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HomeMy WebLinkAbout0310 OCEAN STREET �. �. � � ,. �� ��.. ��� r ' w �.____- _ __ _CC� � fin_____ _ _ _ I I i i i i I R .. } tilt AV b yyy�yyy��yy�yy�yyyy�+ I .' SIAM UY .< i mustier Bedroom Eel y e ff.' h v�. 17! 7.MWA" All t Room ROMA aF j #" 14 MJ k R w „r. i Fv' Fq A a re ww F .....,., .............. v�, �3 WAIAW r. 'Dock ROOM f ZIA wo �s.,. b Dining, ROOM Mad ROOM k a r ..,. a u m s�: L , MAIM O tAldi Town of Barnstablea Zoning Board of Appeals Application for Other Rowers ; Date Received For office.use only: Town Clerk's Office: Appeal# -41 Hearing Date '` Decision Due The undersigned Appell.ant'hereby files an appeal to the.Zoning Board of Appeals under M.G. L.Chapter 40A, Sections 8 & 15 for thereasons indicated: 11 � L l �re.Q r�any; jl Appellant's Name:' t' 0mie5s i VjE55 Tt1 . Phone:. 6 5 yT 3 6a``>--7 © V Appellant's.Address-3 HA 40,�-(0 O 1 Address of Pro a that is the:sub•ect of this a lication:, C9� N 6t(f) 11S ree� P nY 1 PP !^�qa n n i 5, le C-e)v 12+y , rq A O'L61 o Assessor's Map/Parcel Number: Zoning;District:hledicco Sep vices Groundwater Overlay District: W, P cio Pe-+ev- Property Owner: ?Aft �eQd U `� �(q 11 G S pta4l .Phone: C �O�` 3 (0 02` �(7a 0 It.dif(ereFnf_from Appellant Address of Owner: 1130 7e ne✓0-1 I pxy✓ sk I f.\C, NP F I) �� � I�iS �A 7v If different from Appellant This is a.request for: [ ] Enforcement Action Appeal of Administrative Official's Decision A Q p,�-1 IS t oil [ ] Other General Powers-Please:Specify: Which Section(s) of the Zoning Ordinance and/or MGL Chapter 40A are you appealing to the Zoning Board of Appeals? M Ek q,OA ; -ac, 3 lae.l2 Am endmizn+- ' The Appellant:is the person making the'appeal. " . t Application for Other Powers-Page 2 Nature of Appeal & Description of Request: See GL-4zLQejje k She E-: Attach Additional Sheet if Necessary Is the property subject to an existing Variance or Special Permit :.......No Yes Existing.Level of Development of the Property- Number of Buildings: On E. p(v5 5rY1al1 51eJ Present U.se(s): S(n 6 le -tom vt1 i Iv hDM L, Existing Gross l=lgor Area: / / (O 9 .#t. Proposed,.New Gross Floor Area.. f(G s ft. q U )-�,niched tJR5Q_M",_4 I (q(, sQ,,4 un-�j n)y�ea bQSeyrw 11 `� l� s�-�-E is the property located in a designated Historic District?: .......... Yes[ ] No`[uj Is this proposal:subject to the jurisdiction of the Conservation Commission.......... Yes.[ .] .No[x] Is this proposal subject to approval by the Board of Health................ ................. . Yes-[ ] NaM Is the buildin a-desi .hated Historic Landmark?............... g g ...................................... Yes [ ] No Pc] Has a building permit.-been issued? Yes [ 1 No DO ................ ........................... Has a buildin ermiUbeen refused?. .......g p. .,.............. ,.., ........... Yes (K] No[. The following information,.as applicable, should be submitted with the application at the time of filing. Three (3) copies of the completed.applicatio.0 form,each with original signatures accompanied by all supporting documentation related to the appeal e Three (3) copies of-a certified property survey.(plotplan)and one.(1`) reduced copy(8 1/2"x 11" or 11".x 17") showing the dimensions of the:land,all wetlands,water bodies, surrounding roadways and the location:of the existing improvements on the land. • Three (3) copies,of a site improvement plan and one(1) reduced copy(8 1/2" x 11" or 11"x 17'). • The applicant may submit any additional supporting,documerits to assist the Board in snaking its determination. Signature: Date: 5wkvi) r l0 Appellant's.or Representative's Signaturez l Print Name TdIer Fes, T ( eeM Iq '� ze vYl a►� �.Gt � t� G-LC- Address: f, 2 i f�b i t} �Sf('��'tf Phone: 5�g 3�P o� 7 D D Fax No..,50 8-J6JL y'70 r e-mail Address uj ro,) , c 2 All correspondenceon.this'application Will-be processed through,-the:.Representative..named.,at that'address''and,phone r nurnbee provided. Exceptfor:Attomeys, if the.Representative differs from the-Appellant;a letter acithorizing the Representative to act on behalf df the Appellant shall be required: r r Nature of Appeal &Description of Request Homeless Not Hopeless, Inc. 22 Main Street, Hyannis Appeal of Building Commissioner's Denial Homeless Not Hopeless, Inc. ("HNH")is appealing the denial of its request for a building permit to renovate the premises at 22 Main Street, Hyannis, Massachusetts to create twelve (12) bedrooms,to be occupied by no more than fourteen(14)residents plus a live-in resident manager. The denial is contained in the letter from Thomas Perry, Barnstable Building Commissioner to William Bishop, President of HNH dated September 4, 2012, a copy of which is attached hereto as Exhibit A. The basis for the appeal is that the proposed use of the premises is exempt from zoning requirements under M.G.L. c. 40A, s. 3 (the so-called"Dover Amendment")because the use is for primarily educational purposes and HNH is a Massachusetts Chapter 180 non-profit corporation organized exclusively for charitable, religious, educational and scientific purposes. See copy of Amended Articles of Organization attached hereto as Exhibit B. The proposed use is as follows: there will be twelve (12)bedrooms, to be occupied by no more than fourteen(14)residents plus a live-in resident manager. There will be one kitchen, dining area, living rooms and related common area rooms. All residents (except the manager) are formerly homeless men or women or men or women recently living in a shelter. The primary ., purpose of housing these men and women in this residence is to teach them to live independently. Therefore, all residents must participate in HNH's educational program at the premises, which provides training in the following areas, among other things: 1) Hygiene; 2) Housekeeping; 3) Social Skills; 4) Literacy; 5) Business Training; 6) Computer Skills; 7) Filling Out Forms (such as for medical assistance). The program is further described in the "Educational Curriculum (revised 5/2012)" a copy of which is attached hereto as Exhibit C. All residents must sign an agreement whereby they agree to participate in this educational program, to abide by the program and house rules,to perform chores, to attend meetings with staff at the premises, and to actively participate in achieving their short and long term educational goals, among other things; and they further agree that they are subject to discharge from the program and residence for violations of the agreement. A copy of this Agreement is attached hereto as Exhibit D. They do not pay rent,rather,they pay a small monthly community fee, and they do not sign a lease, rather,the agreement they sign is for occupancy only with the mandatory requirement of participating in the educational program and abiding by the program rules. The premises are not used.as permanent housing for the residents; rather,the whole purpose of the educational program is to teach them to leave independently and to move out of the premises into apartments or other independent housing options. HNH also uses an "Education Tracking" form to monitor the progress of the residents in the educational program, a copy of which is attached hereto as Exhibit E. The Building Commissioner's denial letter did not make determination that HNH's proposed use does not qualify as a primarily educational use under the Dover Amendment. Rather, Mr. Perry stated: "I believe that all parties would be best served if this decision is made Y 1 by the Zoning Board of Appeals, a multiple member board after a full hearing where the factual materials and issues can be fully fleshed out." Therefore, HNH requests that the Zoning Board of Appeals determine that HNH's proposed use does qualify as a primarily educational use under the Dover Amendment and instruct the Building Commissioner to issue a building permit for this use, subject to the.requirements of the State Building Code. HNH will submit a legal memorandum prior to the hearing on this matter. Respectfully submitted, Homeless Not Hopeless, Inc. By its attorney, Peter L. Freeman Freeman Law.Group LLC 86 Willow Street— Suite 6 Yarmouthport, MA 02675 508-362-4700 e 80000 SERIES RECYCLED® 30%P.C.W. FSC www.fsc.org MIX Paper from responsible sources FSC®C014618 a �IKE Town of Barnstable Regulatory Services ,,M Thomas F. Geiler,Director ''0r8pMpt��� Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 4,2012 William Bishop,President Homeless Not Hopeless, Inc. 310 Ocean Street Hyannis,MA 02601 Re: 22 Main Street,Hyannis Dear Mr.Bishop: Homeless Not Hopeless,Inc. (HnH)has applied for a building permit to renovate the premises located at 22 Main Street,Hyannis,Massachusetts (hereinafter "the Property") to create(12)bedrooms,to be occupied by no more than fourteen(14)residents plus a live- in resident manager. As explained by your attorney,Peter Freeman, all residents(except the manager)are formerly homeless men or women or men or women recently living in other shelters. As you are aware,the Property is located in the Medical Services(MS)zoning district where neither a lodging house not a shelter is a permitted use. Your attorney,Peter Freeman,was kind enough to meet with me and the Town Attorney on August 22,2012, to discuss why he believed the use of the premises as described above is allowed under G.L. c.40A§3 as an educational use conducted by HnH,which Mr.Freeman stated is a Massachusetts Chapter 180 non-profit corporation organized exclusively for charitable, religious,educational and scientific purposes. In support of HnH's position,Mr.Freeman indicated the primary purpose of housing the women in this residence is to teach them to live independently.Among other information,Mr.Freeman provided me with a document entitled "Homeless not Helpless,Inc.,310 Ocean Street,Hyannis,MA Educational Curriculum(revised 5/20l12)"which laid out the instructional plan offered to residents in areas including housekeeping, cooking,lawn and garden,hygiene,social skills, business training and computer skills. F In analyzing the information provided on HnH's behalf, I am mindful of the recent Supreme Judicial Court case of Regis College v. Town of Weston,462 Mass. 280,284- 293 (2012)in which the Court reaffirmed that in order to claim the protection of the "educational purposes"clause under G.L. c. 40A §3,a landowner must demonstrate that +: • i I his or her use of land will have as its primary purpose a goal that can reasonably be described as educationally significant.In remanding the case back to the Land Court,the Supreme Judicial Court recognized that the the fact specific nature of the determination of whether the predominant nature of the use is educational. Having spent a great deal of time reviewing the materials provided and reading the relevant case law,I have struggled with the determination in HnH'S case as to whether the primary use of the property is educational. In this regard,I believe that all parties would be best served if this decision is made by the Zoning Board of Appeals, a multiple member board after a full hearing where the factual materials and issues can be fully fleshed out.Accordingly,I am denying HnH's request for a building permit to renovate the premises located at 22 Main Street,Hyannis, Massachusetts (hereinafter"the Property")to create(12)bedrooms,to be occupied by no more than fourteen(14)residents plus a live-in resident manager. Thank you for your consideration of this matter. Very truI yours, Thomas Perry Town of Barnstable Building Commissioner cc: Peter Freeman,Esq. Town Attorney Q� 80000SERIES•30%PC.W. RECYCLED® www.kleer-fax.com FSC www.fsc.org MIX Paper from responsible sources FSC®CO14618 MA SOC Filing Number: 200808135610 Date: 02/04/2008 4:04 PM_ .. j' The Commonwealth of Massachusetts Mimmmm Fee.$15.00 William Francis Galvin BN , Secretary of the Commonwealth = One Ashburton Place,Boston,Massachusetts 02108-1512 Telephone: 617 727-9640 l: Articles of • (General .. - :0 Section f' Federal Employer Identification Number: 260604808 (must be 9 digits) i; I We, MARY ANN HAKENSON President X Vice President, 5 i and DIANNE F KAUFMAN X Clerk _Assistant Clerk , F `.y of HOMELESS NOT HOPELESS,INC. located at: 310 OCEAN ST HYANNIS ,MA 02601 USA do hereby certify that these Articles of Amendment affecting articles numbered: i I j _Article 1 X Article 2 X Article 3 _Article 4 - i I' (Select those articles 1, 2, 3, and/or 4 that are being amended) of the Articles of Organization were duly adopted at a meeting held on 2/4/2008 , by vote of: 0 members, 5 directors, or 0 shareholders, 3 being at least two-thirds of its members/directors legally qualified to vote in meetings of the corporation (or, in the case r of a corporation having capital stock, by the holders of at least two thirds of the capital stock having the right to vote is i therein): - G ii. ! ARTICLE I F f+ _ I° 3 j; The exact name of the corporation, as amended, is: (Do not state Article/if it has not been amended.) HOMELESS NOT HOPELESS,INC. !_ ARTICLE II s I I' The purpose of the corporation, as amended, is to engage in the following business activities: !' (Do not state Article l/if it has not been amended.) HOMELESS NOT HOPELESS,INC IS A CORPORATION ORGANIZED BY THE HOMELESS AND J FORMERLY HOMELESS TO ASSIST ALL SUFFERING IN THAT CONDITION TO ATTAIN A !1 SUSTAINABLE,SATISFACTORY LIFESTYLE. I SAID ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE,RELIGIOUS, 0 { EDUCATIONAL AND SCIENTIFIC PURPOSES INCLUDING,FOR SUCH PURPOSES,THE MAKING a ° OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE,OR THE CORRESPONDING SECTION OF ANY FUTURE FEDERAL TAX CODE. WE SHALL PURSUE THIS GOAL IN THE FOLLOWING WAYS: i 1 PROVIDE ACCESS TO THE MOST MODERN TECHNOLOGY AND METHODS POSSIBLE FOR i PURSUING EMPLOYMENT NETWORKING,OBTAINING HOUSING AND GAINING ACCESS TO = 1 ANY AND ALL RESOURCES SPECIFIC TO CLIENT NEEDS. PROVIDE SHORT—TERM HOUSING AS BOTH A SHELTER OF LAST RESORT AND IN COOPERATION WITH OTHER ORGANIZATIONS SO THAT NO INDIVIDUAL IS LEFT WITHOUT A I REASONABLE OPPORTUNITY FOR SHELTER. a PROVIDE FUNDING ASSISTANCE TO OTHER LIKE—MINDED ORGANIZATIONS ON A CASE BY CASE BASIS TO FACILITATE HELP TO OUR CLIENT BASE AND GENERATE GOOD WILL. WE SHALL PURSUE THIS GOAL UNDER THE FOLLOWING CONDITIONS AND GUIDING F I' PRINCIPALS: !_ IN ORDER TO ACHIEVE THE MEANS OF OUR NON—PROFIT,MAKE IT BE KNOWN THAT WE MAY FUND RAISE AND SOLICIT DONATIONS. i ALL OPERATIONS SHALL BE FINANCIALLY AND METHODOLOGICALLY TRANSPARENT.EACH ti ELEMENT MUST REMAIN A SOURCE OF CORPORATE PRIDE. t. ALL REQUESTS FOR ASSISTANCE FROM OUR ORGANIZATION SHALL BE GIVEN SERIOUS CONSIDERATION.ANY SUCH REQUESTS WILL BE ACCOMMODATED WITH REGARD TO THE SCOPE OF OUR MISSION,CORPORATE PRINCIPLES AND AVAILABLE RESOURCES. ! ALL ENDEAVORS OF OUR ORGANIZATION SHALL BE CARRIED FORWARD WITH CREATIVITY, SCRUTINIZED FOR IMPROVEMENT OPPORTUNITIES AND MODIFIED TO EXCEL IN EFFICIENCY. UPON DISSOLUTION OF THE ORGANIZATION,ASSETS SHALL BE DISTRIBUTED FOR ONE OR (! MORE EXEMPT PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3)OF THE INTERNAL j REVENUE CODE OR CORRESPONDING SECTION OF ANY FUTURE FEDERAL TAX CODE, OR ! SHALL BE DISTRIBUTED TO THE FEDERAL GOVERNMENT,OR TO A STATE OR LOCAL 4 i GOVERNMENT,FOR A PUBLIC PURPOSE.ANY SUCH ASSETS NOT DISPOSED OF SHALL BE s DISPOSED OF BY THE COURT OF COMMON PLEAS OF THE COUNTY IN WHICH THE ! PRINCIPAL OFFICE OF'THE ORGANIZATION IS THEN LOCATED,EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS,AS SAID COURT SHALL j DETERMINE,WHICH ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES. y I IN CONCLUSION,LET US,AS AN ORGANIZATION,COLLECTIVELY AND INDIVIDUALLY, F NEVER FORGET THE CONDITIONS AND EXPERIENCES THAT REQUIRED THE FORMATION OFiD HOMELESS NOT HOPELESS,INC. j ARTICLE III A corporation may have one'or more classes of members.As amended,the designation of such classes,the manner - I of election or appointments, the duration of membership and the qualifications and rights, including voting rights, of the members of each class, maybe set forth in the by-laws of the corporation or may be set forth below: a Ij EXECUTIVE(BOARD)COMMITTEE I THE EXECUTIVE COMMITTEE SHALL BE MADE UP OF SEVEN(7)MEMBERS.THESE SHALL BE THE PRESIDENT TREASURER,CLERK ASSISTANT CLERK AND THREE ADDITIONAL BOARD _ MEMBERS WHICH SHALL CARRY THE DESIGNATION OF DIRECTOR.ALL EXECUTIVE ! COMMITTEE MEMBERS SHALL HAVE LIFETIME TERMS OF OFFICE,UNLESS A SPECIAL r ELECTION IS CALLED AND THE REMAINING MEMBERS VOTE BY TWO—THIRDS(2/3)MAJORITY 1 TO TERMINATE,OR THE MEMBER CHOOSES TO RESIGN HIS/HER OFFICE. ,r SHOULD ANY MEMBER OF THE EXECUTIVE COMMITTEE CHOOSE TO RESIGN HIS/HER A OFFICE,THE REMAINING MEMBERS WILL HOLD AN ELECTION FOR REPLACEMENT. DIRECTIVE(BOARD)COMMITTEE: MEMBERS OF THE DIRECTIVE COMMITTEE WITH HAVE VOTING RIGHTS EQUAL TO ONE—HALF 9 j q (1/2)OF AN EXECUTIVE COMMITTEE VOTE.THOSE VOTING RIGHTS WILL ONLY BE is AVAILABLE TO BE USED ON PROPOSED PROJECTS TO BE TAKEN ON BY THE ORGANIZATION E MEMBERS'OF THIS COMMITTEE SHALL BE VOTED INTO OFFICE BY THE EXECUTIVE { COMMITTEE AND EACH MEMBERS TERM SHALL BE NO LONGER THAN TWO(2)YEARS AT A } TIME. 11 ALL MEMBERS OF THE EXECUTIVE AND DIRECTIVE BOARDS MUST BE CURRENTLY OR PREVIOUSLY HOMELESS,OR HAVE EXTENSIVE TERMS OF SERVICE IN THE HUMAN SERVICES FIELD,PREFERABLY WORKING WITH THE HOMELESS. ADVISORY(BOARD)COMMITTEE: WILL BE APPOINTED AND DISSOLVED AS NEEDED FOR SPECIFIC PURPOSES ONLY.MEMBERS OF THIS BOARD SHALL HAVE NO SPECIFIC VOTING RIGHTS.PERSONS NOT CURRENTLY 3 SITTING ON THE EXECUTIVE OR DIRECTIVE BOARD SHALL BE ALLOWED TO BE APPOINTED j= TO THE ADVISORY COMMITTEE,IF NO CURRENT BOARD MEMBER HAS THE CAPABILITY OF PROVIDING THE NECESSARY SERVICES. i ' ARTICLE IV I - As amended,other lawful provisions, if any,for the conduct and regulation of the business and affairs of the corporation,for its voluntary dissolution, or for limiting, defining, or regulating the powers of the business entity, or of its directors or members, or of any class of members, are as follows: _ (If there are no provisions state 'NONE') e The foregoing amendment(s)will become effective when these Articles of Amendment are filed in accordance with General Laws, Chapter 180, Section 7 unless these articles specify, in accordance with the vote adopting the i amendment,a later effective date not more than thirty days after such filing, in which event the amendment will become effective on such later date. Later Effective Date: - ! Signed under the penalties of perjury,this 4 Day of February,2008,MARY ANN HAKENSON ,its , ' President/Vice President, is I' DIANNE F.KAUFMAN ,Clerk/Assistant Clerk j T - I; L r Ii f I O 2001-2008 Commonwealth of Massachusetts All I Rights Reserved° , MA SOC Filing Number: 200808135610 Date: 02/04/2008 4:04 PM THE COMMONWEALTH OF MASSACHUSETTS a I hereby certify that, upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: February 04, 2008 4:04 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth 0-2580-0 80000SERIES•30%PC.W. RECYCLED® www.kleer-tax.com FSC www.fsc.org MIX Paper from responsible sources FSC®CO14618 n Homeless Not Hopeless Inc. 310 Ocean St. Hyannis MA 02601 508-357-9334 Educational Curriculum (revised 5/2012) Aim:Although HnH houses men and women with the primary goal of teaching them to live independently. Rationale: HnH is not a Program as much as it is a family where all members help one another. A good gardener can teach gardening, a cook can teach others to prepare and cook meals, a computer whiz can teach computer skills. It is in this supportive role that family members find their sense of self worth. House Managers do not need to do all the educational work. They do have to ensure that needs are identified and that the person in need is matched with someone who has that particular skill. In many cases documentation will be all that falls to a House Manger. Prerequisite Skills: The following communication is taught to all members of the HnH family through regular, structured topic specific conversations either in a group or one on one. The classroom in many cases is the kitchen table where the community meets to discuss the days progress and difficulties. These sessions embody five basic elements; 1. Be present(physical, mentally and emotionally) 2. One person speaks at a time. 3. Pay attention to whomever is speaking 4. Respect the speaker and his/her subject 5. Be open to learning from one another Instructional Plan: House Managers Role House managers meet with each new resident to determine his/her needs. The house manager will evaluate the new resident to the best of his/her ability and fill out an Education Tracking form. This form is not meant to limit the subjects to be reviewed and taught but is a"Get Start"point. As each person coming into HnH is unique, each set of Educational subjects will be different. Some will require all subjects listed while others may require only a minimal number Others will need subjects that are not listed,at this time. Our social worker can offer training guidelines for those not covered herein. The house manager will then assign housekeeping and cooking duties. Housekeeping. - The resident is to be shown the location of supplies and taught how to accomplish the task. If done well, persons are to be congratulated if poorly,they are to be taught again. Simple tasks such as cleaning a bathroom or washing windows must be taught. Do not presume that any particular task is understood until you see it done. It is a lot easier to teach well the first time than to embarrass an individual for poor performance. Cooking- Each resident, according to ability,will be taught to prepare meals. Included,but not limited,is assembly of ingredients, cooking temperatures, recipes, etc. Health precautions are to be stressed, especially when poultry is being prepared. Lawn and Garden - chores will be assigned with the person being shown where the tools are stored,how to operate the lawn mower safely,how to cut grass and how and where to dispose of grass clipping, etc. Hygiene -- Each resident will be taught how to keep his/her own area clean with all personal property stored away neatly. For some this will be a simple one time check, for others it will be a weekly or daily training session. If required personal hygiene is to be politely addressed. Constantly dirty clothes and/or body odor issues are unacceptable. Some will need to be trained on frequency of showers and how to wash and dry clothes. Social Skills-- One of the subjects to be taught weekly and more often if necessary is respect for others property in their personal area, in the refrigerator or lying around the house. "Finders- Keepers, Losers Weepers" is not a slogan accepted at HnH. Respecting other residents' need for quiet while sleeping or sharing the TV are skills to be taught as the individual situation calls for. Each meal time is an opportunity to teach the basic skills of table setting, sharing food with others and helping to clean up even if it is someone else's job. Communications are to be taught and encouraged during community meal times. This is a lead- by- example issue as many of our residents come from families where family meals were not shared and if they were, conversation was not a part of the process. Of all that we teach this is probably one of the most important. Business Training-House Managers will teach residents to allocate their income. Lesson 1. Money per*day until next check. Lesson 2. A few dollars each month put into savings adds up. Lesson 3. Having an extra few dollars in pocket doesn't mean it isn't committed for a future bill. Lesson 4. Check Book reconciliation. Value of entering information in check book accurately Monthly statement. Enter outstanding checks, deposits and ATM withdrawals. Statement and Check book balancing:. Check each entry in check book against those in the statement. Make corrections. Filling Out Forms—For many men and women filling out basic forms is confusing and something to be avoided; yet in order to function independently they must learn to overcome the challenge. Forms are one line at a time even if there are 50 or 100°lines on a particular form. A. Assign a time to sit down with the individual. B. Fill in the information that can be filled in Social Security#, DOB, Etc.. C. Make a list of information that is not known D. Make a list of what has to be done-to get the missing information. E. Set a time to follow up on obtaining the missing information. F. Have the resident fill in the information, sign, date and mail or deliver. Some men/women may have great difficulty with this training. If the problem is reading then contact our Social Worker to make arrangements for a tutor or assign someone in the Community to work with them. Computer Skills- Lesson 1. Power on and Log In (user has notebook and records each step) Lesson 2. Word processing and how to save document. Lesson 3. How to access the Internet and do a basic search. Lesson 4. How to write an E-Mail and send to a friend. Lesson 5. How to retrieve E-Mails and read them and delete them. Lesson 5. How to access and search Comm. of Mass Jobs database. Lesson 6. How,to search the Internet for AA and NA meetings. Literacy- Literacy is an essential component of the skills necessary for navigating the complex waters of the modern technical world. The term literacy encompasses more than rudimentary reading ability. It involves the ability to read, interpret and understand simple everyday tasks, including, but not limited to: filling out a job.application; following a cooking recipe; reading and understanding nutritional labels when food shopping;reading and following a directional map; understanding safety directions on cleaning products; enjoying a book, magazine or newspaper. Because many people are embarrassed to admit to reading limitations, house managers and assistants must learn to recognize the unspoken indications for this. Does the person avoid or make excuses for not completing applications or other forms?Does that person always cook without referencing a recipe?House managers should become sensitive to signs of reading difficulties. Ask the client to read to you dosage instructions for his/her own medications; write a list of task/chore assignments with a brief description of each, then ask the client to read his/her own tasks to you. When a person is suspected of being functionally illiterate, it is necessary to approach the subject of remediation with compassion and sensitivity, so as to not further embarrass the client. There are community resources available to advocate for, and to assist the person in the process of learning to read with meaning. Included in these are: The Cape. Cod Literacy Council—Dorothy Barga 508-771-0211 Council; Cape Cod Organization for the Rights of the Disabled (CORD): 508-775-8300 Cape Cod Community College 508-362-2131 --Dr. Mishkin O'Neil Center X4337 --Advising Center X4318 -- Doug Terry X4509 Each of these people will help to outline a specific program for the individual that can be administered by the house manager or their designee or will provide a tutor for on site help. Personal Needs and Addiction Many of the men and women Who come to HnH have neglected their health because of addiction. Sobriety is the key to good physical and mental health as each go hand in hand. We teach Sobriety by: • being good models of sobriety. • encouraging others to get involved in a 12 step program. • offering to take them to a meeting: • studying the Big Book in groups or privately. • helping with a good fourth step guide. • sharing a"Thought for Today" at meals. 9 pointing out the many resources available on the internet such as Hazelden available at http://www.hazelden.org/web/Public/thought.view Meal times provide a perfect setting to discuss AA/NA activities and to witness to their positive effect on sobriety. It's a simple process. Some education is taught sitting at a desk and other lessons are caught by association, much like catching a cold. The same goes for health. Each resident should be encouraged to obtain a Primary Care Doctor of their choice or at the Duffy Health Center. Again meal times are a perfect opportunity.for a discussion of the benefits of taking care of ones health issues. As with sobriety in many cases it is fear of the unknown that keeps us from visiting our Doctor. Our open discussion of our fears and how we faced them is a positive way to teach good health care. a}� � cKi r m w w � g 0 0 � o n � m co Q 1 f Homeless Not Hopeless Inc Residential Educational Program Agreement 1.) 1 will respect others as unique human beings and treat them as I want to be treated. I agree that I shall not invite a member of the opposite sex into my room at any time, with the exception of house management, case manager or anyone designated by either for the purposes of repairs. 2.) 1 understand that there is to be no fraternization between residents of any Homeless not Hopeless Inc. "HNH"residence. 3.) 1 agree to live free from alcohol, illegal drugs,weapons, disrespectful pictures, reading materials or pornography. Prescription drugs must be used as directed. 4.) 1 understand that rooms may be searched if protection and security are in question. I understand that I am responsible for my personal belongings and will hold harmless HNH and its staff for any property I choose to store in public areas. I further understand that any personal property left on the premises 48 hours after leaving the program,will be considered abandoned and will be disposed of as staff sees fit. 5.) 1 understand that I am required to inform a staff person any time that I leave the premises as to my whereabouts and when I expect to return. If I am planning to leave overnight, I understand that I must have prior approval. I also understand that no more than three overnights in a seven day period will be allowed. 6.) 1 understand that a campus wide"quiet time"has been established and that loud music, televisions, running of washing machine, running of dryer, and running of dishwasher is not allowed between the hours of 10:00pm and 5:00am Sunday thru Thursday and 12:00am-5:00am Friday and Saturday. I also understand that the kitchen is closed between these hours.unless special permission has been obtained from staff. 7.) I.will smoke only in designate_d areas and place all cigarette butts in the appropriate receptacles. If I choose to smoke cigars or pipes, I understand that this must been done outside only. 8.) 1 understand that there are daily chores assigned to each resident. I understand that my chore must be completed by 9:00pm each night if I have any questions as to what my chore for the week entails, I understand that there is a written description posted on the refrigerator of each house and if I still have questions,.I am to ask a staff person.There will be no excuses for chores not being completed correctly. I further agree that I will keep my personal areas neat and orderly at all times. I understand that the house managers, at their discretion,will conduct room.checks to ensure that all rooms are in appropriate condition. 9.) 1 understand that there is a mandatory weekly house meeting conducted each week-and the only allowable excuse for missing this meeting will be prior approval for attendance at a recovery meeting, work or illness:I also understand that as part of this mandatory meeting, the entire house will sit down to a community meal to be eaten together as a family. 10.) 1 agree to seek outside counseling if needed. I understand that I may utilize the staff case manager as my counselor in lieu of outside counseling, if so desired. I agree to actively participate in the completion of my short and long term goals and the HNH Education courses. .understand that this is a one year program designed to assist individuals in the transition to f independent housing and that I will actively seek the appropriate steps in which to successfully complete this transition. I furthermore understand that should I show little or no progress towards my goals or in the Education program, l may be subject to dismissal from HNH at the sole discretion of HNH and must the vacate.the premises immediately.. 11.) 1 agree to fill out any applications that the staff may deem necessary for entitlements. This may include, but is in no way limited to, BIC applications, Mass Health applications,Veterans applications and housing authority applications that could help me find long term housing when I leave HNH. 12.)This is a community, family model, educational program. I am free to leave at any time. The staff may discharge me for behavior or attitude deemed inappropriate or that violates the terms of this agreement. I understand that if I receive three written warnings that I will immediately be discharged from the program. 13.) 1 agree to contribute a monthly community fee of due and payable on the first day of each month. I understand that if my community fee is more than 7 days late that I will be in ` violation of my contract and I may be asked to leave.A two week notice must be given in order to receive back any community fees already paid.Anyone discharged from the program will lose 2 weeks community fees. 14.) 1 understand that it is acceptable for me to contribute my personal food stamps in lieu of$125 towards utilities to the community. I also understand that a monthly trip to one of the food pantries other than the Salvation Army is mandatory and that all food that is received will be added to the community food.Transportation will be provided for trips to the food pantry. 15.) 1 understand that if I wish to park a vehicle on the premises, I must provide a copy of the Registration for said vehicle to the office along with a copy of my driver's license. I further understand that any vehicle that is parked on the premises must have a current registration, current insurance and current inspection sticker. 16.) 1 understand men are not allowed in the ladies houses unless accompanied by the house Manager and women are not allowed in the men's residence unless accompanied by the house Manager. Resident Signature Date Staff Signature Date Form#1010 Revised 11/15/2011 a n 4 � m od w m 0 0 o � o n � 'm 3 S Homeless Not Hopeless --Education Tracking Month Year House Community Member Name Activity Date Notes Housekeeping --Sweep/Vacuum floors -- Windows -- Clean Bathroom --Food shopping list --Prepare Evening Meal --Mow Grass --Rake Grass/Leaves Hygiene --Personal Appearance/Showers Etc. --Personal Living Area Neatness Social Skills -- Treating Others With Respect -- Respect for Others Property) -- Community Dining -- Negotiating TV Channel Preference Business Training --Allocating Income --Savings -- Check Book Reconciliation Fill Out Forms --Food Stamps --EADAC --SSDI -- Application for Health Insurance --Application for Medical Attention --Job Applications Computer --Basic Operation --Internet --E-Mail --Job Search --AAINA Meeting Schedules Literacy Required? YIN Program on next age Personal Needs and Addiction Meetings ? Study Big Book 4` Step Guide Sponsor Primary Care Doctor '8/19/85) 14414. C 3.5' _ 9� LA ,�r`h•. 39..47 1 / 1 � • STONE // m FENCE WALLS 39;14 x 39.13 �, CRUSHED 39.56 11 SHELL. I NIF PARKING `NG ASSISTANCE CORP. a3 a J9.3a � �,a, .�, BRICK. 1- c. STEPS �1 39:09 40, 6 . 26s. 39.29 39.46'� N 39.J0 w STONE ' WALL q c�ii NIF WALLS ro, 39 25 PA.UL Sf.... ......... ................................ .__._. ......._ ................... .... .......... -. ..-ter.. ....... .. ...�;_ - .... .. .... .. ....... ............._ .. ...... .. _...._..._. w 35 0• PORT,�,r.�, �� w �i 39.54 . 0 39.,67 Q, 39.37 1 s:i• t i g.p!. CRUSHED m1 SHELL: cal EX1S71NG PARKING DWELLING + WWDOW o. EL 42:08 RES :.-pPOLE /22 .... LOT 4 mi .:... n: ! 14,.422 s:f. I 39:30 x z 39:37 ' 39,12 y STONE �� NPORCH NE W LS WALKS f 39i 43 :74 'FENCE. 39 a_.: °.o _ FENCE - 55'W ., -i<39.27 PAVES SIDEWALK. 40.09"S! WA 'K 35.42^.A TE CURB Rt1 POLE FAIN STREET EAST VARIABLE WIDTH 1897 STATE HIGHWAY LAYOUT — w c rf- 9 96 93 SUBDIVISION PLAN OF LAND IN BARNSTABLE /44/40 Down Cape Engineering, Inc., Surveyors e� L.c.e. September 8, 1987 N a . s o t °4 h' C. F b A a �: s• ti° c, 01s. I `. .�01 $ � � .��i'• `�e. L.C.B. (d°m°yedJ I 0 `s `Or 00 �^ X c � m � � Iq tic tr): 7.60 a = 40 16.05 V 3 ° cE� --—-t 2y 9 i 3 w ,, of q:. m I;R ¢ afl a a 1�vO 6.00 i, Li p r� I p •� � O S �L Oo = l 6.001 N�6, /B4.57174.83 I �, 75 54 r. M,H.B. 3 84° 23' 55" W MA / N (Ya,rcbf0 width STR EET Subdivision of Lots 1 and 2 Shown on Plan 14414C Filed with Cert. of Title No. . .. ... Registry District of Barnstable County Abutters are shown as Separate certificates of title maybe issued for land on original decree plan. shown hereon as VA.3 and 4 By the Ccourt. Copy of part or plan -filed In- 1 ' 1 LAND REGISTRATION OFFICE ......� Oct. 28,f 9B7 Z.B l9.Q7 Record4er snare or this plan 40 feet to an loch Louis A.Moore,Engineer for Court st. TO'VNI CAPE COD INSULATION § g ; FIBERBATTS 9 SEAMLESS SPRATFINSUUOAM SUSPENDED -� " BAtt3 GUTTERS INSYLATION ttILINGS L 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 'I Date: I Dear Building Inspector I I Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute f! (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. I Property Owner Property Address Village C1n�tt�1-e� S�,�3� 3l 0 OCeF"N t)-• ° Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted i i Ceilings ( ) ( 9) ( 3$) ( ) (x) Slopes /Ce�1�� ( ) (A) ( 30 ( ) (X) i . Floors ( ) ( ) ( ) ( ) ( ) ft Walls ( ) 60 Oo ( ) Si erely oPresident on, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel UA Application # p Health Division Date Issued Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P� Historic - OKH Preservation/Hyannis Project Street Address 3 CeA..) S ' Village OW 5 Owner Swod NcAek (Le k, _NruSj' Address ` *tO ©Cep Avv,_ ; Telephone Cg t O O J Permit Request s � r,�Z-�4-� —"tee -cr-S�r.�e dl oor� /✓-� < L'��r- .C-era-�� ,. 371Y L Ce_'A /rkay—d"t (';r Vv: \ PJA a--_� Cr oa,N A2loor c7 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed �� Totahne i Zoning District Flood Plain Groundwater Overlay o Project Valuation 74/0 0 - Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docume6f4tion. Dwelling Type: Single Family '❑ Two Family ❑ Multi-Family (# units) CD w Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl 0 Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name G!V-e— CocQ Telephone Number Address N S',' rA-J License # /009Y-E- 0,,-o*A:S vvk Home Improvement Contractor# Worker's Compensation # LA.t/+ ooS'Q SFi o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 Jf1. 1_0\ �v— Q SIGNATURE DATE /' U r J _ .FOR OFFICIAL USE ONLY ,k APPLICATION# ` } DATE-ISSUED i MAP]PARCEL NO. ADDRESS VILLAGE OWNER - r � T F DATE OF INSPECTION: FOUNDATION r FRAME ' !, ' ,INSULATION 5 FIREPLACE ELECTRICAL: ROUGH FINAL � r PLUMBING: ROUGH FINAL ' GAS,-,, - ROUGH - ' FINAL ' FINAL_BUILDIN;G% Y= DATE CLOSED OUT t f ASSOCIATION PLAN NO r } r Tile Commonwealth of Massachusetts Department of Industrial Accidents 0 ce of Investigations 600 Washington Street t� �F Boston, MA 02111 yy www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print Legibly Name (Business/organization/Indivi dual):_CA Address: _YACAIrM City/State/Zip: Phone #: 5-0 7 7 Y — Are you an employer? Check th appropriate box: Type of project(required): 1.[� I am a employer with��_ 4. ❑ I am a general contractor and I 6 ❑New construction eiriployeas(fii11 and/or part-time).* have hired the sub-contractors.. 2_❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp.insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a bomeowner.doing all work officers have exercised their 11.❑ PlUmbing.rep airs or additions myself. [No workers' comp. right of exemption per MGL 12.[] Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Otber(,���.� ���Qt comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. InsuranceCompany Name: Policy# or Self-ins. Lic.#: �,44 0-OrZ,�'°� 0 Expiration Date: �D �d Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, imprisoment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify u e pa' and penalties of perjury that the information provided above is trice and correct. Si nature: Date: Z�— = Phone#: 3 0 7 Official ase only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health Z. Building Department 3. City/Town Clerl( 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: I ` Rogers & Cray In,,j p kQu u03 Clienttx: 4597 CCINSUL CERTIFICATE OF LIABILITY INSURANCE DATE(IY NUODIY'YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEJR?HMSO CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMI taons an IF Inacertificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed,If SUBROGATION IS WAIVED,subject to File ticat and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the rerTiiicate hUl(iei ill lieu of such endorsement(s). PRODUCER CONTACT Rogers S Gray Ins. -So. Dennis NAInE: Margaret Young PHONE�� -- 434 Route 134 lac.No Ext: 8-760-4602 50 E-MAIL --_.._..._.._._..-------...._. A/C,N°L..---__. P.0. Box 1601 ADDRESS: R'Obucr South Dennis, MA 02660-1601 CUSTOInERlors: INSURki �� - '--"" _ INSURER(S)AFFORDING COVERAGE NAIC e Cape Cod Insulation Inc INSURER A:Peerless Insurance INSURER hio Casualty Insurance Con't �n 4.55 Yarmouth Road p` Y hiy:Innis, MA 02601 INSURERC,Atlantic Char-ter lnsLlrance _ __.---' - . INSURER D.Commerce Insurance Company 34754 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISTi ilS i`;TO CERTII`1.1 HAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV OF(1Rt1111BPn ICY PERIOD INDICA-1;D N01'11Vfl'I IS7ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRAC'r OR OTHER DOCUMENT WITH RESPECT TO WI-11*1 TENS CERliFK.A[E MAY GE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EX(':LW;K.)NS AND CONDITION"'OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I TH 'I'YI'E OF INSURANCE NSR Vn POLICY NUMBER OLICY EFF POLICY EXP INN/ODIYYYY mmirm1YYYY LIMITS A '(iENkRAL.LIABILII'Y CBP8263063 04101/2010 0410112011 EACH OCCURRENCE $1 OOO,Q00 i'(%httoli l:[;1i11.1.A,NI.RAI.IJABILIIY � DAM7 TO RC •�- -'- 1 PRENIISF.S'1=a r caurc�nrc, 000.000 —_-- ia..i\InIS hV11,7F n 000LJR Mf.:D F.XP(Any una porwn) —-�— '"-_"---" -- PERSONAL M ADV INJURY $1,000,000 i - . GENERAL A GRL ...—,O.00E- 2 _fNI 4 ti I A II tU 00 ._..___...., PRDDUC I s COMP/OP ACG $2,000,000 p AurornaeuELwearrY 10MMBCKVMK 04101/2010 04101/2011 COMBINr_USINGLELIMII' AN',AUIu (Eaacdaarn) $1 000,000 i rill (7l'0VI 17 A111(iti BODILY INJURY(Ilw persun) $ X Ev(1DII Y W,IURY(Par nrx:alonl) $ ` _ :;tit li•I7llI li7 AtllO`,i - PROPERrYDAMAGE $ _X rr,Ki uAuliJ'' (Huraccinamj X NON(IYaN1:11 ttjIgB $ E UMBHELLA LIAU X CICCIJE< MEYAPP397725 0611712010 04/01/2011 EACH OCCURRENCE. $1 000 000 .EXCESS LIAR --i---i------ - ._. _... .,_.__..... .... CIAINIS4v1AIJI`. AGGr.L(AIE UlrlAA.Inil h RS C ANQ E PLOYR 'Ll COMPENSATION WCA00525901 6130/2010 0613012011 X we sTAru_ o1'rl- ANUEr:UIWLIUH AK INl-.R 'Y I —,-.Llj---_..--._-.. N'rnI KNli Mill-K I- CLU 1LI7Fr CU I NF❑ E.L.(ACH ACCIDCNT $500,000 i)I"rlix:rubu`Nu 11rK 1-:<cLuri[?D'r N NIA � (M�„,ii,ln,y In Nrry n•;cn,t'n:o:aibfl unUot L.L DISEASE-EA EMPLOYC:E $500,000 I'F'SCKII'Iii%ry i'.1=(1{'t KAI IONS bUlow E(.OISF.ISIS-POU(:Y LIMIT $500,000 4ESCIi1f''r10N OF OFL-RA"I"IONS/LOCATIONS I V EHIOLES(Al1aCn ACORD tU1,Aagiliondl RamalRs SGhunUlrl,If n1Urn SpaCU iJ raquuud)".Workers Con'1p Information "* Included Officers or Proprietors (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEF014E THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Housing Assistance Corp. ACCORDANCE WITH THE POLICY PROVISIONS. 484 West Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 01988.2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 2 Ttle ACORD name and logo are registered marks of ACORD AS548141M53353 MEY :i. NlassachuscttN- Department of Public sal'C(N Board of Buildin!- Re!-ulations and Standards Construction Supervisor License License' CS 100988 Re s}}ricted ta: 00 .{a' . SCTna P:Rv HENRY.CASSIDY ������ 8-SHEO ROWk'AgNINiA"WEST YARMOUTH, MA 02673 �` M. _?AY Expiration: 11/11/2011 (ouwissi nrr Tr": 100988 = AM/ftff�ie laVbns*anSffiahiarqsjet4r4 One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 1 2/1 512 0 1 0 Tr# 278247 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 _ .... Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card :-CAI is 5CM-07/07-PC8490 [3ou� f�B4CH4n�'figti �foFls afff�$ License or registration valid for individul use only -HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i- Board of Building Regulations and Standards Registration: 153567 One Ashburton Place Rm 1301 Expiration: 1 2/1 51201 0 Tr# 278247 Boston,Ma.02108 •�`-_ Type: Private Corporation CAPE COD INSULATION;INC f/ / HENRY CASSIDY r` f 455,YARMOUTH RD. C-�<i Q-' {t id wit ut ignature HYANNIS,MA 02601 Administrator f� f n NG z h� r. 3 Z>. 'k '1 i t x c. a. :y _ t v. on al :�.. .............:. .��..� ...r.-.,m.... ...Jµ .., :nmr.:re:mc•. .............. -:�a�.a x,:x�•s�. .z+.;.- ' ..,zs....r"...sxs_ _._..,. �_.rrx-- y ''!-�• 'emu. ,-.. n l DLORD Si!/f96'C h I JrMt,� JZi a q r S TENANT 1 14't9 J 1104- 1`-4 arc-'C.e S-5 U--ay tit i dM o Z6-,of H YA,4 tj $, M A 0;'� G i PHONE_. + S-7 Z , >Ioo PHONE .. G S S Dear Landlord, Your tenant is eligible for services through the Weatherization Program. Program regulations permit us to spend an average of$5,000 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows- insulate attics, sidewalls and floors. All work is professionally done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications- Prior to making the inspection and doing the work we must have your permission. If you want your tenant to participate in the program, please sign and date the agreement and return the form to me. This agreement states that: 1. You will not raise the rent because of the Weatherization work or for one year from the time the work is completed. 2. You will not evict your tenant for one year following work completion date except for good cause related to the tenant's failure to pay rent or serious or repeated violation of the terms of tenancy. 3. If you sell the property during the specified period, either the new owner must assume the obligations under the agreement prior to sale,or you must refund to us the entire amount of materials and labor we spent in weatherizing the unit. If you request, you will be informed of the estimated measures before they are done and provided with a;list of the actual measures and costs following the completion of the work. We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. Failure to fill out the entire form will result in a delay in processing the application. If you have any questions please call me at 508-790-7105, ext. 102. rely, Ruth Bechtold Assistant Director Energy and Home Repair Department 11. For breach of this Agreement by the Property Owner,the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. 13. The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date C Phone: Address: 0 Ulra WA.) r ® Tenant Signature r��' .� v ' Date H=i "York VA am Agency Signature J6L- Date �V '� �/ `� / (/ `'�' -''� �C d � �� _ , � �� �_ Y h C�(, ML TOW 1 1 N 0 BAr �S .— e9 a 1 �xr � Jel ER, 5 ' .` !f �� rrrrm.:x✓.::::zz..mt'.::-«_3.. ._..,:.cam•. .:-r,...,. c v�ba1i /rf LA D,L�ORD b $CAL _,-A q r y TENANT 16&l$ 404 /4c>Pc-L s5 IS-La apt SE PHONE ,�-o R-7 M L PHONE Ste .. , 3`.t `( Dear Landlord, Your tenant is eligible for services through the Weatherization Program. Program regulations permit us to spend an average of$5,000 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows; insulate attics, sidewails and floors. All work is professionally done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications_ Prior to making the inspection and doing the work we must have your permission. If you want your tenant to participate in the program, please sign and date the agreement and return the form to me. This agreement states that: 1. You will not raise the rent because of the Weatherization work or for one year from the time the work is completed. 2. You will not evict your tenant for one year following work completion date except for good cause related to the tenant's failure to pay rent or serious or repeated violation of the terms of tenancy. 3. If you sell the property during the specified period, either the new owner must assume the obligations under the agreement prior to sale, or you must refund to us the entire amount of materials and labor we spent in weatherizing the unit. If you request, you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you own the property. A copy of a CURRENT TAX BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. Failure to fill out the entire form will result in a delay,in processing the application. If you have any questions please call me at 508-790-7105, ext. 102. rely, Ruth Bechtold Assistant Director Energy and Home Repair Department 11. For breach of this Agreement by the Property Owner,the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law, in such instance,the Property Owner shall reimburse the Tenant for attorney's fees and court costs. Without limiting the foregoing,the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant if the Agency determines that the unavailability of funds or p rtY � 9 Y tY ineligibility of the Tenant warrants termination. 11 The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: &.,4, r Date zA7// Phone: Address: r r Tenant Signature�D Date m H=i NOW*MA No >9ttlGcea�ts�, P Agency Signature t Date 96 0 � G �� HAC approved Weatherization Company: � �/���' WY iO�aa�ao�0 Caliber Building&Remodeling :CapeCulation Cape Save Creswell Construction Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy Rock Solid Construction 1' in � r S'D8 r 21� r .. t � -v L•, E ' ��<, � .I +f i R t - ..�+,�. l k _. � ,� .. .. � ` . .. F.. ei i ,.! t - - a � -- i ( � ..R.rr � �' +. - � ' ! 31q ocol) �qa.nnls rm�' Oder L-ujin C�� sic hpOPe irwaq SIG" �I'00� '�bl'rfr00m _ ��J7 1411,6161 I 316 Ocean CY/) -�1►� �o�:- Ind��S . j" {�ra�ms Oro 3 Lbgll S�drw�J • S i�✓�rr� aov� �4h�) �Pmr i # . S � r �. L .a . /V �l / e /�,/�r � I r t� �Gfi � I l//"� � . - � . _� i a r. � USA. Homeless not Hopeless 1 nc. 810 Ocean St.1?'