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HomeMy WebLinkAboutCOM 0122.012 2000-2002 S:ephen K Yamashvo Ham A Takahashi .4fay~or Director COUNTY Of ii~4i'lt~kl`1 DEPARTMENT OF FINANCE 25 Aupum Street, Room 1 I8 • Hilo, Hawait 96720.4252 (806)961.8234 • Fax(808)961-6248 HAWAII COUNTY NONPROFIT GRANTS (FY 2001-02) HUMAN SERVICES A`ONPROFIT GRANTS REVIEW COMMITTEE FISCAL YEAR ENDING June 30.2002 DATE OF APPLICATION Janes ry 31 , 2001 GRANT APPLICATION FOR THE KAU OUTREACH PROJECT (?ro{nm Tltla) Legal Name ofOrgamzatton. DIABETES NETWORK OF EAST HAWAII 1~failingAddttss: 1221 KILAUEA AV.#70 HILO HI 96720 FactlttyiStteAddress: same as above DaectodStte'vianager. MARY GLASS OrgatuzattonPrestdent: NORA WATERS Contact Person (Grant Writer): MARY GLASS Amouut of Request for County Funds S 8 , 660.00 Total Annual Budget of Organuation• g 6 2 , 90 2.00 Has the applicant applied for any other funds from the Cotutty of Hawait this fiscal yealn-r?-1 ? Yes Sotirce/Department: OG-1 No Agency/Program(s): ©Social Services ? Youth Programs ? Elderly Programs Check Categones: ? Culture and Arts ®Education ©Other HEALTH Bsriefly, define the program for which funding i{ being requested: EXPAND EXISTING PROGRAMS OF THE DIABETES EDUCATIONAL AND COUNSELING CENTER TO INCLUDE EDUCATION 6 MEDICAL SCREENING IN THE RURAL AREAS OF KAU. PaA7fbA b NAALEHU. Comm. N0. I. QCALIF'YP:~G STAT~'DARDS FOR APPLICANTS Art applicant must ;:leer all of the following standards Be chartered or otherw•tse nuthonzed to do business in the State for charitable purposes and exempted from the federal income tax by the Internal Revenue Service ® Have a govemmg board whose members serve w•tthout compensation and have no conflict of interest between rhea regular occupauoro and the services provided ® Have bylaws or poltctes which describe the manner in which business is conducted, including management, audit, fiscal poltctes and procedures, poltctes on nepotism, and policies on mmegement of potential conflict of interest ® Have at lent one year's experience with the service or uuviry for which the appropriation u sought or can otherwise demonstrate to the satisfaction of the County sufficient expertise to successfully carry out the service or acnvtry 0 Be licensed and accredited in accordance with applicable requirements of Federal, State and County laws. II. GRANT CONDTTIONS The applicant agrees to comply with the followtng tams and conditions prior to receiving a grant award A Comply with applicable Federal and Stau laws prohibiting drscrtminuioa agauut any person on the baste of race, color, nauoaal origin, rcligioa, creed, sex, age, or handicap. B Agree not to use any public funds for purposes of enurtainatent or perquisius. C Comply with such other requuemenu as the Director of Ftnattce may prearnbe to ensure adherence by the nonprofit organization with Federal, State, and Couary laws, and established standards for focal sad program management D Allow the Director of Finance, the committees of the council and their staffs, and the Legislauve Auditor access to records, reports, fika, and other related documents in order that the program, management, and fiscal practices of the nonprofit orgaatzauoa may be momtorcd and evalusted to assure the proper and effective expenditure of public Curds III. RECORDS AND REPORTS A The applicant shall follow generally accepted accounting procedure and pracaces and shall maintain books, records, documenu and other endeace which suPRnenily and properly account for the expenditure of County funds. The boob, records sad documenu shall be sub~eM u all reasonable lima w mapecuon, reviews, or wdiu by the County expending agency, the Director of Finaaee, sad the Legislauve Auditor, or by then representatives B. The County expending agency, Director of Fitimee, or County Couactl may request periodic written reports an the use of County Curds C The nonprofit organization shall submit a final written report to the Legislauve Auditor within sixty (60) days after ]one 30 of the fiscal yev The report shall include an explaaanon of the public benefits derived from the awarding of the grant, a ltauag of other funding sottrca sad amounts obtained durmg the grant penod, sad a compleu eccounuag of all expeaditura supported by County of Hawaii gnat funds {per Chapter 2, Article 25, Secttoa 2-142(4), Hawaii Cotinry Code, amended Augiut, 1999}. IV. QUARTERLY ALLOCATION finder no circumstances shall grant funds be dtsbursed in a lump sum payTnent Grant funds utll be dtsbursed to Grantees only through a quarterly allocation process The disbursement of grant funds can be formulated on an equal quarterly apportionment basis V. GRIEVA.'VCE PROCEDURE The applicant will adopt and maintain a gnevance procedure to sssure proper accounuag for any conccm and complaints abou[ its program or services that may erase from its members, employees, cltenis or from other members of the publtc VI. DISCLOSURE OF IIr'FORMATION All information, data or other matenal provtded to the Couary by virtue of this appltcadon shall be subject to the Uniform Information Practices Act (UiPA), Chapter 92F, Hawatt Revtaed Statutes All such materal is deemed goverttmrnt record and shall be oprn to the publtc and may be provtded to other publtc and/or pnvate funding sources VII. CONTIA'LIED ELIGIBILITY Any applicant or recipient who withholds or omla any material face or deliberately miarepraeau such [aeb to the County of HawaU shW: (L) Itamedtately be disqualified from wmtdenuon for Noaprofit Great fuadmg, OR (2) be in nolahon of the terms of the Grant Agreemrnt of Couary funds in which case a great agreement can be terminated by the County and the recipient or provider may be liable to reimburse all or a portion of say funds rccerved therein VIII. ACKNOWLEDGEMENT ~BETES NETWORK OF EAST HA+~AII (Legal Name of Organization) herebyegreest0admtmatelthe KAii [)TTTRFACH PRA.TFCT (Program Title) in accordance with the regulahoas, pohwes and procedures prescribed by the Hawni Couary Ftneace Deparmtrnt. Distribution of great flinch to limited to grmtea uhtch are in compliance with Couary regulations, policies and procedures. The Couary reserves the tight to withhold grant disenbutions at any time the grantee is not in compltmce. It is the policy of the Couary of Hawatt and for those who do business with the Couary to provide equal employmrnt opportttmhes to all persona regardless of race, physical dtasbilihes, color, religion, sex, age, or national ongm as mandated by die Federal Civil Rtghn Acts, u amrnded, and say other federal or state laws relating to equal employment opportunities I}C. AMENDMENTS TO THE APPLICATION/EVALUATION The applicant assures that it will submit to the Hitman Services Nonprofit Grwis Review Commttue (HSNPGRC) for pnor review and approval a wnttrn request and lusuficauon for aay ehtngt:s, ttdtiitiom, or deletion to any portion(s) of the great application or a duly etteeuted Gnat Agreemrnt of Cotmty Funds. The applicant will cooperate and sestet in any effort undertaken by the HSNPGRC to evsluate, ittepect or otherwise monitor the effectiveness, feasibility, and/or cost efficiency of my end all practices, policies sad procedures or acttvtttes piirsuant to dtts application or any grant destgmtion or allocation received as a result of this applieanon -3- X, AliTHORITY 4.'~~ CAPACITY OF APPLICA.tiT The applicant certi[ies that tt has the authonty and capac~ry to develop and submit this application, and to a:uy admmtster the program(s) pursuant to t!tts application UtiSIGh'ED PROPOSALS WII,L ~10T BE ACCEPTED! C~ (//?~~C~LGLiGORA WATERS-P ~ - RESIDENT Signarure of PrestdenUChauperson Date l/ - IRFrTQp i atur f Executive trectodManager Date A. Overview: 1. Describe the program jor which jnnding !s be/ng requested. The Diabetes Education & Counxling Center (DECC) rs requesting funding for delivery of services to the rural areas of the Ka'u drstrrct (parnculerly concentrating on Pehala end Naelehu) The "Ka'u Outreach Pro]ect" rs two-fold• The first service will pronde free screenings for ? Blood Glucose Levels ? Protein m the acme (mrcroalburtrin test) ? Cholesterol (Total, LDL, Triglycerides) ? Blood Presswe The second sernce will offer power-point presentations explaining the daveble target ranges of the tests, a welt e& other curncultmt covering aspects of diabetes care and self-menagemrnt (with an emphasis on narration). Currently, the DECC averages 32-SO patient eduahan classes per month for People with diabetes end other interested citizens in their space at the Hilo Shopping Center. At least one free blood sugar saemtng is offered in the Hilo aces every mmth. The proposed "Ka'u Outreach Project" would allow the DECC to expand its community services to thex nasl area. 2 What unlgrre or slgnljlcant srrvke call! be prm/dedT The Diabetes Education do Cotinxling Center ha atready proven to be a unrgtm model in the stela It rs the only facility of its kind in East Hawaii. Founded m 1998 "The Dtsbetes Netwaric of East Hawar'r " began a a coalition of sixteen loal halth profesataule, interested ctttzens and represrntetrves of various socrai service agenaes. A total lack of rearwcee ®td extrmtely hrglt prevalence rates of dabetes m East Hatr~ll'9 spruced the grass roots organization to open the Diabetes Education & Counximg Crnta, a store-front facility located in the Hilo Shopping Carter. The rest rs history The responx to the DECC has ban overwhelmingly posnive It is a consume friendly, non-startle, nurttamg smmg. It rs culturally xnsihve and offers ahands-on approach to Irving well with diabetes The educators developed then own saxes of twelve modules in accordance with American Diabetes Assocrahon Standards and State Control Program Standards of Pradrce. (attaclrmrnt 1) The educators are crarently rncouraged by their employers to loin this in-kind, multidisaplinary team Many of the instructors also tech in the evenmg+ in then "ofT hours". The East Hawui' Physicians Associatiaa (IPA) ties been completely supportive of the DFCC by referrtng patients for inativction and ernatimal support The HMSA Cere Connection program has rndorsed the DECC a a foundation point for education delivery m East Hawaii. The proposed Ka'u Orureech Project would expand the existing DECC programs to the outlying areas in a tmique end cest~ffective manna. Instead of one crnter, the DECC would rack many loations and take diabetes educetton end seeming "on the road" This project would include the development end training of health professionals end interested community members in the Ka'u era. The Network approach has no boundenes. Shared expenmces and resources ere extremely unportant to the developmrnt of a viable Network drat addresses the many serious health problems associated with diabetes The DECC rs also unique a it has collaborated with The ]oslin Clinic m Boston, MA; Wsshmgton State Umverstry and the UH Mama Cooperative Extension Services in Hilo to provide a researrlt location and applicant screening for "Living Well With Diabetes" pro]ect As a result of the resarch project, the DECC house stato-of the art egmpmmt for saerning of four medical tests which can detect arty signs of high nsk factors common to diabetes. The machines ere portablo. The resulb ere svsileble in six minutes. The combination of power point prwenhdom sad medical aereenleg la a torretal approach to larding. i Whar speclJlc oarcomes are ro be achltved7 The screenings end classes will result in the following ? Participants in the pro~ea well have an understanding of the A1C test which is the single most uxful test to be developed in the treatment of diabetes and its relationship to long-term canplications ? Participants will learn the'v des>nble target lab scores for the AIC, the IWcroalbumin (kidney protein), blood pressure and LDL cholesterol ? Participants will recognize the symptoms of high blood sugar and low blood sugar and whaz to do in emergency situettans ? Participants will recognize the roles of diet, exacix and medication in the treatrnrnt of diebeta. ? Possible cases of undiagnosed diabetes will be referred to a physician. 4 How w!l! the proposed progrom empower parrlclpantr ro bceonrt sdjaa,Q7cienf aedjaclUra/e poslllve social chaage~ We know that people with diabetes can AVO[D the developmrnt of the complications of diabetes through education and lifestyle management. • There u also strong evidence that the development of the diseax itxlf may be avoided through prudent weight iaariaganent and exacix Both of these goals regwre en ongoing sours of eduction end support for lifestyle ~ianges and reinfarcanent of this teaming. We know that consumers who participate in DECC programs develop xlf~on6dence tttrough knowledge Many of the local physicians have told m they have been impressed by the qunations their paurnts have asked them regaidmg their lab scares, medications and treatment Twtimmials come in frequrntly from patients who have made life style changes Positive social change is the result of a happy, healthy, PRODUCTIVE canmunity, not a community that is being ravaged by diswx B Prob[em/Need 1. What tr the prob/eminetd !Me proposed program u dalgnt'd W meett Dnebetes is a deadly disiwse. It impairs the bodys abihry to control blood sugar or glucose, levels. These are two types of diabetp: type 1 and type 2. Bah caux serious health problems if poorly vested. People with diabetes are at a grata risk of becaning blend, developing heart dixase, havmgstroltes, Iwmg kidney function and developing nern damage that may result m amputation The latest statistiw released in 1998 show Hawaii Coimry having the highest prevalence rates for diabetes in the ENTIRE State and two times as high than the entire United StaW. Prevalrnce rata by Area end Zip Code in East Hawaii indicate Hilo has a rate of 59.3°h to evcy thousand people• Petiole 48 9; Naalehu 36.9 In comparison, West Hawaii ftgures for Kamuela 22.5; Kailtm-Kma 21 .5. Prevalrnce rates from Hilo to Hanokee are even higher - some in the high 70 pccentiles.•• Studies also show there is one undiagnosed diabetic for every one disgritzsed Statistics from die Hilo Medical Center show that 60% of they patients have a diagnosis of diabetes. In 1994 5613,000,000 was spent on medical costs associated with dubetes Too often, patienU are diagnosed in the hospital wrath complications such es kidnry failure, amputauana and other xvae and lifr thrateriing ailments due to diabetes This does NOT leave to happen Self-managemrnt through education and life-style changes is imperative to a healthy community • (DCCT cl~mnl study 1983.1993 repatad m New EngWW ]oumal oFMediaeb, September 30, 1993) (Snurtice avu4ble tMoueh Ilia Ir•weu Dubetet Deli Network ranrrJi by Paeifie Halth ae•woh lertaute 1/3098) 2 ONCE PEOPLE WlTN DIABETES ARE KNOWLEDCElBLE ABOUT THEIR SELF- MANACEMENT, THEY CAN LEAD LONG, AND PRODUCTIVE LIVES. Diabetes does not have a sympathy factor People with diabetes don't look "dtfferrnt" Thry are oftrn in drnul It is not comfortable to change diet or start to exercise Because of this, the consequences ere tragic Diabetes m our county is a huge problem, which requves a NETWORK of supporters, working together, to make rn unpect on this disease THE NEED TO SCREEN AND EDUCATE TS URGENT Who is the target popx/atlox axd what are tbs apedJk xetdst Our target population consists of the communities of Pahala,and Naelehu We know that Diabetes is the 7a leading rouse of deaths emmg Caucasians, Atricen-Americans, Chinese end Filipinos; the 6° leading cause among Japanese and the 5° leading cause among Hawaiians. Lower income reeidente show a higher percentage of diabetes then those with higher moanes. We probably can assume that people with lower incomes do not spend the money to see dodoes, have lab tests or have accps tn education We also know that coming to the DECC in Hilo is difHcvlt due to lack of private and public transportation However, there is van service twice a month from the Ka'u Family Health Center to Hilo. A coordmazed shermg of resources mould be arranged through a Network effort 2 Wbat an for geograpbied areas Jo be served and boats ojoperatiox? 'Ihe geographical area to be served is from Pahala to Nealehu. Instivction is expected to take eight hours ono a month, which will vary, by availability of facilities and teachers 3. Colloborotlox/Coordlxatlox: 1. What speclJle xtsasxru w!!! be hkex h cdlaborids /eoord?xxte whb Wber car?xtxttlty trsoxtres h acbtevt xrar/xtxat program eJjfdexry axd cast rA'atlvexestt Meetings with health professionals from the targeted cress are prarntly underway The DECC has invited interested txaisumen m the area for their input. We are oleo partnering with Ke Anuenue, AHEC from Hilo Mexunum program etRciency and oust effechvrness will rook from training other health ofTicials in these areas to teach and offer in-kind sernces with the DECC in Hilo providing trainee end eharutg metenals 1. Haw will rbsae tntasxns ndxee or eBtxlxatc axy exlstlxg dxptlcatlox ojservku h yoar tatgd artat Presrntly there are no caisistmt free screening programs or educational programs in thex areas. We would work with the Ka'u teem of health providers to ensure there is no duplications of effort D. Goals and Obfedlves Wbat are the xtaJor goafs/bsxcbxrarks ojrbe proposed prograxeP 3 Tht ntalor pooh of tht orolect are: •i Reduce complleuHaos and pre-mature deaths due to mrnutrolled and undetected diabetes fi Build good self-management sklW and knowledge of diabetes through edaatiou for people with diabetes A Make petleot educeHon eceaeibb and underagodabk •D Build • Network to reinforce and continue paHeut education. 2. What spec~c obJecdves/sctbn steps oro planned jor each goa/T ? l0 participants will be given four free medical tests to measure blood glucose levels, protein (albumin) in the none, blood pressure levels and cholesterol levels by three health professionals frrnn dte DECC 11iis will be done once a month in a non-mstrtuhonel rnvuanmrnt D Twenty-5ve participants per month will receive educauon through presrntations whidi torch participanq how to manage thou diabetes Power Point presentations of the DECC ciuricalum will be developed by medical students to aid in wmprehension ? Local meetings with interested health professionals and interested citarns in these arms will provide the necessary input for possible participants, locations and volunteers 'Ihe Ks'u team will be trained continue the proect after year one 3. What & the rhncllnc (start amd cod dates) jor each aetlon stcp Y) ? Discussions with health professionals and other uterested parties and local cinzeris will take pleoe m Naalehu on February 7, 200 t end continue as needed throughout the project. ? Three BSN nursing students working m a contract with the DECC will tram duce health profnsionels from the ICa'u area to use the machines by Mardt 31, 2001 ? Network educators wtfl put ciariculum on power point by Marrh 31.and develop the questionnave by March 1, 2001 ? Class instruction will begin in March 2001 end rnd in Feb 2002. The classes will be givrn once per month starting March 2000 (Dates and tune to be agreed upon by all involve) ? By lone 30, 2001, the l{a'u team cacti be fully framed in delivering diabetes education end counseling programs and administer the four mescal screenings. I. What slgn(/kaat cli<nt-eenared oaueonae w!!I the program aehkvef ? 300 people will participate in the project from March 2001 through Feb 2002 ? 120 people will be tested in one year to detect poaaible high risk factors or undiagnosed diabetp. a A questionnaue before and alter the instruction will determine progrew made to understand and qke actwn to prevrnt complications and promote hfe style changes ~ Servkt Ddlvery 1. Whet nrcthodology s w!/! be used !m the proposed program's de!lvery ojservleet A loin of u least throe health professionals will go to the ICa'u Protect once per month to offer saernmgs sod the lectures. Volunteers from the Ka'u team a the DECC, who are familiar with the arcs, will arrange location site ,calendar of events and sigh-up sheets. A questiannaue regarding knowledge of diabetes will be given before the scrernings and et the end of the lechues. Educators will be the developers of the questionnave. 4 Scrernmgs wdl be hmrted to 10 people as determined end rdrntr8ed by the [Ca'u team to 6e high risk or lack msurance to pay for these tests. The Hilo team tvtll rernnt a Network from the ICa'u Brea with the help of The Pahala Clinic, The Ka'u Family Health Center and the Pahale Hospital. The scrernings tell detect undiagnosed diabetes and referrals will be made to a physician. Duagoosad diabetics will loam how well they are managmg then diabetes throu~i the test results whirti are svaifsble in six minutes usmg a fingerstick 4 This will be followed by a power pomt presrntation explaining target ranges and how to achieve the, R EvalttaHon 1. What process w!U be ased to •velaate tit program sad stakes, ? Follow-up quertionnaires admmistaed by the oduatas will assess any changes in then knowledge and any action taken to achieve the desirable target ranges at tfie end of the proles ? In addition to the medial scraauings, educators will give apower-point presrntation on me of the DECC's twelve modules (ATTACHIu~NT 1) ? At least throe local health professionals will be framed to take over the project after year one ? Volunteers and other interested citlzens will be pat of the Ka'u project. ? A list of all referrals to physicians will show the aimiber of newly detected diabetes cases. ? Test results will provide date to determine how well people are managing the¢ diabetes. 1. Haw wD! tiB process nreman tie oateonrss speclJled fn I1ete D (I-I)f ? A quesnonnaure given before and after educatiaa programs tvil(measuae any change in the knowledge and imdcstendmg of diabetes. ? Questions regarding Lfe-style changes will doted behanor change that is Qitipl to self-matuagemrnt ? Questions regarding lab tat scores and target ranges tell messuce undastending of good control end rts relation to prevention of complitatiens. ? The number of people attending classes will measure the target population. G. Program Fees 1. Does onr organ$aNoa charge a ereasiersilp fee jor servke pattklpattts7 All services ere free and open to the public. 2. Dots tie proposed prograat charge partlcdpnra a jeY jor services provided iy yoar otaarlrodont No N. Vlaiil/ty 1. Wiest Lr yotrrJrsgJleaNoa or rarlorta/e jor the txpendlhre ojpriDc jaads jor fit propasrd progrant~ The DECO has been providmg in-kind services, and counseling to over 1391 people wnh dtabates and their families over the lest year This program funding will pay to sQeen and prevatt ooatly hospitaliatians and reduce mortality rates in areas where subsea is rampant Health professionals in these areas are seeing people every day who are runnuig blood sugar levels of ova 700 (100 us normal) end those a$licted don't even know the basics of the disease. This is a canmunity problem We noes the county to support the DECC finencially m this tort-effective way. S 1. What art your Jlnanciai and progranurtadc plans ro sasraln the proposed program beyond the upcondng Jiseo! year? ? The DECC expects increased finenael support from medical health insurance providers who are mandated by the state to provide pahrnt education to then members. ? We are bmlding an awarrness of how much "bang for the buck" ~s available through a center wch as the DECC Learning Crntas are becoming the wave of the future Ke Anurnue, AHEC receives federal monry to locate community orgenirahons such as ours. Ihry are touring us as a model concept in the state Increased funding wtll be significant ? In edddton, we provide the John Bums Sohool of Medicine a location for medical studaits to pronde community serna. We have a contract with the Baccalaureate Nursing Program at UHii to provide community serna protects wnh graduating seniors. These in-kind service will contribute to our programs in lieu of salaries. ? The Jaslin Institute has recognized iu as a viable entity to captiae researoh subtects. Dean Cadman of the John Bums School of Medicine was «cded and impressed about the passibility of doing raeerrh through learning centers such a.+ ours Funding for research progtama coordinated dvough the ante will contribute to the fineness I Budget see attached budget tables ORGANIZATION/AGENCY INFORMATION A. Board of Directors i. Has the organizarloas Board ojDU•tetors waived jornsol tralnhrd wkh/a /he post twoJlscd yeast Yes The Board rearved formal training on June 21, 2000. (Attachment 3) Z Whar are the rD unary roles and rapanrlblBdts ojyor? organltadon's Fxrcrrgve Director ? Serve as Chief Operations Executive of the organizatim ? Serve as Professional Adviser to the Boazd ? Recommrnd appropmtie policies for consideration p [mplemrnt effecrvely ell policies adopted by the Board ? Inform the Board fully and acciaately regarding the program ? Interpret the needy of the program and present professional recommendation m all problems and issues considered by the Baud ? Develop a budgd (in contunction with the finance cammittae) and keep the Board up-to-dete on budget problems ? Recruu the best personnel end develop a compdrnt staff and supernse it o Devoe time to improving the staff O Assist the Board in developing snd conducing community information programs 3. What arc the prlnwry roiu and rrspoaslbllidrs ojyoar o?gaalzatlon's Board ojDhcdorsf (darljy roles ojrxrcatlvr o, jJ)cers Vs genes! naenrbershlp) General Membership: ? Administratim of the Corporation ? Program planning and budgding 6 O Evaluating orgammtional effectiveness ? Retaining and evaluating top management O Fmenctel stewardship Continuing the community connection The President (Speaker) ? Prestdes at all meetings ? Sets agendas wrth the Executive DireMOr ? Assures that poltcip and procedures and prov~stons established by the Board and, the By Laws are tamed out. ? Serves as ctuef volunteer spokesperson for the organvatian ? Signs authorized documents as requved by the office ? Chavs the annual perfivmence renew of the executive director Vlce-President: (Vke Speaker) ? Assumes the duties of the Provident in his/her absence ? Presides suppoR far designated committers ? Chavs major edrvities s, appointed by the presidau ? Assumes aher duties and responsibilities as appointed by the president or the board Secretary: (recorder) ? Prepares the minutes of the board meetings ? Assures timely and proper naificahon about meetings of the corporation and board of dveMOrs to the respective members ? Assumes the safe keeping of documents of the organization, except for the treastvers reports ? Maintain the safekeeping of the attmdence records at meetings ? Naifies the Board as to which manbers of the board of diredoro tams are axpirmg and whidi, if any, should be removed from the board of direco5w for non-attmdana or failiar to fu1511 responstbilihea Treasarer: ? Assures the proper receipt and custody of ell monies received by the organization in accordance wrth sound and generally accepted business practices ? Provides and attests to the accuraq of a financial report to the board of directors at eadi mating clearly reflecting the fmancuil position of the orgenizahons including all tvrrerit and long-term indebtedness and cash position , ? Assures the lonely deposit of all payroll and aher deposits ? Produces financial reports to the board of directors at each meetuig B. Past P[rjornrance: 1. How q/feeNve bas yoar orgasi$otba/ageacy bran !n aclilevlag prererane gomft !n tMe past two JLs[al yearsP ledrde fke jdlowGra Gtjotsatloe: QaaardtaHve data otr iurarbers scrred: aed graUtulvr date skowing naarber and % ojpardclpaatr aclYlevlna meawrable oatconres Statistics from September 30, 199 until Qctaber 2000 have ban staggering. (attachment 2) Since the Diabetes Education & Counseling Center is not a treatment center we do na have follow-up test scores after the doctor refers flier pattmt to us. We arena allowed access to physician files. However, our quality assurance will now be monitored for HMSA patients wrth then system of follow- up wrth the physicians. A plot proles is in the planning stages fa perhtering with Htlo Medical 7 Ceuta ICU nurses to measure outcomes of our programs This will be done by gathamg statistics an hospnalirations and camphcations due to diabetes C. Financial i. Have your organitgtlotu' current program operadons remained tke same as last yeart Wkat major program or financial changes wlll bt /ncamed next year? Our programs have barn maeasing dramatically m the numbs of people served and the topics caused m our classes Outreach programs will be expended However, we are stdl operating with minunel staff We expect to inaease staffing through grant money for various protects. We also expect fundmg from other health care provides. 1. Wkat is the status ojaU ojyoar orgatJLaNon's major eoturactr or agreements jar the coming year (rnrployment agreements, oJJke leases, p?lmary grant rtvenue (suppUes, eta) Our agreement witlr HMSA tvtll continue due to increased physician referrals. Our lease contmuea until 2002 We have signed a contract for year 6 wttlt Ke Anurnue, AHEC until 9/30/0 L Many of our supplies ere fro from the various health phetmaauticaLt and donations 3 How does the proposed program fit into your organization's long range financial p1en7 The proposed Ka'u Outreach program will become en adjwM to our bases prtxams at die DECC. This program has always been erne of the laag range outreach programs planned by the Network Monirorfng: I. During eke past two jlsea/years, wkat jlnancial and/or admlalstrative monitoring kas your organlmrion rccrtved jrom any and aU juading sourcrsP Oar primary janding soarces: o Ke Anuenue, AXEC: EzauUve Dlrnror: Bud Cook 935-86Jd (ourJLtta/ agtnt before wt rccttvrd our non profit starers) a IPA- East Hawaii Pbysiclaas Croup Hartle Nakamota 80d-S19-7S69- D Pour Labs Ted Tbome 8dd-739-1006 O Kaiser Prrmanente o NMSA Cox Connection -Scan Slvlk 1-800~I99-3036 D Merck Pbarmaauticals -Clyde Morlt~ dOd 737-10d8 O Novo Nordisk-Heroin/ Leoug dBb373-1061 o EN Lilly - Kevin Nagara 80d-86S-ISJ9 o drlstol -Myers -Squibb Jarcd NakenlrlY/ d08-838-~~~3 A. Alobol, Tobacrn and Dwg-Free Workp/aee Polkles and /njormatbn: How does your orgonlaaHon addnu akobo4 tobacco and otbtr drug prerentlonl Our orgentzahon believes strongly in alcohol and tobacco cessation. We address these issues m our currtcuhan as to the harmful effect for diabetics. Drugs are not addresved in our curriculum because these has ban no related research as to the effects for diabetics However, use of drugs by anyone associated with the DECC would not be pertnitted. g (attachment 1 Overview #2 Page 1) LIST OF 12 ONE HOUR MODULES 1 THE DISEASE 2 EMERGENCIES 3 HOMEMONITORING BLOOD SUGAR Bt URINE KETONES 4 WHAT HEALTH CARE YOV NEED/USING YOUR OWN HEALTH RECORD 5 DIABETES MEDICATIONS b. WHAT, HOW MUCH ~ WHEN TO EAT 7 NUTRITION 2: LABELS, CARBS, FATS, AND TIPS 8. EXERCISE 6t FITNESS 9 MENTAL HEALTH 6t STRESS REDUCTION 10 LIFE STYLE CHANGES 11 COMPLICATIONS 12 TAKING CHARGE OF YOUR DISEASE & GETTING THE MOST OVT OF YOV MEDICAL CARE INDIVIDUAL SESSIONS 1. INDIVIDUAL NVTRITIONALASSESSMENTS 2 GLVCOMETER 3. MEDICATION 4 SPECIAL TIMES• EMERGENCIES, SICK DAYS, TRAVEL, ETC, The Diabetes Network oJEast Hawaii Dba Diabetes Education & Counseling Center Hilo Shopping Center 1111 Kilauea Ave Space 70 Xilo, Hr 96710 Phone 808 933-9718 F.4X 808 935-7715 (Attachment 2 -Past Performance B-1 Page 7) Repoli dated 10/5/2000 The Diabetes Network of East Hawaii opened on August ~1. 1999. The following statistics re/lect the fiscal vear of October 1.1999 throu¢h September 29.2000. Number of Students "Attendees" (first time) 649 Number of Students (including repeats) 1391 Number of Classes 375 Number of Instructor Hours 375 (All In-Kind) Number of Phone Inquiries 1198 Number of Walk-In Inquiries 547 Number of Outreach Hours: 159 This categorv Includes the Jollowingprograms. ? John Burns School of Medicine Student Community Service ? The BSN program at UHH ? Free Blood Sugar screenings outside of the Center ? The Joslin Institute research project Total # ofPhvsician Referrals 145 referrals by 30 physicians VLDP/HELP FoR No"~o~ Volunteer Leadership Development Program P.O. Box 745 H11o, Hawaii 96721 January 22, 2001 Ms. Mary Glass Executive Director Diabetes Network oP East Hawaii 1221 Kilauea Ave., Suite 70 Hilo, Hawaii 96720 Dear Ms. Glass: This letter serves to confirm that the Board of Directors for the Diabetes Network of East Hawaii successfully completed a two-hour seminar on "Essentials of Successful Boards" held at your office on June 21, 2000, 5:30 to 7:30 p.m. The content included a discussion and exercise about the roles and responsibilities of directors. A copy of the training materials can be made available upon request by contacting me at 935-6393. Sincerely yours, _ Helen R. Hemmes Volunteer, Help for Nonprofits President & CPO, Hawaii Island United Way, Inc. I j o • I ~ I C E.. 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W 1. I ~ Q M O Z I ip F~ ~h U W p d ~ 'E V ~ E ~p 2 ~ : I ~ ~ ` Q oYC ~ e ~ ~ ~ ~ v H W _ LL I E C7 ~ n = E ~ 0 0 0 0° r b r o 0 0 0 w' V ~ I g $ i °o o ao o c pl W m 1 of I v r ~ ~ ~ L I I f~l I: I N I 7 ~~ppppGG~~~~ d ~ I I n ~ II I o I I I I I ,O N m I I N I I I I I ~ .r N ~ N W N {[[i/y]~~~ L (yl' n W vi z n ~ W t~, W y o 2 I ~ " 6 W % W N '1, Q N ? ~ F h q frCL 3 ? _ D W 7 _o ~ ~ 'v' E U o a J :z ~ W `-3° 13 ~ ~ I ~ m Y I y T fp-0 PUO H c ~ ? e l f ~ o r 3 a o H O O C C J U - ~ ~ 3 7 w ~ ~ C = r! CL U P4 Z ° v ~ n n ~ - 7 ~ ~ I = W i _ Q J J; - S I C ~ - - ~ t L ~ I I 1 ? DECC REQUEST FOR COUNTY FUNDING PROGRAM BUDGET: EXPENSES POWER POINT PROJECTOR 7300 LAP TOP COMPUTER 1100 SUPPLIES (REGENT TEST STRIPS FOR DCA AND CHOLESTEC MACHINES) 530 PER PERSON X 120 PEOPLE 3600 HAND-OUT MATERIALS 240 STAFF EDUCATORS (520 / HR X I8 HRS / MO X 12 MONTHS) 4320 TECHNICIAN TRAINING (515 PER HRX 4 HRS / MO. X 2 MO X 2 STUDENT TECHMCIANS) 360 TRANSPORTATION S00 POWER POINT PRESENTATION SET-UP (40 HRS X 515 PER HR) 600 TOTAL: 18170 PROGRAM B[JDGET INCOME KE ANUENUE, AHEC GRANT 6600 ROTARY CLUB OF SOUTH HllA 1000 UHH MANOA COOPERATIVE EXTENSION SERVICES 1400 IN-KIND TECHNICLAN TRAINING (UHfI BSN PRO]ECT) 360 REQUEST FOR COUNTY GRANT 8, 660 (TO INCLUDE TESTJNG STRIPS; HAND-OUT MATERIALS, STAFFING AND TRANSPORTATION) TOTAL 18, l70 Suphen K Yamashvo , , Harry A Takahash+ ;41awr ~ ~ Director COUNTY Of i~~llll~kl`1 DEPARTMENT OF FINANCE 25 Aupun+ Street, Room 1 I B Hilo, Hew~i+ %7204252 (808)961.8234 Fax(808)961.8248 HAWAII COUNTY NONPROFIT GRANTS (FY 2001-02) FINANCIAL QUESTIONNAIRE Please include as an attachment an explanation for all "NO" answers to questions #l thru #11 below Yes :Yo ? ® l Has the agency operated continuously for the past three (3) years? ® ? 2. Has the agency operated with a positive cash flow for the past three (3) years? 0 ? 3. Does your Board of Directors approve a detailed cash flow budget before the beginning of each fiscal year? ® ? 4 Do your Board meeting tttinutes show that quarterly financial statements are approved ® ? 5 Is your equity balance at least 20% of yotu Total Liabihty balance? 0 ? 6 Is your Total Cutreat Asset balance larger than your Total Currrnt Liabihty balance? ? ® 7 Are bank reconciliations end accounting performed by someone other then the check signatory ® ? 8. Are you fully insured for the agrncy's vehicle(s) and building(s) ? © 9 Is your Workers' Compensation at least 2% of payroll? ? l0. Are you current (non-delinquent) on all payroll and payroll tax paymrnts7 ® ? l 1. Is the agency free of any pending litrgatioa, liana or ludgmrnts7 ? ® 12. Within the past 12 months, has the agrncy applied for vendor or bank credit and was detued credit? If yes, please explain. As the grant eppficent, 1 cert~ that the agency has retisfactonly responded to each ojthe ebwe questions end explained ar needed. !hereby cerr~ that then tnjormetion it true and correct to the best ojmy knowledge A$enCy' 11~RFTF.R NEmwoRx ()F EAST HAWAII Phone: 808 3-9718 Prepared by: KAREN DELIMONT ~ 'sy Pnnt N~mrlf lilt S l]ru Certified by. MARY GLASS ~ Pnnr None of Exmuove lhtxtor S turn l).te FINANCIAL QUESTIONAIRE-(ATTACHMENT EXPLANATION FOR "NO" QUESTION). QUESTION # 1 - SEPT. OF 1999-The Diabetes Education and Counseling Center was opened. QUESTION #9 - The Diabetes Center does not have employees. QUESTION #7 - The treasurer prepares the reports then the report goes to the accountant. JENNIFER L. GOSSERT CERTIFIED PCTBLIC ACCOUNTANT An Aecountln8 Corpondan 688 Kinool• Sm.t• Suin 201 • Hilo, Hawaii 96720 • Phone (BOB) 969.7115 Fu (808) 969.7465 To the Board of D(rectors Diabetes Education & Counseling Center I have compiled the accompanying statement of assets, liabilities, and net assets for Diabetes Education & Counseling Center (DECC), a nonprofit corporation, as of September 30, 2000 and the related statement of support, revenue and expenses, and changes in net assets for the twelve months then ended, in accordance with Sletements on Standards for Accounting and Review Services issued by the American Institute of Certi}led Public Accountants A compilation is limited to presenting in the form of financial statements information that is the representation of management. I have not audited or reviewed the accompanying financial statements and accordingly, do not express an opinion or any other form of assurance on them Management has elected to omit substantially all of the disclosures and the statement of cash flows required by generally accepted accounting principles It fhe omitted disclosures and statement of cash flows were included in the tlnancial statements, they might influence the user's contusions about the Organization's financial position and results of operations, assets, liabilities, and net assets. Accordingly, these tlnancial statements are not designed for those who are not informed about such matters. ~~~~C January 29, 2001 Diabetes Education & Counseling Center Statement of Support, Revenue and Expenses And Chanpea in Net Assets For the Twelve Months Ended September 30, 2000 Support and revenue. Donations $ 26,545 03 Grants 17,054 22 Special events 10,113 00 Program funds 8,912 50 Cookbook sales 98.00 Reimbursements 1,459 67 Total support and revenue 62,182 42 Operating expenses Advertising 3,200 22 Bank charges 134 95 Contractual services 21,214 91 Depreciation 50 20 Educational materials 370 63 Fees 810 00 Insurance 475 00 Office 721 13 Other 40 94 Postage and delivery 133 88 Program expense 948 99 Rent 11,552 25 Supplies 40 80 Telephone 1,437 65 Ut~lit~es 981 18 Total operating expenses 41,912 73 Excess support and revenue over expenses 20,269 89 Beginning net assets 2,388.97 Ending net assets $ 22,638 68 See accompanying accountant's report Diabetes Education 8 Counseling Center Statement of Flnanclal Posltlon September 30, 2000 Assets Cash $ 22,312.37 Total current assets 22,312.37 Net depreciable assets 328.29 Total assets 5 22,838.88 Liabllitles and Net Assets Net assets 22,836.88 Total liabilities and net assets S 22,638.88 See accompanying accountant's report ' Farm 2]58 App[._ation for Extension of Time File - (,w ,un. ,eael Certain Excise, Income, Information, and Other Returns OM8 No teat-a14a N~ Ty,,.,s: ? Flte a e.p.rats appllcatlon for eeeh ntum. Name Emplarar NeeYaeaw eemaar Please tyW ar DIABETES NEIf^TOREC OF FAST HAFLAII, LNC. 99- •0345324 punt Fie the priplnel end one Numbw feeet and loom or suite ro (or P 0 boa ro d mall is not tlslNerad 10 feeet address) copy by the due sate for filing your ntum Ssa 1221 Kilauea Ave., Ste. 70 inawcoana on Giry, town or post affke, state, and 21P cads For a raregn address. fee inatnxtlona buk Hilo, HI 96720 Note: Corporate Income tax return (filers must use Form 7004 to request en extension of tlme to Ole Partnerships, REMlCs, and trusts must use Forth 6736 to request an extension of Nms to Ale Form 1065, 1066, or 1041 1 I request an extension of tlme until .....r,.'~.Y. 15,,-•••„ , ,2001 , to file (check only one) ? Fcrm 706-GS(DI ? Form 990-T (see a0t(a) or 408(a1 trva0 ? Form 1120•ND (sec a951 face) ? Farm 8612 C Form 7C8-GS(n ? Form 990-' (trust otter than above) ? Form 3520-A ? Form 8673 E{] Fom 990 dr 990-EZ ? Fcrtn 7041 (estate) (see inatructionsl ? Fonn 4720 ? Form 8725 ? Fonn 990-B1 ? Fcnn 1047-A ? Form 5227 ? Form 6804 ? Fonn 990-PF ? Fom, 10a2 ? Forth 6089 ? Farm 8831 If the organization doss not have an office or place of business in the United States, check this box. . ? ? 2a For calendar year , or other tax year beginning .f?GtAheS..l,..., 1995.. and ending Saptet~,~..3A .2Q9.9 b If ;his tax year Is for less than 12 months, check reuon ? Initial return ? Final return ? Change In aeeountfng peAad 9 Has an extension o} time to file been previously granted for this tax yeah ? Yes No 4 State In tletall why you need the extension .A~d~,1r~.QTad1, tr7.S[I~ .7.5. xEQId~S~~..BUIIS~.iA3 . co~l~tiQ>L4f _#~1e _dP3~kla1.. r~Yk~! _ . . - _ 5a If this form is for Fonn 706-GS(D), 706-GS(T), 990-BL, 990-PF, 990-T, 7041 (estate), 1042, 1120-N0, 4720, 6069, 6612, 8813, 8725, 8804, or 8831, enter the tentative tax, less any nonrefundable credits See inatrudlons $ b If thla form Is for Fann 990-PF, 990-T, 1041 (estate), 1042, or 8804, emer any refundable credits and estimated tax paymems made Include any pnor year overpayment allowed as a credit S e Balance due. Subtract tine 5b from line Sa Include your payment with this form, or deposit with Fl'D coupon If required See instructions $ Signature and Verlflcatton Under penaiues of psrlury, I tleUUe tnet I nave examined tnia form. inclutling accompanying scnsduin and atatementa and to ihs beat of my krowistlgs orb txhef, it n ws, consct and ccmplate, and Sat I am sutnonzed to prepare tnia form signetvn ~~~-~~~-Z= nee ? Certified Public Accountant oat. ? 01/30/01 FILE ORIGINAL AND ONE COPY. Ths IRS will show below whether or not your appllcatlon Ia approved and will return fhe copy. Notlca to Applicant-To Be Completed by the IRS ? We HAVE approved your appllcatlon Please attach this form to your return ? We HAVE NOT approved your appllcatlon However, we have granted a 10-day grace period ham the later of the date shown below or the due date of your return (Including any pnor extensions) Thls grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return. Please attach this form to your return ? We HAVE NOT approved your appllcatlon Aher conaidenng [ha rowans stated In Item 4, we cannot grant your request tar an extension of tlme to file We are not granting the 10-day grace period ? We cannot consider your appllcatlon because It was filed after the due date Of the return for which an sMenslon was requested. ? Other t ey - j olnKtor ot. 3 If ya want a cop of thn form to W returned to an addreaa other than than shown above, luxe enter the addrua to which the c ahouW b. aunt i NertN Pleaaa C A Type Numtler, apeet, end room or eude ro (or P 0 pox no II meA le not datHered to eoeet eddreae) °r 688 Kinoole St. Ste. 201 Pnnt Cary town or past olrics, state, and ZiP code For a loroign addreaa sea instructions Hilo HI 96720 For Paperwork Reduction Aet Notlw, see beck of form. ,3'I ~ Cal No 11 e7aa Fcim 2758 (Rev fi-98) INTERNAL REVENUE SERVICE DEPARTMENT OF T_HE TREASUR'1 O. BCX 2508 ,VCINNAT~, OH 4520'_ Employer Identificat~or. Number• Date• 99-0345324 DLN• 600228099 THE DIABETES NETFIORK OF EAST HAWAII Contact Person: INC JOANN DUNHAM ID# 95215 1221 KILAUEA AVE Contact Telephone Number: HILO, HI 96720 (877} 829-5500 Accounting Period Ending: September Foundation Status Classification. 509(a)(2) r Dear Applicant Based on information you supplied, and assuming your operations will be as stated ~n your application for recognition. of exemption, we have determined you are exempt from federal income tax under secticn 501(a) of the Internal Revenue Code as an organization described in section 501(c)(3). Because you are a newly created organization, we are not now making a final determination of Four foundation status under section 509(a) of the Ccde. However, we have determined that you can reasonably expect to be a publicly supported organization described in section 509(a)(2). Accordingly, during an advance ruling period you will be treated as a publicly supported organization, and not as a private foundation. This advance ruling period begins and ends on the dates shown above. Within 90 days after the end of your advance ruling period, you must send us tre information needed to determine whether you have met the require- ments of the applicable support test during the advance ruling period. If you establish that you have been a publicly supported organization, we will classi- fy you as a section 509(a)(1) or 509(a)(2) organization as long as you continue to meet the requirements of the applicable support test. If Xou do not meet the public support requirements during the advance ruling period, we will classify you as a private foundation for future periods. Also, if we classify you as a private foundation, we will treat you as a private foundation from }'our beginning date for purposes of section 507 (d) and 4940. Grantors and contributors may rely on our determination that Xou are not a private foundation until 90 days after the end of your advance ruling period. If you send us the required information. within the 90 days, grantors and contr~butcrs may continue to rely on the advance determination until we make a f_nal determination of your foundation status. If we publish a notice in the Internal Revenue Bulletin stating that we will ro longer treat you as a publicly supported organization, grantors and contributors may not rely on this determination after the date we publish the notice In addition, if you lose your status as a publicly supported organi- Letter 1045 (DO/CG) -2- ""~E DIAnETES VETA'ORK OF EAST HA49AII za=~o:,, an3 a grantor or contributor was responsible for, or was aware of, the act or fa~iure to act, that resulted ir, your loss of such status, that person may nct rely c.^. this determ~nat_on from the date of Che act or fail•are to act Also, .f a grantor cr ccntr~buter learned that we had given nctice that you would be removed from classification as a publicly supported organization, then that person may not rely on this determination as of the date he or she acquired such knowledge. If yeu change your scurces of support, your purposes, character, or method of operas:or., please let us know so we can consider the effect of the change on your exempt status and foundation status. If you amend your organizational dccument or bylaws, please send us a copy of the amended document or bylaws Also, let us Know all changes in your name or address As of January 1, 1984, ycu are liable for social security taxes under the Federal Insurance Contributions Act on amounts of 5100 or more you pay to each of your employees during a calendar year You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizat~o^~s that are not private foundations are not subject to the pri- vate foundation excise taxes under Chapter 42 of the Internal Revenue Code. Howe•.rer, you are not automatically exempt from other federal excise taxes. If you have any quest=ons about excise, employment, or other federal taxes, please let us know Donors may deduct contributions to you as provided in section 170 of the ernal Revenue Code. Bequests, legacies, devises, transfers, or gifts to you o~ for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of secticrs 2055, 2106, and 2522 of the Code Donors may deduct contributions to you only to the extent that their contributions are gifts, w;th no consideration received. Ticket purchases and similar payments ;n conjunction with fundraising events may not necessarily qualify as deductible contributions, dependir.~ on the circumstances. Revenue Ruling 67-246, published in Cumulative Bulletin 1967-2, on page 104, gives guidel:res regarding when taxpayers may deduct payments for admission to, cr other particinaticn in, fundraising activities for charity Yeu are not required to file Form 990, Return of Organization Exempt b'rom Income Tax, if your gross receipts each year are normally $25,000 or less. If you receive a r^orm 990 package in the mail, simply attach the label provided, =heck the box in the heading to indicate that your annual gross receipts are normally $25,000 cr less, and sign the return Because you will be treated as s public charity for return filing purposes during your entire advance ruling ~er;od, you should file Form 990 for each year in xour advance rul~rg period :hat you exceed the $25,000 filing threshold even if your sources of support io not satisfy the public support test specified in the heading of this letter If a return is required, it must be filed by the 15th day of the fifth ~.crth after the end of your annual accounting period. A penalty of $20 a day s charged when a return is filed late, unless there is reasonable cause for Letter 1045 (DO/CG) -3- "'zTE DIABETES :IETWCRK CF EAST HA'AAIi the delay However, the maximum penalty charged cannot exceed $10,000 or 5 percent of your gross receipts far the year, whichever is less. For organizations ~.+rith gross receipts exceeding $1,000,000 in ary year, the penalty is $'_00 per day oer return, unless there is reasonable cause for the delay. The maximum penalty for an organization with gross receipts exceeding $1,C00,000 shall rot exceed $50,000 This penalty may also be charged if a return is rot complete So, please be sure your return is complete before you file it. You are not required *_o file federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Code. If ycu are subject to th.s tax, you must file ar. income tax return on Form 990-T, Exempt Organization Business Income Tax Return. In this letter we are not determining whether any of your present or proposed activities are unre- lated trade or business as defined in section 513 of the Code. You are required to make your annual information return, Form 990 or Form 990-EZ, available for public inspectior. for three years after the later of the due date of the return or the date the return is filed. You are also required to make available for public inspection your exemption application, any supporting documents, and your exemption letter Copies of these documents are also required to be provided to any individual upon written or in person request without charge other than reasonable fees for copying and postage. You may fulfill this requirement by placing these documents on the Internet. Penalties may be imposed for failure to comply with these requirements Additiorai information is available in Publication 557, .-Exempt Status °_or Your Organization, or you may call our toll free number shown abcve. You need an employer identification number even if you have no employees If an employer identification number was not entered on your application, we will assign a number to you and advise you of it. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. If we said in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Because this letter could help us resolve any questions about your exempt status and `oundation status, you should keep it in your permanent records. Letter 1045 (DO/CGJ _ -q- "-'E' DIASETES NETWORK OF EAST HAWAII I_° you have any questions, please contact the person whose name and telephcre number are shown in the heading of this letter Sincerely yours, , Steven T Miller Director, Exempt Organizations Enclosure(s): Form 872-C Letter 1045 (DG;CG; 872.`+ Consent Fixing Period of Limitation Upon oeaa tip 1505 0C56 Assessment of Tax Under Section 4940 of the :~2 ~ Sppremoer ,~3a, Internal Revenue Code To be used with Form 1023 Submit Ce:e':re~' c~ •~e T'ees~ry m duplicate ir'emai 4rrcr„e Sevme (See instructions on reverse side I Under secuon 6501(c)(4) of the Internal Revenue Code, and as part of a request filed with Form 1023 that the organization named below be treated as a publicly supported organization under secuon 170(b)(1)(A)(vQ or secuon 509(a)(21 during an advance ruling period, Tha Diabetes Network of Eeat Hawel I, Inc. i'E..act 'egal came of o•gamrenon as shown .n organumg tlocumenU Dlstnct Director of Internal Revenue, or t22t K[lauea Ave., Suite 70 Hllo, HI 96720 and the Assistant ;NumOe• stree~ trty or town ste<e and ZIP toes! Commissioner (Employee Plans and Exempt Organizations) consent and agree that the period for assessing tax (imposetl under secuon 4940 of the Code) for any of the 5 tax years in the advance ruling period will extend B years, 4 months, and 15 days beyond the end of the first tax year However if a notice of deficiency in [ax for any of these years is sent [o the organization before [he period expires, the time for making an assessment will be further extended by the number of days the assessment is prohibrced, plus 60 days Ending date of first tax year 9/30!2000 iMOnill Cey and year! Name of organ~zaaon (as shown in organizing document) Date The Diabetes Network of East Hewal I, Inc. 1 Ofricer or trustee hawng authority to sign Type or pant name and ntle S~ nature ? Mary Glaee, Executive Director For IRS use only District Dire' or~r Assistant C~om'miJssioner (Em/p/lo/yee~Pl ns and Exempt Organizations) i Date For PapJ~lb~ !l'11~1P6~MbtltlWllde[psge 7 the Form 102J InstrutGOns Cy~,tt,?p, }fj9pyp_ _ ~'vtltlll?iS _ The wnnen substanttadon should also note whether the donee organ[za- p~,,,~' eon provtded any goods or smtas in constderanon, w whale or m part, SfLbStQ7t1`lQl~Oli a71[~ D7SC~QS7tlLt' ~CltfL°)7tC14t5 for the contnhuuan and, tf so, must provtde a desrnpnon and good-forth estimate of the value of the goods a smug In the new law these aze referted [o as "quid pro quo contnbuuons " UNDER THE YEW LAW, CHARlT1ES W1LL NEED TO PRO- p{~~ note that there is a new law regwrmg charities to furnish V1DE YEW [CI~DS OF IYFORMATIOY TO DONORS. Fazlure to disclosure statemenb to donors for such qwd pro quo dona[tons In do so may restil[ m den+al of deduct+ons to donors and the tmpos+tton of excess of 57S Thrs is addressed to the next section regarding Dtxlo- penalues on chanties Sure Hy Charity Legtslatton s+gned into law by the President on august 10. 1993, con- ]f the goods or services [ousts[ entuely of intangible religious benefits, taus a number of stgntficant provisions affecting tax-ezemp[ chartable the statement should mduate tics, but the statement need not describe or orgamrations described in section 501([)(3) of the Internal Revenue provide an estunaze of the value of iheu benefiu ' Intangible religious Code These provisions include (!)new substantia[ton requunments for benefits" are also discussed in the Collow+ng sxt+on on D+sclosure By donors, and (2) new public disclosiue rcqutrcmen[s for chances (with Chanty lf, on the other hand, the donor rccervcd nothing in return for potential penalises for failing to comply) Addrttonally, chances should the contnbutoon, the wnnen substantiation must so smote note that donors could be penalised by loss of the deducnon if they fail to substantiate THE SUBSTANTIATION AND DISCLOSURE The present lew remains in effect that, generally, if the value of an item PROVISIONS APPLY TO CONTRIBUTIONS MADE AFTER or group of like items exceeds E5,000, the donor must obtain a qualified DECEMBER 31, 1993 appraisal and submit an appraisal summary with the re[um claiming the deducnon Chan[ies need to familiarize themselves wuh these tax law changes in order to bung themselves loco Compliance This Publication alerts you The organize[ion may either provide xpaate statements for each contn- rb the new Qrovisiens affecting too-nemQt chartable nrganirations Srt button of'[250 or more from a taxQayer, or furnish penod~c statements forth below are beef descrip[tons of the new law's key provtstons Thc substantiating contnbuuons oC b250 or more Internal Revenue Serv+ce plans [o provtde further guidance to the near Separate payments are regarded u independent contnbuuons and are not aggregated for ptiiposes bf measuring the 5250 threshold However, the Serv+ce is authonud [o establish ant+-abuse rules to prevent avoid- ance of the substantiation requirement by taxpayers wrung separate DO11OT S StlbStQ7lll4tiOft R2QRtt7'QlftCltlS smaller checks on the same date if donations are made [hrough payroll deductions, the deducnon from each paycheck is regarded as a ieparate payment Documenting Certain Charitable Contnbueons - Begmmng Janu• ary ! , 1994, no deduction will be allowed under section 170 of the (n[er• A chanty that knowingly provides false wnnen substantiation to a donor •al Revenue Code for any chartable contribution of 5250 or more un- may be sub]ec[ ro the penalises for aiding and abe[ting an understate- ess the donor has contemporaneous wnnen substenttatton from the incur of tax liability under sccison 6701 of [he Code [henry incases where the [henry has provtded goods or serv+ces to [tx donor in exchange ter malting the contnbunon, th+s contemporaneous wrrten acknowledgement must include s good fvth estimate of the ~ ~ _r~~*t value of such goads or services Thus, taxpayers may no longer rely ~J C ~f solely on a cancelled check ro substan[ate a cash contribution of 5250 ~ Ap Qjtp ~;pn or more The substantiation must be "contemporaneous "That is. it must be ob- tained by the donor no later than the date the donor actually files a re- Beginning January I, 199a, under new sectton 6l 15 0(the In[emal Rev• cum for the tax year +n which the contnbu[ion was made If the return is ^_nue Code, a chartable organtra[ton must provtde a wnnen disclosure filed aher the due date or extended due date, then the substantiation statement to donors who make a payment, descnlxd as a "quid pro quo must have {xen obtained by the due date or extended due date contnbu[ion;' in excess of 573 This reginrcment is separate from the written substaneanon requved for deductibility purposes as discussed The responsibility for obtaining ihla substantiation lies with the do• aobve While, in certain circumstances, an orgamtattoit may be able to nor, who must request it from the charity. The chanty is not requved meet both rcquvements wrth the same wnnen document, art organize~ to record or report this tnfonnation to the fRS on behalf of donors «on must be careful to satisfy the sectton 61 l5 wnnen disclosure state- The legtslatton provides that substanisaison will !}q! be required if m incur requirement to a timely manner because of the penalties involved accordance with regulations prescribed by the Secretary, the chanty A quid pro quo contnbutton is a payment made partly as a contnbutton reports dvectly to the IRS the information required to be provtded to the and panty for goods or services provtded to the donor by the [henry M wnnen substantiation At present, there are no regulations establishing example of a quid pro quo conmbuuon +s where the donor g+ves a chaz- proceCtues for direct repontng by chances to the [RS of chartable can- ity 5!00 inconsideration for a concen ticket valued at E40 to this ex- mburons made in 1994 Consequen[ly, chanties and donors should be Np!e, E60 would be deductible Because the donor's payment (qwd pro prepared to provtde/obtarn the described substantiation for 1994 [Dorn- quo contribution) exceeds 575, the discloswe statement must be fur- butions of E250 or more nished. even though the deductible amount does not exceed S75 There is no prescribed format for the wnnen acknowledgement For Separate payments of 575 or less made a[ differcn[ tames of the year for example, letters, postcards orcomputer-generated forms may be accept- separate fundraising events will not b< aggregated for purposes of [he able The acknowledgement dos not have to include the donor's social 575 threshold However, the Serv+ce is authorized to develop an[t•abuse secunry or tax iden«ficauon numtxr It must, however, provtde suffi• rules to prevent avoidance of this dtsclosurc rcquircment in situations tent infonnacion to substantiate the amount of the deductible conmbu- such as the wnt+ng of multiple checks for the same transaction c+on The acknowledgement should note the amount of any cash [~~~n- button However, if the donation is in the fortis of property, then the The «quircd wnnen dtsclosurc statement musr aci.nowledgem<nr musr tlescnbe, but need not value, such property Valuation of the donated property is the responsibility of the donor (1) inform the donor that the amount of the conmbuuon that is de- duc[:ble for federal income [az purposes is Itmtted [o the excess the donor by an organ+7atton organtzcd exclusively (or reltgtous of any money (and the value of any progeny other than money) purposes, and must be of a type that generally is not sold in a contnbu[ed by [he donor over the value of goods or services pro- commercial vansactton outside the donative contezt 4n ex- vtded by the chanty, and ample of an intangible religious benefit would be admission to a religious ceremony The exception also generally applies to de prey ide the donor with agood-faith estunate of the value of the mtmmrs tangible benefits, such u wine. provided m connection goods or serv+: es that the donor tuetved w+th a reltgtous cettmony 'ITe intangible rcl+gtotu benefit ez- The chann• must fvrrush the statement in connection with either the cep[ion, however, does not apply to such hems as payments for solicitation or the receipt of the quid pry quo contnbunon If the dtsclo• tuition for educetron leading to a recognized degree, or for travel sure statement is furnished in connection with a particular soluttation. it servrces, or consumer goods is not necessary for the organtratton to provide another statement when ,q penalty is tmpostd on chanties that do not meet the disclosure re- the associated contnbunon is actually received qutrcments For failure to make Ne required dtsclostue in connection The dtscloswe must be in witting and must be made to a manner that is with a qu+d pro quo conmbutton of more than 575, theft +s a penalty of reasonably likely to come to the attention of the donor For example, a S IO per contnbunon, not to exceed SS.000 per fundraising event or disclosure in small pnnt w•t[hin a larger document might not mee: this mailing The chanty mey avoid the penalty if it can show that [he failure was due to reasonable cause rquircment _ to the'ollov. ing three circumstances, the disclosure statement rs not Please note that the prevailing basic rule allowing donor deductions rcquued only to the extent that the payment exceeds the talr market value of the goods or services received In return Rtll applies generally to all (l) R'here the only gads or sen•ices given to a donor meet the Stan- qwd pro quo contributions The S75 threshold pertains only to the Bards for tnsubstanttal value'set out in section 3 Ol, paragraph obligation to disclose and the Imposltlon of the S10 per contrlbutton of Rev Prot 90-12, 1990-1 C B 471, as amplified by section penalty, not the rule on dedutttbility or the payment. 2 01 of Rev Proc 929, 1992-I C B 987 (or any updates or tevuions [hcrcof), (2) Whore there is no donative element wvolved to a parttculaz t: ansaction w ith a chanty, such as in a typical museum gtfi shop Department of the Treasury sale Internal Revanua Sapid (3) WTerc there is only an tntangtble reltgtous beneft provided to I~ PuWtatron 1771 (71.93) the donor The rntengible reltgtous benefit must be provided to ` Cstsbq Number 200540 Internal Revenue Service Bulk Rate 1111 Constitution Avenue, NW Postage and Fees Paid Washington, D.C. 20224 las Permit No G-48 ACORD CERTIFIC. _.'E OF LIABILITY IN l,fu4NCE DATC (MMIDOf1'1T 01/24/2001 P u (808)540-3333 (808)540-3334 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE American Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 900 Fort St . Mall , SuT to 500 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW Honolulu, HI 96813-3705 INSURERS AFFORDING COVERAGE INSUacD T e Ta etes Networ o East HawaT a INSURERA First Fire dl Casualty Ins. Diabetes Education b Counseling Center INSURERB 1261 Kilauea Avenue, Suite 70 INSVRERC Hilo, HI 96720 INSURERD INSURER E E THE P LICIES OF INSURANCE LIST D EL W HAVE N I SU TO THE IN URED NAM DAB V FO THE OLI Y PERIOD INDICA ED N ITHSTANDING ANY REOUIREMEN7, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEn IiFREHI IS SUB IFf T Tn qLL THE TERMS EYC! USICNS ANO CONCITIO"!~ OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS LTR TYPE OF INSURANCE POLICY NUMBlR OAT[ MMRI GATE (MMIDDM'I LIMITS 0lNERAL LIABILITY 46 D6~D2~2UD0 06~D2~2DD1 EACH OCCURRENCE 3 1 G00 J( COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (AnyaN fra) f SG D CLAIMS MADE ~ OCCUR MED EXP (MyoM p.nan) f S GG A PERSONAL S ADV INJURY S 1 DOO O GENERAL AGGREGATE f 2 OOO 00 GENLAGORECATE LIMIT APPLIES PER pRODUCTB-COMP/OP AOG S 2 GGG O POLICY PRO- JECT LOC AUTOMOBILE LIABILT' COMBINED BINGLE LIMB f ANV AUTO IEP laiE~nt) ALL OWNED AUTOS BODILY INJURY f SCHEDULED AUf05 (Pr ~SOnI HIRED AUTOS BODILY INJURY f NOH-0WNED AUTOS (IM ~4q~nt) PROPERTY DAMAGE f (P•r ¢tlE~np GARAGE LIABILITY AUTO ONLY • EA ACCIDENT f ANY AUTO OTHER THAN GACC f AUTO ONLY AOG f E%CBSS LIABILITY EACH OCCURRENCE f OCCUR ? CLAIMS MADE AGGREGATE S f DEDUCTIBLE f RETENTION f 3 MIORNERB COMIlMBATON AND TORY LIMI S ER EM?LOYlRS' LIABILITY E L EACH ACCIDENT f E L DISGSE - G EMPLOYE f E L DISGSE • POLICY LIMIT 3 THER I 1 ertificata holder is named as an additional insured to the extant set forth in the General liability olicy provisions. Re: Non-profit grants A ADDITK)NAL INBURCD, INSURER LlTT[R BNOULD ANY OP TN! ABOV! DlBCRIBED ?OLICIN! B[ CANClLLED BEFOR! THE !%IIRATN)N DATC THe1BOP, THE IBBIRNO COM/ANY WILL lNOGVOR TO MAIL County of Hawai 1 ~jL own wRRTn~ Nonce To TNB caRnIICAn NOLDCR NAMED Tb THE LEri, Dept. of Finance BUT FULURCm MNL OUCH NOTICC BNALL IMIWlNO OBLIGATION OR LIABILITY 25 Aupuni Street orANrwnou?oNTNec ANr rrsAacNraoRRBPRBBENrArneB Hilo, HI 96720 , i ~ i n STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 1010 Richards Street P.O. Box 40, Honolulu, Hawaii 96810 In the Matter of Incorporation ) of ) The Diabetes Network of East Hawai i, Inc.) ARTICLES OF INCORPORATION The Diabetes Education and Counseling Center 1221 Kilauea Ave., Suite 70 Hilo, Hnwal'i 96720 STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 1010 Richards Street P.O. Box 40, Honolulu, Hawai' i 96810 In the Matter of Incorporation ) of ) The Diabetes Network of East Hawai 4 Inc.) ARTICLES OF INCORPORATION The undersigned, a majority of whom are citizens of the United States, desiring to form aNon- Profit Corporation under the Non-Profit Corporation Law of the State of Hewai'i, do hereby certify: ARTICLE I The name ofthe corporation shall be THE DIABETES NETWORK OF EAST HAWAII, INC. ARTICLE II The address for the principal office of the Corporation is in the Hilo Shopping Center at 1221 Kilauea Ave., Suite 70, Hilo, Hawaii 96720, this is in the City of Hilo, in Hawaii Cotutty. ARTICLE III The period of duration is perpetual. ARTICLE IV Purpose Scction 1 The purpose of THE DIABETES NETWORK OF EAST HAWAII, INC. is to promote and provide charitable, educational and scientific endeavors for people with diabetes, their families and health professions providing their care, and the transaction of any or alt lawful activities for which nonprofit corporations may be incorporated under Chapter 415B, Hawai i Revised Statutes. Section 2 In furtherance of said purposes, THE DIABETES NETWORK OF EAST HAWAII, INC. shall have all powers, rights, privileges and immunities, and shall be subject to all of the liabilities conferred or imposed by law upon corporations of this nature, and shall be subject and have all the benefits of all general laws with respect to nonprofir corporations. ARTICLE V The number of DuecWrs (the Ohana) shall not be less than three (3) and the number of directors constituting tho initial Board of Directors (the Ohana) is ten (10). Edne Baldado, RN, BSN 2300 Kilauea Ave Hllo, HI 89720 Karon Dsiimont 15-1189 Aulna Street Pahoa, HI 99778 Alan Dol 1250 Kumukoa Street Hilo, HI 96720 Kiyoko Dol 1250 Kumukoa Street Hllo, HI 96720 Jeanne Gates, PA-C 77 Neeuao Street Hlb, Ht 99720 Mery Glaee, DD 1911 Kalanlsnaole Ave. Hilo, HI 88720 Jon Martell, MD 235 Kalulenl Street Hllo, HI 96720 Jamb McCortnlck, MPH, BSN 235 Kalulani Strset Hllo, HI 88720 Mlles Nakatsu, R.Ph 211 Koomalu Street Hlb, HI 96720 Nora Welerf, RN, BSN 2550 Alneola DrAe Hib, HI 86720 The names and address of the persons who are the initial officers of the corporation are as follows: Pella 2 d ~ PRESIDENT or SPEAKER OF THE OHANA Nora Waters, RN, BSN 2550 Ainaola Drive, Hilo, HI 96720 VICE PRESIDENT or KOKUA Karen Delimont 15-1199 Auina, Pahoa, HI 96778 SECRETARYorRECORDER Miles Nakatsu, R Ph. 211 Hoomalu Street, Hilo, HI 96720 TREASURER Edna Baldado, RN, BSN 2300 Kilauea Ave., Hilo, HI 96720 EXECUTIVE DIRECTOR Mary Glass, QD 1911 Kalanianaole Ave., Hilo, HI 96720 ARTICLE VI The corporation has no members. Its affairs shall be managed by a Network Board of Directors, referred to as the Ohana. ARTICLE VII THE DIABETES NETWORK OF EAST HAWAII, INC. is nonprofit in nature, and shall not authorize or issue shares of stock. No dividends shall be paid and no part of the income or profit of the corporation shall be distributed to its directors or officers, except for services actually rendered to the corporation. No part of the net earnings of the corporation shall inure to the benefit of, or be distributable to its members, trustees, officers or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes herein. Page 3 d 4 No substantial activities of the corporazion shall be the carrying on of propaganda, or otherwtse attempting to influence legislation, and the corporation shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of or in opposition to any candidate for public office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under section 501 (c) (3} of the Internal Revenue Code or the corresponding section of any future federal tax code, or (b) by a corporatton, contributions to which are deductible under section 1700(c) (2) of the Internal Revenue Code, or the corresponding section of any future federal tax code. ARTICLE VIII Upon the dissolution of the corporation, the Board of Directors (the Ohana) assets shall distribute the assets of the corporation to a nonprofit corporation operating in East Hawaii whose purposes are similar to those of THE DIABETES NETWORK OF EAST HAWAII,INC, We certify under the penalties of Section 41 SB-158, Hawaii Revised Statutes, that we have read the above statements end that the same are true and correct. Witness my hand this ~ day of December 1999. Karen Deli nt Ma t} a.p•4a~ ! FORM DNP-3 ( 1 /2000 1 STATE OF HAWAII DEPARTMENT OF COMMERCE ANp CONSUMER AFFAIRS 8uelne00 Repletretfon DIvlalon 1010 Richards Street RR Med(nq Addreee: P.O. Box 40, Honolulu, Hewsll 98810 D lS ~ I ARTICLES OF AMENDMENT ,mil 2 2 ~ D I Dept of Commer~ 3 eaaner Affairs PLEASE TYPE qR pR1NT LEGIBLY fN BLACK INK STAiF ~ HAIyAII The underelgned, duly authorized otllcera of the corporandn submitting these ArtlGas o1 Amendment, certlty as follows + The name of the eorporat~on is 2. The emendment(a) adopted Is anached. 3 The nmendrnant(s) was adopted (check one): et a meetlnp of tho memben nerd on ~MOn(a ar r«.( - A quorum was present at the meetlnp, and at feast two-thuds of the memben preterit at the meetlnp voted to adopt the amandmentle), OR by the written consent of all of the memben of the eorpontlon antlded to vote; ~~j ac f meetlnp o{ the Board of Dlnetore held on / ~ d°~ ~ ~ (Mont Dq Y«r) A quorum was proaent et the meetlnp, and a maJoriry of the rectors In office voted to adopt the amendment(s), OR j by the written consent of aff df the Aoard of Dlnetore a The amendment(s) was adopted by the Board of Olreetort because (shark one)• the corporation has no memben, OR ~ there era no members entitled to vote We certify under the penaltlea of Section 4158-158. Hawed Revised Statutes, that we hove read the above etetemente snd that the eeme are true entl correU Signed this II 11 Cey of Vice-President 11 ~,S N ~ , ~fCrt•}a ~~~CD.f1i'~ (ryp? erica a nwl rhn Nvry a'~w) r 0'r:u! (Lautui~ d dflltrrl ATTACI~'(FN1' TO ARTICLES UE' AMENUIvfb'.v'T OF 7~I~E DIABETES ti'ETWORK OF EAST HAWA!'1, INC. -~rucle VIII ~s amended as 2ol:orrs "In the event of dissolution, the residual assets of the organization will be turned over to one or more organizations which themselves are exempt as organizations described in sections SOl(m3) and (170(2) of _ the Inrernnl Revenue Code of 1986 or carresponding sections of any' prior or future internal Revenue Code, or to the Federal State or local government for exclusive public purpose." ATTACHMENT TO ARTICLES OF AMENDMENT OF THE DIABETES NETWORK OF EAST HAWAII, INC. .article VIII is amended as follows "In the event of dissolution, the residual assets of the organization will be turned over to one or more organizations which themselves are exempt as organizations described in sections 501(D3) and (170D(2) of the Internal Revenue Code of 1986 or corresponding sections of any prior or future Internal Revenue Code, or to the Federal State or local government for exclusive public purpose." BYLAWS OF THE DIABETES NETWORK OF EAST HAWAII REVISED AS OF NOVEMBER 1S, 2000 ARTICLE I \Tame, Principal Office and Registered Office Section 1. Name The corooration shall be known as the Diabetes Network of East Hawaii Inc.. (hereafter. The Networkl di2!• The Diabetes Education and Counseling Center. Section 2. Principal Office The nrinciual office of the Corporation shall be: The Diabetes Network of East Hawal'1. dba The Dlabeta Education and Cougsetlna Center. 1221 Kilauea Ave.. Suite 70. Hilo Shoootng Center. Hib. Hawai196720. The Corporation tray have other offices or physical facilities as necessary to accomplish its mission. ARTICLE II: M[uion The Corporation is organized for charitable and educational purposes to promote wellness among individuals with diabetes, their families and the community in general. The purpose of the Diabetes Network ofEast Hawaii is: A. To further community-based, client-oriented, culturally-relevant, collaborative education for individuals with diabetes; B. To promote the development of health professions education which emphasizes primary care for individuals with diabetes within East Hawaii. C. To foster cooperation and collaboration among health professionals, medical institutions and communities to East Hawaii. D. To create opportunities for building partnerships between educational and medical institutions involved in the Network and the diverse communities of need in Hawaii County. E. To enable health care providers to create and implement interdisciplinary approaches to the health care needs of people with diabetes in the Network service area; F. To provide for training of health care professionals that emphasizes cultural competence and responsiveness to community defined health caze needs; and G. To provide for evaluation of the effectiveness of health education programs and training provided by the corporatton. ARTICLE III: Network Manaaemept Section 1. General Powers The Network affairo shall be managed by Network Board of Directors, suhseauently re[erred to as the Board. The Board will be composed of between 10 and 20 memben. if possible. Section 2. Number and Membershtp Membership in the Network shall be of three types: Voting Member, Advisory Member, or Support Member. Section 3. Qualifications Voting Members: To become a voting member the individual must attend at least two (2 ) consecutive board meetings. and then appiv to the board for voting member status. Advtsory Members: Advisory members are encouraged to attend at least one meeting per quarter. Advisory members tnay enter discussions, and may work on committees, but may not vote. Support Members: Support members an not required to attend meetings. Support members may not vote. Support membership denotes that the individual or organization desires to be kept informed ofNetwork activities, for the purpose of supporting these activities. Section 4. Terms of Office and Selection of Voting Memben: a. Voting Members will be elected to the board. by a 3/4 maiority vote of the members present at the monthly scheduled meetiaa. b. There are no spectilc term limits for Votipa Memben, however board memben are asked to commit to 2 consecutive vean service on the board. c. Voting Members may receive reimbursement for reasonable expenses incun•ed in connection with corporate matters, provided that such reimbursement is authorized by a vote of the Boazd. Section 9 Presumption of Assent: a. All Voting Members present at a meeting of the Board, or one of its committees, at which action on any corporate matter is taken, will be presumed to have assented to the action taken unless his or her dissent is entered mto the minutes of the meeting, or unless he or she files a written dissent and submits such to the Recorder of the meeting of the Board immediately after the adjournment of the meeting. b. No Voting Member will have the right to dissent on an action on which he or she voted favorably. ARTICLE IV: Meetina~ of the Diabetes Network of Ewst Hawsi'i Section 1. Meetings: All meetings of the Network will take place in an open forum with public announcement of meeting date and time. All business undertaken by the Board shall be in an open meeting with input and participation allowed by voting and non-voting members. Section 2 Regular Meetings: Regulaz meetings ofthe Network shall be held no less than monthly, and may be held at more frequent intervals when necessary to transact the business of the Network Section 3. Special Meetings: Special meetings of the Network may be called by the written request of any two members of the Board or the Speaker of the Board. Section 4. Notice: Regular meetings of the Network shall be conducted at 12:15 p.m. until 1:30 p.m. on the fourth Tuesday of each month. No additional notice need be given for regular meetings. Notice of all special meetings ofthe Network shall be provided to each Voting Member at least five days prior to the time fixed for the meeting. c. Vasancies may be filled by eligible individuals nominated to the Board as soon as they occur. c. Successor will be nominated by the Board, and elected to the Board bye 3/4 maiority vote otthe Board Members present at the monthly scheduled meeting. Section 5 Attendance & Behavior of Votlna Members: a. Votlna Members are e:pec~ed to attend at least 2/3 of the reauhtr and special meetings of the boa each year. October throue6 September. b. Votlna Members are expected to keep track of reaulred mout6ly r~etlea times. and have the courtesy to advise tle Executive Director o~helr absence from regularly scheduled board meetlegs, prior to meetlug time. c. Votlna Members are expected to keen abreast of issues pertinent to the board. and to request a packet of meetlua information from the Executive Director, if an absence is unavoidable. Section 6. Removal: a. A Voting Member may be removed from the board. by a maiority ~e of the Board for failing to fulfill the ethical or behavior standards set by the Board. b. A Voting Member who bas missed 4 meetings in a year, or 3 consecutive meetings may be removed from the board by s malority vote of the Board. Section 7. Resignation: a. Any Voting Member may resign at any time by giving written notice to the Speaker of the Board. A resignation will be effective on the requester date, or if no date is specified, on the Speaker receives the resignation. Section 8. Compensation of Voting Members: a. Voting Members will not receive any compensation for their services on the board by the corporation. b. Voting Members may receive reasonable compensation for personal and professional services, which are required to carry out the exempt purposes of the corporation, where payment has been authorized in advance by a vote of the Board. Notice may be provided by mail, a-mail, or fax at each Votmg Members preference. Any Voting Member at a meeting shall constitute a waiver ofnotice, except where a Voting Member attends a meeting for the express purpose of objecting to the transactton of any business because the meeting is not lawfully called or convened. Notice of a special meeting shall specify the business to be constdered at the meeting Section 5. Ouorum: At all scheduled meetings of the Network. the Voting Members present who are then in good atandina pursuant to these Bvlaws. shall constitute a quorum for tho transaction of busfness. Section 6. Manner of Actmg: a. The Boazd will act by individually polled oral vote, aRer appropriate discussion, on issues proposed. b. Voting Members may vote either: in favor of, against, or pass on the action proposed. c. The sneaker will attempt to achieve CONSENSUS among the Voting Members on vital issuoa, An action will be passed if a roaiority of voting member nresentand in good atandina. vote in favor, at anv meeting that is oronerly rnnvened. IS the rote b at least SO°/. but not 75% of the membcn in favor of the oronasai. the sneaker may decide to convene an ad hoc committee for the ournose otfurther e=amining the issue. d. AD HOC (temporary) COMMITTEES: If such a majority agreement cannot be reached or is low, and IF there are members interested informing a committee to further examine the issue, the Speaker MAY appoint such an ad hoc committee to meet prior to the next scheduled meeting. The special commtttee tray review the issue, suggest alternatives or new information, and may propose a vote at the next scheduled board meeting. Section 8: Actton in Lieu of Meeting. The Board may act without calling a meeting as long es the following condttions aze met: a. The proposed action must be submitted in writing or fax to all Voting Members through the Executive Director. b. A m lority of Votive members must resuond to the reoueat for a vote. c A maiority of the returned vote must be In favor of the proposed action. d Votes must be returned by signed fax from the Voting member, of by a personal phone call, to the Executive Director within 2 working days of the fax vote request. Section 9: Conduct of Meeting: The Network Boazd follows the basic protocols of a standard policy making, governing board. All questions of order not provided for in these Bylaws will be determined by a 3/4 majority of the Voting Boazd. Section 10: Meetings by Telephone or Other Communication Technology. a. Any or all Voting Board members may participate in a regulaz or special meeting or in a committee meeting of the Network by, or conduct the meeting through the use of, telephone or any other means of communication by which either: (i) all participants may simultaneously hear each other during the meeting or (ii) all communication during the meeting is immediately transmitted to each participant, and each participant is able to immediately send messages to all other participants. b If a meeting will be conducted through the use of any means described in paragraph (a), all participating Voting Members shall be informed that a meeting is taking place at which official business may be transacted. A Voting Member participating in a meeting by any means described in paragraph (a) is deemed to be present in person at the meeting. ARTICLE V• Ofllcers Section I. Officers The principal officers of the corporation shall be a Speaker of the Board who shall also be President of the corporation, a Co-Speaker who shall also be V ice President of the corporation, a Recorder who shall be the Secretary, and a Treasurer. Other officers and assistant officers may be selected or appointed by the Network as necessary to conduct the business of the Network Board. I Section 2. Nominations, Elections and Term of Office. a. All Officer elected by the Network shall be elected to a one (1) year term of office at the annual September meeting of the Network. b. Term of of~'ice will run from October 1 through September 30. Officers shall hold office until theft respective successors shall have been duly elected the following year, or until they shall resign, or be removed from office. If the annual meeting and elections are not held in September, they shall be held as soon thereafter as possible. c The Speaker, Co-Speaker, Recorder, and Treasurer shall be nominated and elected from the Voting Members of the Network. d. A Nominating Committee aaoolnted by the Sneaker at the annual August meetlan shall develop nomiaatioas for Board officers. e. At the anneal September meeting. the Sneaker will request the nominations from the Nomiaatin¢ Committee. and MAY request additional nominations from the fbor. f. The Sneaker will inauiro Itthe candidates are willing and able to serve. Those who ro[uao w111 be eliminated from the ballot. t:. If there Is only Qae candidate for an officer. the Sneaker will move to accent the rooort of the Nominating Committee, and instruct the Secretary to cast a nnanimoas ballot. 6. It no 3/4 naiorlty vote ezlsts in the field of nominees, the lowest will be removed and the Sneaker wUl request a re-vote of the two hi¢hest. i. Tie Speaker will not vote, bat will cast the deciding vote in the case of e rig. i. No person may serve more than two (21 consecutive one (11 veer terms ss an oficer of the Board, ezcet?t after an absence from the Voting Board of one (11 year. Section 3: Removal of Officers Any Officer or employee selected or appointed by the Network may be removed by the Network whenever in its judgment the best interests of the corporation will be served thereby, but such removal shall be without prejudice to the contract right, if any, of the person so moped Election or appointment shall not of itself create contract rights. Section 4 Vacancies A vacancy in any ofi'ice because of death, resignation, removal or disqualification, or any other cause shall be filled for the unexplored portion of the term by appointment made by the remaining members of the Executive Committee subject to 3/4 ratification by the Voting Membem. Section 5. Speaker The Speaker of the Network shall preside at all meetings of the Network. He or she shall appoint all committees other than the Executive Committee. The Speaker shall perform those duties assigned to him or her by the Network The Speaker shall also be the principal executive officer ofthe corporation (President), and subject to the control of the Network, shall control the business and affairs of the corporation. The Speaker shall, when present, preside at al] meetings of the Network. The Speaker may sign, with the Recorder or any other proper officer of the corporation thereunto authorized by the Network, any deeds, mortgages, bonds, contracts, or other instruments which the Network has authorized to be executed, except in cases where the signed and execution thereof shat] be expressly delegated by the Network or by these Bylaws to some other officer or agent of the corporation, or shall be required by law to be otherwise signed or executed. Seaton 6. Co-Speaker At the request of the Speaker, or in his or her absence or disability, the Co- Speeker shall perform all of the duties of the Speaker when so acting, shall have all the powers and be subject to all the restrictions upon the Speaker. Tho Co- Speaker shall assist the Speaker in directing the business and affairs of the corporation and shall perform such other duties and have such authority as from time to time may be assigned to loin or her by the Nctwork. Section 7. Recorder The Recorder shall keep, or cause to be kept, the minutes of the teetings of the Network and shall see that all notices are duly given in accordance with the provisions of these bylaws or as required by law. The Recorder shall be the custodian of the seal, records, books, reports, statements, certificates and other documents of the corporation and see that the seal of the corporation is affixed to all documents requiring such seal. In general, the Recorder shall perform all duties and possess all authority incident to the office of Recorder, and perform such other duties end have such other authority es from time to time may be assigned to him or her by the Network Section 8. Treasurer The Treasurer shall have supervision over the administration of funds, securities, receipts and disbursements of the corporation and shall cause to be kept an accurate account of all income, receipts, donations, grants aad all expenditures and shall cause a report to be made regularly to the Voting Board. An accounting firm selected and retained by the Network will perform disbursement of funds, records of accounts and periodic audits. The Treasurer shall perform such other duties and have such other authority as from time to time may be assigned or granted to him or her by the Network Section 9 Other Assistants and Acting Officers The Network shall have the power to appoint any other member of the Voting Boazd to act as assistant to any officer, or to perform the duties of such officer whenever for any reason it is impracticable for such officer to act personally. An assistant or acting officer appointed by the Network shall have the power to perform all the duties of the office to which such person is so appointed to be assistant unless otherwise defined or restricted by the Network. ARTICLE VI: Committees Section 1. Committees The Network may establish standing and special ad hoc committees as needed. The purpose and purview of each committee so established shall be adopted in writing by the Network and shall remain on file in the corporate offices. A copy of the purpose of each such committee shall be available to each Voting Member. The Speaker shall appoint the members of such committees from among the Voting Members. With the concurrence of the Network, individuals who are not members of the Network, who have special kmwledge or background that may be appropriate to the cotnmittee task force, may be appointed to serve on such committees in an advisory or consultative capacity. Section 2. Task Forces The Executive Board may create one or more special task forces to study and make recommendations regarding Network programming in specific areas (e.g. gerontology). The Voting Members shall appoint the members of the task forces. Such task forces shall be subject to review of the Network within three (3) months of their creation Section 3. General Members of all Board committees other than special ad hoc committees shall hold office for one year, and until their successors shall be duly selected. Each committee may formulate its own rules for the conduct of its business. No committee of Board members shall be empowered to act in lieu of the entire Network. All Voting Members of the corporation who are not members of a given committee shall be alternate members of such committee end may take the place of any absent member or members at any meeting of such committee, upon the request of the Speaker of such committee. ARTICLE VII: Indemnification of Voting Members. Otrcers. Emolovees. and A ents Section 1 Mandatory Indemnification The corporation shall, to the fullest extent permitted or required by Hawaii Revised Statutes indemnify its Voting Members and Officers against any and all Liabilities, an<t advance any and all reasonable Expenses, incurred thereby in any Proceeding to which any Voting Member or Officer is a Party because such Voting Member or Officer is a Voting Member or Officer of the corporation The corporation may indemnify its employees and authorized agents, acting within the scope of their duties as such, to the same extent as Voting Members of Officers hereunder Tl~e rights to indemnification granted hereunder shall got be deemed exclusive of any other rights to indemnification against Liabilities or the advancement of Expenses which such Voting Member or Officer may be entitled under any written agreement, Voting Member resolution, vote of the members, the Statute or otherwise. Section 2. Permissive Supplementary Benefits The Corporation may supplement the foregoing right to indemnification against Liabilities and advancement of Expenses under Section 1 of this Article by the purchase of insurance on behalf of all the Voting Members. Section 3. Private Foundation Limitations Notwithstanding the foregoing, no indemnification will be permitted to the extent such indemnification would constitute an act of "self-dealing" or is otherwise subject to excise taxes under Chapter 42 of the United States Internal Revenue Code of 1986, as amended, or prohibited under Hawaii Revised Statutes. ARTICLE VIII: Conflict of Interest Section 1. Conflict of Interest a. Each Voting Member shall disclose to the Network any duality of interest or possible conflict of interest whenever the duality or conflict pertains to a matter being considered by the Voting Board. b. Any Voting Member having duality of interest or conflict of interest on any matte shall abstain from all relevant discussions and from voting on the matter and shall not be counted in determining the quorum for the vote on the matter. c. The minutes of the meeting involving any such situation shall reflect that a disclosure was made the abstention from voting, and the quorum situation. d. If a Voting Member is uncertain as to whether he or she has a duality or conflict of interest wfiich requires abstention, or if a Voting Member asserts that another Voting Member has such a duality or wnflict, the Voting Board, by consensus of those present other than the Voting Member having the possible conflict, shall decide whether abstention is requ><ed If so, the Voting Member will be deemed to have abstained e No purchase involving more than 5150 from any Voting Member or any entity of which the Voting Member is an officer, Board member, partner or owner shall be made without prior approval of the Iv'etwork. Section 2. Corrtracts Between the Corporation and Related Persons Any contract approved by the Voting Board after adherence to all guidelines regazding conflict of interest contained in Section 1 above shall be valid. ARTICLE IX: Prohibited Transactions The corporation shall not, and neither the Voting Members nor the Officers shall have any power to cause the corporation to: a. lend any part of its income or corpus, without the receipt of adequate security and a reasonable rate of interest; b. pay any compensation, in excess of a reasonable allowance for salaries or other compensation for personal services actually rendered; c. make any part of its services available on a preferential basis; d. make any substantial purchase of securities or other property, for more than adequate consideration in money or money's worth; e sell any substantial part of its securities or other property, for more than adequate consideration in money or money's worth; f Engage in any other transaction which results in a substantial diversion of its income or corpus to any person who has trade a substantial contribution to the corporation, a brother, sister, spouse, ancestor or lineal descendant of such a person, or a corporation directly or indirectly controlled by such a person Any transaction which violates the foregoing prohibitions shall be absolutely void as to the corporation and the Voting Members who authorized or effected the same shall be jointly and severally liable in their individual capacities to revoke or rescind the transaction and to restore the corporation, its income and corpus, to the condition prevailing before the transaction was attempted. ARTICLE X: Contracts. Loans. Deposits. Checks. Drafts Section 1 Contracts Except as otherwise provided in the Bylaws, the Network may authorize any Voting Member, any Officer or Officers, agent or agents to enter into any contract or to execute or deliver any instrument on behalf of the corporation, and such authority may be general or restricted to the specific instances. Section 2 Loans No loans shall be contracted on behalf of the corporation and no evidences of indebtedness shall be issued in its name, unless and except as authorized by the Network Such authority shall be confined to specific instances. Section 3. Deposits All funds of the corporation not otherwise employed shall be deposited to the credit of the corporation in such banks or trust companies or with such bankers or other depositories as the Network may select. Section 4. Checks, Drafts All notes, drafts, acceptances, checks and endorsements or other evidences of tndebtedness shall be signed by the Executive Voting Member, and if exceeding $150.00, by the Executive Voting Member and the Treasurer, or in such other manner, including facsimile signature, as the Network from time to time may determine by resolution. Endorsements for deposit to the credit of the corporation in any of its duly authorized depositories will be made by the Executive Voting Member or Treasurer or by any officer or agent who may be designated by resolution of the Network in such manner as such resolution may provide. Section 5. Gifts The Network may accept on behalf of the corporation any contribution, gift, bequest, grant, or devise for the general purpose or for any special purpose ofthe corporation. ARTICLE XI: Corporate Seal The Corporate Seal shall bear the name Drabetes Network of East Hawaii, Inc. ARTICLE XII: Fiscal Year The fiscal year of the corporation shall begin on October 1" of each year. ARTICLE XIII: Annual Report The Network shall at the request of the Voting Board, retain the services of a qualified auditor to render a true statement of the operations and properties of the corporation for the preceding fiscal year to be made and communicated to the members of the Network within four (4) months after the end of the fiscal yeaz ARTICLE XIV: Amendment of Articles of Incorporation The Articles of Incorporation may be amended by the Network by a 3/4 vote of the Voting Boazd Members, at a regular meeting or special meeting called for that purpose, provided that notice of such intent to amend the Articles of Incorporation be given to the Voting Board Members at least fourteen (14) days m advance of the meeting at which such amendment is to take place, and provided that no amendment shall cYange subetaotisily the original ourooses of the corporation. ARTICLE XV: Adoption gad Amendment of Bvlawa These Bylaws may be suspended, amended, or repealed and new Bylaws may be adopted by a 3/4 majority of the Voting Board Members, at a regular meeting or a special meeting called for that purpose, provided that notice of such intent to amend the Bylaws and copies of the proposed amendments to the Bylaws by given to the Voting Board Members at least fourteen (14) days in advance of the meeting at which such amendment or repeal is to take place. END OF BYLAWS Signed: ~ Dated: /y-/~O'T) Title: