2016-09-30T14:11:37-05:00 2016-06-30 030210880 A M PEISCH & COMPANY LLP PO BOX 326 RUTLAND VT 057020326 990PF 2015-07-01 331014741 CLAREMONT SAVINGS BANK FOUNDATION CLAR 6035427711 PO BOX 1600 CLAREMONT NH 037431600 JOLENE TENNEY TRUSTEE 6035427711 2016-09-21 1 NORMAN J LADABOUCHE CPA P01255942 8027732721 2015 2017-02-10 21:41:12Z X 482289 X X 6 6 23297 23297 -6548 66721 0 16755 23303 0 0 0 2210 0 0 1045 0 0 3255 0 0 90065 90065 93320 0 90065 -76565 23303 -1 -1 8436 6861 6861 438717 365228 475429 447153 372088 482289 1500 0 1500 X 447153 370588 0 0 0 0 447153 370588 447153 372088 447153 -76565 0 370588 0 370588 2,000 SHS CENTURY LINK P 2010-08-11 2016-04-19 65356 72399 -7043 -7043 25 SHS PAYCHEX IN P 2013-04-10 2016-06-07 1365 870 495 495 -6548 0 85030 591507 0.143751 78825 588012 0.134053 85300 627194 0.136003 1074465 1044563 1.028626 76500 1499935 0.051002 1.493435 0.298687 510594 152508 233 152741 90065 466 0 466 0 466 1760 1760 1294 1294 0 0 0 0 0 0 0 0 0 0 0 1 1 NH 1 0 0 0 0 1 N/A LYNN SMITH 6035427711 PO BOX 1600 CLAREMONT NH 03743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WAYNE C MCCUTCHEON 492 WASHINGTON ST CLAREMONT NH 03743 TRUSTEE 0.50 0 0 0 JILL EDSON 65 EAST CAMP HILL ROAD CORNISH NH 03745 TRUSTEE 0.50 0 0 0 MARK S THOMPSON PO BOX 431 ASCUTNEY VT 05030 TRUSTEE 0.50 0 0 0 JOLENE TENNEY 19 TENGREN AVENUE CLAREMONT NH 03743 TRUSTEE 0.50 0 0 0 BOB PORTER 387 ELM STREET CLAREMONT NH 03743 TRUSTEE 0.50 0 0 0 NONE 0 NONE 0 N/A. 0 0 482307 36063 0 518370 0 0 518370 7776 510594 25530 25530 466 466 25064 0 25064 0 25064 90065 0 90065 0 90065 25064 0 0 2910 1023087 55005 50769 57190 1188961 90065 0 0 0 25064 65001 0 0 1253962 0 0 0 0 0 0 2910 1251052 1023087 55005 50769 57190 65001 LYNN SMITH PO BOX 1600 CLAREMONT NH 03743 6035427711 ONE PAGE APPLICATION WITH GENERAL INFORMATION INCLUDING AMOUNT OF REQUEST, PROPOSED PROJECT, PROOF OF 501(C)(3) OR 501(C)(7) STATUS,GEOGRAPHIC LOCATION,CLIENTS SERVED, AND NUMBER OF EMPLOYEES. APPLICATIONS MUST BE RECEIVED IN MAY WITH GRANTS AWARDED JUNE 15. ORGANIZATION MUST BE A 501(C)(3) OR 501(C)(7) AND NOT DICRIMINATE BASED ON FEDERAL CRITERIA. PRIORITY TO THE SULLIVAN AND WINDSOR COUNTIES WITH SECONDARY CONSIDERATION TO SURROUNDING COMMUNITIES IN NEW HAMPSHIRE AND VERMONT. SIZE OF GRANTS GENERALLY RANGE FROM $500 TO $5,000. ARROWHEAD RECREATION CLUB 18 ROBERT EASTER WAY CLAREMONT NH 03743 NONE 501(C) INSTALL A 4TH TUBING LANE 2000 CATHOLIC CHARITIES NH DBA NH FOOD BANK 700 EAST INDUSTRIAL PARK DRIVE MANCHESTER NH 03109 NONE 501(C) FUNDING TO HELP THE NH FOOD BANK EXPAND SUMMER FOOD SERVICE PROGRAM 1500 CHARLESTOWN MEMORIAL POST 8497 VFW PO BOX 1337 CHARLESTOWN NH 03603 NONE 501(C) PURCHASE 26 TABLES FOR THEIR PRIMARY INCOME MAKING NEEDS; BINGO 2000 CHARLESTOWN SENIOR CITIZENS CLUB PO BOX 1333 CHARLESTOWN NH 03603 NONE 501(C) REPLACE ROOF 1500 CITY OF CLAREMONT 8 GRANDVIEW STREET CLAREMONT NH 03743 NONE 501(C) RESTORATATION OF 1923 CEMETERY GATES FOR THE MT. VIEW CEMETERY 1000 CLAREMONT JAGUARS 4-H CLUB OF SULLIVAN COUNTY 405 W UNITY ROAD CLAREMONT NH 03743 NONE 501(C) FUNDING TO SUPPORT PROGRAM AND INCREASE CLIENTS FOR THE DIAPER BANK, BABY BOX PROJECT, WELLNESS PROJECT. 2500 CLAREMONT OPERA HOUSE INC PO BOX 664 CLAREMONT NH 03743 NONE 501(C) FUNDING TO PURCHASE A DIGITAL BOARD AND 12 HANGING MICROPHONES 2000 CLAREMONT SENIOR CENTER 5 ACER HEIGHTS RD CLAREMONT NH 03743 NONE 501(C) PURCHASE OF A FLOOR SCRUBBER AND A RUG CLEANER 2800 CLAREMONT SOUP KITCHEN INC PO BOX 957 CLAREMONT NH 03743 NONE 501(C) PURCHASE FOOD AND SUPPLIES FOR THE SOUP KITCHEN 2500 CLAREMONT YOUTH BASEBALL AND SOFTBALL PO BOX 212 CLAREMONT NH 03743 NONE 501(C) PURCHASE TWO CORDLESS SOFTBALL PITCHING MACHINES 1000 COMMUNITY ALLIANCE OF HUMAN SERVICES - TRANSPORTATION 940 JOHN STARK HIGHWAY NEWPORT NH 03773 NONE 501(C) FUNDING FOR THE VOLUNTEER DRIVER PROGRAM WHICH ASSISTS COMMUNITY RESIDENTS ATTEND DOCTOR APTS., DRUG REHAB, GROCERY STORE, ETC. 1000 CONNECTICUT RIVER WATERSHED COUNCIL 15 BANK ROW GREENFIELD MA 01301 NONE 501(C) YEARLY TRASH CLEANUP OF THE CONNECTICUT RIVER ALL ALONG NH, VT, MA, CT. 2000 COPPER CANNON PO BOX 124 FRANCONIA NH 03580 NONE 501(C) PROVIDE 8 LOW INCOME CHILDREN, ONE WEEK ATTENDANCE AT THEIR SUMMER CAMP 1200 CORNISH CONSERVATION COMMISSION 488 TOWNHOUSE ROAD CORNISH NH 03745 NONE 501(C) WATER MONITORING PROGRAM TO TEST THE QUALITY IN MAJOR STREAMS 1000 CORNISH NH FIRE DEPARTMENT ASSOCIATION 488 TOWNHOUSE ROAD CORNISH NH 03745 NONE 501(C) REPLACE FIRE BUNKER GEAR 2500 EVERYBODY WINS VERMONT PO BOX 34 MONTPELIER VT 05601 NONE 501(C) ADD A READING PROGRAM ONE DAY A WEEK AT THE