HomeMy WebLinkAboutCOM 0667.011 1998-2000.4
Stephen K. Yamashiro
Mayor
County of Tipthaii
DEPARTMENT OF FINANCE •
25 Aupum Street, Room 118 • Hilo, Hawaii 96720 -4252
(808) 961 -8234 • Fax (808) 961 -8248
HAWAII COUNTY NONPROFIT GRANTS (FY 2000 -01)
HUMAN SERVICES NONPROFIT GRANTS REVIEW COMMITTEE (HSNPGRC)
FISCAL YEAR ENDING:June 30, 2001 DATE OF APPLICATION:
GRANT APPLICATION FOR: Outreach /Education Program
(Program Title)
Legal Name of Organization: Bridge House, Inc.
✓ 4 /i3 S ca a^+^R�I � ..
✓50nv1.561.1u.4' Harry A. Takahashi.
Director
Mailing Address: P.O. Box 2489, Kailua —Kona. HI 96745
Facility/Site Address: 78 - 6687 A Mamalahoa, Hwy, Holualoa, HI 96725
Director /Site Manager: Cheryl Taupu Phone: 808 322 - 3305
Organization President: Walter Welton Phone: 808 329 - 7079
Contact Person (Grant Writer) Cheryl Taupu Phone: 808- 322 -3305
Amount of request for County funds:
Total annual budget of organization:
Has the applicant applied for any other funds from the County of Hawaii this fiscal year?
0 Yes
$ 16,448.00
s 297,463.00
Source /Department: if No
Agency /Program(s): 0 Social Services 0 Youth Programs (. Elderly Programs
Check Category (ies) v Culture and Arts CS Education d Other,
Drug and:Alcohol Rehabilitation
Briefly, define the program for which funding is being requested:
Outreach /Education Program to disenfranchised substance abusers.
I
S. K. Schutte
Deputy
Comm,
File No._ QA/vl
Ref.
Ref. Date FEB 2 3 2000
J
I.
II.
OUALIFYINGONDARDS FOR APPLICANTS
An applicant must meet all of the following standards:
•
•
Be chartered or otherwise authorized to do business in the State for charitable purposes and
exempted from the Federal income tax by the Internal revenue Service.
• Have a governing board whose members serve without compensation and have no conflict of
interest between their regular occupations and the services provided.
• Have bylaws or policies which describe the manner in which business is conducted, including
management, audit, fiscal policies and procedures, policies on nepotism, and policies on
management of potential conflict of interest.
• Have at least one year's experience with the service or activity for which the appropriation is
sought or can otherwise demonstrate to the satisfaction of the County sufficient expertise to
successfully carry out the service or activity.
• Be licensed and accredited in accordance with applicable requirements of Federal, State and
County laws.
GRANT CONDITIONS
The applicant agrees to comply with the following terms & conditions prior to receiving a grant award.
A. Comply with applicable Federal and State laws prohibiting discrimination against any person on
the basis of race, color, national origin, religion, creed, sex, age, or handicap.
B. Agree not to use any public funds for purposes of entertainment or perquisites.
C.
Comply with such other requirements as the Director of Finance may prescribe to ensure adherence
by the nonprofit organization with Federal, State, and County laws, and established standards for
fiscal and program management.
D. Allow the Director of Finance, the committees of the council and their staffs, and the Legislative
Auditor access to records, reports, files, and other related documents in order that the program,
management, and fiscal practices of the nonprofit organization may be monitored and evaluated to
assure the proper and effective expenditure of public funds.
RECORDS AND REPORTS
A. The applicant shall follow generally accepted accounting procedures and practices and shall
maintain books, records, documents, and other evidence, which sufficiently and properly account
for the expenditure of County funds. The books, records and documents shall be subject at all
reasonable times to inspection, reviews, or audits by the County expending agency, the Director of
Finance, and the Legislative Auditor, or by their representatives.
B. The County expending agency, Director of Finance, or County Council may request periodic
written reports on the use of County funds.
C. The nonprofit organization shall submit a final written report to the Legislative Auditor within
sixty (60) days after June 30 of the fiscal year. The report shall include an explanation of the
public benefits derived from the awarding of the grant and a listing of other funding sources and
amounts obtained during the award period.
2
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IV. OUARTERLY ALZOCATION
Under no circumstances shall grant funds be disbursed in a lump sum payment. Grant funds will be
disbursed to Grantees only through a quarterly allocation process. The disbursement of grant funds can be
formulated on an equal quarterly apportionment basis.
V. GRIEVANCE PROCEDURE
The applicant will adopt and maintain a grievance procedure to assure proper accounting for any concerns
and complaints about its programs or services that may arise from its members, employees, clients or from
other members of the public.
VI. DISCLOSURE OF INFORMATION
All information, data, or any other material provided to the County by virtue of this application shall be
subject to the Uniform Information Practices Act (UIPA), ch. 92F, Hawaii Revised Statutes. All such
material is deemed government record and shall be open to the public and may be provided to other public
and/or private funding sources.
VII. CONTINUED ELIGIBILITY
Any applicant or recipient who withholds or omits any material facts or deliberately misrepresents
such facts to the County of Hawaii shall: 1) Immediately be disqualified from consideration for Nonprofit
Grant funding; OR 2) be in violation of the terms of the Grant Agreement of County funds in which case a
grant agreement can be terminated by the County and the recipient or provider may be liable to reimburse all
or a portion of any funds received therein.
VIII. ACKNOWLEDGMENT
3
•
Bridgg House. Inc.
(Legal Name of Organization)
hereby agrees to administer the Outreach /Education Program
(Program Title)
in accordance with the regulations, policies and procedures prescribed by the Hawaii County Finance
Department. Distribution of grant funds is limited to grantees, which are in compliance with County
regulations, policies and procedures. The County reserves the right to withhold grant distributions at any
time the grantee is not in compliance. It is the policy of the County of Hawaii and for those who do business
with the County to provide equal employment opportunities to all persons regardless of race, physical
disabilities, color, religion, sex, age, or national origin as mandated by the Federal Civil Rights Acts, as
amended, and any other federal or state laws relating to equal employment opportunities.
IX. AMENDMENTS TO 'I HE APPLICATION/EVALUATION
The applicant assures that it will submit to the HSNPGRC for prior review and approval, a written request
and justification for any changes, additions, or deletions to any portion(s) of the grant application or a duly
executed Grant Agreement of County Funds. The applicant will cooperate and assist in any effort
undertaken by the HSNPGRC to evaluate, inspect or otherwise monitor the effectiveness, feasibility, and/or
cost efficiency of any and all practices, policies and procedures or activities pursuant to this application or
any grant designation or allocation received as a result of this application.
S
X. AUTHORITY AND CAPACITY OF APPLICANT
The applicant certifies that it has the authority and capacity to develop and submit this application, and to
fully administer the program(s) pursuant to this application.
UNSIGNED PROPOSALS WILL NOT BE ACCEPTED!
ign tore of President/Chairperson
Signature of E
4
/ac. =0-e
Date
Date
e
PROGRAM /SERVIODESCRIPTION
A. Overview:
•
1. Describe the program for which funding is being requested.
Bridge House is a therapeutic living and vocational skill building program, which offers substance
abuse treatment services to individuals wishing to start a new life free from the disease of
addiction.
Therapeutic Living services include a safe and clean living environment, intake, assessment,
service planning, individual and group skill building, transportation, referral, linkage, monitoring,
advocacy and follow -up.
Vocational Skill Building services are provided through a unique partnership with Bridge House
Nursery Inc., in a commercial plant nursery. Residents are given the opportunity to participate in
15 hours per week of supervised agricultural activities, which have been developed to build or
improve job skills and assist in the development of behaviors and attitudes needed for acquiring
and maintaining employment upon discharge from Bridge House.
The Outreach/Education program targets disenfranchised individuals wanting services, who
disenfranchised and normally do not access substance abuse services on their own. Services
through this program include, but are not limited to referral to substance abuse treatment, help in
obtaining public benefits, and information on 12 step programs and meeting schedules.
The goals of the Outreach/Education program are;
1. To offer early intervention service to chronic substance abusers.
2. To offer services to indigent individuals to help improve their health.
3. Identify vocational, education, financial and housing needs of residents prior to discharge.
4. Provide follow -up services to monitor and aid graduates as needed to prevent relapse and
collect data on the efficacy of the programs of Bridge House.
2. What unique or significant services will be provided?
Bridge House continues to be the only agency providing residential type services for substance
abusers in West Hawaii. Of the three agencies providing therapeutic living services statewide,
Bridge House is the only agency that has a vocational skill building component built into its overall
program, and is the only agency that has an Outreach/Education program.
The programs of Bridge House have been developed to enhance life skills, vocational skills and
recovery from substance abuse, thereby freeing addicted men and women from the bondage of
addictions and the resulting health and social problems.
3. What specific outcomes are to be achieved?
Therapeutic Living and Vocational Skill Building Program
a. 65% of all residents admitted will successfully complete /receive a clinical discharge from
Bridge House.
b. 90% of all residents clinically discharged will remain in substance abuse treatment until
clinically discharged.
c. 50% of all residents clinically discharged will remain abstinent at six months post
discharge.
d. 50% of all residents receiving a clinical discharge will be employed, in school and/or job
training six months post discharge.
a ,
e. 50% of all reside tts receiving a clinical discharge will di4f}fonstrate improved independent
living skills as evidenced by re- integration into the community.
f. 75% of all residents receiving a clinical discharge will have no new arrests at six months
post discharge.
g. 40% of all residents receiving a clinical discharge will be involved in self -help or
community support groups at six months post discharge.
Outreach /Education Program
a. 50% of the individuals contacted will access substance abuse treatment.
b. 50% of individuals admitted into Bridge House through this program will successfully
complete /receive a clinical discharge.
c. 90% of the program participants receiving a clinical discharge will remain in substance
abuse treatment until clinically discharged.
d. 30% of the program participants will remain abstinent at six months post discharge.
e. 20% of the program participants receiving a clinical discharge will be employed, in school
and /or job training at six months post discharge.
f. 50% of the program participants receiving a clinical discharge wii demonstrate improved
independent living skills as evidenced by re- integration into the community.
75% of the program participants receiving a clinical discharge will have no new arrests six
months post discharge.
h. 40% of all this programs participants receiving a clinical discharge will be involved in self -
help or community support groups at six months post discharge.
4. How will the proposed program empower participants /clients to become self -
sufficient and facilitate positive social change?
It has always been our belief that in order of residents to be successful in re- entering our
community, healthy lifestyles, vocational skills, recovery skills and the 12 -step program
need to be developed and or enhanced. To that end, Bridge House offers residents
guidance from staff and other community members, which empowers residents to become
self - sufficient.
B. Problem/Need:
The Outreach/Education program provides individuals who are disenfranchised, valuable
information needed to facilitate healthy lifestyle choices and positive social changes.
Additionally, individuals referred to Bridge House Therapeutic Living and Vocational Skill
Building program are provide extra help during the re- integration period and up to six
months post discharge to facilitate self - sufficiency and provide support so the individual
can maintain sobriety.
1. What is the problem/need the program is designed to meet?
Most health and human service providers recognize the need for substance abuse services to
disenfranchised substance abusers. These include homeless individuals, individuals living in
isolated communities and ethnically diverse populations who do not normally seek help and in
fact may only seek help after repeated visits to the hospital emergency room from injuries or
illness related to substance abuse; and repeated arrest for substance abuse related charges.
Recently, there have been articles and public meetings regarding the "homeless problem" in West
Hawaii. Most of the homeless are chronic substance abusers, or sell (deal) drugs to by food
and /or "feed" their alcohol and /or drug addiction.
The Outreach /Education program is designed to offer information and services to facilitate
lifestyle changes that helps people such as the homeless, become contributing members of our
communities.
•
• •
2. Who is the target population and what are the specific needs?
The target population are men and women 18 years of age or older with distinct characteristics
that separates them from the general population. Most of these individuals are chronic, sever
substance abusers who:
❑ have little or o financial resources
❑ may have criminal records and current or pending court cases
❑ have a multitude of medical and /or dental problems
❑ have mental health problems
❑ •are homeless
❑ are unemployed or underemployed
❑ lack employment skills
❑ are educationally deficient
❑ lack family and community support systems to help them get into and remain in
recovery
This population requires strong case management services while they receive substance abuse
treatment services. Bridge House is staffed by highly skilled individuals to ensure that residents
receive the services and support they need.
3. What are the geographical area(s) to be served, facilities and hours of operation?
Bridge House serves the Big Island. Referrals are received from the neighbor islands, but
preference is given to residents of West Hawaii.
Bridge House is located in a pleasant rural environment, on 7.5 acres of agriculturally zoned land
in Kahaluu Mauka, North Kona. The main facility is a large 4- bedroom house equipped with 2
large restrooms, a large kitchen, living and dining room areas that can accommodate 15 residents
comfortably. On the grounds adjacent to the main structure are two cottages with adequate living
space to accommodate five residents each. There are agricultural buildings that are being
utilized for the vocational skill building program.
Bridge House is staffed 24 hours a day, seven days a week. Normal business hours are between
8:30 AM and 4:30 PM on weekdays, except holidays.
C. Collaboration /Coordination:
1. What specific measures will be taken to collaboratelcoordinate with other
community resources to achieve maximum program efficiency and cost
effectiveness?
Bridge House has a lengthy history of working collaboratively with other resources in the
community. Working as part of a local, as well as statewide team ensures that the residents of
Bridge House receive quality services in an efficient cost effective manner. The community
services we work with include, but are not limited to:
Kona Community Hospital
Kapiolani Child Protection Team
Patients receive detox services and are referred to Bridge
House as part of a continuum of care. Staff and residents
also volunteer as speakers for in- service training for hospital
staff.
This agency refers pregnant and parenting females to
Bridge House. Additionally, all residents with children are
offered parenting class, once per week for six weeks.
Kailua -Kona Learning
West Hawaii Counseling Services
Dept. of Human Services /CPS
Dept. of Human Services/
Family and Adult Services
Med -QUEST
Family Support Services
Big Island Substance
Abuse Council (BISAC)
Drug Addiction Service
Of Hawaii (DASH)
Care -A -Van
NA /AA
D. Goals and Obiectives:
This agency provides res with a variety of educational
services, including literacy classes, computer classes, math
Gasses, driver's licensing & CDL classes and resume
writing class.
This agency makes and receives referrals to Bridge House.
Clients are dually diagnosed with mental illness and
substance abuse.
Refers clients to Bridge House as part of their case plan to
attain long term recovery and reunification with their
children.
Works closely with Bridge House to ensure that residents
receive temporary public benefits such as financial and food
stamp assistance. We are the only agency with a
designated Income Maintenance Worker.
Bridge House works closely with this agency to ensure that
residents receive needed medical insurance
Bridge House provides time and facilities for this agency to
facilitate supervised visits between parents with children
under CPS supervision.
Works cooperatively with Bridge House to provide
substance abuse treatment.
Has a unique relationship with Bridge House and provides
ORLAMM maintenance treatment and groups for opiate
dependent residents. Recently opened intensive outpatient
treatment similar to BISAC.
Refers homeless individuals for residency. Assist residents
in accessing dental care. (There are no dentists in West
Hawaii who will see patients under QUEST.)
Provides peer support and introduces residents to others in
recovery and a fellowship that will help maintain life long
recover.
In working cooperatively with other agencies and community resources, we ensure that residents
are provided a variety of services in a cost effective and efficient manner. If these services were
accessed through private practitioners, most of the abovementioned services would be too
expensive and out -of —reach for the majority of the residents of Bridge House. Additionally, due to
the continued lack of adequate public transportation, Bridge House provides transportation
services to and from all needed services, included out -of -area if needed.
2. How will these measures reduce or eliminate duplication of services to your
designated target group?
Because of the unique nature of the programs of Bridge House, duplication of any of the
aforementioned services are non - existent.
1. What are the major goals/benchmarks of the proposed program?
a. Ensure that the medical and psychological needs of at least 60 chemically dependent
individuals are met expeditiously and without obstacles or barriers.
b. Ensure that a minimum of 60 chemically dependent individuals receive substance abuse
treatment services at the appropriate level of care.
c. Assist a minim f 60 chemically dependent individu n developing a recovery plan
and improve length of abstinence from alcohol and/or other drugs.
d. Reduce reliance on public assistance with vocational and life skills development, resulting
in re- integration into the community.
e. Promote independence and life skill development for residents, resulting in improved
ability to function independently in the community.
f. Educate the community and its leaders on the impact of chemical dependency on
businesses, healthcare systems, crime, families and the community at- large.
g. Develop stronger advocacy for treatment of chemically dependency and increase support
from the community towards this effort.
2. What specific objective /action steps are planned for each goal?
a -I An individualized case plan is developed for each individual admitted into Bridge House.
Each plan addresses the medical, psychological and financial need of the resident.
a -II 50% of the individuals admitted through the proposed program will successfully
complete /receive a clinical discharge.
b-I 50% of the individuals contacted will receive referrals to substance abuse treatment.
b-Il All individuals admitted into Bridge House through the proposed program will receive
substance abuse treatment.
b -Ill 90% of the individuals admitted into Bridge House through the proposed program will
remain in substance abuse treatment until clinically discharged.
c. 30% of the individuals admitted into Bridge House through the proposed program will
remain abstinent at six months post discharge.
d. 20% of the individuals admitted into Bridge House through the proposed program,
receiving a clinical discharge will be employed, in school and /or job training at six months
post discharge.
e. 60% of the individuals admitted into Bridge House through the proposed program
receiving a clinical discharge will demonstrate improved independent living skills as
evidenced by re -entry into the community.
f. 75% of the individuals admitted into Bridge House through the proposed program
receiving a clinical discharge will have no new arrest at six months post discharge.
g. 40% of the individuals admitted into Bridge House through the proposed program will be
involved in self -help or community support groups at six months post discharge.
3. What is the timeline (start and end dates) for each action step?
All timelines start from the date that the individual is contacted by the outreach worker and/or is
admitted into Bridge House. Except for item b -II, all timelines end at six months follow -up post
discharge.
Item b-Il starts from the day the individual resident is admitted into Intensive Outpatient Treatment
(IOP), and ends when the treatment provider clinically discharges the resident.
4. What significant client -centered outcome(s) will the program achieve? Include in
your answer how many participants /clients will:
a. Attain at least one personal program outcome; or
b. Show measurable progress towards your program goals.
a. See question D -2
b. Staff on a weekly basis measures each resident's progress. Progress is evaluated
by participation in all scheduled activities, general attitude and behavior change;
and progress in substance abuse treatment. Additionally, an individualized service
plan is developed for each resident, and the goals and objectives stated in the
G
•
E. Evaluation:
serviced are continually being evaluated to d}75ure that all the goals are being
met.
All residents of Bridge House must pass through three phases. Phase I is the first
six to eight weeks. In this phase residents are monitored closely and minimum
outside contact is allowed. This is to facilitate the individual's need to focus only
on recovery and lifestyle change. In Phase II, residents are allowed telephone and
visitation privileges and allowed limited passes outside of Bridge House. In Phase
III, residents begin their transition out of Bridge House and can find part-time
employment. Residents are also given more time outside of Bridge House to find
clean and sober housing and assimilate into the community. Residents apply for
entrance into Phases II & III, and phase changes are primarily contingent upon the
individuals progress in all aspects of the program.
E. Service Delivery
1. What methodology will be used in the proposed program's delivery of service(s)?
The programs of Bridge House in conjunction with community based services provide a
"holistic" approach in the treatment of chemical dependency This approach provides
essential opportunities for residents to practice life skill and job development, which must
occur before the chemically dependent individual can become self - governing and return to
the community as a productive member of society.
