FIDELITY HOUSE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FIDELITY HOUSE INC (EIN 04-2499679)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-01-28
IRS object ID
201130289349300018
Schema version
2009v1.7
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)
Timestamp2011-01-28T13:22:31-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STREETAddressLine1
CityWESTBOROCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042499679EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FIDELITY HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFIDENameControl
Phone9786859471Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE PARKER STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01843ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameYVONNE ALLARDName
TitleEXECUTIVE DIRECTORTitle
Phone9786859471Phone
Date Signed2011-01-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY V CICOLINI CPAName
Phone5083669100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1FIDELITY HOUSE HUMAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonYVONNE ALLARDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE PARKER STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01843ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10705349GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FIDELITYHHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO ASSIST PEOPLE WITH DEVELOPMENTAL DISABILITIES, TO PARTICIPATE WITH FRIENDS, FAMILIES AND NEIGHBORS IN THE LIFE OF THEIR COMMUNITY AND ACHIEVE THE RICHEST AND FULLEST LIFE POSSIBLE THROUGH A PORTFOLIO OF DIVERSIFIED OFFERINGS, INCLUDING RESIDENTIAL, EDUCATIONAL, VOCATIONAL, DEVELOPMENTAL, AND ADVOCACY SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees329TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9011167ContributionsGrantsPriorYear
Contributions Grants Current Year9523926ContributionsGrantsCurrentYear
Program Service Revenue Prior Year575258ProgramServiceRevenuePriorYear
Program Service Revenue CY560449ProgramServiceRevenueCY
Investment Income Prior Year22166InvestmentIncomePriorYear
Investment Income Current Year4499InvestmentIncomeCurrentYear
Other Revenue Prior Year19040OtherRevenuePriorYear
Other Revenue Current Year30297OtherRevenueCurrentYear
Total Revenue Prior Year9627631TotalRevenuePriorYear
Total Revenue Current Year10119171TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6825984SalariesEtcPriorYear
Salaries Etc Current Year7149275SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year28268TotalFundrsngExpCurrentYear
Other Expense Prior Year2670193OtherExpensePriorYear
Other Expenses Current Year2571919OtherExpensesCurrentYear
Total Expenses Prior Year9496177TotalExpensesPriorYear
Total Expenses Current Year9721194TotalExpensesCurrentYear
Revenues Less Expenses Prior Year131454RevenuesLessExpensesPriorYear
Revenues Less Expenses CY397977RevenuesLessExpensesCY
Total Assets BOY3227510TotalAssetsBOY
Total Assets EOY4184566TotalAssetsEOY
Total Liabilities BOY1869661TotalLiabilitiesBOY
Total Liabilities EOY1932177TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1357849NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2252389NetAssetsOrFundBalancesEOY
Mission DescriptionTO ASSIST PEOPLE WITH DEVELOPMENTAL DISABILITIES, TO PARTICIPATE WITH FRIENDS, FAMILIES AND NEIGHBORS IN THE LIFE OF THEIR COMMUNITY AND to ACHIEVE THE RICHEST AND FULLEST LIFE POSSIBLE THROUGH A PORTFOLIO OF DIVERSIFIED OFFERINGS, INCLUDING RESIDENTIAL, EDUCATIONAL, VOCATIONAL, DEVELOPMENTAL AND AVOCACY SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7001123Expense
Revenue581919Revenue
DescriptionResidential - provides residential support to 115 individuals with developmental disabilities living in community residences, cooperative apartments, and specialized home care settings. The agency strives to support the choices and meet the needs of the people it serves. We empower individuals to participate in community activities, including employment, volunteer work, and various group and individual recreational, social, and leisure opportunities. We work as a partner with individuals and families to create a support plan, which could include clinical services, skill training and community activities geared to individual needs and preferences.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense655971Expense
Revenue295Revenue
DescriptionFamily Support Services - provides a wide array of support options to 400 families of individuals with developmental disabilities, which allows them the flexibility to identify the resources that will be crucial to support their family member in his/her home. The agency's services include case management, educational consultation, behavioral consultation, parent training, respite support, family therapy, flexible funding, support groups, recreation and social opportunities, and Latino medical support through appointment scheduling, transportation, and translation. We work to deliver home-based and community-based services, which are designed to complement each family member's unique strengths and to empower independent choices.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense645722Expense
Revenue8532Revenue
DescriptionIndividual Support Services - provides flexible casework services to 70 individuals with developmental disabilities living in their own apartments, which foster personal growth, achievement, self-advocacy, choice, independence, and encourage the full integration of each individual into their community. The agency serves men and women who live alone or with a roommate. We work to teach the daily living skills required to maintain independence in the areas of money management, health care, menu planning, and parent training. People are encouraged to explore social and recreational resources in their communities.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense359300Expense
DescriptionINTENSIVE FAMILY SUPPORT - PROVIDES GOAL-ORIENTED SERVICES TO 78 INDIVIDUALS WITHIN A LIMITED TIMEFRAME WHICH SUPPORTS THE INTEGRITY OF FAMILIES HAVING ONE OR MORE MEMBERS WITH A DEVELOPMENTAL DISABILITY WHO ARE EXPERIENCING SEVERE STRESS, WHICH IS CAUSING THE CHILD TO BE AT RISK OF OUT-OF-HOME PLACEMENT.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp359300TotalOfOtherProgramServiceExp
