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
CENTRAL MASSACHUSETTS AGENCY ON
AGING INC
Employer identification number
04-2547633
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) CENTRAL MA HOUSING ALLIANCE
7-11 BELLEVUE ST
WORCESTER,MA01609 		04-2791448 3 53,276       ELDER HOME REPAIR
(2) CENTRO LAS AMERICAS
11 SYCAMORE ST
WORCESTER,MA01608 		04-2714991 3 24,783       LATINO ELDER OUTREAC
(3) JEWISH FAMILY SERVICES
646 SALISBURY ST
WORCESTER,MA01609 		04-2104350 3 47,655       GUARDIANSHIP
(4) COMMUNITY LEGAL AID
405 MAIN ST
WORCESTER,MA01608 		04-2446242 3 112,624       LEGAL ASSISTANCE
(5) LEOMINSTER SPANISH AMERICAN CENTER
112 SPRUCE ST
LEOMINSTER,MA01453 		04-2761759 3 29,142       INFO & ASSISTANCE
(6) MAB COMMUNITY SERVICES
799 W BOYLSTON ST
WORCESTER,MA01606 		04-2109859 3 10,000       VISION REHAB
(7) MONTACHUSETT OPPORTUNITY COUNCIL
133 PRICHARD ST
FITCHBURG,MA01420 		04-2401111 3 349,890       ELDERLY NUTRITION
(8) MONTACHUSETT OPPORTUNITY COUNCIL
133 PRICHARD ST
FITCHBURG,MA01420 		04-2401111 3 23,928       ELDER HOME REPAIR
(9) MONTACHUSETT OPPORTUNITY COUNCIL
133 PRICHARD ST
FITCHBURG,MA01420 		04-2401111 3 6,882       DIABETES SELF MGMT
(10) NEW ENGLAND HOMES FOR THE DEAF
154 WATER ST
DANVERS,MA01923 		04-2104760 3 6,446       SENIOR DROP IN CTR
(11) VNA CARE NETWORK
333 TURNPIKE RD
SOUTHBORO,MA01772 		04-2103825 3 6,012       OSTEOPOROSIS
(12) WORCESTER SENIOR CENTER
128 PROVIDENCE ST
WORCESTER,MA01604 		04-6001418   7,737       OSTEOPOROSIS PREVENT
(13) ELDER SERVICES OF WORCESTER
67 MILLBROOK ST
WORCESTER,MA01606 		04-2545221 3 507,338       ELDERLY NUTRITION
(14) ELDER SERVICES OF WORCESTER
67 MILLBROOK ST
WORCESTER,MA01606 		04-2545221 3 22,662       CRISIS INTERVENTION
(15) ELDER SERVICES OF WORCESTER
67 MILLBROOK ST
WORCESTER,MA01606 		04-2545221 3 8,526       MONEY MANAGEMENT
(16) ELDER SERVICES OF WORCESTER
67 MILLBROOK ST
WORCESTER,MA01606 		04-2545221 3 104,076       CAREGIVER SUPPORT
(17) MONTACHUSETT HOME CARE CORP
680 MECHANIC ST
LEOMINSTER,MA01453 		04-2551175 3 22,995       CRIS INTERVENTION
(18) MONTACHUSETT HOME CARE CORP
680 MECHANIC ST
LEOMINSTER,MA01453 		04-2551175 3 9,795       MONEY MANAGEMENT
(19) MONTACHUSETT HOME CARE CORP
680 MECHANIC ST
LEOMINSTER,MA01453 		04-2551175 3 78,056       CAREGIVER SUPPORT
(20) MONTACHUSETT HOME CARE CORP
680 MECHANIC ST
LEOMINSTER,MA01453 		04-2551175 3 171,182       LTC OMBUDSMAN
(21) TRI VALLEY INC
10 MILL ST
DUDLEY,MA01571 		04-2594201 3 386,782       ELDERLY NUTRITION
(22) TRI VALLEY INC
10 MILL ST
DUDLEY,MA01571 		04-2594201 3 25,463       CRISIS INTERVENTION
(23) TRI VALLEY INC
10 MILL ST
DUDLEY,MA01571 		04-2594201 3 9,771       MONEY MANAGEMENT
(24) TRI VALLEY INC
10 MILL ST
DUDLEY,MA01571 		04-2594201 3 78,056       CAREGIVER SUPPORT
(25) TRI VALLEY INC
10 MILL ST
DUDLEY,MA01571 		04-2594201 3 73,054       LTC OMBUDSMAN
(26) MA COLLEGE OF PHARMACY & HEALTH SCI
25 FOSTER ST
WORCESTER,MA01608 		04-2104700 3 7,009       MEDICATION MGMT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
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)
(2)
(3)
(4)
(5)
(6)
(7)
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
Schedule I (Form 990) 2014



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