2016-02-15T00:00:00-06:00 2015-06-30 472517893 BEERS HAMERMAN COHEN & BURGER PC 234 CHURCH STREET NEW HAVEN CT 06510 990 2014-07-01 222562827 BOYS AND GIRLS VILLAGE INC BOYS 2038770300 528 WHEELERS FARMS ROAD MILFORD CT 06461 STEVEN M KANT MD CEO AND CHIEF MEDICAL OFFICER 2038770300 2016-02-04 1 ANTHONY F SANTORE P01314925 2037876527 2016-02-04 2014 2016-08-17 19:52:53Z STEVEN M KANT MD 528 WHEELERS FARMS ROAD MILFORD CT 06461 18133030 0 X HTTP://WWW.BGVILLAGE.ORG X 1942 CT BOYS AND GIRLS VILLAGE SERVES CHILDREN AND FAMILIES IN AT-RISK SITUATIONS BY STRENGTHENING THEIR ABILITY TO SUCCEED IN LIFE 12 12 267 75 0 0 2641697 2588711 12598505 15322418 -13253 5057 227203 155901 15454152 18072087 0 0 0 0 10166781 11984774 0 0 228604 4342081 4808529 14508862 16793303 945290 1278784 12341002 13886949 1303384 1570547 11037618 12316402 X BOYS AND GIRLS VILLAGE SERVES CHILDREN AND FAMILIES IN AT-RISK SITUATIONS BY STRENGTHENING THEIR ABILITY TO SUCCEED IN LIFE 0 0 2045854 2680965 THERAPEUTIC FOSTER CARE - BOYS & GIRLS VILLAGE THERAPEUTIC FOSTER CARE (TFC) PROGRAM MATCHES QUALIFIED FOSTER PARENTS WITH CHILDREN 6 TO 17 YEARS OLD WHO ARE IN THE CUSTODY OF THE CONNECTICUT DEPARTMENT OF CHILDREN AND FAMILIES. SOME OF THESE CHILDREN HAVE BEEN ABUSED OR NEGLECTED. OTHERS ARE WORKING TO OVERCOME LEARNING, BEHAVIORAL OR EMOTIONAL PROBLEMS. BUT ALL ARE IN DESPERATE NEED OF THE COMFORT, LOVE, SAFETY AND NURTURING THAT ONLY A DEDICATED AND SUPPORTIVE THERAPEUTIC FOSTER FAMILY CAN PROVIDE. THE TFC PROGRAM SERVED 102 CHILDREN DURING THE YEAR. 3303101 4964909 SPECIAL EDUCATION - THE CHARLES F. HAYDEN SCHOOL IS A THERAPEUTIC DAY SCHOOL THAT PROVIDES COMPREHENSIVE SPECIAL EDUCATION SERVICES DESIGNED TO HELP CHILDREN 6 TO 15 YEARS OLD ACHIEVE THE EMOTIONAL, BEHAVIORAL AND ACADEMIC GROWTH NEEDED FOR THEM TO RETURN TO A MAINSTREAM SCHOOL SETTING. USING A PROGRESSIVE INTEGRATED LEARNING MODEL AND MULTI-DISCIPLINARY CURRICULUM APPROVED BY THE CONNECTICUT DEPARTMENT OF EDUCATION, CORE ACADEMICS TAKE PLACE IN SMALL GROUP SETTINGS. CLASSES ARE NO LARGER THAN EIGHT AND GENERALLY ARE LED BY BOTH A CERTIFIED TEACHER AND PARAPROFESSIONAL, ENSURING THAT THE STUDENT-TO-STAFF RATIO IS NEVER LARGER THAN 4:1. MENTAL HEALTH AND BEHAVIORAL SPECIALISTS PROVIDE INDIVIDUAL COUNSELING, GROUP COUNSELING AND CLASSROOM SUPPORT. THE CHARLES F. HAYDEN SCHOOL SERVED 115 CHILDREN DURING THE SCHOOL YEAR. 2457915 2662389 SAFE HAVEN- PSB- SAFE HAVEN IS