| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|
| Identifier | Return Reference | Explanation |
|---|---|---|
| MEMB | MEMB | BLUE CROSS BLUE SHIELD OF VERMONT (BCBSVT) IS THE SOLE MEMBER OF VERMONT CARING FOR CHILDREN FOUNDATION AND MAY ELECT MEMBERS OF THE GOVERNING BOARD. |
| DOCU | DOCU | THE COMPANY DOCUMENTED THE MEETINGS AND ACTIONS UNDERTAKEN DURING THE YEAR OF THE GOVERNING BODY, BUT DID NOT DOCUMENT THE MEETINGS OF EACH COMMITTEE AS NO COMMITTEES EXIST. |
| FORM | FORM | THE COMPANY'S EXTERNAL TAX CONSULTANTS PREPARE THE FORM 990PF WITH THE ASSISTANCE OF THE BCBSVT'S FINANCE, LEGAL AND COMPLIANCE PERSONNEL. BCBSVT COMPLETES THE QUESTIONNAIRE AND OTHER SUPPORTING DOCUMENTATION REQUIRED AS PART OF THE FORM 990PF. ONCE COMPLETED, THE FORM 990 IS REVIEWED BY THE FINANCE, LEGAL AND COMPLIANCE DEPARTMENTS OF BCBSVT PRIOR TO SUBMISSION TO THE IRS. |
| CONF | CONF | ALL DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE GENERAL COUNSEL/COMPLIANCE OFFICER OF BCBSVT. IF A CONFLICT OF INTEREST IS DISCOVERED, THE BOARD MEMBER HAVING SUCH CONFLICT DOES NOT VOTE OR PARTICIPATE IN THE DISCUSSION ON THE SUBJECT TO BE VOTED UPON. |
| PUBL | PUBL | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| Part | Part | Audit fees - $12,500 Consulting fees - $13,865 |
| Tax | Tax | BLUE CROSS AND BLUE SHIELD OF VERMONT CARING FOR CHILDREN FOUNDATION, INC. IS FILING TAX FORM 990PF FOR THE FIRST TIME SINCE IT HAS FAILED THE PUBLIC SUPPORT TEST FOR TWO CONSECTURIVE YEARS. SINCE THIS IS THE FIRST YEAR FILING FORM 990PF, BLUE CROSS AND BLUE SHIELD OF VERMONT CARING FOR CHILDREN FOUNDATION, INC. IS ONLY SUBJECT TO THE 4940 TAX AND NOT SUBJECT TO OTHER CHAPTER 42 TAXES OR REQUIREMENTS. THEREFORE, BLUE CROSS AND BLUE SHILD OF VERMONT CARING FOR CHILDREN FOUNDATION, INC. IS NOT SUBJECT TO THE DISTRIBUTION REQUIREMENTS SHOWN ON PART XIII COLUMN (D) ROW 6F DUE BY 12/31/2015. |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| INVESTMENTS - VANGUARD | 1,180,976 | 1,753,555 |
| UNREALIZED G/L ON INVESTMENTS | 572,579 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| BCBSVT ALLOCATED EXPENSES | 35,709 | |||
| POSTAGE | 80 |
| Description | Amount |
|---|---|
| Name | Address |
|---|---|
| BLUE CROSS BLUE SHIELD OF VERMONT |
445 INDUSTRIAL LANE BERLIN,VT05602 |