Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
NATIONAL COUNCIL ON AGING INC
 
Employer identification number
13-1932384
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) ADELANTE DEVLOPMENT CENTER
3900 OSUNA RD NE
ALBUQUERQUE,NM87109
85-0262072 501(C)(3) 67,500       SUPPORT
(2) AGEOPTIONS
1048 LAKE STREET SUITE 300
OAK PARK,IL60301
36-2806193 501(C)(3) 68,500       SUPPORT
(3) AGESMART COMMUNITY RESOURCES
2365 COUNTRY ROAD
BELLEVILLE,IL62221
37-0986597 501(C)(3) 45,000       SUPPORT
(4) AGING & LONG TERM CARE OF EASTERN WASHINGTON
1222 NORTH POST ST
SPOKANE,WA99201
91-1017706 501(C)(3) 45,000       SUPPORT
(5) ALIVIO MEDICAL CENTER INC
966 WEST 21ST STREET
CHICAGO,IL60608
36-3661051 501(C)(3) 67,500       SUPPORT
(6) ALLIANCE FOR AGING INC
760 NW 107TH AVE SUITE 214
MIAMI,FL33172
65-0101947 501(C)(3) 45,000       SUPPORT
(7) AMERICAN ASSOCIATION ON HEALTH AND DISABILITY
110 N WASINGTON STREET SUITE 328-J
ROCKVILLE,MD20850
52-1864887 501(C)(3) 7,500       SUPPORT
(8) ANCHORAGE SENIOR ACTIVITY CENTER
1300 EAST 19TH AVE
ANCHORAGE,AK99501
92-0086821 501(C)(3) 20,000       SUPPORT
(9) AREA AGENCY ON AGING OF PALM BEACH TREASURE COAST INC
4400 N CONGRESS AVENUE
WEST PALM BEACH,FL33407
65-0087858 501(C)(3) 77,500       SUPPORT
(10) ASIAN PACIFIC COMMUNITY IN ACTION
4520 N CENTRAL AVENUE SUITE 380
PHOENIX,AZ85012
75-3040117 501(C)(3) 10,000       SUPPORT
(11) ASIAN SERVICES IN ACTION INC
3631 PERKINS AVE SUITE 2A-W
CLEVELAND,OH44114
34-1798850 501(C)(3) 80,000       SUPPORT
(12) ATLANTA COMMUNITY FOOD
732 JOSEPH E LOWERY BLVD NW
ATLANTA,GA30318
58-1376648 501(C)(3) 87,500       SUPPORT
(13) BALTIMORE CITY COMMISSION
417 E FAYETTE ST 6TH FLOOR
BALTIMORE,MD21202
52-6000769 STATE/CITY 25,000       SUPPORT
(14) BANNER OLIVE BRANCH SENIOR CENTER
11250 N 107TH AVE
SUN CITY,AZ85351
45-0233470 501(C)(3) 67,500       SUPPORT
(15) BEAR RIVER ASSOCIATION OF GOVT
170 NORTH MAIN ST
LOGAN,UT84321
87-0299562 501(C)(3) 45,000       SUPPORT
(16) BENEFITS DATA TRUST
2 LOGAN SQUARE SUITE 550
PHILADELPHIA,PA19103
20-3455598 501(C)(3) 202,500       SUPPORT
(17) BENJAMIN ROSE INSTITUTE
11890 FAIRHILL ROAD
CLEVELAND,OH44120
34-0714482 501(C)(3) 59,920       SUPPORT
(18) BIG SANDY AREA COMMUNITY ACTION PROGRAM INC
2ND FLOOR JOHNSON COUNTY COURTHOUSE
COURTHOUSE
PAINTSVILLE,KY41240
61-0653946 501(C)(3) 486,426       SUPPORT
(19) CAMBODIAN ASSOCIATION OF GREATER PA INC
5412 NORTH 5TH STREET
PHILADELPHIA,PA19120
23-2169935 501(C)(3) 10,000       SUPPORT
(20) CARE FOR ELDERS
3838 ABERDEEN WAY
HOUSTON,TX77025
74-1198298 501(C)(3) 10,000       SUPPORT
(21) CATHOLIC CHARITIES ARCHDIOSCESE OF NEW ORLEANS
1000 HOWARD AVE SUITE 200
NEW ORLEANS,LA70113
72-0408911 501(C)(3) 80,000       SUPPORT
