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ObjectId: 201610339349300021 - Submission: 2016-02-02
TIN: 02-0349050
SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
Attach certified copies of any articles of dissolution, resolutions, or plans.
Attach to Form 990 or 990-EZ.
Information about Schedule N (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public
Inspection
Name of the organization
SEXUAL ASSAULT SUPPORT SERVICES
Employer identification number
02-0349050
Part I
Liquidation, Termination, or Dissolution.
Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.
1
(a)
Description of asset(s)
distributed or transaction
expenses paid
(b)
Date of
distribution
(c)
Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d)
Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e)
EIN of recipient
(f)
Name and address of recipient
(g)
IRC section
of recipient(s) (if
tax-exempt) or type
of entity
ALL CASH, EXCEPT SUFFICIENT FUNDS FOR RECONCILING ITEMS TO CLEAR, ALL RECEIVABLES, PREPAID EXPENSES, AND EQUIPMENT OWNED BY THE CORPORATION.
06-30-2015
333,067
BOOK VALUE OF ALL REMAINING ASSETS REDUCED BY THE BOOK VALUE OF ALL REMAINING LIABILITIES IMMEDIATELY PRIOR TO THE MERGER.
02-0337620
HAVEN
20 INTERNATIONAL DRIVE SUITE 300
PORSTMOUTH
,
NH
03801
501(C)(3)
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization?
.........................
2a
Yes
b
Become an employee of, or independent contractor for, a successor or transferee organization?
.....................
2b
Yes
c
Become a direct or indirect owner of a successor or transferee organization?
.....................
2c
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution?
........
2d
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2014)
Page 2
Schedule N (Form 990 or 990-EZ) (2014)
Page
2
Part I
Liquidation, Termination, or Dissolution
(continued)
Note.
If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III
.............
3
Yes
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate?
......
4a
Yes
b
If "Yes," did the organization provide such notice?
.....................
4b
Yes
5
Did the organization discharge or pay all of its liabilities in accordance with state laws?
.....................
5
Yes
6a
Did the organization have any tax-exempt bonds outstanding during the year?
.....................
6a
No
b
If "Yes" to line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?
6b
c
If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" to line 6b, explain in Part III.
Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets.
Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1
(a)
Description of asset(s)
distributed or transaction
expenses paid
(b)
Date of
distribution
(c)
Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d)
Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e)
EIN of recipient
(f)
Name and address of recipient
(g)
IRC section
of recipient(s) (if
tax-exempt) or type
of entity
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization?
.....................
2a
b
Become an employee of, or independent contractor for, a successor or transferee organization?
.....................
2b
c
Become a direct or indirect owner of a successor or transferee organization?
.....................
2c
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets?
.....................
2d
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III.
Schedule N(Form 990 or 990-EZ) (2014)
Page 3
Schedule N (Form 990 or 990-EZ) (2014)
Page
3
Part III
Supplemental Information.
Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference
Explanation
PART I, LINE 2E:
PERSON(S) INVOLVED: KATHY BEEBE
PART I, LINE 2E:
PERSON(S) INVOLVED: BETH MOREAU, ELIZABETH REMILLONG, KAREN WIMER, HELEN RIZZA
PART I, LINE 2E:
EXPLANATION OF INVOLVEMENT: EXECUTIVE DIRECTOR OF SEXUAL ASSAULT SUPPORT SERVICES AS WELL AS SEACOAST TASK FORCE ON FAMILY VIOLENCE (DBA A SAFE PLACE), WHICH TOGETHER MERGED INTO THE SURVIVING AGENCY KNOWN AS HAVEN RETAINING THE EIN OF A SAFE PLACE.
PART I, LINE 2E:
EXPLANATION OF INVOLVEMENT: BOARD MEMBERS OF SEXUAL ASSAULT SUPPORT SERVICES REMAINING ON THE MERGED ORGANIZATION'S BOARD OF DIRECTORS.
Schedule N (Form 990 or 990-EZ) (2014)
Additional Data
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