A 12 BED RESIDENTIAL TREATMENT FACILITY FOR BOYS BETWEEN THE AGES OF 11 AND 15.11 YEARS WITH PROBLEM SEXUAL BEHAVIOR. THE YOUTH SERVED HAVE BEEN IDENTIFIED BY THE LEGAL SYSTEM OR DCF AS BEING AT MODERATE TO SEVERE RISK FOR RECIDIVISM FOR PROBLEM SEXUAL BEHAVIOR, OR ENGAGING IN SEXUALIZED BEHAVIORS WHICH ARE NOT AMENABLE TO AN OUTPATIENT SETTING OR WHEN OTHER LESS INTENSIVE SERVICES ARE INADEQUATE TO PROVIDE SAFETY FOR THE COMMUNITY AND THE TREATMENT REQUIRED. THE SAFE HAVEN PSB PROGRAM TAKES A HOLISTIC APPROACH MEANING WE LOOK AT ALL FACTORS INFLUENCING THE YOUTH'S FUNCTIONING-DEVELOPMENTAL, SOCIAL, INTERPERSONAL, FAMILY, CAPACITY FOR EMPATHY AND MORAL DEVELOPMENT, EDUCATIONAL FUNCTIONING AND WHAT EXPERIENCES HE MAY HAVE EXPERIENCED THAT HAVE INFLUENCED THE EXPRESSION OF HIS PSB. THIS REQUIRES EVALUATIONS AND USE OF A COLLABORATIVE TEAM TO UNDERSTAND THE INFLUENCE AND IMPACT OF THESE FACTORS ON THE YOUTH PSB, AND GUIDES OUR FOCUS OF INTERVENTIONS. SAFE HAVEN-PSB SERVED A TOTAL OF 21 CHILDREN THIS YEAR. 553354 240292 EXTENDED DAY TREATMENT - EXTENDED DAY TREATMENT PROGRAM IS DESIGNED FOR CHILDREN AGES 5 TO 14 WITH SIGNIFICANT EMOTIONAL AND BEHAVIORAL DIFFICULTIES WHO REQUIRE AN ORGANIZED, STRUCTURED PROGRAM. THE PROGRAM PROVIDES CLINICAL AND RECREATIONAL GROUPS WITHIN A THERAPEUTIC MILIEU TO IMPROVE ADAPTIVE LIVING AND COPING SKILLS AND DECREASE MALADAPTIVE, UNHEALTHY BEHAVIORS. THE PROGRAM INCLUDES: PSYCHIATRIC EVALUATION, TREATMENT PLANNING AND OVERSIGHT, AND SERVES AS A STEP DOWN TO, OR DIVERSION FROM, INPATIENT LEVELS OF PSYCHIATRIC CARE. THE EDT PROGRAM SERVED 56 CHILDREN DURING THE YEAR. 1359076 1751729 INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRIC SERVICES (IICAPS) - INTENSIVE HOME-BASED SERVICES ARE CLINICAL SERVICES PROVIDED IN THE CHILD'S HOME AND COMMUNITY. INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRIC SERVICES (IICAPS) IS A PROGRAM FOR CHILDREN AND ADOLESCENTS AGES 6 TO 18 WITH SERIOUS EMOTIONAL DISORDERS AND THEIR FAMILIES. THE INTENT OF THIS SERVICE IS TO PROVIDE THE CLINICAL INTERVENTION AND SUPPORT NECESSARY TO SUCCESSFULLY MAINTAIN EACH CHILD IN HIS OR HER HOME OR COMMUNITY. IICAPS OFFERS INTENSIVE CLINICAL SERVICES AND SUPPORT TO CHILDREN AND YOUTH RETURNING FROM OUT-OF-HOME CARE OR WHO ARE AT RISK OF REQUIRING OUT-OF-HOME CARE DUE TO PSYCHIATRIC, EMOTIONAL, OR BEHAVIORAL DIFFICULTIES. SERVICES TAKE PLACE RIGHT IN THE CHILD'S HOME AND INVOLVE THE FAMILY AND COMMUNITY. THE IICAPS PROGRAM SERVED 192 CHILDREN DURING THE YEAR. MULTI-DIMENSIONAL FAMILY THERAPY (MDFT) - MULTI-DIMENSIONAL FAMILY THERAPY AT BOYS & GIRLS VILLAGE IS FOR CHILDREN AND ADOLESCENTS AGES 9 TO 18 WHO ARE AT RISK FOR SUBSTANCE ABUSE AND ARE EXHIBITING EMOTIONAL AND BEHAVIORAL DIFFICULTIES, INCLUDING: AGGRESSIVE BEHAVIOR, DISRESPECT OR DISOBEDIENCE AT HOME OR SCHOOL, LEGAL PROBLEMS, LOW SELF-ESTEEM, TRAUMA ISSUES. MULTI-DIMENSIONAL FAMILY THERAPY (MDFT) IS AN INTENSIVE, IN-HOME, EVIDENCE-BASED YOUTH TREATMENT PROGRAM NATIONALLY RECOGNIZED FOR ITS ABILITY TO SIGNIFICANTLY: REDUCE SUBSTANCE ABUSE, IMPROVE PROBLEM BEHAVIOR AND IMPROVE OVERALL FAMILY FUNCTIONING. SUCCESS IS GAINED BY TAKING A COMPREHENSIVE, MULTI-DIMENSIONAL APPROACH THAT INVOLVES PEOPLE FROM ALL AREAS OF THE YOUNG PERSON'S LIFE, INCLUDING: FAMILY, PEERS, TEACHERS, JUVENILE JUSTICE OFFICIALS AND THOSE FROM OTHER COMMUNITY NETWORKS. TREATMENT LASTS SIX MONTHS AND IS PROVIDED BY A MASTER'S LEVEL CLINICIAN AND A THERAPIST ASSISTANT. SESSIONS TAKE PLACE THREE TO FOUR TIMES PER WEEK IN THE YOUTH'S HOME, CONSISTING OF ONE-ON-ONE THERAPY WITH THE YOUTH, COUNSELING FOR THE PARENTS, AND ACTIVITIES AND THERAPY THAT ALLOW THE YOUTH AND PARENTS TO INTERACT. THE MDFT PROGRAM SERVED 96 CHILDREN DURING THE YEAR. CLINIC - BOYS & GIRLS VILLAGE OFFERS OUTPATIENT THERAPY IN BRIDGEPORT AND MILFORD. WE PROVIDE THERAPIES THAT ADDRESS EMOTIONAL AND PSYCHOLOGICAL ISSUES SUCH AS: ANXIETY, DEPRESSION AND OTHER MOOD DISORDERS, STRESS AND ADJUSTMENT ISSUES, INTERPERSONAL RELATIONSHIPS, SCHOOL PROBLEMS OF ADJUSTMENT AND PERFORMANCE, ATTACHMENT DIFFICULTIES, AND WORKING THROUGH TRAUMA AND LOSS. SERVICES INCLUDE COMPREHENSIVE ASSESSMENTS, PSYCHIATRIC EVALUATIONS, MEDICATION MANAGEMENT, AND INDIVIDUAL, FAMILY, AND GROUP THERAPIES. EVIDENCE-BASED TREATMENTS SUCH AS TARGET ARE PROVIDED. WE ALSO PROVIDE FOLLOW-UP CARE FOR CHILDREN WHO HAVE PREVIOUSLY BEEN IN MORE INTENSIVE TREATMENT SETTINGS SUCH AS HOSPITAL INPATIENT, INTENSIVE OUTPATIENT OR PARTIAL-HOSPITALIZATION PROGRAMS, EXTENDED DAY PROGRAMS, GROUP HOME OR RESIDENTIAL PLACEMENT. PSYCHOSEXUAL ASSESSMENTS ARE ALSO PROVIDED FOR CHILDREN EXHIBITING PROBLEM SEXUAL BEHAVIORS AS WELL AS TREATMENT FOR CHILDREN AGE 12 AND UNDER WITH SEXUALLY REACTIVE BEHAVIORS. BGV WORKS WITH EACH CHILD AND FAMILY TO ASSESS THEIR NEED AND TO PROVIDE PROFESSIONAL SERVICE. THE CLINIC SERVED 79 CHILDREN DURING THE