(22) CATHOLIC COMMUNITY SERVICES OF NORTHERN NEVADA
500 EAST 4TH STREET
RENO,NV89512
88-0339754 501(C)(3) 57,000       SUPPORT
(23) CATHOLIC HEALTH INITIATIVES CO FOUNDATION
11600 W 2ND PLACE
LAKEWOOD,CO80228
84-0902211 501(C)(3) 67,500       SUPPORT
(24) CENTER FOR INDEPENDENCE OF THE DISABLED IN NEW YORK INC
841 BROADWAY SUITE 301
NEW YORK,NY10003
13-2984549 501(C)(3) 72,500       SUPPORT
(25) CENTRAL WEST VIRGINIA AGING SERVICES INC
8 SPRING STREET PO BOX 186
BUCKHANNON,WV36201
55-0613613 STATE/CITY 25,269       SUPPORT
(26) CHINESE COMMUNITY CENTER INC
9800 TOWN PARK DRIVE
HOUSTON,TX77036
76-0067885 501(C)(3) 67,500       SUPPORT
(27) CHINESE INFORMATION & SERVICES CENTER
611 SOUTH LANE ST
SEATTLE,WA98104
23-7438529 501(C)(3) 105,000       SUPPORT
(28) COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS
3011 N MICHIGAN ST
PITTSBURG,KS66762
75-3002264 501(C)(3) 80,000       SUPPORT
(29) CONNECTICUT COMMUNITY CARE INC
43 ENTERPRISE DRIVE
BRISTOL,CT06010
06-1024632 501(C)(3) 59,840       SUPPORT
(30) COUNCIL OF SENIOR CENTERS & SERVICES OF NYC INCLIVE ON NY
49 WEST 45TH STREET 7TH FLOOR
NEW YORK,NY10036
13-2967277 501(C)(3) 94,000       SUPPORT
(31) COUNCIL ON AGING-ORANGE COUNTY
1971 E 4TH ST SUITE 200
SANTA ANA,CA92705
95-2874089 501(C)(3) 22,500       SUPPORT
(32) CRISPUS ATTUCKS ASSOCIATION
605 SOUTH DUKE STREET
YORK,PA17401
23-1365320 501(C)(3) 641,530       SUPPORT
(33) DISTRICT THREE GOVERNMENT COOPERATIVE
4453 LEE HIGHWAY
MARION,VA24354
54-0957186 501(C)(3) 45,000       SUPPORT
(34) DQ CONSULTING LLC
PO BOX 5642
ALBANY,NY12205
26-4253189 501(C)(3) 8,000       SUPPORT
(35) DUKE UNIVERSITY
2200 W MAIN ST SUITE 820
DURHAM,NC27705
56-0532129 501(C)(3) 77,101       SUPPORT
(36) ECUMENICAL SOCIAL ACTION COMMITTEE INC
434 JAMAICA WAY
JAMAICA PLAIN,MA02130
04-2455301 501(C)(3) 20,000       SUPPORT
(37) ELDER LAW OF MICHIGAN IN
3815 W ST JOSEPH STE C-200
LANSING,MI48917
38-2906530 501(C)(3) 72,500       SUPPORT
(38) ELDERBRIDGE AGENCY ON AGING
22 N GEORGIA AVE SUITE 216
MASON CITY,IA50401
42-1155559 501(C)(3) 45,000       SUPPORT
(39) ELDERSOURCE
4160 WOODCOCK DR 2ND FLOOR
JACKSONVILLE,FL32207
59-1569867 501(C)(3) 77,500       SUPPORT
(40) FAMILY HEALTH CENTERS OF SAN DIEGO INC
823 GATEWAY CENTER WAY
SAN DIEGO,CA92102
95-2833205 501(C)(3) 80,000       SUPPORT
(41) FAMILY SERVICE AGENCY OF SAN FRANCISCO (FOR SCSEP)
10101 GOUGH STREET
SAN FRANCISCO,CA94109
94-1156530 501(C)(3) 10,000       SUPPORT
(42) FAMILY SERVICE AGENCY OF SAN MATEO COUNTY
24 2ND AVE
SAN MATEO,CA94401
94-1186169 501(C)(3) 1,348,226       SUPPORT
(43) FAMILY SERVICE AGENCY OF SAN FRANCISCO (FOR MIPPA)
1500 FRANKLIN STREET
SAN FRANCISCO,CA94109
94-1156530 501(C)(3) 945,535       SUPPORT
(44) FEEDING THE GULF COAST
5248 MOBILE SOUTH STREET
THEODORE,AL36582
63-0821997 501(C)(3) 112,000       SUPPORT
(45) FIRST IN FAMILIES OF NORTH CAROLINA
3109 UNIVERSITY DRIVE SUITE 100
DURHAM,NC27707
46-0471896 501(C)(3) 7,800       SUPPORT
(46) FIVE COUNTY ASSOCIATION OF GOVT
1070 WEST 1600 SOUTH BLDG B
ST GEORGE,UT84770
87-0304025 501(C)(3) 45,000       SUPPORT
(47) GEORGIA LEGAL SERVICES PROGRAM INC
104 MARIETTA STREET SUITE 250
ATLANTA,GA30303
58-1111590 501(C)(3) 67,500       SUPPORT
(48) GREATER BERGEN COMMUNITY ACTION INC
241 MOORE STREET
HACKENSACK,NJ07601
22-1818014 501(C)(3) 25,000       SUPPORT
(49) GREEN RIVER AREA DEVELOPMENT DISTRICT
300 GRADD WAY
OWENSBORO,KY42301
61-0706096 501(C)(3) 67,500       SUPPORT
(50) HANA CENTER
4300N CALIFORNIA AVE
CHICAGO,IL60618
36-2746468 501(C)(3) 101,500       SUPPORT
(51) HEALTH INSURANCE COUNSELING
646 COUNTY SQUARE DR 100
VENTURA,CA93003
95-6000944 501(C)(3) 67,500       SUPPORT
(52) HOPES COMMUNITY ACTION PARTNERSHIP INC
301 GARDEN ST
HOBOKEN,NJ07030
22-1801849 501(C)(3) 80,000       SUPPORT
(53) HOUSEABOUTIT COMMUNITY & ECONOMIC DEVELOPMENT AGENCY
PO BOX 4342
LITTLE ROCK,AR72214
56-2514622 501(C)(3) 20,000       SUPPORT
(54) ISABELLA GERIATRIC CENTER
515 AUDOBON AVE
NEW YORK,NY10040
13-3623808 501(C)(3) 67,500       SUPPORT
(55) JEWISH FAMILY SERVICES OF ATLANTIC COUNTY INC
607 N JEROME AVENUE
MARGATE,NJ08402
22-2119902 501(C)(3) 67,500       SUPPORT
(56) KOREAN COMMUNITY SERVICE CENTER OF GREATER WASHINGTON INC
7700 LITTLE RIVER TURNPIKE SUITE
406
ANNANDALE,VA22101
52-1005984 501(C)(3) 80,000       SUPPORT
(57) LEGAL AID OF THE BLUEGRASS
104 EAST 7TH ST
COVINGTON,KY41011
61-0668572 501(C)(3) 77,500       SUPPORT
(58) LEGAL SERVICES FOR THE ELDERLY
5 WABON STREET
AUGUSTA,ME04330
01-0359131 501(C)(3) 67,500       SUPPORT
(59) LITTLE RIVER MEDICAL CENTER INC
PO BOX 547
LITTLE RIVER,SC29566
57-0672117 501(C)(3) 45,000       SUPPORT
(60) LOS ANGELES FOUNDATION ON AGING
211 N FIGUEROA STREET SUITE 180
LOS ANGELES,CA90012
13-4334980 501(C)(3) 8,750       SUPPORT
(61) LUZEMEWYOMING AAA
111 N PENNSYLVANIA BLVD
WILKESBARRE,PA18701
23-2660272 501(C)(3) 456,592       SUPPORT
(62) MAC INCORPORATED
909 PROGRESS CIRCLE SUITE 100
SALISBURY,MD21804
52-0992005 501(C)(3) 25,000       SUPPORT
(63) MEDICARE RIGHTS CENTER
266 WEST 37TH STREET 3RD FLOOR
NEW YORK,NY10018
13-3505372 501(C)(3) 91,664       SUPPORT
(64) MEXICAN AMERICAN OPPORTUNITY FOUNDATION
972 S GOODRICH BLVD
CITY OF COMMERCE,CA90022
95-2594166 501(C)(3) 70,000       SUPPORT
(65) MINOT STATE UNIVERSITY
500 UNIVERSITY AVE W
MINOT,ND58707
45-6002481 501(C)(3) 45,000       SUPPORT
(66) MISSOURI ASSOCIATION OF AREA AGENCIES ON AGING
1121 BUSINESS LOOP 70E 2A
COLUMBIA,MO65201
43-1101962 STATE/CITY 133,000       SUPPORT
(67) MONTANA DEPT OF PUBLIC HEALTH & HUMAN SERVICES
PO BOX 4210
HELENA,MT59604
81-0302402 STATE/CITY 67,500       SUPPORT
(68) NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING
PO BOX 791067
BALTIMORE,MD21279
52-1052345 501(C)(3) 50,000       SUPPORT
(69) NATIVE AMERICAN DISABILITY LAW CENTER
3535 E 30TH STREET SUITE 201
FARMINGTON,NM87402
35-2238666 501(C)(3) 20,000       SUPPORT
(70) NAT'L ASSOC OF STATE UNITED FOR AGING AND DISABILITIES
1201 15TH ST NW SUITE 350
WASHINGTON,DC20005
39-6095459 501(C)(3) 120,000       SUPPORT
(71) NEW YORK CITY DEPARTMENT FOR THE AGING
2 LAYFAYETTE ST
NEW YORK,NY10007
13-3153550 STATE/CITY 1,373,207       SUPPORT
(72) NORTH CENTRAL AREA AGENCY ON AGING
151 NEW PARK AVENUE BOX 75
HARTFORD,CT06106
22-3059029 501(C)(3) 45,000       SUPPORT
(73) NORTH CENTRAL TEXAS COUNCIL OF GOVTS FOUNDATION INC
PO BOX 5888
ARLINGTON,TX76005
75-6049012 STATE/CITY 10,000       SUPPORT
(74) NORTHERN KENTUCKY COMMUNITY ACTION COMMISSION
PO BOX 931
COVINGTON,KY41012
61-0667805 501(C)(3) 1,393,197       SUPPORT
(75) NORTHWEST KANSAS AREA AGENCY ON AGING INC
510 W 29TH STREET PO BOX 610 SUITE
B
HAYS,KS67601
48-0874448 501(C)(3) 45,000       SUPPORT
(76) PARTNERS IN CARE FOUNDATION
732 MOTT ST SUITE 150
SAN FERNANDO,CA91340
95-3954057 501(C)(3) 45,000       SUPPORT
(77) PATH STONE
400 EAST AVE
ROCHESTER,NY14607
16-0984913 501(C)(3) 10,906,589       SUPPORT
(78) PIMA COUNCIL ON AGING INC
8467 E BROADWAY BLVD
TUCSON,AZ85711
86-0251768 501(C)(3) 72,500       SUPPORT
(79) REGION VIII PLANNING & DEVELOPMENT COUNCIL
131 PROVIDENCE LANE
PETERSBURG,WV26847
55-0531062 501(C)(3) 690,843       SUPPORT
(80) RIO ARRIBA COUNTY
PO BOX 127
TIERRA AMARILLA,NM87575
85-6000240 501(C)(3) 80,000       SUPPORT
(81) SENIOR COMMUNITY OUTREACH
840 WEST AUSTIN AVENUE
ALAMO,TX78516
74-2805842 501(C)(3) 27,500       SUPPORT
(82) SENIOR RESOURCES
4 BROADWAY 3RD FLOOR
NORWICH,CT06360
06-0916608 501(C)(3) 67,500       SUPPORT
(83) SIXTY AND BETTER INC
1400 CIRCLE DRIVE SUITE 300
FORT WORTH,TX76119
75-1251339 501(C)(3) 40,000       SUPPORT
(84) SOUND GENERATIONS
2208 SECOND AVE SUITE 100
SEATTLE,WA98121
91-0823767 501(C)(3) 19,500       SUPPORT
(85) SOUTH ALABAMA REGIONAL PLANNING
110 BEAUREGARD ST PO BOX 166
MOBILE,AL36633
63-0501382 501(C)(3) 77,500       SUPPORT
(86) SOUTHWESTERN COMMUNITY ACTION COUNCIL INC
540 FIFTH AVENUE
HUNTINGTON,WV25701
55-0488202 501(C)(3) 1,834,826       SUPPORT
(87) STATE OF CONNECTICUT DEPT ON AGING
55 FARMINGTON AVENUE 12TH FLOOR
HARTFORD,CT06105
46-2796782 STATE/CITY 10,000       SUPPORT
(88) STATE OF WV BUREAU OF SENIOR SERVICES
1900 KANAWHA BLVD EAST
CHARLESTON,WV25305
55-0483610 STATE/CITY 67,000       SUPPORT
(89) TENNESSEE JUSTICE CENTER
301 CHARLOTTE AVE
NASHVILLE,TN37201
62-1630417 STATE/CITY 10,000       SUPPORT
(90) THE ARC PRINCE GEORGE'S COUNTY
1401 MCCORMICK DRIVE
LARGO,MD20774
52-0715246 501(C)(3) 67,500       SUPPORT
(91) THE COUNCIL ON AGING OF BUNCOMBE COUNTY INC
46 SHEFFIELD CIRCLE
ASHEVILLE,NC28803
23-7410586 501(C)(3) 45,000       SUPPORT
(92) THE CSU CHICO RESEARCH FOUNDATION
CSU CHICO- BUILDING 25MST
CHICO,CA95929
68-0386518 501(C)(3) 80,000       SUPPORT
(93) THE LEGACY LINK
4080 MUNDY MILL ROAD
OAKWOOD,GA30566
58-2317890 501(C)(3) 4,875,468       SUPPORT
(94) THE WHOLE PERSON INC
3710 MAIN STREET
KANSAS CITY,MO64111
43-1157083 501(C)(3) 30,000       SUPPORT
(95) THREE SQUARE
4190 N PECOS ROAD
LAS VEGAS,NV89115
30-0396918 501(C)(3) 80,000       SUPPORT
(96) TRI-VALLEY INC
10 MILL STREET
DUDLEY,MA01571
04-2594201 501(C)(3) 45,000       SUPPORT
(97) UNITED CAMBODIAN COMMUNITY
2201 E ANAHEIM ST SUITE 200
LONG BEACH,CA90804
95-3442295 501(C)(3) 50,000       SUPPORT
(98) VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
360 JORDAN STREET
SHREVEPORT,LA71101
72-0506820 501(C)(3) 10,000       SUPPORT
(99) WASHINGTON COUNTY COMMISSION
140 WEST FRANKLIN STREET 4TH FLOOR
HAGERSTOWN,MD21740
52-0899001 STATE/CITY 67,500       SUPPORT
(100) WASHINGTON COUNTY DISABILITY AGING AND VETERAN SERVICES
180 E MAIN STREET
HILLSBORO,OR97123
93-6002316 STATE/CITY 67,500       SUPPORT
(101) WATTS LABOR COMMUNITY ACTION COMMITTEE
10950 S CENTRAL AVE
LOS ANGELES,CA90059
95-2412869 501(C)(3) 20,000       SUPPORT
(102) WELLMED MEDICAL MANAGEMENT
8637 FREDERICKSBURG RD SUITE 360
SAN ANTONIO,TX78240
20-5087010 501(C)(3) 71,320       SUPPORT
(103) WESTCHESTER COMMUNITY OPPORTUNITY PROGRAM INC
2 WESTCHESTER PLAZA
ELMSFORD,NY10523
13-2547122 501(C)(3) 45,000       SUPPORT
(104) WESTERN ARIZONA COUNCIL OF AGING
1235 S REDONDO CENTER DR
YUMA,AZ85364
86-0262126 STATE/CITY 80,000       SUPPORT
(105) WESTMORELAND COUNTY COMMUNITY COLLEGE
145 PAVILLION LANE
YOUNGWOOD,PA15697
25-1511934 501(C)(3) 1,165,725       SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
105
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) 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: NCOA GOES THROUGH A DELIBERATIVE PROCESS TO ENGAGE ALL GRANTEES FOR VARIOUS PROJECTS. THEN, DURING THE GRANT PERIOD NCOA REQUIRES PERIODIC PROJECT REPORTING FROM EACH SUCH GRANTEE, WHICH WILL INCLUDE EXPLANATIONS FOR VARIANCES TO THEIR PROJECT BUDGETS. NCOA RESERVES THE RIGHT TO CONDUCT INDEPENDENT AUDITS OF ALL GRANTEES AND OBTAINS COPIES OF EACH ORGANIZATION'S FINANCIAL STATEMENTS AND A-133 AUDITS/UNIFORM GUIDANCE REPORTS AS APPROPRIATE.
Schedule I (Form 990) 2017



Additional Data


Software ID:  
Software Version: