Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
 
 
Employer identification number
52-1306347
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1)  
1401 SW 1 ST STE 209
MIAMI,FL33135 		65-0633293 501(C)(3) 84,000       SUPPORT SENIOR MEDICARE PATROL PROGRAMS
(2)  
2201 12TH ST NW
WASHINGTON,DC20009 		52-1863130 501(C)(3) 40,000       SUPPORT HEALTH AND WELLBEING
(3)  
422 DEBBIE LANE
MILLVILLE,NJ08332 		22-3825575 501(C)(3) 40,000       SUPPORT HEALTH AND WELLBEING AND BUSINESS PLAN PROGRAMS
(4)  
8617 E COLONIAL DRIVE STE 1200
ORLANDO,FL32817 		52-3702613 501(C)(3) 15,000       SUPPORT HEALTH AND WELLBEING PROGRAMS
(5)  
PO BOX 36421
HOUSTON,TX77236 		20-1989658 501(C)(3) 10,000       SUPPORT HEALTH AND WELLBEING PROGRAMS
(6)  
305 7TH AVE 15TH FLOOR
NEW YORK,NY10001 		13-2947657 501(C)(3) 15,000       SUPPORT HEALTH AND WELLBEING PROGRAMS
(7)  
840 WEST AUSTIN AVE
ALAMO,TX78516 		74-2805842 501(C)(3) 80,000       SUPPORT SENIOR MEDICARE PATROL AND HEALTH AND WELLBEING PROGRAMS
(8)  
1628 16 TH ST NW 3
WASHINGTON,DC20009 		52-1161473 501(C)(3) 15,000       SUPPORT HEALTH AND WELLBEING PROGRAMS
(9)  
1875 CALVERT STREET NW
WASHINGTON,DC20009 		23-7161573 501(C)(3) 15,000       SUPPORT HEALTH AND WELLBEING PROGRAMS AND MOBILIZING HISPANIC OLDER ADULTS, THEIR FAMILIES AND CAREGIVERS AROUND HIV-ACT AG






2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
9
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: NHCOA MONITORS GRANT FUNDS TO ENSURE THESE ARE SPENT ACCORDING TO APPROVED BUDGETS AND FUNDER REQUIREMENTS. TO THAT EXTENT, PROJECT STAFF ARE NOTIFIED OF APPROVED BUDGETS. EXPENSES ARE APPROVED AND ALLOCATED BASED ON THE APPROVED BUDGETS. IN ADDITION, A MONTHLY FINANCIAL REPORT IS GENERATED TO EVALUATE BUDGET VS. ACTUAL AND ENSURE PROJECT EXPENSES ARE IN LINE WITH AVAILABLE BUDGETS.
Schedule I (Form 990) 2014



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