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Home My WebLink AboutCOM 0122.020 2000-2002Stephen K Yamashuo % •• Alator COUNTY OF I-IihhWAI'I DEPARTMENT OF FINANCE 25 Aupuni Shoot, Room 118 • Hilo, Hawaii %720-4252 (808)%1.8234 • Fax (808)%1.8249 HAWAII COUNTY NONPROFIT GRANTS (FY 2001-02) HUMAN SERVICES NONPROFIT GRANTS REVIEW COMMITTEE Harry A Takahashi Director FISCAL 5 EAR EN•Dr\G June 30, 2002 DATE OF APPLICATION January 31, 2001 GR _NT %PPLICATION FOR Center for Independent Living — East 8, West Hawaii (Proanm niie) Le -_-3 \a^r ofOrcamzauon __Dyail renters for •nd@pendent Living_ 400 Hualani Street, Suite N 16D %ta 1 rc AdL•esS Hilo, Hawaii 96720 East: 400 Hualani Street, Suite /16D West: 81-6627 Mamalahoa Hwy Fac:ht% Site Address Hilo, HI 96720 Kealakekua, HI 96750 ar ata e Dirt-c:or Si,e Sranacer Laura Tobosa ( East) 8: Merle Martin ( West) OrCln:zation President E. R. Whitney Cortact Person (Grant 1A rter) Laura Tobosa Amount of Request for County Funds S 20,000.00 Total Budget of Organisation S ,1,775,1jt3 Has :6c applicant applied for any other funds from the County of Hawaii this fiscal year' 9 1 cs Source. Department Department of Finance ❑ m Agency!Trogram(s) Socia) Services - ❑ Youth Programs ❑ Elderly Programs Check Cateeones ❑ Culture and Arts ❑ Education ❑ Other Brien%, define the program for which funding is being requested: Funds are being requested for a multi—faceted program which includes individual and systems advocacy, information and referral Sndppandprit living nkille inehn,.ntinn ii and community outreach and education rnmm NO File No. g 19 -1- Ref, Tot Pre� If S ED G Rei, Date FEB 2.0 2001. - 1. QUALIFYING STANDARDS FOR APPLICANTS An applicant must meet all of the following standards ❑ Be chartered or otherwise authorized to do business in the State for charitable purposes and exempted from the federal income tax by the Internal Revenue Service ❑ Have a governing board whose members serve without compensation and have no conflict of interest between their regular occupations and the services provided ❑ Have bylaws or policies which describe the manner in which business is conducted, including management, audit, fiscal policies and procedures, policies on nepotism, and policies on management of potential conflict of interest. ❑ Have at least one year's experience with the service or activity for which the appropriation is sought or can otherwise demonstrate to the satisfaction of the Counry sufficient expertise to successfully carry out the service or activity ❑ Be licensed and accredited in accordance with applicable requirements of Federal, State and County lass If. GRANT CONDITIONS The applicant agrees to comply with the following terms and conditions prior to receiving a grant award 4 Comply with applicable Federal and State laws prohibiting discrimination against any person on the bans of race, color, national origin, religion. creed, ser, age, or handicap B Agree not to use any public funds for purposes of entertainment or perquisites C Comply with such other requirements as the Director of Finariee may prescribe to ensure adherence by the nonprofit organization with Federal, State, and County laws, and established standards for focal and program management_ D Allow the Director of Finance, the committees of the council and their staffs, and the Legislative Auditor access to records, reports, files, and other related documents in order that the program, management, and fiscal practices of the nonprofit organization may be monitored and evaluated to assure the proper and effective expenditure of public funds Ili. RECORDS AND REPORTS 4 The applicant shall follow generally accepted accounting procedures and practices and shall maintain books, records, documents and other evidence which sufficiently and property account for the expenditure of County funds The books, records and documents shall be subject at all reasonable times to inspection, reviews, or audits by the County expending agency, the Director of Finance, and the Legislative Auditor, or by their representatives B The County expending agency, Director of Finance, or County Council may request periodic written reports on the use of County funds C The nonprofit oigim non shall submit a final written report to the Legislative Auditor within sixty (60) days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a Irstins of other ftiadrog saaroes and amamis obtained during the grant period, and a complete accounting of W expenditures supported by Conary of Hawaii grant funds (per Chapter 2, Article 25, Section 2-142(d), Hawaii County Code, amended August. 19991 -2: IV. QUARTERLY ALLOCATION Under no circumstances shall grant funds be disbursed in a lump sum payment Grant funds will be disbursed to Grantees onls through a quarterly allocation process The disbursement of grant funds can be formulated on an equal quanerls apportionment basis GRIEN A..NCE PROCEDURE The applicant will adopt and maintain a grievance procedure to assure proper accounting for any concern and complaints about its program or services that may anse from its members, employees, clients or from other members of the public N I. DISCLOSURE OF LNFORMATION 411 information data or other material provided to the County by statue of this application shall be subject to die Lniform Information Practices Act (UrPA), Chapter 92F, Hawaii Revised Statutes All such material is deemed government record and shall be open to the public and may be provided to other public andor pnsate funding sources N 11. CONTENUED ELIGIBILITi 4nv applicant or recipient who withholds or omits ans material facts or dehberateh misrepresents such facts to the Counn of Hawaii shall (1) Immediately be disqualified from considerauon for Nonprofit Grant funding OR (2) be in stolauon of the terms of the Grant Agreement of Counn funds in µhuh cue a grant agreement can be ier—wtated by the County and the recipient or provider may be liable to reunburse alI or a portion of ans funds recessed therein N III ACICN0%kI.EDGEtiIENT Hawaii Centers for Independent Living (Corporation Name) (Legal Name of Organinuon) herebsagrees toadmimsterthe Inripppnd Pn t Living P Qram which in l sdcc advocacy independent living skills, (Program Tide) information 8 referral, outreach 8 public education, housing, PAS in accordance with the regulauoos, policies and procedures prescribed by the Haµut County Finance Department Distribution of grant funds is limited to grantees which are in compliance with County regulation!, policies and procedures The County resines the right to withhold grant dstnbuuom at any ume the grantee is not in compliance It is the policy of the County of Hawaii and for those who do business with the County to provide equal employment opportumucs to all persons regardless of race, physical disabilities, color, religion, sex• age or national origin u mandated by the Federal Civil Rights Acts, as amended, and any other federal or state laws relating to equal employment opportuntues 1\. AMEN'DMEN7S TO THE APPLICATION/EVALUATION The applicant assures that at will submit to the Human Services Nonprofit Grants Review Committee (HSNPGRC) for prior review and approval a written request and lustiftcauon for any changes, additions, or deletions to any poruon(s) of the grant application or a duly executed Grant Agreement of County Funds The applicant will cooperate and assist in any effort undertaken by the HSNPGRC to evaluate, impect or otherwise monitor the etfectneness, feasibility, and/or cost efficiency of any and all practices, policies and procedures or acuvnies pursuant to this applicauon or any grant designation or allocation received as a result of this application -3- X. AUTHORITY AND CAPACITY OF APPLICANT The applicant certifies that it has the authority and capacity to develop and submit this application, and to fully administer the program(s) pursuant to this application UNSIGNED PROPOSALS WELL NOT BE ACCEPTED! 01� /�o! 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V,1�1 ,1 7co N O e .r D rn m z n O O D 2 N n 1 O z 1= Im COL D a a D �r µ b` Iw COUNTY OF HAWAII HUMAN SERVICES NONPROFIT GRANT APPLICATION FISCAL YEAR 2001- 2002 PROGRAM SERVICE DESCRIPTION A. Overview: Describe the program for which funding is being requested. CIL-EH and CIL-WH independent living program consists of multiple services for the consumer The services provided are as follows Peer Counseling — CIL-EH and CIL-WH staff is intimately acquainted with the needs of people with disabilities because they, too, share many of those needs Staff assists consumers as well as their families and spouses in coping with the motional aspects of disability Housing - Staff works with individuals by providing housing referrals, assistance with lease negotiations, landlord/tenant rights and housing subsidy applications Personal Assistance Services — Staff interview, screen and refer prospective attendants to persons with disabilities who need help with personal assistance and housekeeping Staff also instructs consumers in the hiring, training and management of attendants Entitlements — Staff assists consumers in obtaining benefits to which they are entitled at the federal, state and local level Individual and Systems Advocacy — Staff actively supports the rights of people with disabilities by providing technical assistance and support to local advocacy organizations We also work towards the elimination of physical, economic, and social bamers by educating the community about the independent living concept. Independent Living Skills — Staff provides instruction in basic daily living skills for people who have severe disabilities Skills include money, time and household management, shopping, transportation, and interpersonal relationships Outreach and Public Education — Staff strives to reach out to people with disabilities who are not being served and the underserved. Efforts to speak to vanous community groups are ongoing The other two (2) programs that are part of our organization are as follows Elderly Blind Services (EBS) Program — This program is for individuals who are 55 years or older and certified as legally blind or progressing towards blindness. This program provides orientation and mobility skills, low vision clinics, daily living activities, assistive devices, and sociallrecreation activities. The consumers have formed a support group that meets once a month to discuss concerns, share information, invite public speakers to educate them, and to enjoy social recreational activities. Staff currently assists 85 consumers in Hawaii County Independent Living Program (ILP) — This program is for individuals with a significant impairment in at least 3 of the 12 identified activities of daily living This program will assist a consumer in providing necessary services and/or training to improve their independence in the home and/or community Staff currently assists 20 consumers in Hawaii County 2. What unique or significant service will be provided? There are several things that are unique about the CIL-EH and CIL-WH program • Services are "consumer driven' which means it is the participant, not the staff person, who ultimately decides on the extent and kind of services received The model is to teach the consumer problem -solving and goal setting skills Services are provided to cross -disability groups All disability groups are offered services including, but not limited to blind, deaf, mobility impaired, brain injured and those whose disability is a result of illness or injury The majority of staff and persons serving on the Board of Directors have disabilities, thus those serving and those being served share a common bond and frame of reference CIL-EH and CIL-WH focuses on multiple services that encompass all facets of independent living and not lust one aspect such as housing or benefits What specific outcomes are to be achieved? Consumer/Legal Rights: Twenty-five consumers from East and West Hawaii will learn how to locate legal information and assistance, how to acquire and use legal services and learn how to self -advocate for their individual rights Communication: Forty consumers will increase their ability to communicate effectively with family, friends and the general community Consumers will be able to negotiate confidently with agencies and individuals Daily Living/Self-Care: Twenty consumers are able to carry out basic household and shopping chores and how to acquire local community services and resources EOuipment/Assistive Devices: Fifty consumers will acquire adaptive equipment to assist them in their self-care or to manage their home Finances/Benefits: Twenty consumers will increase their advocacy ability to acquire benefits and financial assistance Along with increased knowledge of their entitlements, the consumers will learn the responsibilities that are connected with receiving benefits Housing: Fifty consumers will learn the rights and responsibilities of a tenant and landlord This knowledge will provide them with independence in their living situation Mobility: Ten consumers will learn how to move independently in their home and will be able to travel safely in familiar places Personal Assistance Services: Thirty-five consumers will acquire and learn how to maintain their personal care attendant Self-Help/personal Growth: Thirty consumers will develop and apply their problem -solving and decision-making skills in their daily living Social/Recreation: Fifty consumers will increase their participation in social events within the community Transportation: Fifty consumers will learn where to obtain transportation services for their personal needs. 3. How will the proposed program empower participants/clients to become self-sufficient and facilitate positive social change? The CIL-EH and CIL-WH program empowers persons with disabilities to become self-sufficient through• • Learning how to self -advocate in their daily activities • Full integration and inclusion into the community • Utilizing assistive devices for daily living activities • Learning independent living skills. • Providing referrals for housing needs • Peer counseling to cope with their disability • Providing assistance to consumers in acquiring benefits • Leaming ways to access transportation • Teaching consumers to become active participants in community activities Positive social change will occur through attitudinal changes, education and acquisition of skills addressed in the CIL-EH and CIL-WH program As people with disabilities learn to accomplish personal goals, their self-esteem and productivity in the community brings positive changes B. Problem/Need: 1. What is the problem/need the proposed program is designed to meet? According to the 1998 County of Hawaii Data Book, there are 14,774 people with disabilities on the Big Island This figure has increased from the 1990 Census information of 12,191 and will continue to increase due to a number of factors including our aging population, disease, injury, etc Before Centers for Independent Living (CIL), advocacy and services for people with disabilities were often non-existent or extremely fragmented Many individuals were denied opportunities that would allow them to maximize their potential They were often forced into costly institutions, wasting enormous human resources at a huge expense to the taxpayer The development and expansion of CIL and the Independent Living model has been significantly influenced by a social and civil rights movement that views the continuation of discrimination, patronizing and unjust treatment of people with disabilities as intolerable This movement is unlike the movement of other people seeking independence It is a struggle by those of us with disabilities to control our own lives People with disabilities deserve to have equal access to the decision-making process in our community, state and nation, to be protected from discrimination under the law, and to be seen as equals and fully human by society 2. Who is the target population and what are the specific needs? All persons with a permanent disability are eligible for our program Most participants are referred by other service providers, friends, relatives or self-referred 3. What are the geographical area(s) to be served, and hours of operation? CIL-EH serves the districts of North and South Hilo, Hamakua, Puna and Kau and the office is located at Waiakea Villas complex at 400 Huslani Street, Suite 16D in Hilo The CIL-WH office serves the districts of North and South Kona, North and South Kohala and the office is located in Selwyn Plaza in Kealekekus, Kona Both offices are open Monday to Friday from 8*00 a m to 4 30 pm , C. Collaboration/Coordination 1. What specific measures will be taken to collaborate/coordinate with other community resources to achieve maximum program efficiency and cost effectiveness? CIL-EH and CIL-WH will continue to maintain a working relationship with other community agencies for the benefit of its program participants. Examples of collaboration are: • Coordinating transportation services with Hawaii County Economic Opportunity Council (HCEOC) and Coordinated Services for the Elderly (CSE) El • Collaborating with Case Management, Nursing Home Without Walls, Kokua Nurses, Interim Healthcare, and Services for Seniors to provide personal care attendant referral to mutual consumers. • Provide annual low -vision clinic in conjunction with Ho'opono that allow participants to have a free vision check-up here on the Big Island • Provide mobility training in conjunction with Ho'opono that allows participants to learn how to use a white cane in their homes and neighborhoods • Collaborating with vanous grassroots groups in improving quality of life for people with disabilities and equal access to services in our community All of the above examples are cost saving and maximize program efficiency By having a low-visio , clink and mobility training on the Big Island saves over $6,000 alone in airfare, hotel, ani transportation costs By educating employers and encouraging them to hire people with disabilities will have more consumers working and contributing to the County as taxpayers By collaborating with other organizations and groups, it saves time and money in providing comprehensive services to people with disabilities CIL-EH and CIL-WH send representatives to various monthly meetings for the express purpose of coordinating services and to avoid duplication CIL-EH and CIL-WH not only refers people to other agencies, but also accepts referrals as well Examples of our monthly participation include • Mayor's Committee on People with Disabilities • Public Health Nurses Case Management • Disability Rights Hawaii (a East Hawaii grassroots disability group) • Developmental Disabilities Committee (East & West Hawaii) • Orchid Isle Chapter of the Aloha State Association for the Deaf • ABLED (a West Hawaii grassroots disability group) • State Developmental Disabilities Council • Office of Aging • Services for Seniors • Hawaii Adult Day Care Hale Anuenue Restorative Center • Hilo Medical Center • State Mental Health Service Area Board • Community Visions Project • Coordinated Services for the Elderly • Hawaii County Economic Opportunity Council (HCEOC) • Senior Resource Center 2. How will these measures reduce or eliminate any existing duplication of services to your designate target group? By collaborating and coordinating with other agencies, everyone will know what the other is providing for the mutual consumer Each agency will provide specific service(s) so there will be no duplication For example, if a consumer is receiving services from Services for Seniors they may refer their patient to CIL-EH or CIL-WH because their patient will no longer have access to their services and the patient may require a live-in attendant that we have been screened. We can facilitate the referral, and the consumer is then able to make a smooth transition from one agency to the other D. Goals and Objectives: What are the major goals/benchmarks of the proposed program? Goal #1 Consumers will acquire a place to live and maintain their housing situation for 6 months This outcome will reduce the possibility of consumers from becoming homeless and increase their ability to remain independent Goal #2: Consumers will acquire a personal care attendant to provide personal assistance services This outcome will prevent institutionalization and is cost-effective for the consumer as well as for the community. Goal #3: Consumers will acquire the skills to carry out basic household and shopping chores effectively This outcome will reduce dependence on relatives, friends and neighbors Goal #4: Consumers will acquire training to travel safely and independently in new locations and familiar places in the community This will reduce injury and dependence on others Goal #5: Consumers will acquire the skills to self -advocate for their rights This will facilitate peer support with other consumers Goal #6: Consumers will acquire skills to problem -solve and make the right choices This will reduce dependence on others when faced with daily living challenges Goal #7: Consumers will acquire assistive devices and training to assist them in their daily living activities This will reduce dependence on relatives, friends and neighbors 2. What are the specific objectives/action steps are planned for each goal? Goal #1 Objectives: The consumer will be provided training in landlord/tenant rights, how to complete a housing application, how to locate housing and how to maintain their housing situation This will reduce the risk of being homeless and dependent on others Goal #2 Obiectives: The consumer will be provided attendant referrals whom we have screened and interviewed to assist them with their personal care, chores, etc. The consumer then interviews the attendant referrals and makes the consumer chooses the attendant they wish to hire to assist them This prevents institutionalization and dependence on family, friends and neighbors Goal #3 Objectives: The consumers will be provided with one-on-one independent living skills to cant' out their every day living activities This will reduce the dependence on others Goal #4 Objectives: The consumers will be provided mobility training in con/unction with Ho'opono in their own environment This will reduce injury to self and others and increase their independence Goal #5 Objectives: The consumers will be provided with information on their legal rights, how to access information, who to contact, etc in order for them to share their knowledge with other consumers This will reduce dependence on others. Goal #6 Oblectives: The consumers will participate in role-playing situations and'one-on-one training to learn and understand different options available to them to build self-confidence in making informed choices about daily living This will reduce dependence on others in their daily living activities. Goal #7 Objectives: The consumers will be provided assistive devices and training on the use of the devices to assist them with their daily living This will reduce dependence on others. 3. What is the timeline (start and end dates) for each action step? Goal #1 Goal #2 Goal #3 Goal #4 Timeline Ongoing Timeline Ongoing Timeline. Ongoing Timeline* Ongoing Start Date 7/1/01 Start Date 7/1/01 Start Date 7/1/01 Start Date. 7/1/01 End Date 6/30/02 End Date 6/30/02 End Date 6/30/02 End Date 6/30/02 Goal #5 Goal #6 Goal #7 Timeline Ongoing Timeline. Ongoing Timeline. Ongoing Start Date 7/1/01 Start Date 7/1/01 Start Date. 7/1/01 End Date. 6/30/02 End Date 6130102 End Date 6/30/02 4. What significant client -centered outcome (s) will the program achieve? Include in your answer how many participants/clients will: a) attain at least one personal program outcome; or b) show measurable progress towards your program goals. a) The ultimate outcome is people with disabilities will be able to live independently in the community with little or no assistance b) The plan for measuring outcomes will be implemented in three phases as follows 1) When the consumer first requests services, 2) during the time that services are being provided, and 3) when the consumer exits the use of services The only foreseen obstacle would be if the consumer refuses to cooperate and complete the Satisfaction Survey after they exit the program E. Service Delivery: 1. What methodology will be used in the proposed program's delivery of service(s)? The program will begin with a complete assessment of the consumer and their needs The next step is developing an independent living plan of the consumer's choice. Depending on the services requested, the consumer will be able to participate comfortably and actively in the community and in the consumer's own environment. Monthly contact with the consumer will provide staff with information as to whether the consumer's goals were achieved, currently being worked on or dropped for different reasons. The periodic contact with the consumer enables staff to empower consumers in achieving their goals Consumer's outcomes are recorded in their individual file and progress towards each outcome is also listed When all goals have been achieved, a satisfaction survey is done before consumer exits the program F. Evaluation: What process will be used to evaluate the program and service(s)? When a consumer requests services, he or she sits down with the appropriate staff person to assess needs and address areas of living that THEY want to improve. These areas along with objectives and achievement steps are put in writing, signed by the client and become the Individualized Independent Living Plan. Each time staff and consumer meet, steps in the plan is addressed Finally, when a client is ready to exit from use of services, they complete an outgoing form addressing the requested services and the level of their satisfaction with the service received. Consumers' outcomes are recorded in their individual file and progress towards each outcome is also documented. Achievements are checked off when they are completed, dropped, signed and dated This method provides awareness to both participant and staff about the level of progress at any given time Information is gathered on a continual basis and entered in a computerized database system called CMIS (Central Management Information System) CMIS tracks program activities and outcomes for management and program development purposes 2. How will this process measure the outcomes specified in Item D, (1.4)? Outcomes of the individual's goals and objectives are listed in each individual's file. Progress toward each goal is also listed. Achievements are checked off, signed and dated as they are met This method keeps both participant and staff aware of the level of progress at any given time G. Program Fees: Does your organization charge a membership fee for service participants? No There is no membership fee for service participants, however, during our annual mad campaign, participants are asked to donate to our organization Does the proposed program charge participants a fee for service(s) provided by your organization? (If yes): a) describe or attach fee for service information; and b) describe how you will ensure that all interested participants will be included despite an inability to pay the entire fee. Yes A fee for service is attached (Attachment #1) On the last page of the fee for service document, there is a sliding scale that ensures that interested participants will have access to services regardless of income Most of the service fees are collected from the agencies (e g Vocational Rehabilitation, etc ) H. Viability: 1. What is your justification or rationale for the expenditure of public funds for the proposed program? The majority of our program participants are low income. Our program services create avenues for inclusion for persons with disability into the mainstream of society. Issues include equitability for all persons thereby becoming an extension of government responsibility. There is a saying 'pay now or pay later.' In essence, by shielding and isolating people with disabilities, we have already seen taxpayer dollars being absorbed by huge institutional costs. We propose to revise this trend by empowering individuals with disabilities to make choices for self-sufficiency 2. What are your financial and programmatic plans to sustain the proposed program beyond the upcoming fiscal year? • Program Fees as per attached fee for service document in section G-2. • Local fundraising activities. • Community resource development. • A grant writer has been hired to seek funding from local as well as State, Federal and private sources The majority of the funds for the program are received from other services, exhibiting some success in raising non -county funds. The agency will continue in this endeavor to leverage the smaller (but highly essential) County dollars with potential funding sources. 