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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
SOUTHWESTERN CT AGENCY ON AGING INC
 
Employer identification number
06-0916407
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) CATHOLIC CHARITIES OF FAIRFIELD COUNTY
238 JEWETT AVENUE
BRIDGEPORT,CT06606 		06-0653053 501 (C) (3) 1,169,635 0     ELDERLY NUTRITION / HOME CARE SERVICES
(2) CITY OF BRIDGEPORT
999 BROAD STREET
BRIDGEPORT,CT06604 		63-6001209 CITY OF BRIDGEPORT 72,275 0     ELDERLY NUTRITION / HOME CARE SERVICES
(3) COMMUNITY HEALTH CENTER INC
635 MAIN STREET
MIDDLETOWN,CT06457 		06-0897105 501 (C) (3) 48,897 0     ELDERLY NUTRITION / HOME CARE SERVICES
(4) CONNECTICUT LEGAL SERVICES INC
1000 LAFAYETTE BLVD 9TH FLOOR
BRIDGEPORT,CT06604 		06-0955461 501 (C) (3) 45,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(5) CW RESOURCES INC
200 MYRTLE STREET
NEW BRITAIN,CT06053 		06-0806499 501 (C) (3) 1,768,727 0     ELDERLY NUTRITION / HOME CARE SERVICES
(6) ELDERHOUSE INC
7 LEWIS STREET
NORWALK,CT06851 		06-0963343 501 (C) (3) 74,261 0     ELDERLY NUTRITION / HOME CARE SERVICES
(7) FAIRFIELD COUNTY HOSPICE HOUSE INC
1 DEN ROAD
STAMFORD,CT06902 		45-4166197 501 (C) (3) 10,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(8) FAIRFIELD UNIVERSITY
1073 N BENSON ROAD
FAIRFIELD,CT06824 		06-0646623 501 (C) (3) 15,764 0     ELDERLY NUTRITION / HOME CARE SERVICES
(9) FAMILY & CHILDREN'S AGENCY
9 MOTT AVE 4TH FLOOR
NORWALK,CT06824 		06-0970985 501 (C) (3) 157,272 0     ELDERLY NUTRITION / HOME CARE SERVICES
(10) FAMILY CENTERS INC
40 ARCH STREET
GREENWICH,CT06830 		06-0646656 501 (C) (3) 75,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(11) GREENWICH ADULT DAY CARE INC
125 RIVER ROAD EXTENSION
COS COB,CT06807 		22-2894544 501 (C) (3) 39,896 0     ELDERLY NUTRITION / HOME CARE SERVICES
(12) HALL NEIGHBORHOOD HOUSE
52 GEORGE E PIPKINS WAY
BRIDGEPORT,CT06608 		06-0676851 501 (C) (3) 65,941 0     ELDERLY NUTRITION / HOME CARE SERVICES
(13) JEWISH FAMILY SERVICE OF STAMFORD INC
192 GREYROCK PLACE
STAMFORD,CT06901 		06-1130830 501 (C) (3) 39,877 0     ELDERLY NUTRITION / HOME CARE SERVICES
(14) JEWISH FAMILY SERVICES OF GREENWICH
1 HOLLY HILL LANE
GREENWICH,CT06830 		06-1073590 501 (C) (3) 15,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(15) JEWISH HOME FOR THE ELDERLY OF FAIRFIELD CTY
4200 PARK AVENUE
BRIDGEPORT,CT06604 		06-0846991 501 (C) (3) 83,532 0     ELDERLY NUTRITION / HOME CARE SERVICES
(16) MONROE SENIOR CENTER
235 CUTLERS FARM ROAD
MONROE,CT06468 		06-6002038 TOWN OF MONROE 26,910 0     ELDERLY NUTRITION / HOME CARE SERVICES
(17) MONTIOR MY HEALTH INC
1000 LAFAYETTE BLVD STE 1100
BRIDGEPORT,CT06604 		81-4498882 501 (C) (3) 100,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(18) NORWALK SENIOR CENTER
11 ALLEN ROAD
NORWALK,CT06851 		23-7121169 501 (C) (3) 75,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(19) OVER 60 CLUB
628 MAIN STREET
STAMFORD,CT06901 		45-5398824 501 (C) (3) 95,731 0     ELDERLY NUTRITION / HOME CARE SERVICES
(20) PERSON TO PERSON
76 SOUTH MAIN STREET
NORWALK,CT06854 		06-1422248 501 (C) (3) 32,786 0     ELDERLY NUTRITION / HOME CARE SERVICES
(21) SALVATION ARMY BRIDGEPORT CORPS
30 ELM STREET
BRIDGEPORT,CT06604 		22-2406433 501 (C) (3) 33,746 0     ELDERLY NUTRITION / HOME CARE SERVICES