The proposed program has been in existence since September of 1998. The outreach
worker through street -based contact, and networking with other health and human service
providers, physicians and hospital staff identifies substance abuser wanting help to start
the recovery process. The outreach worker assesses the medical and psycho - social
needs of the individual and provides the individual with options for substance abuse
treatment and helps individuals access other needed services, as well as gives them
information on 12 step meeting dates and times If an individual is qualified for the
services of Bridge House, the outreach worker refers the individual for residency and
works with staff throughout the resident's stay at Bridge House and provides follow -up
visitation and contact until six months post discharge.
1. What process will be used to evaluate the program and service(s)?
Bridge House uses a seven -step process to evaluate all programs and maintains quality
assurance. These are:
a. Development of individual service plans.
b. Weekly staff evaluations of all residents.
•c. Case discussions with other service providers.
d. Quarterly and year -end reports to all service providers.
e. Site visits by funding sources
f. Offering consumer satisfaction surveys to all discharging residents.
g. Distributing consumer satisfaction surveys to all service providers that Bridge
House works with.
2. How will this process measure the goals, objectives, and outcome(s) specified in
item D, 1-4?
a. Developing a service plan gives the individual resident and Bridge House a road
map to follow that ensures that the resident's needs are being met.
4 4
F. Program Fees:
b. Weekly luations of all residents provide stafeopportunity to discuss the
individual residents progress or lack of progress and the services the individual
might need to continue to progress and /or strategies ways to help the individual to
progress in his/her recovery.
c. Case discussions with other service providers ensure that the residents are
receiving appropriate services and alerts staff to areas that the individual may
need help in.
d. Documentation of services and site visits ensures that the program is being
administered appropriately.
e. Same as d.
f. Consumer satisfaction surveys gives discharging residents the opportunity to give
•written suggestions on how Bridge House can improve on services as well as tells
Bridge House what is working.
g. Survey from other service providers gives Bridge House an outsiders view of the
services we offer and where we can make improvements.
1. Does your organization charge a membership fee for service participants? If yes,
Describe or attach fee for service information?
No
2. Does the proposed program charge participants a fee for service(s) provided by
your organization? If yes:
a. Describe or attach fee for service information; and
The cost to provide services per participant and /or resident is $68.00 per day or $2,040 on
a 30 -day month. During the initial assessment of all residents, a financial evaluation is
done to evaluate the individuals financial situation and resources The majority to the
individual contacted through the Outreach /Education program during the last fiscal year
did not have the means to pay for services.
H. Vi abili :
The outreach worker helps all individuals access all available resources Upon
acceptance into Bridge House, most residents are considered temporarily disabled and
qualify for public welfare, and are eligible for financial, food stamps and medical
assistance If the resident is eligible for public benefits, Bridge House charges that
individual $240 per month on a 30 -day month or $8.00 per day. The remainder of the fees
are paid for by various funding sources.
b. Describe how you will ensure that all interested participants will be included
despite an inability to pay the entire fee.
It has always been the policy of Bridge House to accept all individuals needing help with
substance abuse, regardless of their ability to pay for programs and services No one has
ever been turned away because of their inability to pay. We hope to continue this policy
and as long as there are agencies and concerned individuals willing to provide Bridge
House with needed funds.
1. What is your justification or rationale for the expenditure of public funds for the
proposed program?
Substance abuse and drug /alcohol addiction are community wide problems effecting all social
economic segments of our community. With the continued restrictions of managed care
providers and continued lack of residential treatment facility on the Big Island, therapeutic living
9
I. Budget: *Please See Attached
ORGANIZATION /AGENCY INFORMATION
A. Board of Directors:
1. Has the organization's Board of Directors received formal training within the past
two (2) fiscal years?
[If yes]: Attach certification /verification of board training
[If no]:
a. What plans do you have to provide formal training to your Current Board of
Directors?
The Bridge House Board plans to send representatives to the upcoming Board training
sponsored by the East Hawaii Health and Human Services Counsel and HIUW.
Additionally, the Board is committed to having one scheduled Board meeting date as a
training session.
programs such as Bri house are the only viable option for fellow community members who
need a safe, controlled environment to start the recovery process.
The programs of Bridge House were developed to facilitate life long abstinence from chemical
addictions and provide vocational skill building to help find and maintain employment and self -
sufficiency. Intervention through the outreach /education program can effect behavior change and
counter ill health and other problems associated with chronic substance abuse.
2. What are your financial and programmatic plans to sustain the proposed program
beyond the upcoming fiscal year?
Financial: Bridge House plans to continue accessing whatever funding sources are available
as well as continue to work closely with the for -profit Bridge House Nursery in the production and
sale of various plants.
Programmatic: Bridge House plans to continue to provide therapeutic living and vocational
skill building services to a maximum of 15 residents per day, and outreach /educational services to
all in the community, as long as we financially able to do so.
1. Complete the attached Budget tables; and
2. Provide appropriate attachments, as indicated
b. When will the next board training be completed?
January 22, 2000.
c. How will you provide formal training to newly arriving board members or board
members who have missed scheduled training?
All board members including new members will be required to attend training sessions.
For those unable to attend, the Executive Committee will schedule a training session
and /or individual board members will orient those unable to attend training sessions.
2. What are the primary roles and responsibilities of your organization's Executive
Director?
The Executive Director's primary roll is the implementation of all programs, services and
policies as directed by the Board of Directors. Under the direct supervision of the
President of the Board, the Executive director is responsible for the daily operations of the
agency, as stated in the overall job description. This includes, but is not limited to:
O
Number of individuals screened
331
Number residents admitted
311
Number of women admitted
82
Number of Native Hawaiians admitted
55
Number of injection drug users admitted
24
Number of drug abusers only admitted
34
Number of alcohol abusers only admitted
37
Number of drug and alcohol abusers admitted
79
experience and fining in all areas of substance abuse atment; program and staff
administration; knowledge of community resources; researching and obtaining appropriate
funding; and representing the agency in the community.
3. What are the primary roles and responsibilities of your organization's Board of
Directors? (Clarify role of executive officers vs. general membership.)
The Board of Director's are primarily responsible for the overall governance of the
organization through the development of appropriate policies and programs. This
includes short and long term planning; development of the organizations structure;
ensuring that appropriate services are being delivered; and fundraising.
B. Past Performance:
The general membership meets once per quarter and individual committees meet more
frequently according the to needs of the organization.
Executive officers form the core of the Executive Committee and assume leadership of all
standing committees. Standing committees include the Finance Committee, Personnel
Committee, Program Committee, and Fundraising Committee. All board members are
encouraged to participate in at least one committee and members are invited to all
committee meetings.
1. How effective has your organization /agency been in achieving program goals in the
past two (2) fiscal years? Include the following information:
a. Quantitative date on numbers served; and
Bridge House consistently strives to achieves all the goals it has set for its self since its inception.
But because of the nature of the disease of addiction it is very difficult to attain all the goals
Bridge House has set for its programs. The following is data collected during fiscal years 1997
thru 1999.
C. Financial:
b. Qualitative data showing number and % of participants achieving measurable
.outcomes.
Of the 331 residents admitted 72% received clinical discharges, 100% of those clinically
discharged completed substance abuse treatment, and 67% had jobs 6 months post
discharge.
1. Have your organization's current program operations remained the same as last
year? What major program or financial changes will be incurred next year?
Bridge House has not experienced any changes in program operations since last fiscal year.
Due to anticipated shortfalls in funding for the next fiscal year, Bridge House is restructuring its
staffing eliminating the Program Directors position and redefining some of the duties of other staff
•
members. No programmatic changes are anticipated and services to residents will not be
affected.
2. What is the status of all of your organizations major contracts or agreements for
the coming year (employment agreements, office leases, primary grant
revenue/supplier, etc.)
The only change is with the Dept. of Health/ADAD contract, which is for four (4) years starting
July 1, 1999, instead of two years. The office and housing for residents are secure for the next
several years. As mentioned before, the only major change will be is staffing. As there are no
employment agreements, we do not anticipate any difficulties because of the re- structuring.
3. How does the proposed program fit into your organization's long range financial
plan?
The outreach /education program is an integral component of the Bridge House long -range
financial plan. This program fills the need in the community to provide early intervention and
education to disenfranchised community member in order to lessen the detrimental effects of long
term drug and alcohol abuse.
D. Monitoring:
1. During the past two (20) fiscal years, what financial and or administrative
monitoring has your organization received from any and all funding sources?
Please list al monitoring sources, contact names and phone numbers.
Dept. of Health
Alcohol and Drug Abuse Division
Akamine, Oyadamari & Kosaka
1 n
Julio Lim
Ken Willinger
E. Alcohol, tobacco and Drug Workplace Policies and Information:
1- 808 - 962 -7506
Bert Akamine 1 -809 -941 -0041
1. How does your organization address alcohol, tobacco, and other drug prevention
information dissemination as part.of your workplace and/or program environment?
The whole premise of Bridge House is to provide substance abuse treatment services; therefore
information on all substance abuse issues pervades all aspect of the Bridge House workplace,
programs and service.
•
AGENCY /ORGANIZATION:
Bridge House, Inc.
PROJECT NAME:
BUDGET TABLE 1
DETAILS OF PERSONNEL SERVICES
Outreach /Education Program
Pros ram Director
Case Worker
Rosenbloom
Gutierrez Melina
Outreach /Educator
Gutierrez, Melina
• dmin. Assistant
Florence Fl. uerres
Controller
Nance Barbara
Total Agency
Budget
FY 99 -00
FIT
43 750.00
F/T
33,000.00
F/T
20, 000.00
F/T
18 933.00
F/T
18,964.00
P/T
14 430.00
PIT
14 200.00
•P/T
14,420.00
FIT
5.00
P/T
3.00
177,697.00
Total Program
Budget
FY 99 -00
F/T
2,422.00
FIT
675.00
F/T
2,393.00
FIT
1,914.00
F/T
1 582.00
PIT
4 274.00
P/T
1,500.00
PIT
1,700.00
F/T
5.00
P/T
3.00
16,460.0
Total Agency
Budget
FY 2000 -01
FIT
43,750.00
*Position eliminated du
0.00
F/T
20,000.00
F/T
18 933.00
FIT
18,964.00
• P/T
14,430.00
PIT
14,200.00
PIT
14 420.00
F/T
4.00
P/T
3.00
144,697.00
Total Program
Budget
FY 2000 -01
F/T
2,422.00
0.00
FIT
2,393.00
F/T
518.00
F/T
1,582.00
P/T
4,274.00
P/T
1,500.00
P/T
700.00
F/T
4.00
PIT
3.00
13,389.00
0.00
FIT
2,393.00
0.00
0.00
P/T
4,274.00
P/T
0.00
PIT
32.00
Millar 1
P/T
3.•
9,121.00
s
AGENCY /ORGANIZATION: Bridge House, Inc.
TABLE 2
EMPLOYEE BENEFITS /PAYROLL TAXES
PROJECT NAME: Outreach/Education Program
2 EMPLOYEE BENEFITS
(TOTAL)
Health Insurance
Dental Insurance *Included in above
Other Benefits (Specify)
3 PAYROLL TAXES
(TOTAL)
FICA 7.65
SUI (Unemployment Ins.) 4.05_%
orkers' Compensation 4
DI (Disability) .0053 %
TOTAL
(To be reflected in Table 4)
Total Agency Total Program
Budget Budget
F/Y 99 -00 F/T 99 -00
12,000.00
12,000.00
N/A
28,841.00
13,591.00
7,197.00
7,108.00
942.00
40,841.00
600.00
600.00
N/A
2,671.00
1,259.00
667.00
658.00
87.00
3,271.00
Total Agency
Budget
F/Y 2000 -01
1,200.00
12,600.00
N/A
23,484.00
11,089.00
5,860.00
5,788.00
767.00
24,684.00
Total Program
Budget
F/Y 2000 -01
630.00
630.00
N/A
2,173.00
1,024.00
542.00
536.00
71.00
2,803.00
Grant Request Only
Projected
Expenditures
315.0 315.0
N/A
1,480.00
698.00
369.00
365.00
48.00
1,795.00
•
7 A £ k t
l�fi�s ��t''3.°,D,:az �hal5ht w,E.i. 'C..'v'}'.a
� M � `1° fi y C , . 'S � ,
q4 , fa1
{te * " G * N n
t tiw ', xs ", ` 3h
.r x +v' _"" }���jj `".
t M' '4
. aa x #a3 i t ..n....
Total
Ag B
FY 99 -00
:" r^. -z fir'•
i f 4 t., y 3u34'T�i
Total
Program Budget
FY 99 -00
f S . ' s
t:fe1 °v .t�nve .v...%s�w.ra iP k
Total
Agency Budget
FY 2000 -01
�y
� VC i�L^[. - i�f4�.'.v
Total
Program Budget
FY 2000 -01
� Ar
.�.�i''l"
1 PROFESSIONAL FEES (TOTAL
5,567.00
650.00
7,250.00
500.00
250.00
Legal
150.00
150.00
250.00
0.00
100.00
Accounting /Bookkeeping
0.00
0.00
0.00
0.00
0.00
Audit Fees
5,417.00
500.00
7,000.00
500.00
150.00
" Administrative Fees °h
0.00
0.00
0.00
0.00
0.00
• Other
0.00
0.00
0.00
0.00
0.00
2 SUPPLIES (TOTAL)
Office
Program
4,294.00
1,250.00
897.00
250.00
250.00
0.00
19,335.00
1,275.00
0.00
3,260.00
280.00
0.00
1,260.00
260.00
0.00
Consumable
2,147.00
0.00
18,060.00
3,000.00
1,000.00
3 TELEPHONE
3,534.00
634.00
3,605.00
371.00
82.00
4 POSTAGE 8 FREIGHT
650.00
0.00
663.00
20.00
10.00
5 OCCUPANCY (TOTAL)
39,116.00
12,803.00
39,269.00
12,823.00
2,510.00
Rent
30,144.00
11,803.00
30,144.00
11,803.00
2,000.00
Utilities
7,572.00
1,000.00
7,725.00
1,020.00
510.00
Janitorial
0.00
0.00
0.00
0.00
0.00
" Repairs and Maintenance
1,400.00
0.00
1,400.00
0.00
0.00
6 EQUIPMENT (TOTAL)
500.00
0.00
1,000.00
0.00
0.00
" Purchase
0.00
0.00
400.00
0.00
0.00
" Rental
100.00
0.00
100.00
0.00
0.00
• Repairs and Maintenance
400.00
0.00
500.00
0.00
0.00
7 INSURANCE (TOTAL)
17,780.00
1,280.00
7,375.00
1,330.00
910.00
General Liability
Fire
Auto
2,780.00
0.00
3,000.00
480.00
0.00
400.00
3,000.00
0.00
3,150.00
500.00
0.00
420.00
400.00
0.00
210.00
NDOA (Board Insurance)
1,200.00
400.00
1,225.00
410.00
300.00
8 PRINTING
0.00
0.00
0.00
0.00
0.00
9 PUBLICATIONS /SUB.
100.00
0.00
100.00
0.00
0.00
10 TRAVEL (TOTAL)
856.00
0.00
856.00
0.00
0.00
Air Fare
656.00
0.00
656.00
0.00
0.00
Per Diem
100.00
0.00
100.00
0.00
0.00
Auto Rental
100.00
0.00
100.00
0.00
0.00
11 AUTO MILEAGE REIMBUR.
0.00
0.00
0.00
0.00
0.00
12 AUTO GAS PURCHASE
5,538.00
100.00
5,650.00
105.00
150.00
13 MEMBERSHIP DUES
100.00
75.00
100.00
75.00
0.00
"14 STAFF TRAINING
400.00
0.00
400.00
0.00
0.00
•15 OTHER Bank 3vs Ch •
10.00
10.00
10.00
10.00
0.00
Advertising
250.00
100.00
260.00
100.00
50.00
Licensin • /Permit/Fees
230.00
180.00
250.00
100.00
50.00
. - ` > ; 'z<
78,925.00
16,082.00
84,683.00
15,434.00
5,532.00
AGENCY /ORGANIZATION: Bridge House Inc.
TABLE 3
DETAILS OF OTHER CURRENT EXPENSES
PROJECT NAME: Outreach /Education Program
AGENCY /ORGANIZATION: Bridge House, Inc.
TABLE 4
SUMMARY OF PERSONNEL REQUIREMENTS
Personnel Requirements: Salary($) and Number of Positions(P)
able 1 TOTAL POSITION COUNT P
Table 2 TOTAL SALARIES $
able2 EMPLOYEE BENEFITS/PAYROLL TAXES
Total Agency
Budget
FY 99 -00
5 FIT
3 P/T
177,697.00
40,841.00
218,538.00
8
Total Program
Budget
FY 99 -00
5 F/T
3 P/T
16,460.00
3 271.00
19,731.00
8
Total Agency
Budget
FY 00 -01
4 F/T
3 P/T
144,697.00
24 684.00
169 381.00
7
Total Program
Budget
FY 00 -01
4 F/T
3 PIT
13,389.00
2,803.00
16,192.00
7
VIES Ai
9,121.00
1,795.00
10,916.00
7
TABLE 5
SUMMARY OF EXPENSES
Total Budget Summary of Personnel Services and Other Current Expenses
PROJECT NAME: Outreach /Education Program
able 4 TOTAL PERSONNEL SERVICES
able 3 TOTAL OF OTHER CURRENT EXPENSES
Total Agency
Budget
FY 99 -00
218,538.00
78,925.00
297 463.00
Total Program
Budget
FY 99-00
19,731.00
16,082.00
35 813.00
Total Agency
Budget
FY 00 -01
169,381.00
84 683.00
254 064.00
Total Program
Budget
FY 00 -01
16 192.00
15,434.00
31 626.00
5,532.00
16 448.00
AGENCY /ORGANIZATION: Bridge House, inc.
PROJECT NAME: Outreach/Education Program
TABLE 6
Summary of Income
Count of Hawaii
State of Hawaii
Federal Funds
Private Foundations*
United Wa Funds
• missions
Donations
Fundraisin
Pa Phone
endin! Machines
Service /Pro• ram Fees
hint-girt reimbursement s
uition
ethers Please List
TOTAL REVENUES
13,170.00
171 097.00
50,058.00
10,000.00
15,000.00
0.00
1,000.00
10,000.00
0.00
0.00
59,373.00
0.00
0.00
0.00
329 698.00
Total Pro. ram Amoun
13 170.00
0.00
0.00
0.00
15 000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
28 170.00
Amount Re • uested
16,448.00
171,097.00
50,058.00
10,000.00
24,000.00
0.00
271 603.00
Amount Pro'ected
0.00
2,000.00
12,000.00
0.00
0.00
63,000.00
0.00
0.00
0.00
77 000.00
$10,000 From private foundation is from Kapiolani Child Protection Team. This organizations pays for services for pregnant
and parenting women.
•
•
(
Stephen K. Yamashtro
Mayor
Yes No
•
• CS 2.
• CS 3.
• 0 4.
40 0 5.
40 0 6.
it 0 7.
0 8.
O' 0 9.
if 0 IO.
40 0 11,
0 • 12.
Agency: Bridge House,
Prepared by:
Certified by:
Barbara Nance
Print NameiTitle
Cheryl Taupu
•
Inc.
Print Name of Executive Director
Countp of atuaii
DEPARTMENT OF FINANCE
25 Aupum Street, Room 118 • Hilo. Hawaii 967204252
(808) 961-8234 • Fax (808) 961-8248
HAWAII COUNTY NONPROFIT GRANTS (FY 2000 -01)
FINANCIAL QUESTIONNAIRE
Please include as an attachment an explanation for all "NO" answers to questions #1 thru I I below:
Harry A. Takahashi
Director
S. K. Schutte
Deputy
Has the agency operated continuously for the past three (3) years?
Has the agency operated with a positive cash flow for the past (3) years?
Does your Board of Directors approve a detailed cash flow budget before the beginning of
each fiscal year?
Do your Board meeting minutes show that quarterly financial statements are approved?
Is your equity balance at least 20% of your Total Liability balance?
Is your Total Current Asset balance larger than your Total Current Liability balance?
Are bank reconciliations and accounting performed by someone other than the check signatory?
Are you fully insured for the agency's vehicle(s) and building(s)?
Is your Workers' Compensation at least 2% of payroll?
Are you current (not delinquent) on all payroll and payroll tax payments?
Is the agency free of any pending litigation, liens or judgments?
Within the past 12 months, has the agency applied for vendor or bank credit and was
denied credit? If yes, please explain.
As the grant applicant, I certify that the agency has satisfactorily responded to each of the above questions and explained as
needed I hereby certify that this information is true and correct to the best of my knowledge.
Phone: 808_322 -3305
bate -
Signature Date
F
• •
Bridge House, Inc.
and Subsidiary
Consolidated Financial Statements
June 30, 1998
Akamine, Oyadomari & Kosaki
Certified Public Accountants, Inc.
r
I e House, Inc. and Subsidiary
Contents
Page
Independent Auditors' Report 3
Financial Statements -
Consolidated statement of financial position as of June 30, 1998 4
Consolidated statement of activities for the year ended June 30, 1998 5
Consolidated statement of functional expenses for the year ended June 30, 1998 6
Consolidated statement of cash flows for the year ended June 30, 1998 7
Notes to consolidated financial statements 8
To the Board of Directors
Bridge House, Inc.
Akamine, Oyadomari & I saki
CERTIFIED PUBLIC ACCOUNTANTS, INC.
Independent Auditors' Report
We have audited the accompanying consolidated statement of financial position of Bridge House,
Inc and Subsidiary as of June 30, 1998, and the related consolidated statements of activities,
functional expenses and cash flows for the year then ended. These consolidated financial
statements are the responsibility of the management of Bridge House, Inc. Our responsibility is to
express an opinion on these consolidated financial statements based on our audit.
We conducted our audit in accordance with generally accepted auditing standards. Those standards
require that we plan and perform the audit to obtain reasonable assurance about whether the
consolidated financial statements are free of material misstatement. An audit includes examining,
on a test basis, evidence supporting the amounts and disclosures in the consolidated financial
statements. An audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall consolidated financial statement
presentation. We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material
respects, the consolidated financial position of Bridge House, Inc. and Subsidiary as of June 30,
1998, and the changes in its net assets and its cash flows for the year then ended in conformity with
generally accepted accounting principles.
Honolulu, Hawaii
May 28, 1999
-3-
1440 Kapiolam Blvd., Suite 900, Honolulu, Hawaii 96814 Telephone (808) 941 -0500 FAX 941.0004
B ae House, Inc. and Subsidiary
oidated Statement of Financial Positi
as of June 30, 1998
Contingencies and commitments (Note H)
Assets
Cash $ 32,591
Grants receivable 26,330
Boarding fees receivable (Note B) 9,958
Accounts receivable 1,514
Prepaid expenses and other 3,810
Fixed assets, net (Note C, D and E) 165,349
Leasehold acquisition cost, net of accumulated amortization
of $3,294 (Note H) 60,954
Total assets $ 300,506
Liabilities and Net Assets
Accounts payable $ 7,888
Other liabilities 6,987
Obligation under capital lease (Note E) 964
Obligation under agreement of sale (Note D) 173,651
Total liabilities 189,490
Net Assets:
Unrestricted 48,365
Temporarily restricted 62,651
• Total net assets 111,016
Total liabilities and net assets $ 300,506
The accompanying notes are an integral part of the consolidated financial statements.
-4..
e House, Inc. and Subsidiar.
nsolidated Statement of Activities
for the year ended June 30, 1998
Changes in unrestricted net assets:
Revenues -
Contributions $ 15,440
Boarding fees (Note B) 70,643
Special events, net of $2,385 in direct costs 4,262
Interest, nursery sales, and other, net of $495 in direct nursery costs 10,529
Total unrestricted revenues 100,874
Net assets released from restrictions -
Satisfaction of program restrictions
Total net assets released from restrictions
Total unrestricted revenues and other support
Decrease in temporarily restricted net assets
Increase in net assets
Net assets at beginning of year
Net assets at end of year
The accompanying notes are an integral part of the consolidated financial statements.
-5-
274,102
274,102
374,976
Expenses -
Proeram 242,506
Management and general 105,304
Total expenses 347,810
Increase in unrestricted net assets 27,166
Changes in temporarily restricted net assets:
Grant revenue 253,539
Contributions 500
Net assets released from restrictions (274,102)
(20,063)
7,103
103,913
$ 111,016
Salaries
Payroll taxes '
Employee benefits
Total salaries and related expenses
Co ae House,.Inc. and Subsidiaak
ated Statement of Functional ExpeW
for the year ended June 30, 1998
The accompanying notes are an integral part of the consolidated financial statements.
-6-
Management
and
Program General Total
$ 132,012 $ 44,265 $ 176,277
15,785 5,293 21,078
7,923 2,657 10,580
155,720 52,215 207,935
Bad debt (Note B) 18,050 18,050
Interest - 15,998 15,998
Rent 14,959 787 15,746
Food 13,396 13,396
Professional services 9,533 3,190 12,723
Utilities 11,983 631 12,614
Supplies and materials 11,932 11,932
Insurance 2,642 5,676 8,318
Repairs and maintenance 6,401 116 6,517
Loss on disposal of fixed assets 2,109 2,109 4,218
Travel 967 42 1,009
Other 1,533 2,713 4,246
Total expenses before depreciation 231,175 101,527 332,702
Depreciation and amortization 11,331 3,777 15,108
Total expenses $ 242,506 $ 105,304 $ 347,810
t
Cash flows from operating activities:
Increase in net assets $ 7,103
Adjustments to reconcile increase in net assets to net cash provided by
operating activities -
Depreciation and amortization 15,108
Loss on disposal of fixed assets 4,218
Increase in grants receivable (3,316)
Increase in boarding fees receivable (6,443)
Increase in accounts receivable (1,514)
Decrease in prepaid expenses and other 24
Decrease in accounts payable (465)
Increase in other liabilities 5,252
12,864
Net cash provided by operating activities 19,967
Cash flows from investing activities:
Purchases of fixed assets
Refund of deposit on real property acquisition
Net cash used in investing activities
Cash flows from financing activities:
Principal payments on obligation under agreement of sale
Principal payments on obligation under capital lease
Net cash used in financing activities
Net increase in cash
Cash at beginning of year
Cash at end of year
Supplemental Disclosure of Cash Flow Information:
Interest paid during the year
ge House, Inc. and Subsidia
solidated Statement of Cash Flow
for the year ended June 30, 1998
Supplementary Disclosure of Noncash Investing and Financing
Activities:
Real property acquired under agreement of sale
Obligation under agreement of sale
The accompanying notes are an integral part of the
onsolidated financial statements.
-7-
(6,214)
852
(5,362)
(9,349)
(662)
(10,011)
4,594
27,997
$ 32,591
$ 15,998
$ 227,148
$ 183,000
ate^- ---- --
Organization -
Unrestricted Net Assets -
Temporarily Restricted Net Assets -
lege House, Inc. and Subsidiale
Notes to consolidated financial statements
NOTE A - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Bridge House, Inc. is a non -profit organization incorporated in 1992, pursuant to the laws of the
State of Hawaii, primarily to provide safe interim housing and a structured supportive setting in
West Hawaii for recovering adult men and women with substance abuse problems. During the year
ended June 30, 1998, 58 %, 20% and 10% of the Organization's revenues were received from pass -
through federal grants, boarding fees, and foundation ,grants, respectively. The Organization's
grants receivable at June 30, 1998, were primarily from the State of Hawaii and are expected to be
collected during the following year.
Principles of Consolidation -
The consolidated financial statements include the accounts of the Bridge House, Inc and its
wholly -owned subsidiary Bridge House Nursery, Inc. Bridge House Nursery, Inc. is a for -profit
corporation incorporated in 1995 to produce and sell plants and to provide vocational training to the
Organization's residents. During the year ended June 30, 1998, operations of Bridge House
Nursery, Inc. were not significant. All significant intercompany balances and transactions have
been eliminated in consolidation. •
The Organization reports contributions as changes in unrestricted net assets unless donor
restrictions specify how the donated assets must be used.
The Organization reports support from grants as changes in temporarily restricted net assets if they
are received with stipulations that limit the use of the assets. When the support is expended within
the terms of the restrictions provided for in the grant agreements, temporarily restricted net assets
are reclassified to unrestricted net assets and reported in the statement of activities as net assets
released from restrictions. -
At June 30, 1998, temporarily restricted net assets consisted of the following support which are
limited to use in the Organization's substance abuse treatment program.
Government grants
Foundation grants and other
8-
$ 32,519
30,132
$ 62,651
r r
B e House, Inc. and Subsidiary
Notes to consolidated financial statements
NOTE A - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
Permanently Restricted Net Assets -
The Organization reports contributions as permanently restricted support if they are received with
the stipulation that the principal be maintaineH intact in perpetuity with only the income to be
utilized. At June 30, 1998, there were no permanently restricted net assets.
•
Basis of Accounting -
The financial statements of Bridge House, Inc. and Subsidiary are prepared on the accrual basis of
accounting.
Cash
The Organization maintains its cash balances at a Hawaii based financial institution. Insurance for
its accounts at this financial institution are provided by the Federal Deposit Insurance Corporation
up to $100,000.
For the purposes of the statement of cash flows, the Organization considers all certificates of
deposits with an original maturity of three months or less to be cash equivalents.
Fixed Assets -
Fixed assets are capitalized at cost, if purchased, or at the fair market value on the date of donation,
if contributed. Depreciation is provided over the estimated useful lives of the assets on a straight -
line basis. Equipment under capital leases are amortized over the lease term on a straight -line basis.
Such amortization expense is included with depreciation expense.
Donated Materials and Services -
The Organization has not reflected in the consol dated fmancial statements, the incidental materials
and services received in connection with the Organization's program and management and general
activities since these donations do not meet the revenue recognition criteria under generally
accepted accounting principles.
Use of Estimates -
The consolidated fmancial statements are prepared in conformity with generally accepted
accounting principles, and, accordingly, include amounts that are based on management's estimates
and judgments.
-9-
•dge House, Inc. and Subsidi•
Notes to consolidated financial statements
NOTE B - BOARDING FEES RECEIVABLE'
The primary source of income for the Organization's residents is public assistance received from the
State of Hawaii. Accordingly, realization of the Organization's boarding fees receivable is
generally contingent upon the resident's ability to qualify for, and receive, public assistance from
the State of Hawaii.
NOTE C - FLXED ASSETS
At June 30, 1998, fixed assets consisted of the following.
NOTE D - AGREEMENT OF SALE
NOTE E - CAPITAL LEASE
Building
Equipment (see Note E)
Vehicles
Less accumulated depreciation and amortization
Year ending June 30 -
1999
2000
2001
10-
$ 162,900
17,745
8.533
189,178
(23,829)
$ 165,349
In August 1997, the Organization acquired the leasehold interest in land located in Kona, Hawaii
and the fee interest in the related buildings and improvements for $227,148. This property is
utilized as the site of the Organization's facilities. The acquisition was fmanced with a $183,000
agreement of sale maturing in August 2000, payable to the seller in monthly payments of $2,500
with interest at a rate of 10.5 %. Annual maturities of the agreement of sale are as follows:
$ 12,350
13,711
147.590
$ 173,651
The Organization leases office equipment under a noncancelable lease agreement expiring in 1999.
The Organization has classified and recorded the lease agreement as a capital lease in accordance
with Financial Accounting Standards Board Statement No. 13. This statement, in effect, provides
that leases which transfer substantially all of the benefits and risks of ownership should be
accounted for by the lessee as an acquisition, of an asset and the related lease obligation as a
liability.
•
NOTE E - CAPITAL LEASE (continued)
Future minimum lease payments for assets under this capital lease at June 30, 1998, are as follows:
Equipment under capital leases at June 30, 1998 aggregated $1,678 (net of accumulated
amortization of $717) and is included into fixed assets.
Interest and amortization expenses attributable to this capital lease aggregated $167 and $342,
respectively, during the year ended June 30, 1998.
NOTE F - TAX STATUS
NOTE H - LAND LEASE
edge House, Inc. and Subsidiaill
Notes to consolidated financial statements
Total minimum lease payments for the year ending June 30, 1999
Less amount representing interest at 12.58%
$ 1,038
(741
Present value of net minimum lease payments $ 964
Bridge House, Inc. is recognized by the Internal Revenue Service as an organization exempt from
Federal income tax under Section 501(c)(3) of the Internal Revenue Code.
NOTE G - FUNCTIONAL EXPENSE ALLOCATION
The cost of providing the Organization's programs and other activities have been summarized on a
functional basis in the statement of activities. Substantially all of the Organization's costs have
been allocated between program and management and general expenses.
In connection with the acquisition of the fee interest in buildings and improvements, the
Organization paid $64,248 to acquire the leasehold interest in a land lease (see Note D). The
leasehold acquisition cost is being amortized on a straight -line basis over the lease term.
The lease agreement expires in April 2014 and provides for annual lease payments at predetermined
amounts, with increases in 5 year increments. At June 30, 1998, lease payments for the remaining
lease term are as follows:
Year ending June 30 -
1999
2000
2001
2002
2003
Thereafter
1 1-
Amount
$ 1,995
1,995
1,995
1,995
1,995
21.470
$ 31.445
•
•
BRIDGE HOUSE, INC.
(A Hawaii Non-Profit Corporation)
AUDITED COMBINED FINANCIAL STATEMENTS
FOR THE YEAR ENDED JUNE 30, 1999
t . /C2 tcwa,t g�S
1043 Makawao Avenue, Suite 205
Makawao, Hawaii 96768
(808) 572-2978
•
To the Board of Directors of
Bridge House, Inc.
Kailua Kona, Hawaii 96745
alb.
de9n-frila Foratian
1045. aaraa Sd oenae,• .°idle 205
✓f6al' Lalaaa Zcoae 96768
..9.(oae 808 57s- 2'978 .�a¢ 80B 572- 8007
INDEPENDENT AUDITORS' REPORT ON THE COMBINED FINANCIAL STATEMENTS
We have audited the accompanying combined statements of financial position of Bridge House,
Inc. (a nonprofit organization) and Bridge House Nursery, Inc (a Hawaii corporation) as of June
30, 1999, and the related combined statements of activities, functional expenses, changes in net
assets and cash flows for the year then ended. These financial statements are the responsibility
of the Organization's management. Our responsibility is to express an opinion on these financial
statements based on our audit.
We conducted our audit in accordance with generally accepted auditing standards. Those
standards require that we plan and perform the audit to obtain reasonable assurance about
whether the financial statements are free of material misstatement. An audit includes examining,
on a test basis, evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation. We believe that
our audit provides a reasonable basis for our opinion.
In our opinion, the combined financial statements referred to above present fairly, in all material
respects, the financial position of Bridge House, Inc. and Bridge House Nursery, Inc. as of June
• 30, 1999, and the changes in their net assets and their cash flows for the year then ended in
conformity with generally accepted accounting principles.
Makawao, Hawaii
October 27, 1999
CURRENT ASSETS
Petty Cash
Food Stamps
Total Cash
Accounts Receivable
Prepaid Insurance
Total Current Assets
FIXED ASSETS (Note 2)
Building (Note 5)
Furniture and Equipment
Leased Vehicle (Note 6)
Vehicle
Leasehold Improvements
Accumulated Depreciation
Net Fixed Assets
OTHER ASSETS
Lease Acquisition Cost (Note 5)
Accumulated Amortization
Total Other Assets
TOTAL ASSETS
BRIDGE HOUSE, INC.
Combined Statement of Financial Position
June 30, 1999
ASSETS
Bridge House, Bridge House
Inc. Nursery, Inc. Total
$ 200 $ 100 $ 300
1,389 • 1,389
1,589 100 1,689
42,915 42,915
2,214 2,214
46,718 100 46,818
162,900 162,900
17,033 712 17,745
27,782 27,782
8,439 8,439
2,096 2,096
55,350 163,612 218,962
(17,767) (10,605) (28,372)
37,583 153,007. 190,590
64,581 64,581
(3,855) (3,855)
60,726 60,726
84,301 $ 213,833 $ 298,134
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 2
•
4 •
CURRENT LIABILITIES
• •
BRIDGE HOUSE, INC.
Combined Statement of Financial Position
June 30, 1999
LIABILITIES AND NET ASSETS
Bridge House, Bridge House
Inc. Nursery, Inc.
Total
Bank Overdraft $ 9,877 $ (957) $ 8,920
Accounts Payable 4,981 682 5,663
Lease Payable - Current Portion (Note 6) 5,301 5,301
Agreement of Sale - Current Portion 13,711 13,711
Total Current Liabilities 20,159 13,436 33,595
LONG -TERM LIABILITIES
Lease Payable (Note 6) 18,677 18,677
Agreement of Sale (Note 5) 147,663 147,663
Total Long -Term Liabilities 18,677 147,663 166,340
NET ASSETS (Note 3)
Unrestricted Net Assets 45,465 52,734 98,199
Temporarily Restricted Net Assets 0 0 0
Permanently Restricted Net Assets 0 0 0
Total Net Assets 45,465
52,734 98,199
TOTAL LIABILITIES AND NET ASSETS $ 84,301 $ 213,833 $ 298,134
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 3
PUBLIC SUPPORT AND REVENUE
State Deparanent of Health
U.S. Dept. of Housing & Urban Devel.
Program Charges
Hawaii Island United Way
County of Hawaii
Tide 4B for Women
Nursery Sales
Food Stamp Income
Contributions
Hawaii Community Foundation
Interest Income
Other Income
• •
BRIDGE HOUSE, INC.
Combined Statement of Activity
For the Year Ended June 30, 1999
Total Public Support and Revenue 299,671
Bridge House, Bridge House
Inc. Nursery, Inc.
Total
$ 165,240 $ 165,240
48,600 48,600
38,047 38,047
15,000 15,000
14,000 14,000
10,404 10,404
$ 9,690 9,690
5,567 5,567
2,250 2,250
372 372
175 175
16 16
9,690 309,361
EXPENSES
Programs:
Supportive Living and Transitional Housing 254,484 254,484
Nursery 10,270 10,270
Total Programs 254,484 10,270 264,754
Supporting Services 45,283 24,193 69,476
Total Expenses 299,767 34,463 334,230
Excess Expenses over Revenue $ (96) $ (24,773) $ (24,869)
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 4
• '3
J •
Total Expenses
• •
BRIDGE HOUSE, INC.
Statement of Functional Expenses - Bridge House, Inc
For the Year Ended June 30, 1999
Program Supporting
Services Services
Total
Salaries and Wages $ 144,517 $ 29,097 $ 173,614
Payroll Taxes 16,906 3,404 20,310
Supplies 10,085 1,991 12,076
Health Insurance and Benefits 9,874 1,988 11,862
Provisions 10,645 10,645
Utilities 7,046 1,173 8,219
Uncollectible Client Accounts 25,482 25,482
Professional Fees 6,321 1,581 7,902
Insurance 4,709 2,146 6,855
Depreciation 4,929 870 5,799
Food Stamp Expense 5,641 5,641
Repairs and Maintenance 2,758 487 3,245
Telephone 2,664 470 3,134
Continuing Education and Travel 1,911 1,911
Other Expenses 157 1,062 1,219
Interest Expense 923 923
Postage and Delivery 514 91 605
Small Equipment Purchases 325 325
$ 254,484 $ 45,283 $ 299,767
The accompanying notes and Auditor's report are an integral part of these financial statements.
Page 5
S
BRIDGE HOUSE, INC.
Statement of Functional Expenses - Bridge House Nursery, Inc.
For the Year Ended June 30, 1999
Supplies
Insurance
Depreciation
Lease - Bishop Estate
Amortization
General Excise Taxes
Other Expenses
Interest Expense
Program
Services
$ 517
310
5'572
3 871
Total Expenses $ 10 270
Supporting
Services Total
$ 6 $ 523
310
5,572
3,871
3,855 3,855
1,284 1,284
894 894
18,154 18,154
24,193 $ 34,463
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 6
0
Total Expenses
• •
BRIDGE HOUSE, INC.
Statement of Functional Expenses - Combined
For the Year Ended June 30, 1999
Program Supporting
Services Services Total
Salaries and Wages $ 144,517 $ 29,097 $ 173,614
Payroll Taxes 16,906 3,404 20,310
Supplies 10,602 1,997 12,599
Health Insurance and Benefits 9,874 1,988 11,862
Provisions 10,645 10,645
Utilities 7,046 1,173 8,219
Uncollectible Client Accounts (Note 4) 25,482 25,482
Professional Fees 6,321 1,581 7,902
Insurance 5,019 2,146 7,165
Depreciation 10,501 870 11,371
Food Stamp Expense 5,641 5,641
Lease - Bishop Estate 3,871 3,871
Amortization 3,855 3,855
Repairs and Maintenance 2,758 487 3,245
Telephone 2,664 470 3,134
Continuing Education and Travel 1,911 1,911
General Excise Taxes 1,284 1,284
Other Expenses 157 1,956 2,113
Interest Expense 19,077 19,077
Postage and Delivery 514 91 605
Small Equipment Purchases 325 325
$ 264,754 $ 69,476 $ 334,230
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 7
Net Assets, June 30, 1999
BRIDGE HOUSE, INC.
Combined Statement of Changes in Net Assets
For the Year Ended June 30, 1999
Net Assets, June 30, 1998 $ 111,016
Valuation Adjustementh to the Nursery 12,052
Excess Expenses Over Revenues (24,869)
$ 98,199
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 8
cr. t
J
CASH FLOWS FROM OPERATING ACTIVITIES
CASH FLOWS USED BY INVESTING ACTIVITIES
CASH FLOWS PROVIDED BY FINANCING ACTIVITIES
Capital Lease Payments
Agreement of Sale Payments
Net Increase (Decrease) in Cash for the Year
CASH BALANCE, BEGINNING OF YEAR
CASH BALANCE, END OF YEAR
• •
BRIDGE HOUSE, INC.
Combined Statement of Cash Flows
For the Year Ended June 30, 1999
Bridge Bridge House
House, Inc. Nursery, Inc.
Total
Cash Received from Government Agencies $ 215,542 $ 215,542
Cash Received from Nongovernmental Contracts, •
Grantors, Donors and Other Receipts 26,698 26,698
Program and Nursery Receipts 21,094 39,834 60,928
Interest Received 175 175
Cash Paid to Employees and Vendors (298,277) (25,508) (323,785)
Net Cash Provided (Used) by Operating Activities (Note 7) (34,768) 14,326 (20,442)
Purchase of Fixed Assets (2,096) (239) (2,335)
(4,768) (4,768)
(12,277) (12,277)
(41,632) 1,810 (39,822)
33,344 (753) 32,591
$ (8,288) $ 1,057 $ (7,231)
The accompanying notes and Auditors' report are an integral part of these financial statements.
Page 9
Note 1. ORGANIZATION
Bridge House, Inc. was incorporated in November 1990 as a non -profit corporation under the
laws of the State of Hawaii. The Agency's mission is to develop, maintain and operate a
residential institution for recovering alcoholics and other substance abusers, and to provide them
with treatment to help reintegrate them into society as productive citizens.
Bridge House Nursery, Inc. is a 100% wholly owned for -profit subsidiary of Bridge House, Inc.
The residents of Bridge House, Inc. work at the nursery, and the agricultural products (primarily
tomatoes and basil are sold to the public. The nursery was incorporated in 1996.
Bridge House, Inc. is exempt from Federal income taxes pursuant to Internal Revenue Code
section 501(c)(3), and exempt from State income taxes under Section 416 -19 and 416 -20 of the
Hawaii Revised Statutes.
Note 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Consolidation of Related Entities
The accompanying combined financial statements include the accounts of Bridge House Nursery,
Inc. This company is related through common ownership, and both organizations are collectively
referred to as the "Organization." All significant intercompany balances and transactions have
been eliminated in combination.
Revenue and Expense Recognition:
• Bridge House, Inc. •
Bridge House, Inc. uses the accrual method of accounting. Under this method of accounting,
revenue is recognized when earned rather than when received and expenses are recognized
when incurred rather than when paid. For contributions and donations, revenue is recognized
when the gift is received. For government grants and contracts, revenue is recognized as the
- applicable requirements are fulfilled. Accounts Receivable represents revenue earned and not
yet received.
Property and Equipment:
Notes to the Financial Statements
June 30, 1999
Property and equipment are stated at cost. Depreciation is computed on the straight -line basis
over the estimated useful lives of the assets. Donated property and equipment are recorded as
revenue at their estimated fair value. Such donations are reported as unrestricted revenue unless
the donor has restricted the donated asset ti a specific purpose.
Page 10
a
Note 3. NET ASSETS
Bridge House, Inc. has conformed to Statement of Financial Accounting Standards (SFAS) No.
117, "Financial Statements of Not - for -Profit Organizations ". Accordingly, the Agency is required
to report information regarding its financial position and activities according to three classes of
net assets: unrestricted net assets, temporarily restricted net assets and permanently restricted
net assets. Grants and other contributions of cash and other assets are reported as temporarily
restricted support if they are received with donor stipulations that limit the use of the donated
assets. When a donor restriction expires, that is, when a stipulated time restriction ends or
purpose restriction is accomplished, temporarily restricted net assets are reclassified to
unrestricted net assets and reported in the statement of activities as net assets released from
restrictions. The Agency reports restricted contributions whose restrictions are met within the
year as unrestricted support; consequently, the net assets were all unrestricted as of
June 30, 1999.
Note 4. USE OF ESTIMATES
The preparation of financial statements in conformity with generally accepted accounting
principles requires management to make estimates and assumptions that affect certain reported
amounts and disclosures. Accordingly, actual results could differ from those estimates.
Write -off of Uncollectible Accounts — During the year ended June 30, 1999, management wrote
off boarding fees that were considered uncollectible. The realization of the boarding fees is
generally contingent upon the resident's ability to qualify for, and receive, public assistance from
the State of Hawaii.
Note 5. AGREEMENT OF SALE
• Bridge House, Inc. •
Notes to the Financial Statements
June 30, 1999
In August 1997, the Organization acquired a leasehold interest in the land on which its nursery is
situated, and a fee interest in the related buildings and improvements for $227,148. The
acquisition was financed with a $183,000 agreement of sale, maturing in August 2000, payable
to the seller in monthly installments of $2,500, with interest at a rate of 10.5 %. Annual
maturities of the agreement of sale are as follows:
Year Ending June 30 Amount
2000 $ 13,711
2001 147.663
Page 11
$161,101
•
Year Ending June 30-
2000
2001
2002
2003
Thereafter
Note 6. CAPITAL LEASE PAYABLE
Total minimum lease payments
Amount representing interest
Bridge House, Inc.
•
Notes to the Financial Statements
June 30, 1999
Note 5. AGREEMENT OF SALE (Continued)
The leasehold interest in the land was valued at $64,581. The leasehold acquisition cost is being
amortized on a straight -line basis over the lease term.
The lease agreement expires in April 2014 and provides for annual lease payments at
predetermined amounts, with increases in five year increments. At June 30, 1999, lease
payments for the remaining lease term are as follows:
$___2127.8
978
Page 12
Amount
$ 1,995
1,995
1,995
1,995
21,470
$ 29,450
In November 1998, the Organization acquired a van under the provisions of a long -term lease.
The minimum lease payments relating to the vehicle have been capitalized. The lease expires in
November 2003. The future minimum lease payments under capital lease and the net present
value of the future minimum lease payments at June 30, 1999 are as follows:
$ 26,620
(2,642)
Present Value of Net Minimum Lease Payments $ 23,978
Less: Current Portion ( 5,301)
Long -Term Capital Lease Obligation $$8.677
The following are maturities of long -term lease payments for each of the next five years:
June 30, 2000 $ 5,301
June 30, 2001 5,476
June 30, 2002 5,657
June 30, 2003 5,843
June 30, 2004 1 70
v a
• Bridge House, Inc. •
Notes to the Financial Statements
June 30, 1999
Note 7. RECONCILIATION OF EXCESS EXPENSES OVER REVENUE AND SUPPORT WITH NET
CASH USED BY OPERATING ACTIVITIES
Excess Expenses Over Revenues $( 24,869)
Adjustments to reconcile change in unrestricted
net assets to net cash used by operating activities:
Depreciation 11,371
Amortization 3,855
Other 1,930
Increase in Accounts Receivable ( 5,113)
Decrease in Prepaid Expenses 1,596
Decrease in Accounts Payable ( 2,225)
Decrease in Accrued Expenses ( 6.987)
Net Cash Used by Operating Activities S1_2_0,4421
Bridge House, Inc. entered into a non -cash transaction during the year. The agency capitalized a
lease for a van in the amount of $27,482 (see Note 5).
Note 8. DONATED SERVICES
The Agency receives a significant amount of donated services from its residents who are provided
with vocational training. No amounts have been recognized in the statement of activities
because the criteria for recognition under SFAS No. 116 have not been satisfied. Nevertheless,
many volunteers have donated significant amounts of their time to Bridge House's activities.
Note 9. CONCENTRATIONS
During the year ended June 30, 1999, the Organization received approximately 55% of its
revenue directly from State of Hawaii contracts. Significant reductions, if any, could have an
adverse effect on the Organization's ability to continue operations. The ultimate determination
of amounts received under these programs generally is based upon allowable costs reported to
and audited by the government. Until such audits have been completed and a final settlement
has been reached, there exists a contingency to refund any amount received in excess of
allowable costs. Management believes that the probability of this occurring is remote.
The Organization also received approximately 16% of its revenue from the U.S. Department of
Housing and Urban Development (HUD). The Bridge House Nursery, Inc. also received all
(100 %) of its revenue from a local distributor who is the president of the Nursery Board of
Directors.
Page 13
Bridge House, Inc. •
Notes to the Financial Statements
June 30, 1999
Note 10. FUNCTIONAL ALLOCATION OF EXPENSES
The costs of providing the various programs and activities have been summarized on a functional
basis in the statement of activities. Accordingly, certain costs have been allocated among the
programs and supporting services benefited.
Page 14
B chew It
Plea"
use IRS
lab6ef
'motor
sue N umber
speaiicP.O.
Name of organization
BRIDGE HOUSE, INC.
FORMERLY WEST HAWAII OPTIONS FOR LIVING
D Employer Identification number
99- 0293418
o
address
D tu rrn
Omum Fnm
and street (or P.O. box if mad is not delivered to street address)
BOX 2489
Room/suite
E State registration number
30090880
Amended
return
gbre
instruc-
dens
City, town, or post office, state, and ZIP+4
KAILUA —KONA, HI 96745 -2489
F Check • if exemption
application is pending
C.
x
w
N
`P
Z•
4
Form UJ
' Oepamrientottheireasury
. 410,11019evenue&Mce
A For the 1997 calendar year. OR tax year period beginnin
0 Type of organization ♦ (J Exempt under 501(c) (3 )4 (insert number) OR • U section 4947(a)(1) nonexempt chartable trust
Note: Section 501(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990).
C Yes U No
11(a) Is this a group return filed for affiliates?
(h) If 'Yes,' enter the number of affiliates for which this
return is filed: -
x
C
e
x
- .— •�•••• •• ••r•r.•v•• ••• ••t ✓\ • • V ••a L iv.. rv. r el^
Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or
p� foundation) or section 4947(a)(1) nonexempt charitSust
Note: The organ may have to use a copy of this return to satisfy sta
►
LHA For Paperwork Reduction Act Notice, see page 1 of the separate instructions.
722031 1
7/ 1 , 1997, and endin
ng requirements.
I If either box in H is checked 'Yes,' enter four -digit group
exemption number (GEN) •
J Accounting method' Cash n Accrual
in Other (specify) •
(c) Is this a secrete return filed by an organization covered by a group ruling? Yes r 1 No
K Check here • Cif the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but
if it received a Form 990 Package in the mail, it should file a return without financial data. Some states require a complete return.
Nate: Form 990 -EZ may be used by organizations with gross receipts less than $100 000 and total assets less than $250,000 at end of year.
L M Revenue, Expenses, and Changes in Net Assets or Fund Balances
1997
This Form is Open
to Public Inspection
6/3
1 Contnbutions, gifts, grants, and similar amounts received:
a Direct public support
b Indirect public support
c Government contributions (grants)
d Total (add lines la through lc) (attach schedule of contnbutors)
(cash$ 269,479. noncash$
2 Program service revenue including govemment fees and contracts (from Part VII, line 93)
3 Membership dues and assessments
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities
6 a Gross rents 8a
b Less: rental expenses
c Net rental income or (loss) (subtract line 6b from line 6a) ..
7 Other investment income (descnbe •
8 a Gross amount from sale of assets other
than inventory
h Less: cost or other basis and sales expenses
c Gain or (loss) (attach schedule)
d Net gain or (loss) (combine line 8c, columns (A) and (8)) STMT 1
9 Special events and activities (attach schedule):
a` Gross revenue (not including $ 0 • of contnbutions
Leported on line 1a) 9a 6,647 .
b Less: direct expenses other than fundraising expenses 9b 2,386.
c Net income or (loss) from special events (subtract line 9b from line 9a) SEE STATEMENT 2
10 a Gross sales of inventory, less returns and allowances 10a
h Less: cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line Oa)
11 Other revenue (from Part VII, line 103)
12 Total revenue (add lines 1d, 2, 3, 4, 5, Sc, 7, 8d, 9c, 10c, and 11)
(A) Securities
la
lb
815.
15,125.
1c
253,539.
66
(8) Other
8a
8bI 4,218.
13 Program services (from line 44, column (8))
14 Management and general (from line 44, column (C))
15 Fundraising (from line 44, column (D))
16 Payments to affiliates (attach schedule)
17 Total expenses (add lines 16 and 44, column (A)) .... _. ... _ .
18 Excess or (deficit) for the year (subtract line 17 from line 12)
19 - Net assets or fund balances at beginning of year (from line 73, column (A))
20 Other changes in net assets or fund balances (attach explanation)
1d
2
3
4
5
Sc
7
8c <4,218.)i
8d
104
11
12
13
14
15
16
17
18
19
20
269,479.
70,643.
3.
<4,218.>
4,261.
1,314.
341,482.
268,775.
65,138.
333,9
7,569.
110,337.
0.
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 117,906.
Form 990 (1997)
a
3941
-30-97
(Rev. May 1995)
pepanment t the Treasury
'.enema] Revenue Service
Please type or
print. File the
original and one
py by the due
to for filing
ur return.
Certai.. ....wise, Income, Information, and Other h<cums
►
File a separate application for each return. •
BRIDGE
HO , INC.
PORFMRLY WEST HAWAII OPTIONS
Number, street (or P.O. box no. if mail is not delivered to street address)
Name
P.O. BOX 2489
City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
KAILUA —KONA, HI 96745 -2489
Nate: Corporate income tax return filers must use Form 7004 to request an extension of time to file.
trusts must use Form 8735 to request an extension of time to file Form 1065, 1066, or 1041.
1 I request an extension of time until 0.2 /1.57 .19 99
C Form 706-GS (0) 0 Form 990 -T (401(a) or 408(a) trust)
C] Form 706-GS (T) - n Form 990 -T (trust other than above)
® Form 990 or 990-EZ 0 Form 1041 (estate)
C Form 990 -BL n Form 1041 -A
C] Form 990 -PF Ti Form 1042
FOR LIVING
Partnerships, REMICS, and
, to file (check only one):
C] Form 1120 -ND (4951 taxes)
C] Form 3520 -A
C] Form 4720
C] Form 5227
C] Form 6069
M
form 8612
Foes 8613
Q 3irn 8725
ED Firm 8804
0 Form 8831
a
If the organization does not have an office or place of business in the United States, check this box
2a For calendar year 19 ,or other tax year beginning 07/01/1997 and ending 06/30/1998 :?
b If this tax year is for less than 12 months, check reason: = Initial retum C] Anal retum C] Change in accounting period `. t
3 Has an extension of time been previously granted for this tax year? C Yes . _ rn No
4 State in detail why you need the extension
WE DO NOT HAVE ALL OF THE NECESSARY INFORMATION TO PROPERLY
RETURN.
1 5a If this form is for Form 706- GS(0), 706- GS(T), 990 -8L, 990 -PF, 990-T, 1041 (estate), 1042. 1120-ND, 4720,
6069, 8612, 8613, 8725, 8804, or 8831, enter the tentative tax, less any nonrefundable credits.
b If this form is for Form 990 -PF, 990 -T, 1041 (estate), 1042, or 8804, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit
c Balance due. Subtract line 5b from line 5a. Include your payment with this form, or deposit with FTD
coupon if required.
$
S
COMPLETE THE
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements. and to the best of my knowledge and belief,
it is true, correct, and complete: and that I am authorized to prepare this form.
Date I. Va_/I2.
Signature • Title » CPA
FILE ORIGINAL AND ONE COPY. The IRS will show below whether or not your application is approved and will return the copy.
Notre to Applicant - To Be Completed by IRS
We HAVE approved your application. Please attach this form to your return. ) RE('Gl \ /Fp
I I We HAVE NOT approved your application. However, we have granted a 10-day grace period from the later of the date i r C
shown below or the due date of your retum (including any pnor extensions). This grace period is considered a valid I r i NOV N o �^
extens of time for elections otherwise required to be made on a timely return. Please attach this form to your retum. n- N a
FT We HAVE NOT approved your application. After considering your reasons stated in itehr 4, we cannot grant your request tot _
an extension of time to file. We are not granting the 10-day grace period.
Director
Please
Type
ar
Print
9y
OGDEN.
C We cannot consider your application because it wa5 filed after the due date of the return for which an extension was requested.
Li Other:
If you want a copy of this form to be returned to an address other than that shown above, please enter the address to which the copy should be sent.
Name
AKAMINE, OYADOMARI & KOSAKI, CPA'S INC.
Date
N/A
Number, street (or P.O. box no. if mall is not delivered to street address)
1440 KAPIOLANI BLVD. STE 900
City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
HONOLULU, HI 96814
L'HA For Paperwork Reduction Act Notice, see separate instructions. Form 2758 (Rev. 5 -95)
r
Form 2753
(Rev. May 1995)
Department of am rosemary
Internal Revenue Service
Please type or
print. File the
original and one
copy by the due
date for filing
your return.
,pplication for Extension of Time To File
Cert ' cise, Income, Information; and 0 eturns
► File a separate application for each return.
Name BRIDGE HOUSE, INC.
FORMERLY WEST HAWAII OPTIONS FOR LIVING
Number, street (or P.O. box no. if mail is not delivered to street address)
P.O. BOX 2489
City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
KAILUA —KONA, HI 96745 -2489
Note: Corporate income tax return filers must use Form 7004 to request an extension of time to file.
trusts must use Form 8736 to request an extension of time to file Form 1065,1066, or 1041.
1 1 request an extension of time until 05/15 , 1 g 99
C Form 706-GS (0) E 1(a) or 408(a) trust)
O Form 706 -GS (T) C Form 9904 (trust other than above)
® Form 990 or 990 -EZ C Font 1041 (estate)
C Form 990 -BL C Form 1041 -A
0 Form 990 -PF E Form 1042
If the organization does not have an office or place of business in the United States, check this box
2a For calendar year 19 , ,or other tax year beginning 07/01/1997 and ending 06/30/1998
D If this tax year is for less than 12 months, check reason: C Initial return i 1 Final return U Change in accounting period
3 Has an extension of time been previously granted for this tax year? Yes [] No
4 State in detail why you need the extension
WE DO NOT HAVE ALL OF THE NECESSARY INFORMATION TO PROPERLY COMPLETE THE
RETURN.
Partnerships, REMICS, and
, to file (check only one):
Form 1120-NO (4951 taxes)
0 Form 3520-A
0 Form 4720
Q Form 5227
E] Form 6069
5a If this form is for Farm 706 - 05(0), 706- GS(T), 990 -13L, 990 -PP, 990 -T, 1041 (estate), 1042,1120-NO, 4720,
6069, 8612, 8613, 8725. 8804, or 8831, enter the tentative tax, less any nonrefundable credits. $
b If this form is for Form 990 -PF, 990 -T, 1041 (estate), 1042, or 8804, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit $
c Balance due. Subtract line 5b from line 5a, Include your payment with this form, or deposit with FTC)
coupon if required. $ N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete; and that I am authorized to prepare this form.
Signature u , 2, 6 ( -priL, Title 1 CPA Date 0 112 ('Q4
FILE OR NAL AND ONE COPY. ThA IRS will show below whether or not your application is approved and will return the copy.
No 'ce to Applicant - To Be Completed by IRS
We HAVE approved your application. Please attach this form to your return.
Q We HAVE NOT approved your application. However, we have granted a 10-day grace penod from the later of the date
shown below or the due date of your return (including any prior extensions). This grace period is considered a valid
extension of time for elections otherwise required to be made on a timely return. Please attach this form to your return.
Fl We NAVE NOT approved your application. After considering your reasons stated in item 4, we cannot grant your request for
an extension of time to file. We are not granting the 10day grace period.
C We cannot consider your application because it was filed after the due date of the return for which an extension was requested.
Q Other.
By'
Director
If you want a copy of this form to be returned to an address other than that shown above, please enter the address to which the copy should be sent.
ri
LHA
1.97
Please
Type
or
Print
Name
AKAMINE, OYADOMARI & KOSAKI, CPA'S INC.
Number, street (or P.O. box no. if mail is not delivered to street address)
1440 KAPIOLANI BLVD. STE 900
City, town, or post office. state, and ZIP code. For a foreign address, see instructions.
HONOLULU, HI 96814
6
OMB No. 1545 -0148
Employer sdentttAeon numb.,
99 D293418
Form 8612
(] Form 8613
Form 8725
Q Form 8804
C Form 8831
►n
Date
For Paperwork Reduction Act Notice, see separate instructions. Form 2758 (Rev. 5-95)
SCAM Functional Expenses (
izatlons and section 4947 (a)(1) nonexempt chantabl
but optional for others.
Do not include amounts reported on line
6b, 8b, 9b, 10b or 16 of Part I.
...
(A) Total
(B) Program
services
(C) Management
and general
(0) Fundraising
22 Grants and allocations (attach schedule)
cash $ n unt sh $
2 2
(Grants and allocations $ )
0 .
23 Specific assistance to individuals (attach schedule)
P ( )
i for members (attach schedule)
24 Benefits paid to or o b (tt c )
25 Compensation of officers, directors, etc.
26 Other salanes and wages
27 Pension plan contributions
28 Other employee benefits
29 Payroll taxes
30 Professional fundraising tees -
31 Accounting fees
32 Legal fees
33 Supplies
34 Telephone
35 Postage and shipping
36 Occupancy
37 Equipment rental and maintenance
38 Printing and publications
39 Travel
40 Conferences, conventions, and meetings
41 Interest
42 Depreciation, depletion, etc. (attach schedule)
43 Other expenses (itemize):
a
23
(Grants and allocations $ )
d
(Grants and allocations $ )
...,..... >...
25
41,578 .
20,789.
2 0 , 7 89 .
26
134,699.
111,223.
23,476.
27
28
10,580.
7,923.
2,657.
29
21,078.
15,785.
5,293.
30
31
32
33
13,417.
13,417.
34
35
36
34,078.
32,374.
1,704.
37
38
39
1,009.
967.
42.
40
41
196 .
196 .
42
3,680 .
2,760.
9 2 0 .
43a
43h
h
43c
c
43d
d
43a
73,598.
63,537.
10,061.
a SEE STATEMENT 3
44
3 3 3 913.
I
2 6 8 7 7 5.
/
65,138.
0.
44 Total functional expenses (add lines 22 thmugh 43)
Olganmtlons completing columns (SF(D), cony mesa
totals to line 13 -15
What is the organization's primary exempt purpose? » SEE STATEMENT 4
Program Service
- Exp enses
(Required o nd 4)7(3
(4) and 4 allocations
trusts: o brg b: but ut a Cations! for (or others.)
ear and concise manner. State the number of clients served. publications issued, etc. Discuss
NI organlzabons must describe ther exempt purpose achievements in a d a
(Section 501(4(8) and (4) oryanlxatlons and d947(ax1) nonexempt charitable busts must also enter the amount of giant! and
arnlevemmeasurable. that are not measurable. a
on! en.l
allallocations mDm
a RECOVERY AND REHABILITATION SERVICES FOR ADULT MEN AND WOMEN
268,775 .
WITH SUBSTANCE ABUSE PROBLEMS. SERVICES INCLUDE HOUSING,
COUNSELING; MEALS AND -r
(Cranis and allocations $ )
b
(Grants and allocations $ )
C
(Grants and allocations $ )
d
(Grants and allocations $ )
e Other program services (attach schedule) (Grants and allocations $ )
ronnueut,a-.,.r s vnttr ltl sir V I la.C]r.Ay 1, V{ y 1 v1N.J r Vl\ YJ
v
J
Statement of All organizations must complete column (A). Columns (8), (C), and (0) are required for section 501(c)(3) and
Reporting of Joint Costs. - Did you report in column (B) (Program services) any joint casts from a combined educational campaign and
fundraising solicitation? 1• C Yes iri No
If 'Yes,' enter (I) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $
(iii) the amount allocated to Management and general $ ; and (iv) the amount allocated to Fundraising $
Statement of Program Service Accomplishments
f Total of Program Service Expenses (should equal line 44. column (8), Program services) .
723011 2
12-09-97
268,775.
Note: Where required, attached schedules and amounts within the description column should be
for end -of -year amounts only.
(A)
Beginning of year
(B)
End of year
Assets
45 Cash - non-interest-hearing
48 Savings and temporary cash investments
47 a Accounts receivable
b Less: allowance for doubtful accounts
48 a Pledges receivable
b Less: allowance for doubtful accounts
49 Grants receivable
50 Receivables from officers, directors, trustees, and key
schedule)
51 a Other notes and loans receivable
b Less: allowance for doubtful accounts
52 Inventories for sale or use
53 Prepaid expenses and deferred charges
54 Investments - securities (attach schedule)
55 a Investments • land, buildings, and
equipment: basis - -
b Less: accumulated depreciation (attach
schedule)
56 Investments - other SEE
57 a Land, buildings, and equipment: basis
h Less: accumulated depreciation STMT 6
58 Other assets (describe ► BOARDING FEES
47a
200.
45
301.
27,493.
46
28,607.
...
47c
4713
48a
48c
48b
employees
51a
(attach
ttt
23,014.
49
26,330.
50
„ ; ;..
51 c
51 b
55a
_
52
3 , 824 .
53
3,810.
54
55c
55b
STATEMENT
57a
5
25,567.
52,110.
56
53,925.
11 , 602 .
..:.:.
57c
9,919.
57h
15,648.
)
3,515.
58
9,958.
59 Total assets (add lines 45 through 58) (must equal line 74)
12 1 , 758 .
59
132 , 850 .
Liabilities
50 Accounts payable and accrued expenses
61 Grants payable
62 Deferred revenue
63 Loans from officers, directors, trustees, and key employees
64 a Tax - exempt bond liabilities
b Mortgages and other notes payable
65 Other liabilities (describe ■ SEE STATEMENT 7 )
9 , 794 .
eg
13,980.
61
62
63
54a
64b
1,627.
65
964.
68 Total liabilities (add lines 60 through 65)
11 , 421 .
66
14,944.
Net Assets or Fund Balances
Organizations that follow SFAS 117, check here • I X I
and complete
lines 67 through
and complete lines
funds
lines 70 through 72;
21)
27,625.
.,.....,.
67 .
55,259.
.. 69 and lines 73 and 74
67 Unrestricted
68 Temporarily restricted
69 Permanently restricted
Organizations that do not follow SFAS 117, check here •
70 through 74
70 Capital stock, trust principal, or current funds
71 Paid-in or capital surplus, or land, building, and equipment
72 Retained earnings, endowment, accumulated income, or
73 Total net assets or fund balances (add lines 67 through
column (A) must equal line 19 and column (8) must equal
74 Total liabilities and net assets / fund balances (add
82,712.
68
62,647.
59
70
fund
other
69 OR
line
lines 66
71
72
110 , 3 3 7 .
....
73
117,906.
and 73) _._
121,758.
74
132,850.
Form 990 (1997) FORMER1 '4'EST HAWAII OPTIONS FOR L. _NG 99- 0293418 Pigs
Part IV Balance Sheets
Form 990 is available for public inspection and, for some people, serves as the pnmary or sale source of information about a particular organization. How the public
perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the return is complete and accurate
and fully describes, in Part III, the organization's programs and accomplishments.
723021
12-05.97
3
•
Form 990 1997
Part IV —A
FORMER'. TEST HAWAII OPTIONS FOR L. NG 99- 0293418 Pape4
Reconciliation of Rev per Audited art IV —B Reco ion of Expenses per Audited t!
Financial Statements avenue per Finan tatements nth Expenses per
Return Return
a Total revenue, gains, and other support
per audited financial statements
b Amounts included on line a but not on
line 12, Form 990:
(1) Net unrealized gains
on investments $
(2) Donated services
and use of facilities ... $
(3) Recoveries of prior
year grants $
(4) Other(specify):
STMT 8
$ 26,275.
Add amounts on lines (1) through (4) • b
c Line a minus line b ►
d Amounts included on line 12, Form
990 but not on line a:
(1) Investment expenses
not included on
line 6b, Form 990 ..$
(2) Other (specify):
STMT 10 $ <4,218.>
Add amounts on lines (1) and (2) . • d
e Total revenue per line 12, Form 990
(line c plus line d)
SEE STATEMENT 12
•
(A) Name and address
e
371,975.
<4,218.>
341,482.
L►, List of Officers, Directors, Trustees, and Key Employees (ust each
a Total expenses and losses per
audited financial statements
b Amounts included on line a but not on
line 17, Form 990:
(1) Donated services
and use of facilities .. $
(2) Prior year adjustments
reported an line 20,
Form 990 $
(3) Losses reported on
line 20, Form 990 $
(4) Other (specify):
STMT 9 $ 27,433.
Add amounts on lines (1) through (4) •
c Linea minus line b •
d Amounts included on line 17, Form
990 but not on line a:
(1) Investment expenses
not included on
line 6b, Form 990 ..$
(2) Other (specify):
STMT 11 $ 21,584.
Add amounts on lines (1) and (2)
e Total expenses per line 17, Form 990
(line c plus line d)
(8) Title and average hours
per week devoted to
position
•
•
one even if not compensated.)
(C) Compensation
(If not pall, enter
41,578.
d
e
1,308.
75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your oo a_mzation and all related
organizations. of which more than $10.000 was provided by the related organizations? If 'Yes, attach schedule • 1 Yes No
339,762.
21,584.
333,913.
(D m (E) Expense
ployee benefit account and
p comp e n s s aea n o other allowances
•
Form 990 (1997)
Part,V!
76 Did the organization engage in any activity 411, iously reported to the IRS? If 'Yes,' attach a detailed d ion of each activity
77 Were any changes made in the organizing or governing documents but not reported to the IRS?
If 'Yes; attach a conformed copy of the changes.
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?
b it'Yes; has it filed a tax return on Form 990.7 for this year? N/A
79 Was there a liquidation, dissolution, termination, or substantial contraction dunng the year?
If Yes; attach a statement;
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?
h If "Yes; enter the name of the organization •
and check whether it is C exempt OR 0 nonexempt.
81 a Enter the amount of political expenditures, direct or indirect, as descnbed in the
instructions for line 81 181a I 0.
b Did the organization file Form 1120 -POL for this year?
82 a Did the organization receive donated services or the use of matenals, equipment, or facilities at no charge or at substantially less than
fair rental value?
h If 'Yes; you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an
expense in Part II. (See instructions for reporting in Part III) 182b I N/A
Did the organization comply with the public inspection requirements for returns and exemption applications?
Did the organization comply with the disclosure requirements relating to quid pro quo contributions?
Did the organization solicit any contributions or gifts that were not tax deductible?
It Yes; did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N/A
85 501(c)(4), (5), or (6) organizations. - a Were substantially all dues nondeductible by members? N/A
h Did the organization make only in -house lobbying expenditures of $2,000 or less? N/A
If Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax
owed for the prior year.
c Dues, assessments, and similar amounts from members 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N/A
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? N/A
h If section 6033(e)(1)(A) dues notice were sent, does the organization agree to add the amount in 85f to its reasonable estimate of dues
83a
h
84a
b
allocable to nondeductible lobbying and political expenditures for the following tax year?
86 501(c)(7) organizations. - Enter
a Initiation fees and capital contributions included on line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86h
87 501(c)(12) organizations. - Enter a Gross income from members or shareholders 875
h Grass income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87h
88 At anytime during the year, did the organization awn a 50% or greater interest in a taxable corporation or partnership?
If Yes; complete Part IX
89 a 501(c)(3) organizations. - Enter Amount of tax imposed dunng the year under:
section 4911• 0 . ; section 4912 • 0 - ; section 4955 •
h 501(c)(3) and 501(c)(4) organizations. - Did the organization engage in any section 4958 excess benefit
transaction dunng the year? If Yes; attach a statement explaining each transaction
c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912,4955, and 4958 •
d Enter. Amount of tax in 89c, above, reimbursed by the organization •
90 a List the states with which a copy of this return is filed • NONE
It Number of employees employed in the pay period that includes March 12, 1997 90b I
723041
12 -05-97
FORMERL TEST HAWAII OPTIONS FOR L. SG
Other Information
Located at P.O. BOX 2489, KAILUA —KONA, HI
5
99- 0293418 P,pge5
Yes No
N/A
N/A
N/A
N/A
N/A
0.
91 The books are in care of ► BRIDGE HOUSE, INC. Telephone no. • ( 808) 322 -3305
0 .
0.
6
ZIP +4 ). 96745-2489
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041.- Check here • 0
and enter the amount of tax - exempt interest received or accrued dunng the tax year _ .. • I 92 N/A
ss amounts unless otherwise v U
Unrelated business income E
E%dudetion 512. 513, or514 (
(E)
(A) (
(B) )
) (
(D) R
70,643.
Medicare/Medicaid payments
Fees and contracts from government agencies
mbership dues and assessments
crest on savings and temporary
h investments 3
3
01 <
<4,218.>
93 OARDING FEES RECEIVED FOR SAFE INTERIM HOUSING PROVIDED TO ADULT MEN
D WOMEN DURING AND AFTER RECOVERY FROM SUBSTANCE ABUSE PROBLEMS.
95 OMINAL ANCILLARY INCOME
101 OMINAL ANCILLARY INCOME
103 NOMINAL ANCILLARY INCOME
Information Regarding Taxable Subsidiaries (Complete this Part It the °Yes• box on 88 Is checked.)
Name, address, and employer identification Percentage of End -of -year
Nature of business activities Total income
number of corporation or partnership ownership interest assets
SEE STATEMENT 13 %
%
0
%
Under penalties of cowry. I declare that I have examined this return, including accompanying scneoulea and statements, and to the best of my knowledge and ballet, it is true
correct, and =Mists. eeceratlon at prepare, (other than eked Is based an all infcnnason of which prepare, has any knowledge.
Please
Sign I
Here ' Signature of officer Date ' Type or pnnt name and title
Preparers Date selfck f Prepares SSN
Paid signature 05 /11/99 employed ►
Preparers Firm's name (or yours AKAMINE, OYADOMARI & KOSAKI, CPA'S, IN EIN ►
Use Only ifself- employed) '1440 KAPIOLANI BLVD, SUITE 900
and address HONOLULU, HI zIP +4 ■ 96814 -3612
Form 990 (1997) FORMERL TEST HAWAII OPTIONS FOR Li SG 99- 0293418 Pages
S
Part VII
- Enter gr
indicate
93 Pr
(a)
(b)
(c)
(d)
(e)
(I)
(9)
94 Me
95 Ind
96 Di
97 Net
(a)
(b)
98 Ne
99 Ot
100 Ga
oth
101 Ne
102 Gr
103 ON
104 Su
105 TOTAL (add line 104, columns (B), (D), and (E)) ►
Note: (Line 105 plus line Id, Part I, should equal the amount on line 12, Part IMIJ Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
• exempt purposes (other than by providing funds for such purposes).
723161
ca
a
b
t
d
e
12 -05-97
Analysis of Income- Pro Activities
6
72,003.
t
Form 990 (1997) FORMERL TEST HAWAII OPTIONS FOR Li SG 99- 0293418 Pages
S
Part VII
- Enter gr
indicate
93 Pr
(a)
(b)
(c)
(d)
(e)
(I)
(9)
94 Me
95 Ind
96 Di
97 Net
(a)
(b)
98 Ne
99 Ot
100 Ga
oth
101 Ne
102 Gr
103 ON
104 Su
105 TOTAL (add line 104, columns (B), (D), and (E)) ►
Note: (Line 105 plus line Id, Part I, should equal the amount on line 12, Part IMIJ Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
• exempt purposes (other than by providing funds for such purposes).
723161
ca
a
b
t
d
e
12 -05-97
Analysis of Income- Pro Activities
6
72,003.
t
(a) Name and address of each employee paid
more than $50,000
(List eacn one r wnemer lnonnauals or arms.) In mere are none, enter - plane.
(h) Title and average hours
per week devoted to
position
(c) Compensation
(Et) Contributions p utions t o
en ;a a t
compensation
(e) Expense
account and other
allowances
NONE
Total number of others receiving over
$50,000 for orofessional services
•
0
Total number of other employees paid
over $50,000....
►
0
rase inszructrons.f
(List eacn one r wnemer lnonnauals or arms.) In mere are none, enter - plane.
(a) Name and address of each independent contractor paid more than $50,000
(h) Type of service
(c) Compensation
NONE
Total number of others receiving over
$50,000 for orofessional services
•
0
SGHtUULt A
(Form 990)
Department of the Treasury
Internal Revenue Service
723101
12 -05-97
D. , Exempt under tin _1(
(Except Privallindatlon), and Section 501(e), 501(f), 501(k), 501(n))tion 4947(a)(1)
Nonexempt Charitable Trust
Supplementary Information
•Must be completed by the above organizations and attached to their Farm 990 (or Form 990EZ).
Name of the organization BRIDGE HOUSE, INC.
FORMERLY WEST HAWAII OPTIONS FOR LIVING
URI Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
( See instructions.) ( List each one. If there are none, enter'None.')
Compensation of the Five Highest Paid Independent Contractors for Professional Services
•
WA For Paperwork Reduction Act Notice, see page 1 of the Instructions to Farm 990 (or Farm 990 -EZ).
7
UMO NO. ie.U-w.,
1 997
Employer Identification number
99:0293418
Schedule A (Form 990) 1997
r
M
2a
2b
2c
2d
2e
3
Yes
X
-Part Ill Statement About Activiti
1
iiil During the year, has the organization attempte lluence national, state, or local legislation, including an
opinion on a legislative matter or referendum?
If 'Yes,' enter the total expenses paid or incurred in connection with the lobbying activites. ► $
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other
organizations checking Yes; must complete Part VI -B AND attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the oganizabon, either directly or indirectly, engaged in any of the following acts with any of its trustees, directors,
officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary:
a Sale, exchange, or leasing of property?
b Lending of money or other extension of credit?
c Fumishing of goods, services, or facilities?
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? SEE PART V, FORM 9 9 0
e Transfer of any part of its income or assets?
If the answer to any question is Yes; attach a detailed statement explaining the transactions.
3 Does the organization make grants for scholarships, fellowships, student loans, etc.?
4 Attach a statement explaining how the organization determines that individuals or organizations receiving grants or loans from it in
f urtherance of its charitable programs qualify to receive payments. (See instructions.
Reason for Non - Private Foundation Status (See instructions.)
The organization is not a private foundation because it is (please check only ONE applicable box):
5 n A church, convention of churches, or association of churches. Section 170(b)(1)(A)(1).
6 I= A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 4.)
7 = A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).
8 = A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
9 U A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name, city,
and state •
10 C An organization operated for the benefit of a college or university awned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule in Part IV -A.)
11 a 1 X 1 An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.)
11b 0 A community trust. Section 170(b)(1)(A)(w). (Also complete the Support Schedule in Part IV -A.)
12 C An organization that normally receives: (1) mare than 33 1/3 % of its support from contnbutions, membership fees, and gross
receipts from activities related to its chantable, etc., functions - subject to certain exceptions, and (2) no more than 33 1/3% of
its support from gross investment Income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV -A.)
13 0, An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations descnbed in:
(1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions on page 4.)
(a) Name(s) of supported organization(s)
14 n An organization organized and operated to test for public safety, Section 509(a)(4). (See instructions on page 4.)
723111
12 -G5-97 8
pt to influence public
(b) Line number
from above
¥l
X
X
X
1'
Calendar year (or fiscal year
beginning in) ►
(a) 1996
(13) 1995
(c) 1994
(d) 1993
(e) Total
15
Gifts, grants, and contributions received.
lino not include unusual Brenta. Sea
line 28.)
230
181 I 706.
156 I 234.
175,437.
743 I 705.
16
Membership fees received
17
Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of facilities
in any activity that is not a business
unrelated to the organization's
charitable, etc., purpose
84,931.
72,042.
46,778.
203,751.
18
Gross income from interest,
dividends, amounts received from
payments on securities loans (sec-
tion 512(a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30, 1975
434.
365.
36.
10,361.
11,196.
19
Net income from unrelated business
activities not included in line 18 ,,
20
Tax revenues ITned for the organization's
benefit and either pad to It or expended
on Its baited
21
The value of services or facilities
fumished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22
Otte/ income. Attadta schedule Donot
Indude gain or (loss) from sale of capital
assets
4,139.
13,581•
SEE STATEMENT 14
2,401. 20,121•
23
Total of lines 15 through 22
319,832.
267,694.
205,449. 185,798. 978,773.
24
Line 23 minus fine 17
234, 901.
195, 652.
158, 671. 185, 798. 775, 022.
25
Enter l %of line 23
3,198.
2,677.
2,054. 1, 858. :::.;;::r:;'- r:::�;.:
26
b
e
0
e
f
Organizations described in lines 10
Attach a list (which is not open to public
governmental unit or publicly supported
in line 26a. Enter the sum of all these
Total support for section 509(a)(1) test:
Add: Amounts from column (e) for lines:
Public support (line 26c minus line 26d
Public support percentage (line 26e
or 11: a Enter 2% of amount in column (e), line 24 ►
inspection) showing the name of and amount contributed by each person (other than a
organization) whose total gifts for 1993 through 1996 exceeded the amount shown
excess amounts •
Enter line 24, column (e) Po'
18 11,196. 19
26a 15,500.
........ ........:..:.. ._, .
266 0 •
V
26c .... 775,02 2 . '
. °'
26d 31,317 .
22 20,121. 2513 111
total) ►
(numerator) divided by line 25c (denominatorl) I.
26e 743,705.
261 95.9592%
Schedule (Form 990)1997 FORMERU ,TEST HAWAII OPTIONS FOR L. NG 99- 0293418 Page 3 1
cash method of accounting.
y -
thod of accounting.
Part 1V —A
Support Schedule (Compile
Note: You may use the worksh
if you checked a box on line 10, 11, or 12 abov
e instructions for convertin from the accrual to the
27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' attach a list to show the name
of, and total amounts received in each year from each 'disqualified person.' Enter the sum of such amounts for each year. N/A
(1996) (1995) (1994) (1993)
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount received for each year,
that was more than theiargerof (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11, as well as
individuals.) After computing the difference between the amount received and the larger amount decribed in (1) or (2), enter the sum of these differences (the
excess amounts) for each year. N/A
(1996) (1995)
723121
12 -03-97
(1994)
16
c Add: Amounts from column (e) for lines: 15
17 20 21 • 27c
d Add: Line 27a total and line 27b total ►
e Public support (line 27c, total minus line 27d total) ►
1 Total support for section 509(a)(2) test: Enter amount on line 23, column (e) ► I 271 I $ N/A
g Public support percentage (line 27e (numerator) divided by line 27f, (denominator)) ►
h Investment income percentage (line 18 column (e) (numerator) divided by line 27f (denominator)) ►
(1993)
27d
27e
27q
27h
Y8 Unusual Grants: For an organization described in line 10, 11, or 12, that received any unusual grants dunng 1993 through 1996, attach a list (which is not open to
public inspection) for each year showing the name of the contnbutor, the date and amount of the grant, and a bnef description of the nature of the grant. Do not include
these grants in line 15. (See instructions.) NONF
9
N/A
N/A
N/A
N/A
N/A %
Schedule A (Form 990) 1997 FORMER1 r7EST HAWAII OPTIONS FOR L_ NG 99- 0293418 Page4
Private School Questiore ` II Part IV) (To be completed ONL chools that checked the box on A
Yes No
Part ; V
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body?
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, ;>
and other written communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
If 'Yes; please describe; ff'No; please explain. (If you need more space, attach a separate statement.)
32 Does the organization maintain the following:
a Records indicating the racial composition of the student body, faculty, and administrative staff?
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis?
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs, and scholarships?
d Copies of all matenal used by the organization or on its behalf to solicit contributions?
If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.)
33 Does the organization discriminate by race in any way with respect to:
a Students' rights or privileges?
h Admissions policies?
c Employment of faculty or administrative staff?
d Scholarships or other financial assistance?
e Educational policies?
f Use of facilities?
g Athletic programs?
h Other extracurricular activities?
If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement.)
34 a Does the organization receive any financial aid or assistance from a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered Yes' to either 34a orb, please explain using an attached statement.
35 Doesthe organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75 -50,
19752 C.8.587, covering racial nondiscrimination? If 'No,' attach an explanation
723131
12 -05-97
1 0
33b
33c
33d
33e
331
33q
33h
35
SRILGE — >USE, INC.
Schedule A(Form 990) 1997 FORMER WEST HAWAII O FOR T :NG 99- 0293418 P i
Lobbying Expenditu Electing Public Charities
(To be completed ONLY by an eligi organization that filed Forth 5768)
Check here ► a C If the organization belongs to an affiliated group.
Check here 1 b C If you checked "a" above and limited control' provisions a
36 Total lobbying expenditures to influence public opinion (grassroots lobbying)
37 Total lobbying expenditures to influence a legislative body (direct lobbying)
38 Total lobbying expenditures (add lines 36 and 37)
39' Other exempt purpose expenditures
40 Total exempt purpose expenditurds (add lines 38 and 39)
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not ova5500,000 20% of the amount on line 40
Over 5500,000 but not over 51,000,000 5100,000 plus 15% of the excess over 5500,000
Over 51,000,000 but not over 51,500,000 5175,000 plus 10% of the excess over 51,000,000
Over 51,500,000 but not over 517, 000, 000 5225,000 plus 5% of the excess over 51,500,000
Over 517,000,000 51,000,000
42 Grassroots nontaxable amount (enter 25% of line 41)
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38
Caution: If there rs an amount on either line 43 or line 44, you must file Form 4720.
art VI —B
(a)
1997
(b)
1996
Lobbying Expenditures During 4 -Year Averaging Period
(c)
1995
(d)
1994
Calendar year (or
fiscal year beginning In) ►
45 Lobbying nontaxable
amount
46 Lobbying ceiling amount
(150% of line 45(e))
47 Total lobbying
expenditures
48 Grassroots nontaxable
amount ....................
49 Grassroots ceiling amount
(150% of line 48(e)) ......
50 Grassroots lobbying
expenditures ..
Lobbying Activity by Nonelecting Public Charit'es
(For reporting only by organizations that did not complete Part VI -A)
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to
influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
h Paid staff or management (include compensation in expenses reported on lines c through h)
e Media advertisements
d Mailings to members, legislators, or the public
e Publications or published or broadcast statements
1 Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
I Total lobbying expenditures (add lines c through h)
If 'Yes' to any of the above, also attach a statement giving a detailed descnption of the lobbying activities.
723141
12 -05-07
poly
36
37
38
39
40
41
42
43
44
(a)
Affiliated group totals
N/A
Limits on Lobbying Expenditures
(The term 'expenditures' means amounts paid or incurred)
4 - Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below. See the instructions for lines 45 through 50.)
11
Yes
No
N/A
(b)
To be completed for ALL
electing organizations
N/A
(e)
Total
Amount
N/A
0.
0.
0 .
0.
0.
0.
0.
Schedule A (Form 990) 1997 FORMER1 WEST HAWAII OPTIONS FOR L_ NG 99- 0293418 Page6
Information Regarding - refers To and Transactions and Relatips With Noncharitable `
Exempt Organizations
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization descnbed in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of:
(1) Cash
(II) Other assets
b Other transactions:
(I) Sales of assets to a noncharitable exempt organization
(Ii) Purchases of assets from a noncharitable exempt organization
(iii) Rental of facilities or equipment
(Iv) Reimbursement arrangements
(v) Loans or loan guarantees .
(vi) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always indicate the fair market value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
Part VII
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(a)
Line no.
52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax -exempt organizations descnbed in section 501(c) of the
Code (other than section 501(c (3)) or in section 527?
b If 'Yes; complete the following schedule.
N/A
(b)
Type of organization
723151
12 -05.97
(a
Name of organization
12
(c)
Description of relationship
51a(i)
apt)
b(1)
b(li)
b(111)
b(iv)
b(v)
b(vi)
Yes
N/A
No
X
X
(d)
Description of transfers, transactions, and sharing arrangements
Yes FrI No
Asset
Number
-
Description of property
-
p l a ce d
in service
Method /
IRC sec.
Life
or rate
Line
No.
Cost or
other basis
Basis
reduction
Accumulated
depreciation /amortization
Current year
deduction
1FOOT
LOCKERS
:::.:09 ,92SL 7.00 19
281.
200.
40.
2P
HONE
'110, 192SL
7.00
19
165.
119.
24.
3
( D) MICRO
110, 1921SL
7.00 19
200.
141.
0.
4BEDS
: :',110, ,925L .10.0019
1,170.
585.
117.
SCOUCH
AND CHAIRS
1111 ,92SL
10.0019
455.
1
226.
46.
6TABLES
AND CHAIRS
.:4111, 1 92SL
10.0019
65.
31.
7.
7TABLES
AND CHAIRS '
:':J03, 193SL
10.0019
1,131.
565.
113.
8
XCERCISE EQUIPMENT
4)4 193SL
10.0019
276.1
115.
28.
9
URNITURE
:"107 1 93SL 10.0019
I
504
20.
5.
10
ELEPHONE
H09, 03SL
7.00
19
114.
1
64.
16.
11(D
ANSWERING MACHINE
'.:°109 1 93SL
7.00
19
89.
51.
0.
12
OMPUTER
'110, 1 9315L
16.00 119
2,705.
1,
804.
451.
13MONITOR
UPGRADE
:111, 193SL
6.00
19
286.
192.
48.
14COMUPUTER
UPGRADE
Ill, ,93SL
6.00
19
292.
194.
49.
15DESK
12, 03SL
10.0019
100.
40.
10.
16(D)WASHING
MACHINE
H12, ,93SL
10.0019
57.
24.
0.
17
AX MACHINE
`104, ,94SL 7.00
19
487.
I
280.
70.
18(D
REFRIGERATOR
[041 041SL 10.0019
50.
20.
0.
19SAFE
.7'..105 ,945L 10.00119
1
198.
80.1
20.
20(D)GE
ROOM AIRCONDITIONER
1 81 ,94SL 7.00
19
292.
126.
0.
22RECREATION
EQUIPMENT
107, ,95n 10.0019
243.
I
48.1
24.
23USED
FURNITURE
11,
,9501, 3.00
19
500.
278.1
167.
24(D COMPUTER
02, 1961SL 6.00
19
2,074.
I
490.1
0.
25(D REFRIGERATOR
"102, 1 961SL 10.00119
1
75.
10.
0.
26(D)COMPUTER SOFTWARE
:104, 1961SL 6.00
19
2,483.
1
517.
0.
27(D)COMP-U-PLUS TAPE BACKUP
.406, 1 961SL 16.00 19
338.,
I
61.
0.
28COPIER
::106, 196SL
7.00
19
2,395.1
375.1
342.
Depreciation and Amortization Defi3 990 PAGE 2
990
I
116261 # - Current year section 179 (D) • Asset disposed
;am -97 13
Asset
Number
v Description
of property •
i .
i n servi Date
placed
Method/
IRC sec.
Life
or rate
Line
No.
Castor
other basis
Basis
reduction
Accumulated
depreciation /amortization
Current year
deduction
29DESKJET
PRINTER
708121197SL
6.00 19
396.
60.
30WATER
TANK.
.: 1 1 5 71SL
10.0019
2,995.
200.
31TOSHIBA
LAPTOP
;; _.10 112 019 8SL
6.00 19
1,042.
I
86.
32
PENTIUM COMPUTER
F ; :'10 412 219 8SL
.
6.00
19
1,686.1
70.
33MISCELLANEOUS
<1:1VA
.000 119
96.1
1
0.
** 990 PAGE 2 TOTAL -.
1 1
1
22,786.
I
6,6561
1,993.
211989
FORD XL 15 PASS VAN
'108 1 935L 15.00
19
8,439.
1
6,752.
1,687.
** 990 PAGE 2 TOTAL -
1 I
8,439.
6,752.
1,687.
** GRAND TOTAL 990 PAGE 2
DEPRECIATION
1
1
31,225.
13,408.1
3,680.
I,
1 1 1
I
I
I
I
I
! I I
1 1 I
1
1
dI�
1
1
•
=:1 ,
1 I I
I
I 1
1
1
I
1
1
I
1
I
I
11 11
I
I
1 I I I
I
I I 1
I
716261
10-07 -97
Depreciation and Amortization Donau FORM 990 PAGE 2
p - Current year section 17 (0) - Asset disposed
990
e
BRIDGE HOUSE, INC. FORM1 Y WEST HAWAII
FORM 990
DESCRIPTION
GAIN (L SS) FROM SALE OF OTHER ASSETS STATEMENT 1
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
9NSWERING MACHINE 09/ /93 03/31/98 PURCHASED
TAME OF BUYER
DESCRIPTION
QAME OF BUYER
) ESCRIPTION
:OMPUTER SOFTWARE
TAME OF BUYER
)ESCRIPTION
) ESCRIPTION
TAME OF BUYER
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 89. 0. 51. <38.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
:OMPUTER 02/ /96 03/31/98 PURCHASED
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 2,074. 0. 490. <1,584.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
04/ /96 03/31/98 PURCHASED
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 2,483. 0. 517. <1,966.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
LICRO 10/ /92 07/31/98 PURCHASED
GROSS COST OR EXPENSE NET GAIN
TAME OF BUYER SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 200. 0. 141. <59.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
TASHING MACHINE 12/ /93 07/31/98 PURCHASED
99- 0293418
R
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 57. 0. 24. <33.>
15 STATEMENT(S) 1
BRIDGE HOUSE, INC. FORMI Y WEST HAWAII 99- 0293418
• DATE SATE METHOD
DESCRIPTION ACQUIRED SOLD ACQUIRED
REFRIGERATOR 04/ /94 07/31/98 PURCHASED
GROSS COST OR EXPENSE NET GAIN
NAME OF BUYER SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
DESCRIPTION
REFRIGERATOR 02/ /96 07/31/98 PURCHASED
NAME OF BUYER
DESCRIPTION
:OMP -U -PLUS TAPE BACKUP 06/ /96 07/31/98 PURCHASED
TAME OF BUYER
DESCRIPTION
QAME OF BUYER
FO FM 99,0, PART I, LN 8
0. 50. 0. 20. <30.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 75. 0. 10. <65.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 338. 0. 61. <277.>
DATE DATE METHOD
ACQUIRED SOLD ACQUIRED
3E ROOM AIRCONDITIONER 08/ /94 07/31/98 PURCHASED
GROSS COST OR EXPENSE NET GAIN
SALES PRICE OTHER BASIS OF SALE DEPREC OR (LOSS)
0. 292. 0. 126. <166.>
5,658.
0. 1,440. <4,218.>
16 STATEMENT(S) 1
DASLVL [3VVJ8, i1Vl.. EVAP11 S YYGJl IIAVVf11
FORM 990 SOCIAL EVENTS AND ACTIVITI
GROSS CONTRIBUT. GROSS DIRECT NET
DESCRIPTION OF EVENT RECEIPTS INCLUDED REVENUE EXPENSES INCOME
:HRISTMAS CARD SALE,
:ANDY SALE & GYPSY 6,647. 6,647. 2,386. 4,261.
DO FM 990, PART I, LN 9 6,647. 6,647. 2,386. 4,261.
?ORM 990
(A) (B) (C) (D)
PROGRAM MANAGEMENT
)ESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
MOD 13,396. 13,396.
?ROFESSIONAL
SERVICES 12,722. 9,532. 3,190.
JTILITIES 12,614. 11,983. 631.
ENSURANCE 7,432. 2,642. 4,790.
3AD DEBT 18,050. 18,050.
2EPAIRS AND
dAINTENANCE 6,517. 6,401. 116.
4ISCELLANEOUS 2,867. - 1,533. 1,334.