YEAR. 1172956 0 453013 OTHER SMALLER PROGRAMS INTENSIVE FAMILY PRESERVATION (IFP) - IFP SERVES BIOLOGICAL FAMILIES, RELATIVE (KINSHIP) FOSTER FAMILIES AND PRE-/POST- ADOPTIVE FAMILIES WITH AT LEAST ONE CHILD FROM BIRTH TO 17 AT HIGH RISK OF REMOVAL AND/OR PLACEMENT DISRUPTION, AND WHO ARE CURRENTLY INVOLVED WITH THE CONNECTICUT DEPARTMENT OF CHILDREN AND FAMILIES. INTENSIVE FAMILY PRESERVATION (IFP) IS A SHORT-TERM, INTENSIVE, IN-HOME SERVICE DESIGNED TO INTERVENE QUICKLY TO: REDUCE IMMEDIATE SAFETY RISKS, CURB THE RISK OF FUTURE ABUSE AND/OR NEGLECT, AND PREVENT THE NEED FOR OUT-OF-HOME PLACEMENT. IFP IS DESIGNED TO EMPOWER AND STRENGTHEN THE FAMILY, SO IT CAN BE PRESERVED AS A UNIT. TO ACHIEVE THIS, IFP STAFF VISIT THE HOME A MINIMUM OF TWO TIMES (FIVE HOURS) PER WEEK FOR 12 WEEKS, OFFERING INTERVENTIONS DESIGNED TO: INCREASE SELF-SUFFICIENCY, DEVELOP EFFECTIVE PARENTING SKILLS, IMPROVE COPING ABILITIES, CONNECT THE FAMILY WITH NEEDED COMMUNITY RESOURCES, AND PROVIDE SUPPORT AND GUIDANCE TO ENSURE SAFETY IN THE HOME THE IFP PROGRAM SERVED 57 FAMILIES DURING THE YEAR. 2312977 2525810 KIDS INN- THE KIDS I.N.N. (INTENSIVE NEEDS NETWORK) IS A 16-BED PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVING BOYS AND GIRLS AGES 5-12 YEARS OLD. THE CHILDREN SERVED REQUIRE INTENSIVE PSYCHIATRIC TREATMENT IN A 24-HOUR/DAY SETTING. REFERRALS ORIGINATE FROM HOSPITALS OR COMMUNITY BASED PROVIDERS. CHILDREN WHO ARE AT IMMINENT RISK FOR HOSPITALIZATION, WHO ARE CURRENTLY IN A HOSPITAL AND NO LONGER REQUIRE AN ACUTE SETTING OR WHO MAY BENEFIT FROM THIS SERVICE AS AN ALTERNATIVE TO HOSPITAL TREATMENT MAY BE ELIGIBLE. THE KIDS INN PROGRAM SERVED A TOTAL OF 47 CHILDREN DURING THE YEAR. 401441 43311 MST-PSB - MULTI-SYSTEMIC THERAPY FOR YOUTH WITH PROBLEM SEXUAL BEHAVIORS (MST-PSB) TARGETS MALE AND FEMALE YOUTH AGES 10 - 17.5 YEARS WHO HAVE SEXUALLY ABUSED OTHERS. THEY MAY BE RETURNING FROM A RESIDENTIAL FACILITY OR DETENTION, OR REQUIRE AN INTENSIVE PROGRAM IN ORDER TO ASSIST THEM IN REMAINING IN THE COMMUNITY. FAMILIES MUST BE WILLING TO PARTICIPATE IN THE TREATMENT WHICH TARGETS THE PROBLEM SEXUAL BEHAVIORS AS WELL AS OTHER DELINQUENT BEHAVIORS SUCH AS TRUANCY AND ACADEMIC PROBLEMS, AGGRESSIVE BEHAVIORS, AND SUBSTANCE ABUSE, THAT MAY INCREASE THE RISK OF THE YOUTH COMING INTO CONTACT WITH COURT AUTHORITIES. TREATMENT TYPICALLY LASTS 5 - 7 MONTHS AND MST-PSB THERAPISTS SCHEDULE SESSIONS WITH FAMILIES A