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
HUALALAI OHANA FOUNDATION
 
Employer identification number
81-0570716
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" on 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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
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
(1) PRE-K THRU 12TH GRADE SCHOLARSHIPS 70 173,500      
(2) MEDICAL AWARDS 54 120,719      
(3) HIGHER EDUCATION 31 77,374      
(4) SURGICAL AWARDS 25 22,237      
(5) COURSEWORK & SUMMER SCHOOL 51 21,858      
(6) LEAPFROG LEARNING TOOLS 250   24,884 PROGRAM COST. LEAPFROG GAMES.
(7) HONOR ROLL AWARDS 86 11,448      
(8) LIFEPLAN YOUTH MENTORING 650   10,823 PROGRAM COST. MENTORING SERVICES.
(9) DOLLYWOOD IMAGINATION LIBRARY 1464   2,930 PROGRAM COST. BOOKS.
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: 1)EDUCATION AWARD FUNDS ARE PAID ONLY TO APPROVED ACADEMIC INSTITUTIONS OR REIMBURSED TO INDIVIDUALS UPON VERIFICATION OF RECEIPT FOR PAYMENT. 2) APPLICANTS RE-APPLY EVERY YEAR, REGARDLESS OF PRIOR USE OF PROGRAM. ELIGIBILITY IS REVIEWED AND DETERMINED FOR EACH APPLICANT EVERY YEAR. 3) HIGHER EDUCATION RECIPIENTS MUST PROVIDE MID-TERM PROOF OF ACADEMIC ELIGIBLITY AND TUITION RECEIPT IN ORDER TO RECEIVE THE SECOND PAYMENT OF SCHOLARSHIPS AWARDS. 4) ALL COURSEWORK AWARD APPLICANTS MUST PROVIDE SUFFICIENT DOCUMENTATION TO ESTABLISH ELIGIBILITY OF REQUESTED PROGRAM. 5) MEDICAL CONDITIONS ARE VERIFIED WITH THE APPLICANT'S PHYSICIAN PRIOR TO AWARDING ASSISTANCE FOR MEDICAL AID PROGRAMS.
Schedule I (Form 990) 2014



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