�H -"• Hyannis.MA CM1 air.%r .• :ry '..ts: tt a'ri'ki z..' '< , i CIO C7' � r . ;,._. L. �_' lilt,,1.11,1111 tilt,"iI,11,11,i1111411111'11,41Lt,li:s,III AII �4E � t 1 d- K � Y• stern,k$.a • s E Parcel Detail Page 1 of 2 i H E pp*, c5le 4 to x r G1i i>2 GGGIelze Logged In As: Parcel Detail Thursday, March 4 2010 Parcel Lookup Parcel Info Parcel ID 325-052-002 I Developer Lot LOT 2 Location•314 OCEAN STREET I Pri Frontage Sec Road i I Sec Frontage village HYANNIS I Fire District1rHYANNIS Sewer Acct;2433� I Road Index;1133 Interactive Map .• ;I ll, .'ems Owner Info OWnerSABATT, CHARLES M TR I Co-owner SWORD BEACH TRUST Streetl;C/O HYANNIS YACHT CLUB I Street2'490 OCEAN ST I City,HYANNIS I State`MA zip 102601 Country Land Info zoning;RB Acres'0.60 Use Three Nghbd 0109 Topography!Level I Road!Paved Utilities All Public I Location Rear Location I Construction Info Building 1 of 1 Year 1 920 I Roof Gable Hip I Ext)Wood Shingle I Built Struct wall Effect'-----'-'--- Roof;. _. ..-�. __._�_.. AC Area'4166 I Cover Asph/F GIs/Cmp I Type.;NOne _.__ Int Bed'-----_ rat°�•. �t`�. Style;Conventional I Plastered I 9 Bedrooms Wall Rooms -- - - -- Int" Bath, Model;Residentlal I Floor'Hardwood I Rooms' Full Heat Total - k Grade jAverage I Type Hot Water I Rooms,13 Rooms I iota erl Heat Found-I OII Iou !Po stories;2 Stories ured Conc. Fuel ation Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27007 3/4/2010 Parcel Detail Page 2 of 2 10/1/1988 I I B32378 .I$75,000 11/15/1989 12:00:00 AM I HY ADD-N II ,w Visit History Date Who Purpose 10/17/2008 12:00:00 AM Nancy Finch In Office Review 3/12/2007 12:00:00 AM Jeannette Kirwan In Office Review 4/10/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 7/15/1988 12:00:00 AM ME - Sales History Line Sale Date Owner Book/Page Sale Price 1 4/14/2006 SABATT, CHARLES M TR 20915/065 $745,000 2 4/2/1999 BRACKETT,THOMAS A 12173/128 $300,000 3 1/7/1997 BIANCO,JOSEPH V SR&JOSEPH V JR 10559/207 $10 4 5/15/1989 BIANCO, PAUL V&NICOLE A TR 6734/339 $1 5 1/15/1988 BIANCO,JOSEPH V SR& 6093/090 $1 6 10/15/1987 PARON, PHYLLIS A 5996/208 $1 7 10/15/1987 PARON, PHYLLIS A 5996/208 $1 8 1 1 PARON, RAYMOND M 3294/90 1 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $305,900 $0 $2,600 $272,800 $581,300 2 2009 $371,300 $0 $1,300 $265;600 $638,200 3 2008 $333,600 $0 $600 $300,600 $634,800 5 2007 $379,900 $0 $600 $300,600 $681,100 6 2006 $361,600 $0 $700 $288,000 $650,300 7 2005 $292,400 $0 $700 $265,300 $558,400 8 2004 $243,000 $0 $700 $209,200 $452,900 9 2003 $212,400 $0 $800 $78,400 $291,600 10 2002 $200,000 $400 $1,000 $78,400 $279,800 11 2001 $200,000 $400 $1,000 $78,400 $279,800 12 2000 $154,500 $400 $500 $51,900 $207,300 13 1999 $154,500 $400 $500 $51,900 $207,300 14 1998 $154,500 $400 $500 $51,900 $207,300 15 1997 $244,700 $0 $0 $31,900 $277,000 16 1996 $244,700 $0 $0 $31,900 $277,000 17 1995 $244,700 $0 $0 $31,900 $277,000 18 1994 $212,700 $0 $0 $57,500 $270,600 19 1993 $212,700 $0 $0 $57,500 $270,600 20 1992 $241,400 $0 $0 $63,800 $305,600 21 1991 $249,100 $0 $0 $71,800 $321,700 22 1990 $249,100 $0 $0 $71,800 $321,700 23 1989 $220,700 $0 $0 $71,800 $293,300 24 1 1988 1 $126,300 $0 $0 $34,6001 $170,70011 Photos http://issgl2/intranet/propdata/PareelDetail.aspx?ID=27007 3/4/2010 Barnstable Assessing Search Results Page 1 of 2 w NEi Home:Departments:Assessors Division:Property Assessment Search Results New Search New Interactive Maps>> Owner: 2010 Assessed Values: SABATT,CHARLES M TR SWORD BEACH TRUST 314 OCEAN STREET 2010 Appraised Value 2010 Assessed Value Past Comparisons Map/Parcel/Parcel Extension Building Value: $305,900 $305,900 Year Total Assessed Value 325 /052/002 Extra Features: $0 $0 2009-$638,200 Outbuildings: $2,600 $2,600 2008-$634,800 Mailing Address Land Value: $272,800 $272,800 2007-$681,100 SABATT,CHARLES M TR 2006-$650,300 SWORD BEACH TRUST 2010 Totals $581,300 $581,300 C/O HYANNIS YACHT CLUB 490 OCEAN ST HYANNIS,MA.02601 2010 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $135.50 Fire District Rates Town Residential Barnstable FD-All Classes $2.43 $7.77 C.O.M.M.-All Classes $1.26 Town Commercial Hyannis FD Tax(Residential) $1,057.97 Cotuit FD-All Classes $1.56 $6.87 Hyannis-Residential $1.82 Town Tax(Residential) $4,516.70 Hyannis-Commercial $2.88 W Barnstable-All Classes $2.28 Community Preservation Act 3%of Town Tax Total: $5,710.17 Construction Details Building Property Sketch & ASBUILT Cards Building value $305,900 Interior Floors Carpet Property Sketch Legend Style Conventional Interior Walls Plastered Model Residential Heat fuel Oil Grade Average Heat Type Hot Water " .p Stories 2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 9 Bedroomsk I a Roof Structure Gable/Hip Bathrooms 7 Full a,xr Roof Cover Asph/F GIs/Cmp living area 3934 * Replacement Cost $382397 Year Built 1920 Depreciation 20 Total Rooms 13 Rooms Land U CODE 1050 AsBuilt Card N/A Lot Size(Acres) 0.6 Appraised Value $272,800 http://www.town.bamstable.ma.us/assessing/2010/displayparcel l 0map.asp?mappar=325052... 3/1/2010 Barnstable Assessing Search Results Page 2 of 2 Assessed Value $272,800 �EMView Interactive Maps >> Sales History: Owner: Sale Date Book/Page: Sale Price: SABATT,CHARLES M TR Apr 14 2006 12:OOAM 20915/065 $745,000 BRACKETT,THOMAS A Apr 2 1999 12:OOAM 121731128 $300,000 BIANCO,JOSEPH V SR&JOSEPH V JR Jan 7 1997 12:OOAM 10559/207 $10 BIANCO,PAUL V&NICOLE A TR May 15 1989 12:OOAM 6734/339 $1 BIANCO,JOSEPH V SR& Jan 15 1988 12:OOAM 6093/090 $1 PARON,PHYLLIS A Oct 15 1987 12:OOAM 5996/208 $1 PARON,PHYLLIS A Oct 15 1987 12:OOAM 5996/208 $1 PARON,RAYMOND M 3294/90 $0 Extra Building Features Code Description Units/SQ fit Appraised Value Assessed Value SHED Shed 238 $2,600 $2,600 Property Sketch Legend - BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2010/displayparcel l 0map.asp?mappar=325052... 3/1/2010 onclusi,on of the hearing, the Board took said petition under advisement. A view of the rl '.iade by the.Board. .1 No_._1986-92 ....._.._........._..-M.__... Page ....................... of _...-._....._.... November 20, On _ _ __ _ _ __...—............._._ .__..__._...... 1f) 86._. __, The Board of Appeals found Attorney Charles McLaughlin represented the petitioner who is requesting relief for the property indicated on Map 325, Lot 52 at 310 Ocean street, Hyannis in an RB zoning district for a lot consisting of 34,405 square feet. In June 1986 the petitioners had a Plan prepared dividing the parcel into two lots as indicated on said Plan submitted with the filing. 'Each lot contains a single-family dwelling whi7eh' were constructed prior to ,the enactment of sub- division control in the Town. The subject dwellings were constructed in 1907 and 1920 and each contain separate sleeping quarters, kitchens, living quarters and both are serviced by separate septic systems. The dwellings are both occupied for residential purposes, and there is no intent to add to the existing footprint. In addition, there is another structure to the rear of the property which will not be used. There has been no intent to abandon the use of the . property. Gail Nightingale made the finding that because of the placement of the houses, sideline requirements do not comply, therefore, variance conditions do exist. Further finding that this would not be substantially detrimental due to the fact that the uses already exist. Gail Nightingale moved to grant the special permit and variance with the restriction that the use of the buildings will remain the same, the rear building to be for family use, the front building to be for three (3) renters, plus family use, and the storage building will not be used as living quarters - the motion was seconded by James McGrath. Luke Lally, Richard Boy, Gail Nightingale and James McGrath voted to grant the relief sought - Ron Jansson abstained from voting. The Petition is granted in accordance with the Plan presented at the filing. I, AU(Jr CA Odd_ Clerk of the Tmvn of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals. rendered its:decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ........................ day of ....__._..........._........�.............._................... ly ............... under the pains and penalties of perjury. CJ Distribution:— PropertyOwner ..........................................................................................................:..............._._....._:.. Town Clerk . B,)ard of Appeals Applicant Town of e Persons interested Building Inspector Public Information .......... .......:.................. .... Board of Appeals Chairman i ;.E . Parcel Detail Pagel of 2 i,0�,,97 71-i-L-E z kA'v_Tktil_F— �Fz S Logged In As: Parcel Detail Thursday, March 4 2010 Parcel Lookup Parcellnfo i Parcel ID 525-052-001 I Developer[LOT 1 Lot Location I310 OCEAN STREET I Pri Frontage Sec Road Sec I Frontage'.__._.... Village HHYANNIS I Fire District HHYANNIS Sewer Acct'1198 I Road Index 11133 Interactive Map Owner Info Owner!SABATT, CHARLES M TR _ ) Co-owner SWORD BEACH TRUST _ Y Streetl;C/O HYANNIS YACHT CLUB I Street2 490 OCEAN ST City IHYANNIS I StateMA zip102601 Country! Land Info Acres 10.19 Use Rooming Hs MDL 01• L. Zoning,RB - �J Nghbd 0109 Topography:Level I Road Paved utilities:AII Public I Location r I Construction Info Building 1 of 1 Year;1907 I Roof Gable/Hip , ExtttWood Shin le Built Struct Wall 4 g Effect'- Roof:_—_ AC 1834 ,Asph/F GIs/Cmp I None Area! Cover Type tf Style!Colonial I I"t rPlastered I Bed; m 6 Bedroos, "+ *eAs" � Wall, Rooms+ x 924i�. - 833e Model Residential I Floors .. -. .__.._._) Rooms Y2 Full _..._ i I — Heat _ Total'- -- _. 4 r" B 4. Grade lAverage Plus Type•Hot Water I Rooms Rooms I yk FRI - -._..._.. Ht" Found-I Stories i2 Stories ea I FueliGas atioPoured Conc. Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=27006 3/4/2010 Ncel Detail Page 2 of 2 Visit History Date Who Purpose 8/14/2008 12:00:00 AM Karen Perry In Office Review 3/12/2007 12:00:00 AM Jeannette Kirwan In Office Review 4/10/2002 12:00:00 AM 7/15/1988 12:00:00 AM IME • Sales History Line Sale Date Owner Book/Page Sale Price 1 4/14/2006 SABATT, CHARLES M TR 20915/65 $745,000 2 4/2/1999 BRACKETT,THOMAS A 12173/128 $300,000 3 1/7/1997 BIANCO,JOSEPH SR&BIANCO,JOSEPH 10559/207 $10 4 5/15/1989 BIANCO, PAUL V&NICOLE A 6734/339 $1 5 1/15/1988 BIANCO,JOSEPH V SR& 6093/90 $11,605 6 PARON, RAYMOND M&PHYLLIS 3294/90 1 $0 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2010 $174,400 $0 $0 $231,400 $405,800 2 2009 $170,800 $0 $0 $236,400 $407,200 3 2008 $170,800 $0 $0 $267,400 $438,200 5 2007 $170,800 $0 $0 $267,400 $438,200 6 2006 $155,100 $0 $0 $244,700 $399,800 7 2005 $124,600 $0 $0 $219,800 $344,400 8 2004 $104,300 $0 $0 $173,300 $277,600 9 2003 $93,800 $0 $0 $61,900 $155,700 10 2002 $90,900 $0 $0 $61,900 $152,800 11 2001 $90,900 $0 $0 $61,900 $152,800 12 2000 $75,600 $0 $0 $39,000 $114,600 13 1999 $75,600 $0 $0 $39,000 $114,600 14 1998 $75,600 $0 $0 $39,000 $114,600 15 1997 $74,600 $0 $0 $24,000 $98,600 16 1996 $74,600 $0 $0 $24,000 $98,600 17 1995 $74,600 $0 $0 $24,000 $98,600 18 1994 $74,600 $0 $0 $43,200 $117,800 19 1993 $74,600 $0 $0 $43,200 $117,800 20 1992 $85,000 $0 $0 $48,000 $133,000 21 1991 $90,000 $0 $0 $54,000 $144,000 22 1990 $90,000 $0 $0 $54,000 $144,000 23 1989 $90,000 $0 $0 $54,000 $144,000 24 1 1988 1 $0 $0 $0 $17,6001 $17,60011 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=27006 3/4/2010 A THE COMMONWEALTH OF MASSACHUSETTS wa OFFICE OF THE ATTORNEY GENERAL ONE ASHBURTON PLACE BOSTON, MASSACHUSETTS 02108 MARTHA COAKLEY (617) 727-2200 ATTORNEY GENERAL www.mass.gov/ago HOMELESS NOT HOPELESS, INC. 310 Ocean Street Hyannis, MA 02601- Certificate for Solicitation This certificate has been issued to the organization listed below because it is current in its filings with the Attorney General's Division of Non-Profit Organizations/Public Charities. This registration in no manner constitutes endorsement or approval by the Commonwealth of Massachusetts or the named organization. Name of Organization: HOMELESS NOT HOPELESS, INC. .Certificate End Date: 2/15/2010 Attorney General's Account Number: 047324 Issued By The Division of Non-Profit Organizations/Public Charities Business and Labor Bureau V � 4808HOME 04/23/2609 2:00 PM 990 Return of Organization Exempt From Income Tax W OMB No.154 047 Form Under section 501(c),527,or 4947(a)(1)of the internal Revenue Code(except black lung Department of the Treasury benefiit trust or private foundation) 2 Internal Revenue Service ► The or anization may have to use a co of this return to satisfystate reporting requirements. Oppt A For the 2007 calendar vear or tax ear be innin 10 01 07 and ending 9 30 08 (r B Check it applicable: Please C Name of organization D Employer identification number ❑ Address change use IRS 26-0604808 !, label or❑ HOMELESS NOT HOPELESS INC. E Telephone number 'Name print or p ,• type. Number and street(or P.O.box If mall is not delivered to street address) Room/suite Initialreturn See 310 OCEAN STREET F Accounting X Cash Specific ❑ Termina4on l: Instruc• City rx town,state or country,and ZIP+4 ❑ Accrual ❑ Other(specify) ❑ Amended return tions. HYANNIS MA 02601 ► ❑ Application pending • Section 501(c)(3j organizations and 4947(a)(1)nonexornpt charitable H and f are not applicable to section 527 organizations. Trusts must attach a completed Schedule A(Form 990 or 990-EZ). H(a) Is this a group return for affiliates? ❑ Yes No G Website: r, HOMELESSNOTHOPELESS.ORG H(b) If"Yea;enter number of affiliates ► J Organization type H(c) Are all affiliates included? ❑ Yes ❑ No check only one ► X 501 c 3 insert no. 4947 a 1 or n 527 (If'No,'attach a list See Instructions.) K Check here ► ❑ if the organization Is not a 509(a)(3)supporting organization and its gross H(d) Is this a separate return filed by an receipts are normally not more than$25,000.A return is not required,but if the organization chooses organization covered by a group Tulin ? n.Yes FA No to file a return,be sure to file a complete return. I GrouR Exemption Number► M Check ► H if the organization is not required L Gross receipts:Add lines 6b,8b,9b,and 10b to line 12 ► 129,7471 to attach Sch.B Form 990,990•EZ,or 990-PF. i :a`ftl » Revenue Expenses, and Changes in Net Assets or Fund Balances See the instructions. ir.. 1 Contributions,gifts,grants,and similar amounts received: a Contributions to donor advised funds ,, .,,,, 1 a b Direct public support(not included on line 1 a).,, lb c Indirect public support not included on line 1a 1c d Government contributions(grants)(not included on line 1a) 1d e Total(add lines 1a through 1d)(cash $ 76,449 noncash $ ) 1e 76,449 2 Program service revenue including government fees and contracts(from Part VII,line 93) 2 53,298 3 Membership dues and assessments .................................................. 3 4 Interest on savings and temporary cash investments ,,,........ ............ ..... 4 5 Dividends and interest from securities ,,,,,,,,,, 5 6a Gross rents 6a °'> ......................I.......... ............. <'s• b Less:rental expenses ..... 6b c Net rental income or(loss).Subtract line 6b from line 6a 6c 7 Other.investment Income(describe► 7 c 8a Gross amount from sales of assets other A Securities a Other > than inventory. Sa >~' Ce r .r b Less:cost or other basis and sales expenses Bb .fY c Gain or loss attach schedule 8c d Net gain or(loss).Combine line 6c„columns(A)and(B)..... • 8d .............. 9 Special events and activities attach schedule).If an amount is from gaming,check here 10, ❑ P ( ) Y 9 g 'Rh not including 9 $ of a Gross revenue >%'> <' contributions reported on line 1 b) ...,,.... 9a b Less:direct expenses other than fundraising expenses ... 9b c Net Income or(loss)from special events.Subtract line 9b from line 9a,,,,,,,,,,, ,,,,, 9c i0a Gross sales of inventory,less returns and allowances . b Less:cost of goods sold .......................................... 10b c Gross profit or(loss)from sales of inventory(attach schedule).Subtract fine 10b from line 10a 10c 11 Other revenue(from Part VII,line 103) ,.,,,.., 11 12 Total revenue.Add lines le,2,3 4,5,6c 7 ad,9c 10c and 11 12 129,747 13 Program services(from line 44.column(B)) ...•..., 13 116,833 m 14 Management and general(from line 44,column(C)) 14 N ........................................................ c 15 Fundraising(from line 44,column(D)) 15 1 , 677 w 16 Payments to affiliates(attach schedule)........................ .,.,,,,... 16 17 Total expenses.Add lines 16 and 44,column A 17 118,510 d 18 Excess or(deficit)for the year.Subtract line 17 from line 12 18 1 11 237 ............................... 19 Net assets or fund balances at beginning of year(from line 73,column(A)) 19 z 20 Other changes in net assets or fund balances(attach explanation) 20 ........................................... 21 Net assets or fund balances at end of year.Combine lines 18,19 and 20 21 11 237 For Privacy Act and Paperwork Reduction Act Notice,see the separate Instructions. Form 990(2007) DAA ,4808HOME 04/23/2009 2:00 PM Form990(2007) HOMELESS NOT HOPELESS, INC. 26-0604808 iRac)_e2 #`Wi1'1.s`< Statement of All organizations must complete column(A).Columns(B),(C),and(D)are requlred for section 501(c)(3)Ad(4) Functional Expenses organizations and section 4947(a)(1)nonexempt charitable trusts but optional for others.(See the instructtans,) Do not include amounts reported on line ��;# (a) Program (c) Management fr•, <>'.>:;, (A) Total services and general (D) Fundraising 6b 8b 9b 10b or 16 of Part I. 22a Grants paid from donor advised funds(attach schedule) •.•••{f..."^f",.">".•,••,•i`€:.^,•<'}�•.,x}�J••{•.i.•}.:;;£ t;:;; £•;:is''i,Ji:�:i :::;tisf,^.,::y�i ti•::tifc;�;:`.. '+ � ;;r"• non• #i :y's:,5c'!} .#?fi:?£'t•w':ii}'a{<.i S:?}•:.:.:k'iJS;.)':':::@�n}:.,:$•{.;.! (Cash$ Cash $ ) R:: .<,^;ia•:+x_w.:) It this amount includes foreign grants,check here No, LJ 22a >r�:">'j>: '.:;��.i;'jh '}� ti::%:,�`# •:>.ws?>;: a:;�:r�.,; iY,..::<:�v'r'}.in�i:�nv�v:...:Kt•.•}:::.:::4::•n•{..{).::{:f:}:A.:{'. (:K v'.: J :....:•,{..:i:{i::v:�ri'.r,:i'f.}}::i::ri:;}:>::.^. :w(•'ry 1..v 5�::?•r 22bolher grants and allocations attach schedule �M"i"'`"^' { `<�'• :`"r`){ >« >°s' £'s>"`•':t'1ix`s< ...#t FY,::k:}:>::::J .£{.%f.:i{!!{'e;:S:v::i�''• •%,{ i'il.£.: 'i (cash cash ry:;-,i,.�£ry.i:v',o;:;.i:'y,Y:'s?::;:>:.:;: : ':JfS:gg''.r,.z^.: _yi•! ''q.3:`:'•E "2<iV•':•. :fi"Rv^'�2�`'E'i•`,t..:i'•;:.`}'o ❑ 22b ss,, <,,;{r; Ia;,;iiJ; {.:•}.,.^S: .. ... If this amount Includes foreign grants,check here ...... ?i3.` ::'•3;.:r,jf7:t.': :',e':'f' 23 Specific assistance to individuals(attach ;gy:,,r;;s: :�: :.:^�;>;•,: }�:;,€;��a�' .{��i#: •. �;�;iz�`• i�:�:!:>,:i'Y.:<>:f•;'.'.,'.):�fi::.41>:��':!:�:.:Ji ')rk Li:k r•iri9."i�^`±'iiG3:F':f2• schedule) 23 :.<. • M4: ,.iF'�' yi#k�:::F.:, ..C;4t;:1,.:k{:�}?`')�}. {)'4h:<i• 24 Benefits aid to or for members attach x' #> s%t?'.' >' :{^ },3:;£< ,>s f s i. p ( ,.`•:U S;�G.).:{£•i:k#:fi�:{r:f}£;f . '."r:�}:�:}?.:.:»•i�ii schedule) ........................................... 24 •:;:<<..:!{. ;.#:ti:.:::3:: 25a Compensation of current officers,directors, key employees,etc.listed In Part V-A 25a b Compensation of former officers,directors, key employees,etc.listed in Part V-B 25b c Compensation and other distributions,not included above, to disqualified persons(as defined under section i 4958(0(1))and persons described in section 4958(c)(3)(B) 25c 26 Salaries and wages of employees not included on lines 25a,b,and c 26 1,346 1,346 27 Pension plan contributions not included on lines 25a.b and c.................................... 27 28 Employee benefits not included on lines 25a—27 28 29 Payroll taxes• 29 30 Professional fundraising fees.......................... 30 31 Accounting fees...................................... 31 32 Legal fees ... 32 33 Supplies....................... 33 34 Telephone........................................... 34 35 Postage and shipping .......................... ..... 35 36 Occupancy ............................ ............. 36 66 690 66 690 37 Equipment rental and maintenance 37 38 Printing and publications ,•,••,,,,• 38 39 Travel 39 40 Conferences,conventions,and meetings ,•••, 40 41 Interest 41 42 Depreciation,depletion,etc.(attach schedule)•,..,,•••, 42 43 Other expenses not covered above(itemize): a SEE STATEMENT 1 43a 50,474 48,797 1,677 b 43b ..................................... c 43c d 43d e ...................................................... 43e ............................... f ....................... 43f g ..................................................... 43 44 Total functional expenses.Add lines 22a through 43g.(Organizations completing columns(5)-(0).carry these totals to Tines 13-15 .....................I......................... 44 118 510 116,833 01 1,677 Joint Costs.Check ► LJ if you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported In(8)Program services? ..•....•••...• ► ❑ Yes No It'Yes,*enter(1)the aggregate amount of these joint costs $ ;(if)the amount allocated to Program services $ (ill)the amount allocated to Management and general $ and(iv)the amount allocated to Fundraising $ DAA Form 990(2007) 4808HOME 04t2312009 2:00 PM Form 99 0(2007) HOMELESS NOT HOPELESS, INC. 26-0604808 1feage3 "Aait i11> Statement of Program Service Accomplishments (See the instructions.) ' •Yl Form 990 is available for public inspection and,for some people,serves as the primary or sole source of information about a particular organization.How the public perceives an organization in such cases may be determined by the information presented ; on its return.Therefore,please make sure the return is complete and accurate and fully describes,in Part III,the organization's programs and accomplishments. I What is the organization's primary exempt purpose? Program Service is TO PROVIDE SERVICES TO THE HOMELESS COMMUNITY ON CAPE COD Expenses ...............................:................................................................ . All organizations must describe their exempt purpose achievements in a clear and concise manner.State the number (Required for 501(c)(3)and of clients served,publications issued,etc.Discuss achievements that are not measurable.(Section 501(c)(3)and(4) {a)usiorgs.,and optional )ot) Irusls;but optiotk�l for organizations and 4947(a)(1)nonexempt charitable trusts must also enter the amount of grants and allocations to others,) others, a THE ORGANIZATION HAS LEASED TWO HOUSES TO HOUSE INDIVIDUALS FROM THE HOMELESS COMMUNITY AND IS PROVIDING OUTREACH,TRANSPORTATION,EDUCATION{CLOTHING AND ADVOCACY TO THE HOMELESS COMMUNITY IN CAPE COD. . ...............................................................................:........................................ . ........................................................................................................................ Grants and allocations $ If this amount includes foreign grants check here ► 116 833 b ....................................................................................................... ......................................................................................................... . ........................................................................................................................ . ........................................................................................................................ Grants and allocatlons $ If this amount includes forei n grants,check here ► c ...................................................................................................................... . ........................................................................................................................ . ........................................................................................................................ .................................................................................................I.........I....... Grants and allocations $ If this amount incudes forei n rants check here ► d . ...................................................................................... ............................... ...............................................................................................................I..... . .......................................................................................................................... .....................................................................:.....1..................... Grams and allocations $ If this amount includes foreign grants,check here ► e Other program services(attach schedule) Grants and allocations $ If this amount includes foreign grants,check here ► f Total of Program Service Expenses(should equal line 44,column(8),Program services) .................................. ► 116,833 Form 990(2007) tr' DAA ,4808HOME 0412312009 2:00 PM Form 990�2007) HOMELESS NOT HOPELESS, INC. 26-0604808 10age4 ':Part`IU Balance Sheets (Seethe instructions. 