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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.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
KAHALA SENIOR LIVING COMMUNITY INC
 
Employer identification number
99-0290103
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) KAHALA NUI SENIOR LIVING FOUNDATION INC
4389 MALIA STREET
HONOLULU,HI96821 		81-4851343 501(C)(3) 375,743 0     TRANSFER OF TEMPORARILY RESTRICTED ASSETS
(2) ALZHEIMER'S ASSOCIATION
1050 ALA MOANA BOULEVARD 2610
HONOLULU,HI96814 		99-0212360 501(C)(3) 45,000 2,103     SUPPORT EDUCATION AND AWARENESS
(3) CATHOLIC CHARITIES HAWAII
1822 KEEAUMOKU STREET
HONOLULU,HI96822 		99-0073547 501(C)(3) 40,000 0     SENIOR HOUSING ASSISTANCE
(4) HAWAII MEALS ON WHEELS
PO BOX 61194
HONOLULU,HI96839 		99-0198132 501(C)(3) 45,000 56,401 FAIR MARKET VALUE   HOT MEALS FOR COMMUNITY SENIORS
(5) KAPIOLANI COMMUNITY COLLEGE
4303 DIAMOND HEAD ROAD
HONOLULU,HI96816 		99-6000354 501(C)(3) 10,585 0     OCCUPATIONAL THERAPIST TRAINING
(6) KOKUA KALIHI VALLEY
2239 N SCHOOL STREET
HONOLULU,HI96819 		99-0149797 501(C)(3) 40,000 0     SENIOR HEALTH PROGRAM ASSISTANCE AND SUPPORT TO PRINT A RESOURCE BOOKLET
(7) PALAMA SETTLEMENT
810 N VINEYARD BOULEVARD
HONOLULU,HI96817 		99-0074140 501(C)(3) 0 22,690 FAIR MARKET VALUE   PROVIDE HOUSEHOLD TOILETRIES AND CANNED GOODS TO HOMEBOUND SENIORS
(8) PROJECT DANA
2720 NAKOOKOO STREET
HONOLULU,HI96826 		99-0143990 501(C)(3) 40,000 0     SUPPORT THE SENIOR PROGRAM
(9) SAINT MARY STAR OF THE SEA SCHOOL
4469 MALIA STREET
HONOLULU,HI96821 		99-0078514 501(C)(3) 20,826 0     GENERAL OPERATING SUPPORT
(10) UNIVERSITY OF HAWAII FOUNDATION
2444 DOLE STREET BACHMAN HALL 105
HONOLULU,HI96822 		99-0085260 501(C)(3) 9,740 0     SCHOLARSHIPS AND GENERAL OPERATING SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
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) 2018
Page 2

Schedule I (Form 990) 2018
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: GRANTS TO RELATED ORGANIZATIONS ARE MONITORED THROUGH COMMON MANAGEMENT AND BOARD OVERSIGHT. EACH GRANT TO AN UNRELATED ORGANIZATION IS APPROVED AND INCLUDED IN THE BUDGET; ALL EXPENDITURES ARE PRESENTED TO THE BOARD OF DIRECTORS.
Schedule I (Form 990) 2018



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