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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,153,596 | 2,285,592 | 2,346,513 | 3,073,164 | 2,412,081 | 12,270,946 |
| 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 | 2,315,878 | 2,447,874 | 2,508,795 | 3,235,446 | 2,574,363 | 13,082,356 |
| 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. | 13,082,356 | |||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,315,878 | 2,447,874 | 2,508,795 | 3,235,446 | 2,574,363 | 13,082,356 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,703 | 3,237 | 711 | 372 | 250 | 6,273 |
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 13,090,329 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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) |
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| 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) |
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| 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): |
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| 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 2021 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-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF CNV HELP, INC. IS AS FOLLOWS: WE ARE A NONPROFIT ORGANIZATION WHICH INSPIRES HOPE AND PROMOTES WELLNESS AND HEALING THROUGH A CONTINUUM OF BEHAVIORAL HEALTH SERVICES - PREVENTION, TREATMENT, RECOVERY SUPPORTS, AND COMMUNITY ENGAGEMENT - FOR INDIVIDUAL OF ALL AGES AND FAMILIES ACROSS WESTERN CONNECTICUT. OUR VISION: WE WILL BE STRONG AND COMMITTED ADVOCATES FOR THE NEEDS OF THE COMMUNITIES AND THOSE WE SERVE. WE WILL BE A MULTI-CULTURAL, ANTI- OPPRESSION PRESENCE IN OUR COMMUNITIES AND WITHIN OUR OWN ORGANIZATION. INDIVIDUALS AND FAMILIES WILL FIND WELCOMING, CARING, AND EFFECTIVE PROGRAMS AND SERVICES FOR THEIR BEHAVIORAL HEALTH NEEDS. WE WILL ATTEND TO WHOLE PERSON HEALTH NEEDS AND WELLNESS - SOMETIMES THROUGH OUR STRONG COLLABORATIONS WITH PARTNER ORGANIZATIONS TO ASSURE THAT EACH CLIENT'S UNIQUE NEEDS ARE MET. OUR STAFF IS DEDICATED, INFORMED, SOLUTIONS-FOCUSED, AND DRAWS SATISFACTION AND JOY FROM THEIR WORK. WE WILL BE A LEARNING AND TEACHING ENVIRONMENT FOR ALL STAFF AND THOSE NEW TO THE WORK. WE WILL BE COMMITTED TO PARTICIPATION IN CONTINUOUS IMPROVEMENT AND RESEARCH, WHICH IS INTEGRAL TO FINDING NEW SOLUTIONS TO DIFFICULT PROBLEMS AND CHANGING NEEDS. |
| FORM 990, PAGE 2, PART III, LINE 4D | ROGERS HOUSE (CSP) - PROVIDES SUPPORTIVE SERVICES TO ADULTS WHO HAVE PSYCHIATRIC DIAGNOSES IN THEIR HOMES AND COMMUNITIES IN THE GREATER WATERBURY AREA. STAFF FACILITATE SKILL BUILDING, CREATE COLLABORATIVE SERVICE PLANS AND OFFER ASSISTANCE TO ACCOMPLISH TASKS OUTLINED. GROUP AND INDIVIDUAL SUPPORTS ARE OFFERED AS CLIENTS FIND SUCCESS IN INDEPENDENT COMMUNITY LIVING. WYNNEWOOD CSP: - PROVIDES SUPPORTIVE SERVICES TO ADULTS WHO HAVE PSYCHIATRIC DIAGNOSES IN THEIR HOMES AND COMMUNITIES IN THE GREATER TORRINGTON AREA. STAFF FACILITATE SKILL BUILDING, CREATE COLLABORATIVE SERVICE PLANS AND OFFER ASSISTANCE TO ACCOMPLISH TASKS OUTLINED. GROUP AND INDIVIDUAL SUPPORTS ARE OFFERED AS CLIENTS FIND SUCCESS IN INDEPENDENT COMMUNITY LIVING. TRAVISANO OUTPATIENT NETWORK: OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR ADULTS IN THE GREATER DANBURY AREA. SERVICES INCLUDE COMPREHENSIVE ASSESSMENTS, INDIVIDUAL AND GROUP THERAPY, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. GROUPS DESIGNED TO MEET SPECIFIC NEEDS, FACILITATE TRANSFORMATION HEALING FROM THE ROOT CAUSES OF ADDICTION AND OTHER CHALLENGES AND OPTIMIZE SUSTAINED RECOVERY ARE OFFERED. WATKINS OUTPATIENT NETWORK: OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR ADULTS IN THE GREATER TORRINGTON AREA. SERVICES INCLUDE COMPREHENSIVE ASSESSMENTS, INDIVIDUAL AND GROUP THERAPY, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. GROUPS DESIGNED TO MEET SPECIFIC NEEDS, FACILITATE TRANSFORMATION HEALING FROM THE ROOT CAUSES OF ADDICTION AND OTHER CHALLENGES AND OPTIMIZE SUSTAINED RECOVERY ARE OFFERED. RENATO OUTPATIENT NETWORK: OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR ADULTS IN THE GREATER WATERBURY AREA. SERVICES INCLUDE COMPREHENSIVE ASSESSMENTS, INDIVIDUAL AND GROUP THERAPY, PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT. GROUPS DESIGNED TO MEET SPECIFIC NEEDS, FACILITATE TRANSFORMATION HEALING FROM THE ROOT CAUSES OF ADDICTION AND OTHER CHALLENGES AND OPTIMIZE SUSTAINED RECOVERY ARE OFFERED. |
| 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 DIRECTOR OF FINANCE OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE 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 CFO. COMPENSATION ADJUSTMENTS ARE MADE WHEN DEEMED APPROPRIATE AND WHEN AND IF FUNDS BECOME AVAILABLE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S 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 ORGANIZATION'S PLACE OF BUSINESS DURING NORMAL BUSINESS HOURS. APPOINTMENTS FOR REVIEW OF THESE DOCUMENTS MUST BE MADE WITH THE ORGANIZATIONS DIRECTOR OF FINANCE. |
| Software ID: | |
| Software Version: |