1?i Note: Where required,attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts only. Beginning of year End of yeay,; 45 Cash--non-interest-bearing ..,,... 45 8 918 .............................................. 46 Savings and temporary cash investments 46 >...a 47a Accounts receivable 47a '`'" b Less:allowance for doubtful accounts 47b 47c 48a Pledges receivable 48a ............................... f4::•.:^.�,, b Less:allowance for doubtful accounts 48b 48c 49 Grants receivable 49 ............................................................... 50a Receivables from current and former officers,directors,trustees,and key employees(attach schedule) ............................. 50a b Receivables from other disqualified persons(as defined under section 4958(f)(1))and persons described in section 4958(c)(3)(B)(att.schedule) .•__.._•.....•......•..•., 50b 51a Other notes and loans receivable(attach y schedule) ........................................ 51a H b Less:allowance for doubtful accounts 151b 51c w 52 Inventories for sate or use 52 53 Prepaid expenses and deferred charges .......................................... 53 54a Investments—pubiidy-traded securities ► ❑ Cost FMV 54a b Investments--other securities ► Cost FMV 54b (attach schedule) ........................................... 55a Investments—land,buildings,and equipment:basis 55a b Less:accumulated depreciation(attach `>><' schedule) 55b 55c 56 Investments—other(attach schedule) , 56 57a Land,buildings,and equipment:basis 57a 5 '" b Less:accumulated depreciation(attach schedule) ...................................... 57b 57c 58 Other assets,Including program-related investments (describe ► ,SEE STATEMENT 2..... ) 58 3,800 59 Total assets must ual fine 74.Add lines 45 throu h 58 .......................... 0 59 12,718 60 Accounts payable and accrued expenses 60 61 Grants payable....,.. 62 Deferred revenue 62 N 63 Loans from officers,directors,trustees,and key employees(attach schedule) .......... ................................ 63 64a Tax-exempt bond liabilities(attach schedule) 64a ...................................... b Mortgages and other notes payable(attach schedule) . 64b 65 Other liabilities(describe ► SEE STATEMENT 3 .,.,., ) 65 1,481 66 Total liabilities.Add lines 60 through 65 ................................... ....... 0 66 1,481 Organizations that follow SFAS 117,check here ► X and complete lines 67 through 69 and lines 73 and 74. .„67 11 237 to 67 Unrestricted S68 Temporarily restricted 68 W .............................................. 69 m 69 Permanently restricted a Organizations that do not follow SFAS 117,check here ► ❑ and <x: ti complete lines 70 through 74. ":•`.o`s: 8 70 Capital stock,trust principal,or current funds 70 -4 71 Paid-in or capital surplus,or land,building,and equipment fund ,,,,, ,,,,,,,,,,,,•,, 71 Q72 Retained earnings,endowment,accumulated income,or other funds 72 73 Total net assets or fund balances.Add lines 67 through 69 or lines ?{ 70 through 72.(Column(A)must equal line 19 and column(B)must equal line21) ......._.. 0 73 11 237 ........................................................ 74 Total liabilities and net assetslfund balances.Add lines 66 and 73 ................ 0 74 12,718 Form 990(2007) DAA 4808HOME 04/23/2009 2:00 PM Form 990(2007) HOMELESS NOT HOPELESS, INC. 26-0604808 Rage Reconciliation of Revenue per Audited Financial Statements With Revenue per Return(See the 01 instructions.) N/A a Total revenue,gains,and other support per audited financial statements a rw b Amounts included on line a but not on Part 1,line 12: .' 1 Net unrealized gains on investments b1 2 Donated services and use of facilities b2 ''''t''" 3 Recoveries of prior year grants •. .....................••,,,,,,, b3 4 Other (specify): ...........................................•.... b4 Add lines b1 through b4 ...................................•.................................................... to ±r c Subtract line b from line a . d Amounts included on Part I,line 12,but not on line a: f' 1 Investment expenses not included on Part I,line 6b d1 2 Other(specify): ............. .................•..•.................•. d2 Add lines d1 and 412 .................................................................. d e Total revenue Part I,line 12).Add lines c and d .............................................................. 10. e a�aE?ait>IV.6'a% Reconciliation of Expenses per Audited Financial Statements With Expenses per Return N/A a Total expenses and losses per audited financial statements •,, a b Amounts included on line a but not Part I,line 17: 1 Donated services and use of facilities b1 :# .......... 2 Prior year adjustments reported on Part 1,line 20 b2 :•z.<::<:< 3 Losses reported on Part 1,line 20 Y 4 Other(specify): .•.... .......................................................... b3 :> 164 Add lines b1 through b4 ........... ............................................•.................................... b~ c Subtract line b from line a ...... .......•.....•.... ............. ..............................•.•.......... c.... d Amounts Included on Part I,line 17,but not on line a: :^ 1 Investment expenses not included on Part 1,line 6b d1 2 Other(specify); ............................................................... d2 . ..................................................................... . ....•.. `. Add lines di and d2 ..... e Total expenses{Part 1,line 17 .Add lines c and d .......•.1••.......... .••,•,.....•.. .,. e ' Current Officers, Directors,Trustees, and Key Employees Em to ees List each person who was an officer,director,trustee, or key employee at any time during the year even if they were not compensated.)(See the instructions.) {B) (C)Canper�salio (0)Con Wbullonstc (E)Expense (A) Name and address Title and averraeggee hours per Of not paid;enter e y�o�$� dl account and other week davotedtc position -0-.1 anenmis n D ans I allowances WILLIAM BISHOP HYANNIS .,,, PRESIDENT 310 OCEAN ST MA 02601 * 0 0 0 MRY ANN HALSTEAD....,.......I................GASTONIA..................... TREASURER 405 HOMESTEAD DR NC 28056 * 0 0 0 DIANNE KAUFMAN ............. IM ............................•..............•.................. HYANNIS 340 OAKLAND RD MA 02601 * 0 0 0 JENIFER DIBBLE BREWSTERASST CLERK 52 TUBMAN RD MA 02631 * 0 0 0 RICHARD MDRPHY HYANNIS DIRECTOR ..,........I....................... .... .................................. 30 ARBOR WAY MA 02601 * 0 0 0 JENNIFER SMITH ORLEANS DIRECTOR . .....................................................•.....I............I...... .... 60CHASE LANE MA 02653 * 0 0 0 TERRANCE NOONAN NEEDHAM....................,... DIRECTOR •.................................................. 43D HUNNEWELL MA 02494 * 0 0 0 AS NEEDED ................................... .............................................. * 0 0 0 0 ........................................................................... Form 990(2007) OAA i 4808HOME 04/2312009 2:00 PM Formgg0 2007 HOMELESS NOT HOPELESS INC. 26-0604808 tPacie6 Party= `:` Current Officers Directors Trustees and Key Employees continued Yes: No 75a Enter the total number of officers,directors,and trustees permitted to vote on organization business at board meetings 7 x#<;: ; ..................................................... 3°l ,? ........... b Are any officers,directors,trustees,or key employees listed in Farm 990,Part V-A,or highest compensated �#Y{{ :; �_°?� employees listed in Schedule A,Part I,or highest compensated professional and other independent 14;� ;:f>t(:•>.�:g�';;f:?;<; contractors listed in Schedule A,Part II•A or It-B,related to each other through family or business relationships?If'Yes,"attach a statement that identifies the individuals and explains the relationship(s) 75b X ............................. c Do any officers,directors,trustees,or key employees listed in Form 990,part V-A,or highest compensated employees listed in Schedule A,Part I,or highest compensated professional and otherrl( independent contractors listed In Schedule A,PaA II-A or II-B,receive compensation from any other organizations,whether tax exempt or taxable,that are related to the organization?See the instructions for €;?'s`::` 9 P 9 the definition of"related organization.° 75c X If"Yes,"attach a statement that includes the information described in the instructions, V. d Does the organization have a written conflict of interest olic ? .................................................................. 75d X >f Pait;tiB Former Officers,Directors,Trustees,and Key Employees That Received Compensation or Other Benefits (If any former officer,director,trustee,or key employee received•compensation or other benefits(described below)during the year,list that person below and enter the amount of compensation or other benefits in the appropriate column.See the instructions.) (C)Compensation (D)Conuibulions to (E) Expense (A) Name and address (B)Loans and Advances (it riot paid, ernploVeee�enefit account and other antm-0• bGG allowances N/A ................................................................................... . ................................................................................... ....................................................................... . .........................................................I......................... ............................................................................... . ................................................................................... Other Information See the instructions. Yes No 76 Did the organization make a change in its activities or methods of conducting activities?If"Yes,"attach a detailed statement of each change.,,. ,., 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS? ... . 77 X If"Yes;'attach a conformed copy of the changes. 78a Did the organization have unrelated business gross income of$1,000 or more during the year covered by `%< t'Y'''a'•3't"<:! this return? 78a X .................................. b If"Yes,"has it filed a tax return on Form 990-T for this year? 78b 79 Was there a liquidation,dissolution,termination,or substantial contraction during the year?If"Yes,"attach it'; ;: %;zs;.;�•;;:�.;• a statement 79 X ........................................................................................ 80a Is the organization related(other than by .......... association with a statewide or nationwide organization)through common membership,governing bodies,trustees,officers,etc.,to any other exempt or nonexempt organization? 803 X b If"Yes;'enter the name of the organization.,.................................................... ;;>> x kfy . 3Ls-w andcheck .. whet.er it is.❑..exempt or ❑ nonexempt...... and check whether it i 81a. Enter direct and indirect political expenditures.(See fine 81 instructions.) b Did the organization file Form 1120-POL for this ear? 81 b X Form 990(2007) DAA 4808HOME 04/23/2009 2:00 PM Formgg0 2007 HOMELESS NOT HOPELESS INC. 26-0604808 : a e7 iF'att>1%l3 Other Information continued Yes; No 82a Did the organization receive donated services or the use of materials,equipment,or facilities at no charge G or at substantially less than fair rental value? ,,,,,,,,,,, 82a X b If"Yes;'you may indicate the value of these items here.Do not include this :�:�r;•igi�i.r.:;�:.�.;,. amount as revenue in Part 1 or as an expense in Part II. (See instructions In Part 111.).................•. ,........................,.•. 82bjsfy .`• K`:i's• 83a Did the organization comply with the public inspection requirements for returns and exemption applications? , .,,...,.,... 83a X. b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? N/A 83b 84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a Cil X b If"Yes;'did the organization include with eve solicitation an express statement that such contributions or >' £s 9 every P €: •. gifts were not tax deductible? ,,.,•., N/A 84b 85a 501(c)(4),(5),or(6).Were substantially all dues nondeductible by members? N/A 85a b Did the organization make only in-house lobbying expenditures of$2,000 or less? N/A 85b ................................................. !>;;:�'i:.>:•:;.v.!:<c•:c:::c«c•:cc If"Yes"was answered to either 85a or 85b,do not complete 85c through 85h below unless the.organization received a waiver for proxy lax owed for the prior year. p Y P Y c Dues,assessments,and similar amounts from members 85c d Section 162(e)lobbying and political expenditures ,,,,,,,,,,,,,, 85d e Aggregate nondeductible amount of section 6033(e)(1)(A)dues notices .,•,,,, 85e f 'taxable amount of lobbying and political expenditures(line 85d less 85e) 851' ::•• ...: g Does the organization elect to pay the section 6033(e)tax on the amount on line 851? N/A 85 h If section 6033(ext)(A)dues notices were sent,does the organization agree to add the amount on line 85f :;AS ;y,3 ;i• 53 to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the `r''''"`}'`xt; '}•",:"w^t`f following tax year? N/A 85h 86 501(c)(7)orgs.Enter:a Initiation fees and capital contributions included on line 12 86a ;s:;.«t#s` 3;>•%'. b Gross receipts,included on line 12.for public use of club facilities ................................. 86b 67 501(c)(12)orgs.Enter:a Gross income from members or shareholders 87a b Gross income from other sources.(Do not net amounts due or paid to other sources against amounts due or received from them. 87b }r< 9 ) •....,..•.•.......... »� ....................... 88a At any time during the year,did the organization own a 50%or greater Interest in a taxable corporation or partnership,or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?If"Yes,"complete Part IX ........................••• b At any time during the year,did the organization,directly or indirectly,own a controlled entity within the meaning of section 512(b)(13)?If"Yes,'complete Part XI ► 88b X ........... ...........................•...... ::<,...<. 89a 501 c 3 organizations.Enter.Amount of tax imposed on the organization Burin the year under: ')s? v ( )( ) r9 P 9 9 y k section 4911 ► 0 ;section 4912 ► 0 section 4955 ► ,,,,,,,,,,,,,,•,,,,.0••..• b 501 c 3 and 501 c 4 orgs.Did the or anization en ga ge in an y section 4958 excess benefit transaction during the year or did It become aware of an excess benefit transaction from a prior year?If"Yes;attach a statement explaining each transaction ,,,.,,,•,,,,,,,,,,,,••,.,,•„•,,,,• ................... ........ c Enter:Amount of tax imposed on the organization managers or disqualified `}"%�%j%s> s s<>•`•'•:';•'•'v persons during the year under sections 4912,4955,and 4958 „ ,•.•,.,,,••,,,,,••,,,,,,,••,,,•,••••• 0. d Enter:Amount of tax on line 89c,above,reimbursed by the organization ► 0 e All organizations.At any time during the tax year,was the organization a party to a prohibited tax shelter ..;;: ! y i,, >,•,t transaction? .....•..... sse X ............. F9f X 9 9 9 sponsoring g g f All organizations.Did the organization acquire a direct or indirect interest in any applicable insurance contract? •,,,•,,, 89 For supporting organizations and onsorin organizations maintaining donor advised funds.Did the U. supporting organization,or a fund maintained by a sponsoring organization,have excess business holdings ;`:;}�}'Y is<l:A:>N at anytime during the year? ...............................................•...... 90a List the states with which a copy of this return is filed ► ........NONE ................................ ••,••................. .................. b Number of employees employed in the pay period that includes March 12,2007(See Instructions.) ........ ..... ............................................ 90b 91a The books are in care of ► HOMELESS NOT HOPELESS Telephone no. ► .. •,•,,,,,,,.,,, 310 OCEAN STREET Located at ► HYANNIS r..MA..... ZIP+4 110,..0.2.6.0.1....................... 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 Yes No account)?.................................................................................................................... 91b X If"Yes,"enter the name of the foreign count ► •. ..,... .. : ; See the instructions for exceptions and filing requirements for Form TO F 90-22.1,Report of Foreign Bank and Financial Accounts. psi%¢::>:xs El°'i•`:iSi DAA Form 990(2007) 4808r•+oME o4rz312009 2:0o PM Form990 2007 HOMELESS NOT HOPELESS INC. 26-0604808 1Pa e8 ?<Pa'ItYl >i Other Information continued Ye*V1 No c At any time during the calendar year,did the organization maintain an office outside of the United States? 91c X ........................ If"Yes,"enter the name of the foreign country ► rx; 92 Section 4947(a)(1)nonexempt charitable trusts filing Form 990 in lieu of Form 1041--Check here ► and enter the amount of tax-exempt Interest received or accrued during the tax year, ...,. .. _... ...... _ ► 92 >P.alt:flli € Analysis of Income-Producin Activities See the instructions. Note:Enter gross amounts unless otherwise Unrelated business Income Excluded by section 512.513.or514 (E) i indicated. (A) (B) (C) (D) Related Business code Amount Exclusion Amount exemptlun�lipn 93 Program service revenue: code income.: a PROGRAM SERVICE REVENUE 53,"298 b c d e f MedicarelMedicaid payments g Fees and contracts from government agencies ............. 94 Membership dues and assessments 95 Interest on savings and temporary cash investments 96 Dividends and Interest from securities ...................... :>•�•,;<.<::: :;;::•:«.:::;.:.v.,:: ;<z:::�:::::.:<:.;:;::,. <,::::. ::•:;• i ...:..•......>.. :a.a.:.:.:.. '•.t..v>..• ..::f...;;iRS.:::rr.w..$;R;j:S?,.;t%:'•tE!ii Net rent I :•:>.:::..`s:�97 al income or(loss)from real estate: : .. a debt-financed property b not debt-financed property .......................... 98 Net rental income or(loss)from personal property ...,. 99 Other investment income 100 Gain or(loss)from sales of assets other than inventory 101 Net income or(loss)from special events 102 Gross profit or(loss)from sales of inventory................ 103 Other revenue: a b c d e 104 Subtotal(add columns(B),(D),and(E)) I. 0 0j 53,298 .<.. 105 Total(add line 104,columns(B),(D),and(E)) ► 53,298 .................................................. Note:Line 105 plus line le,Part I,should equal the amount on line 12,Part I. Relationship of Activities to the Accomplishment of Exempt Purposes See the instructions. Line No. Explain how each activity for which income is reported in column(E)of Part VII contributed importantly to the accomplishment of the organization's exempt purposes(other than by providing funds.for such purposes). N/A tF'afrt<IXs information Regarding Taxable Subsidiaries and Disregarded Entities See the instructions. Name,address,and IN of corporation, Percenttage of Nature of activities Total(inncome End-of-year partnership.or disregarded entity ownership interest assets N/A % o� q o� 3 PFrt X <% Information Regarding Transfers Associated with Personal Benefit Contracts See the instructions. (a) Did the organization,during the year,receive any funds,directly or indirectly,to pay premiums on a personal benefit contract? Yes X No (b) Did the organization,during the year,pay premiums,directly or Indirectly,on a personal benefit contract? ......... ............ H Yes X No Note:If"Yes"to(b),file Form 8870 and Form 4720(see Instructions). Form 990(2007) DAA 48081-10ME 04I2312009 2:00 PM Form 990(2007) HOMELESS NOT HOPELESS, INC. 26-0604808 _.rage 9 > 'P:a t Xl 1 Information Regarding Transfers To and From Controlled Entities. Complete only if the organization is a controlling organization as defined in section 512(b)(13). ("I Yea+ No 106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13)of the Code?If"Yes,"com lete the schedule below for each controlled entity. i X (A) Is) (C) ID) Name,address,of each Employer ID Description of controlled entity Number transfer Amount of transfer i� ........................................I................. t:l a .......................................................... .......................................................... b .......................................................... c :;4ii •i:j:vv:;:4: :i:S�:+:i>`�l'1`.>.:::?i:J:i��h '+i+ii:i:•`i,:F. �•::k8:::iCv,..i;$2>:? ::R<�';;;<{'�'.S'.":i:: :�t<i:;�:' ��:S�i'i's;:^..:con:... Y...... f':i3.';::::,.:,;;••{.;i:{>": ::. ::,r<k'ik.:%:}:S;t;.,.; ,.;:.f,..:l•.;3�:;:�;v..:>......"s: �r�E:s:3i<:::.:4,.r�::;r.:::: -:<i:{?a',.:a•:n:::;{�:`�.`;{�i:i;>x::i;u^;ii`SS12? 2i?i;::h��i". `.:+: Totals ..<. :>.:,..::.v ..3.; i�3i•fir,;;, ..iy.�.;• .r�:..>:<;:.L•>:.::�:. .:.�::.:, ..si:i:'s::: `:y ;s ': ::yy 't:x`%' f •r.:3.:{r: :i&r{ :•r.�: ':5:•+<•h•C� .;{:5;i>�:i%+`•:..�::i vi,)i:?' n}:iv,{.;{{v.F:::: Yes No 107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512 b 13 of the Code?If"Yes,"complete the schedule below for each controlled entity. R (A) (B) (C) (D) Name,address,of each Employer ID Description of controlled entity Number transfer Amount of transfer a .......................................................... b ............................................... ....... c .......................................................... :r,::1:'r'J:{•iiiif:�, ti:{:�:'A::;n:CY::.•.:::�in:+f:F:•:>'r{>::t`•'?::�i~n'r:•::R::::f:::.:+ i,v,:ilSN:Y{:5�:?:4' ��i : •'.;i.: a•k�si3 :::i:: •;.:a•{on:...�;+•.•:ek;•�:.t ,?.:•fi`:Cp; ,:.;:.Y•??�{r:z{s3:;. ....,>.;'..;> :xF':;#..::{i•; :.>i:>t•::"fx•>:::::{.:;:g:•:::rrir:;�:.;•.:�'3::.:':?i:' .:.::s::t:%� <r?r?r 22?4:,;¢:,v':>?3iE>is?:.<; :,.• ::{:•r::.,:,;,:•.;�•S:'awr.;a;.;xz:2•.::;;:::::r>,.;ii::•:,e;:{•;3,:;.%ii's::i.,-{:p.., Totals {:'{'r,:ii`2::i`y::+:�•+.?�}.•i i`o:;L:f:�:'s::�:;•�:;:. ..�..;:.%:'�{'•:�:::?<#`C':;RSRt::�t6�c;';'/.;:Y:S,;kY:;:&'.y3: .......... ri,n.4:vi:v\;L:ri;{�::.u::;;:v. ....�::...v ,/i..3,.... .• {.. �..:.Nfi:`e.ii.:{::^.-:, Li.+v' �• Yes No: 108 Did the organization have a binding written contract in effect on August 17,2006,covering the interest, rents,ro alties and annuities described in question 107 above? 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. Please Sign Here Signature of officer Date Type or print name and title Date Check if Preparer's or PTIN Preparer's self- (See Gen.Instr,X) Paid signature 4/23/09 employed ► Preparer's JAMES F. BOGLE CPA PC EIN ► 90-0001374 Use Only ifsels mplo,, ryours / 244 WILLOW ST Phone itself-employed), no. Ili. 508-362-8123 address,andZlP+q yARMOUTHPORT MA 02675-1757 Form 990(2007) DAA 480SHOME 04/2W009 2:00 PM SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No.154f"'0ai (Form 990 or 990-EZ) (Except Private Foundation)and Section 501(e),501(f),501(k),501(n), (?t or4947(a)(1)Nonexempt Charitable Trust 2007 Supplementary information-(See separate instructions.) Department of the Treasury Internal Revenue Service ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Name of the organization =26-0604808 ployer identificationnumber HOMELESS NOT HOPELESS, INC. €PartYg�: Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees to' See page 1 of the instructions. List each one. If there are none enter"None." (a)Name and address of each employee paid more (b) Title and average hours (d)Contributions (e) pease, than$50,000 per week devoted to position (c)Compensation empl.emetic plans as owan d other 8 deferred comp. allowances NONE . ........ . ......... i ;;:+;:.:;c:y:r�::::;,•'i>ii''•'`:'<::°3Pif%t;a::';?�>$i>.;8r•r:ar•�i'c`•`r'a�"%i Total number of other employees paid over$50,000 ► '»"`'':"s:<<<:? 3>s.:'s>::>: si:'••.E%.s: .:<>":>.:';:s:?:: ssf>,s::s.>.r`.s°`: PrtGli=A Compensation of the Five Highest Paid Independent Contractors for Professional Services See 2acie 2 of the instructions. List each one whether individuals or firms . If there are none enter"None." (a)Name and address of each Independent contractor paid more than$50,000 (b)Type of service (c)Compensation NONE ................I....I... . ...................................................................................................... . ....................................................................................................... . ....................................................................................................... ................................................................................................ .;i`),:i;�:::!i�:sj�'Q•A'i:���%'•:�:�:.;;fii?�'i�n'1::i.•u i:;':">:i�:?. f; . :3>?{#:•:ySi::{.?;;;<:;td::"''`��:i`.i::::,y<y:::t}i�.i's�:?:'r,.;.jfy 's';'r,•''t: Total number of others receiving over$50,000 for .4>• �,:•:•• sa:x?:•:a:;�,x;:>:<•<x>?;{`#Y�� ,�<; rofessional Services , ► ?:<.;s:,r,,', ;:?!'<_;.':;,<#3:;: s`;:'s a:£vi>°iz i}:ni?>s:: $i:Y::`;:; ` lF! ;rt}II Efs Compensation of the Five Highest Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individuals or firms. If there are none enter"None."See page 2 of the instructions. (a)Name and address of each Independent contractor paid more than$50,000 (b)Type of service (c)Compensation NONE ............ . ...................................................................................................... ............................................................................................. . ......................................................................................................... 