Total Program Service Expense8662116TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees329NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1YVONNE M ALLARDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9786859471TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE PARKER STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01843ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Robyn K Lebuff
President1.00XX000
Andrew Novelline
Treasurer1.00XX000
Kathleen St Hilaire
VICE PRESIDENT1.00XX000
Maryellen Maccarone
CLERK1.00XX000
Kim Yoshida
MEMBER1.00X000
Warren Graff
MEMBER1.00X000
Concetta L King
MEMBER1.00X000
Cheryl Parent
MEMBER1.00X000
Wayne F Simmons Jr
MEMBER1.00X000
Patricia Bowman-Skeffing
MEMBER1.00X000
kara j johnson
mEMBER1.00X000
MOLLY BRESNAHAN
MEMBER1.00X000
PENNY JUDD
MEMBER1.00X000
CLAIRE FIRRIELLO
MEMBER1.00X000
YVONNE ALLARD
EXECUTIVE DIRECTOR40.00X8896308250
JOSEPH MCKENNA
BUSINESS MANAGER40.00X7065200
FieldValueIRS element (for citing)
Total Reportable Comp From Org159615TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8250TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9400071GovernmentGrants
All Other Contributions123855AllOtherContributions
Total Contributions9523926TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCLIENT FEES AND RENTSDescription
Business Code532000BusinessCode
Total Revenue Column560449TotalRevenueColumn
Related Or Exempt Function Income560449RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue560449TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20792TotalRevenueColumn
Exclusion$20,792ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities569885Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities586178Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-16293Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-16293TotalRevenueColumn
Exclusion-$16,293ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Developer Fee5313902143421434
MISCELLANEOUS90009988638863
FieldValueIRS element (for citing)
Total Other Revenue30297TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10119171TotalRevenueColumn
Related Or Exempt Function Income590746RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,499ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total185765Total
Program Services9288ProgramServices
Management And General169688ManagementAndGeneral
Fundraising6789Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5841550Total
Program Services5445854ProgramServices
Management And General390234ManagementAndGeneral
Fundraising5462Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total626902Total
Program Services570103ProgramServices
Management And General56056ManagementAndGeneral
Fundraising743Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total495058Total
Program Services454120ProgramServices
Management And General40057ManagementAndGeneral
Fundraising881Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36000Total
Management And General36000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total277563Total
Program Services210251ProgramServices
Management And General66730ManagementAndGeneral
Fundraising582Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12770Total
Program Services56ProgramServices
Management And General12714ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total575187Total
Program Services426754ProgramServices
Management And General148433ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total101762Total
Program Services91759ProgramServices
Management And General10003ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total31690Total
Program Services30428ProgramServices
Management And General1262ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total67861Total
Program Services65574ProgramServices
Management And General2287ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23538Total
Program Services21088ProgramServices
Management And General2274ManagementAndGeneral
Fundraising176Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TEMPORARY HELP & CONTRA6483686454103502608
STIPENDS365430365430
food1622401604451795
VEHICLE OPERATING COSTS12135012128961
MISC EXPENSES11376598729286611027

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total34395Total
Program Services34395ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9721194Total
Program Services8662116ProgramServices
Management And General1030810ManagementAndGeneral
Fundraising28268Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY84316BOY
EOY233489EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY333637BOY
EOY247975EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY575747BOY
EOY980270EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY101811BOY
EOY105223EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1856762LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec661939LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1058922BOY
EOY1194823EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY885619BOY
EOY711671EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY187458BOY
EOY711115EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3227510BOY
EOY4184566EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY679752BOY
EOY1063322EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8767BOY
EOY8767EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY149113BOY
EOY123029EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY946101BOY
EOY653641EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY85928BOY
EOY83418EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1869661BOY
EOY1932177EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1351541BOY
EOY2172747EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6308BOY
EOY79642EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1357849BOY
EOY2252389EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3227510BOY
EOY4184566EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8050813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8371000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8575176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9011167CurrentTaxYearMinus1Year
Current Tax Year9523926CurrentTaxYear
Total43532082Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8050813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8371000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8575176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9011167CurrentTaxYearMinus1Year