1. Budget: 1. Complete the attached Budget tables; and 2. Provide appropriate attachments, as indicated. See Budget forms and attachments as requested ORGANIZATIONIAGENCY INFORMATION A . Board of Directors: 1. Has the organization's Board of Directors received formal training within the past two (2) fiscal years? Yes, formal training is provided every 2 years in conjunction with strategic planning sessions A strategic planning meeting was held September 23, 2000 a) What plans do you have to provide formal training to your Current Board of Directors? Every 2 years, formal training is provided in conjunction with strategic planning Board members and staff attend this event to identify and clarify roles and responsibilities, as well as develop blueprints for future activities b) When will the next board training be completed? September 2002 c) How will you provide formal training to newly arriving board members or board members who miss a scheduled training? New members will be assigned a mentor from the Board to review the Board Manual, or in the case of a member missing a meeting, he or she will review training with a member of the Policies Committee. Each year in April, orientation for a new board members is provided. 2. What are therip mary roles and responsibilities of your organization's Executive Director? • Oversee routine employee relations; approve appointment and termination of all program staff. • Execute daily operations of the Corporation • Negotiate and enter into contracts with funding sources and oversee purchases of budgeted goods and services necessary to cant' out authorized programs • Implement program -planning activities and make reports regarding such to the Board • Propose budgets responsive to planning objectives and develop organizational structures and staffing plans appropriate thereto. • Continually review revenues and expenditures, establish means to evaluate program effectiveness and report findings to Board President. • Perform other duties as assigned by the Board of Directors. 3. What are therig mary roles and responsibilities of your organization's Board of Directors? (Clarify role of executive officers vs. general membership). The corporate powers of our Corporation are vested in the Board of Directors They have general charge for overseeing and monitoring the affairs, funds and property of the Corporation and full power to enforce by-laws The Board of Directors duty is to conduct, manage and control affairs and business of the Corporation, to promulgate and enforce the Articles of Incorporation and the by-laws of the Corporation Members serve without compensation except for expense reimbursement for neighbor island members to attend meetings on Oahu Each Board member is required, by Board resolution, to serve on at least one Board committee The Executive Committee is composed of officers of the Corporation and it's chair is the President of the Corporation. This committee may act in place of the Board of Directors on all matters between Board meetings except as stated in the by-laws, Board resolution or state law The Executive Committee sets policies within board boundaries, coordinates Board committees and task forces, develops and evaluates the chief Executive Director B. Past Performance: How effective has your organization/agency been in achieving program goals in the past two (2) years? Include the following information: a) Quantitative data on numbers served; and b) Qualitative data showing number and °% of participants achieving measurable outcomes. a) The total number of consumers served last fiscal year (July 1, 1999 — June 30, 2000) is 175 for East Hawaii and 150 for West Hawaii. b) Goals & Outcomes Consumer/Legal Rights Communication Daily Living -Self -Care Employment Equipment/Assistive Devices Education/Training Finances/Benefits Health Care/Nutrition Housing Mobility Personal Assistance Services Self-Help/Personal Growth Social/Recreation Transportation C. Financial: °% of Outcomes Achieved 85% 90% 65°% 25% 90% 70% 50% 85% 65% 60% 80% 55% 95% 90% Have your organization's current program operations remained the same as last year? What major program or financial changes will be incurred next year? 0 CIL -EH and CIL-WH current program operation is the same as it was last year CIL-EH and CIL-WH has no anticipated major program or financial changes for the coming year 2. What is the status of all of your organization's major contracts or agreements for the coming year (employment agreements, office leases, primary grant revenue/supplier, etc.)? All of the above is current 3. How does the proposed program fit into your organization's long-range financial plan? CIL-EH and CIL-WH has been a part of Hawaii Centers for Independent Living since 1981 and 1988 respectively CIL-EH and CIL-WH programs is a viable part of the organization and will continue to provide services on the Big Island D. Monitoring: During the past two (2) fiscal years, what financial and/or administrative. monitoring has your organization received from any and all funding sources? Please list all monitoring sources, contact names, and phone numbers. Locally, the Hawaii County Council members and/or their aides did an on-site visit at the Hilo office on March 14 2000 Other than the above mentioned, there has been no on-site monitoring except if our office is selected (at random) by the United States Department of Education, Office of Special Education and Rehabilitation Services Administration F. Alcohol. Tobacco and Drug -Free Workplace Policies and Information: How does your organization address alcohol, tobacco, and other drug prevention information dissemination as part of your workplace and/or program environment? Our Personnel Manual addresses Substance Abuse Policy and Smoking Policy New employees must sign a form that is placed in the individual's personnel file that they have read and understands the Substance Abuse and Smoking Policy No alcohol, tobacco, and/or illegal drugs are allowed on the premises or in HCIL vehicles in Hawaii Centers for Independent Living FEE FOR SERVICE PROGRAM Revised November, 2000 FEE FOR SERVICE PROGRAM AGENCY BACKGROUND SERVICES DESCRIPTION Independent Living Skills Assessment Color and Shape Identification . Community and Safety Sign Recognition Goal Planning . Housekeeping Interpersonal Relationship Laundry Li,ing Arrangement Mathematics Meal Planning and Preparation Money Management Reading and Wnting Recreation Self Care Support S}stems Time Management Transportation Personal Care and Chore Service Assessment PA2 Independent Living Housing Assessment Home Accessibility Assessment Service Level One Service Level Two Transportation Service to Consumers Service to Other Agencies Service to Tounsts Benefits Assessment SSUSSDI Application Processing .'... General Assistance Application Processing Food Stamp Application Processing .. Medicaid Application Processing...... . Emergency Fund Application Processing Disabled Parking Application Processing . . Handi-Van Application Processing......... Appeals Support DOH/DVR Placement Assessment.. Independent Living Skills Training in Group Settings 2 3 4-5 6 7 7 8 8 9 9 10 10 It II 12 12 13 13 14 14 15 15 16 17 17 17 18 18 18 19 20 20 20 21 21 22 22 23 23 24 24 Hawaii Centers for Independent Living (HCIL) FEF FOR SERVICE PROGRAM In accordance with the mission of the agency, HCIL provides various services for people with disabilities to assist them in accomplishing goals that lead to independent living Due to the nature of financial need to sustain HCIL, some of these services have been modified into a Fee for Service Program Consumers are considered to be people with disabilities and other agencies and businesses, depending on the particular service desired This document describes the different services provided and indicates the appropriate users of the service, the estimated time elements involved, the fees or costs, and the anticipated outcomes from the service Also, contained herein (Appendix A) is the sliding fee table for consumers with disabilities This table does not apply to agencies or businesses, who are expected to pay the full fee HCIL staff will work to provide as many of the resources and materials as possible to conduct each area instruction session However, there may be times when extra costs will be incurred to purchase resources and materials necessary to conduct a session Consumers or the agency sponsoring the consumer will be held responsible for these added costs Advance notice of these costs will be provided to the consumer or the agency sponsoring the consumer prior to each purchase for acknowledgment and approval HCIL reserves the right to make changes to the services, target population, procedures, fees, and outcomes described in this document without written notification. To prevent misunderstanding, all consumers should inquire about the service that they wish to engage prior to the commencement of the service. AGENCY BACKGROUND For centuries, people with disabilities have been ostracized from the rest of society due to scientific and religious rationale, ignorance, fear, and/or prejudice There was no recourse for being shunned and the imposed isolation created additional barriers for resolution Disability was synonymous with health care needs and provisions for meeting dally living needs often meant institutionalizing the person in a medical care setting In the late sixties, several persons with disabilities began to hear about common problems across the country and made a connection with each other through their shared experiences From California to Massachusetts, the independent Irving movement emerged as a reaction to a service system that was dominated by professionals who were not disabled The disability community began to advocate for more active roles in the planning and delivery of services that were intended to address their needs The central theme became consumer control which fostered the practice of self -empowerment With the establishment of centers for Independent living, services were obtained whereby people with disabilities started to make their own determination for goals, types of services, and quality of life The Hawaii Centers for Independent Living (HCIL) has operated since June of 1981 as a non-profit, statewide organization run by and for people with disabilities Our mission is to ensure the rights ojpeople with disabilities to lire independently and fully integrated in the community. We are committed to the empowerment of individuals to make choices in their lives that will enhance their self-respect and role as an equal citizens with all the rights, privileges, and responsibilities available to others We believe that those who best know the needs of people with disabilities are the disabled themselves, thereby establishing a practice of consumer control This means that clients with disabilities actively participate insetting and achieving their own goals By soliciting individual consumer needs and establishing personal objectives to accomplish goals, HCIL is able to support people with disabilities toward self-direction and self- sufficiency We also educate our communities concerning the needs and problems of the disabled and advocate for community options development Implementing the delivery of direct and indirect services increases the probability of change for independent living opportunities for people with disabilities and addresses the cost effectiveness of non - institutional services HCIL consists of five offices statewide The main office, located on the island of O'ahu' Is responsible for all administration, fund-raising, grant writing, program development and evaluation, and systems advocacy at the State and Federal levels It also serves the largest population of consumers in the State. The four branch offices in Kauai, Maui, Hilo, and Kona are primarily direct service providers and local systems advocates 4 It is estimated that 100,000 people in the state of Hawaii have some form of disability and 30,000 of them have substantial limitations with one or more mayor life activities These individuals expenence grater nsk for homelessness or institutional care From children with disabilities and their families to the frail elderly, HCIL has served people with all types of disabilities The target population served is those persons with a primary sensory, physical, mental, or developmental disability Eligibility is determined by the consumer's readiness for independent living and the availability of needed services Priority for services is based upon need and seventy of disability HCIL is the only center for independent Irving in the State of Hawaii and continues to be unique amongst service providers for several reasons Consumer Control is the driving factor for service delivery A consumer is defined as a person with a disability Consumers determine what goals they intend to achieve and how they will obtain them Staff (the malonty of whom are also disabled) provide guidance, support, and the resources required by consumers to attain their goals 2 An inclusive cross -disability eligibility for rendered services is prominently in practice While other agencies serve single types of disability, such as cerebral palsy, mental retardation, epilepsy, etc , HCIL targets a wide range of people with disabilities 3 Similarly, other agencies may focus on single services (i e., benefits, housing, etc), but they do not possess multiple services for independent living The full spectrum of services obtained at HCIL remains unduplicated by any other agency in the community 4 HCIL has a statewide basis of operations With four branch offices, the agency is able to reach sectors of the population, which are typically under served There are very few community agencies who have been able to provide support services across the State for people with disabilities In the history of the United States, rights have rarely been granted freely without people standing up for themselves We are witnesses and participants in history People with disabilities wish to be recogmzed as people first, to be seen for their capabilities instead of only their limitations They want to be treated as peers, equally afforded the opportunities and privileges experienced by other members of society Equal opportunity is the backbone of the American Dream Today, the emphasis is not solely on taking care of people with disabilities, but to provide them with the same prospects available to other people Getting a fob, finding a place to live, obtaining accessible transportation, engaging in different recreational activities, and developing meaningful relationships are all aspects of equal opportunity The chance to succeed also brings the chance to fail and people with disabilities should have the means to influence their own future SERVICES DESCRIPTION Consumer Oriented Services Indeuendent Living Skills Assessment Independent Living Skills are the abilities that enable people to live in the community as they choose There are sixteen basic skill areas identified color and shape identification, community and safety sign recognition, goal planning, housekeeping, interpersonal relationships, laundry, living arrangements, mathematics, meal planning and preparation, money management, reading and writing, recreation, self-care, support systems, time management, and transportation The Independent Living Skills Assessment has two mayor components of (1) a cognitive operations test and (2) a comprehensive skills survey By administering the assessment, indications are clarified for areas of needed skills development Target population: Individuals with disabilities who need to improve their abilities to meet daily activity living requirements with particular focus on persons with cognitive difficulties Estimated time elements: Full assessment 2-3 hours Single area assessment 10-20 minutes/area Report generation 2 hours Goal plan development 2 hours Staff transportation variable Fees: Full assessment $150 includes report generation and goal plan development fee Single area assessment $20 per area $40 report generation fee $40 goal plan development fee Mil e $0.40 per mile Outcomes: Report on consumer's capacities Report on consumer's current deficiencies Assist consumer to focus on specific and measurable goals Recommendations for action steps to accomplish goals 6 lndependent Living Skills Assessment Areas Color and Shape Identification HCIL staff will teach the consumer to identify basic colors and shapes Basic colors include black, brown, purple, blue, green, red, orange, yellow, and white Basic shapes include circle, square, triangle, rectangle, star, and oval if desired, additional colors and shapes may be taught Target population: Individuals with disabilities who need to improve their color and shape identification skills Estimated time elements: Area instruction session 1 hour Staff transportation variable (if applicable) Fees: S30 per hour $0 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability to identify colors and shapes Community and Safety Sign Recognition HCIL staff will teach the consumer to recognize and understand the meaning of various community and safety signs through repetition and hands-on activities Target population: individuals with disabilities who need to improve their recognition of and/or compliance with community and safety signs Estimated time elements: Area instruction session I hour Staff transportation variable (if applicable) Fees: $30 per hour SO 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability to recognize and comply with community and safety signs 7 Independent Living Skills Assessment Areas (continued) Gaul /Tanning HCIL staff will teach the consumer how to develop individualized independent living plans, and goals and strategies for obtaining them, as well as how to review, evaluate, and maintain defined goals Target population: individuals with disabilities who need to improve their goal setting and evaluation skills Estimated time elements: Area instruction session i hour Staff transportation variable Fees: $30 per hour $0 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability to set goals, evaluate personal progress, and maintain goals to life !housekeeping HCIL staff will teach the consumer how to keep their household clean, understand the use and maintenance of household appliances, care for their clothing, and develop knowledge of various household products Target population: Individuals with disabilities who need to improve their skills in household management Estimated time elements: Area instruction session I hour Staff transportation variable Fees: $30 per hour $0 40 per mile Outcomes: Report on consumer's initial capabilities Consumer will demonstrate increased ability in the specific service request area (i.e., household cleaning, use and maintenance of household appliances, care for clothing, and knowledge of household products). .. t y} •. i• i WRM t 1. •: / :�. Independent Living Skills Assessment Areas (continued) Interpersonal Relotwmhip HCIL staff will teach the consumer how to build successful relationships through effective communication, positive self-image, and use of appropriate social skills Target population: Individuals with disabilities who need to improve their skills in socialization and relationship maintenance Estimated time elements: Area instruction session I hour Staff transportation variable Fees: $30 per hour SO 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability in situations of public interaction and personal relationship maintenance Laundry HCIL staff will teach the consumer how to sort, wash, dry, fold, and/or hang clothes appropriately Target population: Individuals with disabilities who need to improve their skills in doing their laundry Estimated time elements: Area instruction session I hour Staff transportation variable Fees: 530 per hour $0 40 per mile Outcomes: Report on consumer's initial capabilities Consumer will demonstrate increased ability in the specific service request area (i e , sorting, washing, hanging, drying, folding) 0 Independent Living Skills Assessment Areas (continued) Living Arrangement HCIL staff will teach the consumer how to assess residential options and accessibility, complete rental applications, identify housing resources, and understand the landlord and tenant responsibilities Target population: Individuals with disabilities who need to improve their skills in finding and maintaining a place to live of residence Estimated time elements: Area instruction session I hour Staff transportation variable Fees: S30 per hour SO 40 per mile Outcomes: Report on consumer's initial capabilities Consumer will demonstrate increased ability in locating and maintaining a place of residence MaMemancs HCIL staff will teach the consumer the basic mathematical operations of addition and subtraction, and when desired, multiplication, division, decimals, and/or fractions Target population: Individuals with disabilities who need to improve their skills to the basic mathematical operations Estimated time elements: Area instruction session I hour Staff transportation variable Fees: S30 per hour. $O 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability in the specific service request area (i.e, addition, subtraction, multiplication, division, fractions, decimals) In Independent Living Skills Assessment Areas (continued) Ateal Planning and Preparation HCIL staff will teach the consumer how to incorporate the four basic food groups to plan well-balanced meals, find and use recipes and ingredients, and maximize their dollar value by using consumer tips for shopping Target population: Individuals with disabilities who need to improve their skills in meal planning and preparation Estimated time elements: Area instruction session 1 hour Staff transportation variable Fees: $30 per hour $O 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability in the specific service request area (i e , planning well-balanced meals, finding and using recipes, and value shopping) Nk)wy Management HCIL staff will teach the consumer how to manage personal finances through the use and recognition of currency, budgeting practices, banking transactions, and savings strategies Target population: individuals with disabilities who need to improve their skills in managing their personal finances Estimated time elements: Area instruction session 1 hour Staff transportation variable Fees: S30 per hour SO 40 per mile Outcomes: Report on consumer's itutial capabilities Consumer will demonstrate increased ability to the specific service request area (i e., use and recognition of currency, budgeting practice, banking transactions, savings strategies) 11 Independent Living Skills Assessment Areas (continued) Reading and Waring HCIL staff will teach the consumer the alphabets and how to read and write through repetition and application Target population: Indrvtduals with disabilities who need to improve their skills in reading and writing Estimated time elements: Area instruction session 1 hour Staff transportation variable Fees: 530 per hour SO 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability in reading and writing Recreation HCIL staff will teach the consumer how to recognize interests for hobbies and other recreational activities, determine the level of participation in an identified activity, locate community resources, and get involved in recreation. Target population: Individuals with disabilities who need to improve their skills in recreation Estimated time elements: Area instruction session 1 hour Staff transportation variable Fees: $30 per hour $O 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability in becoming involved in recreational activities. 12 Independent Living Skills Assessment Areas (continued) pelf Care HCIL staff will teach the consumer how to understand principles of health maintenance and practice of personal hygiene Target population: Individuals with disabilities who need to improve their skills in maintaining their personal health by meeting daily self-care needs Estimated time elements: Area instruction session 1 hour Staff transportation variable Fees: $30 per hour $0 40 per mile Outcomes: Report on consumer's initial capabilities Consumer will demonstrate increased ability in performing daily self-care tasks to maintain personal hygiene Sappurr Sysrenis HCIL staff Nell teach the consumer how to identify community services and support sy stems, effectively use these systems, and understand their civil rights to equal access services Target population: Individuals with disabilities who need to improve their skills in understanding and accessing community services and support systems that can assist in independent living Estimated timeekments: Area mstr hon session I hour Staff transportation variable Fees: $30 per hour SO 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased knowledge of community services and ability to access these services 13 Independent Living Skills Assessment Areas (continued) 7imc 9ltinagcmcnt 14CIL staff will teach the consumer how to understand the concept of time, use various time tools (e g , calendars, clock), develop schedules, monitor time progression, and engage in activities according to time management principles Target pepalation: Individuals Hith disabilities who need to improve their skills in time managing Estimated time ekments: Area instruction session 1 hour Staff transportation variable Fees: S30 per hour $0 40 per mile Outcomes: Report on consumer's initial capabilities Consumer will demonstrate increased ability to manage their time and accomplish tasks from a scheduling point of view Transportation HCIL staff will teach the consumer how to understand thedifferent transportation options available, access the appropriate transportation service, and use the transportation service to get around in the community Target population: Individuals with disabilities who need to improve their skills in using transportation services Estimated time elements: Arca instruction session I hour Staff transportation variable Fees: $30 per hour $0 40 per mile Outcome: Report on consumer's initial capabilities Consumer will demonstrate increased ability to get to their destination through the use of available transportation services 14 Personal Care and Chore Servicc Assessment Personal Care and Chore services enable people vvith functional limitations to achieve daily living activities and enhance the option of community living HCIL staff will assist the consumer to apply for personal care andlor chore services through the State as well as help the consumer to acquire skills necessary to find and keep attendants and chore workers Target population: Individuals who need another person to physically assist with the performance of daily living activities, in order to live in the community Estimated time elements: Area instruction session I hour Staff transportation variable mileage expense Fees: S30 per hour SO 40 per mile Outcome: Report on consumer's functional capabilities Report on amount and type of assistance require PA -1 HCIL staff will train consumers to employ and manage personal care attendants The ten skill areas covered to the training are understanding the role of a Personal Care Attendant (PCA), communicating care routines to an attendant, advertising for an attendant, interviewing applicants, conducting reference checks, knowing employer/employee rights, training and supervising an attendant, terminating an attendant, knowing tax laws and requirements, and knowing the Medicaid Waver Program requirements Target population: Individuals receiving services through Nursing Home Without Walls who wish to employ and manage their own attendant(s). Estimated time elements: Full assessment 2 hours Report generation 1 hours Staff transportation vanable mileage expense Fees: S40 per hour $40 for report generation $0.40 per mile Outcome: Report on consumer's ability to maintain the roles and responsibilities of an employer to (a) personal care attendant(s). 15 Independent Living Housing Assessment HCIL staff -will interview applicants to the Harry and Jeanette Weinberg Independent Living Project, Hale Kuha'o, in Waipahu to assess credibility for being able to live indepcndentiy Applicants must beat least 18 year; of age and have a physical Impairment which is expected to be continuing and of indefinite duration and substantially impedes the person's ability to live independently Target population: Indi oduals whose ability to live independently could be improved by more suitable housing conditions Estimated time elements: Full assessment 1 hour Report generation 1 hour Staff transportation variable mileage expense Fees: S45 for assessment and report generation $0 40 per mile Outcome: Report on consumer's functional capabilities to live indepcndentty Recommendations for action steps to ease transition to independent Irving situation 16 Home Accessibility Assessment Service Level One Home Accessibility is an essential feature for people with functional limitations to navigate and use their housing unit. Point of access from transportation vehicles, entrances, exterior and interior routes, and access to various home elements are addressed HCIL staff makes home visits to survey the existing housing components and identify recommendations for barrier removal Target population: Individuals who need to make their homes more accessible in order to use and live in it. Estimated time elements: Staff transportation variable mileage expense Full assessment 2 hours Report generation 4 hours Fees: $45 per hour SO 40 per mile Outcome: Report on barrier elements Report on comparative accessible features Identification of possible resources for barrier removal Identification of possible resources for funding Recommendations for action steps for barrier removal Service Lev cl Two In the event that detailed assistance is required in developing conceptual drawings, blueprint drafts, and negotiations with possible contractors, HCIL staff will coordinate barrier removal activities with the appropriate professional. In essence, HCI. will be acting as a broker of services to represent the consumer. Estimated time elements: Staff transportation variable mileage expense Co»sultation variable Site review variable Fees: S25 per hour 50.40 per mile Outcome: Negotiation with required design and contractual professionals Assistance with selection of accessibility products Assistance to am= tenrodelmg per desipt specifications 17 Transportation Transportation provides community mobility to consumers for the accomplishment of daily living needs or personal activities Upon availability of HCH. staff, requests to transport people with disabilities can be accommodated HCIL has wheelchair lift equipped vehicles, and drivers are trained to board and secure passengers Service ry CO&T Miers Any person with a disability, who is at active conswner of HCIL, may request transportation assistance The call will be taken, and scheduling arranged The readiness to pro%ide transportation services is based on the availability of drivers and vehicles, operating hours, and the other of the call for the request Estimated time elements: Boarding passenger 10 nunuies Transport of passenger variable Disembarking passenger variable Fees: $2 per one -A-4) trip Outcome: Consumer gets to desired destination Sera ice to Other Abenaes Any agency or business may request transportation assistance out behalf of their client with a disability The call will betaken, and scheduling arranged The readiness to provide transportation services is based on the availability of drivers and vehicles, operating hours, and the order of the call for the request Estimated time ekmcnb: Waiting for passenger variable Boarding passenger 10 minutes Transport of passenger .wiabte Disembarking passenger 10 minutes Fccs: To be negotiated *Not applicable for sliding fee adjustment Outcome: Other agency or business client gets to desired destination 19 Transportation (Continued) I,crrrcc to Tourists Any person with a disability visiting Hawaii may request transportation assistance There are two types of services provided to tourists (1) airport to hotel and reverse tnps transport, and (2) chartered services for a designated period of the day The call will be taken, and scheduling arranged The readiness to provide transportation services is based on die availability of drivers and vehicles, operating lwurs, and the order of the call for the request Estimated time elements: Waiting for passenger(s) variable Boarding passenger(s) 10 — 20 minutes Transportatwn of passenger(s) %ariable Disembarking passenger(s) 10 — 20 minutes Fefm: $5 per 15 mnnut" stand -b) waiting $25 — 35 per airport to hotel or reverse one-way tnp 580 Nr half da) charter *Not applicable for sliding fee adjustment Outcome: Tourist gets to desired destination 19 B.:nefits Assessment B•:il•'.�u• tl:(o Lbl: L'a(i Cl/.i enitltieii•efit prO6::.:1iS, enable peapie LL'Itli d:$abil nine$ L�iiJ iii.. �: no or limited income sources to pay for needed items while living in the community HCIL staff use an assessment tool to identify all the income sources for consumers and determine if possible entitlement programs may be able to assist SS! SSArAppl:c:rrun Prcxessrrg HCIL staff x111 assist conswriers to complete the applicat"i form mid obtain n; cessary corresponding documentation for the submission of a Supplemental Security Income (SSi) or Social Security Disability Insurance (SSDI) applicawi Target population: Individuals LLho hal; no history of ennploymrnt and no u:l:u:nui:: capacity for employment or have a history of employment and no loitger have a nununwn capacity for employ nnent Time elements: Filling out application form 2 incurs Obtain supporting documents variable Stafftrmisportatrai variable Feu: $40 pzr application SO 40 per mile Outcome: Pre-screenting of mayor criteria Completion of application form Attaeltntentt of all required documents Genera: Assistance Application Pruaessrng HCIL staff will assist consumers to complete the forirn, for the submission of a General Assistance (Welfare) application Target population: hid►vidyals with disabilities %%ho do not a source of uicome Time ckincets: Filling out apphcatnon form 2 hours Staff transportation variable mileage expense Fees: S20 per application $0 40 per mile Outcome: Pre-screening of mayor criteria Completion of application form 20 Itaw•au Centers for Independent Gvtnn (IICIL) FEE COP crRVICE PP F+4t S(:;,:p:,A/rp:. :r.:r °rte �t•.r:� UCi� staff \ Ili wsl�. consu:n 7s to complJle boli, tho and the n.:cessar. corresponding documentation for the submission of a Food Stamp application Target population: hidt%iduals disabd;tics -.% ho wed supplement.:.y funds for the purchase of food on a continual basis Time elements: Staff transportation va mbi, mileage e:p-n-sI- Obtain supporting documents variable Filll:lb out application form I hour rm:s: S20 P4 -r apphLJIWn SO 40 per mile Outcome: :nt;..ia Attachment of all required documents C.::ttpl,:tic:l of appli:atic:t for:tt IICIL staff rill assist zonsutn.:rs to colnplztz both file form. and til.: naccssan corresponding documentation for the submission of a Medicaid application Target population: I:td:.id aIs .::'I hi,abihti,.s •.%ho requ::c m.dical msluranc.: to cover ongoing medical care, and meet the income and asset r:qu:r.;:n:nts of lire State's Medicaid s}st.=... Time elements: Staff transporatlo:. %a:IabIC :.;1;=ge X,p:.:ls.: Obtain supporting documents variable Filling out application form Ihour Fc S-0 p,.r ipphcati.m SO 40 per mile Outcome: Pre-screening of major criteria Attachment of all required documents Completion of application form ,I IInw^ C•ni• s for independent L:, t c NICIL? FEE !•OP qrRVICE Po r•u a+t is?7t'i �Cl7t l :Ii ful. i�J�):...ul,.Ji7 :'i Jul \ .u:ri 11ClL staff •.;;Il ass;st :Onsu;n::s to ccnipl:t: both tli: form, and the n:c:ssar, corresponding documentation for the submission of requests for Emergency Funds to appmp::= r:sou:c:s Targct population: lad;+;Vuals %v;*)l disabdili:s %%ll0;l::u \;n:n J1;aw I.nanc;al assistance to meet a monetary obligation, and who have no Y.. end) a•. a;labl. ilnaac;al anans to nl:ct that obh6atioil Timc clements: tlon •. W ;abl: Obtain supporting documents vanable F;lll;:6 ol.t appll:atlon form; 1 ll„t.: i tt'S: S !.A Pl.: YPPII,,Yt. Ji\ Oul:utn:: P:: Attachment of all required documents Col•.;pktton of apph:auon forn HCIL staff •.VII assist :onswn:rs to :omnpl:l: both t1: fort: and f: Il:::ssafy corresponding documentation for the submission of the Disabled Parking application T get popul. own: Timc elcuients: f:eb: \.\Y\•.\YYY\J •\�\\U hx.: scnnz A:\\Y of \\\VVV\\•. and need to obtain a disability -parking placard for the use of I he;: pro at: Staff transportation Obtain supporting documents Fdhng out apph:ati,xt form S1,0 put;aPplicatlun SO 40 per mile %ar:able m:aage e::pca: vanable 15 munut:s Outcome: P:e-s:r::::.ag;ofntajorcriteria Attachment of all required documents CJnlplaion of application form 11 I.1 --i Certe.. L- Ind—t.,.te^. r ...::,g (I [CIL) rrr [•rip —.1.1 ov .p s W HJ, :J. -I Jr..lpph,al:.:r::'rte,L•,•,:riti HCIL S a rRu1 ass,5, JJnsunizrs to c0;l:plJ1J both th,J rOmn, and IIID iIJJwSar corresponding documentation for the submission of requests for Handt-Van application Target population: lads:idual5 .%ah disabllalJ$'AhJ Jai:not uSJ the public Inas$ transit system and need to use the Para -transit system for their traiIspJrtatlon elements: .Chaff tra::SpOrtatlCl: •. ar:able iillJay`J e Cpl:"YJ Obtain supporting documents variable F: hng cat apphzanon form 15 ininutes 1420 p..r applu.it;cr. SO 40 per mile Outcome: Attachment of all required documents ConnplJ:Ion of Jpplicaac;: fcrnn UC 11 31 -Ir L:;11 aSS:St ;I" dw C= l: hJ"J a JJnSuniz' ddit:Ju bz.wfi .i ai1Jr a Jot":ple,z a:lu thorough application is made This process consists of a pre -determination review of the �J:::.u::Rr•o JirJu:"".i..i:"CJS. a rJ -drafi of "...::"ital appi:Cat:Jiy a""d tl:J v 0'0. -up •.%its: 0,11C targeted benefits agency HCIL will counsel the consumer on the probability of a i .r ; �� r oJCJJSS.r Ii. uppJa.i b,. JrJ J:"ba�Cl:ly li" the 1actualJppJa.; $ prJJJ55 o bilara"".d.'.:,i n:auJ for success Targct population: Ah. ha.e b.i Innod benel"L; following a complete and thorough application submission Tatvc elements: Staff transportation .anablz mileage expeasC Obtain supporting documents %anable Filling out application form 1 lour Appeals hearing 1-2 hours $40 ps r appllc,atlon SO 40 per mile Outcome: Pre-s:.reentng of mayor cntJrta Attachment of all required documents Completion of application form jaw: Centers for Independent Lnane (I ICL) FEL FOR SERVICE PROGRAM DOR DVP. Plac.:inent Assessm.tit HCI. staff will zonduCt all assessmCnt to a—S:st In &terin;n:ng v.1wthL. the Consumer might be better served by the Department of Health (DOH) or the Division of Vocational 0el:abllaal:0il (DVR) This assessment will Include flL'iCtiC:til capabilities and work abilities Target population: Indy:duals int:.rested ui near::ng s„ r'. ia:s r om either DOH or DVR Estimated time elements: Full assessment 2 flours Report generation I hours Staff transportation �,anabl.: ilnlwge e::peas.: r ccs: S40 per hoar S40 for report generation SO 40 p,:r mil.: Outcome: Report on eonsumar's functional and %%ork capabilities Recommendations for action steps on appropriate referral to DOH or DVR, whichever seems mor„ appropriate for the consumer based on assessment hld=aden, L:vina Skills Training in Group S.:ttings HCIL staff %%,if! conduct assessments for all mdividuals intartsted in being taught In a group setting independent Living Skills mar be taught in groups of two or more as long as all uidnviduals Ili each group agree with til.: defined goals Target population: Individuals interested In being taught Independent li: ulg skills ui a group setting Estimated time elements: Area instruction session I flour Staff transportation variable mileage expense Fees: $25 per hour per individual $O 40 per mile Outcomes: Report on consumer's capacities Report on consumer's current deficiencies Assist consumer to focus on specific and measurable goals Recommendations for action steps to accomplish goals within a group setting ,a Stephen K Yamuhiro Harry A Takahashi Mayor �^ Director 4s the grant applicant• l certify that the agency has satisfactorily responded to each of the above questions and explained as needed l hereby certtfv that rhea information is true and correct to the best of my knowledge Agency Hawaii Centers for Independent Prepared by Violeta T. Evans, Financial Mgr Print Nair e Certified by- hMik 1 cualaku Pru Name of Execuore Dnaetor Liv"Ohe. 522-5400 • J�nl�� / is/o d s,pieta a Due t Serum" Due COUNTY OF fiAWAI'I DEPARTMENT OF FINANCE 25 Aupuni Street, Room I IS • Hilo. Hawaii 96720-4252 1808) %1.82)4 • Fax (808) %1.8248 HAWAII COUNTY NONPROFIT GRANTS (FY 2001-02) FINANCIAL QUESTIONNAIRE Please include as an anachment an explanation for all "NO" answers to questions # I thru # 1 I below Yes No F1 ❑ 1 Has the agency operated continuously for the past three (3) yews" © ❑ 2 Has the agency operated with a positive cash flow for the past three (3) years' 9 ❑ 3 Does your Board of Directors approve a detailed cash flow budget before the beginning of each fiscal year' ❑ 4 Do your Board meeting nunutes show that quarterly financial statements are appro� ed' FYI ❑ S Is your equity balance at least 20% of yourTotal Liability balance" r ❑ 6 Is your Total Current Asset balance larger than your Total Current Liability balance' ❑ i Are bank reconciliations and accounting performed by someone other than the check signatory' ED ❑ 3 Ore you fully Insured for the agencN's %elucle(s) and building(s)'i ❑ ❑ 9 Is your Workers' Compensation at least 2% of payroll' 7 ❑ 10 Are you current (non-de!inquent) on all payroll and payroll tax payments' 7 ❑ I I Is the agency free of any pending litigation, hefts orjudgments9 ❑ 12. Within the past 12 months, has the agency applied for vendor or bank credit and was denied credit? If yes, please explain. 4s the grant applicant• l certify that the agency has satisfactorily responded to each of the above questions and explained as needed l hereby certtfv that rhea information is true and correct to the best of my knowledge Agency Hawaii Centers for Independent Prepared by Violeta T. Evans, Financial Mgr Print Nair e Certified by- hMik 1 cualaku Pru Name of Execuore Dnaetor Liv"Ohe. 522-5400 • J�nl�� / is/o d s,pieta a Due t Serum" Due HAWAII CENTERS FOR INDEPENDENT LIVING Single Audit Reports For the Year Ended September 30, 1998 HAWAII CENTERS FOR INDEPENDENT LIVING Single Audit Reports September 30, 1998 Page Report on Compliance and on Internal Control Over Financial Reporting Based on an Audit of Basic Financial Statements Performed in Accordance with Government Auditing Standards 1 Report on Compliance with Requirements Applicable to Eacl, Mayor Program, Internal Control Over Compliance in Accordance with OMB Circular A-133 and the Schedule of E\penditures of Federal and State Awards 3 Schedule of Expenditures of Federal, State and County Awards.. 5 Schedule of Findings ..... .. .. . 7 Wikoff, Combs & Co. j( 1 kIIf 11.1 •_ Ill f ,l i')1 %I \% I% INDEPENDENT AUDITORS' REPORT ON COMPLIANCE, AND ON INTERNAL CONTROL OVER FINANCIAL REPORTING BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS Board of Directors Hawaii Centers for Independent Living We have audited the financial statements of Hawaii Centers for Independent Living as of and for the year ended September 30, 1998, and have issued our report thereon dated February 3, 1999 We conducted our audit in accordance with generally accepted auditing standards and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States Compliance As part of obtaining reasonable assurance about whether Hawaii Centers for Independent Llvinc-s financial statements are free of material misstatements, we performed tests of its compliance with certain provisions of laws, regulations, contracts and grants, noncompliance with which could have a direct and material effect on the determination of financial statement amounts However, providing an opinion on compliance with those provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance that are required to be reported under Government Auditing Standards Internal Control O%er Financial Reporting In planning and performing our audit, we considered Hawaii Centers for Independent Li\inss internal control over financial reporting in order to determine our auditing procedures for the purpose of expressing our opinion on the financial statements and not to provide assurance on the internal control over financial reporting Our consideration of the internal control over financial reporting would not necessarily disclose all matters in the internal control over financial reporting that might be material weaknesses A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that misstatements in amounts that would be material in relation to the financial statements being audited may occur and not be deleted within a timely period by employees in the nonnal course of performing their assigned functions We noted no matters involving the internal control over financial reporting and its operation that we consider to be matenal weaknesses However, we noted other matters involving the internal control over financial reporting, which we have reported to management of Hawaii Centers for Independent Living in a separate letter dated February 3, 1999 900 Fun blrrrl M,111 SLOW 1040 Honolulu HI 9681 3-3 711, Tel mom s2a 7311 Fa, 18081 336-0364 t1-+ 2+'1 Loom, s1 \\ up,ilm H1`96797-2301 Tel X1108, 6-1 2608 This report is intended for the information of management and federal awarding agencies and pass-through entities However, this report is a matter of public record and its distribution is not limited ?rl I 601� 11 & 1 r4% Honolulu, Hawaii February 3, 1999 Internal Control Over Compliance The management of Hawaii Centers for Independent Living is responsible for establishing and maintaining effective internal control over compliance with requirements of laws, regulations, contracts and grants applicable to federal programs In planning and performing our audit, we considered Hawaii Centers for Independent Living's internal control over compliance with requirements that could have a direct and matenal effect on a mayor federal program in order to determine our auditing procedures for the purpose of expressing our opinion on compliance and to test and report on internal control over compliance in accordance with OMB Circular A-133 Our consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that noncompliance with applicable requirements of laws, regulations, contracts and grants that would be material in relation to a major federal program being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned functions. We noted no matters imohing the internal control over compliance and its operation that we consider to be material weaknesses Schedule of Expenditures of Federal. State and County Awards %k a have audited the basic financial statements of Hawaii Centers for Independent Living as of and for the vear ended September 30, 1998, and have issued our repon thereon dated February 3, 1999 Our audit was performed for the purpose of forming an opinion on the basic financial statements taken as a whole The accompanying schedule of expenditures of federal, state and county awards is presented for purposes of additional analysts as required b% ONM Circular A-133 and is not a required part of the basic financial statements Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated, in all material respects, in relation to the basic financial statements taken as a whole This report is intended for the information of management and federal awarding agencies However, this report is a matter of public record and its distribution is not limited all , �or>,�4. r 3 ., /,),O s Honolulu, Hawaii �I Up February 3, 1999 4 i Wikoff, Combs & Co. INDEPENDENT AUDITORS' REPORT ON COMPLIANCE WITH REQUIREMENTS APPLICABLE TO EACH MAJOR PROGRAM, INTERNAL CONTROL OVER COMPLIANCE IN ACCORDANCE WITH OMB CIRCULAR A-133, AND THE SCHEDULE OF EXPENDITURES OF FEDERAL, STATE AND COUNTY AWARDS Board of Directors Hawaii Centers for Independent Living Comoliance We have audited the compliance of Hawaii Centers for Independent Living with the types of compliance requirements described in the US Office of Management and Budget (OMB) Cucular A-133 Compliance Supplement that are applicable to each of its major federal programs for the year ended September 30, 1998 Hawaii Centers for Independent Living's major federal programs are identified in the summary of auditors' results section of the accompanying schedule of findings Compliance with the requirements of laws, regulations, contracts and grants applicable to each of its major federal programs is the responsibility of Hawaii Centers for Independent Livings management. Our responsibility is to express an opinion on Hawaii Centers for Independent Living's compliance based on our audit We conducted our audit of compliance in accordance with generally accepted auditing standards, the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; and OMB Circular A- 133 Audits of States, Local Governments, and Non -Profit Organizations Those standards and OMB Circular A-133 require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal program occurred. •in audit includes examining, on a test basis, evidence about Hawaii Centers for Independent Living's compliance with those requirements and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion Our audit does not provide a legal determination on Hawaii Centers for Independent Living's compliance with those requirements. As described in item 98-1 in the accompanying schedule of findings and questioned costs, Hawaii Centers for Independent Living did not comply with the requirement regarding cost principles Compliance with such requirements is necessary, in our opinion, for Hawaii Centers for Independent Living to comply with requirements applicable to that program. In our opinion, except for the noncompliance described in the preceding paragraph, Hawaii Centers for Independent Living complied, in all matenal respects, with the requirements referred to above that are applicable to each of its major federal programs for the year ended September 30, 1998. 3 000 Fun Sweet \1 Al Suite 1040 Hunululu HI 96813.3711, TO i1i09t 5213•7312 Fay MOB) 536.0364 ^a 249 Leunui SI Wagiahu HN61797-2 1()1 Til gofl 6-1 26118 internal Control Over Compliance The management of Hawaii Centers for Independent Living is responsible for establishing and maintaining effective internal control over compliance with requirements of laws, regulations, contracts and grants applicable to federal programs. In planrung and performing our audit, we considered Hawaii Centers for Independent Living's intemal control over compliance with requirements that could have a direct and material effect on a major federal program in order to determine our auditing procedures for the purpose of expressing our opinion on compliance and to test and report on intemal control over compliance in accordance with OMB Circular A-133 Our consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that noncompliance with applicable requirements of laws, regulations, contracts and grants that would be material in relation to a mayor federal program being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned functions We noted no matters involving the internal control over compliance and its operation that we consider to be material weaknesses Schedule of Eroendirures of Federal. State and Countv Awards \be have audited the basic financial statements of Hawaii Centers for Independent Living as of and for the vear ended September 30, 1998, and have issued our report thereon dated February 3, 1999 Our audit was performed for the purpose of forming an opinion on the basic fin racial statements taken as a whole. The accompanying schedule of expendinrres of federal, state and county awards is presented for purposes of additional analysts as required hs Oft^ Circular A-133 and is not a required part of the basic financial statements Such iniorm-ion has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated, in all material respects, to relation to the basic financial statements taken as a whole This report is intended for the information of management and federal awarding agencies However, this report is a matter of public record and its distribution is not limited Honolulu, Hawaii February 3, 1999 4 UrM4121 L4 /1,14 G N 1 O N n O m0 .00co 0 o mo o o P J o J O C N C O yp p o � a N N CC rm O m p m IM1 O a m C R R .w.. r Z N N N m a a m m m N O O O O O n 4 C h CO `O e0 N •O h M L` N N N H 'I pp O O O CI O� OI OI h N V O MI N h T � P H N m n � , � , I • � N V a y `I •'1 •I� C Y O ` L y O V 7 'J Y 7 V � O _ Y � Y 7 G T Y A C � C V 7 � L L C n _ U Z �. L � J c n 0 u n y Y C O u E A 7 Y O o y E Y T Y N 0 r+ C C T OD C N O 6 e L J_ -3 3 V LL � � � U �. ?