MINIMUM OF THREE DAYS PER WEEK, MST-PSB IS BUILT ON THE FOUNDATION OF STANDARD MST, AN INTENSIVE FAMILY AND COMMUNITY BASED TREATMENT PROGRAM THAT INCORPORATES THE VARIOUS SOCIAL ENVIRONMENTS OF THE YOUTH- THEIR HOME AND FAMILY, SCHOOL AND TEACHERS, NEIGHBORHOOD, COMMUNITY, AND PEERS. EVIDENCE-BASED MST-PSB ADDRESSES THE MANY FACTORS THAT INFLUENCE PROBLEM SEXUAL BEHAVIOR. THE MST-PSB PROGRAM SERVED 15 CHILDREN DURING THE YEAR. 212237 REUNIFICATION/THERAPEUTIC FAMILY TIME - BEGINNING ON JANUARY 1, 2015, REUNIFICATION & THERAPEUTIC FAMILY TIME (RTFT) IS FAMILY CENTERED PROGRAM CONSISTING OF THREE SERVICE COMPONENTS WHICH CAN BE USED IN COMBINATION WITH ONE ANOTHER OR INDIVIDUALLY. THE THREE SERVICE TYPES ARE: 1) REUNIFICATION READINESS ASSESSMENT- AN ASSESSMENT THAT WILL ASSIST DCF IN DETERMINING THE FAMILY'S READINESS FOR REUNIFICATION WITH THEIR CHILD(REN) WHO ARE IN OUT OF HOME CARE, 2) REUNIFICATION SERVICES - PLANNED AND STAGED PROCESS OF SAFELY RETURNING CHILDREN IN OUT OF HOME CARE TO THEIR FAMILIES OF ORIGIN, AND 3) THERAPEUTIC FAMILY TIME - AN INTERVENTION BETWEEN CHILDREN AND THEIR PARENT(S) USED TO ASSIST THEM IN MAINTAINING AND/OR RE- ESTABLISHING RELATIONSHIPS THAT ARE HEALTH FOR THE CHILD. IT WILL PROVIDE DIRECT CONSULTATION, ASSESSMENT, DIRECT WORK WITH PARENT(S) ON PARENTING SKILLS, IMPROVE PARENT-CHILD INTERACTIONS AND PROMOTE ATTACHMENTS. THE RTFT PROGRAM SERVED 19 FAMILIES DURING THE YEAR 6012041 0 5014155 13818911 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 1 267 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 CT X THE ORGANIZATION 2038770300 528 WHEELERS FARMS ROAD MILFORD CT 06461 THOMAS MCKIERNAN DIRECTOR 1.00 X 0 0 0 CAROL SMITH HARKER DIRECTOR 1.00 X 0 0 0 ARTHUR KELLEHER JR TREASURER 1.00 X X 0 0 0 GINA HART SECRETARY 1.00 X X 0 0 0 DR WILLIAM T BROWN DIRECTOR 1.00 X 0 0 0 RONALD J LORICCO SR DIRECTOR 1.00 X 0 0 0 LOUIS G D'AMATO DIRECTOR 1.00 X 0 0 0 CHRIS J HICKMANN DIRECTOR 1.00 X 0 0 0 JOSEPH TRAMUTA ESQ VICE CHAIR 1.00 X X 0 0 0 JEFFREY WILSON DIRECTOR 1.00 X 0 0 0 GALE BILLINGSLEY CHAIR 1.00 X X 0 0 0 KEVIN HART DIRECTOR 1.00 X 0 0 0 STEVEN KANT PRESIDENT & CEO 40.00 X 295684 0 23848 MARIA GIAIMO BODNER VP OF FINANCE 40.00 X 101732 0 18581 HILLARY KLEIN PSYCHIATRIST 40.00 X 245126 0 30824 KIM SHAUNESEY CHIEF OPERATING OFFICER 40.00 X 163255 0 20586 KATHLEEN GRAZIANO APRN 40.00 X 140545 0 16177 946342 0 110016 5 0 1 0 WINXNET PO BOX 1700 PORTLAND