BLUFF SCHOOL 1500 FALL MOUNTAIN FOOD SHELF 122 NH RTE 12 A LANGDON NH 03602 NONE 501(C) PURCHASE A WALK IN FREEZER 2500 FAMILY SUPPORT ADVISORY COUNCIL FOR PATHWAYS OF THE RIVER VALLEY 654 MAIN ST CLAREMONT NH 03743 NONE 501(C) PURCHASE AND INSTALL AN ACCESSIBLE SWING AT THREE LOCATIONS 2000 FRIENDS OF VETERANS 222 HOLIDAY DRIVE SUITE 20 WHITE RIVER JCT VT 05001 NONE 501(C) FINANCIAL SUPPOER TO VETERANS FOR A LARGE VARIETY OF PURPOSES; HOUSING, HEATING FUEL, BILLS, SERVICE DOGS TO VETERANS WITH PTSD 2500 GIRLS INC OF NEW HAMPSHIRE 27 BURKE ST NASHUA NH 03060 NONE 501(C) FUND OUTREACH PROGRAM FOR GIRLS AGE 6-18 IN CLAREMONT 1500 GREEN MOUNTAIN CHILDREN'S CENTER 19 CHARLESTOWN ROAD CLAREMONT NH 03743 NONE 501(C) HEALTHY FOODS AND ENRICHMENT ACTIVITIES FOR SUMMER CAMP PROGRAMS 500 HOPE FOR NH RECOVERY 122 MARKET ST UNIT LL1A MANCHESTER NH 03101 NONE 501(C) SUPPORT EDUCATION ON OPIOIDS AND ADDICTION 1000 MEALS & WHEELS OF GREATER SPRINGFIELD 139 MAIN ST SPRINGFIELD VT 05156 NONE 501(C) FUNDING FOR BREAKFAST PROGRAM 500 NEW ENGLAND CLASSICAL ACADEMY 18 CENTRAL ST CLAREMONT NH 03743 NONE 501(C) PURCHASE SOUND SYSTEM FOR DRAMA PRODUCTIONS, CONCERTS, ETC 1500 NEW LONDON HOSPITAL ASSOCIATION 273 COUNTY RD NEW LONDON NH 03257 NONE 501(C) FUNDING FOR CONSTRUCTION OF NEW CENTER TO BETTER MEET HEALTH CARE NEEDS IN NEWPORT 5000 NEWPORT AREA ASSOCIATION OF CHURCHES - FOOD PANTRY PO BOX 672 NEWPORT NH 03773 NONE 501(C) REFINISH SECOND BATHROOM FOR EMPLOYEES USE 1200 NEW PORT SENIOR CENTER DBA SULLIVAN COUNTY NUTRITION SERVICES PO BOX 387 NEWPORT NH 03773 NONE 501(C) FUNDING FOR THE HOME DELIVERED MEALS-ON-WHEELS PROGRAM TO SENIORS OVER 60 YEARS OF AGE 2500 OLD FORT NUMBER 4 PO BOX 1336 CHARLESTOWN NH 03603 NONE 501(C) REPAIRS TO THE STEVEN HOUSE AT THE FORT - ROOFING AND STRUCTURE REPAIRS 5000 ONE-4-ALL FAMILY SPACE CLAREMONT SCHOOL DISTRICT 169 MAIN STREET CLAREMONT NH 03743 NONE 501(C) PURCHASE COMMERCIAL SIZE WASHER AND DRYER FOR CLOTHING CLOSET PROJECT 750 PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND 784 HERCULES DRIVE STE 110 COLCHESTER VT 05446 NONE 501(C) PROVIDE FAMILY PLANNING AND PREVENTATIVE SERVICES AS WELL AS MANY HEALTH SERVICES 1000 SENIOR SOLUTIONS - COUNCIL ON AGING FOR SOUTHEASTERN VERMONT 38 PLEASANT STREET SPRINGFIELD VT 05156 NONE 501(C) TO SUPPORT THE NEEDS OF SENIORS WHO CHOOSE TO REMAIN IN THEIR HOMES 1000 SOUTHERN VERMONT AREA HEALTH EDUCATION CENTER 55 CLINTON STREET SPRINGFIELD VT 05156 NONE 501(C) INTERNSHIP HEALTHCARE PROGRAM FOR COLLEGE STUDENTS TO RECEIVE PAYMENT WHILE WORKING/EXPERIENCE IN HEALTH RELATED FIELDS 1000 SOUTHWESTERN COMMUNITY SERVICES INC PO BOX 603 KEENE NH 03431 NONE 501(C) FINANCIAL SUPPORT FOR 3 TRAINING, 3 TIMES PER YEAR - FINANCIAL LITERACY, LIFE SKILLS AND TENANCY 101 1000 SPECIAL NEEDS SUPPORT CENTER 12 FLYNN STREET LEBANON NH 03766 NONE 501(C) SUPPORT EDUCATIONAL ADVOCACY SERVICES IN CLAREMONT, UNITY AND CORNISH 1000 SPRINGFIELD FAMILY CENTER 365 SUMMER STREET SPRINGFIELD VT 05156 NONE 501(C) SUMMER LUNCH AT HOME PROGRAM TO 200 CHILDREN IN NEED THROUGHOUT THE COMMUNITY 1000 SPRINGFIELD HUMANE SOCIETY 401 SKITCHEWAUG TRAIL SPRINGFIELD VT 05156 NONE 501(C) FUNDING TO MEET HEALTH AND MEDICAL NEEDS, SPAY/NEUTER, ADOPT OUT DOGS 3000 SPRINGFIELD WARMING SHELTER 69 MAIN STREET NORTH SPRINGFIELD VT 05156 NONE 501(C) PROVIDE A WARM PLACE FOR PEOPLE TO SLEEP DURING THE COLDEST MONTHS OF THE YEAR 1500 STEVENS HIGH SCHOOL ALUMNI ASSOCIATION PO BOX 29 CLAREMONT NH 03743 NONE 501(C) FUNDING TO PURCHASE A NEW PRINTER 865 STEVENS HIGH SCHOOL ATHLETICS 175 BROAD STREET CLAREMONT NH 03743 NONE 501(C) REPLACE BACKSTOP AT THE VETERANS PARK FIELD 1000 STEVENS HIGH SCHOOL LIFE SKILLS PROGRAM 175 BROAD STREET CLAREMONT NH 03743 NONE 501(C) FUNDING FOR SIGNIFICANTLY DISABLED STUDENTS TO ATTEND THERAPEUTIC HORSEBACK RIDING SESSION - 4 SESSIONS FOR 11 STUDENTS 1500 THE REP - REPERTORY THEATRE COMPANY COH 58 OPERA HOUSE SQUARE CLAREMONT NH 03743 NONE 501(C) PRODUCE QUALITY THEATRE WITHIN THE COMMUNITY - FOCUSING ON YOUNG ADULT INVOLVEMENT 1000 THE SUMMER CAMP INC 8 CHURCH ST BRIDGTON ME 04009 NONE 501(C) FUNDING FOR SCHOLARSHIPS FOR LOW INCOME AND FOSTER GIRLS RESIDING IN CLAREMONT - 26 SCHOLARSHIPS 1000 TLC FAMILY RESOURCE CENTER PO BOX 1098 CLAREMONT NH 03743 NONE 501(C) FUNDING FOR HOME VISITS IN THE HEALTHY FAMILIES AMERICAN PROGRAM - PROVIDES PREVENTION SERVICES AND A REUNIFICATION PROGRAM FOR CHILDREN AND THEIR FAMILIES/PARENTS 1000 TRINITY EPISCOPAL CHURCH 120 BROAD STREET CLAREMONT NH 03743 NONE 501(C) FUNDING FOR THE BACKPACK PROGRAM WHICH PROVIDES A WEEKEND BAG OF FOOD TO CHILDREN IN NEED 3500 TURNING POINT RECOVERY CENTER OF SPRINGFIELD VT INC 7 MORGAN STREET SPRINGFIELD VT 05156 NONE 501(C) ADDITIONAL HOURS FOR THE RECOVERY COACHES TO WORK WITH CLIENTS IN NEED 1000 TURNING POINTS NETWORK 11 SCHOOL STREET CLAREMONT NH 03743 NONE 501(C) REPLACE CARPET AT THE SHELTER WITH VINYL FLOORING 750 TWINSTATE MAKERSPACES INC PO BOX 100 LEBANON NH 03766 NONE 501(C) BUILD A MAKERSPACE IN DOWNTOWN CLAREMONT 1000 UNITED VALLEY INTERFAITH PROJECT PO BOX 187 MERIDEN NH 03770 NONE 501(C) FUNDING TO SUPPORT MULTI-MEDIA ART SHOW FEATURING CLAREMONT RESIDENTS 1000 VALLEY REGIONAL HOSPITAL 243 ELM STREET CLAREMONT NH 03743 NONE 501(C) FUNDING TO ASSIST WIRELESS CELL PHONE COVERAGE UPGRADE 1500 VOLUNTEERS IN ACTION PO BOX 707 WINDSOR VT 05089 NONE 501(C) FUNDING FOR A COMMUNITY BASED SERVICE FOR VOLUNTEERS TO WORK WITH ELDERLY, DISABLED, AND LOW INCOME NEIGHBOR IN ORDER TO HELP MAINTAIN INDEPENDENCE 1000 WALPOLE VILLAGE SCHOOL PO BOX 634 WALPOLE NH 03608 NONE 501(C) FUNDING FOR SCHOLARSHIP PROGRAM TO ATTEND PRESCHOOL, PRE-K AND BEFORE AND AFTER SCHOOL CARE 1000 WEATHERSFIELD SCHOOL PO BOX 279 PERKINSVILLE VT 05151 NONE 501(C) AFTER SCHOOL PROGRAM SEEKING FUNDING FOR MATERIALS 1500 WEST CENTRAL BEHAVIORAL HEALTH 9 HANOVER ST LEBANON NH 03766 NONE 501(C) FUNDING TO SUPPORT 120 CHILDREN RECEIVING MENTAL HEALTH CARE TO RECEIVE RECREATIONAL AND EDUCATIONAL ACTIVITIES DURING THE SUMMER MONTHS 2500 WEST WEATHERSFIELD VOLUNTEER FIRE DEPARTMENT PO BOX 196 PERKINSVILLE VT 05151 NONE 501(C) FUNDING TO PURCHASE FRONT LOAD WASHING MACHINES FOR WASHING FIRE GEAR 1000 TRI-COUNTY COMMUNITY ACTION PROGRAM 30 EXCHANGE STREET BERLIN NH 03570 NONE 501(C) FUNDING FOR EMERGENCY HOME HEATING ASSISTANCE 1500 VITAL COMMUNITIES 195 NORTH MAIN STREET WHITE RIVER JCT VT 05001 NONE 501(C) FUND ECONOMIC DEVELOPMENT SESSIONS FOR THE LEADERSHIP UPPER VALLEY PROGRAM 1500 90065 0 14 6 14 23297 18 -6548 0 16755 0 16755 0 0 0 0 0 0 0 0 0 0 ALTRIA GROUP 44369 106888 AT & T 83678 120988 CENTURYLINK INC 0 0 HEALTH CARE PROPERTIES 46989 70760 FAIRPOINT COMMUNICATIONS 537 0 PAYCHECK INC 18275 31238 GENERAL ELECTRIC 79335 103884 KINDER MORGAN DELAWARE 92045 41671 TAX PREP 750 0 0 WIRE TRANSFER FEES 75 0 0 CHANGE IN COST BASIS 220 0 0 STATE FEE 75 0 0 ESTIMATED TAX PAYMENTS 1760 0 0 EXCISE TAX DUE 375 0 0