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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
COASTLINE ELDERLY SERVICES INC
 
Employer identification number
04-2622121
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) PACE
166 WILLIAM STREET
NEW BEDFORD,MA02740 		04-2777810 501(C)(3) 19,489   BOOK   ENERGY ASSISTANCE
(2) IMMIGRANTS ASSISTANCE CENTER
58 CRAPO STREET
NEW BEDFORD,MA02740 		04-2530908 501(C)(3) 23,749   BOOK   ADVOCACY
(3) M O LIFE
43 DANIEL STREET
FAIRHAVEN,MA02719 		04-3283014 501(C)(3) 22,424   BOOK   TRANSPORTATION
(4) YMCA OF SOUTHEASTERN MA
20 SOUTH SIXTH STREET
NEW BEDFORD,MA02740 		04-2104747 501(C)(3) 5,539   BOOK   HEALTH SERVICES
(5) BUZZARDS BAY SPEECH THERAPY
14 HOLMES ROAD
MATTAPOISETT,MA02739 		46-4972494   6,564   BOOK   SPEECH
(6) VISTING DENTAL HYGENIST
9 PICKENS STREET
LAKEVILLE,MA02347 		01-4427223   7,570   BOOK   HEALTH SERVICES
(7) CITY OF NEW BEDFORD
133 WILLIAM STREET RM 103
NEW BEDFORD,MA02740 		04-6001401   5,625   BOOK   TRANSPORTATION
(8) COMMUNITY CONNECTIONS INC
127 WHITES PATH
SOUTH YARMOUTH,MA02664 		04-2871024 501(C)(3) 5,576   BOOK   TRANSPORTATION
(9) SENIORSCOPE COMMUNITY SERVICES
181 HILLMAN STREET BLDG 9
NEW BEDFORD,MA02740 		04-6001401   11,907   BOOK   ELDER OUTREACH
(10) SOUTH COASTAL COUNTIES LEGAL SERVICES INC
22 BEDFORD STREET PO BOX 2507
FALL RIVER,MA02722 		04-2607691 501(C)(3) 40,623   BOOK   LEGAL SERVICES
(11) COMMUNITY NURSE & HOSPICE CARE
62 CENTER STREET PO BOX 751
FAIRHAVEN,MA02719 		04-2104019 501(C)(3) 17,831   BOOK   HEALTH SERVICES
(12) MA ASSOCIATION OF OLDER AMERICANS
19 TEMPLE PLACE 4TH FLOOR
BOSTON,MA02111 		23-7039551   5,000   BOOK   MENTAL HEALTH
(13) MASHPEE OLD INDIAN
483 GREAT NECK ROAD SOUTH
MASHPEE,MA02649 		04-6142973 501(C)(3) 9,408   BOOK   TRANSPORTATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
9
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
4
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) HOME CARE SERVICES TO ELDERS 4074   14,181,569 BOOK DELIVERY OF HOME CARE SERVICES TO ELIGIBLE ELDERS TO PREVENT INSTITUTIONALIZATION BY OFFERING A WIDE RANGE OF SERVICES
(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: EACH SUBGRANTEE USING FEDERAL FUNDS IS MONITORED AT LEAST ONCE A YEAR. SOURCE DOCUMENTS ARE REVIEWED, SUCH AS PAYROLL RECORDS, EXPENDITURE AUTHORIZATION PROCEDURES, DONATION POLICES, PROGRAM ATTENDANCE RECORDS, FILING SYSTEMS, ETC.
Schedule I (Form 990) 2017



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