Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 446,983 | 808,846 | 782,734 | 1,224,398 | 892,148 | 4,155,109 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 24,037 | 21,228 | 158,701 | 126,842 | 99,166 | 429,974 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 471,020 | 830,074 | 941,435 | 1,351,240 | 991,314 | 4,585,083 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 1,500 | 9,678 | 5,135 | 11,472 | 3,941 | 31,726 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 7,020 | 14,937 | 18,152 | 40,109 | ||
| c | Add lines 7a and 7b.. | 1,500 | 9,678 | 12,155 | 26,409 | 22,093 | 71,835 |
| 8 | Public support. (Subtract line 7c from line 6.) | 4,513,248 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 471,020 | 830,074 | 941,435 | 1,351,240 | 991,314 | 4,585,083 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 12 | 2 | 1 | 15 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 12 | 2 | 1 | 15 | ||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 471,020 | 830,086 | 941,437 | 1,351,241 | 991,314 | 4,585,098 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | DAY PROGRAM. LA'AKEA CONTINUED TO SUPPORT 18 PARTICIPANTS BY CREATING AND FINDING PRODUCTIVE, HEALTHY ACTIVITIES AND JOB OPPORTUNITIES BASED ON EACH INDIVIDUAL'S SKILL SETS, ABILITIES AND INTERESTS. DAILY ROUTINES CONTINUED TO ENHANCE INDEPENDENCE, SOCIAL SKILLS, AND A SENSE OF BELONGING FOR A MEANINGFUL, HEALTHY, LIFE-SHARING EXPERIENCE. IDENTIFYING JOB OPPORTUNITIES. CONSIDERING EACH INDIVIDUAL'S SKILL SETS, ABILITIES AND INTERESTS, LA'AKEA ENGAGED IN OUTREACH AND RESEARCH OF JOB OPPORTUNITIES WITHIN THE MAUI COMMUNITY TO ENCOURAGE INDEPENDENCE, PRODUCTIVITY AND SELF-WORTH. DURING 2019 TWO PARTICIPANTS WORKED PART-TIME JOBS OUT IN THE COMMUNITY. COMMUNITY INTEGRATION. FINDING OPPORTUNITIES FOR EACH INDIVIDUAL FOR LIFE- SHARING EXPERIENCES SUCH AS VOLUNTEERING, DEVELOPING FRIENDSHIPS, LEARNING TO RIDE THE BUS, ATTENDING SPORTING EVENTS AND EXPLORING NATURE CONTINUED TO BE FOSTERED DURING 2019. COMMUNICATION SKILLS. WORKING ON LEARNING TO WRITE CARDS, EMAILS AND LETTERS TO CONNECT WITH FAMILY AND FRIENDS, UNDERSTANDING THE DIFFERENCE BETWEEN APPROPRIATE AND INAPPROPRIATE COMMUNICATION AND SOCIAL BOUNDERIES, LEARNING EXPRESSIVE VERBAL COMMUNICATION SKILLS, DEVELOPING SIGN LANGUAGE SKILLS, MAKING EYE CONTACT AND LEARNING TO EXPRESS REQUESTS, WANTS AND NEEDS TO OTHERS EFFECTIVELY. HEALTH AND SAFETY. OUR MENTORS WORKED WITH PARTICIPANTS ON ACQUIRING THE ABILITY TO WRITE OR STATE FULL NAME, ADDRESS, AND TELEPHONE