2015-10-02T15:08:05-05:00 2015-06-30 030210880 A M PEISCH & COMPANY LLP PO BOX 326 RUTLAND VT 057020326 990PF 2014-07-01 331014741 CLAREMONT SAVINGS BANK FOUNDATION CLAR 6035427711 PO BOX 1600 CLAREMONT NH 037431600 JOLENE TENNEY TRUSTEE 6035427711 2015-09-29 1 NORMAN J LADABOUCHE CPA P01255942 8027732721 2014 2016-02-25 16:41:14Z X 514324 X X 7 7 24194 24194 59934 155116 59934 2607 2607 86742 86742 0 0 0 1706 0 0 790 0 0 2496 0 0 85030 85030 87526 0 85030 -784 86742 5900 8436 8436 442037 438717 505888 447937 447153 514324 0 0 X 447937 447153 0 0 0 0 447937 447153 447937 447153 447937 -784 0 447153 0 447153 175 SHS CLOROX P 2013-10-05 2015-03-26 19212 14361 4851 4851 1000 SHS KINDER MORGAN ENERGY PARTNERS P 2007-05-14 2014-12-02 101602 56455 45147 45147 700 SHS PAYCHEX INC P 2013-04-10 2015-03-26 34302 24366 9936 9936 59934 0 78825 588012 0.134053 85300 627194 0.136003 1074465 1044563 1.028626 76500 1499935 0.051002 75371 1318694 0.057156 1.406840 0.281368 591507 166431 867 167298 85030 1735 0 1735 0 1735 1360 1360 X 375 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 THOMAS P CONNAIR PO BOX 829 CLAREMONT NH 03743 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 JACQUELINE GUILLETTE 56 RIDGE AVENUE CLAREMONT NH 03743 TRUSTEE 0.50 0 0 0 NONE 0 NONE 0 N/A. 0 0 567062 33453 0 600515 0 0 600515 9008 591507 29575 29575 1735 1735 27840 0 27840 0 27840 85030 0 85030 0 85030 27840 0 0 10574 2910 1023087 55005 50769 1142345 85030 0 0 0 27840 57190 0 0 1199535 0 0 0 0 0 0 10574 1188961 2910 1023087 55005 50769 57190 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 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 AND NOT DICRIMINATE BASED ON FEDERAL CRITERIA. PRIORITY TO THE CLAREMONT, CHARLESTOWN, AND CORNISH NH AREA WITH SECONDARY CONSIDERATION TO SURROUNDING COMMUNITIES. SIZE OF GRANTS GENERALLY RANGE FROM $1,000 TO $5,000. AIDRON DUCKWORTH ART MUSEUM ART PRESERVATION TRUST PO BOX 61 MERIDEN NH 03770 NONE 501(C) REPAINT AND REPAIR ETC. THE HISTORIC MERIDEN SCHOOLHOUSE WHICH HOUSES THE MUSEUM 500 ARROWHEAD RECREATION CLUB 18 ROBERT EASTER WAY CLAREMONT NH 03743 NONE 501(C) BUILD TWO SHELTERS FOR THE TUBE LIFT 2000 CHARLESTOWN PRIMARY SCHOOL 84 EAST STREET CHARLESTOWN NH 03603 NONE 501(C) PURCHASE A NEW PLAYGROUND STRUCTURE 2000 CHARLESTOWN SENIOR CENTER PO BOX 1333 CHARLESTOWN NH 03603 NONE 501(C) PURCHASE UPRIGHT FREEZER 1000 CLAREMONT JAGUARS 4-H CLUB OF SULLIVAN COUNTY 405 W UNITY ROAD CLAREMONT NH 03603 NONE 501(C) SUPPORT WELLNESS PROJECT 3000 CLAREMONT MIDDLE SCHOOL CHORUS 107 SOUTH STREET CLAREMONT NH 03743 NONE 501(C) PURCHASE CHORAL RISERS 3000 CLAREMONT OPERA HOUSE INC PO BOX 664 CLAREMONT NH 03743 NONE 501(C) RECONDITION AND REUPHOLSTERING THE SEATS AT THE OPERA HOUSE (30 SEATS) 1000 CLAREMONT PARKS AND RECREATION DEPARTMENT 152 SOUTH STREET CLAREMONT NH 03743 NONE 501(C) PURCHASE AND INSTALL TRAIL SIGNAGE AT MOODY PARK 2500 CLAREMONT SCHOOL DISTRICT SPEECH AND LANGUAGE DEPT 210 MAPLE AVE CLAREMONT NH 03743 NONE 501(C) PURCHASE ASSISTIVE TECHNOLOGY AND APPLICATIONS FOR NON-VERBAL STUDENTS TO USE FOR COMMUNICATIONS 2000 CLAREMONT SENIOR CENTER INC 5 ACER HEIGHTS ROAD CLAREMONT NH 03743 NONE 501(C) 2 - 60" WIDE 10 BURNER - OVENS/GAS STOVES 3800 CLAREMONT SOUP KITCHEN INC PO BOX 957 CLAREMONT NH 03743 NONE 501(C) SUPPORT FOOD PANTRY 5000 CLAREMONT YOUTH BASEBALL AND SOFTBALL ASSOCIATION PO BOX 212 CLAREMONT NH 03743 NONE 501(C) PURCHASE 2 CORDLESS PITCHING MACHINES 1600 COMMUNITY ALLIANCE OF HUMAN SERVICES - FAMILY SERVICES PO BOX 188 NEWPORT NH 03773 NONE 501(C) PROVIDE 100% FEE WAIVER FOR UP TO 90 PARTICIPANTS IN EDUCATIONAL INTERVENTION AND PREVENTION CLASSES 2000 DANIEL WEBSTER COUNCIL BOY SCOUT OF AMERICA 571 HOLT AVENUE MANCHESTER NH 03109 NONE 501(C) LITERACY FOR YOUTH OF THE UPPER VALLEY 1000 DAYSPRING PREGNANCY CARE CENTER INC 1 MAIN STREET WEST LEBANON NH 03784 NONE 501(C) PURCHASE 10 THINKPAD LAPTOPS WITH WINDOWS 8 2000 FRIENDS OF THE FISKE FREE LIBRARY 108 BROAD STREET CLAREMONT NH 03743 NONE 501(C) PURCHASE A DIGITAL MICROFILM SCANNER TO REPLACE THE EXISTING ANALOG SCANNER WHICH IS NO LONGER WORKING 1000 FRIENDS OF VETERANS INC 222 HOLIDAY DRIVE WHITE RIVER VT 05001 NONE 501(C) ASSIST FRIENDS OF VETERANS WITH EXPENSES RELATED TO CASEWORK FOR VETERANS AT RISK OF BEING HOMELESS 2000 GALLERY AT THE VAULT 68 MAIN STREET SPRINGFIELD VT 05156 NONE 501(C) PURCHASE A POINT OF SALE SYSTEM - SOFTWARE, HARDWARE AND COMPUTER SYSTEM 700 GIRL SCOUT TROOP 30261 485 CHESTNUT STREET CLAREMONT NH 03743 NONE 501(C) BUDDY BENCH PROJECT 1000 GOOD BEGINNINGS OF SULLIVAN COUNTY PO BOX 1098 CLAREMONT NH 03743 NONE 501(C) MONEY TO OFFSET THE COST OF 100 HOME VISITS IN THE HEALTHY FAMILIES AMERICA PROGRAM 2500 GREATER SPRINGFIELD VT AREA HABITAT FOR HUMANITY PO BOX 143 SPRINGFIELD VT 05156 NONE 501(C) BUILDING A HOME FOR LOW INCOME FAMILY AND A NO INTEREST MORTGAGE LOAN 2500 GREEN MOUNTAIN CHILDREN'S CENTER 90 CHARLESTOWN ROAD CLAREMONT NH 03743 NONE 501(C) PURCHASE A CASCADING SAND AND WATER TABLE TO ENHANCE LEARNING OPPORTUNITIES 2000 HIVHCV RESOURCE CENTER 2 BLACKSMITH STREET LEBANON NH 03766 NONE 501(C) PAY FOR FOUR MONTHS OF COUNSELING AND MEDICATION-ASSISTED FEE FOR 8 OPIOID DEPENDENT CLIENTS 1000 INTERNATIONAL ORDER OF THE RAINBOW FOR GIRLS 2712 BROOK ROAD WINDSOR VT 05089 NONE 501(C) CO-HOSTING INTERNATIONAL CONVENTION 500 MEALS & WHEELS OF GREATER SPRINGFIELD INC 139 MAIN STREET SPRINGFIELD VT 05156 NONE 501(C) MEET THE NUTRITIONAL NEEDS OF SENIORS IN THE SPRINGFIELD AREA 500 MORE THAN WHEELS 15 EAGLE COURT KEENE NH 03431 NONE 501(C) ASSIST IN BUILDING FANANCIAL CAPABILITIES AND PROVIDE TRANSPORTION 1500 MUCKROSS ENVIRONMENTAL EDUCATION AND OUTDOOR RECREATION DAY CARE 100 MINERAL STREET SPRINGFIELD VT 05156 NONE 501(C) CAMP FEE FOR 15 STUDENTS TO ATTEND CAMP AND FREE FOR ALL 7TH AND 8TH GRADERS 2250 NEWPORT ARE ASSOC OF CHURCHES - FOOD PANTRY PO BOX 672 NEWPORT NH 03773 NONE 501(C) PURCHASE A STAINLESS STEEL TABLE TO SORT PRODUCE 695 PROJECT RED AND BLUE 58 OPERA HOUSE SQUARE CLAREMONT NH 03743 NONE 501(C) SUPPORT SUMMER LEADERSHIP PROGRAM FOR STUDENTS FROM THE CLAREMONT MIDDLE SCHOOL 2000 REPERTORY THEATRE COMPANY 58 OPERA HOUSE SQUARE CLAREMONT NH 03743 NONE 501(C) PURCHASE LICENSING RIGHTS IN ORDER TO PRODUCE A PRODUCTION 685 RICHARDS SCHOOL PTO 21 SCHOOL STREET NEWPORT NH 03773 NONE 501(C) PROJECT RABBIT - READING PROJECT WHERE STUDENTS RECEIVE ONE BOOK PER WEEK FOR THREE WEEKS 2500 RIVER VALLEY COMMUNITY COLLEGE 1 COLLEGE PLACE CLAREMONT NH 03743 NONE 501(C) IPAD LENDING LIBRARY FOR ENROLLED VETERANS 1500 SECOND GROWTH INC 205 BILLINGS FARM ROAD WHITE RIVER VT 05001 NONE 501(C) SUPPORT COACHING FOR CAPTAINS PROGRAM BY INJURY PREVENTION, IMPROVING PHYSICAL AND PSYCHOLOGICAL 1500 SOUTHWESTERN COMMUNITY SERVICES HEAD START 63 COMMUNITY WAY KEENE NH 03431 NONE 501(C) LAUNCH NEW LITERACY INITIATIVE 2000 SPECIAL NEEDS SUPPORT CENTER 12 FLYNN STREET LEBANON NH 03766 NONE 501(C) EDUCATIONAL ADVOCACY TO PARENTS 1000 SPRINGFIELD ART AND HISTORICAL SOCIETY INC PO BOX 313 SPRINGFIELD VT 05156 NONE 501(C) OFFER A SERIES OF 8-10 PRESENTATIONS TO PROMOTE AND INTEREST AND BETTER UNDERSTANDING OF THE TOWN'S HISTORY 500 SPRINGFIELD COMMUNITY CHORUS PO BOX 231 SPRINGFIELD VT 05156 NONE 501(C) PRESENT A PERFORMANCE OF HAYDN'S CREATION 500 STEVENS HIGH SCHOOL 175 BROAD STREET CLAREMONT NH 03743 NONE 501(C) OUTFIT AN EXERCISE ROOM WITH RESISTANCE TRAINING EQUIPMENT 1500 SULLIVAN COUNTY HUMANE SOCIETY PO BOX 111 CLAREMONT NH 03743 NONE 501(C) TO PERFORM LOW COST/FREE SPAYING AND NEUTERING OF CATS 2000 THE GOOD NEIGHBOR HEALTH CLINICS INC 70 N MAIN STREET WHITE RIVER VT 05001 NONE 501(C) SUPPORT MILEAGE AND HOURLY WAGE OF STAFF PERSON TRAVELING TO CLAREMONT MONTHLY 1300 THE SUMMER CAMP INC 8 CHURCH STREET BRIDGTON ME 04009 NONE 501(C) PAY MEMBERSHIP FOR 30 GIRLS FROM CLAREMONT TO ATTEND CAMP 2000 TRINITY EPISCOPAL CHURCH 120 BROAD STREET CLAREMONT NH 03743 NONE 501(C) SUPPORT BREAKFAST/BACKPACK/AFTER SCHOOL PROGRAMS 3000 TURNING POINTS NETWORK 11 SCHOOL STREET CLAREMONT NH 03743 NONE 501(C) PURCHASE ELECTRIC RANGE AND DOUBLE OVEN FOR EMERGENCY SHELTER HOME, AND ADDITIONAL RESOURCES 2500 TWIN VALLEY YOUTH HOCKEY PO BOX 184 MERIDEN NH 03770 NONE 501(C) SUPPORT HOCKEY MENTORING PROGRAM 1000 TWINSTATE MAKERSPACES INC PO BOX 100 LEBANON NH 03766 NONE 501(C) SUPPORT FACILITY THAT PROMOTES CREATIVITY, INNOVATION, AND ENTREPRENEURSHIP IN THE ARTS AND STEM FIELDS 2500 UPPER VALLEY BUSINESS AND EDUCATION PARTNERSHIP PO BOX 350 HANOVER NH 03755 NONE 501(C) HELP PROVIDE JUNIOR ACHIEVEMENT FINANCIAL LITERACY PROGRAMS TO TEN OR MORE CLASSROOMS 1500 VOLUNTEERS IN ACTION PO BOX 707 WINDSOR VT 05089 NONE 501(C) SUPPORT PROGRAM TO ASSIST THE ELDERLY AND DISABLED 1000 WEST CENTRAL BEHAVIORAL HEALTH 9 HANOVER STREET LEBANON NH 03766 NONE 501(C) SUPPORT FOR COMMUNITY MENTAL HEALTH SERVICES 1000 WEST CLAREMONT CENTER FOR MUSIC AND THE ARTS PO BOX 902 CLAREMONT NH 03743 NONE 501(C) PURCHASE 5 NEW INSTRUMENTS 1000 WEST WEATHERSFIELD VOLUNTEER FIRE DEPARTMENT PO BOX 196 PERKINSVILLE VT 05151 NONE 501(C) PURCHASE FIRE PUMP FOR BRUSH TRUCK 2000 85030 0 14 7 14 24194 14 2607 18 59934 0 86742 0 86742 0 0 0 0 0 0 0 0 0 0 ALTRIA GROUP 44369 75811 AT & T 83678 99456 CENTURYLINK INC 72399 58760 KINDER MORGAN 0 0 HEALTH CARE PROPERTIES 47209 72940 FAIRPOINT COMMUNICATIONS 537 0 PAYCHECK INC 19145 25784 CLOROX 0 0 GENERAL ELECTRIC 79335 87681 KINDER MORGAN DELAWARE 92045 85456 TAX PREP 775 0 0 WIRE TRANSFER FEES 15 0 0 RETURN OF CAPITAL INCOME 2607 2607 2607 STATE FEE 75 0 0 ESTIMATED TAX PAYMENTS 1360 0 0 EXCISE TAX DUE 271 0 0