2024-04-01T10:25:42-05:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 270260522 North Dakota Assistive ASSI 7013654728 3240 15th St S B Fargo ND 581046188 Mike Chaussee Executive Director 7013654728 2024-04-01 1 Mike Chaussee 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2024-04-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Mike Chaussee 3240 15th St S B Fargo ND 581046188 1542487 0 X www.ndassistive.org X 2009 ND North Dakota Assistive delivers services to people with disabilities 9 9 17 10 0 0 32439 153258 1250373 1348629 33538 40600 0 0 1316350 1542487 205763 235471 0 0 808797 934008 0 0 1768 303375 336639 1317935 1506118 -1585 36369 3340110 3890974 84302 598797 3255808 3292177 North Dakota Assistive delivers services to people with disabilities so they can get the assistive technology they need for work, school, and home. 0 0 1409797 235471 1348629 North Dakota Assistive delivers services, devices, and education so that individuals with disabilities and those experiencing the effects of aging receive the assistive technology they need to more fully participate in work, school, and home activities. The services include information dissemination, public awareness, training, equipment loan library, demonstration centers, device re-use opportunities, assessments and consultations. North Dakota Assistive participates in various taskforces to promote and coordinate the use, and administration of contracts for the purpose of supporting and maintaining assistive technology services. Over the past year North Dakota Assistive aided over 1,300 individuals to receive the services and technology they need to live a more productive life. 1409797 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X Sheila Ellingson 7013654728 3240 15th Street South Suite B Fargo ND 58104 Dave Hanson President 1.00 X X 0 0 0 Scott Bernstein Vice President 1.00 X X 0 0 0 Marcus Ulmer Secretary/Treasurer 1.00 X X 0 0 0 Janelle Stoneking Director 1.00 X 0 0 0 Amy Osvold Director 1.00 X 0 0 0 Lindsay Triplet Director 1.00 X 0 0 0 Milton Ota Director 1.00 X 0 0 0 Kathi Schwan Director 1.00 X 0 0 0 Sean Cleary Director 1.00 X 0 0 0 Mike Chaussee Executive Director 40.00 X 94999 0 9033 94999 0 9033 0 0 0 0 0 123051 30207 153258 Dept. of Health Contra 624100 1296938 1296938 Fees for Service 624100 41392 41392 Possibilities Fund Inc 624100 2041 2041 Assessment Fees 624100 2021 2021 6237 6237 1348629 40600 40600 1542487 1348629 0 40600 235471 235471 100700 45315 54378 1007 680380 671598 8440 342 5645 5645 93833 90481 3265 87 53450 49352 4011 87 52461 52461 8787 8087 700 36248 36225 23 28003 28003 137181 126662 10295 224 15433 15433 13113 13113 232 215 17 13326 12305 1000 21 10185 10185 Recipient Devices-Equip 9949 9949 Dues and Subscriptions 5002 5002 Repairs and Maintenance 3147 3147 3572 1097 2475 1506118 1409797 94553 1768 574654 838315 233095 254494 834 4055 331569 556479 8625 6067 16024 5106 463174 439538 36138 23636 2139171 1701055 0 501767 3340110 3890974 84302 91619 0 507178 84302 598797 X 1160593 1207621 2095215 2084556 3255808 3292177 3340110 3890974 36369 0 X 0 1 X 1 0 X 96186 133998 259243 32439 153258 675124 96186 133998 259243 32439 153258 675124 176917 498207 16826 59449 60001 33538 40600 210414 885538 5926097 0.56260 0.54870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12608 5 12613 12607 1 12608 12606 1 12607 12600 6 12606 12589 11 12600 1.00000 0.00000 0.00000 0 0 29462 21298 8164 433712 418240 15472 23636 Operating Lease ROU Asset 496887 Finance Lease ROU Asset 4880 501767 Operating Lease Liability 504117 Finance Lease Liability 3061 507178 X 1542487 0 1542487 0 1542487 1506118 0 1506118 0 1506118 Part V, Line 4: The organizations Board of Directors established an endowment fund during fiscal year 2018 for annual funding of the general operations of the organization. Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The entity would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 AT Loan Library 242 10023 FMV Equipment Loaned Deaf Blind 7 8315 FMV Equipment Distributed Possibilities 22 19281 FMV Equipment Provided TEDS 261 46013 FMV Devices Distributed ASDDS 835 127128 FMV Devices Distributed MFP 20 6894 FMV Equipment Kits Delivered CAPABLE 11 1487 FMV Equipment Provided FFS 42 16330 FMV Device Distributed Part I, Line 2: Programs with recipient equipment: TEDS, ASDDS, Possibilities, and Deaf-Blind TEDS: Telecommunications Equipment Distribution Service (specialized phone program). Eligibility guidelines are set forth by North Dakota Department of Human Services, Aging Services Division. To be eligible, an applicant must: 1) Be a North Dakota resident; 2) Have a severe hearing, speech, or physical (includes vision, cognitive) disability that makes using a standard phone difficult; 3) Currently have or be in the process of obtaining either landline or cellular telephone service; and 4) Meet income guidelines. New applicants are required to submit an application. Individuals who have previously received equipment through the program are required to provide updated information. Applications are reviewed by North Dakota Assistive staff, primarily the Contract Program Coordinator. ASDDS: North Dakota Assistive Safety Devices Distribution Service (ASDDS, senior safety program). Eligibility guidelines are set forth by the North Dakota Department of Human Services, Aging Services Division. To be eligible, an individual must: 1) Be a North Dakota resident; 2) Not be living in a skilled nursing facility (this does not exclude those who live in assisted living or basic care facilities); and 3) Be age 60 or over. We are required to give priority to these populations, as defined by the Older Americans Act: a) Older individuals residing in rural areas; b) Older individuals with greatest economic need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas); c) Older individuals with greatest social need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas); d) Older individuals with severe disabilities; e) Older individuals with limited English proficiency; f) Older individuals with Alzheimer's disease and related disorders with neurological and organic brain dysfunction and their caretakers; and g) Older individuals at risk for institutional placement. This program does not require a signed application, however, it does require the completion of a request form that helps determine eligibility and priority. Requests are reviewed by North Dakota Assistive staff, primarily the AT Program Coordinator. Possibilities Grant (previously known as Pedaling for Possibilities) Eligibility guidelines are determined by North Dakota Assistive. To be eligible, an applicant must: 1) Be a resident of North Dakota or Moorhead, Minnesota; 2) Have a clearly established need for assistive technology; 3) Have assistive technology needs not met by other funding programs such as insurance, schools, Vocational Rehabilitation, etc.; and 4) Meet income guidelines. (Applicants are required to submit income verification.) Applications are reviewed by the Possibilities Grant Review Committee which is comprised of North Dakota Assistive employees and individuals with disabilities who are members of our Consumer Advisory Committee. The Review Committee determines which applications we are able to fund based on need and funds available. iCanConnect: The National Deaf-Blind Equipment Distribution Service (deaf-blind program) Eligibility guidelines are set forth by the Federal Communications Commission. To be eligible, an applicant must: 1) Be a North Dakota resident; 2) Have a significant vision loss as defined by having at least one of the following conditions: *Visual acuity of 20/200 or less in the better eye with corrective lenses *A field defect such that the peripheral diameter of the visual field is no greater than 20 degrees *Progressive visual loss with a prognosis leading to one or both of the above conditions; and 3) Have a significant hearing loss as defined by having at least one of the following conditions: *Chronic hearing disabilities so severe that most speech cannot be understood without optimum amplification *Progressive hearing loss having a prognosis leading to the above condition; and 4) Provide professional attestation, in writing, of their dual loss; and 5) Meet income guidelines. (Applicants are required to submit income verification.) Applications are reviewed by the Contract Program Coordinator. MFP: Money Follows The Person (AT kit distribution and education program) A. Conduct multiple presentations in a minimum of 25 rural North Dakota communities. B. Grantee will recruit at least one person in each identified community to house the AT kits, demonstrate devices, and coordinate devices for trial use through the ND Assistive Loan Library. C. A short AT needs-based screening tool will be developed to assist recruited advocates and/or informed choice workers to help recognize the AT needs of individuals. 1. All recruited advocates will be trained in AT. 2. All Informed Choice Workers (ICWs) will be trained in AT. In addition, the ICWs in the communities that we present in will be invited to the group presentations. D. A minimum of three individuals living in each community discover and ultimately attain an AT device and/or services; 1. ND Assistive will provide an AT consultation. 2. Individuals will be encouraged to apply for funding assistance in acquiring AT devices. 3. Individuals will be advised about additional helpful AT available for their needs. 4. Individuals will be informed about other programs, agencies, and organizations that may be available to assist. Procedures for monitoring grant use continued.... AT Act: Assistive Technology Act (Eligibility guidelines are set forth by the Federal Administration on Community Living and is monitored by ND Department of Human Services, Vocational Rehabilitation) 1. Each grantee establishes/maintains a comprehensive statewide AT program serving individuals with disabilities of all ages across all types of disabilities increasing access to and acquisition of assistive technology through authorized state level and state leadership activities. 2. The Governor of each grantee designates a public agency as a lead agency to control and administer the funds, submit the application and implement other duties of the lead agency. 3. If there is an implementing entity, the Governor has designated the entity and they implement all state level and state leadership activities under a contract or other administrative agreement with the lead agency. 