ME 04104 IT CONSULTING 345064 OLMSTEAD CONTRACTING LLC 32 TOWNLINE ROAD WOLCOTT CT 06716 CONSTRUCTION 284950 THURSTON FOODS PO BOX 744 30 THURSTON DR WALLINGFORD CT 06492 FOOD SERVICES 215680 INTEGRATED SECURITY GROUP 1501 E MAIN STREET MERIDEN CT 06450 CABLING CONTRACTOR 104363 4 210000 2249076 129635 2588711 TUITION - SPECIAL EDUCATION 611600 4964909 4964909 DCF- TFC 624100 2680965 2680965 SAFE HAVEN- PSB 624100 2662389 2662389 KIDS INN 623990 2525810 2525810 IICAPS 624100 1751729 1751729 736616 736616 15322418 5057 5057 85544 0 85544 85544 85544 131300 60943 70357 70357 18072087 15322418 0 160958 1252126 450720 801406 8501825 7455574 974901 71350 147689 116309 31380 1331710 1173182 149692 8836 751424 609141 137136 5147 935746 587479 248108 100159 171975 115894 55192 889 348512 300097 43410 5005 191498 99713 84400 7385 657364 607056 49903 405 203877 168643 34093 1141 FOSTER CARE STIPENDS 1007584 1007584 MAINTENANCE, REPAIRS AN 452664 405927 46351 386 FOOD 265647 252384 13263 CLIENT NEEDS AND RECREA 261198 260998 200 312464 208210 76353 27901 16793303 13818911 2745788 228604 987 1087 3496010 3372870 12076 200000 1742150 2249461 200501 323145 14568271 6827885 6882236 7740386 7042 0 12341002 13886949 1024010 1256501 279374 314046 1303384 1570547 X 10727438 11949749 310180 366653 11037618 12316402 12341002 13886949 1278784 0 X 0 1 X 1 0 X 6976720 6340213 3721209 2614860 2588711 22241713 6976720 6340213 3721209 2614860 2588711 22241713 535385 21706328 105067 96272 91950 91954 90601 475844 78616 56581 58741 154735 70357 419030 7927 12404 58658 13019 92008 23228595 51593748 0.93450 0.93850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 36000 0 0 36000 0 PART II-B, LINE 1: GAFFNEY, BENNETT AND ASSOCIATES, INC. HAS BEEN RETAINED BY BOYS AND GIRLS VILLAGE, INC. TO HANDLE ITS RELATIONS WITH STATE OF CONNECTICUT OFFICIALS IN AN EFFORT TO ENABLE THE ORGANIZATION TO ACCOMPLISH ITS MISSION. THIS INCLUDES MEETING WITH LEGISLATIVE LEADERS, COMMISSIONERS, AND THE GOVERNOR'S OFFICE. 0 6288007 107481 210000 109330 6076158 5611439 943631 204140 62923 6288007 5536904 618423 472577 71311 5611439 5704743 58442 164541 61740 5704743 1.00000 0 1 1 11784827 5055982 6728845 2356815 1498192 858623 426629 273711 152918 7740386 18069992 -2095 -2095 18072087 0 18072087 16791208 -2095 -2095 16793303 0 16793303 PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD BY THE VILLAGE FOUNDATION, INC. THEY OWN THE LAND