(22) SILVERSOURCE
2009 SUMMER STREET
STAMFORD,CT06905 		06-0646916 501 (C) (3) 100,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(23) STAMFORD SENIOR CENTER INC
888 WASHINGTON BLVD 2ND FLOOR
STAMFORD,CT06901 		06-1456561 501 (C) (3) 78,384 0     ELDERLY NUTRITION / HOME CARE SERVICES
(24) STERLING HOUSE COMMUNITY CENTER
2282 MAIN STREET
STRATFORD,CT06615 		06-0665192 501 (C) (3) 10,900 0     ELDERLY NUTRITION / HOME CARE SERVICES
(25) STRATFORD SENIOR SERVICES
1000 W BROAD STREET
STRATFORD,CT06468 		06-6002103 TOWN OF STRATFORD 34,986 0     ELDERLY NUTRITION / HOME CARE SERVICES
(26) TOWN OF TRUMBULL HUMAN SERVICES
23 PRISCILLA PLACE
TRUMBULL,CT06468 		06-6002110 TOWN OF TRUMBULL 18,000 0     ELDERLY NUTRITION / HOME CARE SERVICES
(27) WESTPORT CENTER FOR SENIOR ACTIVITIES
21 IMPERIAL AVENUE
WESTPORT,CT06468 		06-6002128 TOWN OF WESTPORT 24,757 0     ELDERLY NUTRITION / HOME CARE SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
27
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
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) NATIONAL FAMILY CAREGIVER AND SUPPLEMENTAL PROGRAM 90 107,999      
(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: ORGANIZATION GRANTS: SWCAA'S ANNUAL REQUEST FOR PROPOSALS INVITES NONPROFIT AGENCIES SERVING OLDER ADULTS TO APPLY FOR OLDER AMERICANS ACT FUNDING ADMINISTERED BY SWCAA. EVERY THREE YEARS, A ROBUST AREA PLAN IS WRITTEN TO INCLUDE A NEEDS ASSESSMENT FOR OLDER ADULTS IN SOUTHWESTERN CONNECTICUT. THE IDENTIFIED NEEDS FORM THE FOUNDATION FOR EVALUATING THE APPLICATIONS FOR FUNDING. THE INVITATION TO APPLY INCLUDES PUBLIC NOTICE IN THE NEWSPAPER, PROMOTION IN THE WEBSITE AND FACEBOOK, AND POSTCARDS SENT TO NONPROFITS, MASS EMAILS TO ORGANIZATIONS WITHIN SWCAA'S DISTRIBUTION LIST AND THE DISTRIBUTION LISTS OF OTHER MEMBER ORGANIZATIONS SUCH AS THE UNITED WAY. APPLICATION MATERIALS ARE POSTED ON THE SWCAA WEBSITE ALONG WITH OTHER RESOURCES TO GUIDE THE APPLICANT. ALL APPLICATIONS RECEIVED BY DEADLINE ARE SUBJECT TO REVIEW BY THE GRANTS MANAGER FOR MINIMAL REQUIREMENTS. SWCAA BOARD OF DIRECTORS AND ADVISORY COUNCIL EVALUATE APPLICATIONS USING A STANDARDIZED EVALUATION TOOL. AWARDS ARE MADE BASED ON THE EXISTING LEVEL OF FUNDS, THE ANTICIPATED ABILITY OF THE APPLICANT TO MEET THE IDENTIFIED NEEDS AND THE APPLICANT'S ABILITY TO COMPLY WITH ALL REQUIREMENTS. NATIONAL FAMILY CAREGIVER AND SUPPLEMENTAL PROGRAM: FAMILY CAREGIVERS AND CARE RECIPIENTS APPLY FOR FUNDING FOLLOWING AN APPLICATION FORM FILING. CARGIVERS MUST: (1) BE OVER 18 AND CARING FOR A PERSON AGED 60 YEARS OR OLDER, OR (2) BE A RELATIVE CAREGIVER AGE 55 OR OLDER, WHO IS NOT A PARENT AND IS CARING FULL-TIME FOR AN ADULT AGE 19-59 WITH DISABILITIES. THE CARE RECIPIENT MUST: (1) NEED ASSISTANCE WITH AT LEAST TWO ACTIVITIES OF DAILY LIVING (ADLS). ADLS INCLUDE BATHING, DRESSING, TOILETING, EATING, WALKING WITHOUT SUBSTANTIAL HUMAN ASSISTANCE, OR (2) HAVE A COGNITIVE OR OTHER MENTAL IMPAIRMENT THAT REQUIRES SUBSTANTIAL SUPERVISION. PRIORITY WILL BE GIVEN TO OLDER INDIVIDUALS WITH THE GREATEST SOCIAL AND ECONOMIC NEED, WITH PARTICULAR ATTENTION TO LOW-INCOME OLDER ADULTS; OR OLDER INDIVIDUALS PROVIDING FULL-TIME CARE AND SUPPORT TO ADULTS WITH SEVERE DISABILITIES.
Schedule I (Form 990) 2021



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