4. Each grantee establishes an advisory council with: -Specific representatives as required by the AT Act -Consumer-majority membership -Geographic distribution and diversity representative of the grantee -Council provides advice for, planning, implementation, and evaluation of the activities carried out through the grant. 5. Each grantee submits an application that identifies/describes: -Lead agency and/or implementing entity -Measurable goals -Involvement of public and private entities in application development and activity implementation -Nature and extent of resources committed by public and private collaborators -Mechanisms to ensure coordination of activities and collaboration between the implementing entity and the State -How the State will implement each of the required activities -How the State will allocate and utilize grant funds to implement the activities including tracking expenditures in conformance with law -Activities that the State will support with State funds. 6. Each grantee makes the following assurances: -Grantee will annually collect and report data and keep records and allow access to such records to verify data reported -Grantee will spend in accordance with Act -Grantee will used funds to supplement, and not supplant -Lead agency will control and administer the funds -Grantee will adopt such fiscal control and accounting procedures as may be necessary to ensure proper disbursement of and accounting for the funds received through the grant; -The physical facility of the lead agency and implementing entity, if any, meets the requirements of the ADA -A public agency or an individual with a disability holds title to any property and administers that property -All grantee activities/purchases/products comply with Section 508 -No funds are used for direct payment for AT for an individual. 7. Each grantee expends an appropriate proportion of grant funds to carry out state-level and state leadership activities (not more than 40% used for state leadership or not more than 30% if flexibility is claimed) and 5% of state leadership activities for transition. 8. A grantee claiming comparability for an activity, documents that the amount of financial support is comparable to, or greater than, the amount of grant funds that would have expended for that category of activity. 9. Each grantee conducts one or more state financing activities (including administration of programs that directly provide AT or reduce AT cost; systems for the purchase, lease, or other acquisition of, or payment for AT; and state or privately financed alternative financing systems of subsidies) unless the grantee claims comparability or flexibility. 10. Each grantee conducts one or more reuse programs (including device exchange and/or refurbishment with reassignment or open-ended loan) unless the grantee claims comparability or flexibility. 11. Each grantee implements short-term device loans directly and/or in collaboration with other organizations unless the grantee claims comparability or flexibility. 12. Each grantee implements device demonstrations directly and/or in collaboration with other organizations unless the grantee claims comparability or flexibility. 13. Each grantee implements training and technical assistance activities directly and/or in collaboration with other organizations. 14. Each grantee implements a transition training or technical assistance activity to assist students with disabilities that receive transition services and adults who are maintaining or transitioning to community living. 15. Each grantee implements public awareness activities directly and/or in collaboration with other organizations. 16. Each grantee implements a statewide information and assistance system directly and/or in collaboration with other organizations. 17. Each grantee coordinates state level and state leadership activities among public and private entities. 18. Each grantee uses no more than 10% for indirect costs. 19. Each grantee participates in required annual data collection/reporting that is summarized in annual report to Congress. Form 990, Part VI, Section A, line 1a The Executive Committee consists of the officers of the corporation. They have authority to meet and take action on items between board meetings provided such actions are consistent with directions and authorizations by the board to the Executive Committee. Form 990, Part VI, Section B, line 11b The President and Secretary of the board as well as the Executive Director of the organization will review and approve the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Board members are required to disclose, prior to acting in respect to any transaction, the member's conflict of interest and a conflict of interest is defined in the North Dakota Assistive bylaws. Any party that has a conflict shall not be allowed to vote on any business regarding that issue. Form 990, Part VI, Section B, line 15 A cost of living adjustment was given to the employees. In this fiscal year there was no separate process for determining the Executive Director's compensation. Form 990, Part VI, Section C, line 19 North Dakota Assistive makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.