFORE FILING. THE TREASUER REPORTS THE RESULTS TO THE BOARD AND A COPY IS AVAILABLE TO ALL BOARD MEMBERS EITHER BY PAPER OR ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C UPON JOINING THE BOARD, EVERY BOARD MEMBER IS EDUCATED ABOUT THE CONFLICT OF INTEREST POLICY AND IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS UPDATE THESE FORMS AS NECESSARY. ANNUALLY THE BOARD MEMBERS ARE REMINDED OF THE IMPORTANCE OF THE POLICY AND ITS PURPOSE. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD IN CONJUNCTION WITH THE ORGANIZATION'S BUDGET IN COMPARISION TO REASONABLENESS FOR THE DUTIES AND THE REPSONSIBILITIES. THE PROCESS IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 7,580. MANAGEMENT AND GENERAL EXPENSES 7,579. FUNDRAISING EXPENSES 60,630. TOTAL EXPENSES 75,789. FORM 990, PART XII, LINE 2C: THE TREASURER COORDINATES THE SELECTION OF THE AUDITOR AND SIGNS THE ENGAGEMENT LETTER UPON APPROVAL BY THE BOARD OF DIRECTORS. OVERSIGHT OF THE AUDIT IS PROVIDED PRIMARILY BY THE TREASURER IN CONJUNCTION WITH THE ORGANIZATION'S BOOKKEEPER/ACCOUNTANT. THE TREASURER PERFORMS THE DETAIL REVIEW OF THE DRAFT OF THE AUDITED FINANCIAL STATEMENTS. UPON THE TREASURER'S APPROVAL, THE DRAFT IS CIRCULATED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL.