2023-12-22T10:26:56-06:00 2023-06-30 061442902 PUE CHICK LEIBOWITZ & BLEZARD LLC 76 SOUTH FRONTAGE ROAD VERNON CT 06066 990 2022-07-01 060735879 COMMUNITY CHILD GUIDANCE CLINIC INC COMM 8606432101 317 NORTH MAIN ST MANCHESTER CT 06042 JAMIE BELLENOIT CHIEF EXECUTIVE OFFICER 8606432101 2023-12-18 1 JAMIE BELLENOIT 999009999 0 JEREMY S BRAYER CPA P01345873 8608711722 2023-12-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JAMIE BELLENOIT 317 NORTH MAIN ST MANCHESTER CT 06042 6252525 0 X WWW.CCGCINC.ORG X 1958 CT TO ASSIST AND SUPPORT CHILDREN WITH EMOTIONAL AND BEHAVIORAL ISSUES BY PROVIDING A SPECIAL EDUCATION DAY SCHOOL AND SYSTEM OF CHILD AND FAMILY-FOCUSED MENTAL HEALTH SERVICES. 11 11 94 29 0 0 1571845 1099735 4631887 4930567 5860 21631 737 1599 6210329 6053532 0 0 0 0 4795847 4971124 0 0 100395 1209804 1315515 6005651 6286639 204678 -233107 6049571 5863639 237784 255124 5811787 5608515 TO ASSIST AND SUPPORT CHILDREN WITH EMOTIONAL AND BEHAVIORAL ISSUES BY PROVIDING A SPECIAL EDUCATION DAY SCHOOL AND SYSTEM OF CHILD AND FAMILY-FOCUSED MENTAL HEALTH SERVICES. 0 0 2879400 1901529 THE CLINIC OFFERS A WIDE RANGE OF SERVICES THAT INCLUDE DIAGNOSTIC EVALUATION,TREATMENT, CONSULTATION, AND OTHER MENTAL HEALTH SERVICES INCLUDING IICAPS AND IOP TO CHILDREN UP TO THE AGE OF EIGHTEEN. THESE SERVICES WERE PROVIDED TO 829 CLIENTS IN FISCAL YEAR 2023. 1932119 3030637 THE SCHOOL SERVES CHILDREN AGES 3-15 WITH VARYING ACADEMIC LEVELS, LEARNING ABILITIES, AND BEHAVIORAL AND EMOTIONAL ISSUES THAT MAY IMPEDE THEIR CAPACITY TO LEARN. APPROXIMATELY 50 STUDENTS WERE SEEN IN FISCAL YEAR 2023. 4811519 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 1 94 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 0 CT X JAMIE BELLENOIT 8606432101 317 NORTH MAIN ST MANCHESTER CT 06042 LEROY HAY DIRECTOR 1.00 X 0 0 0 GRAEME PENA PRESIDENT 1.00 X X 0 0 0 GREGG TOLMAN TREASURER 1.00 X X 0 0 0 GEORGE MICHNA VICE PRESIDENT 1.00 X X 0 0 0 LOHITH CHENGAPPA DIRECTOR 1.00 X 0 0 0 PAMELA REICHELT DIRECTOR 1.00 X 0 0 0 ROBERT PETHICK DIRECTOR 1.00 X 0 0 0 TONYA CLAIBORNE EDD DIRECTOR 1.00 X 0 0 0 DANIELLE CHENARD DIRECTOR 1.00 X 0 0 0 CHELSEA ROSS DIRECTOR 1.00 X 0 0 0 DON SIERAKOWSKI DIRECTOR 1.00 X 0 0 0 SARAH DALY SECRETARY 1.00 X 0 0 0 MITCH FLAGG DIRECTOR 1.00 X 0 0 0 MICHELLE PARADIS DIRECTOR 1.00 X 0 0 0 JAMIE BELLENOIT CHIEF EXECUTIVE OFFICER 40.00 X 163414 0 12712 TANJA LARSON EXECUTIVE VICE PRESIDENT OF CLINICAL OPERATIONS 40.00 X 109762 0 17059 CARLOS GONZALEZ MEDICAL DIRECTOR 37.00 X 304560 0 23508 MICHAEL DIBIANCO CHILD PSYCHIATRIST 40.00 X 218225 0 21066 795961 0 74345 4 0 1 0 IT DIRECT LLC 67 PROSPECT AVE SUITE 202 WEST HARTFORD CT 06106 IT SERVICES 127109 1 21415 983752 94568 1099735 SCHOOL TUITION AND FEE 621400 3030637 3030637 PATIENT SERVICE REVENU 621400 1899930 1899930 4930567 33026 33026 168005 179400 -11395 -11395 -11395 19593 21415 19593 0 MISCELLANEOUS INCOME 900099 1599 1599 1599 6053532 4932166 0 21631 886379 634604 251775 3398407 2652774 700773 44860 84538 81279 1127 2132 305096 297910 5413 1773 296704 227801 65748 3155 518 518 73400 73400 5534 5534 125576 61946 62985 645 135189 114002 17512 3675 191419 156446 31894 3079 87474 60132 21600 5742 25059 24698 348 13 28078 26639 1361 78 4285 4285 173475 119250 42837 11388 72876 50398 17773 4705 REPAIRS AND MAINTENANCE 192127 145512 37364 9251 DUES AND SUBSCRIPTIONS 60710 51737 5496 3477 BAD DEBT 46303 46303 TELEPHONE 35972 31516 4260 196 57520 28572 22722 6226 6286639 4811519 1374725 100395 1227199 1727441 506678 506932 42535 95130 1535204 757853 28027 44139 4975929 2818880 2160342 2157049 549586 575095 6049571 5863639 145902 187025 86098 65225 5784 2874 237784 255124 X 5769968 5575727 41819 32788 5811787 5608515 6049571 5863639 -233107 29835 0 X X 0 1 X 1 0 X 893603 984410 1930927 1571845 1099735 6480520 893603 984410 1930927 1571845 1099735 6480520 6480520 13920 7901 1887 7060 33026 63794 6544314 0.99030 0.99490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 88796 88796 3541897 1964052 1577845 1345236 854828 490408 2157049 REFUNDABLE ADVANCES 2874 2874 X 6077833 29835 29835 6047998 5534 5534 6053532 6281105 0 6281105 5534 5534 6286639 PART X, LINE 2: MANAGEMENT OF THE COMMUNITY CHILD GUIDANCE CLINIC, INC. (CCGC) EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. AS OF JUNE 30, 2023, MANAGEMENT DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. CCGC'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF JUNE 30, 2023, CCGC'S FEDERAL AND STATE TAX RETURNS GENERALLY REMAIN OPEN FOR AUDIT FOR THREE YEARS AFTER THE DATE FILED. PART X, LINE 2 THE IRS HAS DETERMINED THAT CCGC IS EXEMPT FROM FEDERAL INCOME TAXES ON EXEMPT FUNCTION INCOME AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GALA 21905 10748 11157 1431 9726 3 19103 10667 8436 8436 41008 21415 19593 1431 18162 19593 0 X X X X 0 0 0 0 0 0 0 0 0 CARLOS GONZALEZ MEDICAL DIRECTOR 304560 0 0 0 0 0 12454 0 11054 0 328068 0 0 0 MICHAEL DIBIANCO CHILD PSYCHIATRIST 218225 0 0 0 0 0 3066 0 18000 0 239291 0 0 0 JAMIE BELLENOIT CHIEF EXECUTIVE OFFICER 143414 0 20000 0 0 0 6675 0 6037 0 176126 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED THE CHIEF FINANCIAL OFFICER RESPONSIBILITIES TO ACCOUNTING RESOURCES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FINAL SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER IS REVIEWED ANNUALLY BY A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. ANY OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ON AN ANNUAL BASIS BY THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: NO CHANGE HAS BEEN MADE IN THE OVERSIGHT PROCESS DURING THE YEAR.