MONADNOCK REGIONAL FOUNDATION FOR FAMILY SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MONADNOCK REGIONAL FOUNDATION FOR FAMILY SERVICES INC (EIN 02-0481836)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201243219349300034
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T11:59:12-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020417217EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEONE MCDONNELL & ROBERTS PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1645 SOUTH MAIN STREETAddressLine1
CityWOLFEBOROCity
StateNHState
ZIP Code03894ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020481836EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONADNOCK REGIONAL FOUNDATION FORBusinessNameLine1
Business Name Line2FAMILY SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMONANameControl
Phone6033555316Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line164 MAIN STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGIGI BATCHELDERName
TitleCONTROLLERTitle
Phone6033555316Phone
Date Signed2012-10-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN J DAIGNEAULT CPAName
PTINP00433512PTIN
Phone6035691953Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGIGI BATCHELDERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line164 MAIN STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
Gross Receipts964079GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTHE SPECIFIC OBJECTIVES AND PURPOSE OF THE CORPORATAION SHALL BE TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF AND TO FURTHER THE PURPOSES OF MONADNOCK FAMILY SERVICES, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year500ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year95805InvestmentIncomePriorYear
Investment Income Current Year105927InvestmentIncomeCurrentYear
Other Revenue Prior Year5032OtherRevenuePriorYear
Other Revenue Current Year-4555OtherRevenueCurrentYear
Total Revenue Prior Year101337TotalRevenuePriorYear
Total Revenue Current Year101372TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year40000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY777083GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year30623OtherExpensePriorYear
Other Expenses Current Year36162OtherExpensesCurrentYear
Total Expenses Prior Year70623TotalExpensesPriorYear
Total Expenses Current Year813245TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-711873RevenuesLessExpensesCY
Total Assets BOY1802720TotalAssetsBOY
Total Assets EOY953411TotalAssetsEOY
Total Liabilities BOY20826TotalLiabilitiesBOY
Total Liabilities EOY16597TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1781894NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY936814NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE EXCLUSIVELY OF THE BENEFIT OF AND TO FURTHER THE PURPOSES OF MONADNOCK FAMILY SERVICES, INC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense813245Expense
Revenue101372Revenue
DescriptionTO OPERATE EXCLUSIVELY FOR THE BENEFIT OF AND TO FURTHER THE PURPOSES OF MONADNOCK FAMILY SERVICES, INC.Description
Total Program Service Expense813245TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GIGI BATCHELDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6033555316TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line164 MAIN STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JANE STABLER
BOARD CHAIR2.00X000
JOHN G BURK CPA
BOARD MEMBER2.00X000
ROBERT ROONEY
BOARD MEMBER2.00X000
JILL BATTY
BOARD TREASURER2.00X000
PETER WHITTEMORE
BOARD MEMBER2.00X000
MARY LOU CAFFREY
BOARD MEMBER2.00X000
GREG TEWKSBURY
BOARD MEMBER2.00X000
PETER SKALABAN
BOARD MEMBER2.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31362TotalRevenueColumn
Related Or Exempt Function Income31362RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities937272Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities862707Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities74565Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column74565TotalRevenueColumn
Related Or Exempt Function Income74565RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSPLIT-INTEREST AGREEMEDescription
Business Code624100BusinessCode
Total Revenue Column-4555TotalRevenueColumn
Related Or Exempt Function Income-4555RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-4555TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101372TotalRevenueColumn
Related Or Exempt Function Income101372RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total777083Total
Program Services777083ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6340Total
Program Services6340ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4750Total
Program Services4750ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total10376Total
Program Services10376ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionDUES AND SUBSCRIPTIONSDescription
Total14696Total
Program Services14696ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total813245Total
Program Services813245ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19809BOY
EOY111980EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2083BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY275000BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1505828BOY
EOY841431EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1802720BOY
EOY953411EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20826BOY
EOY16597EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20826BOY
EOY16597EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1700680BOY
EOY855600EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY81214BOY
EOY81214EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1781894BOY
EOY936814EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1802720BOY
EOY953411EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-711873ReconcilationRevenueExpenses
Reconcilation Other Changes-133207ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 OtherXSupportingOrg509a3Type3Other
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONADNOCK FAMILY SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN026012230EIN
Type Of Organization11ATypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$777,083Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts777083SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance81214BeginningOfYearBalance
Investment Earnings Or Losses2323InvestmentEarningsOrLosses
Administrative Expenses2323AdministrativeExpenses
End Of Year Balance81214EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance81214BeginningOfYearBalance
Investment Earnings Or Losses4284InvestmentEarningsOrLosses
Administrative Expenses4284AdministrativeExpenses
End Of Year Balance81214EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance81214BeginningOfYearBalance
Investment Earnings Or Losses2676InvestmentEarningsOrLosses
Administrative Expenses2676AdministrativeExpenses
End Of Year Balance81214EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance81214BeginningOfYearBalance
End Of Year Balance81214EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.08500PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
U.S. GOVERNMENT AND AGENCY BONDS157020F
CORPORATE AND FOREIGN BONDS53723F
COMMON EQUITY SECURITIES347355F
INTERNATIONAL EQUITY FUNDS1480F
DOMESTIC EQUITY MUTUAL FUNDS7932F
CLOSED END MUTUAL FUNDS110101F
FIXED INCOME FUNDS163820F
FieldValueIRS element (for citing)
Total Of Book Value Securities841431TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE$10,279
ANNUITY PAYMENT LIABILITY$6,318
FieldValueIRS element (for citing)
Total Of Amounts16597TotalOfAmounts
Total Revenue101372TotalRevenue
Total Expenses813245TotalExpenses
Excess Or Deficit For Year-711873ExcessOrDeficitForYear
Net Unrealized GL On Investments-133207NetUnrealizedGLOnInvestments
Total Adjustments-133207TotalAdjustments
Excess Or Deficit Per FS-845080ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS WILL BE USED AS DONOR HAS SPECIFIED
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:MANAGEMENT HAS EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MONADNOCK FAMILY SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line164 MAIN STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient026012230EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant777083AmountOfCashGrant
Method Of ValuationBOOK VALUEMethodOfValuation
Description Of Non Cash AssistanceNOT APPLICABLEDescriptionOfNonCashAssistance
Purpose Of GrantTO FURTHER THE PURPOSE OF MDS IN TREATING MENTAL HEALTH PATIENTS AND ALSO PROVIDE AID FOR ANCILLARY SERVICES PROVIDED BY MDS.DIRECT ASSISTANCE IN ACCORDANCE WITH MISSIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11BOARD OF DIRECTORS APPROVED THE FINANCIAL STATEMENTS AND FORM 990 PRIOR TO FINALIZING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD PRESIDENT MONITORS.
FORM 990, PART VI, SECTION C, LINE 18ALL DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -133,207.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MONADNOCK FAMILY SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line164 MAIN STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
EIN026012230EIN
Primary ActivitiesPROVIDOR OF MENTAL HEALTH SERVICESPrimaryActivities
Legal Domicile StateNHLegalDomicileState
Exempt Code Section501ExemptCodeSection
Public Charity Status170PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MONADNOCK FAMILY SERVICES INC
B777083ACTUAL AMOUNT
MONADNOCK FAMILY SERVICES INC
D175000ACTUAL AMOUNT
MONADNOCK FAMILY SERVICES INC
M0FMV
MONADNOCK FAMILY SERVICES INC
N0FMV

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