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
SOUTHWESTERN CT AGENCY ON AGING INC
 
Employer identification number
06-0916407
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) CATHOLIC CHARITIES OF FFLD COUNTY
238 JEWETT AVENUE
BRIDGEPORT,CT06053 		501C3 887,660       ELDERLY NUTRITION/HOME CARE
(2) CHILD & FAMILY GUIDANCE CTR OF GTR BPT
180 FAIRFIELD AVENUE
BRIDGEPORT,CT06053 		501C3 30,983       ELDERLY NUTRITION/HOME CARE
(3) CITY OF BRIDGEPORT
99 BROARD ST
BRIDGEPORT,CT06604 		CITY 23,750       ELDERLY NUTRITION/HOME CARE
(4) COMMUNITY HEALTH CENTER INC
635 MAIN STREET
MIDDLETOWN,CT06053 		501C3 50,000       ELDERLY NUTRITION/HOME CARE
(5) CT LEGAL SERVICES
211 STATE STREET
BRIDGEPORT,CT06604 		501C3 50,000       ELDERLY NUTRITION/HOME CARE
(6) CW RESOURCES
200 MYRTLE STREET
NEW BRITAIN,CT06053 		501C3 1,251,266       ELDERLY NUTRITION/HOME CARE
(7) ACCESS INDEPENDENCE
80 FERRY BLVD 210
STRATFORD,CT06615 		501C3 6,000       ELDERLY NUTRITION/HOME CARE
(8) ELDERHOUSE INC
7 LEWIS STREET
NORWALK,CT06851 		501C3 34,366       ELDERLY NUTRITION/HOME CARE
(9) FAIRFIELD UNIVERSITY
1073 NORTH BENSON ROAD
FAIRFIELD,CT06053 		UNIVERSITY 14,164       ELDERLY NUTRITION/HOME CARE
(10) FAMILY & CHILDREN'S AGENCY
9 MOTT AVENUE
NORWALK,CT06053 		501C3 149,419       ELDERLY NUTRITION/HOME CARE
(11) GREENWICH ADULT DAY CARE
125 RIVER ROAD EXTENSION
GREENWICH,CT06053 		501C3 21,870       ELDERLY NUTRITION/HOME CARE
(12) JEWISH FAMILY SER OF GREENWICH
1 HOLLY HILL LANE
GREENWICH,CT06807 		501C3 5,000       ELDERLY NUTRITION/HOME CARE
(13) JEWISH SENIOR SERVICES
175 JEFFERSON STREET
FAIRFIELD,CT06053 		501C3 28,565       ELDERLY NUTRITION/HOME CARE
(14) NORWALK SENIOR CENTER
11 ALLEN ROAD
NORWALK,CT06053 		501C3 71,247       ELDERLY NUTRITION/HOME CARE
(15) TOWN OF MONROE
235 CUTLERS FARM ROAD
MONROE,CT06053 		TOWN 9,959       ELDERLY NUTRITION/HOME CARE
(16) TOWN OF STRATFORD
1000 WEST BROAD STREET
STRATFORD,CT06053 		TOWN 19,000       ELDERLY NUTRITION/HOME CARE
(17) HALL NEIGHBORHOOD HOUSE
52 GEORGE E PIPKINS WAY
BRIDGEPORT,CT06608 		501C3 44,707       ELDERLY NUTRITION/HOME CARE
(18) OVER 60 CLUB
628 MAIN STREET
STAMFORD,CT06901 		501C3 28,500       ELDERLY NUTRITION/HOME CARE
(19) SILVER SOURCE INC
2009 SUMMER STREET
STAMFORD,CT06905 		501C3 38,000       ELDERLY NUTRITION/HOME CARE
(20) STAMFORD SENIOR CENTER
888 WASHINGTON BLVD 2ND FLOOR
STAMFORD,CT06901 		501C3 35,000       ELDERLY NUTRITION/HOME CARE
(21) STAMFORD HEALTH DEPT
888 WASHINGTON BLVD
STAMFORD,CT06901 		CITY 35,164       ELDERLY NUTRITION/HOME CARE
(22) FAMILY CENTERS INC
40 ARCH STREET
GREENWICH,CT06830 		501C3 9,000       ELDERLY NUTRITION/HOME CARE
(23) THE KENNEDY CENTER
2440 RESERVOIR AVENUE
TRUMBULL,CT06053 		501C3 29,782       ELDERLY NUTRITION/HOME CARE
(24) VISITING NURSE SERVICES OF CT
765 FAIRFIELD AVENUE
BRIDGEPORT,CT06605 		501C3 27,122       ELDERLY NUTRITION/HOME CARE
(25) WAVENY CARE CENTER
3 FARM ROAD
NEW CANAAN,CT06840 		501C3 5,277       ELDERLY NUTRITION/HOME CARE
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) 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 USE OF GRANT FUNDS IS MONITORED THROUGH MONITORING VISITS AND REVIEW OF PROGRAMMATIC AND FINANCIAL REPORTS PREPARED BY THE GRANTEES.
Schedule I (Form 990) 2016



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