Board of Selectmen - 444 (02/02/2021)

FY22
BUDGET REQUEST
DISABLED
AMERICAN VETERANS

TOWN OF WATERFORD
15 Rope Ferry Road
Waterford, CT 06385
860-442-0553
SOCIAL SERVICES GRANT FUNDING REQUEST
ORGANIZATION NAME: 
Disabled American Veterans Chapter 21
REQUEST DATE (FISCAL YEAR): 
2021
REQUESTED AMOUNT: 
$§ 250.00
BENEFIT STATEMENT {Describe how these funds will be used)
Your donation is used to put American Flags, Grave Markers, and Purchasing Wreaths that are
placed in the Town of Waterford at three locations, Jordon Village, Waterford Town Halli,
and at the Cemetery located on the Boston Post Rd. It is also used to help Disabled American
Veterans and their Families that are in Need.
Per Town of Waterford Budget Guidelines: please attach a certified audit report of all funds
appropriated during the last completed fiscal year to your funding request.
DECLARATION
|, the requester, understand that | am requesting public funds from the Town of Waterford.
| declare that this request does not pose any potential conflict with the Town of Waterford
and | will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
4 
. 
Dat
Maks coe DAV Maori Cecchi at 
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Cthimpter <I

; 
Annual Financial Report
; 
* ULFLUNG OUR PROMISES 
. 
.
; 
TQ THE MEN AND WOMEN WHO SERVED 
: 
.
Chapter Morward Coech insi Cister “2! 
pepartmentof_C
& Number
2 
Kame 
of State
_ 
Located a_Ne bsde atone ct. 
Accounting Period from futy 1, 2ctF 
tojune 39, 2O2ZO-
Cash (Liquid seats)
This Vear’s Gross:tncome/Recalpts (net values are net permitted):
7 ‘Dues’ Per Capita from National Headquarters
. 2 Forget -Me-Not Drive. Racelots
Ss: Aiér/Lodnige Grose Recelgts -. 
Suet ee 
aa
interest & Dividend income from thecking, ‘Sovings 68 . 
se
7 
- | Furdraisit
@ Program (0 
ety)
8. Increase in ‘Market Value of Investments on Line. 26 during Accounting Period 
: 
. 
: 
:
3. Other income (Attach requlced scedate) 
. 
YS, 60 
i
. 
10 Tt nce Sums 3) (9 not ce ageing Ble mci) 
$ 
2bEYS$E
This Year's Expenses/Disbursements (nat values are not 
fe ): - 
‘ 
4 
: 
“4
"Ti, Salaries, Payroll Taxes & Employee Benefits for Administrative Personnel only 
4 
: 
y
I 
-Conventts/Conferences/Serninars (attach repdied 
hadole 
Hsting specific events 
ond 
= 
=
12, Postage 
6 Office Supplies (admshnistrative 
and non-servce nefated postage o- office supplies 
ZOBTF 
in
14, Service/Charitable 
(Coniplete ond attach required 
Service 
/Charitable 
Expenses 
Schedule form) 
. 
4-Gb, 70
5. Forget He-Nat Expenses (drt of ere ony 
lest?
20. Decrease invMairket Value of Investments on Line 26 during Accouinting Period
i 
21. Other Expenses (Attach requined schedule)
22: Total Expenses (Sum of Lines 11 thru 21) 
oe 
§__ 
ATT 
27
i 
Statément of Liguid Assets:
Liquid assets are those assets which are readily convertible to cash, and do not include rea} ar physical property such as yeal estate
or furniture and fixtures. If applicable, complete and attach Other Assets Schedule form (901332 - Rev. 10/13) to this report.
: 
23. Checking Accounts (Attach copy of bank statement) 5 23 F6.6/ + Cash on Hand § 
2§ 
1286066 
:
‘ 
2, Savings-Accounts (Attoch copy of honk statement) 
- 
. 
: 
. 
Qo. 
Boa rn 
4
25, Certificates 
of Deposit (Attach copy of 
bank 
‘or letter from fh 
institution 
verifying value) 
BAIT. 20 
j
Lo 26. Market Value of Investments as of End of Accounting Period (Artech 
copy of lnvesiment
ait fie ua i 
‘¢t EMSS, gy ae 
al
Name of Bank(s) and Branch Location(s) Asperty Bark. ber Gord. ct
7 Wanitas of Authorized Signersqn Bank Actountis). Kents Greev 
urs 
mr
ca
SIGNED by audit committee (Three: mernbcis), 
an 
“SIGNED & SUBMITTED by Authorized Department/ chapter 
“
po 
(Must not include, a 
der Sr. Vice 
Cominande 
\ 
Officer: (Preferably 
the C 
or 
*
err 
mS
: ky, aan 
Prbeg Slapapure 
. 
7, 
~ _ Authorized 
Officer Signature
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: 
TRensvhen [ached
: 
Audit Comm 
aire S! - 
* 
: 
tape 
‘Authorized 
Officer Title .
mee 
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he 
24/7 [2020-
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~ This form is tequired to be filed’ ‘annually by the National Panstinitionand Bylaws Article 8, Section 8.4. Articie 9, Seaton 9.3 ahd Anle a. eae
Section 10.2. If gross recelpts of chapter, exuding dues percapita, ark fess than $10,000, submit report: to state department, nly 
:
_ 
Retain for Yonlt Records *