• i. i. C �' '� F' 9 .� Y F Q � � FO• < Y A ti _TUUW` ti U Z HAWAII CENTERS FOR INDEPENDENT LIVING Schedule of Findings September 30, 1998 SUMMARY OF AUDITORS' RESULTS A. Summary of Audit Results The auditors' report expresses an unqualified opinion on the financial statements of Hawaii Centers for Independent Living 2 No reportable conditions were identified during the audit of the financial statements 3 No instances of noncompliance material to the financial statements of Hawaii Centers for Living were disclosed during the audit 4 No reportable conditions were identified during the audit of the major federal award program. 5 The auditors' report on compliance for the major federal award program for Hawaii Centers for Independent Living expresses a qualified opinion 6 There was an audit finding relative to the mayor federal award program for Hawaii Centers for Independent Living 7 The programs tested as major programs included• U S. Department of Education CFDA No. 84.132A 8 The threshold for distinguishing Types A and B programs was $300,000. 9 Hawaii Centers for Independent Living was determined not to be a low-nsk auditee. B. Findings - Financial Statements Audit Prior Audit Finding No. 97-1 C. Findings and Questioned Costs — Major Federpl Award Programs Audit Prior Audit Finding No. 97-2 Finding No. 98-1 7 Reference Number HAWAII CENTERS FOR INDEPENDENT LIVING Schedule of Findings, Continued September 30, 1998 FINDINGS CURRENT YEAR 98-1 The OMB Circular A-122 "Cost Principles for Nonprofit Organizations," requires costs that are not identifiable to a specific program or activity, "indirect costs", be allocated based on a cost allocation plan which documents the methods used to allocate costs While a considerable effort is made to estimate time expended on programs by administrative personnel, there is limited documentation of the actual basis for the development of the allocation rates PRIOR YEAR 97-1 Cash Disbursements - The person who prepares check disbursements also mails the signed checks and records the activity in the accounting records Allowing the same individual to prepare, disburse, and record check disbursements creates an opporturuty for alteration of executed checks prior to their release. Resolution: A person other than someone who maintauts the accounting records now mails the check disbursements. 97-2 Procurement Policies - The procurement policies the Organization follows are in accordance with the standards set forth in OMB Circular A-110, except that written documentation is required by OMB A-110 Resolution- The Organization's procurement policies are formally documented as required by OMB A-110. , 8 HAWAII CENTERS FOR INDEPENDENT LIVING Financial Statements September 30, 1998 Wikoff, Combs & Co. t i1 -"(D I-1 9` 1.1111 \ „i. Independent Auditors' Report Board of DLrectors Ha%%aii Centers for Independent Living �X e have audited the accompanying statement of financial position of Hawaii Centers for Independent Living (a nonprofit organization) as of September 30, 1998, and the related statements of activities, functional expenses and cash flows for the year then ended These financial statements are the responsibility of Hawaii Centers for Independent Living's management Our responsibility is to express an opinion on Lhese financial statements based on our audit %k•e conducted our audit In accordance with generally accepted auditing standards and the standards applicable to financial audits contained in Government Auditing Standards issued b% the Comptroller General of the united States Those standards require that we plan and pe-forri tt•e audit to obtain reasonable assurance about whether the financial statements are free of matenal misstatement An audit includes examining, on a test basis. evidence succor•,n; the amounts and disclosures in the financial statements An audit also includes as�essln_ the accounting prncioles used and significant estimates made by management. as %%ell as evaivating the cserall tiranciat stat.n-ent presentation. We believe that our audit -+rc• Jes a r.asonab'e oasts for our opinion In our opinion, the financial statements referred to above present fairly, in all material :esp: ;� the financial position of Hawaii Centers for Independent Living as of September 30. 1 ,,SS and the changes in its net assets and its cash flows for the year then ended in corfo-mm with gene:aliv accepted accounting principles In accordance with Government .-ludaing Stcadards, we ha%e also issued our report dated Januan 8. 1999 on our consideration of Haan Centers for Independent Living's internal control over financial reporting and our tests of its compliance with certain provisions of la«s, regulations, contracts and grants Honolulu. Hav all February 3. 1999 '1111 Inn -laII -wov 111.111 Hunululu HI 9MI i 1'I I Tel 180111 1,211 7322 Fal 111081 S 11, nSha 114 2411 Leunui til N'agmhu HI 416'97-1301 Tel 01081 671 2608 HAWAII CENTERS FOR INDEPENDENT LIVING Statement of Financial Position September 30, 1998 ASSETS Current assets Cash to bank Receivables Government agencies Other Prepaid expenses and other assets Total current assets Property and equipment. Leasehold improvements Office furniture and equipment Transportation equipment Telephone equipment Computer equipment Less accumulated depreciation and amortization Other assets. Cash held in trust (Notes 3 and l 1) Certificate of deposit (Note 6) Total assets $ 85,858 6.532 28,056 149,838 187,531 46,731 174.295 586,451 417,917 361,470 100,000 See accompanying notes to financial statements. 2 $ 357,615 92.390 18 013 468.018 168,534 461,470 $ 1,098.022 HAWAII CENTERS FOR INDEPENDENT LIVING Statement of Financial Position September 30, 1998 LIABILITIES Current liabilities Current portion, note payable (Note 5) Payable to HATTS (Note 3) Accounts payable Accrued payroll and payroll taxes Accrued vacation Deferred revenue Total current liabilities Long term liabilities Note payable, net of current portion (Note 5) Total liabilities Comtmtments (dote 7) NET ASSETS Unrestricted Undesignated Invested to property and egtupment Temporarily restricted Permanently restricted (Note 6) Total net assets Total liabilities and net assets S 202,842 163,658 See accompanying notes to financial statements 3 S 1,252 361,470 17,4'_7 74,120 29,706 106,625 590,600 4.876 595,476 -366,500 36,046 100,000 502,546 S 1,098,022 HAWAII CENTERS FOR INDEPENDENT LANG Statement of Activities and Changes m Net Assets For the Year Ended September 30, 1998 See accompanying notes to financial stateocn% 4 Temporarily Permanently Unrestricted Restricted Restricted Total Support and resenue Government appropriations and assistance S 1,538,887 $ - S - S 1,538,887 Contnbutons 121,147 31,346 - 152,493 -Nloha United Wav 66,061 - - 66,061 Other 12,598 - - 12,598 Conference 26,213 26,213 Interest income 12,339 - - 12,339 Fundraising, net of direct costs of 56,357 3,640 - 3,640 Loss on sale of investment (Note 2) (7,268) - - (7,268) Net assets released from restrictions (Note 12) 45 091 (45 091) Total support and revenue 1 818 708 (13 745) - 1 804 963 Evpen+cs Procram sm'ices Services for disabled individuals 1 833.232 1933232 Support services Manaeement and general 135,770 - - 135,770 Fundraising 7 901 7 901 Total support services 143 671 143 671 Total evpenses 1 976 903 1 976 903 Changes in net assets (158,195) (13,745) (171.940) Net assets at bewwng of veer 524,695 148,336 100,000 773,031 Pnor period adjustment (Note 3)9( 8 545) (98.545) Net assets at end of vear S 366 500 S 36 046 S 100 000 S 502 546 See accompanying notes to financial stateocn% 4 n 2 r � T N N r O GO P O P P n •^ N n n GC GC O "•� n lo R r q a o? N J �� R V: N N P N n P x RV T �: F• -_ 'J r?- r1 GO 7 ^ L r r N �n H � O P T 00 r 0 0 0 N P P vt N T V • �_ C V 3 ° � Cay � E = C C q N 00. N v ^ C Y O ' ' Y 9 L E - V• n c e x � u'_ G a c c n C - o' c c n MOO = J r. Yl o N t to i F y cr u Vi a V fe` F H VY1 S Lq C F L x N N w•1 N r1 N �- ;I y W N ^ O M H n 2 r f T N N r O GO P O P P n •^ N n n GC GC O "•� T N N n N ^� ? V P 1% IO r P IC. O r P r, >D n N J �� R V: N N P N n P x RV T �: F• -_ 'J r?- r1 GO L ^ u C r r G z 2 r - GO ^ u C �n O V • �_ C V 3 ° � Cay � E = C C q c 00. C ^ C C 4 9 L E w 7 c e x � O a c c n o' c c n MOO = o 0 to F y cr u Vi a V fe` F H VY1 S Lq C F L G z HAWAII CENTERS FOR INDEPENDENT LIMING Statement of Cash Flows For the Year Ended September 30, 1998 Cash flows from operating activities Changes in net assets S (171,940) Adjustments to reconcile change in net assets to net cash used by operating activities Depreciation and amortization 5 42,009 Loss on sale of investment 7,268 Prior period adjustment (98,545) Transfer of petty cash to HATTS (753) Contributed equipment 165,215 (Increase) decrease to assets Receivables 79,380 Other receivables (5,203) Prepaid expenses 8,074 Increase (decrease) to liabilities Accounts payable (48,601) .Accrued payroll and payroll taxes (3,278) Accrued vacation (3,495) Deferred revenue 106,625 248,696 Net cash provided by operating activities 76,756 Cash flows used to investing activities Purchase of fixed assets (89,818) Cash flows used to financing activities Repayment of capital lease obligations (744) Net decrease in cash (13,806) Cash at beginning of year 371,421 Cash at end of year $ 357,615 Supplemental cash flow ntformatron. Interest pard $ 1,318 See accompanying notes to financial statements 6 HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1998 Background and Organization Hawaii Centers for Independent Living (Organization) is a nonprofit organization incorporated in 1981, to establish, maintaut and operate nonprofit community service centers relating to and for the purpose of improving the physical, social and financial conditions of disabled individuals in the State of Hawaii and to promote programs leading to economic self sufficiency and independent living The Organization also provides transportation and equipment to assist disabled persons to live independently and function within the community. Summary of Significant Accounting Policies Basis of Presentation The Organization reports information regarding its financial position and activities according to the following classes of net asses: Unrestricted net assets represents resources over which the Board of Directors has discretionary control. Temporard'y restricted net assets result from contnbutions whose use is limited by donor stipulations that either expire with passage of time or can be fulfilled and removed by actions of the Organization pursuant to those stipulations. Permanently restricted net assets result from contributions whose use is limited by donor suptilations that do not expire Property and Equipment Property and equipment are recorded at cost or fair market value at date of donation Leasehold improvements are amortized using the straight-line method over the lesser of the lease term or the estimated useful lives of the assets. Depreciation is determined using the straight-line method and the estimated usefid lives of the asses ranging from five to ten years. Contributions and Su000rt All monetary contributions are recorded when received and considered to be available for unrestricted use unless specifically restricted by the donor. Contnbutions and support restricted by the donor are reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. All other donor -restricted contributions and support are reported as an inert -ase m temporarily or permanently restricted net assets, depending on the nature of the restriction. When the restricted purpose is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net asses released from restrictions. HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1998 Summary of Significant Accounting Policies, continued Fund-Raisine Events Proceeds from fund-raising events are reported net of directly related costs incurred for the event. Direct costs are amounts expended for the fund-raising event, such as the costs of green fees for the golf tournament Other costs related to the event such as pnnting, postage and prizes are recorded as fund-raising expenses Functional Classification of Eroenses Expenses are categorized principally in terms of the Organization's individual program activities or functions. Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements, and the revenue and expenses during the stated period. Actual results could differ from management's estimates. 2. Sale of Investment To further its goals, the Orgaaizauon established Access Aloha, Inc , as a for profit. wholly owned subsidiary, in 1991. The purpose of the corporation was to provide consulting services to Hawaii businesses regarding access design features for individuals with disabilities. In 1998, the Organization sold its 50% share of the Company's stock to the remaining shareholder The Organization recognized a loss of $7,268 on the sale 3. Hawaii Assistive Technology Training and Services (HATTS) Effective Apnl 1, 1998, the Organization's HATTS program formed a separate nonprofit corporation. All program property and equipment, (with a net book value of S 165,215), and unexpended government grants and contributions restricted for the program were transferred to the new HATTS nonprofit organization. Government assistance of $98,545 related to the HATTS program was recognized in error as support prior to the 1998 fiscal year. An adjustment to the beginning temporarily restricted net assets as of October 1, 1998, is reflected in the accompanying statement of activity and changes in net assets to correct the error 3. 4. 5. HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1998 Hawaii Assistive Technology Training and Services (HATTS), continued At September 30, 1998, $361,470 deposited in a bank savings account is to be used to guarantee loans to disabled persons for the purchase of assistive devices, which was part of the Organization's HATTS program. These funds are reported as a payable to the new HATTS orgatuzation and are expected to be transferred once the required documentation is processed Bank Line -of -Credit The Organization has a $75,000 bank line -of -credit available for short -tern working capital needs Borrowings are on 90 -day notes, secured by accounts receivable, property and equipment, leased assets, and deposit accounts The entire line -of -credit was mailable at September 30, 1998. Note Payable The Organization financed the acquisition of a telephone system Monthly principal and interest payments (at 15% per annum) are due until maturity in August, 2002. Minimum future principal payments as of September 30, 1998, are as follows. Year Ending September 30 Amount 1999 S 1,252 2000 1,446 2001 1,671 2002 1459 Total 6,128 Less current portion 1252 Long-term portion $44876 6. Endowment Fund A S 100,000 endowment fund was established to provide independent livmg skill classes for persons with disabilities. Income from endowment investments, with approval of the donor, has been expended in accordance with provisions of the gift. 7 91 9. HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1998 Commitments The Organization leases its administrative and program service offices for its Oahu and Big island, Hawaii locations under operating leases expiring in various years through June 30, 2012. In addition to the monthly base rent, a prorata portion of building operating expenses and general excise taxes are payable The program service offices for the Kauai and Maw locations are rented on a month to month basis Mimmum future rental payments under non -cancelable operating leases as of September 30, 1998, are Year Ending September 30 Amount 1999 S 60,278 2000 60,606 2001 56,026 2002 51,810 2003 59,211 Thereafter 577,311 Total $865 242 Pension Plan The Organization sponsors a non-contnbutory defined contribution pension plan that covers substantially all of its employee§. Contributions for the plan are based on 1% of each participant's salary. Pension expense of 56,729 is included to payroll takes and other fringes in the accompanying statement of functional expenses. Income Taxes As a non-profit organization qualifying under Internal Revenue Code Section 501(cx3), the Organization is exempt from Federal and Hawaii income taxes and has been determined not to be a private foundation within the meaning of Internal Revenue Code Section 509(x). 10 HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1998 10. Economic Dependency The Organization received approximately 86% of its 1998, support and revenue from government assistance A significant reduction in the level of this support, if this were to occur, could have an adverse effect on the Organization's programs and activities In addition, the government contracts require the fulfillment of certain conditions as set forth in the contractual agreements Failure to fulfill the conditions could result in the return of funds to the government 11. Concentration of Credit Risk The Organization places its cash with %anous financial institutions Cash balances at each institution arc insured b% the Federal Deposit Insurance Corporauon up to S 100 000 -%t September 30, 1998, the Organization's bank statement balances that eviceeded the insured amount «ere S536,748 S261,470 of the uninsured amount is deposited in a financial usutution that admuusters the loan program (See Note 3) The Organization has not experienced any losses in such accounts and believes it is not exposed to any significant credit risks on cash. 12. Restrictions on Net Assets ',et assets «ere released from contributions by intuiting expenses satisiving the restricted purposes Net assets of $45,091 from contributions released from restriction in 1998. vticrc for independent Irving programs. Temporarily restricted net assets of 5191.855 at September 30. 1998, are available for independent living program expenditures HAWAII CENTERS FOR INDEPENDENT LIVING Financial Statements September 30 1999 Wlkoft, Combs & Co. 1 1 4 111111) 1'1 tl111 \11111 41411% Independent Auditors' Report Board of Directors Hawaii Centers for Independent Living eke ha%e audited the accompanying statement of financial position of Hawaii Centers for Independent Living (a nonprofit organization) as of September 30. 1999. and the related statements of activities. functional expenses and cash flows for the year then ended These financial statements are the responsibility of Hawaii Centers for Independent Living's management Our responsibility is to express an opinion on these financial statements based on our audit %ke conducted our audit in accordance with generally accepted auditing standards and the standards applicable to financial audits contained In Gviernmenr 4inhana Standards i«vied b% the Comptroller General of the United States Those standards require that we plan and perform the audit to obtain reasonable assurance about ��hether the financial statements are tree of material misstatement An audit Includes examining. on a test basis eytdence supporting the amounts and disclosures In the financial statements -%n audit also Includes assessing the accounting principles used and significant estimates made by management. as hell as e,�aluaune the overall financial statement presentation \1e belle%e that our audit prw, ides a reasonable basis for our opinion. , In our opinion. the financial statements referred to above present fatriv. in all material respects, the financial position of Hawaii Centers for Independent Li%miz as of September 30. 1999. and the chances in its net assets and its cash flows for the ,ear then ended in conformity with generally accepted accounting principles In accordance with Government Ambling Standards. we ha%e also izsued our report dated Januar` 21. 3000 on our consideration of Hawaii Centers for Independent Ltl6ing's internal control o%er financial reporting and our tests of its compliance «ith certain pro%isions of la«s. regulations. contracts and grants Honolulu. Hawaii January 31.'_000 110111 um Slrnrl Mall Sulle 10411 Honolulu HI 9681 1-1711 Tel 181181 1,28•7122 F,IS 110A- i to -n 144 tyaikeaVllab 4WIiwlunlSt Suite 11)' A Iill)•I111m:!0 T.411\ 10u11 -)I; I11;! ASSETS Current assets Cash to bank Receti ables Go%ernment agencies Other Prepaid e%pcnses and other assets total current assets Propert% and equipment: Leasehold improvements Office furniture and equipment Transportation equipment Telephone equipment Computer equipment Assisuic technolou% deuces Less accumulated depreciation and amortization HAWAII CENTERS FO Statement of I Septem- S 246.517 S 136.754 7.558 144.312 19.772 410,601 3.135 145.478 187.531 14.287 58.'_06 20.744 429.381 260.776 168.605 Other assets Certificate of deposit 280.000 Deposits 3.487 283.487 Total assets $ 862.693 See accompanying i :PENDENT LIVING I Position ... LIABILITIES Current liabilities Current portion. capital lease obligation Accounts payable Accrued payroll and payroll tapes Accrued vacation Deferred re%enue Total current liabilities Lone -term liabilities Capital lease obligation net of current portion Total liabilities Commitments NET ASSETS Unrestricted Undesignated In%ested to property and equipment I emporanly restricted Permanently restricted Total net assets Total liabilities and net assets o financial statements S 184.149 163.728 S 1.446 18.016 62.081 28.821 112.990 3 430 116.4'_0 347.877 298.396 100.000 S 862.693 HAWAII CENTERS FOR INDEPENDENT LIVING Statement of Activities and Changes to Net Assets For the Year Ended September 30 1999 Tcntporanit Pemiancntk Unrestricted Restricted Restricted Support and rc%enne Go%crnment appropriations and assistance S 1 489 106 S S Contributions 127 368 298 396 United Wat 70 795 Contract scn tcc fees 20 999 Other income 11 9.49 Interest income In 075 Fund-raising net of direct costs of S7 510 6 934 Net assets rcic.tscd from restrictions 6 046 (76 046) Total support and rc%cnuc 1 773 312 261 750 E%pcnses Proer.on scn ices Sen ices for disabled mdn tduals 1 667.311 - Support scn aces Management and general 113 759 Fund-raising 10 865 Total suppon scn ices 124 624 Total e,.pcnscs 1 791 735 Total S 1 489 106 435 764 70 7'15 211 999 11 9X'1 to n7: 1, 934 Changes to net assets (18 623) 262 350 Net assets at beginning of %ear 366 500 30 046 Ion (881 Net assets at end of %car S 747 877 S 298 396 S 100 000 S Sec aecompam ung notes to financial statements 3 2 074 6(12 16t 7 311 117 759 In 865 124 624 1 791 91� 243 727, 502 546 74627; v1 OG t'1- �^, r• n I� 'n r, T - 'n nl r• r• �, 'r. •n x ry n- x ' r` N v T % 'n r'1 ' r', •r T 'r, x ' �: U �: T n n � T �: �: �: - �: .� Vl X - r• n N n T % N T^- n - N r•1 - T 'n N- n x nl N •"'� �. % 'n Y x T N n n T m a n n_ -rT_ n n n n N ry-- w F A LW w ? w � C u n T nl �. x ry n- x ' r` N v T % 'n r'1 ' r', •r T 'r, x ' �: U r• r• T 'n - n 'n �, rl - T CV'CI r• — 1 nl •r O w A � x rl � r1 rl - •r ? ^ j u = r G A A ✓7 j C J U n n T •r — r^ rl rl — �- c A • A u � u = n - �� u - •nn -n n � �: Nn�:N ri r`N'nT ri �:--n n Tr�r nn c--•nn"r: nnr+r�� - r' c N � 7 N X n •n X 1 v. � �, �- T rl r• n n — (� _ L w A l r v u_ N � V V 7 O U U N r - C n u �• u u c° n 5 u G ,� F- HAWAII CENTERS FOR INDEPENDENT LIVING Statement of Cash Flows For the Year Ended September 30, 1999 Cash flows from operating activities Changes in net assets Adjustments to reconcile changes in net assets to net cash provided by operating activities Depreciation and amortization Loss on disposal of fired assets Increase in assets Receivables Prepaid expenses Cash held in trust Increase (decrease) in liabilities Accounts payable Accrued pavroll and payroll taxes -kccrued vacation Deferred rev enue Net cash provided by operating activates Cash flows used in investing activities Purchase of fixed assets Purchase of investments Cash flows used in financing activities Repayment of capital lease obligations Net decrease in cash Cash at beginning of year Cash at end of year Supplemental cavhJfau• mjorniaawl lnrerest paid S 3S 133 7,51'_ See accompanying notes to financial statements. 5 (51,922) (5,247) 361,470 (360 580) (1'_ 039) (585) (103 9901 (45,715) (I 50,000) S 243.737 (127S57) II5S-0 (2-=.715) (1 253) (I 11,093) 357.615 S 246 517 HAWAII CENTERS FOR INDEPENDENT LIVING Statement of Cash Flows For the Year Ended September 30, 1999 Cash Flows from operating activities Changes to net assets Adjustments to reconcile changes to net assets to net cash provided by operating activities Depreciation and amornzanon Loss on disposal of fired assets Increase to assets Receivables Prepaid e,.penses Cash held in trust Increase (decrease) to liabilities Accounts pavable Accrued payroll and pavroll taxes -\ccrued vacation Deferred re%enue Net cash provided by operating activities Cash flows used to investing activities Purchase of fired assets Purchase of investments Cash flows used to financing activities Repayment of capital lease obligations Net decrease to cash Cash at beginning of year Cash at end of year luppl venial cavh luu• mywynazrou burreil pond S 243,727 S 38,133 7,512 (51,922) (5,247) 361,470 See accompanying notes to financial statements 5 (360,830) (12,039) (335) (103,999) (45,715) (180,000) (137 357) 115,870 (235,715) (1,253) (111,095) 357,615 S 346,517 HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30, 1999 Background and Organization Hawaii Centers for Independent Living (Organization) is a nonprofit organization incorporated in 1981, to establish, maintain and operate nonprofit community service centers relating to and for the purpose of improving the physical, social and financial conditions of disabled individuals in the State of Hawaii and to promote programs leading to economic self sufficiency and independent living The Organization also provides transportation and equipment to assist disabled persons to live independently and function within the community Summary of Significant Accounting Policies Basis of Presentation The Organization reports information regarding its financial position and activities according to the following classes of net assets Lnrestricted net assets represents resources over which the Board of Directors has discretionary control Temporard'v restricted net assets result from contributions whose use is limited by donor stipulations that either expire with passage'of time or can be fulfilled and removed b% actions of the Organization pursuant to those stipulations Permanently restricted net assets result from contributions whose use is limited by donor stipulations that do not expire Property and Equipment Property and equipment are recorded at cost or fair market value at date of donation Leasehold improvements are amortized using the straight-line method over the lesser of the lease term or the estimated useful lives of the assets. Depreciation is determined using the straight-line method and the estimated useful lives of the assets ranging from fi % e to ten years Contributions and Support All monetary contributions are recorded when received and considered to be available for unrestricted use unless specifically restricted by the donor Contributions and support restncted by the donor are reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized All other donor -restricted contributions and support are reported as an increase in temporarily or permanently restricted net assets, depending on the nature of the restriction When the restricted purpose is accomplished. temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions 6 HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September' 0. 1999 1. Summary of Significant Accounting Policies, continued Fund-Raisme Events Proceeds from fund-raising events are repotted net of directly related costs incurred for the event Direct costs are amounts expended for the fund -raisin_ z�,ent, such as the costs of green fees for the golf tournament Other costs related to the event such as printing, postage and pnzes are recorded as fund-raising expenses Functional Classification of Expenses Expenses are categorized pnncipalh in terms of the Organization's mdi� idual program actn ices or functions Use of Estimates The preparation of financial statements in conformtt< wtth generall-, accepted accounting principles requires management to male estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the frnancial�statements. and the revenue and expenses dunng the stated period Actual results could differ from management's estimates 2. Bank Line -o( -Credit The Oruanization has a $75,000 bank line -of -credit a%ailable for short-term workine capital needs that expires on March 1. 3000 Borrowings are on 90 -day notes, which bear interest at the bank's base rate plus 2 25%. and is secured by accounts receivable. property and equipment. leased assets and deposit accounts The entire line -of -credit was available at September 30. 1999 3. Endowment Fund A S100,000 endowment fund was established to provide independent h%ing skill classes for persons with disabilities. Income from endowment m%estments. with appro%al of the donor, has been expended in accordance with pro%isions of the gift 7 HAWAII CENTERS FOR INDEPENDENT LIVING Notes to Financial Statements September 30. 1999 6. Income Taxes As a non-profit organization qualifying under Internal ReNenue Code Section 501(c)(3) the Organization is exempt from Federal and Hawaii income takes and has been determined not to be a private foundation within the meaning of Internal Re%enue Code Section 509(a) 7. Economic Dependency The Or_anizauon recened approximately 73910 of its 1999. support and re%enue from ,go%ernment assistance A st__nificant reduction in the 10CI of this support it this %%ere to occur could ha%c an ad%erse effect on the Organization's programs and acmines In addition. the co%emment contracts require the fulfillment of certain conditions as set forth to the contractual aereements failure to fulfill the condntons could result in the return of funds to the eo•ernment R. Concentration of Credit Risk The Organization places its cash with %aneus financial institutions Cash balances at each institution are insured by the Federal Deposit Insurance Corporation up to S100 000 per accountholder At September 30. 1999. the Organization's bank statement balances that exceeded the insured amount were $384.626. The Organization has not experienced an% losses in such accounts and believes it is not exposed to any significant credit risks on cash 9. Restrictions on Net Assets Net assets were released from contributions by mcumng expenses satistymg the restricted purposes Net assets of 536.046 from contributions released from restriction in 1999. were for %anous programs Temporarth restricted net assets of 5293.396 at September 30. 1999. are available for aqua -therapy and recreation program c,,penduures 01 .I`. 11'ltl r- _. _.. 1'1. ' _ • I I 1 J..! r• r _ • .' I. ' I: 11 I � • i 1� _ •C' �I'I i l I C - - .__----- 42`r rot. i 9 10 —ST,I I- ., , -•5 1 I '. ICI let; : srn-ru .. I „n •IL s! i.• '• .r, sl. r •1' !, a" a'; os>r-^ti F 3 _ _ _ _ ^,J o'. :3 c3,n C _ .^, ..,l1 r511utnU' I u 66 Iran 1. � _ ' 6, ' Id't':-3(]ssa111-1pa ' ti_ _ _ _ _ __ 7 L_1-_ a r.l tr,o, s., aas:es or__in, s.: I_• Ne - I- ____�B�-a•- J elpen..es ,I .' s (.•o..' n .ae 8- columns (Al 3'Id 1011 I gr --� _ a''o•rly arl, _-,(attach schedules n I _ ,.;!are11._}manl'nanlc•ndns•"geayan<°s _�_ '3 _ _, 0.I . _ i, e y (loss, 1rD, spuctal events lsJOLact h'e 90 o•'I - S;.E SP.aTEI:'t i.7 2 I gc � ___ - I '9 a ..`s s:bi 0' In cC'[ry 'ess returns and alb+a ;ces 1r--'�- 's I �� I,^, lou_ C ...:^WI,..1 of NOS,)'rom Saks ullmwlt"(attaer ser.•r;:,!•I e •: IP,Ie :J a, e•'15 r=nue prom Pnl VII, W41031 '• --32a 12 fadd Imus td 23.4.5-ft. T. lid. 9L 10,- 2°'�J: -_�-II . i,v35, 7a, 13 _e[a,("iu� - rl3m adVAes Prom lire 44 c01YmrS165} -----'--- Ij-ts _ 1 . r167, f 14 •: aragArerland geregl(INrtr hn444 CClamn(C.! j_14 � N Lv•]•s n; j;fCm line 44 column (0)) 151 l ,tv '6 _- _ 1 p 7. ^, . h' . d' -L1 ?t dttacn scnP]ukl1 1 r i,alCal 01,S!, ffaod l r93 16 and 44, COIumnjA_,_— _ __— — 1`I --- 1, Oi,'. �•� lne 17'm.ine l2) • _ - . :1 IV 11- year lsu6laeh^ 19-- _2; 3 _n w V 't < •; of e Or bm 1 o]un.,S it ne^,Irn,ng of yet, .'run y,] 73 LCeIrl, nl' 14_ `• C 2 , Z ' 71 In °et awls or fund Oala%es ;anLn l4olana'.fin1 20 21 Net aa<°Is sr IanC_oalmces at eotl df yNr (cnmohx nes 68 19 and_2fI'' I 21` __Lt 6 , 2 7 4 . LHA For Pa;ar••o•a Rud'JCllnn AU 4ol''ee•lee pasta dtths separate arslructiorl rer^'95Ii;72 a V 1 17 • a- 11300120 758 13 11)433 182 H7.UAIi CENTERS FOR SNDEP£NUt.r1C 104332 J, I I tj 1 I , , i .:,s•a•.,,,,, >;;t,, •.,!,: ]de f — -- - - - I ,a 1mss-4rJ L.'do;,_--1 I --}--J1I---------- __ n t• Y,,u ri,Toi Jr:ra u'I:^ ( '3f.1 S'o JS s 5113 429,eS1.�-- —�rS9' b ac.j-w;':'t dere, alai S'PSl' jt�b _�7t0,_/6.'' 168,534.•,1:- 168,605_ r z -;'S +''i IL.11.1) POSITS 361,970. 58' j, 487. I ` _ to T,': ets(add lL-Eiasilryuph58;;r:'uc:e,r,,!rs74? _ 1,098_,022. d91_ 562,693. pa,ebla 2110 a,.cta-J es, VIM 121,253.1 tO 108, Ti 8. dz us! :re.erce 106,6252 2,G<'6. r I61 L-1-, rrom OMCSM dlrCWrs :rus:rer and keyem310yee5 Cod h k' , g•samdPd`;rf1!9SDOOR6, 128.1 6 n _4,876_ les c• ,�.,;..5(� „.�c� �---------- ---- --�'--367, 470.�e I To_'I!uaunlra'e`da1'as8othtnuih6, _ 595,476 I_Do 116,420. —� 6•g „ c^s mal 10 low SCA$ 117, check hers and or.v, b' Prbcgh (: a .•ri,-73 and 7e �e7 (, 366,500.' e7 317,877. 5 b8 Tcrd'3ralrestoIcted 36,046. 68 296,396_ c 89 Pr nane6d/restncted lUU,000.{ 89 104,000 C IC'ga•v atlon that do rgtteltew 3eAS 117, ctlukhem [J 3rd_f rg-Z-1-0% I f •-�-- 131'-iau9n 7e 7C Cival stock bull PnmoP2l, of Current hinds u 171 Pa..1 m or updal surplus, or land, bulling aad eqY pmeid Lund iL_ 11 ¢ ! 7. nrtaned earnings, andowmenf a¢um mated incomr, or other funds 73 Total not assets or fend hatanca (addknes 87 thnmgh 69 DA hoes 70 tWouph 72 c ��•• r i (Ar must eO�at Ona l9 sod catumn (el muse eouaf lme 2t l i 5 0 2,5 4 6 .1 /] 146, 273 I7• Tu':'_tlabitn.esenfawasse47 fundbalaness (add Anes68and131 I 1, 98, U22.t 1— 662, 693. r..m 92) Y Cue rind for publlc basoectron amd for some Mope saves 2s the primary or seta source of u'fomu:Idn about a particular organ•rahor, Now the pubik, Darc•rns an organ lamon In such cases may W determined by tht nfonmation present.d un its return The•efore, phase make sure the ratum is compsate and acuat^ and'M.f deun)m In Pat ul the organization's ptograrns andavortpaenme is °i� ca 3 11300420 758513 10433 082 HAWATT CENTERS FOR;TNDEPENDENT 10433 r 75 Old any alfcer m.rrtor trustee ai key eriployie receive app mg rte Comoenstign of!Rare 5131 WON-, from •y► our or7n1t711an-Vadrelatod '��1+��rr oas ol.r"K�rra7 ��an 510000 wr. pru�+feC Obi t,e•'Jt!j orpmuarnonS° Ir l'es'rRar_i ac"eGo4 Yn Na •_ i� • .. (' ?,01`,x( (. ap - ! -I 1r7'jl .1 1' - :� t•n � - � � "l rL 'ton i. I =- r53j. ?.035,667 1.1p i. F_' ul a - 1 d !,'...rt l _ ^ b'I: 17 S0 ; 1-9 --_--)- _. •r.. -a j1, 5r Irl- - - F'aJ ---__- ! a'kn f.,I'n 930 I •s,_s•.c� _ �U.[ R.e 2 Ol_,rG6l. r- :G'.:I.^o 01er , 79 a, 93_5. 'e of Uifirs, D-rec for I t VI - ------ -----_9, frSlSt("?S, - - -- ._ s -- ✓nJ Kn'r ErlpiJy5d3 'ulea:h o -aa a•,anolt"IpnnS1;�0; '1'' �r+earees �IBi` �� 'a•io�^ C)�omceosa�n '6. ipi.'•:�.�e-�.�G°I Ic:Cr!nc (it nrtp I C •^r ,__ _11 __ o arwac 'r_r••"E rig °.•p. �tliII 3ile xa�rc. _—,r T I^NT-h- _--- --- ---- L43,973.11 440.1 0 I r 75 Old any alfcer m.rrtor trustee ai key eriployie receive app mg rte Comoenstign of!Rare 5131 WON-, from •y► our or7n1t711an-Vadrelatod '��1+��rr oas ol.r"K�rra7 ��an 510000 wr. pru�+feC Obi t,e•'Jt!j orpmuarnonS° Ir l'es'rRar_i ac"eGo4 Yn Na Un T1 rl b I• 'r �•-c.'. 9e, 1 Idr+`,cv r'iI'. I I rf7l .�-It's,-.� ^1'. -inu:. -' ,srl -,., ,; nm b:- nL r ..fin., T•.l . • . , ' r '",. c, .,' /_"'s tate 1: .. 'J':' d•w all au' ' r- ;,c, r.-r' »..,• r Fa' a (SC. •, _ ,- rr, , r-_„ in F, ,. � i E ] _ Tf ; : i ' E,o .'•;-•. ,,p ro co'-'.0, :�".i ,... ',1•, .�i 'sh'r„nn, .�J:va'1ryboc,D'..E-, It t'ti nfQml +If.l --ofrq� N 1F� d!, Sul2(P-, i� Is ,X •, f •J Ll �1 Dro nuo C, iwj ;-.-is? -11� M1IJ� - I 1'1 P .1.., wog+-'• ':n SC a'i C:n(^... .: or ;ri.L '+•t nu; L'r deL_ '2 C•,2 .cn'l I-cll'” ib';' 8,e'y e9 a r, rte]°':1'. r Sir nlat s ich [[n'nho'i,-s or o to not E; ',,•'-:4'!51 CI 1Ei -': -1:11b95 able, wbstant,ry ,,I d'.e•, n3nd(fle3tl2'2 t, mw chi NSA I&me I: :.'J ; i- q„a-i ;” j-n,, d oi' : n r^aw• Ic C:png exDrn,l of ; o(bl -CO • lo< N /F, 8_54 _ do ncl co'•+;ke9C.P:•c•-y:'85h[a.•o^_.;re rrJ26ahcn:eenfrl, a+•.rlo rrC>; Ur. L,a - 11 r ;, 's. 'a ,. ,;.1 ar;r1>Em4frs 8Ir i r� ti /A • k � 3 �,� •:.I:D,'ga",; I .,i_,Ge,L.lras r'7A-- a ,� ;a'•o:r;,[r,; y,D an"Imt :e :1cn 5;33(e)Il;ri1?J,.e; nd��s Pie N/A r ?a-.'* r'• ,• c' lot �,li-�; ,rr! c-�' a1 erJ4r„',dD res ('Inc 9S] 4,s Eaa) r8_ NT7 A— L yn•..,rel'-llo:.trw sr�:13 '1e4.3fe) r•f It Inn 3n1on1'1 r. N/A 'KL I_ P 1's-„P__i,•)�I'4�o.es"••e.,5se'. dDes C,e or jdrl:at•oi-a,.,a to wil!t.saruoa,'w BSI b. ;S r•,sv=a'e e•,k'-,Its of D"es one. .j. t,,.11d Do:'L11 fxpenl ji,i to, the It 'a+-,.j ti(y-ar7 1'/A 8ih .y •I moi' �� a 1. al' .-.,. '•`L' ' 1s me Jded on lino l) H"L __._hill '•° ~� -¢r [ c. •' -- t•> „i+:o, '.,-e I^'C'Jubl: uee Dfdv^Lcikr's N2p. taw_ 1,7 ._ 1r1 r•,a^,•a',': -F•I.1 a G os; Income fromw M.Nr,,•. , ., 873 \`� •" 3: -,? It : . ^. -: rr,r, ,.:. 5) 'en ,U,, ul isl aan,un•s da f or p,J I-' a] - 1--r. •6i, D118i.c'I h, •Ne'nl 8.41 \ :{ I i-;• 0..7 z .•,: .r •, ,. :'• �A .'on onn 351o1 ;Ire:'o atatl. ",ipaiahnn Or pe1h1e15h1p°X^'' b9a 5J1%, lP oraz-':+•cn� FFtar Amoua' of tax Imposed outing tra .' r•S.cn x311► 0- sachon 4912►_ fadlon 4955 ►_-- 0. r, ia':'-i-.q _ _ _ _ -��' _ �"�:., 1 • r It `:']11c �5) aro SaIfc)(4) a ryawahmis Od lie o(M?allrn e• a +In 4°.•? tsGesi pee'r I• •lim d1.m-q the year? 4'Yes; ,hath a statement vt;41rin j a.d ' e• . , - I Lb1—tL -� X u ;1 f: •104.1 C* tax ITpoted on the manage', or •d15'JJa:, _ , it it y IJ.j fear ,r::r 4912 1555 and 4958 �' _ 1 • c +: Anolnt of tax hl 89C above• rnmbursod by the O'gnc.L-'n ► _ _ _ .--_ 0 9G ► - b _NOi•F,_ a••.f3181rpl(.x' 111atndudesrjly•r'12+405 r ',37�y19 91 cL knLremea•acf ►HARK OBATAKL' 18'CJ"one no ► [808) _571_.5416 LICYPI'lal ► 414 KU77LI CT., SUI r'E 102 ,_1'O?:',LULU, HI ,JP .4 lo-96817 __ 92 S r-6on 494 )Idl(1) noro+ r4l 0ar[p4 a busts !-big Forn i30 in 4ea of For^1 1041 • Check ne'e 0- -all _all enter Ira amor'! of la,-?,Crrpl klt_,7st rete ed or act a3' I cluing c a'a na► 92 i N/A U2 ' S 12 1' is 11000420 758`;13 10133 )F'7 HAWAII CENTERS FOR, INDEPENDENT 10433_2 Ire �- k —Gu'- --r• '"--—ly-�-__—f't.._-, i ''"`fl'r'_'-rt= -- -- - - - - - - -- - - - -- - - --- --- - - r pan '; rcra-Cj 101 IN— In or1)G>e) t'ar•." 121 C.Lit9 1:: U7 i': -t of (ieai) (rwT s+'� S 01 im,,=lury as a�.e( •.�-,�: e MZfiC1;LDA>tii:0U5 II;CGa•F; o CU?:1'RAC'i' SEP.VICF E'S 1C4 6 "'_'s (at c Cc .hMS (F), (Dr aid (E)1` 1W TOT AL(ssal •110 co,j,ras je) (Dy and(E)) N`_LLIne 10b, S rile id, Part 1, should equal the a—Dunt 5? 'C:forlsrfpofActivfflhstotht Lhe No 6s_:nw, ca:h a7r v, to%r:hr, it lrccrm 6 rel .., ll•�rJu:>s(::`r•;,1:^ by pro A61r:p lands lTiOivALRFVElv-UP. EARL Issls`i WITH THE NEE] �( 17'11 f NG 40 1tiDEPENDENT f Z, Pa't I 1 E2Pffslvrlslntof Exempt Purposes __ In eewmn (E) of Pa It VU corl 10 •mpertaetly to ine iccon*[Is Inman t of the G'garmay;,r s r1: rwmrsicl lr'foltnetlon Negardlnu Taxablo ubsidlarles (CempNo Inle Poll, lithe Name, addinss• and employer Idenlf utldn Parm6ge ofNature of be -mess SCOVII199 nurber dlcorporabon or partneMl0 ownership lnhrevt�__--_--_ rr>L r.e'.1" / (e11K1hniMv)Ir er,ea r: ri in-xrsan dx•,cn Please 4/28/00 ll •o ®� ni'ate at ot5-et Dah 'S ACTIVITIES PRP L'SLD i BY PROMOTING PROGR.W - on EL n 911806d 1 _ Total income [nd•ol-;rar assets n:lCT. pull of MY tn»'.ecer MGfWkr,t i. 1,, - +wcar ObaLake. Executive Dl;_'C( PreDarrr'f _ Oasef rock .1 �2v+.w. SU -- -- Pali fdsm4Implafed) neuro �_ / LP Qo �cfgea ► 575-46- 1315 WIKOFF, COM136 & CO. , vreDarer's m'9name(aryours P/4S 1 CIN' ► 99-0246411 UceOnly 1900 FORT STREET MALL, SUITE 1040 and aMrimHONOLULTI, HI, i 21P_.a ► 96813-3711 t; t 1 99 il?00420 758513 10,133 D82 HAWATI'CENTERS FORjINDEPENDENT 10333_2 20,999. L — U. +-------17 ---- -- ,009 -- -. J2 988- f Z, Pa't I 1 E2Pffslvrlslntof Exempt Purposes __ In eewmn (E) of Pa It VU corl 10 •mpertaetly to ine iccon*[Is Inman t of the G'garmay;,r s r1: rwmrsicl lr'foltnetlon Negardlnu Taxablo ubsidlarles (CempNo Inle Poll, lithe Name, addinss• and employer Idenlf utldn Parm6ge ofNature of be -mess SCOVII199 nurber dlcorporabon or partneMl0 ownership lnhrevt�__--_--_ rr>L r.e'.1" / (e11K1hniMv)Ir er,ea r: ri in-xrsan dx•,cn Please 4/28/00 ll •o ®� ni'ate at ot5-et Dah 'S ACTIVITIES PRP L'SLD i BY PROMOTING PROGR.W - on EL n 911806d 1 _ Total income [nd•ol-;rar assets n:lCT. pull of MY tn»'.ecer MGfWkr,t i. 1,, - +wcar ObaLake. Executive Dl;_'C( PreDarrr'f _ Oasef rock .1 �2v+.w. SU -- -- Pali fdsm4Implafed) neuro �_ / LP Qo �cfgea ► 575-46- 1315 WIKOFF, COM136 & CO. , vreDarer's m'9name(aryours P/4S 1 CIN' ► 99-0246411 UceOnly 1900 FORT STREET MALL, SUITE 1040 and aMrimHONOLULTI, HI, i 21P_.a ► 96813-3711 t; t 1 99 il?00420 758513 10,133 D82 HAWATI'CENTERS FORjINDEPENDENT 10333_2 !S•x 6VtnjeiOns List taCh ON (wh6ftf h dW[j t Or rrnrgt 11 there am n0rl! enter Nt rN j _ 1.; van and address of each eldependent R1nhtGOr wed more r 2 MOM I (h) Type of serdce FfAt•;aiI :"ERVIC:ES FOR THE DISAMEU 414 YiMILI STREFT[ HONOLULU, HT 9681 440. Total nunterot others wAMV over INA Fe[ flip work lkdldbn Act Notice, see pap 1 otthallrRhucttant tot Form 992 and Form 999•F2 Schfdsls A (Farm 990)19^a i CJm1 l7 c•w 7 11300420 758513 10433 082 HAWAII CENTERS FOR'INDEPENDENT 10433 2 Eu, it l' bo Comp; !r 1. 7. r; ',. Jr FYI__' ••a?v}`i:� r II �.. C!'IU C'9'=r ` rl 1 aTI CENTFP '� - S k F. .�d!)i'T:+'rl?_.41 Ti�'j,�<; I S9 p%(•:vim: �' •� S CC 7,,/ari hc.n0i 1`;3 Fi•.re Fil}_•IJ..: Fel +k'r, •'', -(.1 t.` —L"F• �C•: _ _ S, (J ;. cEo `�,: -. 1, - _. -- '. UCS"Jo.r� : IiS: ua:n ona MbPid it -+P- •reg i .'1 i,. _ -.-iia'__, of �khb �''Pyn`- _.....-.- ____ i• r .rt __ - ---li �r�•' • i �•_;--__ I !S•x 6VtnjeiOns List taCh ON (wh6ftf h dW[j t Or rrnrgt 11 there am n0rl! enter Nt rN j _ 1.; van and address of each eldependent R1nhtGOr wed more r 2 MOM I (h) Type of serdce FfAt•;aiI :"ERVIC:ES FOR THE DISAMEU 414 YiMILI STREFT[ HONOLULU, HT 9681 440. Total nunterot others wAMV over INA Fe[ flip work lkdldbn Act Notice, see pap 1 otthallrRhucttant tot Form 992 and Form 999•F2 Schfdsls A (Farm 990)19^a i CJm1 l7 c•w 7 11300420 758513 10433 082 HAWAII CENTERS FOR'INDEPENDENT 10433 2 L !' St. tenl_.1: �.:• .!' A^ 1 L. ;p��j )r tC'. Pi [;-i' '—:I -'Et`'1 ;d :'.0 '4na ria si-'l hr l.:._<i'a;'i5,i• s d. ]ar, ar,.mpRn wi ,,.a c. -c i i I - -Ill i y - _ Ii -. ''9. ,,,.d Cl „i6�1� f.-. 'ni 'l til ii �'h'J a'-'�' � 1• I- ! ' Q, .'I'- ni, Ci:: rr: `• s;, t'ar";b aide'aseor%vii, ,i r,fin niign ') 6.'i. f ,'.:s U, . J^r'o r13-.^y'V"S' It,u..i 4'IPiill Par'VI-2 A'.',,., : s.' -n IG' -da• •i io._ `' r 2 D•• t .'.4: '._4n e4e-4t's:111i or„ni -r. o! tho L 1 rn . •�" :P-_ r 1. i't. 4w 'r r 11' . � :.,- '�"7 d Par•,: h, 61 n'nz•n5ebar. jar p�•n „ter ld rt,urscmam.Lfer;;unsesdmero uvn f1 U09)7 e irais'--:r _ray c, ,, of.,, u•co,;., or as:e4? It [rte a,'.bir to a^y question is'Yas'3pach 3 dela;'Ad St4i, min' if'p' a',irg th,, tr n5acbons 3 O-Gst'eNn3..1ration rake gnnt� for schi0rships'e"4 //'hips, V id. nr ka's etc? 1 a Do yod he'll • se'Vore 4630) anrcCy plan for sourtmplo1' •-0 b Ac.,h a 5iatemerl to e•pu i ha.. t.^c r,yanrtatbn deteu;ur es rtyl m'r.'n'irk 7r ^I;aiaas;tans reCevkrq grafts or loans 6om q hnChera x of ds charitable prc^gams duality to receb:e pay rants (Sao o1•u:'o'� ) Part 1: I Reason for Nore-P.-wote foundafion Status (sea instNeions) Iia or5,nra'1)I r, not a DrIM9 teLdCt'on because d is iPliase check oniy ONE appaable box) 5 Acrlu.¢h cor enbon of chu'ehee Of 35socu11111. of et'u'[hes Section 170(D)(I,AIii1 6 A -'•o't Secdo^ yr„bI(f lir I1e) (Also Conlpin a Pa•t V page e ) 7 r A; -spnai Ora.o)parar+e rosahaf senrs orgy tudon Sec'1on 170(bylyA)(ul) e�_ : AiIleal sate,orlocalppenmenlorgovs•nh[stalu:.d 5ecbon170(b)il)(A)(v) g A •x.al rese3'ch orgWatron oaeraled el con;incfhun v11i a hospital Section 170(b)(1)(A)(I1) Diel the hospdars name, edy, a"•'stale If. — 13 A- ,irga^'aa(dn o,»ra'ej lo- the beneAt of a collo9e or unNwil y onrerl or operated by a govemrnental unn Secllon 170(b r(1'KA)(1vj (1 ) Complete the 34ppon Scnldi fe in Part JV -A ) Ila ^ ^r:a'•:atlon Irat rcrma y ra-WIS a sutalar nal pad of ds s'jpmrl 4hon a go'Ammenlal and or from the general pu3hc h^n 110(b)(1)(A (0 rAso cbmplets the jul'part Sthada s In Pad N•A ) 1116 Imo_) A•3rmun•ty trust 6Cct of t?O;bl(1)1A)Yr)(AL• o compote the SupP34 Schedule in Part IV A) 12 Ai vganimllon lhatn:radi receties (1) moral man 330%of its st'pport tromcontrbutlons menUenhhp fees and gross ra.aict;'rar, ac!vb93 reial•d to rts chairlaok at. fu•idlons • s --be i''.r ceitaln millitlonS and (2) rib nl than 331/1% of 's supped horn' g mss Inesbvn' nicer -Band w hetated busnoss tan'hi Income (Vass section 511 tax)lmm businesses acquired / Ir'a 019ani:a'r3n all r June 30, 1975 See sec l7'h 509(a)h21 fa'•-impleta me Support Stnelahe in Pall IV A ) 13 Aa a'gani[at'on met a not controlled by any l Well poisons (ul" v than foundation managers) and supports erganlratlons described as res 5 ;nraugh 12 above. or (21 Sectio 5Q1(jL1jL(5 ur L61 h 1112. mast the test of section 509(a)(21f See saclion 509fa1(3) ) Provide Mia talallft Mem hon about Inv suop- rt -:d orgenrabons j See Instructlwss on papa 4 ) (el Nrae(s) L t suppdrtad o qa .rahon(sl - -- (b) Line number from noon le _J An o ganrabon organimd and operated to test foi publk satehi Section 509(a)(4) (See Instructions os pace 4 ) 03111 8 1247 ell 11300420 758513 10421 392 HAWAII CENTERS FOR INDEPENDENT 10433 2 L (d) 1994 a'�s• 1,53,, 2 n 4.I 7, lU3, 73i.l 1,E0/_, 4E0 9,115 3bJ.l ? E•'Srl 8"7, 1c_ —3•_ __ — — — ---1— — —1— — ', �• •S !' :'f ✓11 a.h SS ,IIS I i — C, - �'J'-1''I. - Q''r"i-' 32 842=I, 07 j 707, 0J? r. -III I' I ` l in �, ai 11 -td_01Ie;J`Jt,,C C..19'a 12,33).� 10,455. 9,97?.I 5,0 3.1 ;3,900, (act ta — E<<"-'1.��::• Int •[. =:h: ,I 21 71-L;3: 07's:— t•.n's'- ;,, 1,'a,,.,', neva I ilj ll-, w6h'e'a, a .ie Jp r'•1 'crude' r .a';1': 0's r; :es C'Ia" Soc'e•e"y turn S'a3 t0 I tap -r a rc,T`"Ilga I`• 77 C •• w•, s.w>,,,� <-- -- —I—'------ii�EE STATEM6 '1 9 ; -- _- "r1 42,45:.1 106,915.; 27,775. _32,139. 20.1,280. 23 T AV o(re"fhu,0ugn22_*?,035,48_`: 7, 420, %y4 .i 1,664,070.1 2,184,7857 8,305,34_ 2a Lan^7'm—;•so,e;lit 11,993,337_. ?.,321,147., 1,631,"228.1 2,157,613.1 6,098,022. 21 E^I4'14.3:1 ^23 — 20,35`_ .! 24,208.] 1 ,6 41 21,847. 26 0'ganlaa03ns d -cnbcd Ir Gnes 10 of 11 a Enter 2% cf amount In column (e) hoe 24 No. 261 —161,-960 . 6me An A est i'•h cn Is not oom to puthllc InSpecion) sho"I fg the name of ar11 aT3urt eon't6parson u'ed try each (omerthan a 4a.enrre-Ixe:r1), pabl-ry suppeeld0;anha6any w10Se total ql6; to 19S. throu4h 1997eaeea'ledtnaamounTihoera l'i line 20E'lerl•esun' otal:rose eacm amounts :SEE STATEMENT 10 10, 26s � 63,040. c Tota S,op IorsacnorI sf E,tar0ne24 col'nn,(e) 11,' 26e• .-8-,098,022. C Aej A,r -% Iramcc;uTn(e) l: 1915 18 t3, 400_ 19 _ _,,:, ••••` �T- zz !04,28(1 266 6 ,643• ► 26d —301,220. ou,l¢ s„ppoit l•'na 26c minu, Im• 26J (Wail ^----'- ► 23e _7,796,802, I- P„ lan, %UkFuit eel: mage (tine 2be (numeralof) dlel6ed i1'f Ilre_26C (del'nr,lry''911) ► 26t 96 8_0_3_ 21 O'g,n te'lens aescnbed an ore 12 a—For aenountS Ir,Uade^_ .n lin, s 15 1E a J 17 that v.=fe recerded'rom a drsguahhed Berson attach a 1'51 to sr ow the ran - ^f 31' ta.l 3m"nts recaM'o 11 each year loom each as: uaLn9d person En 2f t'd sum Of such amounts (m each year N/ A (1997, (1996) (1995) (1994) In rcr and )mpun' rcludad in Ana 17 that was rbcs d from, nordistia3l,tled person aCach a list to snow the name of, and 3mdunt racerved foreach year, 'hat was mole 1tian thelargerrot (1) The amount on fine 25'or the year o• (Z) $51_) Ilnctuda in the list organmbons described In dries 5 thlough 11 a: wellas InCMd J1;s ) After computing the ddhreete betival bleam ourit recewed and ire ;a'yzr amount decrl0ed In (f) or In enter the sum of thasa differences Irl4 e1C+SS amounts) for each year N/A ( ;971 (1996) (1995) (1994) c Md AmeNnis horn colurgn (e)ior tinea 15 16 17 20 _ 21 _ it A 1J L're 273 Vital _ an 1 lire 27n notal e �,,SPc suppor, time 27cTotal mmus Ilne Z7d total) I Tc d sec,crt for socton 509(3)(2)test Enteramount on lire 23 column (a) ► 271 g Pab11c support percentage (line 27e (numeaator) ctwic ed by line 271, tdenommatar() N/A ► N/A" ,y ► 1 27h NIA s 28 Unusual Grants' Fo' an organuatmn described In fine 10, 11 or l2 that recefved any unusual grants dung 1994 through 1997 affach a Dat (which Is not open to puraO lm.pection) for each sear showing the name of me cont)lbuter the dale and amount of bre grant INA brief Beacrlp6gn gf Vie naNfe fit the grant 0o not IncfuCt the, gnarls in line 15 1S" .nsiruehons } _ NONTI' c? Be 9 11300420 758513 10433 082 HAWAII CENTERS FOR INDEPENDENT 104332 It Yi,.7La JJ'- l„o.. (lr—(IN, y by s:i'no!•. tMrt e• - _ '1 tr - l.e>< ^ i !", F 20, D:[s l,.'j-j74hb: I f:'tort 711'y luY all SiJr fl ---j 5'Lh n.":" oq: b, _r,�,(II',, o,rmlr� -I` 3., ii ,1. • r �• r:'�, 1 ...,45. slaleln!" 0 t, ravai•; lOr9',- ,,i„a u.i p-_+ 1. a 7 st' _ in a Its L'r-I c.;a'^ gun, k• — F a4l of , ,_,l ce V.,. wT 'hd G-b"C Gat' j •- 1 d . e: a i' a P.^__ ' ,-LC�•;la, Sr'' "+ v^ I - 1` H., b'tr•, t^la'Ion D:b3'a.J krat non;'sGi.�r' 1 is p,I.v b,; r';,•. ,, :, u'Q7r ,j t., p,.god Of •-•� ,. .. _ 1', sfu'+syta, or Ru'" iy b16 rea,s;1a1f7r polo' r 4 1; FI_ f :rni„ ' n sa. 1'• eIf y.7: n' cl m,;'a,c _ r., s. ''CS`T-- -_ �_ — ______r _ ' ter.•_ orraias'fon m- 91a , tn_ fv.. a B•.: u5 !,l? aflnr) Iht, fF'_ a ta•'p?c: T 0• lh4 S2xle"1. )Cdj,f+7 5- iVI •(l a',hd 1i- I b Recite nJ'_"n :•eMnj lh3'! ' 02'Sh0", ad4 u5�er Daon"1017SSDiJ^W 3T 3 "a'd i'n d rdl'• ii — - 0u ,d= "w. a Ori e C•;'a.etal':Al o,oeSb,o'ires anon).+rtc;AS hill C`tC!V"1 CoIRfia`�r.;l^' •.,..[,ar•,ly,;'is'Werd - i � - -- sim,t1:cs r"ram:, and sco'.tiShips? 9Ee I -- 0 Co: cs of a•: ma'eral usni b, tns organizArm or on its Amit tr so"cit golnb.hor57 32d dy; •� a':rea4'rm' to xr; nt t, r aho.a pkrise ezpla'� If you nye � n•; ' Spa_e, `tlar' a scra•d.e s;;fe•-er,' 1 �� {y-. '' ; 33 C 7a; C^c ' japan; un dtWnn1n2ta P7 rac4 in any way win mwct In ;tr»• , ,.iA.'!'� a SWill, is •;hls or priraaoes' 7 _ b fit t i. o:'il:les' C Lmeioy -s 4 of 6cYh or a';r ,n;!raies staff? 330 d sco;jrsnips e• other Inc 11 as513tanco7 330 a 334 _ f trio of*1V-.? _Zil p KhWIC pro••l•mV 33 h Che• eicra;u,ncilat actx++S? 333 If you L+saei'd Nei to any of the above please esplalN 0you need mo -a spice "a JI a sepmte S:ftemant) '��;�` .•4u 34 a C,es thi : , r^Ir3bo4 mce• d airy Wanda' aid or asimlan a ham a;0+c 111 i "V ajenCv7 34A _ D Ro, 0 , Anjv cshon's dghl to sich ald ev@r Dann revoked or 41)SOanJ.0" 346 I11I,•.� I' fr a a sled Yei to a.tM: 547 or ta.;12rA uAsaf usiaq an attach,,, . a,. o .1 O 1oe.?.a64%2UaCOVY Cat. has cromplled wIth the.,pplicable m;v - ' al cectlons a It trrrph 404 of Rev?roc 7550 19i57C3 Sc/ co. e4npw It noWiscdrruostmo? 11' N4' attic, an fir _ I.35 1`"' ce 10 313 11300420 758513 10433 )82 HAWAII,12ENTERS FOR INDEPENDENT 104332 11 _� � r_ -ti' Lq.'; 'I�a cX[r^•l-c(i• r' �,'! LIH - ,ap F r L•1^ -j il_ _-_ —_ __ _ ____-. __- _�__ ___ b _ e•,P Ve [ I 1- or "a<C^r•h=-ng'tc 011 a!:;- ed prr.,,p_—_- .r.- 4 1 Car Averaging Pe•-od Undnr SacheS Spi(n (Spry 3rsa`rzatl6rf that n`ddt a S,Ctlon 501(hl el,`Oon du not na•C 1, Car pWa ace of :Pe Not columns becf',t See the Irs'mct,ans for,ines 45Ih(c:;s S? 1 -_— I - -- - -- - --- 1.0tying Expendduras Oaring 4 Year Averaging Period N/A Calntidar year (or ---- I (A)_r (d (b! I (d) - (a)---- 11s;M year be91nr'119 In) _-� . 1993 I _ 1997 1936 I 1995 Toil tS Lo.',.ogj nG Insaba Tamcan- 0- 46 L_oiy•q ce ,g r cunt E f. `t _` , . ,' ,. ::la.� rr + ( ...-a2 - , •;L " :32. e.'S�iAL 47 Total J14S 0. 43 Cr,:•cdit norl'antoll I I 19Gra OWSC-Ing J -ort! SO ,nss•aas ' I 'I r 0 .1:3', at ne �_ 9_,kgo 1. boo _ e,*enawr=S I I I 0. LpArLVL-FSj Lobbying Activity by Noneiectir Q Public Chanties _(ro•reponinganaytiyarganlnuoratnatlLenocompereP3r1'.'-r, D..r,11g'!'e year ddthe organludon attempt to Inlfuenu national stale Or Iain tilp,'ivi;n 'ndud.ng;Ty altertpt to Yes No I Arnourn c. !1'dence public Go Q10.1 On a legrsladve Ratter or refaranOUrn, tnr wg1 the usr of e Volunloers b Paid watt or ^dn3gen•ent (Ineluda Comportatlon in axpensr reported on lines c ihrough 1) 3'c ±t'S'rq-'�y`:•� .-, C iu'Stlia am+eduernarl5 a ma m -)S to n:`r'"ers '91ISUt0,S or the publiC _ a Pul-,wl'ons or pUlli.hed or brwdcast statements _ I Gra^ts'o etrar 01g3i;Atiens forloboymg purposes �I _ 4 Cned contact w'rh'ligslators, their staffs government otbw s, or a apisUhvl body h NalileS, demonsiatlons, seminars Conventions, solei lectures, or any other Milano I Total lobbying exp5ndiures (ado lines c through n) ___0. If Yes -to any of the abCva also attach a statement giving a J itailho Oescnphon of Me Wboyllg aCrveles 11300420 758513 10433 082 HAWAII CENTERS FOR INDEPENDENT 104332 - (:I To b'o:o' r; l e r. l lCi F *e-, '"J: A In^', fl yrosy l'v:r� lTPe lec ii rnedn'''d','r I'-i„r'C•r- I �^_ kl •rl q]Gi j7rirn'i:,5 __ - _ _ --_--_ - ___ __ —j __ 1 -� . J _j) nj Fx,, .•c, li nlf� ;°ne q. Ili- nplr in j., of 1_I .r •.,Ir.,j,jj,�''Jlall._�10 ��'�JdI:e:IC]'Siu' 9[9tlr d, .,t l`i T .'_ Sj!q+ry 7'_� •. ;IrtF, }dnJ j;i TI t - r r ( I".1,"R'.° C` '01 ,'1-, 33 • L:' gr,•�c,L,-+r_rr'E-,u)I UJ, '19 to"5- ! I! bn a nnun' : 1.1 : 4, Is • Thr. 10trying rCTtazaLlr Na+p If I: • o.-,•cmob.._ � . ;RLUb s'oC•760nwa1r•i.•anwak ..vL`rl,M1Y ! ! :I c' '•' . -..r f'GJC rJC 13. OC M) �4- la i c 3 vP Ofi b.1 r„ -.r.a , :225 P%„v'u.., 9rn ueu.cer-,. 31 '„a df -5 . _ i• - ! 5' l' ;,._ a' B 000 I`• _ 11 . - i' J ci:fb0la nc'13UL:4 afnoU .t 1d1;Ar 25; of lire 41) � 43 Svlact Ine42':rn l^g 35 Lnlcr-D d'J1E42ismorrrhalellc36 i X43 44 5'.bhar'r-I:. 4' trcm lno38 En'er n dlraq 41 ismo,bthe,Il^08 L2u4;,n lyt'e: sx ar•ccnc on rarer Ore 43 or Ave 44 you rtwsr f;e io••n 4710 ,. - - 4 1 Car Averaging Pe•-od Undnr SacheS Spi(n (Spry 3rsa`rzatl6rf that n`ddt a S,Ctlon 501(hl el,`Oon du not na•C 1, Car pWa ace of :Pe Not columns becf',t See the Irs'mct,ans for,ines 45Ih(c:;s S? 1 -_— I - -- - -- - --- 1.0tying Expendduras Oaring 4 Year Averaging Period N/A Calntidar year (or ---- I (A)_r (d (b! I (d) - (a)---- 11s;M year be91nr'119 In) _-� . 1993 I _ 1997 1936 I 1995 Toil tS Lo.',.ogj nG Insaba Tamcan- 0- 46 L_oiy•q ce ,g r cunt E f. `t _` , . ,' ,. ::la.� rr + ( ...-a2 - , •;L " :32. e.'S�iAL 47 Total J14S 0. 43 Cr,:•cdit norl'antoll I I 19Gra OWSC-Ing J -ort! SO ,nss•aas ' I 'I r 0 .1:3', at ne �_ 9_,kgo 1. boo _ e,*enawr=S I I I 0. LpArLVL-FSj Lobbying Activity by Noneiectir Q Public Chanties _(ro•reponinganaytiyarganlnuoratnatlLenocompereP3r1'.'-r, D..r,11g'!'e year ddthe organludon attempt to Inlfuenu national stale Or Iain tilp,'ivi;n 'ndud.ng;Ty altertpt to Yes No I Arnourn c. !1'dence public Go Q10.1 On a legrsladve Ratter or refaranOUrn, tnr wg1 the usr of e Volunloers b Paid watt or ^dn3gen•ent (Ineluda Comportatlon in axpensr reported on lines c ihrough 1) 3'c ±t'S'rq-'�y`:•� .-, C iu'Stlia am+eduernarl5 a ma m -)S to n:`r'"ers '91ISUt0,S or the publiC _ a Pul-,wl'ons or pUlli.hed or brwdcast statements _ I Gra^ts'o etrar 01g3i;Atiens forloboymg purposes �I _ 4 Cned contact w'rh'ligslators, their staffs government otbw s, or a apisUhvl body h NalileS, demonsiatlons, seminars Conventions, solei lectures, or any other Milano I Total lobbying exp5ndiures (ado lines c through n) ___0. If Yes -to any of the abCva also attach a statement giving a J itailho Oescnphon of Me Wboyllg aCrveles 11300420 758513 10433 082 HAWAII CENTERS FOR INDEPENDENT 104332 ,Ea. �_J;•_; In;o•maf,nn Rea.•rding Translo,a To and Transact,ocas and flr,litlonshr�s Nhth Nonchrrtable Eacrr_ot C1fg n,z_tlons 51 h9 Lni rap;,fJ�; o:gar.zaliN d. ally or mdrecby en;a{ B In any of the iDl awlry d h any OU�ar aganlaatlrn deur,tcd In sNcon 501(x) of the t oc- (Clhar rhan sClgn 5014)(7) Orga"Ieanors) o -in seCLlon 527, rc4f nq to poiiGgdl agimtapOnS? d Trer•Sk's 49^ Ina reporbr] ongaronllod to a e05CIV ri , Gla evempt organleic-n or Vie'° I No (i) (rV. �-- (I') wrarawrs e C^er transa:t; ns —L -_ (I1 STS ; of a: S2;, to a no: Ch3rfahl6 BYertl;,t Oman -]i: In II (i; Sl acSals frr.n 3^OiMan'abls" BWm,; D.;ZaI'en I } 1:') G; ,_m,aoCt Df SUvIcn a' n,emliars^ip o, fund', ; to soC Ita45ns C Sry,}.7 Ol;dcwNS, equip Tont, mdlllnq Ilsts, other 2SS^i or pari e-,Dlayaes- C vl) �e I it It:) a-,%vrlo ary al GB aLcr•e h YeS-COm' r petel�3 OPosnnq sChetlalB Colemn(y);h;�,Wai.reys nd :a:D the by ma4e[valea 0l lin -�---�- qr -� J`- o','dr,+,55:'IS, Or sa NK6S Q&ei) by NB r6portntq 0 IMW'on If the organa ation r6081r6d'ass than fair markervalue in any t«.nsa-h-n e' 0rr, arran ,?-enr, snow In column ld) •ho value of Ne prices other assn% or Ser.•L±% regneC — NIA (a)—{- (hl - - --- I -- — -_-- Vrno a n'nountnjohad Name of nmch ulaG'M)exem;+f organization (d) 9 Vn�han Oft2eSfers fane460o3 and Fh3nnq drrdfgEi,N•,t5 — — — I I — 52a -S'Ia orSanaahon dlrecny or ,nd malty affihet6d with, or [Elated to, one or mate laaarempt oryanivhon5 deccnoed to section 501(0 of Ne Coc , c far than section S01(C)13)) or in seMon S27't ► Q Yes ® No If If'Yas'urnoletethe following schedule N/A -- lal (EI (cl --- Name of o;yntuffon rrpa ar nn:aAnption I Cascription of relabor6h,p eays- 12 07 W 12 11300420 758513 10433 082 HAWAII CENTERS FOR INDEPENDENT 104332 ue, T;l '-J U:1 u' IV n;ll •_• I, ..vow; U ' FOIi4 990 PAGE 2 --- -- — — -- — F.QUIPMciv'i' - 990 ��-��i:►_--- — -- -� - 1F17 r31 ---- _—.,� --- �0 _ _ „— LP�QU7PMZ,0I0; ------------ ------ F �:�m'r ^_—r--_—_.-.— _ •1 CL^E� F'+IKON I L� Da'e �—_--_rune � IRCe t Or rd� h D�'I:^ l.l'h�i en•d't •Is k "CIL 1 , —_— _ A.:�;rtthiad —�--�.— 1 �•; —_ —VPd, n, r-- --" --- ----- c—os6 ---- d°: e. _ a Jza•9rGnhonJ r•LU 1PitiFNT '`� C:Jsn ,EASEHOLD It-:PROVERPN4S --- — ----j— --- , --"�A1RIEu�,SL 00 1 7:hr.IvfPORTATION 3 135 . --- --`- --- -- — — -- — F.QUIPMciv'i' - ,M L PO -- �`' �i�s1 3:1_'i ll`E E UIPMFNT ��-��i:►_--- — -- -� - 1F17 r31 ---- _—.,� --- �0 _ _ „— LP�QU7PMZ,0I0; ------------ ------ 47. ------- ------ 147-1e_ NT1� 1 , _8' z, si-=k-.o`o ham__ �''G` it , -=/ 4 .1 --- ----- c—os6 ---- r•LU 1PitiFNT '`� PIESSL �•00 19158,106r L.i LbTt At iCTcO ----j— 9 117.j-— 21:>>T— , — ,-1.. -VPR�, SSL .�O 19 7,044 7�_SSISTLVTECHNOLOGY D4VICES i�j�L .00 ig I ' TOTAL PAGE 2 DF. E IATION —� 0' -T 7—� „ 429,381.E 222,644. 38,132.- 8 132- --------------- I 1 , ,r i 4:771 'J •h — i — 71 1 ,q oxen •• CLmim y�ss eNon 12931 101- And dypydl 1=116 1 11300420 758513 10433 )82 f3AWAIIICENTERS FOM INDEPENDENT 10433_2 FORM 990 CASH CONr'RIBUTIONS OF $5000 OR %'ORE STATEMENT 1 INCL1lD£U ON PAR ' I, LINE 1D *�* NOT O.�TN TO PVB3,tC INSPF.CTI01l *** C0:1;R 1FU i0R' S NAFLE CONTRIBUTOR'S ADDRESS' AMOUNT ALO!i : UNTTEil {SAY P. 0. BOX 1096^ !l -- L'ONOLULU, FT 9(,80' 70,79`1. Cv-'ELNFh-0i) ALLEN FUND HAWAII COMMMITY FDN 900 FORT STREET HALL ;1300 HONOLULU, HI 96813 5,000. {'E:INSERG FOUNDATION 3660 WATALA1: AVE.#400 HONOLULU, F1I 96816 360,000. PAC DIS 6 BUS TECH ASST CENTER 2168 SHATTUCK AVE., #301 BERKELEY, CA 94704 5,000. 141 STATEMENT(S) 1 11300420 750513 10413 082 HAWAII, CENTERS FO INDEPENDENT 10433_ 2 FORM 990 SPECIAL EVlINTS AND ACTIVITIES STATFMENT ? DESCRIPTION,OF EVENT GOLF TOURNAMENT CONCI RT TO Fl", 990, PART I, LN 9 GROS;; CONTRI6UT. GROSS R DIRECT NET RECETI'TS INCLUVED I'EVEINUE EX,PENSFS INCOME 20,'_58. 9,150. 11,508. 6,760. 4,F,,48, 3,(156. 13,303. 3,056. ---14,:GO. 77U. 2,286. ?;,114. 9,1+0. 12,119. - 7,539. 6,93,. TRAINING 14,161. 14,161. �_�----- -- z�-=-nom _-� ----- --- - - EORYL 990 OTHER L'XPENSES STA'1'EMF:N1' 3 FORM 990 STATEMENT OF ORGANI`ZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 4 PART i I i EXPLANATION TO ESTABLISH, MAINTAIN AND OPERATE NONPROFIT COMMUNI'i'S( SERVICE CENTERS RELATING TO AND FOR TSE PURPOSFi,OF IMPROVING THE PHYSFQAL, SOCIAL AND FINANCIAL CONDITIONS OF DISABLE* INDIVIDUALS, AND TO PROMOTE PROGRAMS LEADING TO ECONOMIC $ELF SMIC�tENCY AND INDEPENDENT LIVING. i 15, STATEMENT(S) 2, 3, 4 11300420 758513 10433 082 HAWAIL CENTERS FOAIIND£PENDENT 10433-2 (A) (B) :(C) (D) PROGRAM I'MNAGEMENT DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING CONTRACT SERVICES 13,303. 7,683. 5,620. INSURANCE 13,465. 12,119. 1,346. TRAINING 14,161. 14,161. ADVERTISING 1,386. 545. 60. 781. MEMBERSHIP DUES 6 FEES 4,267. 3,731. 414. 122. OTHER 275. 275. ABANDONED FIXED ASSETS 7,512. 7,512. TOTAL TO FM 990, LN 43 54x369. 46,026. 1,820. 6,523. FORM 990 STATEMENT OF ORGANI`ZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 4 PART i I i EXPLANATION TO ESTABLISH, MAINTAIN AND OPERATE NONPROFIT COMMUNI'i'S( SERVICE CENTERS RELATING TO AND FOR TSE PURPOSFi,OF IMPROVING THE PHYSFQAL, SOCIAL AND FINANCIAL CONDITIONS OF DISABLE* INDIVIDUALS, AND TO PROMOTE PROGRAMS LEADING TO ECONOMIC $ELF SMIC�tENCY AND INDEPENDENT LIVING. i 15, STATEMENT(S) 2, 3, 4 11300420 758513 10433 082 HAWAIL CENTERS FOAIIND£PENDENT 10433-2 FORti 990 STAThMC?Pl OF PWGRmM SERVICE, ACCOMPLISOMFNTS STATEMENT y DLSCRIPTION OF PROGRAM SERVICE ONE THE ORGANIZATION CONTINUED TO (FFECTIVELY AND EUCCP.SSrULLY OPERATE ITS NON-PROFIT CONMUN24Y SERVICE CENTERS. DISABLED PARIICIPANTS OF THEIR PROGRAM PAVE SHOWN IMPROVEMENTS IN TI:E'l& YI YSICAL, SOCIAL FIND FINANCIAL CONDITIONS, AS E:'ELI, AS ItiPPWET) SELF SUI'FTCIENCY AND INDEPENDENCE• DURING THE FISCAL YLAR, A�'PROXINATRLY 1757 DISAHIEU YFFSO:NS R-RSFITFD FROM THE OP,GAI;IZATIOWS SLRVICBS. TO FORM 990, PART III, LINE A GRANTS EXPENSES 1,667,311. FORM 990 SPECIFIC ASSISTANCE TO INDIVTDUALS STATEMENT 6 DFSCRIPTION AMOUNT EUOD, SHELTER AND CLOTHING FOR CNDICENTS, ETC. 482,246. DIRECT CASH ASSISTANCE TO INDICEINTS 3,020. TOTAL TO FOR14 990, PART II, LINT; 23 485,266. FORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT � DESCRIPTION LEASEHOLD IMPROVEMENTS TRANSPORTATION EQUIPMENT OFFICE EQUIP14ENT TELEPHONE EQUIPMENT COMPUTER EQUIPMENT CAPITAL LEASE EQUIPMENT ASSISTIVE TECHNOLOGY DEVICES TOTAL TO FORM 990, PART IV, LN 57 COST OR ACCUMULATED OTHER BASIS DEPRECIATION BOOR VALUE 31135. 1,306. 1,829. 187,531. 187,531. 0. 145,478. '32,272. 113,206. 7,243. 7,007. 236. 58,206. 30,228. 27,978. 7,044. 2,432. 4,612. 20,744. 0. 20,744. 429,381. 260,776. 168,605. 16,STATEMENTS) 5, 6, 7 11300420 758513 10433 592 !IAWAII;CENTERS FOR1 INDEPENDENT 10433__2 FORK 990 PART V - LIST OF OF'FICER6, DIRECTOR5i ` STATEMENT 8 TRUSTEES AND KEY E*LOYEES NAME AND ADDRESS BE Po'V VAJI QIP R 137 KUAl\OLU PLACE HI_LO, 111 96720 KIRDY SHAW 425 ENA ROAD #706-A HONOLULU, AI 96815 ERIC FUKUNAGA C/O 2850-A PUKOLOA STREET HONOLULU, HI 96819 BERNICE KOIKE C/O 841 BISHOP STREET #1621 HONOLULU, HI 96813 DR. RICHARD RADTKE 45-106 POOIcBLA PLACE KANEOHE, HI 96744 KEITH TAKEKAWA 1846 BERTRAM STREET HONOLULU, HT 96816 MICHAEL NAKAMURA 95-415 LAU'AWA STREET MILILANI, H 96789 FRANK CNIFFKE 320 LILIUOKALANI AVE. #2005 lJONOLULU, HI 96815 MARK OBATAKE C/O 414 KUWILI STREET, SUITE 108 HONOLULU, HI 96817 CLARKE HALONA FARDEN 91-1058 KEKUILAN= LOOP #LB201 KAPOLEI, HI 96707 BRUCE CLARK 1154 FORT STREET MALL #206 HONOLULU, HI 96813 11300420 758513 10433 TITLE AND AVRG hRS/1-7K PRESIDENT PART—TIk DIRECTOR PART-TIME DIRECTOR PART-TIkE DIRECTOR PART—TIME DIRECTOR PART—TIME DIRECTOR PART—TIME DIRECTOR PART-TIME DIRECTOR PART-TIME EXPLOYEE COMPEN- BEN PLAN EXPENSE SATION CONTRIB ACCOUNT 0. 0. 0. o. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. EXECUTIVE DIRECTOR 40 43,973. 440 0. 0. 0. 0. 0. 0. 0. 0. 0. DIRECTOM PART—TIME 0. 0. 0. DIRECTOR PART—TIME 0. 0. 0. 17' STATEMENT (S ) 8 382 HAWAIii CENTHRS FOF4 INDEPENDENT 10433_2 K. PETER LEE, 1200 MALAIHI.ROAD WAILUKU, HI HI 96793 DONNA M. BUHRMAN P.O. BOX 2022 KAPA'A, HI 96746 PROF. KAREN M. GEBBIA-PINETTI, L;SQ. C/O 2515 DOLE STRFFT HONOLULU, H1 9GS22 DR. DENNIS CROWLEY 3907 NIOI PLACE HONOLULU, HI 96816 STERLING KRYSLER 2790 KAHALOA DRIVE #601 HONOLULU, HI 96822 GENE TANI C/O 841 BISHOP STREET #2020 HONOLULU, HI 96813 TERRY HAYES 1520 WARD AVENUE #903 HONOLULU, HI 96822 JJ-uGUDu]ry DIRECTO )k 0. 0. 0, 'i DIRECTOR PART-TIME 0. 0. 0. DIRECTOR PART-TIME 0, 1ST VICE PRESIDENT PART-TIME 0. 0. 0 2ND V.P: PART-TIME 0. 0. 0. TREASURER PART-TIME 0. SECRETARY PART-TIME 0. 0. 0. TOTALS INCLUDED ON FORM 990, PART V 431,973. 440. 0. SCHEDULE A OTHER INCOME STATEMENT 9 DESCRIPTION SPECIAL EVENTS OTHER INCOME TOTAL TO SCHEDULE A, LINK 22. 11300470 758313 10433 1997 AMOUNT 3,640. 38,811. 1996 AMOUNT 4,033. 102,882. 1995 AMOUNT 6,367. 16,408. 42,451. 106,915. ' 22,775. i 1994 AMOUNT 0. 32,139. 32,139. 181 STATEMNNT(S) 8, 9 482 HANAII'CENTERS FDj INDEPENGENR 10433 2 I SCHEDULE A IDENTIFICATION OF EXCtSS CONTRIBUlilONS STATEMENT 10 INCLUD$b ON PART IV, LINE 26H i *** NOT OPEN TO PUBLIC�TIO� *** ' TOTAL EXCESS CONTRIBUTOR'S NAME CONTRIBUTION CONTRIBUTION WEINBERG FOUNDATION 225,000. 63,040. TOTAL EXCESS CONTRIBUTIONS TO $2HEDULE A, LINE 26B 63,040 11300420 75,8913 10433 i i 19; I '402 HAWAIIjCSWrMS FORS STATF.E NT(S) 10 DbNT 104332 eltaJUL arupf eclaC(un an(] Amortization (Including Infarrrtetion on Listed Propetty� 990 e7 ► 6tw Separate Iruhuctions. ► Attach this form to r return. ate sewer, an �N,n BYINW ar�tlNy b relgi rib k,m wr.e. rttnw�Ali UtNTERS FON INDEPENDENT LIVING rORM 990 PAGE 2 I YLrt t Election To 94mm" Certain TerrgWe Protl4ro (Soohan 17e (Note. If you have J 11,100'00 , c isle Pad v 1 Maximum dollar Amttallon. M an enterprise sone builltess, see rnatr ictlons 1 2 Totol coat of section 179 property placed In service 2 3 Threa`hdd coat of Section 179 property before rfiducllon In Iin-dation —3- 4 Roductlon in Amltation Subtmot fie 3 Iron line 2 If taro or less, enter -0. _ 4 5 Dolar Imitation for tax year Subtmrt Ane 4 from line 1 If zern or loss. enter -0 If marred f ijr.9 e_a atsry Ste Ins ructlona _ 5 B _ Wem+ptlon pr wooery al aprr (ClO m 7 lsted property. Enter amount from Ina 27 a Told elected cost of section 179 property Add RnWnte In column (e), Anea 6 and 7 2 Tentativo deduction Enter the Smaller of line 5 or Ana B 10 Carryover of disallowed deduction from 1997 11 Buunem Inconve Ikmtnttm Enter the emaAer of burr Sae Income (not I= -han zero) or line 5 12 Section 172 expanse deduction Add Ilnae g and 10: xA do not enter more than bre 11 13 Carryover of disdowed deduction to 1999 Add Anes 9 end 10 less Ane 12 ►E13 Note Do rot use part Nor Part Ill below for llefad piopeny (automobiles, cer?wri other vw'uc)aa, a used for anferta'^mint, reruwdon, or amrsemcntl. /nateYl, use pert V for brseororxzry 14 It you are mak ng the election under 0ectlon 166{6(4}•O group any snots Not tax veer into one or mare 1998 taxa t klwWf.y mu.a. 9-02090 p Mmm rapb '� I at Seri bpryaearM I I _ 4cw. k .tpmprry Yes eeaaa (e,r,a�.wwW era Ivlca iiaa Il axed rCreRaalar sowear Nernb w"- 11"wrei,ealny I I b 5yaer pro• M Rnsientknl feni9l property 1 Nonresbarniai nal property 12 z 17 GDS and ADS deductlons fel assets p4eed sa Service In tax years berynning before 1996 17 16 Property sublact to section 166(f)(1) election 16 12 ACRSandomerdeorenatlon is 1 38.1 2. 20 Lleled property Enter amount from lane 25 21 Total Add deductions on line 12, Ines. 15 and 1e in collum (g), end anus 17 through 20, Enter here and on the appropriate Arw Of your fetum Partnerffiu 30 W S cerporallone4 we instructions _ 22 For meets shown above and placed in service during FAO currant yaw, enter the 1 HA For Paperwork Radeation Act Notlw, sae tlu S"Hil" lnstruetloM• ncaet 20 V sew 11300420 758513 10433 )82 ffAWAII'CENTERS kri Foran 46e2(1998) FOR- INDEPENDENT.' 104332 Note! 132 DO YOLL I1lve a n�ann 1n ci�nnnA the _dqd 2 Me, Certem C Ither Vehicles, C40u4r Telephones, Certahl Computers, and Property Used for or Amusement r it you are us,ltg the elandard Mid0 rete or deducting loWis s>rpertse, Compote only 23a 23b, columns 9r (e) F - R. dud Section C N — . !Cautlofl' see frust one for limits for ee Nanrn�,lri -a) Date (bplaced (o) (d)_ (a Typo of proper est veflklea bis ) in service Busutetsl Ytvntment Cnj 'urbnr 011ier D�s�4 I11arer..,, Vehcly I use pareent:gt VenKla we e'hI 24 Property Used more t a 26 Add amounts at cWumn (h) Inter the total have and on Me 20, page 1 W I Be:msry I period 't! the evidence writt n? I J Yes N. tsl (h) m PAM& DepreaaJon I Elected Convention I deduction MC0r; 178 Bastion B - Informadm on Use of Vehicles Complete the section for vehicles used by a ads proprietor. partner, or other 'mon than 5% ovmer,' or related person M you provldud vehicles to your employees, fust anawe- the questions In Section C to ase if you most an except= to completing this eectlon for terse vehicles section C Kim& for Use by Tote Employee% Ansvrer these qumdons to determine N you mew on extortion to Completing section B for vehsies usedby, employees who are not Moro than 5 % owners or related persona 36 Do you rrnmtaun a written policy datemeot thw pro &ft a6 personal use of vehicea. including commuting, by your employs"? _ 38 Do you mWnlaln a written policy statemem that prchlds persona use of vehkJes, except eomenutlM by your employees? See Inewotons lervalleMe used by caporate officers, directors. or 1 % or more owners 37 Do you tree) all use of vsherJes by a iplayeesee permna use? 36 Do you provide mors than flvai shill to your employees. obla n information from your employees about the use of the vehicles, and retain the Inlo maton recalved? , 34 Do your mild the tequMsrtwdamacamxtg WAMled doom dN demonstration use? _ Note: If vmr sneww to 36.38, 37.36. or 3g 6 'Yee,• rou need not complete Sacuon 8 for the covered vMrcles (e) I (b) (d (df (e) IQ Carelaaei of atarstem wmm,ae son. •+xreeear aMewm„ bills anwnr ucrcn afedataunepe br eie yam 40 Amorhtatlon of cosh that begins during your 1998taxylar 41 Armor AAdon of Costs that hs0art before 1488 ' 41 42 ToteL r"or here and on 'Other Deductions' or -otheh Fxbarmes' We of Your return - 42 u� 21 11300420 758513 10133 (102 HAWAII CENTERS FOAIIINDEPENDENT 10433_2 (a) (b) (e) (a I (e) M 28 Total buunest4meslmem Milos driven during the Vshx% Vehcly Vehicle Vehicle VenKla �Vili year (DO NOT Include commuting mots) 28 Tota commuting miles driven during the your 30 Total other personal (noncommutung) miles drna� i 31 Total m%e driven during the year Add Bees 28 through 30 N q No Yes No Yq No Yq f4e Yes fvo Yq Ho _ 32 Was the vehicle xifor personal use during off-duty hours? 33 Was the vehicle used primarily by a mon than 5% ornnw or related person? 34 Is smother ve *ie awlable for persona use? section C Kim& for Use by Tote Employee% Ansvrer these qumdons to determine N you mew on extortion to Completing section B for vehsies usedby, employees who are not Moro than 5 % owners or related persona 36 Do you rrnmtaun a written policy datemeot thw pro &ft a6 personal use of vehicea. including commuting, by your employs"? _ 38 Do you mWnlaln a written policy statemem that prchlds persona use of vehkJes, except eomenutlM by your employees? See Inewotons lervalleMe used by caporate officers, directors. or 1 % or more owners 37 Do you tree) all use of vsherJes by a iplayeesee permna use? 36 Do you provide mors than flvai shill to your employees. obla n information from your employees about the use of the vehicles, and retain the Inlo maton recalved? , 34 Do your mild the tequMsrtwdamacamxtg WAMled doom dN demonstration use? _ Note: If vmr sneww to 36.38, 37.36. or 3g 6 'Yee,• rou need not complete Sacuon 8 for the covered vMrcles (e) I (b) (d (df (e) IQ Carelaaei of atarstem wmm,ae son. •+xreeear aMewm„ bills anwnr ucrcn afedataunepe br eie yam 40 Amorhtatlon of cosh that begins during your 1998taxylar 41 Armor AAdon of Costs that hs0art before 1488 ' 41 42 ToteL r"or here and on 'Other Deductions' or -otheh Fxbarmes' We of Your return - 42 u� 21 11300420 758513 10133 (102 HAWAII CENTERS FOAIIINDEPENDENT 10433_2 . _ `moi -, _. p( " ;n_ -a•'- � � r-.-_ _____ -"_ - __" '(r '_ iF.-- N1-- ;err ,e"_ :r t. - � .- - _ _- ,_�.=, a•d Vic - 7c Cn --.. Orsi: �-i• ,-_ �--�-,. - --^-- - ^- -- -- I -- i 25 ce_a i. I,a• ��'i. Sr• ,I. __-f_7�=2 6.1_-. .G. <2rr 1 ^ r J _ ryi- --/it�ti 1l •i-- -�. 1, -,i; - --�/ -y .�2 - -- -114 �• ._ `___��'-,�-•1 __ - •/�,, fits � r f - -- 26,312. 2,2 1 ;s_3 34,397.. i0rg5/-1-- --3 f•;4U. -- - 'nib —4,007. 3,616.( 401.;----- ------- 15 Gu. 114,Q47.� 105,72 .j -- - �,, 122 - -- -- A�— '�_ r� �3 21,02(• 2,336. E:.,.o'r.'a1a.'+mn.^te'� 3 _23 6< _.i- 2,)50. 1,5761. - --- -- Si[. A Ta<' 4a Cc -'e rr. , C.^,cTIC n•,a,dr•a' ;s ao A— 200 200. - " 41 C-1 719 81. Gt D•:,e obor depla•,C�i etc ra'G:hs.rs?u'al ;21t - "3 9 133. - — 3-6 —,2 T6 .- 1`0.7. a -- --- ---- -- 1�1-1>' I b ----- Ido,(- — ---- � -I---- ---- 4 ? 3ae _ 46,026. 1,820. 6,523. �`: :. ,. ,a s •.may m,^'^f �t•JA ,vry Q 1,791,935. 1,667,311. _ 1131`759.1 __-10,865. o' Joint Coals • Did you repan in column (B)(Preprar'rs@rA=)am/!o'nt costs from a cordbmed eduatlDnal campaign and prr••7 "y SOr GP w 10- 1 ! 115 11 ','os e'G.• (1) r•- aois;ate imo•ri or mese (oattoosts S - M [ta amount aeon ed to Program servus S 6 J r',�r [si:—`_to Mugger and general S _-'d of me imo:rt auocatso to Fund, iwN S _ Qaatcrnent of Program Service Acc:omd)shman?s Y, -..ts�-<r,;ia�t atlnn'e p•Irary em- ;Durodse7►SEE' -Mt-EK F>iT-a - -- - - ---- PrD'+ram Ss�ke %l.::v ..+ . ,-.n o.. w.: M, ��„ o-:��. w+w'eneno n e aver enoaonor're• .: • Te �vmDr W aw'o rw•O: r+cbda,�e M1awo et DDB"Sdi .9sf,Yea b'lti ��.nr-rn.,wrct+.>.uriai]Qi•�i'6'tMM�P"'LIee WMNI•.ji..--_Arn��YMK1d AOlMVI �'!/,•ev'.�u�'olA,v'.f Yq 1cOlga W4vil�vr�fti ea FST,L Si'ATEMENT S --- _ - _ - --___ GunSandaaocatlonsS _ 1,667,311` b C 0 Service »'•„ 11300420 758513 10433 _--_�: •ars and al:oeaudns S (Grants and allocations S _ 1 i 082 HAWAII CENTERS FOR! INDEPENDENT 104332 Dole: APR 0 3 1994 linuaII CcnLcr For IndeprndenL IlvIng 671 Ala Noma Cold nond nldg. Ste. 402 114)[10111111, 111 9fin13 Penon to Contact: K. Sanchn Contact Telephone Member, , (213) 6fln-P40' Based on tit@ Information you recently submitted, we have clnsstried your orgnttl:otion as ona that 13 not a privets foundation within the meaning of section 509(9) of tits Internal Revenue Code because you are an orgenl:atlon described In soctions 509(x)(1) and 170(b)(I)(A)(v1). Your exempt status tinder section 60L(o)(31 of the Code Is still In effect. TIAs cinsslfLcation Is bnsed on the assuoptlon that your operations will c311tl[1ue as you have statod. If your sources of support, or your purposes, character, or method of oporatlan change, please lot us know so we can consider the affect of the change on your exempt status and foundation status. This supersodes our letter dated October 20, 1983 Bocmus this letter could help resolve any questions about your foundatfort 3tntus, you should keep it In your permanent records. If you have any questions, please contact the person witaso nnme and telephone limber nre shorn above. Sincerely yours. `�,, i�14K nistrlcc nircctnr 0, %x 235:, tow Angeles. CIL 90M leper 1078(00) (Rey 8-821 BH1 ACORD_ CERTIFICATE OF LIABILITY INSURANC °"11/29"' 11/29/00 PRODUCER Mutual Underwriters THIS CERTIFICA A I Is 11113UND AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 680 Iwilei Road, Suite 528 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Honolulu HI 96817 INSURERS AFFORDING COVERAGE INSUREDI+NSURERA Philadelphia Insurance Co. INQUREII0. Living Centers for Independent 414 KUwlll Stre- C Suite 102 Honolulu HI 96817 32 R2 INIURERD INSURERS MED OF (AIy JIM FAIR ) COVERAUE5 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE UISURED HAMID ABOVE FOR THE POLICY PWOD INDICATED NOTwTNSTANDIMO ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VRTH RESPECT TO WHICH THIS CERTIFICATE MAY EE 134USD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HM91N IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE U' TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INTR TWEOF INSURANCC POLICY "UNDER DA E M DATE y UNITS GENERAL LIABILITY I EACH OCCURRENCE11000000 A X' COMMERCIAL GENERAL �UAWLITY1 PPG101450 10/16/00 10/16/01 _ CLAIMS MADE X OCCUR FIRE DAMWB IAIy Am Rn) f 50000 MED OF (AIy JIM FAIR ) 15000 PEPJMU S, AOV NUURY f 1000000 _ 0009M ADDRE"TE ! 2000000 GEN'LAGGREGATELIMITAPPUES►ERI i I PRODUCTS. COWIO► AGO is 2000000 rOLCY ^' jaO_CT AUTOMOBILE LIABILITY b by an Ins Wer whch Us not — AHr•uro IlcOnaed by the Stats of Hswali and is net subject to Its rsgulatlonOr ALL OWNED AUTOS rant It the insurer Is found trleolvent, _ ciednB under this f Ha act aro not covered by any �usysy SCHEDULED •u,os land of the Stats d Hawai.' COMBINLIMB Mau LIM IE• I ! GODLY RLIURY IM, INT►MI ! _. HIRED AUTOS NOHowNED•uTo! MUTUAlUf1lDEgyypRM i tM LYES t 680 WM Fk Me, Me � ►RD►efrvDAMAot a wR•GauAauTv AUTOONLY.EAAosaewrIs ANY AUTO I I OTHOTRAM GACCIS AUTO ONLY. AGsiS EXCESSU&SIUTY_ IEADMODCLMlICa s OCCUR _ CLAIMS MADE I ADOSEwTO i t ! i f —DEOUCnBLE I f � RETENTION ! WORKERS COMPENSATION AND or EMPLOYERS LIAMP TTY LL EACMA000SME f LLomms-u s . I LL OINAM-POLCVLMrl S I OTHER AIProfessional PPG1014505 10/16/00 10/16/01 See below* Liability DESCRIPTION OF OPERATIOMSIIDCAENDORSWBNTa►EDIAL►ROeaOfle (•) $1,000,000 EACIi INCIDZNIfJ $X,000,000. AGGRECATZ DESCRIPTION• FONDrM SOORCIP CERTIFICATE HOLDER IS AN ADDITIONAL INSORZDL AS TRZIR INTiAiST' INAY A?PRAR BO'S ONLY TO THE EXTENT SET FORTR IN• TM, GXMLRAU LIA8nX%► t:OZ=f PRMXSIOMti. CERTIFICATE HOLDER ItilY101iiC I BIIe1aeAEBa11f�IRD�Ds/�SOER��WBiUDBIORaTt! aOB W IB71 eMI�IM�T1��p�B IY�11at �IOMveaRD aRlt Hawaii County Finance Dept. 30 ITATMeTOTts County of Bawaia., Its OfflAm rs. L�BMtfEa1BRY0sO�fMML esuA of 25 Aup n ESt. , Ras AWfOWU>:TRSB 25 Aupuni 9t., At. 118' Hilo HI 96720 AMENDED BY-LAWS OF HAWAII CENTERS FOR INDEPENDENT LIVING JANUARY 24, 1958 AMENDED BYLAW SECTION 5.3 Term of Office All directors shall be elected to serve a three-year term of office Directors may be elected to serve one additional three-year term, but must leave the Board for a one-year penod (after serving s;x consecutive years) befcre becoming eligible to be reelected to the Board cnce again Tie requirement that Directors leave the Board for a one year pencd after serving six consecutive years, may be waived by a vote of the majority of the membership cf the corporation at the Annual Meeting cr Special Meeting duly called and held fcr sic-, c..r;,csz • _care tilernbers voted unar rcus,y to amend bylaw (Article 5 3) `'v zcc r.c a !r. -z: sentence -It:e requirement that Directors leave the Ecarc fcr a cr.e year per,cc a'cr serving six consecutive years may be waived by a vote cf t) -,e rnalcrity cf the rrrercership of the corporation at the Annual Meeting cr Spec.al hteet,rg duly CZ1!E_ and held for such purpose' (1/98) No other By -Law Amendments occurred dunng 1998. _Carte r'-esident Signat,:re �/ — "/- �rl.�—ll�• Dave AMENDED BY-LAWS OF HAWAII CENTERS FOR INDEPENDENT LIVING January 21, 1995 ARTICLE I ACTIVITIES The activities of this Corporation shall be those necessary and appropriate to accomplish the purposes of the Corporation as stated in the Articles of Incorporation. ARTICLE II OFFICES Section 2.1 Principal Office. The principal office of the Corporation shall be at such place in the State of Hawaii as the Board of Directors shall from time to time determine. The principal office of the Corpora- tion is 677 Ala Moana Boulevard, Suite 101, Honolulu, Hawaii 96813. Section 2.2 Other Offices. The Corporation may have such other offices within the State of Hawaii as the Board of Directors may designate. ARTICLE III MEMBERS Section 3.1 General. The members of the Corporation shall consist of all persons admitted to membership in accordance with the Articles of Incorpo- ration and these By -Laws. Members shall have voting rights as specified in Article IV, Section 4.6 of these By -Laws. Membership in the Corporation shall be evidenced by the membership roll of the Corporation. Section 3.2 Admission of Members. The power to admit and expel members shall be vested solely in the Board of Directors. The Board of Directors, sub3ect to these By -Laws, may prescribe the qualifications and requirements for membership and shall have the power to create categories of membership conferring such rights and pr2valeges and imposing such obligations as may be determined by the Board of Directors Any person applying for membership or renewing me—bership must have been continuously in residence for a period of at ]east sixty (60) days in the State of Hawaii Any person meeting the residency requirement, who has a permanent or temporary primary disability affecting mobility, sensory, or communication skills, including emotional and mental disability and physical illness to the extent that the individual is classified as a person with a disability, as defined in the Americans with Disabilities Act of 1990, 42 U S C 5 12102(2), shall automatically be eligible for -membership The Board of Directors shall prescribe cualif=cations and requirements for membership for those wno do not meet the disabled criteria as set forth above Section 3 3 Fees Members of the Cc_ooratlon shall be required to pay any fees, dues, fires, assessments or other charges prescribed oy the Board of Directors. ARTICLE IV MEETING OF MEMBERS Section 4 1 Annual Meeting. The annual -Ceting of the members shall be held each year at such time and place as the Board of Directors determines for the purposes of electing directors and transacting such ocher business as may come before the meeting. HCIL will pay for expenses for neighbor .island Board representatives to be present Advance information including necessary documents will be sent to the Board on items which shall be voted on at the Annual Meeting, and proxy ballots will also be sent out in the event that a member cannot be present but wants to assign his or her proxy ballot to another member. Section 4.2 Special Meetings. Special meet- ings of the members for any purpose or purposes may be held at any time upon the call of the President or any Vice President of the Board or upon the written request 2 of one-fourth (1/4) of the members entitled to vote at such meeting Section 4.3 Place of Meeting The Board of Directors may designate any accessible location as the place of meeting for any annual or special meeting of the :embers If no designation is made, the place of meeting shall be the principal office of the Corporation. Section 4 4 Notice of Meetings Notice of all meetings of the members, annual or special, stating the place, day and hour of the meeting and whether it is annual or special, and in case of a special meeting stat- ing the purpose or purposes thereof, shall be given personally or by mail at least ten days before the meet- ing If by Tail, such notice shall be deemed to be delivered when deposited in the United States mail �ostace prepaid and addressed to the member at his or her address as :t appears on the membership roll of the Corporation Section 4 5 Adjourned Meetings and Notice ^_'hereof Any meeting of the members, annual or special, whether or not a quorum is present, may be adjourned by the vote of a majority of the members present, but in cne absence of a quorum no other business may be transacted at any such meeting. When any members' meeting, either annual or sp_cial, is adjourned for thirty days or more, notice of the adjourned meeting shall be given as in the case of an original meeting. Otherwise it shall not be necessary to give any notice of an adjourned meeting other than by an- nouncement at the meeting at which such adjournment is taken Section 4.6 Voto;1 At all meetings of members, every member entitled to vote as presented by the Articles of Incorporation and these By -Laws shall have the right to vote in person or oy written proxy. Section 4.7 QRorqm A majority of the membership entitled to vote and who are present at the meeting shall be necessary to constitute a quorum for the transaction of business.. Section 4.8 Action without Meeting. Any ac- tion required or permitted to be taken at any meeting of the membership may be taken without a meeting if three 3 fourths of the members eligible to vote sign a written consent setting forth the corporate action being considered. ARTICLE V BOARD OF DIRECTORS Section 5 1 Number and Qualification of Directors The number of directors may be increased or decreased from time to time by amendment to these Bylaws The number of directors of the Corporation shall not be less than eight (8) nor more than twenty-one (21) At least fifty-one percent (51%) of the members of the Board of Directors shall be persons with disabilities Section 5.2 Election. Except for the initial directors, the directors shall be elected at each annual meeting of the members of the Corporation or at any special meeting of the members held for that purpose At least ore director must be elected from each island branch office of the Corporation. Section 5.3 Term of Office. All directors shall be elected to serve a three-year term of office. Directors may be elected to serve one additional three- year term, but must leave the Board for a one-year period (after serving six consecutive years) before becoming eligible to be reelected to the Board once again. Section 5.4 Vacancies. Any vacancy cc urring in the Board of Directors and any directorship to be filled by reason of any increase in the number of directors may be filled by the affirmative vote of a majority of the remaining directors, though less than a quorum, or by a sole remaining director A director elected to fill a vacancy shall be elected for the remainder of the term of such director's predecessor in office Section 5.5 Temporary Vacancies: Substitute Directors. If any temporary vacancy shall occur in the Board of Directors through the absence of any Director from the State of Hawaii or the sickness or disability of any Director, the remaining Directors may, by the affirmative vote of a majority of such remaining Directors, appoint some person as a substitute Director, who shall be a Director during such absence, sickness, or 4 disability, and until such Director shall return to duty or the office of such Director shall become permanently vacant. Section 5 6 Removal Any director may be removed from office for cause determined by the Board to be significant, and by the affirmative vote of a majority of the members entitled to vote at any meeting called for such purpose In case any vacancy so created is not filled by the members at such meeting, such vacancy may be filled by the Board of Directors. Section 5.7 Reduction No reduction of the number of directors shall have the effect of removing any director prior to the expiration of such director's term of office ARTICLE VI MEETINGS OF THE BOARD OF DIRECTORS Section 6 1 Regular Meetinas Regular meet - :nus of the Board of Directors shall be held, at least bimonthly, at such times and places as the Board of Directors may provide by resolution. No notice other than such resolution need be given. The Board may change the frequency of regular meetings only by majority vote to do so. In no case will regular Board meetings be held less than four (4) times per year Section 6.2 Special Meetings. Special meet- ings of the Board of Directors may be called by or at the request of any two directors of the Executive Committee The person or persons authorized to call special meetings of the Board of Directors may fix the accessible location for holding any special meeting of the Board of Directors called by them. Notice of each special meeting shall be given in accordance with Section 6 3 of these By -Laws. Section 6.3 Notice. The Secretary shall give notice of each meeting of the Board of Directors (for which notice is required) in writing by mailing the same not less than seven days before the meeting or by giving notice personally, by telephone or by FAX not less than three days before the meeting, or as otherwise pre- scribed by the Board of Directors. The failure by the Secretary to give such notice or E by any director to receive such notice shall not invalidate the proceedings of any meeting at which a quorum of the directors is present. Notice need not be given to any director who shall, either before or after the meeting, submit a signed waiver of notice or attend such meeting without protesting, prior to or at its commencement, the lack of notice to him or her Except as otherwise provided by law, the Articles of Incorporation or these By -Laws, a notice or waiver of notice need not state the purposes of such meeting Section 6.4 Ouorum and Adjournment A majority of the number of directors fixed pursuant to Section. 5 1 of these By -Laws shall constitute a quorum No action taken, other than the appointment of directors to fill vacancies, shall bind the Corporation unless it shall receive the concurring vote of a majority of the directors present at a meeting (including proxy votes issued after conies of materials related to the vote have been distributed in advance) at which a quorum is present In the absence of a quorum, the presiding c`f-cer or a majority of the directors present may aclourn the meeting without further notice until a quorum is present Section 6.5 Telephone Meetings. Subject to the notice requirements in Section 6.3 hereof, members of the Board of Directors or any committee designated thereby may participate in a meeting of the Board or of such committee by means of a conference telephone or similar communications equipment by means of which all persons participating in the meeting can hear each other at the same time. Participation by such means shall constitute presence in person at a meeting. Section 6.6 Action by Directors Without a Meeting Any action required or permitted to be taken at a meeting of the Directors may be taken without a meeting if a consent in writing, setting forth the action so taken, shall be signed by the majority of the Directors with respect to the subject matter thereof, and filed with the records of the meetings of the Board of Directors. All directors shall be polled. Such consent shall have the same effect as a majority vote of the Board of Directors and may be stated as such in any articles or documents filed with the Director of the Department of Commerce and Consumer Affairs. 2 Section 6.7 Presumption of Assent. A direc- tor of the Corporation who is present at a meeting of the Board of Directors at which action on any corporate matter is taken shall be presumed to have assented to the action taken unless such director's dissent or decision to abstain from voting is entered in the minutes of the meeting or unless the director either files a written dissent to such action with the person acting as the secretary of the meeting before the adjournment thereof or forwards such dissent by certified mail to the Secretary of the Corporation within two business days after the adjournment of the meeting. Such right to dissent shall not apply to a director who voted in favor of such action Section 6 8 Voting as Member or Shareholder. The vote of the Corporation as a member or shareholder of another corporation shall be determined by the vote of a majority of the directors of the Corporation present at a meeting at which a quorum is present, provided, however, that :f the vote is to amend or approve the amendment of the charter of incorporation or articles of incorporation of the other corporation, then the vote of two-thirds of t�2 directors so present at such a meeting shall be re- gL:red to amend or approve the amendments of said charter or articles ARTICLE VII POWERS AND DUTIES OF THE BOARD OF DIRECTORS Section 7.1 Powers The corporate powers of tris Cornoration shall be vested in the Board of Directors to the fullest extent permitted by the laws of the State of Hawaii. The Board of Directors shall have general charge of overseeing and monitoring the affairs, funds and property of the Corporation, and shall have full power, and it shall be their duty, to enforce the By -Laws. Section 7.2 Duties. It shall be the duty of the Board of Directors to conduct, manage and control the affairs and business of the Corporation and to promulgate and enforce rules and regulations therefor not inconsist- ent with law, the Articles of Incorporation and the By - Laws of the Corporation. 7 Section 7.3 Committees The Board of Direc- tors, by resolution adopted by a majority of the directors in office, may designate and appoint an Executive Committee and any other committees which, to the extent provided in the resolution, the Articles of Incorporation, the law, or these By -Laws, shall have and may exercise all the authority of the Board of Directors and report back to the full Board (except as otherwise provided by law, the Articles of Incorporation, or these By -Laws) No committee (whether standing or otherwise) shall have the authority of the full Board of Directors in reference to. (1) Amending, altering, or repealing the By -Laws, (2) Electing, appointing, or removing any member of any committee or any Director or officer of the Corporation, 3) Amending the Articles of Incorporation, restating Articles of Incorporation, adopting a plan of merger, ci adopting a plan of consolidation with another cc_-ooration, (4) Authorizing the sale, lease, exchange or mortgage of all or substantially all of the property and assets of the Corporation; (5) Authorizing the voluntary dissolution of the Ccrooration or revolving proceedings therefor; (6) Adopting a plan for the distribution of the assets of the Corporation; or (7) Amending, altering or repealing any resolution of the Board of Directors which by its terms provides that it shall not be amended, altered or repealed by the committee Nothing in subparagraphs (1) to (7) shall prohibit any committee, if properly authorized by the Board of Directors and not prohibited by these By -Laws, from engaging in any sale, lease, exchange, mortgage, pledge or distribution of assets of the Corporation in the normal course of the Corporation's business. 8 The designation and appointment of any such committee and the delegation thereto of authority shall not operate to relieve the Board of Directors or any individual Director of any responsibility imposed upon the Board of Directors by law Section 7 4 Gifts and Contributions The Board of Directors may accept on behalf of the Corporation any contribution, gift, bequest or device for the general purposes, or for any special purpose, of the Corporation. Section 7 5 Procedure The Board of Directors shall fix its own rules of procedure which shall not be inconsistent with these By -Laws. Section 7 6 Review of Executive Director. The Executive Committee will conduct a Performance Appraisal of the Executive Director at least once a year, with written recommendations on lob performance and recommendations of any salary increase (In the event that a salary increase s recommended, the majority of the Board of Directors must vote to approve this increase.) A copy of the Executive Director's Performance Appraisal will be kept in this individual's permanent Personnel File and will be available for review upon request by any member of the Board of Directors. ARTICLE VIII OFFICERS Section 8.1 Number. The officers of the Corporation shall be the President, the immediate Past President, one or more Vice Presidents, the Secretary, the Treasurer, and the Executive Director, with such duties as may be prescribed by the Board of Directors or the By -Laws. Section 8.2 Election and Term of Office. All officers (with the exception of the Executive Director who is hired by the Board and not elected) shall be elected by the Board of Directors and shall serve until their successors are elected. Any two or more offices may be held by the same person, provided that the 9 Corporation shall have not fewer than two persons as officers. All officers shall be subject to removal at any time by the Board of Directors whenever in the 3udg- ment of the Board of Directors the best interests of the Corporation will be served thereby. The Board of Direc- tors may, in its discretion, elect acting or temporary officers, elect officers to fill vacancies occurring for any reason whatsoever, and limit or enlarge the duties and powers of any officer elected by it. (Officers need not be directors of the Corporation ) Section 8 3 President The President shall preside at all meetings of the members and the Board of Directors Unless otherwise determined by the Board of Directors, the President shall have general charge and supervision of the Corporation. The President shall perform such other duties as are required by the Board of Directors A member of the Board of Directors may be elected to the office of President for a maximum of one year at a time. The following year this individual will serve as immediate Past President on the Executive Committee of the Board of Directors. Section 8.4 Vice Presidents. In the absence or disability or refusal to act by the President, the first Vice President or other Vice Presidents shall, in the order designated by the Board of Directors, perform all of the duties of the President, and when so acting snall have all the powers of and be subject to all the restrictions upon the President. The first Vice President or other vice Presidents shall have such powers a•d perform such other duties as may be prescribed by the President, the Board of Directors or the Bylaws. A member of the Board of Directors may be elected to the office of any vice presidency for a maximum of one year per Vice Presidency. Section 8.5 Treasurer . The Treasurer shall be the chief financial officer of the Corporation and exercise general supervision over the receipt, custody and disbursement of corporate funds. The Treasurer may be a corporation. The Treasurer shall perform all other duties assigned by the'Board of Directors. A member of the Board of Directors may be elected to the office of Treasurer for a maximum of three consecutive years. 10 Section 8.6 Secretary . The Secretary shall keep the minutes of all meetings of the members and Board of Directors. If the Secretary does not transcribe the actual minutes of meetings, he or she will assign a designated staff member of HCIL to do so The Secretary shall keep or cause to be kept a register showing the names of the members, directors and officers with their addresses The Secretary shall see that notice is given n conformity with the Bylaws of all meetings of the members and the Board of Directors. The Secretary shall also perform all other duties assigned by the Board of Directors A member of the Board of Directors may be elected to the office of Secretary for a maximum of three consecutive years Section 8 7 Executive Director. The Execu- tive Director shall, subject to the Board of Directors and its policies, rules and regulations and limitations, exercise authority over all program activities as authorized The Executive Director shall: (a) approve the appointment and termination of all program staff and take responsibility fcr all routine employee relations matters (employee relations issues requiring legal advice will be referred beforehand to the Executive Committee for review); (b) execute the daily operations of the Corporation, (c) have the power to negotiate and enter into all contracts with funding sources leading to the receipt of capital and operating funds needed to achieve authorized program objectives provided that the Executive Committee review all new grant proposals whenever possible prior to submission, and provided that the Board ratify the decisions of the Executive Committee and approve of the terms and conditions of the grants for which HCIL has applied; and has the power to oversee the purchase or acquisition of such budgeted goods and services as may be necessary to carry out authorized programs; (d) implement program planning activities covering time periods set by Board resolution and make reports on such plans upon request of the Board or at intervals established by Board resolution; 11 (e) propose budgets responsive to planning objectives and develop organizational structures and staffing plans appropriate thereto; and (f) continually review revenues and expenditures, establish means of evaluating program effectiveness, and report findings and recommend revi- sions, as appropriate, to the President and the Board of Directors. (g) perform other duties as assigned by the Board of Directors ARTICLE IX AUDITOR An auditor may be elected by the members at their annual meeting to serve until a successor is elected. No member, director, or officer of the Corpora- tion shall be eligible to serve as auditor. ARTICLE X DISBURSEMENTS AND CONTRIBUTIONS Section 10.1 Disbursements. Disbursements of the funds of the Corporation for the purposes for which it is organized shall be made by the Board of Directors a_ its discretion. Section 10.2 Limitations on Disbursements. The Board of Directors shall not make any disbursements or contributions of the funds or assets of the Corporation to or for the benefit, directly or indirectly, of any member, director or officer of the Corporation, except for reasonable payments for services actually rendered to the Corporation by such member, director or officer as an employee of or consultant to the Corporation, or except for reimbursement of travel expenses for Board members to conduct HCIL business. 12 ARTICLE XI LIABILITY AND INDEMNIFICATION Section 11.1 Liability No director, officer, employee, or agent of the corporation and no heir, executor, or administrator of any such person shall be liable to this corporation for any loss or damage suffered by it on account of any action or omission by him as such director, officer, employee, or agent if he acted in good faith an in a manner he reasonably believed to be in or not opposed to the best interests of this corporation, unless with respect to an action or suit by or in the right of the corporation to procure a judgment in its favor such person shall have been adjudged to be liable for gross negligence or willful misconduct in the performance of his duty to this corporation. Section 11.2 Indemnification (a) The corporation shall indemnify each person who was or is a party or is threatened to be made a party to any threatened, pending, or completed action, suit, or proceeding, whether civil, criminal, administrative, or investigative (other than an action by or in the right of the corporation) because he was a director, officer, employee, or agent of the corporation or was a director, officer, employee, or agent of the corporation or any division of the corporation, against expenses (including reasonable attorneys, fees), judgments, fines, and amounts paid in settlement actually and reasonably incurred by him in connection with such action, suit, or prcceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of this corporation, and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. The termination of any action, suit, or proceeding by judgment, order, settlement, conviction, or upon a plea of nolo contendere or its equivalent, shall not, of itself, create a presumption that the person did not act in good faith and in a manner which he reasonably believed to be in or not opposed to the best interests of this corporation and, with respect to any criminal action or proceeding, had reasonable cause to believe that his conduct was unlawful. (b) The corporation shall indemnify each person who was or is a party or is threatened to be made a party to any threatened, pending, or completed action, suit by or 13 in the right of the corporation to procure a judgment in its favor because he is or was a director, officer, employee, or agent of the corporation or of any division of the corporation, against expenses (including reasonable attorneys' fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of this corporation, except that no indemnification shall be made in respect of any claim, issue, or matter as to which such person shall have been adjudged to be liable for gross negligence or willful misconduct in the performance of his duty to this corporation unless and only to the extent that the court in which such action or suit was brought shall determine upon application that, despite the adjudication of liability but in view of all the circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which such court shall deem proper (c) To the extent that a director, officer, employee, or agent of the corporation or of any division of the corporation has been successful on the merits or otherwise in defense of any action, suit, or proceeding referred to in paragraphs (a) and (b) of this Section, or in defense of any claim, issue, or matter therein, he shall be indemnified against expenses (including reasonable attorneys' fees) actually and reasonably incurred by him in connection therewith. (d) Any indemnification under paragraphs (a) and (b) of this Section (unless ordered by a court) shall be made by the corporation only as authorized in the specific case upon a determination that indemnification of the director, officer, employee, or agent is proper in the circumstances because he has met the applicable standard of conduct set forth in paragraphs (a) and (b). Such determination may be made (1) by the Board by a majority vote of a quorum consisting of directors who were not parties to such action, suit, or proceeding, or (2) if such a quorum is not obtainable, by independent legal counsel in a written opinion to the corporation. (e) Expenses incurred in defending a civil or criminal action, suit, or proceeding may be paid by the corporation in advance of the final disposition of such action, suit, or proceeding as authorized by the Board of 14 Directors in a particular case upon receipt or an undertaking by or on behalf of the director, officer, employee, or agent to repay such amount unless it shall ultimately be determined that he is entitled to be indemnified by the corporation as authorized in this Article. (f) The indemnification provided by this Article shall not be deemed exclusive of any other rights to which those indemnified may be entitled, shall continue as to a person who has ceased to be a director, officer, employee, or agent, and shall inure to the benefit of the heirs, executors, administrators, and personal representatives of such person (g) The corporation may purchase and maintain insurance on behalf of any person who is or was a director, officer, employee, or agent of the corporation or any division of the corporation against any liability asserted against or incurred by him in any such capacity or arising out of his status as such, whether or not the corporation would have the power to indemnify him against such liability under the provisions of this Article Any such insurance may be procured from any insurance company designated by the Board. Section 12.1 Affiliated Transactions. No contract or transaction between the corporation and one or more of its directors or officers, or between the corporation and any other corporation, partnership, association or other organization in which one or more of its directors or officers are directors or officers, or have a financial interest, shall be void or voidable solely for this reason, or solely because the director or officer is present at or participates in the meeting of the Board of Directors which authorizes the contract or transaction or solely because his or their votes are counted for such purpoge, if: (a) The material facts as to his relationship or interest and as to the contract or transaction are disclosed or are known to the Board of Directors and the Board of Directors in good faith authorizes the contract is or transaction by the affirmative vote of a majority of the disinterested directors, even though the disinterested directors be less than a quorum; or (b) The material facts as to his relationship or interest and as to the contract or transaction are disclosed or are known to the members entitled to vote thereon, and the contract or transaction is specifically approved in good faith by vote of the members; or (c) The contract or transaction if fair as to the corporation as of the time it is authorized, approved or ratified by the Board of Directors or the members. Section 12 2 Determining Quorum. Common or interested directors may be counted in determining the presence of a quorum at a meeting of the Board of Directors which authorizes the contract or transaction ARTICLE XIII MISCELLANEOUS Section 13.1 Inspection of Corporate Records. The books of account and minutes of proceedings of the members and directors and committees of HCIL shall be open to inspection upon the written demand of any member or director, at any reasonable time, and for a purpose reasonably related to such member's or director's ,nterests as a member or director. Such inspection may be made at the principal office of the Corporation in person or by an agent or attorney, and shall include the right to make copies at reasonable cost. Demand for inspection may be made in writing to the President or the Secretary of the Corporation. Section 13.2 Execution of Instruments (a) All checks and other orders for the payment of money, drafts, notes, bonds, acceptances, contracts, and alL other instruments, except as otherwise provided in these Bylaws, shall be signed by such person or persons as shall be provided by general or special resolution of the Board of Directors. In the absence of any provision in these By -Laws or any such general or 16 special resolution applicable to any such instrument, then such instrument shall be signed by the President or Vice President or Executive Director, and by the Treasurer or the Secretary. Unless authorized by the Board of Directors, no officer, agent or employee of the Corporation shall have any power or authority to bind the Corporation by any contract or engagement or to pledge its credit or to render it liable for any purpose or to any amount. (b) The Board of Directors may provide for the execution of checks by the printed, lithographed or engraved facsimile signature or signatures of the person or persons authorized to sign checks Section 13.3 Inspection of By -Laws. The Corporation shall keep in its principal office on Oahu and at each of its neighbor island offices the original or a copy of the Bylaws as amended and certified by the Secretary, which shall be open to inspection by the members and directors at all reasonable times during office hours ARTICLE XIV SEAL The Corporation may have a seal of such form as the Board of Directors may determine ARTICLE XV FISCAL YEAR The fiscal year of the Corporation shall be established by resolution of the Board of Directors after approval by the Internal Revenue Service. ARTICLE XVI The By -Laws may be amended or repealed in accordance with the provisions of the Articles of Incorporation. 