Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 597,768 | 524,674 | 588,857 | 785,762 | 987,275 | 3,484,336 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 597,768 | 524,674 | 588,857 | 785,762 | 987,275 | 3,484,336 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 3,484,336 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 597,768 | 524,674 | 588,857 | 785,762 | 987,275 | 3,484,336 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 63 | 60 | 96 | 266 | 424 | 909 |
| 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 VI.).. | 5,743 | 1,178 | 717 | 2,827 | 121 | 10,586 |
| 11 | Total support. Add lines 7 through 10 | 3,495,831 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 20011551 |
| Software Version: | 2020v4.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Umatter Youth and Young Adults (Umatter YYA): Conducted a year-long, state-wide Umatter for Youth and Young Adults Mental Health Wellness Promotion Initiative, a youth leadership and engagement program to help youth develop the skills and resilience necessary to take a positive wellness approach to mental health. Trained 66 youth and 14 adult facilitators across 12 Vermont schools and/or community groups. Funded by multiple sources including Vermont Department of Health, Vermont Department of Mental Health, Canaday Family Foundation, and the Stratton Foundation. OTHER PROGRAM SERVICES 5: Fanny Holt Ames & Edna Louise Holt Fund: Implementing a three year Umatter Suicide Prevention program in the Bellows Falls, Vermont School District. Provided a focused set of professional development trainings, designed to promote mental health wellness and reduce suicide. OTHER PROGRAM SERVICES 6: University of Vermont Medical Center /Collective Impact - Community Partners for Suicide Prevention: Connecting Rural Communities (CRC) is a project that will improve suicide prevention efforts and access to behavioral health and health care in Grand Isle County, VT, with a focus on providing culturally competent services to members of the Abenaki Nation of Missisquoi. CRC extended efforts towards suicide-safer care by using the content of community interviews regarding needs around health and behavioral health care to address needs and capacities around suicide safer care; created culturally competent training materials based on interviews and input from Abenaki partners; engaged providers and community members in Umatter, Zero Suicide, and cultural competency trainings; and created coalitions and networks among community members and providers. The project is a collaboration between a core group of partners in suicide prevention including Abenaki leadership from the Parental Advisory Committee, the Vermont Suicide Prevention Center and Northwestern Counseling and Support Services. OTHER PROGRAM SERVICES 7: Vermont Agency of Education: Worked with the Vermont School Supervisory Unions and their Designated Mental Health Agencies to provide training on Umatter for suicide prevention to youth, families, schools and communities, increasing participants knowledge of youth mental health, suicide risk factors, and trauma informed practices and developing and fostering positive interpersonal relationships with interagency partners, peers, families and local school staff. Training opportunities include: Umatter for Schools, and Umatter for Youth and Young Adults (Umatter YYA). OTHER PROGRAM SERVICES 8: Bowse Health Trust: A 3-year model suicide prevention project targeted to the most vulnerable populations in the Rutland Regional Medical Center (RRMC) catchment area. The project will improve mental health and substance abuse services for adults and youth in the Rutland Area. The project intends to reduce barriers to accessing suicide safe care by identifying system gaps and opportunities, building infrastructure for a collaborative, integrated system of care, and improving knowledge and skills among behavioral health providers, primary care practitioners, and hospital inpatient and Emergency Departments in the Rutland area. OTHER PROGRAM SERVICES 9: Mt. Ascutney Health and Hospital Center/Prevention Network Grant: This project aimed to increase understanding of mental health wellness promotion and trauma-informed approaches to reduce risky behaviors for students within a local High School. Activities included the delivery of an online short course: Umatter-Preventing Substance Abuse in the School Community, delivery of a training Emerging Trends in Alcohol, Tobacco, and Other Drug Education, and delivery of a Youth Mental Health First Aid training. This project also included the development of a Umatter for Families online portal that would reside on the schools website and provide mental health resources for parents and other caregivers. OTHER PROGRAM SERVICES 10: CHL Direct Trainings: 1)Presented at the University of Vermont Health Professions Conference in Burlington, VT on Uniting Health Professionals in Suicide Prevention February 19, 20202)Delivered an Online Graduate-level Course: Promoting Personal Health and Safety Through the Prevention of Injury and Violence March 1, 20203)Delivered a Umatter Elementary Suicide Prevention Gatekeeper training to the Brattleboro, VT Windham Southeast Supervisory Union. March 2, 20204)Delivered a Umatter Suicide Prevention Gatekeeper training to Kurn Hattin School, Westminster, VT March 4, 20205)Delivered an Online Graduate-level Course: Alcohol, Tobacco, and Other Drug Education April 26, 20206)Delivered a Umatter Suicide Prevention Awareness Webinar to the Harvard Alumni for Mental Health September 23, 20207)Delivered two offerings of a Umatter Suicide Prevention Awareness Webinar to the TJX Corporation September 29, 2020 and October 1, 20208)Age Well Board and Leadership Retreat The Impacts of Social Isolation on Older Adults October 23, 2020 |
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE CENTER FOR HEALTH AND LEARNING, LTD.'S TREASURER, ALONG WITH ITS EXECUTIVE DIRECTOR AND OPERATIONS MANAGER, MET TO REVIEW THE DRAFT FORM 990. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | MONITORED THROUGH AN ANNUAL REQUEST. |
| Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection | GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | 20011551 |
| Software Version: | 2020v4.0 |