Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CENTRAL NAUGATUCK VALLEY HELP INC
Employer identification number
06-0879554
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
3,477,259
3,601,522
3,583,908
3,424,589
4,142,705
18,229,983
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
162,282
162,282
162,282
162,282
162,282
811,410
4
Total. Add lines 1 through 3
3,639,541
3,763,804
3,746,190
3,586,871
4,304,987
19,041,393
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
19,041,393
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
3,639,541
3,763,804
3,746,190
3,586,871
4,304,987
19,041,393
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
17,032
12,477
11,635
11,326
4,992
57,462
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
19,098,855
12
Gross receipts from related activities, etc. (see instructions)
..................
12
150,611
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
99.700 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.560 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CENTRAL NAUGATUCK VALLEY HELP INC
Employer identification number
06-0879554
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
TO PROVIDE AND OPERATE FACILITIES AND PROGRAMS FOR THE EDUCATION AND REHABILITATION OF PEOPLE AFFLICTED WITH DRUG ABUSE AND/OR MENTAL HEALTH PROBLEMS,AND, IN A GENERAL WAY, TO PROMOTE THE GOOD AND WELFARE OF THE REGION AND ITS PEOPLE IN THESE CRITICAL AREAS.
FORM 990, PAGE 2, PART III, LINE 4D
GLENLUNAN(RES. SUPP.)- PROVIDES SUPPORTIVE SERVICES TO CLIENTS, WHO HAVE DIAGNOSED PSYCHIATRIC DISABILITIES, IN THEIR OWN HOMES. STAFF TEACH DAILY LIVING SKILLS, ASSIST CLIENTS IN MAKING VIABLE SERVICE PLANS, AND OFFER TO ACCOMPLISH TASKS WITH CLIENTS AS PARTICIPANTS IN ONE AND THE SAME PROCESS. A TOTAL OF 7 CLIENTS WERE SERVED FOR THIS FISCAL YEAR. REVENUE 58,804 TRAVISANO NETWORK - THIS PROGRAM PROVIDES NON-RESIDENTIAL BEHAVIORAL HEALTH SERVICES, INCLUDING SUBSTANCE ABUSE ASSESSMENTS, INDIVIDUAL AND GROUP COUNSELING, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. IN ADDITIONAL, DOMESTICE VIOLENCE AND ANGER MANAGEMENT GROUPS ARE PROVIDED. THE PROGRAM ALSO PROVIDES EMPLOYMENT SERVICES TO CLIENTS ON PAROLE AND COMMUNITY RELEASE STATUS ALONG WITH ASSISTANCE WITH APPLICATIONS AND ADMISSIONPROCESSES FOR VOCATIONAL TRAINING AND/OR EMPLOYMENT. THE TOTAL CLIENTS SERVED WERE 174 FOR THIS FISCAL YEAR. REVENUE 547,821 WYNNEWOOD(RES. SUPP.)- PROVIDES SUPPORTIVE SERVICES TO CLIENTS WHO HAVE DIAGNOSED PSYCHIATRIC DISABILITIES IN THEIR OWN HOMES. STAFF TEACH DAILY LIVING SKILLS, ASSIST CLIENTS IN MAKING VIABLE SERVICE PLANS, AND OFFER TO ACCOMPLISH TASKS WITH CLIENTS AS PARTICIPANTS IN ONE AND THE SAME PROCESS. THE TOTAL OF CLIENTS SERVED WAS 23 FOR THIS FISCAL YEAR. REVENUE 192,534 WATKINS NETWORK - THIS PROGRAM PROVIDES NON-RESIDENTIAL BEHAVIORAL HEALTH SERVICES, INCLUDING SUBSTANCE ABUSE ASSESSMENTS, INDIVIDUAL AND GROUP COUNSELING, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. IN ADDITION, DOMESTIC VIOLENCE AND ANGER MANAGEMENT GROUPS ARE PROVIDED. THE PROGRAM ALSO PROVIDES EMPLOYMENT SERVICES TO CLIENTS ON PAROLE AND COMMUNITY RELEASE STATUS ALONG WITH ASSISTANCE WITH APPLICATIONS AND ADMISSION PROCESSES FOR VOCATIONAL TRAINING AND/OR EMPLOYMENT. THE TOTAL CLIENTS SERVED WAS 172. REVENUE 504,181 WYNNEWOOD - A COMMUNITY RESIDENCE FOR CLIENTS WITH PSYCHIATRIC DISORDERS WHO ARE REFERRED TO THE PROGRAM BY THE WESTERN CT MENTAL HEALTH NETWORK-TORRINGTON. STAFF AND CLIENTS WORK TOGETHER TO DEVELOP INDIVIDUALIZED RECOVERY PLANS FOCUSED ON RECOVERY AND SKILL BUILDING FOR EACH CLIENT IN BOTH GROUP AND INDIVIDUAL SETTINGS. A TOTAL OF 7 CLIENTS WERE SERVED THIS FISCAL YEAR. REVENUE 485,069 RENATO NETWORK - THIS PROGRAM PROVIDES RE-ENTRY SERVICES TO MEN AND WOMEN FOLLOWING INCARCERATION FOCUSING ON EMPLOYMENT, VOCATIONAL TRAINING AND EDUCATION. EMPLOYMENT SERVICES CONSIST OF A VARIETY OF WORKSHOPS AND INDIVIDUAL SESSIONS DESIGNED TO TEACH CLIENTS JOB SEARCH STRATEGIES, APPLICATION AND RESUME WRITING SKILLS, INTERVIEW TECHNIQUES, AND JOB RETENTION PRACTICES. IN ADDITION, THE PROGRAM HAS DEVELOPED A BANK OF LOCAL EMPLOYERS WILLING TO HIRE OUR CLIENTS. THE PROGRAM ASSISTS CLIENTS WITH APPLICATIONS TO VOCATIONAL TRAINING PROGRAMS AND/OR CONTINUING OR HIGHER EDUCATION BASED UPON THEIR GOALS. A TOTAL OF 126 CLIENTS WERE SERVED THIS FISCAL YEAR. REVENUE 333,570 TOTAL REVENUE 2,121,979
FORM 990, PAGE 6, PART VI, LINE 11B
THE ORGANIZATIONS BOARD OF DIRECTORS HAS ASSIGNED THE DUTY OF REVIEWING THE ANNUAL 990 TO ITS STANDING EXECUTIVE COMMITTEE. THE ANNUAL 990 IS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM WORKING CLOSELY WITH THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE. COPIES OF THE COMPLETED RETURN ARE PROVIDED TO ALL MEMBERS OF THE EXECUTIVE COMMITTEE FOR REVIEW BEFORE FILING. UPON REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE, COPIES OF THE 990 FORM ARE PROVIDED TO ALL BOARD OF DIRECTOR MEMBERS BEFORE THE RETURN IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C
ALL BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT OF DISCLOSURE ANNUALLY. THIS DISCLOSURE STATEMENT REQUIRES THE INDIVIDUAL TO ANSWER A SERIES OF QUESTIONS REGARDING TRANSACTIONS, EVENTS AND CIRCUMSTANCES WHICH COULD LEAD TO CONFLICTS OF INTEREST. THE DISCLOSURE STATEMENT ALSO REQUIRES THE INDIVIDUAL TO SIGN THAT THEY HAVE READ AND UNDERSTAND THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. THE COMPLETED ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR CONTACT ANY INDIVIUAL IF THERE ARE QUESTIONS OR ANSWERS TO QUESTIONS ON THE DISCLOSURE STATEMENT THAT NEED CLARIFICATION OR FURTHER RESEARCH. IF IT IS DETERMINED THAT A CONFLICT DOES EXIST WITH RESPECT TO A MATTER, THE ORGANIZATION ENFORCES THE POLICY BY MAKING SURE THAT THE PERSON WITH THE CONFLICT DOES NOT PARTICIPATE IN THE DECISION-MAKING PROCESS. CONTEMPORANEOUS DOCUMENTATION IS MAINTAINED OF HOW ALL CONFLICT MATTERS ARE RESOLVED. THE DIRECTOR OF FINANCE MAINTAINS RECORDS OF INDIVIDUAL BUSINESS TRANSACTIONS AND RELATIONSHIPS REPORTED ON THE DISCLOSURE STATEMENTS AS WELL AS KNOWN TRANSACTIONS FROM ACCOUNTS PAYABLE AND GENERAL LEDGER RECORDS. THESE TRANSACTIONS AND OTHER CONFLICT MATTERS ARE INCLUDED IN THE ANNUAL 990 RETURN AS NECESSARY.
FORM 990, PAGE 6, PART VI, LINE 15A
THE PROCESS OF EXECUTIVE DIRECTOR REVIEW AND COMPENSATION HAS BEEN ASSIGNED TO THE PERSONNEL COMMITTEE. THE PERSONNEL COMMITTEE WILL GIVE LEADERSHIP AND GOVERNANCE TO EXECUTIVE COMPENSATION MANAGEMENT AND REPORT TO THE BOARD ANNUALLY ON REVIEWS. IN KEEPING WITH THE OVERSIGHT AND FIDUCIARY RESPONSIBILITIES OF THE BOARD, THE PERSONNEL COMMITTEE WILL BE A STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THE PERSONNEL COMMITTEE IS GIVEN THE AUTHORITY AND HAS BEEN DESIGNATED BY THE BOARD OF DIRECTORS TO DETERMINE THE QUALIFIED PERSONS, RECOMMEND THE TOTAL COMPENSATION PACKAGES OF ITS EXECUTIVES AND COMPLY WITH INTERNAL SANCTIONS. ALSO, THE COMMITTEE WILL COMPLETE THE EXECUTIVE DIRECTOR'S PERFORMANCE REVIEW. ALL MEMBERS OF THE COMMITTEE WILL SERVE FOR A MINIMUM OF ONE FULL YEAR. THIS IS AN INDEPENDENT BODY OF VOLUNTEERS WITH KNOWLEDGE OF THE KEY EMPLOYEES CONTRIBUTIONS TO THE ASSOCIATION WHO HAVE NO PROFESSIONAL ASSOCIATION/BUSINESS RELATIONSHIP WITH THE PERSONS UNDER REVIEW. THEY ARE ACTIVE VOLUNTEERS WHO HOLD OR MAY HAVE HELD LEADERSHIP POSITIONS WITH THE ORGANIZATION. THE ROLE OF THE PERSONNEL COMMITTEE IS TO PROVIDE THE NECESSARY DIRECTION TO AND OVERSIGHT OF THE ASSOCIATION'S EXECUTIVE COMPENSATION PROGRAM AND TO: DEVELOP THE TOTAL COMPENSATION AND BENEFITS PACKAGE OF THE EXECUTIVE DIRECTOR. TO SEEK COMPARABLE COMPENSATION DATA FROM AN INDEPENDENT SOURCE, IF POSSIBLE. PROVIDE AN ANNUAL REPORT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15B
THE EXECUTIVE DIRECTOR REVIEWS THE PERFORMANCE AND ASSIGNS A COMPENSATION PACKAGE TO THE DIRECTOR OF FINANCE. COMPENSATION ADJUSTMENTS ARE MADE WHEN DEEMED APPROPRIATE AND WHEN AND IF FUNDS BECOME AVAILABLE.
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATIONS ANNUAL 990 FILING IS AVAILABLE FOR INSPECTION ON THE PUBLICALLY AVAILABLE WEBSITE GUIDE STAR. THE ORGANIZATIONS ANNUAL 990 FILING AND ANNUAL CERTIFIED AUDIT ARE AVAILABLE FOR PUBLIC INSPECTION AT THE CONNECTICUT PUBLIC CHARITIES UNIT OF THE CONNECTICUT ATTORNEY GENERALS OFFICE IN HARTFORD CT. THE ORGANIZATION REGISTERS ANNUALLY UNDER THE CT SOLICITATION OF CHARITABLE FUNDS ACT AND SUBMITS THESE DOCUMENTS ANNUALLY AS REQUIRED. THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ANNUAL AUDITED FINANCIAL STATEMENTS AND ANNUAL 990 FILING ARE AVAILABLE FOR INSPECTION BY MEMBERS OF THE PUBLIC AT THE ORGANIZATIONS PLACE OF BUSINESS DURING NORMAL BUSINESS HOURS. APPOINTMENTS FOR REVIEW OF THESE DOCUMENTS MUST BE MADE WITH THE ORGANIZATIONS DIRECTOR OF FINANCE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.