'V �:k�":`: `>::� t;}:• :•>r` ..:.4�i:: pit': Total number of other contractors receiving OVef ::Ji.`t)��:i;T''•:•`'�(:GN:nvY.;i'4i�N G:)1i::ti��v'''��:£'::':.�::,r�:4/S:•},•:�ti:;.ii:S%:4iip $50,000 for other services ::s's.:;.. >::.i:.i•ia..:.: :;•r.>>.:::i<,,;::i•,:<:.,s; For Paperwork Reduction Act Notice,see the Instructions for Form 990 and Form 990-EZ. Schedule A(Form 990 or 990-EZ)2007 OAA r 4808HOME 04/23/2009 2:00 PM III Schedule (Form 990or990-EZ 2007 HOMELESS NOT HOPELESS INC. 26-0604808 iPa e2 ( 1 iiS"P;Rt l.11 Statements About Activities (See page 2 of the instructions.) Yes;i No 1 During the year,has the organization attempted to influence national,state,or local legislation,including any (, attempt to influence public opinion on a legislative matter or referendum?if"Yes,"enter the total expenses paid ' or incurred in connection with the lobbying activities ► $ (Must equal amounts on line 38, l Part VI-A,or line iof Part VI-B.) ................................................ 1 (a X Organizations that made an election under section 501(h)by filing Form 5768 must complete Part VI-A.Other � >t <:iH<:�•�;< organizations checking Yes"must complete Part VI-B AND attach a statement giving a detailed description of s; F •<:.:;; `>: 9 9" P 9 9 �:'°:.t':, 3�c�YT •xt•::x the lobbying activities. 2 During the year,has the organization,either directly or indirectly,engaged in any of the following acts with any s<.>• c :M*H. substantial contributors,trustees,directors,officers,creators,key employees,or members of their families,or ;#> •) „,/y'i,t Fps with any taxable organization with which any such person is affiliated as an officer,director,trustee,majority owner,or principal beneficiary? If the answer to-any question is"Yes,"attach a detailed statement explaining the P P rY ( Y q P 9 r.:•vr:• transactions.) ��iix:+:�'��'•:�t:^��� .�•:. a Sate,exchange,or leasing of property? b Lending of money or other extension of credit? ... 2b X c Furnishing of goods,services,or facilities? ......................................... 2c X d Payment of compensation(or payment or reimbursement of expenses if more than$1,000)? 2d X e Transfer of any part of its income or assets? ................................ 2e X 3a Did the organization make grants for scholarships,fellowships,student loans,etc.?(If"Yes,"attach an expianatton of how the organization determines that recipients qualify to receive payments.) ,,...,. 3a X .................................. b Did the organization have a section 403(b)annuity plan for its employees?..,..., 3b X ................................................ c Did the organization receive or hold an easement for conservation purposes,including easements to preserve open space,the environment,historic land areas or historic structures?11'Yes,*attach a detailed statement 3c X d Did the organization provide credit counseling,debt management,credit repair,or debt negotiation services? ,,•,,.,..•..•.. 3d X 4a Old the organization maintain any donor advised funds?If"Yes,"complete lines 4b through 4g.If"No,"complete lines 4fand 4g .......... . ................I...•.. , ........ 4a X b Did the organization make any taxable distributions under section 4966? 4b c Did the organization make a distribution to a donor,donor advisor,or related person? ...............•,,,,,,,,•,•.•••,•• d Enter the total number of donor advised funds owned at the end of the tax year .............•,,•,,,,...,,,,,,,,,,,,, , ► e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year.. ,,,,,,.,,,•,_ ._ ► If Enter the total number of separate funds or accounts owned at the end of the tax year(excluding donor advised funds included on line 4d)where donors have the right to provide advice on the distribution or Investment of amounts In such funds or accounts ► g Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year , ,...... ► 0 Schedule A(Form 990 or 990-EZ)2007 'I DAA 4808HOME 04123/2009 2:00 PM Schedule A(Form 990 or 990-EZ)2007 HOMELESS NOT HOPELESS, INC. 2 6—0 60 4 8 08 1�aye 3 Part1Y Reason for Non-Private Foundation Status (See pages 4 through 8 of the instructions.) (: I certify that the organization is not a private foundation because it is:(Please check only ONE applicable box.) 5 ❑ A church,convention of churches,or association of churches.Section 170(b)(1)(A)(i). 1 a ❑ A school.Section 170(b)(1)(A)(ii).(Also complete Part V.) 7 ❑ A hospital or a cooperative hospital service organization.Section 170(b)(1)(A)(iii). (ri a ❑ A federal,state,or local government or governmental unit.Section 170(b}(1)(A)(v). 9 ❑ A medical research organization operated in conjunction with a hospital.Section 170(b)(i)(A)(tii).Enter the hospital's name,city, and state ► . 10 ❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit.Section 170(b)(1)(A)(iv). (Also complete the Support Schedule in Part IV-A.) 11a ❑ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.Section 170(b)(1)(A)(A).(Also complete the Support Schedule in Part IV-A.) 11b ❑ A community trust.Section 170(b)(1)(A)(vi).(Also complete the Support Schedule in Part IV-A.) 12 © An organization that normally receives:(1)more than 33113%of Its support from contributions,membership fees,and gross receipts from activities related to its charitable,etc.,functions-subject to certain exceptions,and(2)no more than 33 113%of its support from gross investment Income and unrelated business taxable income(less section 511 tax)from businesses acquired by the organization after June 30,1975.See section 509(a)(2).(Also complete the Support Schedule in Part IV-A.) 13 ❑ An organization that is not controlled by any disqualified persons(other than foundation managers)and otherwise meets the requirements of section 509(a)(3).Check the box that describes the type of supporting organization: ❑ Type I ❑ Type it ❑ Type III-Functionally Integrated ❑ Type III-Other Provide the folI owl n information about the suppo,rted organizations. See a e 8 of the instructions. (a) (b) (c) (d) (a) Name(s)of supported organization(s) Employer Type of Is the supported Amount of identification organization organization listed In support number(EIN) (described in lines the supporting 5 through 12 organization's above or IRC governing documents? section) Yes No Total......................................... ........................................................................ 14 n An organization organized and operated to test for public safety.Section 509(a)(4).(See page 8 of the instructions.) Schedule A(Form 990 or 990•EZ)2007 OAA SchedueA Form0590or990-EZ)2007 HOMELESS NOT HOPELESS, INC. 26-0604808 Page :• P:;�)�a��/=�l��Y: Support Schedule(Complete only if you checked a box online 10,11,or 12.)Use cash method of accounting: (rl Note:You may use the worksheet in the instructions for converlinq from the accrual to the cash method of account!n . (;I Calendar year or fiscal year beginning in ► a 2006 b 2005 c 2004 d 2003 a Total 15 Gifts,grants,and contributions received.(Do not include unusual grants,See line 18. r 0 16 Membership fees received...........•.... I 0 17 Gross receipts from admissions,merchandise sold or services performed,or furnishing of facilities in any activity that is related to the t;t or anization's charitable,etc.,purpose 0 0 t't 18 Gross Income from interest,dividends, amounts received from payments on securities loans(section 512(a)(5)),rents,royalties, income from similar sources,and unrelated business taxable income(less section 511 taxes)from businesses acquired by the organization after June 30,1975 .,,•....... 0 19 Net income from unrelated business activities not inctuded in line 18 ............ O 20 Tax revenues levied for the organization's benefit and either paid to it or expended on Its behalf.............................. 0 21 The value of services or facilities furnished to the organization by a governmental unit without charge.Do not include the value of services or facilities generally fumishad to the 0 public without charge .................... 22 Other income.Attach a schedule.Do not Include gain or(loss)from 0 sale of ca ital assets .................... 23 Total of lines 15 through 22 ... .......... 0 24 Line 23 minus line 17 . 25 Enter 1%of line 23• ;;.,;;.::$:<.,%.;.R w::,:,•R•.off::.•.:.: 26 Organizations described on lines 10 or 11: a Enter 2%of amount in column(e),line 24 ► 26a 0 ................. $:iu'2:�•ti�kY�^u:t;Y4`:; b Prepare a list for your records to show the name of and amount contributed by each person(other than a az> c,,, . <^'' >r$<'>•:'::::k;^' governmental unit or publicly supported organization)whose total gifts for 2003 through 2006 exceeded the r :; ,t; :# r':zV.<#.:�Y'.,t;:;:f;:;h?••,:2;:f: amount shown in line 26a.Do not file this list with your return.Enter the total of all these excess amounts ......,, ► 26b c Total support for section 509(a)(1)test:Enter line 24,column(e) ► 26c d Add:Amounts from column(a)for lines: 18 19 "}"^•:i'ri`• ""'`'?° 22 26b ► 26d ........... e Public support(line 26c minus line 26d total) ► 26e f Public support percentage line 26e numerator divided by line 26c denominator ............................. ► 26f % 27 Organizations described on line 12: a For amounts included in lines 15,16,and 17 that were received from a"disqualified person;prepare a list for your records to show the name of,and total amounts received in each year from,each"disqualified person Do not file this list with your return.Enter the sum of such amounts for each year: (2006) ..... 0 (2005) ........................ (20 4) ..........................0 (2003). ....... ......•............0 0 b For any amount included in line 17 that was received from each person(other than"disqualified persons"),prepare a list for your records to show the name of,and amount received for each year,that was more than the larger of(1)the amount on line 25 for the year or(2)$5,000. (Include in the list organizations described in lines 5 through 11 b,as well as individuals.)Do not file this list with your return.After computing the difference between the amount received and the larger amount described in(1)or(2),enter the sum of these differences(the excess amounts)for each year: (2006) 0 (2005) ..•............ .......... (zooa) .........................P. 2003) c Add:'Amounts from column(a)for lines: 15 16 17 7 20 21 ► 27c d Add:Line 27a total and Iine27b total _.......... ► 27d e Public support(line 27c total minus line 27d total) .........................................................•....... ► 27e f Total support for section 509(a)(2)test:Enter amount from line 23,column(a) ► 27f g Public support percentage(line 27e(numerator)divided by line 27f(denominator)) .... ► 27a % h Investment income percentage line 18 column a numerator divided by line 27f denominator .. ► 1 27h % 28 Unusual Grants:For an organization described in line 10,11,or 12 that received any unusual grants during 2003 through 2006, prepare a list for your records to show,for each year,the name of the contributor,the date and amount of the grant,and a brief description of the nature of the grant Do not file this list with your return Do not include these grants in line 15. Schedule A(Form 990 or 990-EZ)2007 DAA 4808HOME 04123/2009 2:00 PM Schedule A(Form 990 or 990-EZ)2007 HOMELESS NOT HOPELESS, INC. 26-0604808 iRage 5 >ParttVr Private School Questionnaire(See page 9 of the instructions.) To be completed ONLY by schools that checked the box on line 6 in Part IV 29 Does the organization have a racially nondiscriminatory policy toward students by statement In its charter,bylaws, NI I Yes:j No other governing instrument,or in a resolution of its governing body?,.... •.. 29 30 Does the organization Include a statement of its racially nondiscriminatory policy toward students in all its <.'.€••#ws;:E s;E(( t? $Y brochures,catalogues,and other written communications with the public dealing with student admissions, programs,and scholarships? ........ 30 e 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students,or during the registration period if it has no solicitation program,in a way "`'`'• zis ! that makes the policy known to all parts of the general community It serves? •..,•..••, .•••,•,•,,•,••.•___,• 31 If"Yes;'please describe;if"No,"please explain.(If you need more space,attach a separate statement.) ............................................... ..••.•................. '''`•.' },.;:.3;`£+'f,:• %E'tit .................................I ^,»n .s .. :•. 32 Does the organization maintain the following: �>s r'"`' Ss f'iriii3#%`EE#i'tai9 a Records indicating the racial composition of the student body,faculty,and administrative staff? 32a b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? ............... c Copies of all catalogues,brochures,announcements,and other written communications to the public dealing with student admissions,programs,and scholarships? ..•,••• 32c d Copies of all material used by the organization or on its behalf to solicit contributions? 32d If you answered"No"to any of the above,please explain, If you need mores ace,attach a separate statement.) ...............•....................,........ ........................................•......... ...............•................•....,................................... is�'"jov'�I''•'.i'•t� :iM 33 Does the organization discriminate by race in any way with respect to: s '°`�x`' a Students'rights or privileges? ... „ ,,,,,,,,,,,,,,,,,,,,,,,,,•........•.............. b Admissions policies? ...............................................6............ 33b c Employment of faculty or administrative staff? ..... 33c d Scholarships or other financial assistance? .... .......................••.•......... 339 e Educational policies? . ......................•..............•............. f Use of facilities? ...............I.......I.......... 33 g Athletic programs? ... .......................................•......................... h Other extracurricular activities? .,•,,,,•,,,,,,,• 33h ............................•........,,.......... ;>:5":L':':o>Z'1> •:%: ; If you answered"Yes"to any of the above,please explain. If you need mores ace,attach a separate statement. k `> i .'l.,• .. ... ............. ............................................................... .•...... ...... '''.ti^^i'r �:;f`k?2<:y''•'r''' • ...............................................................................•.................. •........................ ............................................................................................................................. 34a Does the organization receive any financial aid or assistance from a governmental agency?,,...•...............•,•.,.,..••.,,•,,,, 34a b Has the organization's right to such aid ever been revoked or suspended? .,_•••• •••.............•„••,,,,,,,,,,,,, 34b If you answered"Yes"to either 34a orb,please explain using an attached statement. 35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 'r: 3y` `w `:•`:#Ef'sit'; of Rev.Proc.75-50 1975-2 C.B.587 covering racial nondiscrimination?If"No,"attach an explanation 35 Schedule A(Form 990 or 990-EZ)2007 DAA 480SHOME 04/23/2009 2:00 PM Schedule.A(Form 990or990-EZ)2007 HOMELESS NOT HOPELESS, INC. 26-0604808 iRa_qe 6 Lobbying Expenditures by Electing Public Charities (See page 11 of the instructions.) (1 (To be completed ONLY by an eligible organization that filed Form 5768) - N/A 0 Check 100 a if the organization belongs to an affiliated group. Check ► b if you checked"a"and'limited control"provisions apgly. (a) (b) Limits on Lobbying Expenditures Affiliated group TO beicoZelid totals for at T The term"expenditures"means amounts paid or incurred.) organization 36 Total lobbying expenditures to influence public opinion(grassroots lobbying).................. 36 37 Total lobbying expenditures to influence a legislative body(direct lobbying) ................... 37 i 38 Total lobbying expenditures(add lines 36 and 37)........................... 38 ................ 39 Other exempt purpose expenditures ........................................... ........... . 39 40 Total exempt purpose expenditures(add lines 38 and 39) ............................ . 40 5 W 0 Lobbying nontaxable amount.Enter the amount from the following table- If the amount on line 40 Is- The lobbying nontaxable amount Is- Not over$500,000 20%of the amount on line 40 ............. .......... ......... Over$500.000 but not over$1,000,000 ........ $100,000 plus 15%of the excess over$500,000... Over$1.000,000 but not over$1,500.000 ....... $175,000 plus 10%of the excess over$1,000.000 10, 41 ........... Over$1,500,000 but not over$17,000,000 ...... $225.000 plus 5%of the excess over$1,500,000 iR Over$17,000,000 • $1.000,000 ............................... 42 Grassroots;nontaxable amount(enter 25%of line 41) ....................................... 42 43 Subtract line 42 from line 36.Enter-0-if line 42 is more than line 36 ­­'......... . 3 44 Subtract line 41 from line 38.Enter-0-if line 41 is more than line 38........... .............. 44 Caution:It there is an amount on either 11 re 43 or line 44,you must file Form 4720. 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h)election do not have to complete all of the five columns below. See the Instructions for lines 45 through 50 on page 13 of the instructions.) Lobbying Expenditures During 4-Year Averaging Period Calendar year(or (a) (b) (c) (d) fiscal year beginning In 10, 2007 2006 2005 2004 Total 45 LobbyinQ nontaxable amount........ 46 Lobbying ceiling amount(150%of line 45(e)) ........... 47 Total lobbying expenditures .......... 48 Grassroots;nontaxable amount ...... K:i, 49 Grassroots ceiling amount(150%of R' ............. X line 48(e)) ........... 50 Grassroots lobbying expenditures ... Lobbying Activity by Nonelecting Public Charities For reporting only by organizations that did not complete Part VI-A) (See Dage 14 of the instructions.) N/A During the year,did the organization attempt to influence national,state or local legislation,including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum,through the use of. MIER! a Volunteers ......................................................................................... ...... A , b Paid staff or management(Include compensation In expenses reported on lines c through h.) ................... l"I'll cMedia advertisements ..................................................................................... dMailings to members,legislators,or the public ............................................................... e Publications,or published or broadcast statements........................................................... f Grants to other organizations for lobbying purposes ............­*­......... g Direct contact with legislators,their staffs,government officials,or a legislative body............................ In Rallies,demonstrations,seminars,conventions,speeches,lectures,or any other means........................ ... ......... I Total lobbying expenditures(Add lines c through h.) ......................................................... If"Yes"to any of the above,also attach a statement giving a detailed description of the lobbying activities. Schedule A(Form 990 or 990-EZ)2007 DAA . I 4808HOME 04/23/2009 2:00 PM Schedule A�(Form 990or990-EZ)2007 HOMELESS NOT HOPELESS, INC. 26-0604808 Page7 rl ai't1%.It3<A Information Regarding Transfers To and Transactions and Relationships With Noncharitable 0i Exempt Organizations(See page 14 of the instructions.) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c)of the Code(other than section 501(c)(3)organizations)or in section 527,relating to political organizations? '. a Transfers from the reporting organization to a noncharitable exempt organization of: Yost I No (1) Cash ... (11) Other assets .(it) '' X b Other transactions: t(i) Sales or exchanges of assets with a noncharitable exempt organization .....................•..•., b(l) X (il) Purchases of assets from a noncharitable exempt organization .. .................. b ii S`. X (Ili) Rental of facilities,equipment,or other assets ..... ............................... „•,,,,,,,,,,,,,,,,, ......... b lit X (iv) Reimbursement arrangements b iv X (v) Loans or loan guarantees .................................................... ........................................ b v X (vi) Performance.of services or membership or fundraising solicitallons .,...,,.,..,•,,,,., .. ,,,,., b vi X c Sharing of facilities,equipment,mailing lists,other assets,or paid employees ................•......_.•_......__....,,.,,,,,,. d If the answer to any of the above is'Yes;'complete the following schedule.Column(b)should always show the fair market value of the goods,other assets,or services given by the reporting organization.If the organization received less than fair market value in any transaction or sharing arranclement show in column d the value of the goods.other assets or services received: (a) (b) (c) (d) Line no. Amount Involved Name of noncharitable exempt organization Description of transfers,transactions,and sharing arrangements N/A 52a Is the organization directly or indirectly affiliated with,or related to,one or more tax-exempt organizations described in section 501(c)of the Code(other than section 501(c)(3))or in section 527? .,,,.,,•,,,,,,,,,,,,,,,,,,,,,,,,, ❑ Yes © No', b If"Yes,"complete the following schedule: (a) (b) 110 Name of organization Type of organization Description of relationship N/A Schedule A(Form 990 or 990-EZ)2007 :CO)AA 4808HOME HOMELESS NOT HOPELESS, INC. 4/23/2009 2:00 PM 26-0604808 Federal Statements FYE: 9/30/2008 q, Statement 1 - Form 990, Part II, Line 43 -Other Functional Expenses Total Program Mgt& FundF. Description Expenses Service General Raising EXPENSES $ $ $ $ AUTO 6,170 6, 170 OFFICE 10,085 10, 085 GROCERIES 8, 444 8, 444 HOUSEHOLD SUPPLIES 7,058 7,058 COMMUNITY SERVICE FEES 3,100 3, 100 REIMBURSEMENT 2,178 2, 178 FUNDRAISING 1, 677 1, 677 UTILITIES 6, 609 6, 609 ALL OTHER 5, 153 5, 153 TOTAL $ 50, 474 $ 48,797 $ 0 $ 1, 677 1 r 4806HOME HOMELESS NOT HOPELESS, INC. 4/23/2009 2:00 PM 26-0604808 Federal Statements FYE: 9/30/2008 S" ,1 Statement 2 - Form 990, Part IV, Line 58 -Other Assets Be inning End of Description o Year Year RENT DEPOSIT $ $ 3, 800 TOTAL $ 0 $ 3, 800 Statement 3 -Form 990 Part IV Line 65 -Other Liabilities Beginning End of Description of Year Year CREDIT CARD $ $ 1, 183 PAYROLL TAXES 298 TOTAL $ 0 $ 1, 481 I 2-3 4800HOKAE HOMELESS NOT HOPELESS, INC. 4/23/2009 2:00 PM 26-0604808 Federal Statements FYE: 9/30/2008 c, :a Form 990, Part I, Line lb -Direct Public Support ; Description Cash Noncash Total ;i; CONTRIBUTIONS FROM SCHEDULE B $ 20, 600 $ $ 20,,�,00 TOTAL $ 20, 600 $ 0 $ 20, 5'00 Homeless not Hopeless, Inc. Page 1 of 2 IRA "�f, � �X. 41 .' `vd.x .w�' 'r# NY About Us '" �`�;� � & r"� Projects �#, w X, News and Events � t ; .y y q0 � Financial Pages lk Contact USA ' �- 77­ x VI3. Homeless not Hopeless, Inc is a corporation organized by the homeless and formerly homeless of Cape Cod to assist all suffering in that condition to attain a sustainable, satisfactory lifestyle. We shall pursue this goal in the following ways: • Provide access to the most modern technology and methods possible for pursuing employment, networking, obtaining housing and gaining access to any and all resources specific to client needs. • Provide short-term housing as both a shelter of last resort and in cooperation with other organizations so no individual is left without a reasonable opportunity for shelter. • Provide funding assistance to other like-minded organizations on a case by case basis to facilitate help to our client base and generate good will. http://homelessnothopeless.org/mission.html 3/3/2010 Homeless not Hopeless, Inc. Page 2 of 2 u We shall pursue this goal under the following conditions and guiding principals: • All operations shall be financially and methodologically transparent. Each element must remain a source of corporate pride. • All requests for assistance from our organization shall be given serious consideration. Any such requests will be accommodated with regard to the scope of our mission, corporate principles and available resources. • All endeavors of our organization shall be carried forward with creativity, scrutinized for improvement opportunities and modified to excel in efficiency. In conclusion, let us, as an organization collectively and individually never forget the conditions and experiences that required the formation of Homeless not Hopeless, Inc. http://homelessnothopeless.org/mission.html 3/3/2010 Homeless not Hopeless, Inc. Page 1 of 2 X . r+ 'v^0� About USIlk Projects �w News and Events ? , Financial Pagesfp Contact Us ' � 0 Ui ' t' fi�, kf " +pax.: �,� `*u�. ,#- # ? q v'e R Elise house opened its door's on October 1, 2007, and on November 1, 2007 we had the great fortune of opening the doors to Faith House. Located on the same property as Elise House, Faith house is a 7 bedroom home which once served as a rooming house. Due to the extra large rooms, Faith house is able to house 8 men as well as the house managers. Faith house is so named as a result of a number of local religious communities coming together and raising the monies for us to secure this house. This entire project has been a leap of faith. Our Faith in m God that he would lead us down the right path, The Faith of our local church communities in us to do the right thing, and our residents faith in our community has made all of this possible. http://homelessnothopeless.org/faith.html 3/3/2010 Homeless not Hopeless, Inc. Page 2 of 2 As in Elise House, the men have responsibilities that they are expected to meet. Some of those responsiblities include the payment of community fees to help the house continue to run, household duties so that the house remains in good condition and the showing of respect for each household member. We also expect all of our residents to have goals while they are in our program. Those goals may be financial, housing, or family. We start their stay with us by sitting down and determining each residents' goals and a plan of action to obtain those goals. Weekly progress reports are done to ensure that each resident is doing what they need to in accomplishing their goals. We firmly believe in a small step approach, and as such we take long term.goals and break them down into smaller short term goals that are easier to obtain and raise the resident's self esteem as they see progress towards each goal being reached. http://homelessnothopeless.org/faith.html 3/3/2010 Homeless not Hopeless Page 1 of 1 Homeless not Hopeless Contact Information Office 508-957-2334 Fax 508-957-2335 Mailing Address 310 Ocean St. Hyannis MA 02601 E-Mail Dianne Kaufman—Secretary dkaufmanna,homelessnothopeless.org Bill Bishop—President bbishop)a,homelessnothopeless.org http://homelessnothopeless.org/Office.htm 3/3/2010 JIomeless not Hopeless, Inc. �r Page 1 of 2 bnt ')Q4V_ hU0(_� 31 6 U.�x� >~ ' 9.4.,E d R About Us r" � � E 9 Projects s � News and Events _ ' Financial Pages Contact Us ems: � s �� € Y 3 f It was our great fortune to secure our first program home. This home is a 5 bedroom, historic Cape house located on Ocean St. Within walking distance of town, the hospital, the docks and the beach, this awsome location offers the women who join our program the ability to access services with ease as well as enjoy some of what makes Cape Cod so wonderful. We could not, however, have accomplished this feat if it weren't for a wonderful lady who generously donated the monies needed to secure this leased property, and an awsome property manager who listened to our dream. These two women gave our first five women real hope. We are so very proud to say that out of our first five women, two of them have sucessfully transitioned into independent housing, and another is employed with 2 part time jobs and is getting married in September. We have put together a working model for this program that entails some structure that is lost when an individual http://homelessnothopeless.org/elise.html 3/3/2010 .,Homeless not Hopeless, Inc. Page 2 of 2 experiences homelessness. Our goal is to provide these women with a sense of freedom, while at the same time encouraging responsibility. Some of those responsiblities include the payment of community fees to help the house continue to run, household chores so that the house remains in good condition and the showing of respect for each household member. Case management is offered to each of the ladies through our social work intern's, should they desire this service. Cable,telephone and internet access are also available to each of the ladies at Elise house. We also offer basic computer training for those who have no computer knowledge, basic life skills help (budgeting, cooking, balancing a check book and such) for those who are in need. Each room is fully furnished for the ladies, and we try to provide all basic needs. Towels, linens, pillows, basic toiletries, cleaning supplies, Laundry soap, bleach and basic food items are just some of the things that we provide and donations of such are always needed. Should anyone wish to donate any of the above items, please call our office at 508-957-2334. http://homelessnothopeless.org/elise.html 3/3/2010 Page 1 of 3 IR s »- � Ti 21 r a rt hX Jf spp.. 3 ,`� �g :s'r 3 �'�fl h,3' ;: J �,n M-��X•�, �,S'b A�.fl!"� .5` ' 0 +y: r vf '+.b 'xp.4.'4 R" �✓ '�J -r$x (�E P 11- 01 Aw Board of Directors William Bishop President/CEO Director of Outreach Services Billy was born and raised on Cape Cod. He was a commercial fisherman for most of his life. "Most people never get the chance to work at what they love. If I had never gotten paid, I still would have been a fisherman." Billy ended up on the streets and in the homeless camps due to alcoholism. The disease is one that is frequently found among the homeless on Cape Cod. Billy was able to obtain recovery through the Pilot House program. To date he is often found at the Pilot House, helping those who are struggling to overcome this addiction. If he isn't there, he can often be found at the Sunny Side Restaurant where he looks for those who have not been seen. He has truly become the eyes and ears for many service providers on Cape Cod. Diane Kaufman Nutrition Director Clerk Besides having experienced homelessness herself, Dianne has been involved with the homeless community in several capacities over the years. She was employed with the Salvation Army as the head of the http://homelessnothopeless.org/who.htm 3/3/2010 Page 2 of 3 soup kitchen and volunteers at the Calvary Baptist Church evening meals. Currently she is dedicating her time in the office, organizing records and assisting with the payment of bills. She has been given several awards for her volunteer work. Deacon Dick Murphy Treasurer Dick was Chaplain at Barnstable County House of Correction for nearly 20 years. Many of our Homeless brothers and sisters have been } incarcerated and having no place to go when they get out of jail tend to relapse and return to jail. Treating people with respect and providing a safe and warm place to live is the answer to homelessness and reducing our County's recidivism rate Janet Daly Director Janet is a very talented and energetic woman who offers her many years of experience in public housing and business to help serve our formerly homeless brothers and sisters. She is working hard to organize the accounting process and office administration. Jennifer Smith Director Jennifer is a captain with the Eastham fire department. She spends much of her free time in the political arena, advocating for human rights. She can often be found gathering blankets for NOAH shelter, talking with state representatives, or working on political campaigns. If that wasn't enough, Jennifer is also a single mom of 4. Terance P Noonan Director of Legal Services Terance is a labor lawyer in the Boston region. A partner in the law firm of Noonan and Noonan, Terance does an imense amount of advocacy work and sits on the Needham housing board. It is not uncommon to see Terance in the Barnstable District Courts, attending to Pro Bono Cases R for homeless and poverty stricken individuals. As if his life wasn't busy enough, Terance spends most weekends taking his daughter to hockey practice and games across the region. I http://homelessnothopeless.org/who.htm 3/3/2010 Town of Barnstable Building Department ComplainVInquiry Report Date La2j Rec'd by: C � Y ?�` Assessor's No.: Complaint Name: Location ? Address: J �01 � NV C40cd N P Originator NwnePz9,&,—L Street: 310 O ML .N Village: n1 S State: Zip: Telephone: D/E Complaint escriP tion: (l 1 mmovm Inquiry 0 Description: For Oi ce Use Only Inspector's Action/Comments Date: Inspector: �- S Follow-up t �3 Action - `► `'` �z- Co 0 Additional Info. Attached Copy Distribution. White-Depa=ent File I eUow-Inspector Pink-Inspector(Return to Office Manager) �tME 11, The Town of Barnstable • snxrrsrnBie, • 9� MAS& ' Department of Health, Safety and Environmental Services ArEDntv't°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 22, 1998 Re: 310-314 Ocean Street, Hyannis To Whom It May Concern: An inspection was completed at the request of the owner of the above address and the following changes are needed in order to use the structure as requested: 1. Two means of egress from both upstairs rooms. The lack of these second- floor second exits is illegal even for an inn or B&B as was the last use. 2. Handicapped entry. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn g980622b Pa Nan HAIRPRODUCTS FOR MEN Third Street Ca Cambridge, ( -Massachusetts 02141 L1 Cable Address "Paron„ Sworn and subscrl6ea before me on tFi.is.. 5t6: days ofDecember Q. 1988, Lynn E, Belanger Atlanta Notary\ Publ is Boston M,, Comm 'ssi'on-expires on 9/23/94 Dallas " .Hartford Milwaukee - =- December 12 , 1988 Town of Barnstable Building Inspector This is to verify that I will be renting three (3) rooms to three (3) individual tenants in my home, on 314 Ocean Street, Hyannis , MA. Building Permit# 1728 Sincerely, Joseph V. Bianco Ann Billingsley Solans, Notary Public, MA. o O w TOWN OF BARNSTABLE = - �`- LVjCJ „ ' ` tCD - Zoning Board of Appeals 5 o Raymond & Phyllis Paron �......_.....__.__ .__.....__._..__.�_.... __._._... __.__. ..._.... .........__.... Deed duly recorded in the Pro eriv Ovaner � � P c Ll- County Registry of Deeds in Book o U- Same r' e�_........ __._..__.._ _. _ ......................_____.._..._._.. Page _.......---..._.------- _._.._.......CD v -� Petitioner Uj U er Z District of the Land Court Certificate No. ......_._...._....... _.._.................. Book ......_ ._.. __. Page __.._.._._. Appeal No. _..__._1986-92_ 19 FACTS and DECISION Petitioner __Raymond_ &_Phyllis Paron _ filed petition on .OctoberM15, 1986 requesting a variance-permit for premises at an Street in the village ___......._........................._....................._. _._ (street) Of adjoining premises of (see attached list) Locus under consideration: Barnstable Assessor's Map no. ._..._....._.._325. .. lot no. Petition for Special Permit:: ❑ Application for Variance: ❑ made under Sec. .__._ ..... ..___ _. _ .__...._.... of the Town of Barnstable Zoning by-laws and Sec. ....._..._............................_.........._......................................_............._...... Chapter 40A.. Mass. Gen. Laws Variance from intensity regulations to allow parcel to be forthe purpose of _ ...._ ____ _____ .___.......�................._.............._......_._...._...__................._........._._.............. _ _...._.___ ..._ . _... subdivided to create two separate lots. _... ......_........_...... _ __..._....__.._.._. ___....__. RB Locusis presently zoned in._. _ _...._ ..._ , _._....._ _... _ _..__....__........_..................................._................_.........._._._......... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was iield at the Town 7:45 XXXX October 23, 86 _ Office Building, Hyannis. Mass., at ­.­­..A.M. P.M. ._.................._......_.._...._........._.._ 19 upon said petition under zoning b.•-laws. Present at the hearing were the following members: Richard L. Boy Gail Nightingale Ronald Jansson ............__........ _.._.._....___....._ _...�.._.__.___............._........._._....._ ... ................................................................... Chairman ._. , Luke P. Lally James McGrath At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus wk ,=sade by the Board. Appeal No._ ._1.986-92 ........_.._.....__..._...__... Page ............ of _....... November 20, On __ _ _ _ _......._.__._ .._. .__._...... 19 86._..___. The Board of Appeals fo.und Attorney Charles McLaughlin represented the petitioner who is requesting relief for the property indicated on Map 325, Lot 52 at 310 Ocean street, Hyannis in an RB zoning district for a lot consisting of 34,405 square feet. In June 1986 the petitioners had a Plan prepared dividing the parcel into two lots as indicated on said Plan submitted with the filing. Each lot contains a single-family dwelling whi7'h'were constructed prior to .the enactment of sub- division control in the Town. The subject dwellings were constructed in 1907 and 1920 and each contain separate sleeping quarters, kitchens, living quarters and both are serviced by separate septic systems. The dwellings are both occupied for residential purposes, and there is no intent to add to the existing footprint. In addition, there is another structure to the rear of the property which will not be used. There has been no intent to abandon the use of the property. Gail Nightingale made the finding that because of the placement of the houses, sideline requirements do not comply, therefore, variance conditions do exist. Further finding that this would not be substantially detrimental due to the fact that the uses already exist. Gail Nightingale moved to grant the special permit and variance with the restriction that the use of the buildings will remain the same, the rear building to be .for family use, the front building to be for three (3) renters, plus family use, and the storage building will not be used as living quarters - the motion was seconded by James McGrath. Luke Lally, Richard Boy, Gail Nightingale and James McGrath voted to grant the relief sought- Ron Jansson abstained from voting. The Petition is granted in accordance with the Plan presented at the filing. I, U N F CA_�Oan! ___ SS'7' Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its.decision in the .above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this 3d _.... da.: of ....................... .� Penalties of perjury. 19 ... der�hpains�and Distribution:— PropertyOwner .............................................._..........................................................................-._.......... Torn Clerk B•)ard of Appeals _applicant _Town of e Persons interested " Building Inspector `. . Public Information __..._..._ _. _.._ ................................_...... .... Board of Appeals Chairman A. W. BEARSE 353 OCEAN STREET HYANNIS, MASSACHUSETTS 02601 :ta�-L)p .� � -4-0 oe AeZ +�= �� �; (� i � �. U I'`- - -.-- -- -- ,,.,, Assessor's map and lot number �1325 , -.Lot#.52 /a©-82. , �E t0� T Sewage Permit, number `.Must connect to, town sewer SEPTIC SYSTEM MUSE INSTALLED IN COMPLI JAHBSTADLE, House number 310A Ocean StreetW9 rAea W i TITLE 5 40 639 s ENWONMENTAL CC TOWN- OF BARNSTAMPLE' rt R:U.11.1) ING , INSPECTOR APPLICATION FOR PERMIT TO .,,,ReQair fire damage to existing building .......... TYPE OF CONSTRUCTION ............. ..........Wood Frame. . t ..... ..... ................................................................................................ ........19..Januar�'..............19..g 2. TO THE INSPECTOR OF BUILDINGS: y The undersigned hereby applies for a permit according to the following information: Location ....................3..10A..Oc.V-ar...S.tnp,Pt......Hy.3xit?ia.,.Mass....,....026.01 026.01............................................................ . Residential ProposedUse ................................................................... ................................................................................... .............. RB H annis ZoningDistrict ........................................................................Fire District .....X..................................................................... Name of Owner Raymond M. Paron 310 Ocean Street ................................................................Address .................................................................................... Nameof Builder. ....................................................................Address ..............................................:.. .................. .............. Nameof Architect .1N��...........................................................Address ............................:....................................................... Number of Rooms .5..................................7...........................Foundation • Brick Exierior ....................Sh.ing.l.e.,w.o.o.d.............................'....Roofng ........A h.al.t ............................................................. ....... .. .. . . .. .. Carpet, .............•.Interior Drywall Floors ................................................................... Gas/Elec. PVC.. ................Plumbing Fireplace .................1...............................................................Approximate Cost ... 20:s.Q.Q.Q................ .......:.....................: Definitive Plan Approved by Planning Board ________________________________19________. Area Diagram of Lot and Building with Dimensions Fee � . SUBJECT TO APPROVAL OF BOARD OF HEALTH f Town sewer connection is available\ 2/9 , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations ofIthe -To of Barnstable regarding the above construction. Name G r ... ................... - .............. and M. Paron PyARON, RAYMOND M. ' No 23766 •• Permit for ... �A R..F.IRE...DAIaAGE Sin le F ......�:.......... M i-I Y...Dw-al.L in g............. 310A Ocean Street Location ........ .. ..................Hyannis .......................................... iP Owner ...Ray1llRXld...M....Raxcan....:.............. Type of Construction .........F.hr:Me..................... ] j ............................................................................... i i Plot ......... Lot ................................ Permit Granted ....January 2.., 19 g 2 Date of Inspection ....................................19 ; Date Completed .f b...:' .................19 1 1 f a St Assessor's map and lot number 3 2... Lit; 5.. Q�oF THE tO�y Sewage Permit number TList Connect. .... to town .sewer . . Z EARN TABLE, i House number 3.IOA..Gcean...S.tree 90 rues .. .. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ep.air" f ire damage to exist .ng. bu la na................. TYPE OF CONSTRUCTION ............ ood Frame .....................:......................................................................................... ........19 January 19..$2. ...... ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 310A..ocean. StxaPt . N�s�x�n� c A4a�s t?'? 17..................... Proposed Use Residential ............ .............................................................................................................................................................. Zoning District RB...........................................................Fire District ..Hyannis Name of Owner .....RaylriOnd M.. Paron „Address 3I0 Ocean Street ............................ .................................................................................... rr ,r Nameof Builder• ....................................................................Address .................................................................................... Nameof Architect .N/A.........................................................Address .................................................................................... Number of Rooms 5 ......Fo.undation Brick . .... .................................................... Shingle,wodd ...Roofing As halt Exlerior ........................... .................................................... ........................................................................... Carpet, .........................................Interior vwall Floors ................... Dr....................................................................... ....................... Gas/Elec. PVC Heating ..................................................................................Plumbing .................................................................................. Fireplace i Approximate Cosh QQ� . ...... ..... ............... ' t /t Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..C����}I;E ................... . . . .......... Diagram of Lot and Building with Dimensions Fee ............................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Town sewer tennection is available�� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name/.... _ �_ ... ................................................................ ' ,'k6 mond M. Paron PARON, RAYMOND M. A=325-52 50,Z-1 - 23766 Repair Fire barrage No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location . 310 Oc.ean. ...Street. . . . ................ .. .... .. .. .... .. .. Hyannis ............................................................................... Owner .....Ra.ymond. ...M......Paron..... .......... .. .. . ....... ........................ Type of Construction .......Frame................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .. January 20, 19 82 Date of Inspection ....................................19 Date Completed ......................................19 la0 / MA l to N m, 200808135610 Date: 02/04/2008 4 04 PM he ommonwealth of Massachusetts Miniminm Fee:$>is.00 William Francis Galvin y _ Secretary of the Commonwealth - - �E �` One Ashburton Place,Boston,Massachusetts 02108-1512 Telephoner(617)727-9640 �tr J, ® c • E. t. I Federal Employer Identification Number.260604808(must be 9 digits) 1. We,MARY ANN HAKENSON _President X vice President, i J'and DIANNE F KAUFMAN X Clerk _Assistant Clerk, of HOMELESS NOT HOPELESS INC. located at 310 OCEAN ST HYANNIS,MA 02601 USA do hereby certify that these Articles of Amendment affecting articles numbered: i is [ —Article 1 X Article 2 X Article 3 _ Article 4 (Select those articees 1, 2,3, and/or 4 that are being amended) €1 of the Articles of Organization were duty adopted at a meeting held on 2/4/2008,by vote of 0 members, 5 directors, or shareholders, - ;s. being at least two-thirds of its membersJdinectors legally qualified to e9 h q vote in meetings of the cor poration 9 rpo on(or, in the case of a corporation having capital stock,by the holders of at least two thirds of the capital stock having the right to vote l therein): . ;L) ARTICLE The exact name of the corporation, as amended, is: (Do not state Article l if it has not been amended.) HOMELESS NOT HOPELESS INC. IT iI i ARTICLE II IA The pure of the corporation, as amended,is to engage inthe following business activities: I (Do not state Article 11 if it has not been amended) 11 HOMELESS NOT HOPELESS INC IS A CORPORATION ORGANIZED BY THE HOMEL FORMERLY HOMELESS TO ASSIST ALL SUFFERING IN THAT CONDITION TO ATTAIN A SUSTAINABLE,SATISFACTORY LIFESTYLE SAID ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE RELIGIOUS ° DNCOND SCIENTIFIC PURPOSES INCLUDING FOR SUCH PURPOSES THE MAKING. OF DISTRIBUTIONS TO ORGANIZATIONS THAT UALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3)OF THE INTERNAL REVENGE CODE OR THE CORRESPONDING 1 SECTION OF ANY FUTURE FEDERAL TAX CODE. WE SHALL PURSUE THIS GOAL IN THE FOLLOWING WAYS: d CCESS,Tfl1 �vj@S, METH DP(?SSIBLE�FORPURSINCEMP (=YMENI"�TWORKINBTAIlVING HOUSING ANDG ACCESS TO ANY AND ALL RESOURCES SPECIFIC TO CLIENT NEEDS. �'Ry'a it Homeless not Hopeless Inca (HnH) 310 Ocean St. Hyannis MA 02601 508-957-2334 November 24, 2010 Our Mission Educate and advocate for the needs of the Homeless Community. Help Homeless Men and Women get off the street by providing food and shelter. Train them to deal with medical, psychological, spiritual and addiction issues. Help them to connect with available resources. Urge those who are capable to find employment or volunteer their time. Facilitate acquistion of financial assistance for residents. Teach goal setting, occupational and life skills that will lead to independent living. How it Works Bill Bishop our President who lives at "HnH" is a formerly homeless man and spends part of each day reaching out to the homeless community. He is the point of contact along with Dianne Kaufman our clerk. People apply directly or are referred from Duffy Health or other programs. An interview is arranged which is conducted by Bill Bishop, Dianne and the appropriate male or female House Manager. Once accepted into our family a contract is`signed so that the new resident understands what is expected of him/her and depending on the person special conditions are specified, I.e.: X amount of AA meetings/week, Physical check up within X weeks, Medication to be supervised by House Manager, etc.,etc. Most men and women coming in off the street need medical attention so an appointment is made at Duffy Health. Urine Screens for Drug and/or alcohol are required before anyone comes into the and are administered on a random program basis thereafter. Releases for medical information are required so that we know first hand what medical and/or physiological issues that need to be dealt with. A period of rest, usually a couple of weeks is allowed, living on the streets tires people out. Each resident is encouraged to go to work or volunteer their time. A strong emphasis is put on cleanliness all members are assigned specific chores and are held accountable. We are teaching pride in one's self and pride in their home. Personal areas must be kept clean and neat as well as personal hygiene. As most do not drive, transportation is provided for Doctors appointment, Recovery meetings, etc. Each man or woman depending on their skills is taught basic computer usage, how to manage savings and checking, how to plan, shop with coupons and cook meals. Maintaining a personal calendar for Doctor Visits etc. Is a new habit for most of our newcomers. Weekly community meetings deal with basic social skills and interpersonal relationships. Sometimes something as simple as setting the dinner table can be become a very teachable moment or asking another what TV channel they want to watch Often times a mentor is assigned to a particular man or woman who is having a hard time adjusting to community life. Mentoring provides our stronger residents with the responsibility of being a big brother/sister, a teacher, which is a good thing for them as well a social worker visits each week I and is available 24/7 to deal with crisis situations. He sits in on weekly resident's community meetings as well as the House Managers meeting. A Registered Nurse visits on a regular basis who provides care and recommendations to residents with special medical needs. At the House Managers meeting each resident is evaluated on their progress and problem areas noted. Sometimes resolution of a problem is simply bringing it to that person's attention, other times it requires intervention by Bill Bishop or our social worker. In some cases they may be referred for professional evaluation. Anyone who is suspected of using drugs or alcohol is given a urine screen and if the test is positive they are referred to alcohol/drug detox program. Their bed will be held for 30 days and if longer term treatment is required they will be placed at the top of the waiting list once their program is completed. Emphasis in both situations is on "Completed". Residents once stabilized are encouraged to move on to their own housing yet there is no time limit set for them to stay at HnH. They are free to leave at any time as this is not a locked facility. At present we have three people who will probably stay with us for an indefinite period as they are very limited. All of our residents have to be able to take care of their personal needs. Residents pay community fees of$425 for the men who share a room and women who have single rooms pay $450. In addition each resident contributes $100 to defray the cost of food/utilities. In this way the program is self sustaining and provides a sense of ownership to the HnH family members. The payment of the community fees and fees for food and utilities prepares residents to understand how to budget and plan their finances in the present but also for the time when they may choose to find their own apartment or return to their families. Our focus on personal responsibility, shared chores and becoming part of a family supervised by formerly homeless men and women has resulted in an 85% success rate over the three years of HnH's existence. Our program is well respected by the other human service programs as we have Become a valuable resource for getting the homeless out of the shelter and off the streets. Town of Barnstable °F1HE I, Barnstable OFFICE OF TOWN ATTORNEY Al!-AmerisaCity + sn LE,MASS. * 367 Main Street , D / 1 a`�� Hyannis MA 02601-3907 FD MA't 2007 RUTH J.WEIL,Town Attorney Tel.#: 508-862-4620 T. DAVID HOUGHTON, 151 Assistant Town Attorney Fax#: 508-862-4724 CHARLES S. McLAUGHLIN,Jr.,Assistant Town Attorney CLAIRE R. GRIFFEN, Paralegal/Legal Assistant PAMELA D. GORDON, Legal Clerk CD Inter-office Memorandum °Dy, To: Tom Perry, Building Commissioner `' p From: Ruth J. Weil, Town Attorney 'Jw� Date: December 22, 2010 Subject: Homeless Not Helpless Inc. Our File Ref: 2010-0321 Joe Reardon dropped off the enclosed materials pertaining to Homeless Not Helpless. Please call me. Thank you. RJW:pg Encl. 20100321 perry memo HNH documents from J Reardon.doc F HYANNIS YACHT CLUB 490 Ocean Street•Hyannis,Massachusetts 02601 •(508)778-6100•FAX(508)778-6811 i October 8,2010 To: Whom it may concern From: Wes Richardson Re: Homeless Not Helpless Dear Sir: For the past several years Homeless Not Helpless has been a tenant in two houses owned by the Hyannis Yacht Club.They have been model tenants keeping the property clean and well maintained. Actually they've worked hard to improve the. Additionally they have never been late with rent payments. The people at Homeless Not Helpless have been good neighbors and good citizens as we have had no complaints from adjoining property owners. Sinc rely, es Richardson General Manager Hyannis Yacht Club Homeless not Hopeless Inc. (HnH) 310 Ocean St. Hyannis MA 02601 508-957-2334 November 23, 2010 Our Mission Educate and advocate for the needs of the Homeless Community. Help Homeless Men and Women get off the street by providing food and shelter. Train them to deal with medical,psychological,spiritual and addiction issues. Help them to connect with available resources. Urge those who are capable to find employment or volunteer their time. Facilitate acquistion of financial assistance for residents. Teach goal setting,occupational and life skills that will lead to independent living. How it Works Bill Bishop, our president who lives at"HnH", is a formerly homeless man. He spends part of each day reaching out to the homeless community. He is the point of contact along with Dianne Kaufman, our clerk. People apply directly or are referred from Duffy Health or other programs. An interview is arranged which is conducted by Bill Bishop, Dianne and the appropriate male or female house manager. Once accepted into our family a contract is signed so that the new resident understands what is expected of him/her and depending on the person, special conditions are specified, i.e.: X amount of AA meetings/week, physical check up within X weeks, medication to be supervised by House Manager, etc., etc. Most men and women coming in off the street need medical attention, so an appointment is made at Duffy Health. Urine screens for drug and/or alcohol are required before anyone comes into the program and they are administered on a random basis thereafter. Releases for medical information are required so that we know first hand what medical and/or physiological issues that need to be dealt with. A period of rest,usually a couple of weeks is allowed; living on the streets wears people out. Each resident is encouraged to go to work or volunteer their time. A strong emphasis is put on cleanliness. All members are assigned specific chores around the house and are held accountable. We are teaching pride in themselves and pride in their home. Personal areas must be kept clean and neat as well as personal hygiene. As most do not drive, transportation is provided for doctors' appointment, recovery meetings, etc. Each man or woman depending on their skills is taught basic computer usage, how to manage savings and checking, how to plan grocery lists, shop with coupons and cook I ♦' f r`wi,, w meals. Maintaining a personal calendar for doctor visits etc. is a new habit for most of our newcomers. Weekly community meetings deal with basic social skills and interpersonal relationships. Sometimes something as simple as setting the dinner table can be become a very teachable moment or asking another what channel they want to watch. Often times a mentor is assigned to a particular man or woman who is having a hard time adjusting to community life. A social worker visits each week and sits in on the weekly residents' community meetings as well as the house managers' meeting. At the house managers' meeting, each resident is evaluated on their progress and problem areas noted. Sometimes resolution of a problem is simply bringing it to that person's attention; other times it requires intervention by Bill Bishop or our social worker. In some cases, residents may be referred for professional evaluation. Anyone who is suspected of using drugs or alcohol is given a urine screen and if positive is referred to alcohol/drug detox program. Their bed will be held for 30 days and if longer-term treatment is required they will be placed at the top of the waiting list once their program is completed. Emphasis in both situations is on"completed". Residents once stabilized are encouraged to move on to their own housing, yet there is no time limit set for them to stay at HnH. They are free to leave at any time as this is not a locked facility. At present, we have three people who will probably stay with us for an indefinite period as they are very limited physically and congregate living is very helpful to them. All of our residents, however, have to be able to take care of their personal needs and contribute to the welfare and running of the house. Residents pay community fees of$425 for the men who share a room in the Faith House with another and women who have single rooms in the Elise House and pay $450. Each resident contributes $100 for food/utilities. Thus the rent/mortgage payments and most utilities are paid for by the residents. We provide a safe, sober, supportive environment for the residents to become responsible members of the community. The payment of the community fees, and fees for food and utilities prepares residents to understand how to budget and plan their finances in the present but also for the time when they may choose to find their own apartment or return to their families. Our focus on personal responsibility, shared chores and becoming part of a family supervised by formerly homeless men and women has resulted in an 85% success rate over the three years of HnH's existence. Richard Murphy, Treasurer '1\ V I'� O 1 { .- -.� r , Et t 1 Homeless not Hopeless, Inc. Residential Application/intake Form This form is to be filled out by one or more of the following Program Director, House Manager and/or Case Manager._ Name: Source of Referral: Contact Phone(personal cell phone preferred) Income Current source of income: Amount: Does Client Receive Food Stamps? Yes No If yes, amount: Does Client Receive EAEDC? Yes 'r No If no, does client qualify for EAEDC? Yes No Does Client Receive SSDI and/or SSI? Yes No R If no, has client applied? Yes No If no, does client have a disability that would qualify him/her for SSDI or SSI? Yes No Medical History Current health insurance.._ ( obtain a copy of current.insurance cardls) Primary Care Physician: ` Address: `Phone Number: List of current medications:' f Medical Diagnosis: Psychiatric Diagnosis: Supportive Services Psychiatric Services Psychiatrist name: Address: Phone Number: Therapist name: Address: Phone Number: Is client involved with Vin/Fen? Yes No If yes, case managers name: Is client involved with DMH? Yes No If yes, case managers name: Housinct Is client currently working.with Greg Bar or any other housing specialist? Yes No If yes, and not Greg Bar, housing specialist name and agency: Employment Is client currently employed? Yes No If yes, employers name: Employer's address:' Employer's phone: If no, is client capable of working? Yes No If yes, is client currently working with Carolanne Gillard? Yes No Addiction and Recovery + Does client suffer from a drug and/or alcohol addiction? Yes No If yes, clients sobriety date: Does Client attend recovery meetings on a regular basis? Yes No Does Client have a sponsor? Yes No If yes, Sponsor's name: Phone: Clients Drug of Choice: Clients plan to maintain sobriety: Clients trigger's(places, stressors that could cause client to relapse): Legal Does client have a criminal history? Yes No If yes, what charges? If yes, is client currently on probation or parole? Yes No If yes, client's probation or parole officer. What court jurisdiction? Phone number: Is client dealing with any other legal issues? (Child custody, law suits, etc.) Yes No f Does client have legal services? Yes No If yes, Lawyers name: Address: Phone: Fax: Other Does client have a valid Massachusetts ID? Yes No(If yes, obtain a copy) Does client have a birth certificate? Yes No Does client have a social security card? Yes No(If yes, obtain a copy) Does client have a vehicle? Yes No(If yes, obtain a copy of registration) Emergency contact information Name Relationship Phone Number { { I understand that my answers on this application are pertinent to my obtaining housing with Homeless not Hopeless, Inc. I understand that if it is found that I have not been truthful about any of my answers that my application will automatically be denied and I will have no recourse. I also understand that this application is confidential and all of the material herein will become a permanent part of my file. Only approved members of the staff will have access to this information. Client Signature Date Staff Signature and title Date Form No.1000 Revised 5l4l2008 Authorization for Release of Information the undersigned,hereby authorize , to release and provide to: Homeless not Hopeless, Inc. 310 Ocean St Hyannis,MA 02601 Fax: (508)957-2335 Phone: (508)957-2334 copies of documents and information as may be listed below. I acknowledge that I understand the purpose of the request and that authorization is hereby granted voluntarily. i Name(Last, First,Middle): Address: -Phone: �_1 : Requested Information or Documents: [] Information Regarding Case [] Information Regarding Food Stamps [ ] Information Regarding Housing [j Information Regarding CounselingiTherapy [� Other(,Please explain in detail): ?MOTE: I understand that this release is validev oke this aof one u dyed andorizn atenty time (120)days. I further understand that I may cancel or in writing. Dated this_.day of By my signature below,I consent to the release of the above listed information documents. Printed Name. Signature: f Homeless not Hopeless, Inc. Drug/Alcohol Testing Policy I understand that Homeless not Hopeless, Inc. has a zero tolerance drug and alcohol policy and that I may be required to give a random urine sample at any time for purposes of screening for drugs and/or alcohol. 1 also understand that if I should get a positive result on my drug and/or alcohol screen and there are no, medications on my intake form that could potentially cause a positive, I will be immediately discharged from the program and asked to leave the premises. Per the house agreement, 1 understand that 1 have 48 hours in which to return and collect my belongings. 1 understand that if I refuse to vacate the premises immediately,that the Barnstable Police will be called in to escort me from the premises. It is further understood that should I refuse,at any time,to submit a urine sample or refuse to sign the authorization for such,that my refusal will be considered an automatic positive and I will be asked to leave immediately. Resident Signature Date Staff Signature Date Forth 1020 Last Revision 05/02/2008 HOB i�ot H�o�eless R,esaden id HousingAnew 1.) l will respect others as unique human bugs and try therm as 1 want to be 0 IMId. No physical or verbal aggression or intentional damage to the property d others will be tolenMed.Verbal abuse kncludw name calling,humniatlon,vulgar la ngusp or gnats of any kind. 2.) 1 agree that 1 sham not invite a member of the OPPOs a sex Into my room at any time with the exvepdOn of house managers,case maw or designated other. . 3.) 1 agree to Mrs free from alcohol.M8981 drags,weapons,del Pictures,miding materials or pornography. 4.) 1 agree to report:any,and all ff"KKCBMM I am taking as won as any changes in mods or dosages while I am here.1 also agree tD use needs as pry.Any prescription that is deemed a controlled substance whn be monitored by a house manager and narcotic drugs may be required to be locked in the oiflice. If I demonstrate a problem with my meta,I may be reQiared to take them in the Pie of a house 5.) 1 understand that storage spaces and rooms may be searched if protection and secu y are-in question. I understand that I am responsible for my personal belongings and w hannheae Homeless not Hopeless and its house nark for any PAY damaged or missrng. I furthrer understand that any PeMal property left on the premises 48 hours after Mang the program, win be considered abandoned and will be disposed of as staff sees fit. 6.) 1 understand that t am required to ftbrrn house manes any time 1 will be off the premhM ovemight area when i will retail. 7.) 1 understand OW a campus wide°quiff time'has been wed and that kwd music, hAwisions,running of moshirg rnaduree,running of dryer,art running of dishwasher IS not alb between the hours of 10:00pm and 5:00am Sunday thm Thursday and 12:Wam-5:00arn Friday and Saturday. 8.) 1 understand tat the only place indoors I'm to smoke is the smotdrng room at Faun Howe. if I dxxm to srnok+e cigm or pipes.I understand that on must been done outside only. Smoking in any OHM area indoors in either house can result in ingratiate termination. 9.} l understand that there are daily chores a n gned ID each runt which Includes cooking for the house. I urvtsrnd that my responsibiffitiserrAffit be completed by 9-Wpm e00 nigM.if I have any questions as to what my chore for the week enaig,I understand that two is a written description posted on the M*Owa or of each!rouse and if 1 e0 h8ft gn>es OM I can ask a house manager. I further agree that I win keep my personal areas neat sued orderly at all times. I understand trot the house mks,at thetr disareton,will conduct room docks to ensure that all rooms are in appropriate coriditlon• 10.) 1 understand that there is a mandatory weekly house conducted each week and the only&*iwable excuse for musing this meeting win be prior'approval for atbendenoe at a recovery miming,work or Mass. 11.) 1 agree to seek outside counsMing if deemed necessary by Billy 12.) 1 agred to actively psrbc4xft in the compkaon of my whet and long term goals- I ur and the E1lse and RM Homers are designed to asset me towards independent housing. pop I of L Resident Sire ` l O w SL � - rp bi' a AL rr aft Cl g w S C36 y r I i 1 1 1 c _ n Homeless not Hopeless, Inc. Education Program Process for Resident's arrival date ❑ Provide room & bed, bedding and other necessities on arrival. ❑ Introduce resident to room mate, if any, fellow residents and provide him/her with the phone number, mailing address and other info necessary for family or others to reach the resident. ❑ Show them around the house so they are familiar with bathroom - facilities, washer& dryer, kitchen set up. Explains the chore system and congregate food buying so he/she will know what to expect. ❑ House Manager should observe what special needs may be required; how well the resident fits into the community and provide support and encouragement where needed. Ongoing problems are to be discussed with Program Director and President, if need be. ❑ Dianne should ascertain how the resident will be paying his/her community fees and explain how and when they are due each month. Special terms may be worked out with President's permission when a new resident is just setting up financial arrangements or settling into a new job. ❑ Dianne should work with the resident to see'that all the benefits he/she is entitled to are secured. She should also assist in teaching them ways to respond to necessary benefit paperwork and advise how to obtain necessary documents etc. ❑ House manager should ascertain caliber of life skills of each new resident in terms of personal hygiene, doing laundry, keeping room and common areas neat and clean, sharing in the community. Where needed, instructions and advice on how to achieve the level acceptable in our community may be required from the House Manager or Program Director. ❑ Provide the resident with the know-how to open a bank account to budget his funds for food/utility & community fees, as well as saving for clothing and other necessities. ❑ Have Bob McGillveary work,with residents so that they have basic skills to use the internet to fill out on-line job applications and other forms as well as send and receive E-Mail ❑ Instruct the resident how to keep information concerning medicines and Doctors appointments, support meetings and to and from work and wherever else that is needed to help them attain their goals and objectives. ❑ All are encouraged to work in some capacity. If not a paying job then they are shown ways to volunteer around the house or in he community. Working and accomplishing tasks is an important step in rebuilding self worth and the Administrative Director should work closely with resident. Notes on progress and/or special resident needs: 1 t �' I J i "1 i i i r �H Homeless not Notice to New Residents of Elise House&Faith House Hopeless, Inc. Welcome to Homeless not Hopeless.Your living in one of our homes OFFICE should be a learning experience as you get to know your fellow house 310 Ocean Street Hyannis MA 02601 mates and the way our homes operate. There will also be opportunities for each of you to master certain skills and learn more about caring for PHONE yourself. We encourage you to work closely with your House Manager so 508-957-2334 that our stay with us will give you opportunities to improve our life FAX Y Y g� Y PP P Y 508-957-2335 skills,your health and your future. EMAIL dkaufmani2homelessnothopeless.org You also bring skills with you that we hope you will share with your WEB fellow residents.As you settle in you may find you have some life skills homelessnothopeless.org that are more advanced than some of your fellow residents. Don't be shy PRESIDENT about calling this to your House Manager's attention and see how you can William Bishop share them with others. For example,one of our residents is quite adept TREASURER with the computer and getting around on the internet. He's willing to work Richard Murphy Sr. with those of you who haven't these skills. SECRETARY/CLERK Dianne Kaufman Your House Manager will work with you on certain areas to make DIRECTORS sure you have the skills needed to make your life easier and to allow you to Janet M.Daly contribute to the house and the community. The Program Director, Dianne Jeffrey Howell Hon.Joseph Reardon Kaufman,will also be available to assist you in establishing residence at Tom Sullivan one of our houses, working with you to secure your benefits and working out medical, legal and counseling appointments. Should you need transportation to key appointments,remember to work closely with Dianne so we may assist you where possible. Be sure to give Dianne sufficient lead time to arrange transportation for you. We are most happy to have you as a resident and wish to assist your transition into our family. Homeless Not Hopeless, Inc. Mission Statement ]Educate and advocate for the needs of the Homeless community. Help Homeless Men and woman get off the street by providing food and shelter. 'Frain them to deal with medical, psychological, spiritual and addiction issues and help them connect with available resources. Urge those who are capable to find employment or volunteer their time. ]Facilitate acquistion of financial assistance for residents. Teach goal setting, occupational and life skills that will lead to independent living. Donations to further this mission statement may be made to: Homeless Not Hopeless, Inc. 310 ocean Street Hyannis MA 02601 Homeless Not Hopeless, Inc. is a 5010 3 corporation Homeless Not Hopeless, Inc. } e 1 f Ri c 9 }}, w Faith House is the residence for 0 1 men W 1 ® 01 J k.. a � _ p pTr�i.',1•r.r 4(Pt '!-a�Sy� ..4� � yVi •% Elise House is the residence for 5 women Homeless Not Hopeless, Inc.,-310 Ocean Street, Hyannis MA 02601 The Real Education at Homeless Not Hopeless, Inc. Beyond this page,one can find curriculum documents pertaining to life skills, financial literacy,nutrition and meal-planning—all of which are very important for any individual recovering from and transitioning out of homelessness. While this information is helpful,the majority of the education in these households occurs in the residents' participating in the daily routines, chores,meal planning and getting people to work. One could call this occupational therapy in that every thing done in the Homeless Not Hopeless homes guides people to recover their ability to work and live independently. However,the real education instilled by each staff member and resident is to teach individuals how to be part of a family. Residents and staff members work together to improve their living situation— first, within the confines of the home itself through chores,home improvements and landscaping projects;.second,via the mutually supportive environment that permeates every aspect of the HnotH life. Like all others,the key ingredient in this family is LOVE. Learning to love yourself and others is the essential aspect of the Homeless Not Hopeless experience. 1 1 "1i �V• i,� ` f a iL Learning to Leam n �l �a co mmuo, AIAOS Ala _r �O .� 46 Life Skills 15 things you need to remember,that no one has taught you: l. As Richard Carlson says, 'don't sweat the small stuff, and most of it is small stuff. Much of the time we get stressed and worked up over "stuff' that in the grand scheme of things really doesn't matter. When we allow ourselves get too caught up in it we ruin our perspective and don't take time to enjoy the moment. 2. Life can be unpredictable and throw you some curves. Just say "never" and see what happens! To avoid the jolt when life's surprises come your way, be prepared by being open-minded and maintain the positive mindset that welcomes the life lessons offered. 3. The most boring word in any language is "I". It's wonderful to be self-confident and self-sufficient; however, it's not all about you. There is nothing more monotonous than hearing someone talk about themselves and their accomplishments endlessly. Being self-centered is not the same as having self- confidence. 4. People are more important than things. Relationships are more important than any material goods you may acquire on the road to success. Without the love and support of family and friends in life, material goods are not of much use. Setting your values and priorities can help you establish what's important. 5. Nobody else can make you happy. Your happiness and state of mind are your responsibility. It's up to each of us to know what it takes to be balanced and happy. Our relationships enhance our lives-and make them richer, but they do not "make" us happy. We do. 6. Character and integrity count. It's important to be a person of honor. Your good word and deeds inspire trust and confidence from family, friends and employers. Be the kind of person others are proud to know. 7. Forgive yourself, your friends and your enemies. We are all only too human. All of us slip sometimes and make mistakes. Holding grudges and past hurts only serves to prevent us from enjoying life to the fullest. 8. A good joke can be better than any pill. Take time to laugh each day. Humor really is good medicine. 9. There are'no substitutes for exercise, eating well, and fresh air and sunshine. Never take your health for granted or underestimate how much feeling good physically affects your moods. 10. Persistence will eventually get you almost anything. Never give up. Keep your goals and dreams alive. 11. Television probably ruins more minds than drugs. Get away from the TV and read, exercise, learn and stretch yourself. 12. It's okay to fail. Everyone has failed at one time or another. Failure is a great life teacher. It teaches us humility and how to correct our course of action. Thomas Edison had a great attitude towards failure. He said, "I have not failed. I've just found 10,000 ways that won't work." 13. Learn from the mistakes of others. There's an old Zen proverb that states: "It takes a wise man to learn from his mistakes, but an even wiser man to learn from others." 14. Don't be afraid to show and tell others you love them. Life is short so learn to give and receive love. Love and be loved. 15. Live so that there is only standing room at your funeral. Be the best spouse, parent, friend,boss, worker that you can be and leave the world a better place than you found it. Source:http://www.essentiallifeskills.net/lifelessons.html List of life skills that need to be known: • Integrity- to act according to what is right and wrong • Initiative- to do something because it needs to be done • Flexibility- the ability to alter plans when necessary • Perseverance- to keep at it(and not give up) • Organization- to work in an orderly way • Sense of Humor- to laugh and be playful without hurting others • Effort- to do your very best • Common Sense- to think everything through • Problem-Solving- to seek solutions • Responsibility- to do what is right • Patience- to wait calmly • Friendship- to make and keep a friend through mutual trust and caring • Curiosity- to investigate and seek understanding • Cooperation- to work together toward a common goal (purpose) • Caring- to show/feel concern source: http://www.inspiringteachers.com/classroom resources/tips/character_life_skills/list of life_skills.html On this website (http://www.selfesteem2go.com/life-.skills-lesson-plans.html) there are many different lesson plans which pertain to how you would go about teaching such lessons. For example: Free Stress Management Activities Stress management activities can take your mind off of your worries and center you in a place of calm. You'll come out of these activities focused and better able to deal with whatever the day might bring. You can use them in the morning to kick start your day; on your coffee break to settle your nerves, or before bed to gain peace of mind and relaxation. Use self massage when you can- simply rubbing one palm with the thumb from your other hand can release endorphins-move up to the spots behind your ears and really feel tension dissolve! Create a mantra;personal confidence can boost self-esteem and self-confidence and silence internal criticism which could be contributing to stress. Write it down, a journal is a great way to divest yourself of the junk you carry around all day- spill it out on paper and let it go before you lay down to sleep. Bask in the warmth. Rub your hands together briskly to create heat,then cup your hands over your face for five seconds while you breathe deeply with your eyes closed. Do a little self acupressure. Press your fingers to the center of your forehead in the dip between your eyes above your nose,to the back of the neck in the hollow of your skull, and on the backs of your shoulders between the neck and the shoulder blades. Shake yourself down. Hold your arms out to your sides and let your hands hang limp from the wrists. Shake your arms for 10 seconds or so,and feel the stress flying out from your fingertips. . Bounce on into the bedroom for some one on one stress reduction with your partner. Sex is a proven,natural mood enhancer and can relax every bone in your body if done correctly. Take a mental trip. Stare up into the sky or out the window and imagine yourself taking a trip somewhere exotic and far away. Take a literal trip. This could range from a long walk to a weekend getaway on an island somewhere. Commit to having fun for the duration of the trip,however short-no stress allowed. Take a soak- if you don't have time for a full bath,try sticking your hands or feet in some hot, scented water. You'll feel more relaxed and soothe your aching muscles. Stretch it out. Doing a short series of stretches can get a mild endorphin buzz going and ,relive tension stored in your muscles,relieving pain you didn't even register and making you feel energized. If you can, lie down on the floor and indulge in'making a snow angel' without any snow. This is practically a full body workout! Make something grow. Tending a garden, flowerbox or lone potted plant can be cathartic. Consider a tiny herb garden-you can crush the fresh herbs in your fingers for an instant aromatic pick me up. If you can fit just one or.two of these stress management activities into each day,you'll be amazed at how much more relaxed and worry free you will be. Nutrition- Meal Planning Meat and Beans: • choose low fat or lean meats and poultry • bake it, broil it, or grill it • vary your choices-with more fish, beans,peas, nuts, and seeds Milk: • go low fat or fat free • If you don't or can't consume milk, choose lactose free products or other calcium sources Oils: • make most of your fat sources from fish, nuts and vegetable oils • limit solid fats like butter, stick margarine, and lard Fruits: • eat a variety of fruit • choose fresh,frozen, canned or dried fruit • go easy on fruit juices Vegetables: • eat more dark green veggies • eat more orange veggies • eat more dry beans or peas Grains: • eat at least 3 ounces of whole grain bread, cereal, crackers, rice, or pasta every day • look for "whole" before the grain name on the list of ingredients Source:http://www.mypyramid.gov/pyramid/index.htmi { Safe Food Handling • What Can You Freeze? You can freeze almost any food. Some exceptions are canned food or eggs in shells. However, once the food (such as a ham) is out of the can, you may freeze it. Being able to freeze food and being pleased with the quality after defrosting are two different things. Some foods simply don't freeze well. Examples are mayonnaise, cream sauce and lettuce. Raw meat and poultry maintain their quality longer than their cooked counterparts because moisture is lost during cooking. • Is Frozen Food Safe? Food stored constantly at 0 OF will always be safe. Only the quality suffers with lengthy freezer storage. Freezing keeps food safe by slowing the movement of molecules, causing microbes to enter a dormant stage. Freezing preserves food for extended periods because it prevents the growth of microorganisms that cause both food spoilage and foodborne illness. • Does Freezing Destroy Bacteria &Parasites? Freezing to 0 OF inactivates any microbes — bacteria, yeasts and molds — present in food. Once thawed, however, these microbes can again become active, multiplying under the right conditions to levels that can lead to foodborne illness. Since they will then grow at about the same rate as microorganisms on fresh food, you must handle thawed items as you would any perishable food. Trichina and other parasites can be destroyed by sub-zero freezing temperatures. However, very strict government-supervised conditions must be met. Home freezing cannot be relied upon to destroy trichina. Thorough cooking, however, will destroy all parasites. • Freshness&Quality Freshness and quality at the time of freezing affect the condition of frozen foods. If frozen at peak quality, thawed foods emerge tasting better than foods frozen near the end of their useful life. So freeze items you won't use quickly sooner rather than later. Store all foods at 0° F or lower to retain vitamin content, color, flavor and texture. • Nutrient Retention The freezing process itself does not destroy nutrients. In meat and poultry products, there is little change in nutrient value during freezer storage. • Packaging Proper packaging helps maintain quality and prevent freezer burn. It is safe to freeze meat or poultry,directly in its original packaging, however this type of wrap is permeable to air and quality may diminish over time. For prolonged storage, overwrap these packages as you would any food for long-term storage. It is not necessary to rinse meat and poultry. Freeze unopened vacuum packages as is. If you notice that a package has accidentally been torn or has opened while food is in the freezer,the food is still safe to use; merely overwrap or rewrap it. • Freezer Burn Freezer burn does not make food unsafe, merely dry in spots. It appears as grayish-brown leathery spots and is caused by air coming in contact with the surface of the food. Cut freezer-burned portions away either before or after cooking the food. Heavily freezer- burned foods may have to be discarded for quality reasons. • Color Changes Color changes can occur in frozen foods. The bright red color of meat as purchased usually turns dark or pale brown depending on its variety. This may be due to lack of oxygen, freezer burn or abnormally long storage. Freezing doesn't usually cause color changes in poultry. However, the bones and the meat near them can become dark. Bone darkening results when pigment seeps through the porous bones of young poultry into the surrounding tissues when the poultry meat is frozen and thawed. The dulling of color in frozen vegetables and cooked foods is usually the result of excessive drying due to improper packaging or over-lengthy storage. • Freeze Rapidly Freeze food as fast as possible to maintain its quality. Rapid freezing prevents undesirable large ice crystals from forming throughout the product because the molecules don't have time to form into the characteristic six-sided snowflake. Slow freezing creates large, disruptive ice crystals. During thawing, they damage the cells and dissolve emulsions. This causes meat to "drip" and lose juiciness. Emulsions such as mayonnaise or cream will separate and appear curdled. Ideally, a food 2-inches thick should freeze completely in about 2 hours. If your home freezer has a "quick-freeze" shelf, use it. Never stack packages to be frozen. Instead, spread them out in one layer on various shelves, stacking them only after frozen solid. t • Freezer Storage Time Because freezing keeps food safe almost indefinitely, recommended storage times are for quality only. Refer to the freezer storage chart at the end of this document, which lists optimum freezing times for best quality. If a food is not listed on the chart, you may determine its quality after thawing. First check the odor. Some foods will develop a rancid or off odor when frozen too long and should be discarded. Some may not look picture perfect or be of high enough quality to serve alone but may be edible; use them to make soups or stews • Safe Thawing Never thaw foods in a garage, basement, car, dishwasher or plastic garbage bag; out on the kitchen counter, outdoors or on the porch. These methods can leave your foods unsafe to eat. There are three safe ways to thaw food: in the refrigerator, in cold water, or in the microwave. It's best to plan ahead for slow, safe thawing in the refrigerator. Small items may defrost overnight; most foods require a day or two. And large items like turkeys may take longer, approximately one day for each 5 pounds of weight. For faster thawing, place food in a leak proof plastic bag and immerse it in cold water. (If the bag leaks, bacteria from the air or surrounding environment could be introduced into the food. Tissues can also absorb water like a sponge, resulting in a watery product.) Check the water frequently to be sure it stays cold. Change the water every 30 minutes. After thawing, cook immediately. When microwave-defrosting food, plan to cook it immediately after thawing because some areas of the food may become warm and begin to cook during microwaving. Source: http://www.fsis.usda.gov/Fact_Sheets/Focus_On_Freezing/index.asp How to Budget And Everything. You Ever Wanted to Know about Handling' Money ! A DVD is also Available Basic Budget Worksheet for Setting Up Your Personal Budget Page 1 of 2 DO YOU HAVE QUESTIONS Learn about a treatment and support ABOUT ALZHEIMER'S CARE? option available for mild to moderate Alzheimer's disease.► tAXM Financial Planning BUDGET WORKSHEET From Financial Planning at About.com (http://financialplan.about.com) CATEGORY I BUDGET AMOUNT ACTUAL AMOUNT IF DIFFERENCE INCOME: I Wages and Bonuses Interest Income Investment Income 11 Miscellaneous Income IF Income Subtotal — � INCOME TAXES WITHHELD: 1 Federal Income Tax IF I —� State and Local Income Tax IF SocialSocial Security/Medicare Tax Income Taxes Subtotal Spendable Income EXPENSES: IF I HOME: E — Mortgage or Rent 11 Homeowners/Renters Insurance —� Property Taxes IF Home Repairs/Maintenance/HOA Dues Home Improvements 11 IF UTILITIES: ii Electricity Water and Sewer 11 Natural Gas or Oil IL --IF— � Telephone(Land Line,Cell) FOOD: Groceries Eating Out, Lunches,Snacks FAMILY OBLIGATIONS: Child Support/Alimony Day Care, Babysitting HEALTH AND MEDICAL: rIF Insurance(medical,denta1,vision) Out-of-Pocket Medical Expenses http://financialplan.about.com/library/n_budget.htm 12/20/2010 Basic Budget Worksheet for Setting Up Your Personal Budget Page 2 of 2 (Fitness(Yoga,Massage,Gym) TRANSPORTATION: Car Payments IF Gasoline/Oil - 1 Auto Repairs/Maintenance/Fees Auto Insurance Other(tolls, bus,subway,taxi) � F- —1 DEBT PAYMENTS: IF Credit Cards Student Loans Other Loans ENTERTAINMENT/RECREATION: 1 Cable TV/Videos/Movies Computer Expense E Hobbies Subscriptions and Dues �— Vacations --I i PETS: Food Grooming,Boarding,Vet CLOTHING: IF INVESTMENTS AND SAVINGS: 401(K)or IRA I IF Stocks/Bonds/Mutual Funds IL 7— College Fund Savings —� Emergency Fund IF MISCELLANEOUS: Toiletries, Household Products Gifts/Donations Grooming (Hair, Make-up,Other) Miscellaneous Expense Total Investments and Expenses 11 Surplus/Shortage(Spendable income minus expenses&investments) For expenses incurred more or less often than monthly,convert the payment to a monthly amount when calculating the monthly budget. For instance,convert auto expense that's billed every six months to a monthly amount by dividing the six-month premium by six.This money should be kept separate from your other money so its available when the bill becomes due. http://financialplan.about.conn library/n_budget.htm 12/20/2010 Source: Kathy Moorey, Cape Cod 5 Unit Objectives • Recognize the major types of insured financial institutions. • Identify five reasons to use a bank. • Describe the steps involved in opening and maintaining a bank account. • Describe two types of deposit accounts. Recognize additional bank services that come with deposit accounts. Recognize the main functions of the bank customer service representative,teller, loan officer, and branch manager. State the benefits of using a checking account. Determine which types of accounts are best for you. Identify the steps involved in opening an account. Add and withdraw money from a checking account. Reconcile an account register with a bank statement. Track personal spending. Establish goals for saving. Identify ways to decrease spending and increase saving. Develop practices to help manage money. Develop an awareness of the Four C's (capacity, character,collateral, capital) Understand the connection between good credit rating and obtaining a loan. Days One-Three Focus Selecting a financial institution vs. a piggy bank Learning how to establish oneself with a bank Understanding age and need appropriate account selection Opening,depositing, and withdrawing from accounts Reconciling an account Learning the differences between ATM and Debit Cards Avoiding unnecessary fees Itinerary Hook: Riding the yellow bus vs. driving one's own car Discussion: How does one buy a car? (setting goals and financial planning) Pre-assessment completion and review Present: posted focus objectives and vocabulary Two-sided handout of objectives and vocabulary with definitions Source: Kathy Moorey, Cape Cod 5 Fishbowl video clip demonstrating unsecured savings Flip Chart/Discussion: Whole group brainstorm for reasons to use a bank vs. a piggy bank/fishbowl Present: Establishing oneself with a bank o Selecting and opening account(s) (required forms of verification) o Making deposits and withdrawals o Understanding the importance of recording and tracking Present: ATM vs. Debit Card o Understanding Penalty Fees § Present/Discuss: Dunkin Donuts ATM withdrawal scenario Whole Group Activity: Filling out deposit and withdrawal slips Pairs Activity: Reconciling a statement savings account Assessments Formative o Pre-assessment o Accurate completion of deposits,withdrawals, account reconciliation Summative o Accurate completion of vocabulary crossword puzzle using only a word bank o Reflection Journal: What do I know now that I did not know before? 0 Post-assessment Days Four-Five Focus - Identifying and tracking spending habits - Distinguishing between needs and wants - Setting financial goals - Recognizing the short and long term benefits of saving - Understanding gross vs. net income Itinerary Hook: Cosby Monopoly Lesson/Discussion Pre-assessment completion and review Present: posted focus objectives and vocabulary Disseminate two-sided handout of objectives and vocabulary with definitions Whole Group Share of Student Spending Diaries Source: Kathy Moorey, Cape Cod 5 Flip Chart: o Document a list of class spending o Classify spending as needs and wants • First job and the W-4 o Activity: filling out a W-4 • Present: understanding your paystub(gross vs. net)NEFE Student Guide pp.29-33) o Pairs Activity: Worksheet to factor weekly/monthly income o The True Cost of Breakfast(Dunkin' Donuts) o What If I Eat Breakfast at Home? § Spend...the Big Yellow Bus § Save...Driving Your Car Assessments Formative o Pre-assessment o Distinguishing between needs and wants o Completing W-4 form accurately o Factoring net pay-weekly and monthly o Completing The True Cost of Breakfast accurately o Recognizing the savings potential by eating at home(factoring weekly/yearly savings) Summative o Budgeting analysis § The Hole in Todd's Pocket exercise(p.25 Modular 3) Day Six Focus Learning the practice of pay yourself first Understanding why it is important to save Determining personal saving goals Identifying savings options Determining which savings options will help you reach your savings goals Itinerary Pre- assessment Hook: Film Clip from Thirty Days Episode One Minimum Wage(Morgan Spurlock) Display: Opening Cartoon-discuss Source: Kathy Moorey, Cape Cod 5 Eat at Home Savings benefit o Activity: Excel Spreadsheet re Dunkin Donut Savings § $28.75 per week until you are 21 =$12,000 § Interest accumulated over=$1000.00 Present: Rule of 72 o Whiteboard demonstration Shop Smart to Save(Unit Pricing) o Activity: Worksheet to calculate unit pricing. Activity: Pay Yourself First Challenge www.pyfchallenge.com o Visual of spending/saving impact Display: Closing Cartoon Assessments • Formative o Pre-assessment o Dunkin Donut Savings o Worksheet: Calculating Unit Pricing Summative o Activity: Pay Yourself First Challenge Game (website) o Post-assessment Day Seven Focus Defining credit Explaining why credit is important Identifying the factors lenders use to make loan decisions Learning the process for obtaining a loan Developing an awareness of identity theft and build skills to prevent it Itinerary k Pre-assessment Activity: Cell Phone Role Play Activity: Movies and Money Present: The four C's (capacity, collateral, character, capital) Overhead: Loan Application Present: Identity Theft Source: Kathy Moorey, Cape Cod 5 o Hook: Video(Catch Me If You Can trailer) o Present: Deter and Detect and Defend(Identity Theft) o Activity(groups of four): To shred or Not to Shred(identifying documents that create identity theft risk) § Students physically shred risky documents Close: Cosby Show Theo's Holiday(snippet) Assessments _ • Formative o Pre-assessment o Accurate identification of risks for identity theft Summative o Jeopardy Game 3 Getting A Job 1. First,you must be decent and groomed to your best ability. The house managers at Homeless not Hopeless can help you get some free clothes to apply for job interviews. They will most likely be able to assist you,and if not,try the local thrift shops where someone may be willing to offer you an outfit or two. If you can get a back pack thrown in,that would be great to carry your clothes in. 2. Be clean,rested and fed. Have a plan for the day that is coming in the morning and be dressed nice and ready to go job hunting. Apply at every within walking distance, and once those are exhausted,ask the shelter if they have free passes for transit that could help you go farther with your search. Make a pleasant appearance and talk politely to whomever you find to interview you.No need to give them a sob story, but do impress upon them that you need work at once. Let them know that you are willing to work for any wage at all and will work your way up to earning more as you go.. Keep your eyes open for jobs that could use being worked, and ask for them. Keep checking back once a week on all of your job application places. Let them know you are still interested. 3. Go to your local library and sign up for an Internet card where you can get online and search for jobs also. The librarian will assist you if needed. What you don't have time to read, write it down on paper and keep it with you to look over later. Look up job training programs while at the library or ask the librarian where to,look for those. It is possible that you can find a job training program that will pay at least a little as you train. Look up grants for programs at Cape Cod community college and see if you may qualify for those grants. They will help you to attend school and pay the expenses. 4. While you are out walking the local areas,take note of any buildings that need repair. Ask around and find the owner or their contact information. Call them and ask about being hired to repair their building and possibly you might swing in an arrangement where they will let you live at that building while you work. Keep trying, keep busy and do not join the homeless sitters with a sign whatever you do. Keep your appearance up and your dignity and you will find a job and a home also eventually. Consider free training as a male or female caregiver,many of those jobs are living in and could land you a room with a job. Look in housekeeping jobs,many of those come with a room also. Source:http://www.ehow.com/how-5812416job-homeless-tmemployed.html C 5 I Occupational Therapy • Humans are occupational beings in that all activities performed revolve around the life roles and the occupational tasks required maintaining them. • This occupational therapy lens of"occupational wholeness"prompts us to view the residents in the homeless shelter as being in a state of occupational dysfunction. • develop a needs survey used to determine current resident needs at the onset of each group intervention. r