2012-08-14T10:22:11-05:00 2012-03-31 020476956 TYLER SIMMS & ST SAUVEUR PC 19 MORGAN DRIVE LEBANON NH 03766 990 2011-04-01 030277908 THE UPPER VALLEY HAVEN INC UPPE 8022956500 713 HARTFORD AVENUE WHITE RIVER JUNCTION VT 05001 SARA KOBYLENSKI 8022956500 2012-08-09 1 W JAY SIMMS P00435321 6036530044 2012-08-06 2011 2016-02-24 21:20:13Z SARA KOBYLENSKI 713 HARTFORD AVE WHITE RIVER JUNCTION VT 05001 3090802 0 X WWW.UPPERVALLEYHAVEN.ORG X 1980 VT THE UPPER VALLEY HAVEN SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING SHELTER AND EDUCATION TO HOMELESS FAMILIES, AND FOOD, CLOTHING AND SUPPORT TO ANYONE IN NEED. 14 14 37 482 0 0 2704248 2918991 0 0 26651 32062 99321 139749 2830220 3090802 0 0 0 0 1114238 1414766 0 0 283298 1348000 1868451 2462238 3283217 367982 -192415 6483468 6396812 74814 120920 6408654 6275892 THE UPPER VALLEY HAVEN SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING SHELTER AND EDUCATION TO HOMELESS FAMILIES, AND FOOD, CLOTHING AND SUPPORT TO ANYONE IN NEED. 0 0 1036126 SHELTER- FAMILY SHELTER HAS CAPACITY TO HOUSE 8 HOMELESS FAMILIES WITH CHILDREN. WE SERVED 42 FAMILIES IN FY 2012. THE ADULT SHELTER HAS CAPACITY TO HOUSE 20. WE SERVED 137 IN FY 2012. 1828281 COMMUNITY SERVICES, WHICH INCLUDES ALL OTHER DIRECT SERVICE ACTIVITIES, SUCH AS THE FOOD SHELF, THE CLOTHING ROOM, THE PUBLIC SHOWER, AND COMMUNITY CASE MANAGEMENT WITH AFTERCARE. 2864407 1 1 0 0 0 0 0 0 1 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 0 1 3 0 1 37 1 0 0 0 0 0 0 1 1 0 0 1 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X THE ORGANIZATION 8022956500 713 HARTFORD AVENUE WHITE RIVER JUNCTION VT 05001 CASS OLSEN 4.00 X X 0 0 0 ANNA HORVATH 2.00 X X 0 0 0 EDWARD BORAZ 1.00 X 0 0 0 CATHRYN NUNLIST 1.00 X 0 0 0 JANINE SCHEINER 1.00 X 0 0 0 MIKE O'NEIL 1.00 X 0 0 0 ROGER SHEPARD 1.00 X 0 0 0 WILLIAM NISEN 4.00 X X 0 0 0 FREDERICK WALTER 1.00 X 0 0 0 BRETT PELTZER 1.00 X 0 0 0 RICHARD COTE 4.00 X X 0 0 0 TRICIA GROFF 1.00 X 0 0 0 DOUGLAS LOUDON 8.00 X X 0 0 0 BRAD FULK 1.00 X 0 0 0 SARA KOBYLENSKI 40.00 X 74808 0 2007 74808 0 2007 0 0 0 0 0 84500 2834491 1052359 2918991 29313 29313 2749 2749 2749 2749 112659 0 112659 112659 MISC INCOME 624200 27090 27090 27090 3090802 0 0 171811 75000 37500 18750 18750 1053553 907488 23911 122154 203408 183985 1968 17455 82805 68989 3211 10605 35089 35089 54315 43849 9487 979 139459 133438 3936 2085 14390 13768 406 216 IN-KIND DONATION 1027201 1027201 FOOD 186985 186985 OTHER EXPENSES 119729 65067 26544 28118 DEVELOPMENT EXPENSES 110379 20786 8580 81013 180904 175351 3630 1923 3283217 2864407 135512 283298 733650 619744 363050 203169 4100 4925 14258 33943 35629 40926 4567064 662677 3937855 3904387 1394926 1582217 0 7501 6483468 6396812 59107 94282 15707 26638 74814 120920 X 5936771 5866740 366383 303652 105500 105500 6408654 6275892 6483468 6396812 X -192415 59653 X X 1 0 1 X 0 X 895110 1583184 2957064 2704248 2918991 11058597 895110 1583184 2957064 2704248 2918991 11058597 11058597 33214 28795 30719 20121 29313 142162 66549 50795 51391 99321 112659 380715 11581474 0.95490 0.95200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1394926 214652 91482 118843 1582217 1414967 25083 161777 206901 1394926 858413 465360 91194 1414967 202516 764749 -108852 858413 0.93000 0.07000 0 0 201018 201018 4093261 525600 3567661 31894 23645 8249 220986 103495 117491 19905 9937 9968 3904387 FUNDS HELD FOR OTHERS 26638 26638 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PROVIDE FOUNDATION FOR LONGEVITY OF ORGANIZATION CHEFS 34942 34942 COVERED BRIDGE HALF MARATHON 29548 29548 3 48169 48169 112659 112659 112659 X 169500 ESTIMATE X 11 25158 FMV X 856418 ESTIMATE X OTHER IN-KIND DONATION 1 1283 ACTUAL 0 1 1 THIRD PARTY USE: PART I, LINE 32B: STOCK CONTRIBUTIONS ARE MADE DIRECTLY INTO THE SCHWAB LONG TERM INVESTMENT FUND AS PERMITTED INVESTMENTS UNDER THE INVESTMENTS GUIDELINES (BOARD APPROVED). JUDGEMENTS ARE MADE ON THE BEST TIMING FOR THE SALE OF SUCH GIFTS BY THE INVESTMENT ADVISOR/FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C IF ANY MEMBER OR THE BOARD OF DIRECTORS HAS A CONFLICT, IT NEEDS TO BE DISCLOSED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN VOTES TO DETERMINE IF THE MEMBER CAN CONTINUE TO SERVE OF THE BOARD. IN ADDITION, THE MEMBER WITH THE CONFLICT MUST REPORT TO THE REST OF THE BOARD OF DIRECTORS ON THE STATUS OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS USED REGIONAL COMPARABLES TO DETERMINE THE SALARY OF THE ORGANIZATION'S EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS AND INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 59,653. FORM 990, PART XI, LINE 2C THE FINANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF OVERSIGHT AUDIT/REVIEW AND SELECTION OF INDEPENDENT AUDITOR.