2015-11-11T11:42:04-06:00 2015-06-30 041617630 MEYER REGAN & WILNER LLP 111 DURFEE STREET FALL RIVER MA 027202126 990 2014-07-01 042743314 LIFESTREAM INC LIFE 5089931991 PO BOX 50487 NEW BEDFORD MA 02745 JOHN A LATAWIEC PRESIDENT & CEO 5089931991 2015-11-10 1 MELISSA B KENYON P01272045 5086796451 2014 2016-02-25 16:41:14Z JOHN A LATAWIEC PO BOX 50487 NEW BEDFORD MA 02745 23063943 0 X LIFESTREAMINC.COM X 1976 MA LIFESTREAM, INC. PROVIDES A WIDE RANGE OF HUMAN SERVICES TO ENRICH LIVES AND PROMOTE INDEPENDENCE FOR RESIDENTS THROUGHOUT SOUTHEASTERN MASSACHUSETTS. 12 12 608 0 0 0 5100 358950 19680302 22688877 4058 16116 0 0 19689460 23063943 0 0 0 0 15534744 18104648 0 0 0 3961111 4518389 19495855 22623037 193605 440906 10502067 11453668 5206518 5717213 5295549 5736455 X LIFESTREAM, INC. PROVIDES A WIDE RANGE OF HUMAN SERVICES TO ENRICH LIVES AND PROMOTE INDEPENDENCE FOR RESIDENTS THROUGHOUT SOUTHEASTERN MASSACHUSETTS. 0 0 13858852 15759631 RESIDENTIALPROVIDES ASSISTANCE TO INDIVIDUALS LIVING ON THEIR OWN, WITH FAMILY MEMBERS, OR TRANSITIONING TO INDEPENDENT LIVING; SUPPORTS ADULTS WITH DEVELOPMENTAL DISABILITIES AND AQUIRED BRAIN INJURY IN A NETWORK OF COMMUNITY RESIDENCES PROVIDING 24-HOUR STAFF SUPPORT. THE PROGRAM OPERATES 365 DAYS A YEAR AND SERVED 101 CLIENTS IN THE CURRENT FISCAL YEAR. 2851616 3054810 COMMUNITY & FAMILY SUPPORTSTHE COMMUNITY AND FAMILY SUPPORTS DIVISION PROVIDES CUSTOMIZED SUPPORTS TO INDIVIDUALS LIVING ON THEIR OWN OR WITH FAMILY MEMBERS. WITHIN THIS DIVISION ARE THE FOLLOWING PROGRAMS: SHARED LIVING, ADULT FOSTER CARE, ACQUIRED BRAIN INJURY, INDEPENDENT LIVING AND INDIVIDUAL SUPPORTS. THE PROGRAM OPERATES 365 DAYS A YEAR AND SERVED 118 CLIENTS IN THE CURRENT FISCAL YEAR.SHARED LIVING AND ADULT FOSTER CARE PROGRAMS PLACE INDIVIDUALS WHO MEET THE ELIGIBILITY CRITERIA WITH FAMILIES TO RECEIVE SERVICES 24/7. SUPPORTS ARE TAILORED TO MEET EACH PERSON'S UNIQUE NEED. FAMILIES ARE TRAINED IN ALL NEED AREAS TO ENSURE THE INDIVIDUALS RECEIVE OPTIMAL CARE AND SUPERVISION WHILE PLACED IN THE HOME.ACQUIRED BRAIN INJURY, INDEPENDENT LIVING AND INDIVIDUAL SUPPORTS PROVIDE A WIDE RANGE OF SERVICES TO THE INDIVIDUALS WITHIN THE PROGRAM. ALL SERVICES ARE BASED UPON A COMPREHENSIVE ASSESSMENT AND ARE DRIVEN BY CONSUMER INPUT AND INTEREST. THESE SERVICES RANGE FROM MEDICAL SUPPORTS, FINANCIAL MANAGEMENT AND ASSISTANCE, NUTRITIONAL EDUCATION, BEHAVIORAL SUPPORTS, BANKING, GROCERY SHOPPING, ADL SUPERVISION AND COMMUNITY RECREATION. 3081015 3075640 DAY PROGRAMS - DAY HABILITATION - PROVIDES THERAPEUTIC, LIFE SKILLS, AND COMMUNITY INTEGRATION SERVICES FOR INDIVIDUALS WITH DISABILITIES IN THREE PROGRAM LOCATIONS AS WELL AS SERVICES FOR ELIGIBLE INDIVIDUALS RESIDING IN AREA NURSING HOMES.- SUPPORTED EMPLOYMENT - PROVIDES JOB TRAINING, AND PLACEMENT SERVICES FOR INDIVIDUALS WITH DISABILITIES IN ONE PROGRAM LOCATION.THE PROGRAM OPERATES 260 DAYS A YEAR/5 DAYS A WEEK AND SERVED 23 CLIENTS IN THE CURRENT FISCAL YEAR. 548939 671425 EMPLOYMENT AND TRAINING SERVICESPROVIDES CAREER EMPLOYMENT SERVICES FOR INDIVIDUALS RECEIVING PUBLIC ASSISTANCE. THE PROGRAM OPERATES 260 DAYS A YEAR/5 DAYS A WEEK AND SERVED 205 CLIENT IN THE CURRENT FISCAL YEAR. 176885 127372 DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE)THE DESE/DDS PROGRAM IS DESIGNED TO PROVIDE SUPPLEMENTAL SUPPORTS TO CHILDREN/YOUNG ADULTS WHO HAVE BEEN DETERMINED TO NEED SERVICES IN ORDER TO STAY AT HOME AND PREVENT A MORE RESTRICTIVE EDUCATIONAL OR OUT OF HOME RESIDENTIAL PLACEMENT. THE INTENT OF THE PROGRAM IS TO INCREASE THE FAMILY CAPACITY TO SUPPORT THEIR CHILD AT HOME AND IN THE COMMUNITY, AS WELL AS TO PROVIDE AN INDIVIDUALIZED PLAN OF SUPPORTS THAT PROMOTES SKILL BUILDING, INDEPENDENCE, AND SOCIAL INTEGRATION, ACROSS THE SPECTRUM OF THE CHILD'S HOME, SCHOOL AND COMMUNITY. THROUGH THIS PROGRAM, LIFESTREAM PROVIDES FAMILIES WITH SERVICE NAVIGATION CASE MANAGEMENT, IN HOME TRAINING, CLINICAL CONSULTATION AND TREATMENT PLANNING, AND STAFF SUPPORT FOR SKILLS TRAINING.THE PROGRAM OPERATES 365 DAYS A YEAR AND SERVED 8 CLIENTS IN THE CURRENT FISCAL YEAR. 725824 798797 20517307 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 41 0 608 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 MA X X ERIC SILBERZWEIG VP ADMIN & FINANCE 5089931991 444 MYRTLE STREET NEW BEDFORD MA 02746 JOANNE CAMERON DIRECTOR 5.00 X 0 0 0 TERRANCE CHAREST DIRECTOR 5.00 X 0 0 0 SALLY FALLON DIRECTOR 5.00 X 0 0 0 SUSAN SCHWAGER DIRECTOR 5.00 X 0 0 0 TIMOTHY WARREN DIRECTOR 5.00 X 0 0 0 KATHLEEN DOWNEY DIRECTOR 5.00 X 0 0 0 JANICE ROBBINS DIRECTOR 5.00 X 0 0 0 JANE STANKIEWICZ DIRECTOR 5.00 X 0 0 0 PAMELA MACLEOD LIMA DIRECTOR 5.00 X 0 0 0 KERRY SHORTLE PAST DIRECTOR 5.00 X 0 0 0 JEANNIE SMITH PAST DIRECTOR 5.00 X 0 0 0 HELEN MCGOWAN GARDNER PAST DIRECTOR 5.00 X 0 0 0 MARY HODGSON PAST DIRECTOR 5.00 X 0 0 0 BARBARA WEATHERFORD PAST DIRECTOR 5.00 X 0 0 0 GAIL FORTES CHAIR 5.00 X 0 0 0 DAVID FENTRESS VICE CHAIR 5.00 X X 0 0 0 MICHELE PRATT TREASURER 5.00 X X 0 0 0 TIA BULLARD CLERK 5.00 X X 0 0 0 JOHN A LATAWIEC CEO/PRESIDENT 40.00 X 152065 0 29192 ERIC SILBERZWEIG VP-ADMIN & FINANCE 40.00 X 118594 0 25195 BONNIE S MELLO CHIEF OPERATING OFFICER 40.00 X 130910 0 5428 401569 0 59815 3 0 1 0 DELPHI CONSTRUCTION INC 130 OVERLAND ROAD WALTHAM MA 02451 BUILDING IMPROVEMENTS, GROSS 433677 MARC SAUCIER DBA MARK'S HOME IMPROV 30 EARL STREET ACUSHNET MA 02743 BUILDING IMPROVEMENTS, GROSS 118552 2 358950 350000 358950 SERVICE FEES 900099 22688877 22688877 22688877 2336 2336 13780 0 13780 13780 13780 23063943 22702657 0 2336 344867 344867 13853138 12981884 871254 100829 89531 11298 2567902 2318835 249067 1237912 1133635 104277 40432 40432 41600 41600 436779 283414 153365 318013 213067 104946 1572151 1542578 29573 448305 420419 27886 156568 147797 8771 485970 438699 47271 67276 46063 21213 PROGRAM SUPPLIES AND MA 540279 540279 MINOR EQUIPMENT, FURNIS 368349 344377 23972 DUES, SUBSCRIPTIONS AND 39337 14714 24623 MISCELLANEOUS EXPENSE 2315 2015 300 1015 1015 22623037 20517307 2105730 0 107084 127902 780102 1164034 1870561 1880445 170171 188020 12618974 4609438 7492291 8009536 81858 83731 