17 HAWAII CENTERS FOR INDEPENDENT LIVING ADOPTION OF BYLAWS The undersigned, on this twentieth day of April, 1996, pursuant to the laws of the State of Hawaii, adopt the foregoing provisions as the Bylaws of the corporation Patricia Blum, President Kirby Shaw, I st Vice President Karen Gebbta�Pinetti, 2nd Vice President ✓� 4 -, -'ZI �-- � Judith lid stein, Sec tary As amended and revised at the annual membership meeting on January 21, 1995 cvr . -,-,� I;: i,i�. J rRT:•� �1'T ., . �Gii.: i+i'.�O.fi. AGLIiC?ES Jul'" , Ur' {Y'.Y A__ ne I -atter of the =ncoruorat_on ) of ) .,_'ITERS FOR _NDFRENDE'1T _::ING ) n CSC@L�'I1"� f'�h11� r�1' I f•�' 1'I�,1 I t' 1s a,f, f FE -1 1011 FOR.C, - =R OF " ;COR'OR4T!OTi t, D CHPRTER OF INCORPORAT1011 u:JEY F. 3ELRMAN, Esq. Suite 2515, Grosvenor Center 733 Bishop Street :{0nolulu, Hawaii 96813 Tel. 1.0. 524-2225 DEPk%RTMENT OF ficrilr�AT�� "- AGENCIES STATE OF HAWAII o Officially Recorded 0 f1 r On I� S2 zlerz-z = c -a 'aStat `ec :a rter _`• _ncoroorat fo t^.e-^se'_.es and L-e:r assoclat=' _.i .-n C' coruorat_on Il• the a-'= C`.• I; •��I. '�iI .,_ _`::I:._=..=%_ LIVING, a'-''9 _ co^'Tec-_-, ;.here+/i;'1 a:) .'Droorate rlereln by reference :here., the accorreany_^, c -_,- Char -?r Of Incororraric- .%^er-?:•- Ere set `_•_-.t') t2rS ^e,lG:red Uno•e`^ Sectlp To- _.ore391C i -•__ aonolu-1, ''ah __ -� FMAG FEE CAPITALS t �� — _ L = •' _ I" I ,_ r S G an _ 4 �� STAW W _ the ;at,,:. of _-.e inccc.._ratio- __-TE 0" 10,:CITE 172 i TI -. _ STEPMANI ; MU_ :_3, BM HE a i,^. ARNOLD KWO, neing firs., auly swo_^, a- oath aeoose and s 1 _.a., they are _ne oetitioners above named, ?. -hat they rave read the foregoing Petition a -d the proo•ose] Charter of - _o noratio^ a -a frow the Conte-cs tK-reof, the ._tzerz a-! are _rie to the rest of o TnTW- -ono:,.:.:, -a . statements therein set forth o'.:'_edge and belief 1 WOM A*IIE MIYAPPIRO - "3-'tr o^ L , 3-^or_orar;c C,r Suoscribed and swornto before S day of blic, State of Hawaii c—miss=on expires- G�7�� I'. DEPART; i�^G '✓ lP i]CI.S !,!a ter of the I^corocrat_or ) 1 pf J 7'-- CDIlTRRS ; OR I';DEPc . H11: =VIIJG ) CHARTER 0- T'JCCR-O=,TION —e ;njersi_ eo of Fegu-ator_ - _ _es c" of WHEREAS, STEPHANIE `T%;S-IRO, BILL FIFE and ARNOLD Kk-O, all o` whom are residents of the State of Hawaii, have file:; r1:- ne as Director of Regulatory Agencies a verified oetition -o gra-.t to the -i and their associates a Cnarter of Incorooratior as , nonprofit corporation, it accordance with the provisic•-s of Sections !16-19 ani 416-20, rawaii Revised Statutes NOW, `iERE?ORE, I, Lhz _aid Director, in the everCise and execution of every power a -:i authority in anywise enaoling . e in this betia'_f, do r.er eb•. ccr,st:cute the said oet-itioners dnd Meir associates a corDCr-=-:'o'1 un.je- the laws of the State of Hawaii for the purposes a _ the form hereinaft•�r for -h The *game of the coroora__on shall be HAWAII CENTERS FOa INDEPENDENT LIVING, a no -prof'-'- corporation (hereinafter referred to as "Coreorat-'on") II The place and princlzal office of the Corporation shall_ at 1710 Purahou Street, =oar -men- -02, :-Bono''-u--u, City aro IYorolulu, S -ate of nawail, ?-32? or at SUCh D1aCe5 as ce jesigrated by the Board or Directors. There may be SUCr s�:orjirrate ^branch offices in such place or places within or W1-nout sato State as may be deemed necessary or requisite by the Board of Directors to transact the business of the Corporation III 7ne co-ooratlon is organ:zed and s b•e operated for c::-aritable, rcl:g'<ouc, -_^;o .itera^ c_ __, 4ona- purposes w--. thar the mean: oS=___or ,3 - the irternal Revenue Code o_" (Or tnc correspo-.dini of a^p_'uture Unitea States _-,,__^a_ ue Code). �^ -n--S Co-n�ction and as oaI't Of suc- purpose , the corooraticr, ^g-ge it ore or more cf the fo7loaing activities so as to sabled persons and the ouclic generally o_' the mea s �_ality o" indeoenjent living and to i -prove the social, s:ca_ � d :inancial cc-,dit]n^^ disabled Dersons as defl',ed ., _ r>Su 3,et seq.imple'^entin¢ Section 504 of the c- _--atic Act of 19'3, 2y U S.C. 9700 Corporation, ere ore, may c) `stacllsh, maintain and ooerate ^c-orDfilt co-imunit`; _r _G_ L .,,. ers relating t0 and for the ^pose o`_� 1mOrovi^.g L`'e �.��_,�..�_-1 and f:nancial -., :_:c -s c-zabied 1-ed_viJua_s :atr.er a -a aisseTl-ate 1-fcr-at:c^ ^escectinz i`loe- L -- _ "or disabled irai✓idua_s z;,, ;c) Collect and disburse -onies and/or oroDerty to D_-ish t're `_'oregoing and the genera'_ _^aritable, religious, :____Lienal, scientific and literary ourooses. (d) `lake available, for disabled rerscr=, vocational e i'__taLion services, counselling ser,,l:es, teaching service=_, D•' ical re--oilltation services and/or related e.-uiD:-e-t and :?._.,_�, tra-soortatiOn, recreational act:vfties, and any Othe_^ ser:i0e, facility, or device t -,at '.I'll assist cisabled perso-s 'noependently ' and i.:nction'_ng witn_-n -"e co^rur_ I V :n order to accomplish the ourooses of the corooration -_- forth above, and to the exte-t that the following __..:tional purposes and powers do rot co-trave-e tie above :tatlons, the corporation snall have, in ad::ition to the _e^eral powers conferred upon it by the State c_ 9awaii, -e fc_lowing purposes and powers. (I) To solicit, collect, receive, acq.:i.. , hold and •icnee aid property, both real and perso^al, including and orooerty received by g1ft, cc^t-f-Jut:on, oequest, L ev:se, and to sell and convert orooerty, ooth real and :rso^a1, into cash, and to use the funas of this corporation the proceeds, income, rents, issues, and profits derived a:y property of this corporation "or any of the purposes .rich this corporation is formed; -2- .rE DEPAR`!ENT ,-...'.1_.LTORY �35NCI7- f T.'7 O 1=:l4I: -r. -ter of the _rcoroora -o- ) of ) 1 � --, NTEwS FO? INDEPENDE'1': 1''v ) CaPRT=4 0= I111'07+P0=4'1I0N WHFRE_;�S, STEPHANIE PiIYASnI?0, BILL FIFE and ARNOLD XAEC, a'1 of whom are residents of the State of Hawaii, nave flled •r._t ,e as D1rec-cr of Regulatory tzencies a verified petition to brG:t to the, and their Assoc:ales a Cnarter of Incoroorat_o- as a nonprofit corporation, it accordance with the provisions o^ Sections _''_6-19 and 1116-2:, -awaii Revised Statutes NO'kti, 7yEREFORE, 1, the ca,d Director, _n the eYerclse and execution of every power au-nor_ty in anywise enabl_r:, Te in this 'behalf, do hereby -ute the said petitioners and their associates a coroo-3-_i,_n under the laws of the Sta:e of Hawal_ fo:the ourposes an:: - ttie Porn hereinafter se- for -,r i. The -ame of the corpora -_'gin shall be HAW;T_I 1E*ITERS =`+DEPENDENT LIVING, a nonprofit coroorat_on (hereinafter referred to as "Corporation") II. Tne place and principal o": "ice o" -he Corooratior' sha:' ce at 17,'C ?unahou Street, Aoartr,e^- 402, Honolulu, City and 0cunt; c. o~olulu, State of Hawaii, 06822 or at such places as -'a, be des_e^ated by the Board of Directors. There may be suc'- s�oordlnate or oranch offices In such place or places within or wi=pout said State as may be deemed necessary or requisite b a 3card of Directors to transact the business of the Corpora -ion. III corooraLion is crca a-.... _'_; ^-� _ orated I'or charitable, Pel'_n^'JS, Pcle`-�tl`�i=, _'lura•,. nurposesL'._ mea- . Cf I.,^@ Tnternal Revenue Co_e _10f ..., (or t'1? _.'es7o-j:'"' C ..rO, i; 1C•1 Of a"� _future U!--1tcj SL?:ec co nneC-ion and as Dart of cuc^ Dur Do;,? , -'le corooratiG,, :-,gage in one or more of the fc_1nwa r a, --,---.:.ties so as to disabled perso^s and t^e public -e,lerally of the mec^s ..:alltV of independent living and to 1,orove the social, :^. a^j :'financial c0^lit]^^' disabled oersons as defi^--eJ =^C .. CJ63J 3,et Seo uncle^ -"Lina sectio, �34 of the _,a2iil-a-fcn Ac_ of 1973, 2� I1 J.C. y''C FJ_ COPD^ratlo'l, _.?`'ore, (a) E_-ablish, :gal^rain, and coera-? ro:'1 co,-url.. c_ _ce ce-terc relatlns to ara for the :i_e o_ :^'oro,lin -_'e al ard _^a^..1a1 ^ ct .._cc.._ed ' d1 _ aa_s ,.) _a- _ a_=_oem-ina-e 1':. ... `a-_ resoec.._^2 ince- --or dlsablea C_ (c) Collect.. and disburse ,o^les and/cr .,rooerty -o ___c"D'isn t'^e foregoing and t. ^e genera'_ ^art :?C:e, rel:Clous, ea.,:_-ioral, scientific and literar! ourooses. (d) 'a'e availaole, fon disabled tersc-s, vocational re- oillta_-,on services, course___^g ser ;ices ,.eachlrir, services, r.r- �icai renaDilitation servi^_Z a--.d/or ?1a.__ ?r _or,e and de.,ces, trar.sr•ortation, rec^ea a3nal lct:._�_=;, and any otner se^vice, fac_l_ity, or device - _- w_l1 assist ..isabled oersors iiv_^s independently and _ _^_ wit _ -^e co^ru^i`, :n order to ac CoMoli5r _ _lurooses of -^.e coroorat'_or a5 se- forth above, and to t'2 c -ent tha- -he .ci_owinz add_tional purposes and power; '.D `-ot co^ -rase^= the above li',,itations, the corporation _ .11 have, _n aac_-tor, to the nenera= oowers conferred upon _- h the ..-ate aawa_,1, tfe _^ollowing purposes and Dowets ( 1 ) To solicit, collect, receive, acoui_re, hold and est ro^?y and oroperty, bots —al and percc^a., including, : and rrooerty received by cc^_.it beoues' 2.levi s2, and to sell and con Ver- orocer-;•, „_- real aha in, -o cash, and -c use -he funds of - corperatlon ar.; -he proceeds, income, rents, issues, and p-of_ts derived t.'.- ally orouerty of this corporation for any of the purposes f.,r 'wM ch tn_s corporation is for^led, _ . T114E DLFART%ENT _,C'L•-TO^Y of the IrcOroo^a,ion ) or i T_. .,E;i_ER.S FOR IIJD-P7,!;T _IVIJvl ) CHARTER OF !NCOR:'O ,,TION .:naers__ Direct-- cf agencies of .. _ Jta-e o. I.a__, _ '. .._~Ka• WHEREAS, STEP' AN7—S MTVAS'.T_R0, BILL ?T?E and ARNOLD KAEO, all of w'nom are residents of the State of Hawaii, nave filed with me as Director of Regulatory Agencies a verified petition to grEL-:t to them and their assoc?at_., a Cnarter C_' Tncorooratio,- as a nonprofit corporation, in accordance with the provisions of Sections 416-19 and 417-21, --'waii ?evised Statutes The name of the corpora: -,-n spall be H4.44II CENTERS FOR TNDEPENDENT LIVING, a nonprofit coroorat'_on (hereinafter _e==rred to as "Corporation") II. The place and principal of'__e of ;he C--rooration shall Ct 1710 Punanou Street, Aoar--ent .02, Honc_.::•a, City and my--: 9orolulu, State of 6awaii, 95822 or at such o'_aces as -a; be desigrated by the Board of Directors. :here may be such siDDrdinate or branch offices in such place or places within or witn••out said State as may be deemed necessary or requisite by t'n- Board of Directors to transact the business of the Corpora ion. NOW, THEREFORE, I, the __:9 Director, _ the e)ercise and execution of eery power a--. au=hority in anywise enabling me in this behalf, do hereby c. stitute the said petitioners and their associates a corpora -ion under the laws of the State of Hawaii for the purooses a^c _, the form hereinafter set fortr The name of the corpora: -,-n spall be H4.44II CENTERS FOR TNDEPENDENT LIVING, a nonprofit coroorat'_on (hereinafter _e==rred to as "Corporation") II. The place and principal of'__e of ;he C--rooration shall Ct 1710 Punanou Street, Aoar--ent .02, Honc_.::•a, City and my--: 9orolulu, State of 6awaii, 95822 or at such o'_aces as -a; be desigrated by the Board of Directors. :here may be such siDDrdinate or branch offices in such place or places within or witn••out said State as may be deemed necessary or requisite by t'n- Board of Directors to transact the business of the Corpora ion. -ne corporation is crVanized and snall be oporazed •'•„_.:Sl:e.j _Or charitable, Pel=gious, s^_`e-t'__..erary ^p _,rational ourposes withi- the meaning of sect -o- ;'1 the Internal .4evenue Code of 1954 (or the ccrrespcn-�In :rov-,sion of an future United States Interna'_ :,....nu. Cod 1^ `"lis Connection and as part of such purpose ,^the cor;o_rat:o''- sv e -'gage in one or more of the following activities so as to _-:or-i d=cabled persons and the public generally of the nears a".d :,'.:all -y of independent living and to improve the social, -,jr,vsical and financial conditi — of disabled persons as define-- i� 7, -.'.a. >5^�•3,et seq.imDle:ren.tin Section 504 of the c ^.a0_'_itat ='n •, 'ActO:' 193, 2, J.S.C. �(06. TFe C'D r^,'Crfition, r ero_cre, -,a,,. (a) EStablish, maintain and operate nonorofit co -nu -:`.y _Cu ce--e s .relating to ail.^. for the D',:rpose o: -d f_nancial Cord --tions of .._sabred in;ivi...;als = Disseminate _nfor-ratio^ resD?Ct_ " _ivi—g .'or c:saplea-ncivid'uals by a__ lawf•.17- '"ears^ (c) Collect and disburse monies and/or oroDert•: to ,a 15'i„'le forego'^g and the general Charitable, ^=1'510,.5, ejac=_t'_onal, scientific and literary purposes. (d) lake available, for disabled oersons, vocational rehabllita:ion services, counselling services, teachirg services, ph}sical renaollitation services and/or related equipment ano de.ices, trarsoortation, recreational activities, and anv Oyler service, facility, or device „-at will assist ..isablee Derso^s in living inaeoendently and _ functioning wltnin the cornurlty iv In order to accomplish the purposes of the corporation as set forth above, and to t^e extent that the _'oliowi^.g aaditional purposes and powers do not cortrave^e the above limitations, the corporation s,all have, in adaition to the eeneral powers conferred upon it by the State c_' lawa:i, the following purposes and powers. (1) To solicit, collect, receive, acquire, hold and _^lest money and property, bo.- real and perso^al, lncludin.s -ore:` and property received by gift, co^tribu-ion, beCuest, devise, and to sell and convert orocerty, peth real and cersonal, into cash, a^d to use the funds of tris corporation ara the proceeds, income, rents, issues, and profits derive'' fret any Droperty of this corporation for any of the purposes for which this corporation is formed, (2) To purchase, acquire, oro'^, hold, sell, assign, transfer, dispose of, mortgage, pledge, hypothecate, encuTi.ter, d/or deal in shares, bonds, 'rotes, debertures, or other securities or evidences Of lndeotedness of an'; perso-, firm, or associat_On and, white the Omer cr ''Older i r -e^--, to e;ercise al_ rl_nts, no'wers, a"d ... _.��F'�E3 of (3) To ourchase or acquire, own, hold, use, 1 --ase / ••L -p _ Le eexchange,convey, aS SSOr Or Lessee', �/s__1, e.,Ch3ng_, assign, C:suose of,-ortgage, ;ypot hecate, or encumber real and personal DrODcrty, (L) To borrow money, incur indebtedness, and to secure re:,ay.ment by ^,ortgage, Dledge, deed of trust, or other means c. r,ypothecatior any prooerty of the ec:'Doration, bo --h real a d oersonal (5) .o emoloy a bank or trust company as cus-odlan of :unds or .ecur=ties a^d -o delegate to it s_c� pc«ers that -Ie -o-cora-::n. shall ..eem aoprorriate, and to e-olcy Clerks, _-iestment aSents, a^d o-ner fie:';lis -_ ,-e-der special ser. ---es, (6) To enter into, make, perform, and carry out contracts of every kind "or any lawful purpose without limit o^ a-iount, Witn any perso-, firm, association or corporation, municipality, county, parlsn, state, territory, government (foreign or domestic), or other municipal or governmental subdivision; invest and reinvest corporate ^ds and/or other prooerty in s'dcn property, real, personal or rived, and in such manner as it s^all deem proper an.i from -ime to ti -e change investments as it shall deem aavisable, ane (C) To exercise and Dossess a a -d all of the rights, orivileges and powers which are secured by law to be.evolent and charitable coroorations, and to everclse all general cowers con- ferrrd On ttile COrDOrdtiOn by the State of ^awaii, suo,',ect, :newever, to the aforementioned limitatic'is V. The Corporation is organized for charitacle, literary and educational purposes only and is not organized for profit. It will `ot issue any stock and no part of its assets, incose or earnings snail be distributed to its members, directors Of o_ficers, except :'o^ se:' ices actually rendered to the corooratlon. Upon dlssolutio ail the assets of the corporation, a^ter payment of its ,lust debts, shall be transferred and distributed to an organization or organi- zations as shall at the time qualify as an exempt organization or organizations under Section 501(c)(3) of the Internal Revenue Code Of 1954 (or the corresponding provision cf any future United Sta-es Invernal Revenue Law). In addition, the C3rtor-ation shall be subject to the I ollowing li^itations cn Lts-,owers and purposes (a) No substantlal t_.-- o." the activities of t' corooration shall consists of carrvirg on orogananda, or of otherwise attempting to influence legislation, and the corporation shall rot tarticicate in or intervene in (including the publishing or distr:'pini-E of statements) any political carrpaign on behalf of any candidate for public office. Not.:itti- star,dirg ary other pro�,islon cf this Charter of Incorporation, the Corporation shall not e\excise any powers or engage in an; transaction or activity not permitted to be conducted or carried cn (a) by an organization- e\e-tt under Section 501(c)(3) of the internal Revenue_ Code and izs regulations, as they now exist or as tney Ta_ hereafter be -arenced, or (b) by an organizatic-, contributions to whi•c f. are--aaluctiole under Section 170(c)(2) of suCn cote and .regulatiors, as z;ney now exist or as they r^a- creafter oe amended. (p) _ne corpo.ra-,_^.^ s -all r.a _,er be ooe.rated for the tri-ar-. purpose of carr.- ---g on an „rade or business for trofit, and no part of the assets a^a income of the corporation shall oe used for ourooses which are rot exclusively charitable, religious, educational, scientific or literary, under the lags bot'- of the United States and the State of Hawaii. (c) The corporation srall be operated so as to qualify as in organization descricee in Section 509(a)(3) of the Internal Revenue Code and z ----by avoid being classified as a "private foundation" witi•--n the meaning of Section 509(a) of the Internal Revenue Coce. ,owever, in the event that the corporation becomes or is ceClared to be a "private foundation," then the income of the corocration for each taxable year shall be distributed at such time a^d in such manner as not to subject the corporation to the tax unzer Section 4,042 of the Internal Revenue Code and regulations cromulated in connection therewith Notwithstanding any other provision of this charter or any provision by law, the corporation shall not (a) engage in any act of self dealing, as defined Section 4941(d), (b) retain any excess business holdings wit^in the period prescribed in said section; (c) make any invest -eats in such manner as to subject the corporation to tax under Section 9944; or (c) :hake any taxable expenditures, as defined in Section 4945(d), all references in this paragrap- cei^g to sections in the Interna'_ Revenue Code and regulations :romulgated with respect thereto. V T The duration of the corporation shall be perpetual. , -r L.• { There shall be a Board of Directors of the Corporation to consist of not less than eight (8) nor more than eleven (11) ,V members. All members o: t^e °pard of Directors shall be members the corporation and residents of the State of Hawaii. In at least three-fourths (~--rein defined as 7 of 9, 8 of 10, or 8 of 11, as applicable) of z;'-- rI the Board shall be hand=caored nersons as defined C _.R., 5y 84.3, et seq., imole�enting Section 504 of t ?e,a.:_li.aLior Act of 1973, =9 U.S.0 y 706. T^ u -e absence of tYree-fourths (3/4) of the Director-`,, e 3oard of Directors shall not functio^ The Directors sl-,allelected or apoointe•d at s'.:ch Li?es, and in such manner, cnd terms as may be prescribed by t.e By -Laws which may =:s3 crcvi�e for tie removal of Directors and the filling o.' �, __es and -ay orovide that the remaining members of the Jar- of Directors, although less tY'an a-ajority thereof, may affirmative vote of the ma or;t;, c" such remaining members 'vacancies in the Board of Directors, Including temoorary :a cies caused by the illness of D_rec Jrs, or the tennorary ce of Directors 11 the oowers and au:rcri-_ of _ _ corporation snall be 1':, and -,ay be exercised by, „^e =lard of Directors, e.:ert as otherwise orovided b; lane, _.is Crarter of Tncorooration, cr e By -Laws of the corporation. The initial directors of the corporation, all residents of t -e _--ate of Hawaii, and their resicence addresses are as follows' "lame Ernest Nishijima Arnold ^aeo Pamela Bucanto Bertram Santos James Kuroiwa Tsugi Takemoto Stenhar.ie Miyashiro Bill Fife -5- Address ? 0. Sex 259 ?ahoa, '-I 96778 ?.0. Box 2LI5 ?eoeekeo, F! 96781 304 Kenolio Kihei, Maui, nI 96753 RR2, Box 25 Kaupakalua Road iaiku, HI 96708 Box 2059, Rural Station Puhi, HI 96766 RR'_, Box 289, 3219 {apaa, T_ 96746 516 Kamoku St. #306 Honolulu, HI 96826 750 Amana St. #1703 4onolulu, HI 96814 VIII The Officers of the Corporatio- s',all t� a :reside -t, cne or more 'Vice =residents, a Secreta^J and a Treasurer Officers steal_ be elected by the Board Of D.1rectors as cre- scr:bed by tne -_-Laws. Piere n.ay a_so h.e su:h 3ss:st_ Secretaries, Lss:stan.t Treasurers as may be deemed desirab?e All of the 0_"f=cors shall be me-oers o`' the Corporation. There may also De such Other suoordinate officers and agents as the busi-ess of the Corporation may require who shall be elected or apooi-ted as the B; -Laws may prescribe. The same oerson may hold at tre same time one or more o^fices and also be a Director The fold office elected o.._;,, -.e t I ollowing persons srall be initial officers and shall fcr t':e .irst year or until rein successors are :iu1i Vise Preside -t Secretary Treasurer r r.� S-=^ha^_e ^" ,ash-ro Arnold Kaeo Tsugi Takemoto gi Take foto Ix. 7:6 Y,arrokj St. =?06 -ionolulu, HI 96824- FO 6826PO Box 265 Pepeekeo, HI 967'1 ?31, Box 289 529 ;apaa, 'iI 967b6 ??1, Box 289 929 Kaoaa, rim_ 96746 The membership of the corooration snail consist of the ?etitioners named herein and all subsequent members. All disabled persons, as defined In part Iii above, and such other persons as shall be described in the By -Laws, shall be eligible for membersnio in the corporation. Apo'_ication procedures for memoership shall be established in the By -Laws. At all meetings of the members, each member, other than associate members, shall be entitled to one vote, as may be prescribed in the By -Laws, but members on each Island in the State of Hawaii shall not elect more than the number of directors hereinafter set forth for such Island. A oerson shall cease to be a member ucon his/her death or upon his/her withdrawal or expulsion. from ;membership. Any member may be expelled from membership by vote of two-thirds of the Board of Directors at any meeting of the board. Associate or any other non-voting memberships may be provided for by the By -Laws. -6- Members residing on each of the Islands of Hawaii, Kauai, Maui, and Oahu shall elect, for such terms and in such manner s:,ecified in the By -Laws, tti•:o directors and one alternate director The directors and alternate directors elected for each island shall also constitute the Advisory Board for such Island. Tne Advisory Board for each of the aforesaid islands shall call and oreside o,.er regional membership meetings on their respective islands and shall perform such other functions as provided In the By -Laws Lt any time that 20 or more voting members shall reside on any of the other islands of the Hawaiian Chain, they shall be entitled to elect one director and one alternate director to the corpora- tion's board, which director and alternate director shall serve as the Advisory Board for such island. The i,itial By -Laws of the corooration shall be adopted by a majority vote of the directors present at a meeting duly called and to be held within 30 days from the issuance of this Barter o.^ Incorooratior, Notice shall oe given theneof, stab ng =t a purpose of the meeting is to consider the adoot:on of the By -Laws. Tne 2y-Laas may be amended by a majorit; o_ the Board of Directors present at any meeting of the Board duly called and held for the purpose of considering the amendment of the By -Laws. XI. The property of the corporation shall alone be liable for the payment of its debts and liabilities, and the private property of the members, directors and officers snail not be suoject to the payment of corporate debts to any extent whatever or to the payment of any claims of any nature by members of the corooration.. XII. In the event of liquidation or dissolution of the corporation, whether voluntarily or involuntarily, or by ooeratior, of law, the remaining assets of the corporation shall be distributed to such organization(s) as may then be exempt from the income tax under Section 501(c)(3) of the United States Internal Revenue Code of 1954, as amended. XIII. This Charter of Incorporation shall be subject to amendment from time to time, as provided by law, except that no amendment shall be made which would change the objects and purposes, to include objects and purposes, which woula not be exclusively charitable, relihious, educational, scientific or literary, or which would permit the net earnings of the corporation to inure to the benefit or any member, donor or private individual, or which would permit any transaction or activity not permitted to be conducted or carried on by an organization exempt under Section -7- 591(c)(3) of the United Sta-es Internal Revenue Code and its re..:lations, as they now e< -,sr or as the,- may hereafter be 3,-.^.ided. .V. T' -,-s Charter of Tncorporat,-on snall be effective from and after the date uoon wl-,icn it is sig.:ed and sealed by the undersigned Director. .i1 iJ= ::SSS W ERSOF, i :ave hereunto set my hand and sea_ of the Denartment of Reg.latory Agencies at Honolulu, Hawai-, t ,s daj of 1981. 14ARY G. F. BITTERMAN, Director Deoartment of Regulatory Agencies State of Hawaii r Corooration 8 -8- les Administrator