NUMBER, LEARNING TO USE CROSSWALKS AND PARKING LOTS AND SAFELY CROSS THE STREET, IDENTIFICATION OF SAFE/UNSAFE SITUATIONS AND PEOPLE AND LEARNING TO USE DAY TO DAY OBJECTS SUCH AS KNIVES, BLENDER, CAN OPENER, HOT WATER. EXERCISE. DEVELOPING FINE AND GROSS MOTOR SKILLS BY ATTENDING FITNESS, DANCE, YOGA CLASSES. TAKING ADVANTAGE OF OPPORTUNITIES FOR OUTDOOR PHYSICAL ACTIVITIES SUCH AS SWIMMING, HIKING, WALKING ETC. LEISURE SKILLS. IDENTIFYING TOOLS AND STRATEGIES TO MANAGE ENXIETY IN ORDER TO ENJOY PREFERRED PLAY ACTIVITIES AND HOBBIES SUCH AS GARDENING, LEARNING TO PLAY A MUSICAL INSTRUMENT, BALL SPORTS, SEWING, PERFORMING ARTS, MEDIA TECHNOLOGY AND STORYTELLING. HEALTHY EATING. LEARNING TO IDENTIFY HEALTHY FOOD CHOICES AND PROPER PORTION CONTROL AS WELL AS MEAL PREPARATION FOR DAILY MEALS AND AS A LEISURE ACTIVITY. THE COMMUNITY KITCHEN PROGRAM PROVIDED LUNCH FOR STAFF, PARTICIPATS, VOLUNTEERS AND COMMUNITY MEMBERS FIVE DAYS PER WEEK FOR AN AVERAGE OF 20 PEOPLE IN 2019. INDEPENDENT WORKING SKILLS. LA'AKEA FOSTERED THE DEVELOPMENT OF PARTICIPANTS OWN BUSINESS WITH ONE PARTICIPANT'S JEWELRY MAKING AND SELLING ONCE A WEEK OUT IN THE COMMUNITY, BAKING AND PACKAGING OF GOODS AND CREATING PROJECTS. MONEY MANAGEMENT SKILLS. IN 2019 SKILLS CONTINUED TO BE DEVELOPED TO IDENTIFY VALUES OF CURRENCY, USE OF POS SYSTEM AND SKILLS FOR CHECKING OUT A CUSTOMER WITH CORRECT CHANGE, MANAGING OF A PERSONAL WEEKLY AND LONG-TERM BUDGET, AND OPENING A BANK ACCOUNT. SHOPPING SKILLS. PARTICIPANTS LEARNED TO CREATE A SHOPPING LIST, LOCATE ITEMS IN THE STORE, ASSIST WITH GROCERY SHOPPING AND PROPER PURCHASING SKILLS. |
| FORM 990, PAGE 2, PART III, LINE 4B | RESIDENTIAL PROGRAM. LA'AKEA CONTINUED TO SUPPORT 18 PARTICIPANTS BY CREATING AND FINDING PRODUCTIVE, HEALTHY ACTIVITIES AND JOB OPPORTUNITIES BASED ON EACH INDIVIDUAL'S SKILL SETS, ABILITIES AND INTERESTS. DAILY ROUTINES CONTINUED TO ENHANCE INDEPENDENCE, SOCIAL SKILLS, AND A SENSE OF BELONGING FOR A MEANINGFUL, HEALTHY, LIFE-SHARING EXPERIENCE. IDENTIFYING JOB OPPORTUNITIES. CONSIDERING EACH INDIVIDUAL'S SKILL SETS, ABILITIES AND INTERESTS, LA'AKEA ENGAGED IN OUTREACH AND RESEARCH OF JOB OPPORTUNITIES WITHIN THE MAUI COMMUNITY TO ENCOURAGE INDEPENDENCE, PRODUCTIVITY AND SELF-WORTH. DURING 2019 TWO PARTICIPANTS WORKED PART-TIME JOBS OUT IN THE COMMUNITY. COMMUNITY INTEGRATION. FINDING OPPORTUNITIES FOR EACH INDIVIDUAL FOR LIFE- SHARING EXPERIENCES SUCH AS VOLUNTEERING, DEVELOPING FRIENDSHIPS, LEARNING TO RIDE THE BUS, ATTENDING SPORTING EVENTS AND EXPLORING NATURE CONTINUED TO BE FOSTERED DURING 2019. COMMUNICATION SKILLS. WORKING ON LEARNING TO WRITE CARDS, EMAILS AND LETTERS TO CONNECT WITH FAMILY AND FRIENDS, UNDERSTANDING THE DIFFERENCE BETWEEN APPROPRIATE AND INAPPROPRIATE COMMUNICATION AND SOCIAL BOUNDERIES, LEARNING EXPRESSIVE VERBAL COMMUNICATION SKILLS, DEVELOPING SIGN LANGUAGE SKILLS, MAKING EYE CONTACT AND LEARNING TO EXPRESS REQUESTS, WANTS AND NEEDS TO OTHERS EFFECTIVELY. HEALTH AND SAFETY. OUR MENTORS WORKED WITH PARTICIPANTS ON ACQUIRING THE ABILITY TO WRITE OR STATE FULL NAME, ADDRESS, AND TELEPHONE NUMBER, LEARNING TO USE CROSSWALKS AND PARKING LOTS AND SAFELY CROSS THE STREET, IDENTIFICATION OF SAFE/UNSAFE SITUATIONS AND PEOPLE AND LEARNING TO USE DAY TO DAY OBJECTS SUCH AS KNIVES, BLENDER, CAN OPENER, HOT WATER. EXERCISE. DEVELOPING FINE AND GROSS MOTOR SKILLS BY ATTENDING FITNESS, DANCE, YOGA CLASSES. TAKING ADVANTAGE OF OPPORTUNITIES FOR OUTDOOR PHYSICAL ACTIVITIES SUCH AS SWIMMING, HIKING, WALKING ETC. LEISURE SKILLS. IDENTIFYING TOOLS AND STRATEGIES TO MANAGE ENXIETY IN ORDER TO ENJOY PREFERRED PLAY ACTIVITIES AND HOBBIES SUCH AS GARDENING, LEARNING TO PLAY A MUSICAL INSTRUMENT, BALL SPORTS, SEWING, PERFORMING ARTS, MEDIA TECHNOLOGY AND STORYTELLING. HEALTHY EATING. LEARNING TO IDENTIFY HEALTHY FOOD CHOICES AND PROPER PORTION CONTROL AS WELL AS MEAL PREPARATION FOR DAILY MEALS AND AS A LEISURE ACTIVITY. THE COMMUNITY KITCHEN PROGRAM PROVIDED LUNCH FOR STAFF, PARTICIPATS, VOLUNTEERS AND COMMUNITY MEMBERS FIVE DAYS PER WEEK FOR AN AVERAGE OF 20 PEOPLE IN 2019. INDEPENDENT WORKING SKILLS. LA'AKEA FOSTERED THE DEVELOPMENT OF PARTICIPANTS OWN BUSINESS WITH ONE PARTICIPANT'S JEWELRY MAKING AND SELLING ONCE A WEEK OUT IN THE COMMUNITY, BAKING AND PACKAGING OF GOODS AND CREATING PROJECTS. MONEY MANAGEMENT SKILLS. IN 2019 SKILLS CONTINUED TO BE DEVELOPED TO IDENTIFY VALUES OF CURRENCY, USE OF POS SYSTEM AND SKILLS FOR CHECKING OUT A CUSTOMER WITH CORRECT CHANGE, MANAGING OF A PERSONAL WEEKLY AND LONG-TERM BUDGET, AND OPENING A BANK ACCOUNT. SHOPPING SKILLS. PARTICIPANTS LEARNED TO CREATE A SHOPPING LIST, LOCATE ITEMS IN THE STORE, ASSIST WITH GROCERY SHOPPING AND PROPER PURCHASING SKILLS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS BOARD APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BEFORE TAKING ACTION ON ANY ITEM, BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS USES COMPARABLE DATA FROM OTHER NONPROFITS TO SET THE SALARY OF THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND THE FORM 990 ARE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |