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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.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Iona Senior Services
 
Employer identification number
52-1039553
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) Downtown Cluster's Geriatric Daycare Center Inc
926 11th Street NW
Washington,DC20001
52-1056117 501(c)(3) 681,892 0 N/A N/A DCoA subrecipient award- See Part IV
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
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) 2017
Page 2

Schedule I (Form 990) 2017
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: On October 4, 2017, Iona entered into an agreement with the DCoA to sponsor Downtown Cluster's Geriatric Day Care Center ("the Center") and assume temporary fiduciary control of the Center's grant from DCoA for the period commencing October 1, 2017 through September 30, 2018. The Center is a nonprofit, community-based day care center, which was incorporated in the District of Columbia in 1975, and is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (IRC). The Center's mission is to improve the quality of life for the elderly residents in the District of Columbia. According to the terms of the agreement, Iona will serve as the trustee and have total responsibility for all DCoA grant funds awarded to the Center. As a part of this arrangement, the Center will not encumber any obligations without first obtaining the written permission of the Executive Director of Iona, and all expenditures associated with the fiscal year 2018 DCoA grant must be approved in advance by the Executive Director of Iona. The portion of the grant passed through as a subrecipient award to the Center amounted to $681,892.
Schedule I (Form 990) 2017



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