10502067 11453668 1608699 1852121 3185253 3176110 412566 688982 5206518 5717213 X 5295549 5386455 350000 5295549 5736455 10502067 11453668 440906 0 X 0 1 X 1 0 X 3065 4400 7050 5100 358950 378565 17553310 17680106 18150423 19681787 22702657 95768283 17556375 17684506 18157473 19686887 23061607 96146848 0 0 0 96146848 7205 3605 4318 2573 2336 20037 7205 3605 4318 2573 2336 20037 17563580 17688111 18161791 19689460 23063943 96166885 0.99980 0.99940 0.00020 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2516535 2516535 7200752 2213990 4986762 345255 305856 39399 2556432 2089592 466840 8009536 23063943 0 23063943 0 23063943 22623037 0 22623037 0 22623037 X X X X X 0 0 0 0 0 0 0 0 0 JOHN A LATAWIEC CEO/PRESIDENT 140057 0 8489 0 3519 0 9188 0 21835 0 183088 0 0 0 A MASS DEVELOPMENT FINANCE AGENCY 043431814 NONEAVAIL 2013-06-27 3500000 SEE PART VI 0 0 0 A 3500000 80539 3419461 2013 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 PART I, LINE A, COLUMN F - DESCRIPTION OF PURPOSE THE PURPOSE OF THE BOND PROCEEDS: - REFINANCE THE ACQUISITION, RENOVATION, IMPROVEMENT AND EQUIPPING OF VARIOUS RESIDENTIAL GROUP HOMES AND A BUILDING HOUSING THE ADMINISTRATIVE AND CLINICAL SERVICES OFFICES - FINANCE AND REFINANCE THE ACQUISITION AND RENOVATION OF A RESIDENTIAL FACILITY TO BE USED AS A GROUP HOME - FINANCE AND REFINANCE OF THE RENOVATION, IMPROVEMENT AND EQUIPPING OF THE ADMINISTRATIVE OFFICES AND THE DAY HABILITATION FACILITY - FINANCE THE COSTS OF THE ISSUANCE SCHEDULE K, PART II, LINE 11 - OTHER SPENT PROCEEDS BOND PROCEEDS WERE SPENT AS FOLLOWS: - PAYOFF OF ROCKLAND TRUST CO LOAN $2,041,092 - PAYOFF OF ROCKLAND TRUST CO LOAN 641,668 - PAYOFF OF ROCKLAND TRUST CO LINE OF CREDIT 403,715 - PAYOFF OF BANK OF AMERICA LOAN 171,242 - PURCHASE OF COMPUTER EQUIPMENT 161,744 --------- LINE 11 - OTHER SPENT PROCEEDS $3,419,461 ========= X 1 350000 REAL ESTATE APPRAISAL 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE TOP FINANCIAL OFFICIAL. ONCE ALL COMMENTS HAVE BEEN ADDRESSED, A COPY OF THE FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE FOR REVIEW. ONCE APPROVED BY THE FINANCE COMMITTEE, THE FINAL FORM 990 IS DISTRIBUTED TO THE FULL BOARD AND THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, EMPLOYEES, SUPPLIERS AND CONSULTANTS MUST ACKNOWLEDGE AND DOCUMENT THEIR UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY ON A FORM PROVIDED FOR THAT PURPOSE. EACH INDIVIDUAL IS REQUIRED TO ACKNOWLEDGE THEIR CONFLICTS EVERY 2 YEARS. THROUGHOUT THE YEAR, THE BOARD AND STAFF REVIEW TRANSACTIONS TO ENSURE COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE SALARIED EMPLOYEES ARE PLACED ON A SALARY SCALE WHICH DETERMINES THEIR SALARY RANGE. THEY RECEIVE RAISES BASED UPON AN ANNUAL REVIEW. THE BOARD DETERMINES THE SALARY FOR THE PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 CAN ALSO BE ACCESSED VIA GUIDESTAR'S AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITES. GOVERNING DOCUMENTS ARE ALSO AVAILABLE ONLINE VIA THE SECRETARY FOR THE COMMONWEALTH OF MASSACHUSETTS CORPORATE DATABASE.