NOONAN CECCINI CHAPTER 21 ANNUAL REPORT 2019-2020
( 
ITEMIZED INCOME JUSTIFICATION
: 
| DATE 
|. 
DESCRIPTON 
| 
AMOUNT. 
TOTAL
7/5/2019 | DUES (Per capita from National HQ) 
$ 
1,115.00
7/5/2019 
_|DUES (Per capita from National HQ) 
$ 
416.50
Total Dues (line item 1} 
$ 
1,531.50 
1,531.50
Forget-Me-Not Drive (line item 2 ) 
$ 
911.50 
911.506
Interest from CD (line item 6) 
$ 
26.46 
26.46
DONATIONS (OTHER INCOME (line item 9)
Noble and Joyce Palliser 
$ 
50.00
isaeel and Raymond Greenhaigh 
$ 
25.00
Carol and Kenneth McKenna 
$ 
50.00
Jenneifer Hanson 
$ 
70.00
Total Donations 
$ 
195.00 
195.00
TOTAL INCOME 
2,664.46

NOONAN CECCINI CHAPTER 22 ANNUAL REPORT 2019-2020
ITEMIZED EXPENSE JUSTIFICATION
pate 
[checks | 
____ 
DESCRIPTION 
| 
amount 
|. 
totaL
con 
Postage and Office Bg 
(line 13)
( . 
12/13/2019 
778 
(Kenneth Greenwood Reimburseable - 990N filing cost 
$ 
19.00
. 
5/29/2020 
787 
US Postal Service_PO Box Renewal 
$ 
106.00
3/3/2020 
785 
Printer paper and printer cartridges 
$ 
78.99
Total Postage and Office Expenses 
$ 
203.99 | $ 
203.99
SERVICE/CHARITY EXPENSES (line 14}
SERVICE OFFICER EXPENSES
8/20/2018 
772 
Mileage Reimbursement (meeting at State DAV Headquarters) 
$ 
45.00
1/14/2020 
781 
Mileage Reimbursement (service officer training) 
$ 
45.00
[ 
4f21/2020| 
786 __ [DAV NATIONAL SERVICE OFFICE DONATION ( DAV COVID 19 RELIEF FUND) 
i$ 
500.00 |
Other Charitable Expenses
7/5/2019 
770 
Montville Florist, Memorial Day wreaths 
$ 
186,00
[6/3/2020 
| 
__788 __ [Montville Florist Memorial Day wreaths 
$ 
210.00
TOTAL SERVICE/CHARITY EXPENSES (Line 14) 
$ 
986.00 | $ 
986.00
Forget Me Not Fund Drive Expenses (line 15}
1/17/2020 
7380 
Donation to State of CT DAV (10% of Forget-Me- Not Fund Drive) 
$ 
75.00
11/14/2019 
776 
Hato Industries (Forget me not flowers/posters/callection jar 
§ 
108,17
Total Forget- Me - Not Expenses 
$ 
183.17] 
$ 
183.17
OTHER EXPENSES - Meals/Member Dinners (line item 19)
8/1/2019 
771 
Crown Pizza- monthly. Meeting 
§ 
27.11
9/5/2019 
773 
Crown Pizza- monthly, meeting 
§ 
27.14
10/3/2019 
714 
Crown Pizza- monthly. Meeting 
§ 
27.11
11/7/2019 
775 
__{Crown Pizza- monthly. Meeting 
$ 
27.36
12/5/2019 
777 
Crown Pizza- monthly. meeting 
§ 
27.36
1/2/2020 
779 
Crown Pizza- monthly. meeting 
$ 
27.36
2/7/2020 
782 
Crown Pizza- monthly. meeting 
$ 
27.36
3/5/2020 
784 
Crown Pizza- monthly, Meeting 
$ 
27.36
TOTAL MEALS/MEMBERS DINNERS 
$ 
218.13 | $ 
218.13
TOTAL All EXPENSES 
§ 
2,591.23
—_