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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,224,398 | 892,148 | 860,841 | 347,835 | 185,659 | 3,510,881 |
| 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 | 126,842 | 99,166 | 100,591 | 794,561 | 473,947 | 1,595,107 |
| 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 | 1,351,240 | 991,314 | 961,432 | 1,142,396 | 659,606 | 5,105,988 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 11,472 | 3,941 | 29,670 | 6,550 | 4,650 | 56,283 |
| 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. | 14,937 | 18,152 | 5,939 | 39,028 | ||
| c | Add lines 7a and 7b.. | 26,409 | 22,093 | 35,609 | 6,550 | 4,650 | 95,311 |
| 8 | Public support. (Subtract line 7c from line 6.) | 5,010,677 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,351,240 | 991,314 | 961,432 | 1,142,396 | 659,606 | 5,105,988 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1 | 32 | 33 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1 | 32 | 33 | |||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 1,579 | 13,151 | 14,730 | |||
| 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.).. | 1,351,241 | 991,314 | 963,011 | 1,155,579 | 659,606 | 5,120,751 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| 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 TREATMENT PROGRAM: COVID AND THE DOH RULES THAT WERE PUT INTO EFFECT SIGNIFICANTLY ALTERED OUR APPROACH TO PROVIDING SERVICES. PRIOR TO MARCH 2020, THE CAMPUS WAS CONSIDERED A COMMUNITY HUB WHERE PARTICIPANTS AND MENTORS GATHERED IN MORNING CIRCLE, A COMMUNITY AND COMMUNAL LUNCH WAS SERVED EVERY DAY, THE COUNTRY STORE WAS OPEN AND MANY ACTIVITIES TOOK PLACE. ALL OF THIS QUICKLY TOOK A PIVOT TO LIMIT POTENTIAL EXPOSURE FOR THIS VULNERABLE POPULATION. WE HAD TO FIND WAYS FOR OUR PARTICIPANTS TO CONTINUE TO TOUCH AND FEEL THE INCLUSIVE, LIFE SHARING SETTING WHERE THEY ENGAGE IN A HEALTHY PRODUCTIVE LIFESTYLE. WITH THE HELP OF ZOOM, THE PARTICIPANTS CONTINUED TO CONNECT FOR MORNING CIRCLE, ZUMBA, HULA, FITNESS, NON-VIOLENT COMMUNICATION AND NUMEROUS OTHER CLASSES. OUR AGRICULTURAL ACTIVITIES CONTINUED TO THRIVE AS PARTICIPANTS AND MENTORS SCHEDULED TIMES TO COME ONTO CAMPUS IN PAIRS. AS THE PANDEMIC SUBSIDED AND PROTOCOLS OF ISOLATION WERE REVISED, WE BEGAN TO AGAIN HOLD FULL 5 DAY PER WEEK DAY PROGRAM ACTIVITIES BEGINNING IN AUGUST 2022. PARTICIPANTS ARE AGAIN MEETING ON CAMPUS DAILY, JOINING IN MORNING CIRCLE, DISCUSSING THE VARIOUS OPTIONS TO CONTRIBUTE TO THE LA'AKEA COMMUNITY SUCH AS GARDEN AND FARM HARVESTING OF PRODUCE (PAPAYAS, EGGS, AVOCADOS, STAR FRUIT, ULU LEAVES, OREGANO, LEMON GRASS ARE JUST SOME OF THE PRODUCTS WE GROW AND SELL). WE HAVE BEEN ABLE TO REINSTATE OUR MONTHLY COMMUNITY ACTIVITY CALENDAR AS WELL AND EACH WEEK WE GO INTO THE COMMUNITY TO PARTICIPATE IN VARIOUS EVENTS SUCH AS SURFING, VOLUNTEERING AT MAUI HUMANE SOCIETY, STARLIGHT FARMS VOLUNTEERING. ON CAMPUS WE ALSO HOLD WEEKLY COMMUNITY EVENTS SUCH AS YOGA, JEWELRY MAKING AND NON-VIOLENT COMMUNICATION CIRCLE. WE HAVE RECENTLY UPGRADED OUR DATA AND GOAL TRACKING CAPABILITIES WITH A SOFTWARE PROGRAM, THERAP. THIS PROGRAM HAS THE CAPABILITIES FOR MENTORS TO LOG DATA IN REAL TIME THROUGH THEIR SMARTPHONE. EVEN THE ANECDOTAL STORIES CAN BE RECORDED. ALL OF THIS IS RESULTING IN INCREASED DATA COLLECTION. FUNDING FROM MEDICAID WAIVER SUBJECTS LA'AKEA TO RIGOROUS AND THOROUGH ANNUAL AUDITS BY THE DEPARTMENT OF HEALTH. ALTHOUGH MEETING COMPLIANCE