SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
TRI COUNTY AGENCY FOR INTELLECTUAL
DISABILITIES INC
Employer identification number

63-1119589
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION THE TRI COUNTY AGENCY FOR INTELLECTUAL DISABILITIES, INC. PRIMARY EXEMPT PURPOSE IS THAT OF PLANNING AND TAKING STEPS LEADING TO COMPREHENSIVE STATE AND COMMUNITY ACTION TO COMBAT ALL FORMS OF MENTAL RETARDATION AND OTHER DEVELOPMENTAL DISABILITIES. THE SERVICES ARE FUNDED TO A GREAT DEGREE BY CONTRACTS ENTERED INTO WITH THE ALABAMA DEPARTMENT OF MENTAL HEALTH.
FORM 990, PAGE 2, PART III, LINE 4D RESIDENTIAL SERVICES - RESIDENTIAL SERVICES PROVIDED TO NON-INSTITUTIONALIZED INTELLECTUALLY DISABLED PERSONS PRIMARILY VIA SUB- CONTRACTED SERVICES PERFORMED BY UNRELATED OUTSIDE ENTITIES. THE ORGANIZATION PROVIDED (AGAIN, PRIMARILY THROUGH SUBPROVIDERS, SCLH (SUPERVISED COMMUNITY LIVING HOME)) SERVICES MONTHLY. IN ADDITION, THE ORGANIZATION PROVIDED MONTHLY SERVICES UNDER OTHER RESIDENTIAL PROGRAMS AS WELL, INCLUDING PERSONAL CARE, AND OTHER SERVICES, INCLUDING DEPRECIATION FOR THE ORGANIZATION AS WHOLE. ONCE AGAIN, THESE VARIOUS SERVICES ARE PROVIDED FOR THE BENEFIT OF INTELLECTUALLY DISABLED PERSONS.
FORM 990, PAGE 6, PART VI, LINE 2 DAWN ROBERTS TERRY ROBERTS EX COMMITTEE EX COMMITTEE MOTHER / SON
FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBERS OF THE TRI-COUNTY AGENCY FOR INTELLECTUAL DISABILITIES, INC. ARE APPOINTED BY THE GOVERNING BODIES OF THE FOLLOWING THREE COUNTY'S LOCATED IN WEST-CENTRAL ALABAMA: WALKER COUNTY, FAYETTE COUNTY, AND LAMAR COUNTY. THOSE GOVERNING BODIES MAKE EVERY EFFORT TO APPOINT INDIVIDUALS WITH AN INTEREST IN SERVING INTELLECTUALLY DISABLED PERSONS TO SERVE AS BOARD MEMBERS OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7B THE GOVERNING BODY (BOARD OF DIRECTORS) MEETS PERIODICALLY TO OVERSEE THE ACTIVITIES OF THE ORGANIZATION. THE BOARD IS NOT INTENDED FOR THE PURPOSE OF "MICRO-MANAGING," BUT RATHER DELEGATES THE RESPONSIBILITY OF CONDUCTING THE ORGANIZATION'S DAY-TO-DAY ACTIVITIES TO THE EXECUTIVE DIRECTOR, AN EMPLOYEE HIRED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE COMPLETE RETURN ITSELF PRIOR TO IT BEING SUBMITTED. THE DATA APPEARING ON THE RETURN IS EXTRACTED PRIMARILY FROM DATA ACCUMULATED DURING AND ALONG WITH THE PROCESS OF OUR ANNUAL FINANCIAL STATEMENT AUDIT. THE FINANCIAL STATEMENT AUDIT IS REVIEWED IN FULL BY THE GOVERNING BOARD. THE FINANCIAL STATEMENTS ARE PREPARED ON A GAAP BASIS, AND ONCE AGAIN, THE 990 DATA IS EXTRACTED THEREFROM. THE FULL RETURN IS AVAILABLE FOR REVIEW AT ANY TIME.
FORM 990, PAGE 6, PART VI, LINE 12C A REVIEW OF THE SLATE OF INDIVIDUALS SERVING ON THE BOARD OF DIRECTORS IS REVIEWED PERIODICALLY TO ASSURE NO CONFLICT OF INTEREST. THE ORGANIZATION DOES HAVE AS ITS PURPOSE THAT OF PROVIDING PROGRAMS INTENDED TO SERVE THOSE SUFFERING FROM VARING DEGREES OF INTELLECTUAL DISABILITIES (PREVIOUSLY REFERED TO AS MENTAL RETARDATION). THE ORGANIZATION IN NO WAY VIEWS INDIVIDUALS THAT MAY FROM TIME-TO-TIME SERVE ON THE BOARD WHO MAY HAVE FAMILY MEMBERS WITH INTELLECTUAL DISABILITIES TO BE IN VIOLATION OF A CONFLICT OF INTEREST POLICY. RATHER, THOSE INDIVIDUALS ARE VIEWED AS BEING ONES THAT CAN TRULY RELATE TO THE PURPOSE AND MISSION OF THE ORGANIZATION, AND THEREFORE BE ABLE TO PROVIDE MUCH NEEDED INPUT FROM THAT VANTAGE POINT.
FORM 990, PAGE 6, PART VI, LINE 15A THE SALARY OF THE EXECUTIVE DIRECTOR IS SUBJECT TO BEING SET BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEMSELVES ARE NOT COMPENSATED FOR THEIR SERVICE.
FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC REVIEW IN THE ENTITY'S OFFICE LOCATED AT 85 NORTH WALSTON BRIDGE ROAD, JASPER, AL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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