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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
KANSAS ASSOCIATION OF COMMUNITY ACTION PROGRAMS INC
 
Employer identification number
48-1126831
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) Iowa Association for Community Action
1620 Pleasant Street
Des Moines,IA50314
42-1183068 501(c)3 97,179 0     Ensure that all CSBG eligible entities are able to meet organizational standards and performance management efforts, and utilize evidence-based and evidence-informed approaches to address the identified needs of low-income people in communities.
(2) Missouri Community Action Network
2014 William Street
Jefferson City,MO65109
43-1041156 501(c)3 79,181 0     Ensure that all CSBG eligible entities are able to meet organizational standards and performance management efforts, and utilize evidence-based and evidence-informed approaches to address the identified needs of low-income people in communities.
(3) Community Action of Nebraska
210 O Street
Suite 100
Lincoln,NE68508
47-0693700 501(c)3 101,231 0     Ensure that all CSBG eligible entities are able to meet organizational standards and performance management efforts, and utilize evidence-based and evidence-informed approaches to address the identified needs of low-income people in communities.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
3
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
Schedule I, Part I, Line 2 KACAP required that each sub-recipient submit a work plan and a proposed budget, which when finalized, became part of the memorandum of agreement between KACAP and the sub-recipient. On a monthly basis, each sub-recipient submitted a grant transaction report and supporting documentation, which detailed the previous month's grant-related expenditures. The reports were reviewed by KACAP for accuracy and allowability of costs. Additionally, sub-recipients provided KACAP with a bi-monthly oral report and semi-yearly written report on programmatic progress and activities. KACAP would follow-up with a sub-recipient with any fiscal or programmatic questions to ensure the approved work plan was being complete, and that federal funds were being expended appropriately.
Schedule I (Form 990) 2017



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