TOTAL TO FM 990, LN 43 73,598. 63,537. 10,061.
'ORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 4
PART III
;XPLANATION
OTHER EXPENSES STATEMENT 3
t PROVIDE SAFE INTERIM HOUSING AND A STRUCTURED SUPPORTIVE SETTING FOR
LECOVERING ADULT MEN AND WOMEN WITH SUBSTANCE ABUSE PROBLEMS.
JJ VLJJ2IV
a
STATEMENT 2
17 STATEMENT(S) 2, 3, 4
BRIDGE HOUSE, INC. FORME I WEST HAWAII
?ORM 990
)ESCRIPTION
: NVESTMENT IN SUBSIDIARY
VALUATION
METHOD
99- 029348 •
OTHER INVESTMENTS STATEMENT 5
AMOUNT
COST 53,925.
'OTAL TO FORM 990, PART IV, LINE 56, COLUMN B 53,925.
'ORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 6
COST OR ACCUMULATED
) ESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
'CDT LOCKERS 281. 240. 41.
'HONE 165. 143. 22.
ZEDS 1,170. 702. 468.
:OUCH AND CHAIRS 455. 272. 183.
ARLES AND CHAIRS 65. 38. 27.
ABLES AND CHAIRS 1,131. 678. 453.
,XCERCISE EQUIPMENT 276. 143. 133.
' URNITURE 50. 25. 25.
'ELEPHONE 114. 80. 34.
OMPUTER 2,705. 2,255. 450.
[ONITOR UPGRADE 286. 240. 46.
OMUPUTER UPGRADE 292. 243. 49.
DESK 100. 50. 50.
AX MACHINE 487. 350. 137.
AFE 198. 100. 98.
989 FORD XL 15 PASS VAN 8,439. 8,439. 0.
ECREATION EQUIPMENT 243. 72. 171.
SED FURNITURE 500. 445. 55.
OPIER 2,395. 717. 1,678.
ESKJET PRINTER 396. 60. 336.
'ATER TANK 2,995. 200. 2,795.
OSHIBA LAPTOP 1,042. 86. 956.
ENTIUM COMPUTER 1,686. 70. 1,616.
ISCELLANEOUS 96. 0. 96.
OTAL TO FORM 990, PART IV, LN 57 25,567. 15,648. 9,919.
18 STATEMENT(S) 5, 6
....�.,...,. ........,., r •. •••• • i V1U•lr. - rvGJl 114
'ORM 990
OTHER LIABILITIES
STATEMENT 7
)ESCRIPTION AMOUNT
)BLIGATION UNDER CAPITAL LEASE 964.
'OTAL TO FORM 990, PART IV, LINE 65, COLUMN B 964.
'ORM 990 OTHER REVENUE NOT INCLUDED ON FORM 990
STATEMENT 8
)ESCRIPTION AMOUNT
IRIDGE HOUSE NURSERY, INC. SALES NET OF DIRECT EXPENSES
)ECREASE IN TEMPORARILY RESTRICTED NET ASSETS
'OTAL TO FORM 990, PART IV -A 26,275.
ORM 990 OTHER EXPENSES NOT INCLUDED ON FORM 990
6,212.
20,063.
STATEMENT 9
ESCRIPTION AMOUNT
RIDGE HOUSE NURSERY, INC. EXPENSES 23,215.
OSS ON DISOPOSAL OF FIXED ASSETS 4,218.
OTAL TO FORM 990, PART IV -B 27,433.
ORM 990 OTHER REVENUE INCLUDED ON FORM 990
STATEMENT 10
ESCRIPTION AMOUNT
99- 02934125
a y
)SS ON DISPOSAL OF FIXED ASSETS <4,218.>
)TAL TO FORM 990, PART IV -A <4,218.>
19 STATEMENT(S) 7, 8, 9, 10
BRIDGE; HOUSY:, IN(:. EURME ' WET HAWAII y7- UGy.7410
B
'ORM 990 OTHER E NSES INCLUDED ON FORM 99 STATEMENT 11
iESCRIPTION AMOUNT
RIDGE HOUSE, INC. /BRIDGE HOUSE NURSERY, INC. INTERCOMPANY
ENT 21,584.
' OTAL TO FORM 990, PART IV -B 21,584.
tRM 990 PART V - LIST OF OFFICERS, DIRECTORS,
TRUSTEES AND KEY EMPLOYEES
AME AND ADDRESS
ALTER WELTON
5 -890 HIONA STREET
OLUALOA, HAWAII 96725
LEM ZIERKE
3 -1018 AHIKAWA STREET
AILUA -KONA, HAWAII 96740
V PRESIDENT
3.75 HRS /WK
ATE HENDRICKS SECRETARY
.0. BOX 5046 3.75 HRS /WK
AILUA -KONA, HAWAII 96745
ICHAEL MEDINA TREASURER
5 -5595 PULANI ROAD SUITE Cl 3.75 HRS /WK
AILUA -KONA, HAWAII 96740
EVIN KUNZ, MD. MEDICAL DIRECTOR
5 -137 HUALALAI ROAD 3.75 HRS /WK 0. 0. 0.
AILUA -KONA, HAWAII 96740
EN CLEWETT DIRECTOR
5 -5787 KAKALINA STREET 3.75 HRS /WK
AILUA -KONA, HAWAII 96740
TEPHEN DENZER, MD. DIRECTOR
.0. BOX 667 3.75 HRS /WK
EALAKEKUA, HAWAII 96750
HIRLEY LEWIS
3 -1292 ILAU STREET
AILUA -KONA, HAWAII 96740
STATEMENT 12
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
AVRG HRS /WK SATION CONTRIB ACCOUNT
PRESIDENT
3.75 HRS /WK 0. 0. 0.
DIRECTOR
3.75 HRS /WK
0. 0. 0.
0. 0. 0.
0. 0. 0.
0. 0. 0.
0. 0. 0.
0. 0. 0.
20 STATEMENT(S) 11, 12
BRIDGE HOUSE, INC. FORM Y WEST HAWAII _ 99- 02934.8
ZEV. LEON STERLING DIRECTOR
76 -681 KIIPOHAKU STREET 3.75 HRS /WK
{AILUA -KONA, HAWAII 96740
2EV. REGINALD C. RODMAN
78 -6657 MANALAHOA HWY.
IOHUALOA, HAWAII 96725
2OBERT TRIANTOS, ESQ.
75 -1000 HENRY STREET, SUITE 209
{AILUA -KONA, HAWAII 96740
?'OTALS INCLUDED ON FORM 990, PART V
FORM 990
BRIDGE HOUSE NURSERY,
:NC., P.O. BOX 2489,
(AILUA -KONA, HI 96745
19- 0326281
; CHEDULE A
DESCRIPTION
'UNDRAISI NET INCOME
1THER INCOME
OTAL TO SCHEDULE A, LINE 22
0. 0. 0.
DIRECTOR
3.75 HRS /WK 0. 0. 0.
DIRECTOR
3.75 HRS /WK
0. 0. 0.
: HERYL TAUPU EXECUTIVE DIRECTOR
'.0. BOX 2489 40 HRS/WX 41,578. 1,308. 0.
(AILUA -KONA, HAWAII 96745
41,578. 1,308. 0.
PART IX STATEMENT 13
INFORMATION REGARDING TAXABLE SUBSIDIARIES
LAME, ADDRESS & ID NUMBER PCT NATURE OF TOTAL
)F CORP OR PARTNERSHIP OWN BUSINESS INCOME
END -OF -YEAR
ASSETS
100.00% NURSERY -
AGRICULTURAL 27,796. 226,628.
OTHER INCOME STATEMENT 14
1996 1995 1994 1993
AMOUNT AMOUNT AMOUNT AMOUNT
3,778. 6,079. 2,401.
361. 7,502.
4,139. 13,581. 2,401.
21 STATEMENT(S) 12, 13, 14
Form 2758
(Rev. May 1995)
Department of the Treeeury
Internal Revenue Service
Please type or
pnnt. File the
original and one
copy by the due
date for filing
your return.
I
Please
Type
or
Print
0 Form 706 -G5 (0)
El Form 706 -GS (T)
Fri Form 990 or 990 -EZ
CI Form 990 -BL
(� Form 990 -PF
Name
ppltcatron Tor txzension OT time i o ru.
Certa' case, Income, Information, and Oth
► File a separate application for each return.
Name BRIDGE HOUSE, INC.
FORMERLY WEST HAWAII OPTIONS FOR LIVING
Number, street (or P.O. box no. it mail is not delivered to street address)
P.O. BOX 2489
City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
KAILUA —KONA, HI 96745 -2489
Note: Corporate income tax return filers must use Form 7004 to request an extension of time to file.
trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.
1 I request an extension of time until 0 5 / 17 19 99
Director
Form 990-7 (401(a) or 408(a) trust)
C Form 990-7 (trust other than above)
Q Form 1041 (estate)
In Form 1041 -A
C Form 1042
If the organization does not have an office or place othusiness in the United States, check this box • El
2a For calendar year 19 ,or other tax year beginning 07/01/1997 and ending 06/30/1998
b If this tax year is for less than 12 months, check reason: 0 Initial return C Final return C Change in accounting period
3 Has an extension of time been previously granted for this tax year? U Yes C No
4 State in detail why you need the extension
5a If this form is for Form 706- GS(D), 706- GS(T), 990-BL, 990 -PF, 990 - 7,1041 (estate), 1042, 1120 -ND, 4720,
6069, 8612, 8613, 8725, 8804, or 8831, enter the tentative tax, less any nonrefundable credits. $
b If this form is for Farm 990 -PF, 990 -7, 1041 (estate),1042, or 8804, enter any refundable credits and
estimated tax payments made. Include any odor year overpayment allowed as a credit $
c Balance due. Subtract line 5h from line 5a. Include your payment with this form, or deposit with FTD
coupon if required. $ N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete; and that I am authorized to prepare this form.
Signature ► Title ►
FILE ORIGINAL AND ONE COPY. The IRS will show below whether or not your application is approved and will return the copy.
Notice to Applicant - To Be Completed by IRS
C We HAVE approved your application. Please attach this form to your return.
We HAVE NOT approved your application. However, we have granted a 10-day grace period from the later of the date
sham below or the due date of your return (including any prior extensions). This grace period is considered a valid
extension of time for elections otherwise required to be made on a timely return. Please attach this form to your return.
Q We HAVE NOT approved your application. After considering your reasons stated in item 4, we cannot grant your request for
an extension of time t� file. We are not granting the 10 -day grace period.
We cannot consider your application because it was filed after the due date of the return for which an extension was requested.
U Other.
By:
etums
Partnerships, REMICS, and
to file (check only one):
CI Form 1120-ND (4951 taxes)
Q Form 3520-A
Form 4720
Form 5227
Form 6069
Data ►
If you want a copy of this form to he returned to an address other than that shown above, please enter the address to which the copy should he sent.
Number, street (or P.O. box no. if mail is not delivered to street address)
City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
LHA For Paperwork Reduction Act Notice, see separate instructions. Form 2758 (Rev. 5-95)
13941
0-30-97
22
OMB No. 1545 -0148
Employer identification number
99 0293418
0 Form 8612
U Form 8613
Form 8725
0 Form 8804
Form 8831
Date
District
Director
WEST HAWAII OPTIONS FOR LIVING INC
C/0 NICK B WRIGHT
P 0 BOX 2489„
KAILUA KONA, HI 96745 -2489
RE:
Gentlemen:
WEST HAWAII OPTIONS FOR LIVING INC
99- 0293418
P.O. Ho) Los Angeles, Calif. 90053
Person to Contact: BARRAGAN
Telephone Nuttf� -894 -2336
Refer Ropy to:
EC ( 01069f)
Date:
APRIL 8, 1993
This is in response to your request for a determination
letter of the above -named organization.
A review of our records indicates that the above -named
organization was recognized to be exempt from Federal income
tax in April 1992, as an organization described in
Internal Revenue Code section 501(c)(3). It is further
classified as an organization that is not a private
foundation as defined in section 509(a) of the code, because
it is an organization described in section 170(b)(1)(A)(iii).
This letter is to verify your exempt status, and the fact that
the determination letter issued in April 1992
continues to be in effect.
If you are in need of further assistance, please feel free to
contact our office at the above address or telephone number.
Sincerely,
L Barragan
Disclosure Assistant
3,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR• TYPE OF INSURANCE POLICY NUMBER
LTR •
DATE (MMD
DATE (MMPDO/YY)
LIMITS
GENERAL LIABILITY
A I X COMMERCIAL GENERAL LIABILITY
GL0645112 .
10/07/99
10/07/00
EACH OCCURRENCE s1000000
FIRE DAMAGE (Any one fire) 550000
CLAIMS MADE � ` X, OCCUR
MED EXP (My one person) 55000
PERSONAL &ADV INJURY $ 1000000
i
GENERAL AGGREGATE 152000000
' GEN'L AGGREGATE LIMIT APPL PER:
PRODUCTS - COMP /OPAGG' $ 1000000
^ IES
�� POLICY 'f P LOC
'AUTOMOBILE LIABILITY
ANY AUTO
_, ALL OWNED AUTOS
• SCHEDULED AUTOS
HIRED AUTOS
I NON-OWNED AUTOS
_
COMBINED SINGLE LIMIT
(Ea actodent) $
I BODILY INJURY
(Per person) ' S
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
ANY AUTO
I
AUTO ONLY EA ACCIDENT 5
OTHER THAN EA ACC S
AUTO ONLY. AGG S
EXCESS LIABILITY_
•
OCCUR, CLAIMS MADE I
DEDUCTIBLE
RETENTICN $
EACH OCCURRENCE $
AGGREGATE • $
5
! S
5
WORKERS COMPENSATION AND
I
WL s ATU- • UIH
I TORY LIMITS I I ER
,
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT 5
E.L DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT 5
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Certificate Holder is Named Additional Insured
ACORD_ ULK I II I t, Vr LIHbILI I T IINOUKHIVIrmi 2
PRODUCER
J.D. Jenkins & Company, Inc.
One Main Plaza, Suite 600
2200 Main Street
Wailuku HI 96793
Phone:808- 244 -8700
•
Fax:808- 242 -1412
INSURERS AFFORDING COVERAGE
INSURED
Bridge House, Inc.
Box 2489
Kailua -Rona HI 96745
INSURER A:
INSURER B:
INSURER C.
INSURER 0:
I INSURER E:
Westchester Fire Insurance Co.
CERTIFICATE HOLDER
County of Hawaii
Department of Finance
25 Aupuni Street, Rm 118
Hilo HI 96720 -8248
COHFIAN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Margaret R. Jenkins
ACORD 25 -S (7/97)
y ADDITIONAL INSURED: INSURER LETTER.
10/21/99
THIS CERTIFICATE UED AS A MATTER OF INFORMATION
ONLY AND CONFE RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CER ATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CANCELLATION
ACORD CORPORATION 1991
m-7
f . The present name of the corporation is
WEST HAWAII OPTIONS FOR LIVING, INC.
2. The corporation's name is changed to:
BRIDGE HOUSE, INC.
3. If adoption of the amendment was by the members, complete the following:
as I OW,
•
A. A meeting of the members was held on
Utr.,N uses t OF COMMERCE AND CONSUMER AFFAIRS
Business Regiwstbn Dlvidon
elmg law Ai:Rarts Street
Address P.O. Smi 40. HaicluMr, Hawes 0
ARTICLES OF AMENDMENT TO CHANGE CORPORA
(Section 4158 - 38, Hawaii Revised Statutes)
The undermgned. duly authonzed officers of the corporation submitting these Andes of Amendment.
certify as follows;
Armin oar Year)
A quorum was present at the meeting, and at least two of the members present at the meeting voted
to adopt the amendment.
B. The amendment was adopted by the written consent of all of the members of the corporation entitled to
vote.
4. If adoption of the amendment was by the board of directors, complete the following:
A. A meeting of the directors was held on /r1 Ay fat 199(2
( Aaanrn Oa✓ read
A quorum was present at the meeting, and a maicnty at the directors in office voted to adopt the
amendment.
OR
8. The amendment was adopted by the written consent of all of the Board of Directors.
5. If the amendment was adopted by the Board of Directors, check one of the following:
( J The corporation has no members. OR There are no members entitled to vote.
We certify under the penalties of 4158 - 158. Hawaii Revised Statutes. that we have read the above statements. and that
Me same are true and correct.
Witness our hands this ('\ day of —lf /L'F . 19 .
Ku1r? pPFcrhGit r
Ryp.�nnr nr., ,4 IMWO
OR
1 fte'f AG4 --
iScrates a °neat
Reverse Side For Instructions)
ia S10.00
/erred Cheat $TSO
l
EXPEDITED
RE /IEN
52 I 5 i9se i
lac-7 v tearrer Allan
star .a WAtl
• STATE OF HAWAII
DEPARTMENT of COMMERCE AND CONSUME AEFA•
Elesiness Registration Winston
Ed Matadi Street
Mairtq Address P. C. Bott•ad. Honoh,kr, Naval maw
ARTICLE§ OF AMENDMENT TO CHANGE CORPORATE NAME
1 iw,7 itTh ' (Section 4152-38. Hawaii Revised Statutes)
0; The undersigned, duty authorized officers of the corporation submitting these Artic:as of Amendment,
certify as toHaws:
t The present name'of the corparaion
KONA HALFWAY HOUSE, INC.
Z. The corporation's name is changed to
WEST HAWAII OPTIONS FOR LIVING, INC.
3. It adoption of the amendment was by the members, complete the following:
A. A meeting of the members was held an
to ,m Oar Yee)
A titan was prudent at the muutuut.. and at loss Mu of thu inuulbws prusumtt at h meeting
oMe,l In ad/ma tha arno.xlmanl.
UH
B. The amentment was adopted by the written consent of all of the members of the corporation entitled to
vote.
4. It adoption of the amendment was by the board at directors, complete the following:
At A meeting of the direetors.was held on August 13 1992 -
/mono Day Year,
A quorum was present at the meeting, and a matanty of the directors in office voted to adopt the
amendment.
OR
/JV
•
, OUMt IIt. nay,.. -n. r •,
Name :hangs Amendment
5. If the amendment was adopted by the Hoard at Cirectors. check one of the following:
[ 1 The corporation has no members. OR (j{ I There are no members entitled tavote.
we certify under the penalties of 41$a.158. Hawaii Revised Statutes, that we have read the above statements, and that
the same are we and correct.
witness our hands this Mt ‘t day of Seocember . 19 92 .
Josevh Fagundes, III, Vice -Pres. John McClure. Treasurer '
/ 4 _ trammel MINDUP 6 MN/ ` , Ned.. a rup
v%`.Ci
•
ARTICLE II
BY-LAWS
OF
BRIDGE HOUSE, INC.
A Non - Profit Corporation
ARTICLE I
'PURPOSES AND NONPROFIT CHARACTER
SECTION 1.1 Purposes. The purpose or mission of the corporation shall be
specifically set forth in Article IV of the Articles of Incorporation.
SECTION 1.2 Nonprofit Character. The corporation shall be a nonprofit
corporation, and any net income or earnings which may be derived from its operations,
in pursuance of the purposes of the corporation, shall not be distributed to any
member, director, or officer of the corporation, or any private individual but shall be
used to promote the purposes of the corporation.
SECTION 2.1 Principal Office. The principal office of the corporation shall be
maintained at such place within the State of Hawaii, and the corporation may have
other offices within or without the State of Hawaii, as the Board of Directors shall
determine.
