efile Public Visual Render
Submission Date - 2018-06-05
TIN: 27-0214989
Form
990-EZ
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Information about Form 990-EZ and its instructions is at
www.irs.gov/form990ez
.
OMB No. 1545-1150
20
17
Open to Public
Inspection
A
For the 2017 calendar year, or tax year beginning
01-01-2017
, and ending
12-31-2017
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
Vermont Haiti Project
Number and street (or P. O. box, if mail is not delivered to street address)
63 Maple Leaf Lane
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Shelburne
,
VT
05482
D Employer identification number
27-0214989
E
Telephone number
(802) 860-2233
F
Group Exemption
Number
G
Accounting Method:
Cash
Accrual
Other (specify)
H
Check
required to attach Schedule B
(Form 990, 990-EZ, or 990-PF).
I Website:
www.vermonthaitiproject.org
J Tax-exempt status
(check only one) -
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
K
Form of organization:
Corporation
Trust
Association
Other
L
Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ
...........................
$
126,605
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances
(see the instructions for Part I)
Check if the organization used Schedule O to respond to any question in this Part I
.....................
1
Contributions, gifts, grants, and similar amounts received
....................
1
114,644
2
Program service revenue including government fees and contracts
...............
2
200
3
Membership dues and assessments
...........................
3
4
Investment income
...........................
4
5a
Gross amount from sale of assets other than inventory
.....
5a
11,761
b
Less: cost or other basis and sales expenses
.......
5b
11,766
c
Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a)
......
5c
-5
6
Gaming and fundraising events
a
Gross income from gaming (attach Schedule G if greater than $15,000)
6a
b
Gross income from fundraising events (not including $
of contributions from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000)
..
6b
0
c
Less: direct expenses from gaming and fundraising events
...
6c
0
d
Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)
6d
7a
Gross sales of inventory, less returns and allowances
......
7a
b
Less: cost of goods sold
.............
7b
0
c
Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
.........
7c
8
Other revenue (describe in Schedule O)
..........
8
9
Total revenue.
Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8
..............
9
114,839
10
Grants and similar amounts paid (list in Schedule O)
............
10
11
Benefits paid to or for members
................
11
12
Salaries, other compensation, and employee benefits
................
12
13
Professional fees and other payments to independent contractors
............
13
17,924
14
Occupancy, rent, utilities, and maintenance
...................
14
15
Printing, publications, postage, and shipping
..............
15
29
16
Other expenses (describe in Schedule O)
..............
16
96,900
17
Total expenses.
Add lines 10 through 16
..............
17
114,853
18
Excess or (deficit) for the year (Subtract line 17 from line 9)
............
18
-14
19
Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior years return)
............
19
52,334
20
Other changes in net assets or fund balances (explain in Schedule O)
..........
20
21
Net assets or fund balances at end of year. Combine lines 18 through 20
.......
21
52,320
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I
Form
990-EZ
(2017)
Form 990-EZ (2017)
Page
2
Part II
Balance Sheets
(see the instructions for Part II)
Check if the organization used Schedule O to respond to any question in this Part II
.................
(A)
Beginning of year
(B)
End of year
22
Cash, savings, and investments
................
50,547
22
52,320
23
Land and buildings
....................
23
24
Other assets (describe in Schedule O)
..........
1,787
24
25
Total assets
......................
52,334
25
52,320
26
Total liabilities
(describe in Schedule O)
.............
26
27
Net assets or fund balances
(line 27 of column (B)
must
agree with line 21)
52,334
27
52,320
Part III
Statement of Program Service Accomplishments
(see the instructions for Part III)
Check if the organization used Schedule O to respond to any question in this Part III
.
.
Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose?
To promote and foster sustainability and capacity building through people-to-people partnerships between the people of Vermont and the people of Haiti. Our charitable activities focus on providing support for Haitian partners to build healthier communities and to provide cultural exchange opportunities for all.
Describe the organizations program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28
Duchity Organization for Vocational and VolunTour Experience (DOVVE)In November the vocational school hosted a joyous graduation in the brand new community center. There were several hundred in attendance. Graduates earned diplomas in agriculture, computer science, construction, plumbing, English and welding. Graduates from both 2016 and 2017 marched down the aisle (there was no graduation in 2016 due to the general devastation created by Hurricane Matthew). Fifty percent of the first graduating class of the 3 year agriculture program has found regular employment. Nine graduates from the computer and construction programs have found regular employment. And many others obtain part time work with the skills they have learned. The community space was built as a second floor on the new cement roof over the main school building. The workshop (Fr. Bills Workshop) is now a scene of lively activity with an open-air instructional area for the vocational school, and a second floor added with two new classrooms currently being used for the displaced high school students, their school having been destroyed by the hurricane.
(Grants $
80,810
)
If this amount includes foreign grants, check here
...
28a
29
Water purificationThe Biosand water filter program steadily grows to provide more people with clean water for drinking, cooking and bathing. More than fifty new Biosand filters were purchased and installed in homes in 2017 with clean water education and follow up provided by the local VHP technicians. With each filter being able to serve 10-20 people, this program served up to 1,000 additional people this year. The vocational school continued daily distribution of water to local families from two 500 gallon water tanks set up after the hurricane in October 2016. Next to the tanks, three Biosand water filters were staffed by a paid technician who made sure that people knew how to clean their water buckets and use the filters, especially for preventing cholera after the hurricane.
(Grants $
16,778
)
If this amount includes foreign grants, check here
...
29a
30
Humane Infrastructure Development System (HIDS) New program in 2017This sustainable building project, now called HIDS, which utilizes a concrete panel construction method has evolved in collaboration with the vocational school. The community has completely embraced this design after the original 20 ft. dome stood the test of 145 mph winds of Hurricane Matthew. It now is used as the computer classroom. Ten domes of a smaller version have been completed by staff and students of the vocational school in strategic locations which are used in a variety of ways, and perhaps more importantly, offer a sense of safety and preparedness for the future. The Vermont engineer heading this project traveled to Duchity with a group of University of Vermont students to test their research and designs for a zero water use septic system that maximizes nutrient recovery and creates compost; users at the school have given it high scores. They have also designed a new biosand water filter utilizing the concrete modular panels; a prototype was successfully created and there is the possibility of making more of these filters at a low cost on-site.
(Grants $
9,550
)
If this amount includes foreign grants, check here
...
30a
Remaining program areasIn 2017, VHP spent $4,040.00 on Hurricane Matthew relief for repairing homes, repairing the Desab elementary school roof, restoring the Kenscoff bakery, and supplying solar lanterns with radio & USB port. The vocational school agriculture instructors and students coordinated seed distribution in Duchity and surrounding villages to approximately 350 farmers impacted by the hurricane, and they followed up for evaluation and learning. Funds in the amount of $400.00 were used for teachers salaries at the primary school in Desab. The new Microloan Program used $200 to start an interest-free loan program in the village of Desab. It was a success for the original four women, and there are now eight women participating. A local community leader is coordinating this program which is modeled after the People Helping People program in Nicaragua. There is great interest in membership as evidenced by the number of people attending the monthly workshops to discuss basic business and entrepreneurial information.
(Grants $
4,640
)
If this amount includes foreign grants, check here
...
31
Other program services (describe in Schedule O)
................
(Grants $
)
If this amount includes foreign grants, check here
...
31a
32 Total program service expenses
(add lines 28a through 31a)
..........
32
111,778
Part IV
List of Officers, Directors, Trustees, and Key Employees
(list each one even if not compensated see the instructions for Part IV)
Check if the organization used Schedule O to respond to any question in this Part IV
............
(a)
Name and title
(b)
Average
hours per week
devoted to position
(c)
Reportable compensation
(Forms W-2/1099-MISC)
(if not paid, enter -0-)
(d)
Health benefits, contributions to employee benefit plans, and
deferred compensation
(e)
Estimated amount
of other compensation
Donna Thomas
President
4.00
0
Kimball Butler
Vice President
16.00
0
Augusta Wilson
Treasurer
4.00
0
Bonnie Rubenstein
Director
1.00
0
Susan M Fortier RSM
Director
1.00
0
Thomas Tailer
Director
4.00
0
Katelyn Muir
Director
2.00
0
Form
990-EZ
(2017)
Form 990-EZ (2017)
Page
3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V
.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule O
...................
33
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organizations name. Otherwise, explain the change
on Schedule O (see instructions)
..........................
34
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
............
35a
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide
an explanation in Schedule O
35b
No
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If Yes," complete applicable parts of Schedule N
................
36
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions.
37a
b
Did the organization file
Form 1120-POL
for this year?
...................
37b
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee
or
were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
..
38a
No
b
If Yes," complete Schedule L, Part II and enter the total amount involved
.
38b
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9
.......
39a
0
b
Gross receipts, included on line 9, for public use of club facilities
.....
39b
0
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911
; section 4912
; section 4955
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958
excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that
has not been reported on any of its prior Forms 990 or 990-EZ? If Yes," complete Schedule L, Part I
40b
No
c
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization
managers or disqualified persons during the year under sections
4912, 4955, and 4958
d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed
by the organization
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
................
40e
No
41
List the states with which a copy of this return is filed.
42a
The organization's books are in care of
Augusta Wilson
Telephone no.
(802) 860-2233
Located at
63 Maple Leaf Lane
Shelburne
,
VT
ZIP + 4
05482
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
No
If Yes," enter the name of the foreign country:
See the instructions for exceptions and filing requirements for
FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR)
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
.
.
.
42c
No
If Yes," enter the name of the foreign country:
43
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of
Form 1041 -
Check here
......
and enter the amount of tax-exempt interest received or accrued during the tax year
....
43
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead
of Form 990-EZ
.............................
44a
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed
instead of Form 990-EZ
.............................
44b
No
c
Did the organization receive any payments for indoor tanning services during the year?
.........
44c
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments?
If "No," provide an
explanation in Schedule O
............................
44d
No
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
.........
45a
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990-EZ (see instructions)
......................
45b
No
Form
990-EZ
(2017)
Form 990-EZ (2017)
Page
4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If Yes," complete Schedule C, Part I.
...........
46
No
Part VI
Section 501(c)(3) organizations only
All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51.
Check if the organization used Schedule O to respond to any question in this Part VI
..................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
.......................
47
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)?
If "Yes," complete Schedule E
..
48
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?
......
49a
No
b
If "Yes," was the related organization a section 527 organization?
................
49b
No
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a)
Name and title of each employee
(b)
Average
hours per week
devoted to position
(c)
Reportable compensation
(Forms W-2/1099-MISC)
(d)
Health benefits, contributions to employee benefit plans, and deferred compensation
(e)
Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000
.............
51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a)
Name and business address of each independent contractor
(b)
Type of service
(c)
Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000
..........
52
Did the organization complete Schedule A?
NOTE.
All Section 501(c)(3) organizations must attach a
completed Schedule A
........................................
Yes
No
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
2018-06-05
Signature of officer
Date
Augusta Wilson
Treasurer
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Colleen L Montgomery CPA
Preparer's signature
Date
Check
if
self-employed
PTIN
P00038392
Firm's name
Montgomery & Granai PC
Firm's EIN
03-0360150
Firm's address
110 Main Street
Burlington
,
VT
054018451
Phone no.
(802) 864-6565
May the IRS discuss this return with the preparer shown above? See instructions
.........
Yes
No
Form
990-EZ
(2017)
Additional Data
Software ID:
17005038
Software Version:
2017v2.2
Form 990-EZ, Special Condition Description:
Special Condition Description