IN WHICH BOYS AND GIRLS VILLAGE, INC. HAS CONSTRUCTED THEIR FACILITIES. THEY ARE A TYPE III FUNCTIONALLY NON-INTEGRATED ORGANIZATION. THEY MAKE CONTRIBUTIONS TO BOYS AND GIRLS VILLAGE, INC. AT THE DISCRETION OF THE INDEPENDENT BOARD OF DIRECTORS TO BE USED TO SUPPORT THE MISSION OF THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS GOLF TOURNAMENT 131300 131300 19058 33635 8250 131300 131300 19058 33635 8250 60943 70357 X X X X X 0 0 0 0 0 0 0 0 0 STEVEN KANT PRESIDENT & CEO 295684 0 0 0 0 0 11073 0 12775 0 319532 0 0 0 HILLARY KLEIN PSYCHIATRIST 245126 0 0 0 0 0 12397 0 18427 0 275950 0 0 0 KIM SHAUNESEY CHIEF OPERATING OFFICER 163255 0 0 0 0 0 8039 0 12547 0 183841 0 0 0 KATHLEEN GRAZIANO APRN 140545 0 0 0 0 0 7091 0 9086 0 156722 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FULL BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 TO REVIEW BEFORE FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN A STATEMENT IN WHICH THEY AGREE TO DISCLOSE ANY POSSIBLE CONFLICT OF INTERESTS TO OTHER BOARD MEMBERS AND THAT THEY WILL NOT VOTE OR USE THEIR PERSONAL INFLUENCE WHEN A POSSIBLE CONFLICT OF INTEREST EXISTS. ALL NEW BOARD MEMEBERS ARE NOTIFIED OF THE POLICY AND INDICATE THEIR AGREEMENT BY SIGNING THE POLICY STATEMENT. THE POLICY IS REVIEWED AND UPDATED ANNUALLY AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15A EACH YEAR THE BOD'S EXECUTIVE COMPENSATION COMMITTEE EVALUATES THE CEO WITH A FORMAL PERFORMANCE APPRAISAL PROCESS WHICH ASSESSES PERFORMANCE AGAINST PREVIOUSLY ESTABLISHED GOALS AND OBJECTIVES. THE BOD CHAIR THEN MEETS PRIVATELY WITH THE CEO TO DISCUSS THE APPRAISAL AND THE RESULTS. THE EXECUTIVE COMPENSATION COMMITTEE THEN MEETS IN EXECUTIVE SESSION TO REVIEW MARKET DATA FURNISHED BY AN OUTSIDE COMPENSATION CONSULTANT AND THEN TO DETERMINE THE APPROPRIATE PERFORMANCE BASED SALARY INCREASE AND BONUS AWARED TO BE MADE TO THE CEO. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION'S MAILING ADDRESS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE AVAILABLE ON THE AGENCY'S ANNUAL REPORT. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT CURRENTLY AVAILABLE TO THE GENERAL PUBLIC. THE VILLAGE FOUNDATION INC 528 WHEELERS FARMS ROAD MILFORD CT 06461 060662199 SUPPORTING ORGANIZATION FOR BOYS AND GIRLS VILLAGE, INC. CT 501(C)(3) LINE 11D, III-O 0 0 0 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 THE VILLAGE FOUNDATION INC C 210000 FAIR MARKET VALUE