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," on 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
2016
Open to Public
Inspection
Name of the organization
AREA AGENCY ON AGING FOR NORTH FLORIDA
INC
Employer identification number
59-1844633
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) ABILITY 1ST
1823 BUFORD CT
TALLAHASSEE,FL32308 		59-2091522 501(C)(3) 11,974       ELDER SERVICES
(2) ALZHEIMER'S PROJECT
301 EAST THARPE STREET
TALLAHASSEE,FL32303 		59-3163907 501(C)(3) 187,502       ELDER SERVICES
(3) BAY COUNTY COUNCIL ON AGING INC
1116 FRANKFORD AVE
PANAMA CITY,FL32401 		59-1352672 501(C)(3) 981,386       ELDER SERVICES
(4) CALHOUN COUNTY SENIOR CITIZENS ASSOCIATION INC
16859 N EAST CAYSON ST
BLOUNSTOWN,FL32424 		59-1945679 501(C)(3) 195,913       ELDER SERVICES
(5) GADSDEN SENIOR SERVICES INC
79 LASALLE LEFFALL DRIVE
QUINCY,FL32351 		20-2779901 501(C)(3) 507,802       ELDER SERVICES
(6) GULF COUNTY SENIOR CITIZENS ASSOCIATION INC
120 LIBRARY DRIVE
PORT ST JOE,FL32456 		59-1777183 501(C)(3) 180,455       ELDER SERVICES
(7) HOLMES COUNTY COUNCIL ON AGING INC
210 WEST KANSAS AVE
BONIFAY,FL32425 		59-1311210 501(C)(3) 242,370       ELDER SERVICES
(8) JACKSON COUNTY SENIOR CITIZENS ORGANIZATION INC
5400 CLIFF ST
GRACEVILLE,FL32440 		59-1613298 501(C)(3) 380,291       ELDER SERVICES
(9) JEFFERSON COUNTY SENIOR CITIZENS CENTER INC
1155 N JEFFERSON ST
MONTICELLO,FL32344 		59-2015689 501(C)(3) 214,638       ELDER SERVICES
(10) ELDER CARE SERVICES INC
2518 WEST TENNESSEE ST
TALLAHASSEE,FL32304 		59-1426079 501(C)(3) 1,255,967       ELDER SERVICES
(11) LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
PO BOX 730
BRISTOL,FL32321 		59-1769552 501(C)(3) 388,497       ELDER SERVICES
(12) SENIOR CITIZENS COUNCIL OF MADISON COUNTY INC
PO BOX 204
MADISON,FL32341 		23-7097794 501(C)(3) 289,485       ELDER SERVICES
(13) TAYLOR SENIOR CITIZENS CENTER INC
800 W ASH ST
PERRY,FL32347 		20-3093915 501(C)(3) 235,060       ELDER SERVICES
(14) WAKULLA COUNTY SENIOR CITIZENS COUNCIL INC
33 MICHAEL DRIVE
CRAWFORDVILLE,FL32327 		59-1316667 501(C)(3) 229,385       ELDER SERVICES
(15) WASHINGTON COUNTY COUNCIL ON AGING INC
1348 SOUTH BOULEVARD
CHIPLEY,FL32428 		59-1485912 501(C)(3) 259,323       ELDER SERVICES
(16) LEGAL SERVICES OF NORTH FLORIDA INC
2119 DELTA BOULEVARD
TALLAHASSEE,FL32303 		51-0197090 501(C)(3) 114,305       ELDER SERVICES
(17) TALLAHASSEE SENIOR FOUNDATION
1400 N MONROE ST
TALLAHASSEE,FL32303 		59-2040638 501(C)(3) 11,115       ELDER SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
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) 2016
Page 2

Schedule I (Form 990) 2016
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash 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
PART I, LINE 2: THE SUB-RECIPIENTS ARE BEING INFORMED OF THE CFDA/CSFA TITLE AND NUMBER AND THE AWARD'S NAME AND NUMBER THROUGH THE CONTRACT AGREEMENTS AND ARE BEING ADVISED OF THE REQUIREMENTS IMPOSED ON THEM BY FEDERAL LAWS, REGULATIONS, AND THE PROVISIONS OF CONTRACT/GRANT AGREEMENTS. MONITORING OF SUB-RECIPIENTS IS BEING DONE AT LEAST ONE TIME PER YEAR. IF A PROVIDER HAS SIGNIFICANT FINDINGS, THEN A CORRECTIVE ACTION PLAN IS REQUIRED AND THE PROVIDER WILL BE MONITORED AGAIN TO ENSURE THAT PROCEDURES HAVE BEEN ESTABLISHED TO CORRECT THE DEFICIENCIES. 4. ALL AUDIT REPORTS ARE REVIEWED TO ENSURE THERE ARE NO PROBLEMS. A DOEA CHECKLIST IS COMPLETED TO ENSURE THAT THE SUB RECIPIENT AUDIT IS IN COMPLIANCE. IF PROBLEMS ARE IDENTIFIED WITHIN THE AUDIT REPORT, THEN A CORRECTIVE ACTION PLAN IS SUBMITTED TO THE ORGANIZATION, WHO WILL SUBSEQUENTLY MONITOR THE PROBLEMS THAT WERE FOUND TO ENSURE THAT THE DEFICIENCIES HAVE BEEN CORRECTED.
Schedule I (Form 990) 2016



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