SECTION 2.2 Place of Meeting. All meetings of the Board of Directors shall be
held at the principal office of the corporation, unless some other place is stated in the
call. Any meeting, regular or special, of the Board of Directors may be held by
conference telephone or similar communication equipment, so long as all directors
participating in the meeting can hear one another, and all such directors shall be
deemed to be present in person at the meeting.
Revised 2/14/94
ARTICLE III
SECTION 3.1 Members Defined. Every. individual, business, chapter, foundation,
and corporation who makes any contribution (financial, services or supplies) to or for
the benefit of this corporation or who receives services from this corporation shall
automatically, upon making such contribution, or receiving such services, become a
member �f this corporation and remain a member until the completion date of the next
annual meeting. In addition, each member of the Board of Directors shall
automatically upon his, her election, become a member of the corporation and remain
a member of the corporation during his/her term of office.
SECTION 3.2 Quorum. At any meeting of the corporate membership, of which due
notice shall have been given, the members present shall constitute a quorum for all
purposes.
1
•
Revised 2/14/94
• •
SECTION 3.2 Members Voting Rights. Each member shall be entitled to one vote.
Members may not vote by proxy, and shall only vote if in attendance at a meeting.
SECTION 3.3 Other Rights. No member shall have any right, title or interest, legal
or otherwise, in or to the corporate property or in or to any gifts, contributions to this
corporation. .
SECTION 3.4 Annual Meeting. Members shall be invited to attend the annual
meeting and at each annual meeting, the members shall elect directors, receive the
reports of the Board of Directors and the Executive Director, and transact such other
business as may properly come before them.
ARTICLE IV
BOARD OF DIRECTORS
2
Section 4.1 Election. There shall be a Board of Directors of the corporation, to
consist of not less than three (3) members. The number of the directors for the ensuing
year shall be fixed by the membership at the annual meeting to hold office until the
next annual meeting and thereafter until their successors shall be duly elected subject
to earlier termination by removal or resignation. Within the foregoing limitation as to
the minimum number, the number of directors may be decreased or increased by
ballot of the membership at any special meeting and, in case the number is increased,
the additional directors shall be elected by ballot of the membership as if elected at an
annual meeting. The qualification for board membership shall be the interest and
ability to support and further the interests of the organization. In addition Board
membership shall reflect the interests Of the various communities within West Hawaii.
Notwithstanding the foregoing, the Board shall be elected in terms designed to stagger
the tenure of members of the Board. In no event shall any Board member serve for
more than the equivalent of 2 consecutive 3 year terms.
Section 4.2 Annual meeting. At the annual meeting of the corporation, the Board of
Directors shall be elected by the members and the Board shall elect the officers of the
corporation for the ensuing year.
Section 4.3 Removal. Any director may be removed from office without cause by the
affirmative vote of a majority of the directors in office at any meeting called for such
purpose. The Board of Directors may at any time, but for cause only, remove from
office or discharge from employment any officer, subordinate officer, agent, or
employee appointed by it or by any person under authority delegated by it.
Section 4.4 Vacancies. In case of any vacancy occurring in the Board of Directors
between annual meetings, through death, resignation, disqualification, removal or
other cause other than temporary illness, the directors remaining, although less than a
majority of them, may appoint a successor or successors to fill the vacancy or
vacancies so occurring for the unexpired term or terms thereof, respectively. The
Board of Directors may elect a successor for any officer whose office becomes vacant
for any of the foregoing reasons.
e
• •
Section 4.5 Permanent Vacancies. If any permanent vacancy shall occur in the
Board of Directors through death, resignation, removal, or other cause, the remaining
directors, by the affirmative vote of a majority of all remaining members of the Board,
may elect a successor director to hold offices for the unexpired portion of the term of
the director whose place shall be vacant.
Section 4.6 Temporary Vacancies, Substitute Directors. If any temporary
vacancy shall occur in the Board of Directors through the absence of any director from
the State of Hawaii or the sickness or disability of any director, the remaining directors,
whether constituting a majority or a minority of the whole Board, may by the affirmative
vote of a majority of such, remaining directors appoint some person as a substitute
director, who shall be a director during such absence, sickness, or disability and until
such director shall return to duty or the office of such director shall become
permanently vacant.
ARTICLE V
MEETING OF BOARD OF DIRECTORS
Section 5.1 Regular Meetings. Regular meetings of the Board of Directors shall be
held, at least annually, at such times and places as the Board of Directors may provide
by resolution. No notice other than such resolution need be given. In attendance at
these meetings shall be the Executive Director and any other staff members as
requested by the Board.
Section 5.2 Annual Meeting. The Annual meeting of the Board of Directors shall be
held during the month of January.
Section 5.3 Special Meetings. Special meetings of the Board of Directors may be
called by or at the request of the President, the Vice - President, or any two directors.
The person or persons authorized to call special meetings of the Board of Directors
may fix the place for holding such meeting. Notice shall be given in writing by mailing
the same not less than three days prior to the meeting or by giving notice personally or
by telephone not less than one day prior to the meeting. The failure to give such
notice or by any director to receive such notice shall not invalidate the proceedings of
any meeting at which a quorum of the directors is present.
Section 5.4. Quorum. A majority of the total number of directors fixed at any given
time shall' constitute a quorum to transact business, and, in order to be valid, any act or
business must receive the approval of a majority of such quorum. A vacancy or
vacancies in the membership of the Board of Directors shall not affect the validity of
any action of the Board of Directors, provided there is present at the meeting a quorum
of all the directors at which the Board of Directors has been fixed.
Section 5.5 Decision- Making. As much as possible, decisions will be made on a
consensus basis. When necessary, decision- making will follow Roberts Rules of
Order.
Revised 2/14/94
3
8
• •
Section 5.6 Adjournment. In the absence of a quorum at a meeting duly called, the
President or a majority of the directors present may adjourn the meeting from time to
time without further notice, and may convene or reconvene the meeting when a
quorum shall be present.
Section 5.7 Action by Consent. Any action by the Board of Directors may be taken
without a meeting if a written consent thereto is signed by all the directors and filed
with the records of the meetings of the Board of Directors for all purposes.
Section 5.8 Proxies. Voting by proxy shall not be permitted at any meeting of the
Board of Directors or of any committees, boards, or bodies created by the Board.
Section 5.9 Procedures. The Board of Directors shall fix its own rules of procedure
which shall not be inconsistent with these By -Laws.
ARTICLE VI
POWERS AND DUTIES OF THE BOARD OF DIRECTORS
Section 6.1 Powers. The corporate powers of this Corporation shall be vested in the
Board of Directors to the fullest extent permitted by the laws of the State of Hawaii.
The Board of Directors shall have general charge of the affairs, funds and property of
the Corporation, and shall have full power, and it shall be their duty, to enforce the By-
Laws.
Section 6.2 Duties. It shall be the duty of the Board of Directors to conduct, manage
and control the affairs and business of the Corporation and to promulgate and enforce
rules and regulations consistent with law, the Articles of Incorporation and the By -Laws
of the Corporation.
Section 6.3 Gifts and Contributions. The Board of Directors may accept on behalf
of the corporation in any contribution, gift, bequest, or devise for the general purpose
of the corporation.
ARTICLE VII
OFFICERS.
Section 7.1 Number. The officers of the Corporation shall be the President, the Vice -
President; the Secretary, the Treasurer and such other officers, not to exceed three, as
the Board of Directors shall from time to time elect.
Section 7.2 Election- and Term of Office. All officers shall be elected by the
Board of Directors and shall serve until their successors are elected. Any two or more
offices may be held by the same person, provided that the Corporation shall have not
fewer than two persons as officers. All officers shall be subject to removal at any time
by the Board of Directors whenever in the judgment of the Board of Directors the best
interests of the Corporation will be served thereby. The Board of Directors may, at its
discretion, elect acting or temporary officers, elect officers to fill vacancies occurring for
Revised 2/14/94
4
8
Revised 2/14/94
5
any reason whatsoever, and limit or enlarge the duties and powers of any officer
elected by it. Officers need not be directors of the Corporation.
Section 7.3 President. The President shall be the chief executive officer of the
corporation. He shall preside at all meetings of the members and in the absence of
the Chairman of. the Board of Directors, or if no Chairman of the Board of Directors
shall have been appointed, the President shall preside at all meetings of the Board of
Directors. He may call special meetings at his discretion. Subject to the discretion
and control of the Board of Directors, the President shall:
(a) be in personal charge of the principal office of the corporation;
(b) have the general management, supervision and control of all the property,
business, and affairs of the corporation; prescribe the duties of the managers of all
branch offices, and exercise such other powers as the Board may from time to time
confer upon him;
(c) appoint heads of departments, and generally control the engagement, government,
and discharge of all employees of the corporation, and fix their duties and
compensation.
He shall at all time keep the Board of Directors fully advised as to all of the
corporation's business.
Section 7.4 Vice - President. In the absence or disability or refusal to act by the
President, the Vice - President shall, in the order designated by the Board of Directors,
perform all of the duties of the President, and when so acting shall have all the powers
of and be subject to all the restrictions upon the President. The Vice - President shall
have such powers and perform such other duties as from time to time may be
prescribed by the President, the Board of Directors or By -Laws.
Section 7.5 Treasurer. The Treasurer shall be the chief financial officer of the
Corporation and exercise general supervision over the receipt, custody and
disbursement of corporate funds. The Treasurer shall perform all other duties
assigned by the Board of Directors.
Section 7.6 Secretary. The Secretary shall keep the minutes of all meetings of the
Board of Directors. The Secretary shall keep or cause to be kept a register showing
the names of the current directors and officers with their addresses. The Secretary
shall give notice on conformity with the By -Laws of all meeting of the Board of
Directors. The Secretary shall also perform all other duties assigned by the Board of
Directors.
Section 7.7 Absence of Officers. In the absence or disability of the President and
Vice President the duties of the President (other than the calling of ,meetings of the
Board of Directors) shall be performed by such persons as may be designated for such
purpose by the Board of Directors. In the absence or disability of the Secretary or of
the Treasurer, the duties of the Secretary or Treasurer, as the case may be, shall be
performed by such person or persons as may be designated for such purposes by the
Board of Directors.
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Section 7.8 Salaries. The salaries and compensation, if any, of officers, agents, and
employees shall be determined by the Board of Directors. Board of Directorsjhall
operate in a volunteer capacity
ARTICLE VIII
COMMITTEES
Section 8.1 Committees. The Board of Directors may create and appoint such
general or special committees of any kind as the business of the corporation may
require and define the authority and duties of such committees; except that such
committees shall not have the power to fill vacancies in the Board of Directors, or any
such other powers as may be reserved to the Board of Directors by statute or
otherwise. All committees shall be chaired by a Director.
Section 8.2 Executive Committee. The Executive Committee, which shall meet bi-
monthly at a time a place designated by the President, is authorized to conduct the
business of the Corporation. The Executive Committee shall have the full power and
authority of the Board of Directors of the Corporation. Minutes shall be recorded and
reported to the full Board upon request of the Board.
ARTICLE IX
AUDIT OF THE BOOKS OF THE CORPORATION
Section 9.1 Audits. The Board of Directors may cause a complete audit or an
accounting review to be made of the. books of the corporation at least once in each
fiscal year and more often as the Board of Directors shall deem appropriate and shall
thereafter make appropriate reports to all members of the Board of Directors and of the
corporation. The Board of Directors may appoint some person, firm, or corporation
engaged in the business of auditing to act as the auditor of the corporation.
ARTICLE X
CONTRACTS, CHECKS, DEPOSITS AND FUNDS
Section 10.1 Contracts. The Board of Directors may be general or special
resolution authorize the President and/or any other officer or officers of the corporation
.to enter into any contract or to execute and deliver any document, instrument, or
writing of any nature in the name of and on behalf of the corporation, and such
authority may be general or confined to specific instances.
Section 10.2 Funds. All funds of the corporation shall be deposited from time to time
to the credit of the corporation in such banks, trust companies, or other depositories as
the Board of Directors may'select.
Section 10.3 Checks, etc. All checks, letters of credit, drafts or orders for the
payment of money, notes, or other evidences of indebtedness shall be signed by the
President and/or such other officer or officers of the corporation and/or suctr employee
duly authorized by the Board and in such manner as shall from time to time be
determined by general or special resolution of the Board of Directors; In the absence
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of such determination by the Board of Directors, such instruments shall be signed by
the President.
ARTICLE XI
INSPECTION OF CORPORATE RECORDS AND BY -LAWS
Section 11.1 Inspection of Corporate Records. The books of account and the
minutes of proceedings of the directors shall be open to inspection upon written
demand of any person at any reasonable time. Demand for inspection other than at a
meeting shall be made in writing upon the President, the Secretary, or any other officer
designated by the Board of Directors.
Section 11.2 Inspection of By -laws. The corporation shall keep in its principal
office for the transaction of business a copy of the By -Laws of the corporation as
amended or otherwise altered to date, which shall be open to inspection at all
reasonable times during office hours.
ARTICLE XII
LIABILITY AND INDEMNIFICATION
Section 12.1 Liability. No director, officer, employee, or agent of the corporation,
and no heir, executor, or administrator of any such person shall be liable to this
corporation for any loss or damage suffered by it on account of any action or omission
by him as such director, officer, employee, or agent if he acted in good faith and in a
manner he reasonably believed to be in or not opposed to the best interests of this
corporation, unless with respect to an action or suit by or in the right of the corporation
to procure a judgment in its favor, such person shall have been adjudged to be liable
for gross negligence or willful misconduct in the performance of his duty to this
corporation.
Section 12.2 Indemnification. (a) The corporation shall indemnify each person
who was or is a party or is threatened to be made a party to any threatened, pending,
or completed action, suit, or proceeding, whether civil, criminal, administrative, or
investigative (other than an action by or in the right of the corporation) because he was
a director, officer, employee, or agent of the corporation or any division of the
corporation, against expenses (including. reasonable attorneys' fees), judgments,
fines, and amounts paid in settlement actually and reasonably incurred by him in
connection with any action, suit, or proceeding if he acted in good faith and in a
manner he reasonably believed to be in or not opposed to the best interests of this
corporation, and, with respect to any criminal action or proceeding, had no reasonable
cause to believe this conduct was unlawful. The termination of any action, suit, or
proceeding by judgment, order, settlement, conviction, or upon a plea of nolo
contender or its equivalent, shall not, of itself, create a presumption that the person did
not act in good faith and in a manner which he reasonably believed to be in or not
opposed to the best interests of this corporation and, with respect to any criminal
action or proceeding, had reasonable cause to believe his conduct was unlawful.
(b) The corporation shall indemnify each person who was or is a party or is
threatened to be made a party to any threatened, pending, or completed action, suit by
or in the right of the corporation to procure a judgment in its favor because he is or was
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a director, officer, employee, or agent of the corporation or of any division of the
corporation, against expenses (including reasonable attorneys' fees) actually and
reasonably incurred by him in connection with the defense or settlement of such action
or suit if he acted in good faith and in a manner he reasonably believed to be in or not
opposed to the best interests or this corporation, except that no indemnification shall
be made in respect of any claim, issue, or matter as to which such person shall have
been adjudged to be liable for gross negligence or willful misconduct in the
performance of his duty to this corporation unless and only to the extent that the court
in which such action or suit was brought shall determine upon application that, despite
the adjudication of liability but in view of all the circumstances of the case, such person
is fairly and reasonably entitled to indemnity for such expenses which such court shall
deem proper.
(c) To the extent that a director, officer, employee, or agent of the corporation or of
any division of the corporation has been successful on the merits or otherwise in
defense of any action, suit, or proceeding referred in paragraph (a) and (b) of this
Section, or in defense of any claim, issue, or matter therein, he shall be indemnified
against expenses (including reasonable attorneys' fees) actually and reasonably
incurred by him in connection therewith.
(d) Any indemnification under paragraph (a) and (b) of this Section (unless
ordered by a court) shall be made by the corporation only as authorized in the specific
case upon a determination that indemnification of the director, officer, employee, or
agent is proper in the circumstances because he has met the applicable standard of
conduct set forth in paragraph (a) and (b). Such determination may be made (1) by
the Board by a majority vote of a quorum consisting of directors who were not parties
to such action, suit or proceeding, or (2) if such a quorum is not obtainable a quorum
or disinterested members as the Board so directs, or (3) by independent legal counsel
in a written opinion to the corporation.
(e) Expenses incurred in defending a civil or criminal action, suit, or proceeding
may be paid by the corporation in advance of the final disposition of such action, suit,
or proceeding as authorized by the Board of Directors in a particular case upon receipt
or an•undertaking by or on behalf of the director, officer, employee, or agent to repay
such amount unless it shall ultimately be determined that he is entitled to be
indemnified by the corporation as authorized in this Article.
(f) The indemnification provided by this Article shall not be deemed exclusive of
any other rights to which those indemnified by be entitled, shall continue as to a
person who has ceased to be a director, officer, employee, or agent, and shall inure to
The benefit of the heirs, executors, administrators, and personal representatives of
such person.
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(g) The corporation may purchase and maintain insurance on behalf of any person
who is or was a director, officer, employee, or agent of the corporation or any division
of the corporation against any liability asserted or incurred by him in any such capacity
or arising out of his status as such, whether or not the corporation would have the
power to indemnify him against such liability under the provisions of this Article. Any
such insurance may be procured from any insurance company designated by the
Board.
ARTICLE XIII
FISCAL YEAR
The fiscal year of the corporation shall be such as may from time to time be
established by the Board of Directors.
ARTICLE XIV
GOVERNMENTAL POLICIES
Section 14.1 General Policy. The Rules set forth in this Article XIV shall be
consistent with and interpreted in conformity with the grant policies of the State of
Hawaii Department of Health.
Section 14.2 No Compensation of Directors. The Directors of the
corporation shall not receive compensation for their services as directors
of the corporation.
Section 14.3 No Nepotism. The corporation is a non - profit organization duly
registered with the Department of Commerce and Consumer Affairs of the State of
Hawaii. All employees of the corporation shall be hired on the basis of merit and not
upon the basis of their family, blood or kin relationship to any member of the Board of
Directors or any current officer or employee.
Section 14.4 Conflict of Interest. No employee or board member of the
corporation shall take any official action on behalf of the corporation directly affecting
(a) any business or other undertaking in which the person has a substantial financial
interest, or (b) a private undertaking in which the person is engaged as legal counsel,
advisor, consultant, representative, or in any other agency capacity.
Section 14.5 Non - Smoking. Smoking is hereby prohibited at all times in all interior
spaces under the control of Bridge House, Inc..
Section 14.6 Non - Discrimination. There shall be no discrimination on
the basis of race, color, religion, marital status, age or handicap with
regard to hiring, assignment, promotion, use of volunteers, or delivery of
other services. This policy shall apply to membership on the
organization's governing body and its duly organized committees.
Section 14.8 Authorized .Representative. The President or the Executive Director
is authorized to execute, form time to time, the activities of Bridge House, Inc.. They
are authorized to sign all documents, applications and contracts required for Bridge
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House, Inc. for financial support, and other requirements necessary for the
organization.
ARTICLE XV
AMENDMENTS TO BY -LAWS
The By-Laws, and every part thereof, may from time to time and at any time, be
amended, altered, repealed, and new or additional By -Laws may be adopted by a
majority vote of the directors at which a quorum is present.
CERTIFICATE
•
The undersigned president of Bridge House, Inc., hereby certifies
that the foregoing Bylaws were dully adopted by the resolution of the
Board of Directors of Bridge House, In., on August 13, 1992, and that they
remain in full force and effect.
DATE: February 5, 1999.
Walter Welton
President
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