STANDARDS IS NOT OUR END GOAL, WE VIEW CLEAN AUDITS AND SUCCESSFUL RE- CERTIFICATIONS AS CRITICAL CONFIRMATION OF OUR ABILITY TO SERVE THE SAFETY AND WELL-BEING OF OUR PARTICIPANTS. THE COUNTRY STORE IS CONSIDERED A PART OF PROGRAM RATHER THAN A RETAIL ENDEAVOR AND BEEN SUBJECT TO STRICT SAFETY RULES. THIS HAS BEEN A KEY LOCATION FOR MANY SKILL BUILDING AND COMMUNITY INTERACTION ACTIVITIES. THE PANDEMIC NECESSITATED A PIVOT TO PRODUCING A SUBSCRIPTION-BASED WEEKLY CSA PRODUCE BOX DISTRIBUTED IN THE COMMUNITY. PARTICIPANTS WERE INVOLVED IN HARVESTING AND PRODUCING THE BOXES. FOR EXAMPLE, KAT, ONE OF PARTICIPANTS, PICKED AND PACKED THE PRODUCE BOX TO BRING HOME TO HER FATHER WHO WAS ONE OF OUR FIRST CSA MEMBERS. THE "STORE" WAS ABLE TO MOVE OUTSIDE UNDER THE FRESH PA'IA AIR FOR A WEEKLY FARMERS MARKET AND PARTICIPANTS ARE INVOLVED IN ALL ASPECTS INCLUDING THE HARVESTING, PREPARING, SELLING AND ENGAGEMENT WITH THE COMMUNITY. IN NOVEMBER, 2022 WE WERE FINALLY ABLE TO RE-OPEN THE COUNTRY STORE HERE AT LA'AKEA VILLAGE SO THAT PARTICIPANTS WOULD AGAIN LEARN RETAIL SKILLS OF RUNNING A SMALL BUSINESS IN ADDITION TO INTERACTING WITH THE PUBLIC. OUR COMMUNITY LUNCH AND FOOD PRODUCTION PROGRAM OUT OF THE KITCHEN WAS SHIFTED FOR THE BEGINNING PORTION OF THE YEAR. INITIALLY WE DID HAVE SMALL GROUPS OF 2-4 PEOPLE BACK IN THE KITCHEN TO CONTINUE THEIR SKILLS TRAINING. FOR EXAMPLE, ABBY, ONE OF OUR PARTICIPANTS, RECENTLY RECEIVED HER SAFE FOOD HANDLING CERTIFICATE. SHE IS PRACTICING SAFETY, HYGIENE, AND CLEANING ROUTINES IN THE CAMPUS KITCHEN WITH HER MENTOR TO PREPARE SMALL SCALE MEALS. WE HAVE BEEN ABLE TO RE-INTRODUCE VOLUNTEER LUNCH ONCE A WEEK WITH MANY PARTICIPANTS WHO WORK TO HELP PREPARE THE LUNCH FOR ALL. WHEN WE ARE FULLY STAFFED AND AT PARTICIPANT CAPACITY WE WILL BE ABLE TO AGAIN PREPARE AND EAT LUNCH DAILY. |
| FORM 990, PAGE 2, PART III, LINE 4B | OUR RESIDENTIAL HOME, MELE HOUSE, BECAME THE MELE HOUSE BUBBLE DURING THE PANDEMIC. IN THIS WAY, WE WERE ABLE TO CONTINUE WORKING TOWARD PROVIDING PROGRAMS THAT ARE FULL OF RICH AND GRATIFYING EXPERIENCES, THAT HELP WITH EVERYTHING FROM HOW TO WRITE AN EMAIL, OR SAY A NAME, OR MAKE EYE CONTACT, TO LEARNING TO CROSS THE STREET OR USE A KNIFE, TO ACTUAL JOB SKILLS LIKE MANNING A CASH REGISTER. THIS PROGRAM IS CREATED TO HELP REACH THE GOALS OF EACH PARTICIPANT'S INDIVIDUAL SERVICE PLAN (ISP) THAT IS DEVELOPED WITH THE PARTICIPANT, THEIR FAMILY, LA'AKEA AND THE DOH CASE MANAGER. THE ISP ARTICULATES THE DIAGNOSES, GOALS, APPROPRIATE STRATEGIES, BEHAVIORS AND SAFETY ANALYSIS TO TRACK. STAFF ASSIGNED TO EACH PARTICIPANT WRITE DAILY DATA NOTES, AND SUPERVISORS AGGREGATE THESE AND PREPARE MONTHLY AND QUARTERLY ASSESSMENTS FOR EACH PARTICIPANT'S FILE WHICH ARE SUBMITTED TO THE PARTICIPANTS' CASE MANAGERS AT THE DEPARTMENT OF HEALTH. THESE ASSESSMENTS RECORD OUTPUTS LIKE SERVICES PROVIDED AND ACTIVITIES COMPLETED, BUT THEY ALSO DOCUMENT OUTCOMES, BOTH THROUGH ANECDOTAL STORIES AND METRICS THAT SHOW PROGRESS AGAINST GOALS. THE MELE HOUSE WAS CLOSED FOR SEVERAL MONTHS DUE TO STAFFING. IN 2023 OUR GOAL IS TO HIRE NEW STAFF AND RE-OPEN THE MELE HOUSE FOR 5 RESIDENTS. OUR RESIDENTS WHO WENT HOME TO LIVE WITH THEIR FAMILIES WHEN THE MELE HOUSE WAS CLOSED TELL US WEEKLY THAT THEY ARE READY TO MOVE BACK TO THE MELE HOUSE. WE KNOW IT IS AN ESSENTIAL SERVICE FOR OUR PARTICIPANTS TO GAIN MORE INDEPENDENCE AND PRACTICE DAILY LIVING 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: |