Current Tax Year9523926CurrentTaxYear
Total43532082Total
FieldValueIRS element (for citing)
Public Support Total17043532082PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43502CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58435CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22166CurrentTaxYearMinus1Year
Current Tax Year20792CurrentTaxYear
Total210920Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4689CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46564CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19040CurrentTaxYearMinus1Year
Current Tax Year30297CurrentTaxYear
Total151450Total
FieldValueIRS element (for citing)
Total Support43894452TotalSupport
Gross Receipts From Admissions Etc2767068GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99170PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99200PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Beginning Balance149113BeginningBalance
Distributions During Year26084DistributionsDuringYear
Ending Balance123029EndingBalance
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis285317OtherCostOrOtherBasis
Book Value285317BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis878130OtherCostOrOtherBasis
Depreciation374942Depreciation
Book Value503188BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11403OtherCostOrOtherBasis
Depreciation1901Depreciation
Book Value9502BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis281006OtherCostOrOtherBasis
Depreciation97281Depreciation
Book Value183725BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis400906OtherCostOrOtherBasis
Depreciation187815Depreciation
Book Value213091BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1194823TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
FINANCING FEES, NET OF ACCUMULATED AMORTIZATION13462
Assets held in trust123029
CONSTRUCTION IN PROCESS485614
Due From Affiliate89010
FieldValueIRS element (for citing)
Total Book Value Other Assets711115TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCONDITIONAL DEBTDescription
Amount$83,418Amount
FieldValueIRS element (for citing)
Total Of Amounts83418TotalOfAmounts
Total Revenue10119171TotalRevenue
Total Expenses9721194TotalExpenses
Excess Or Deficit For Year397977ExcessOrDeficitForYear
Net Unrealized GL On Investments97625NetUnrealizedGLOnInvestments
Other$398,938OtherAmount
Total Adjustments496563TotalAdjustments
Excess Or Deficit Per FS894540ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10235585TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments97625NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities18789DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990116414RevenueNotRptdF990
Revenue Subtotal10119171RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010119171TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9739983TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities18789DonatedServicesUseOfFacilities
Expenses Not Rptd F99018789ExpensesNotRptdF990
Expenses Subtotal9721194ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909721194TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part IV, Line 2b:The custodial funds balance represents funds held by the Agency on behalf of its clients.
PART XI, LINE 8 - other adjustments: On July 7, 2009, FHI transferred assets totaling $168,480, including property and equipment with a cost basis of $763,493 and a net book value of $89,796, and liabilities of $567,418, which included a mortgage note payable to HUD with a principal balance of $496,764, to the Affiliate, resulting in a net asset deficit transfer of ($398,938) on the accompanying statement of changes in net assets. Because the two parties are related, this transfer was not an arms-length transaction, accordingly, no adjustment was made to the carrying values of assets or liabilities that were assumed by the Affiliate.

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetOn July 7, 2009, FHI transferred assets totaling $168,480, including property and equipment with a cost basis of $763,493 and a net book value of $89,796, and liabilities of $567,418, which included a mortgage note payable to HUD with a principal balance of $496,764, to the Affiliate, resulting in a net asset deficit transfer of ($398,938) on the accompanying statement of changes in net assets. Because the two parties are related, this transfer was not an arms-length transaction, accordingly, no adjustment was made to the carrying values of assets or liabilities that were assumed by the Affiliate.DescriptionOfAsset
Date Of Distribution2009-07-07DateOfDistribution
FMV Of Asset-398938FMVOfAsset
Method Of FMV Determinationbook valueMethodOfFMVDetermination
EIN264412391EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FHI LAwrenceANdonverBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1one parker streetAddressLine1
CitylawrenceCity
StateMAState
ZIP Code01843ZIPCode
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11THE BOARD IS PROVIDED WITH A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL RELATED PARTY CONFLICT OF INTEREST SIGN OFF FORMS.
Form 990, Part VI, Section B, line 15COMPENSATION OF FIDELITY HOUSE'S OFFICERS ARE DETERMINED AND APPROVED BY THE BOARD.
Form 990, Part VI, Section C, line 19FIDELITY HOUSE MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, part XI, Line 2cthe board oversees the audit and reviews the audited financial statements.Oversight of Audit

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1FHI LawrenceAndover IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE PARKER STREETAddressLine1
CityLAWRENCECity
StateMAState
ZIP Code01843ZIPCode
FieldValueIRS element (for citing)
EIN264412391EIN
Primary Activitiesacquiring, rehabilitating, and maintaining community residential properties.PrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLine 7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FIDELITY HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
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 Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
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 InvolvedAmountInvolved
FHI Lawrenceandover Inc
K28612
FHI Lawrenceandover Inc
N54277
FHI Lawrenceandover Inc
D89010
FHI Lawrenceandover Inc
H-398938

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