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HomeMy WebLinkAboutCOM 0667.039 1998-2000 • v c o O.0390@V # Rose House Inc. • ,Ord SL„d G r - Hawai'i County RFP 2000 -2001 Application (pages 1 -4) Comm. No. / 6 7. 6 3 1 File No. ADM Ref. To: 14$ EDG Ref. Date FEB 2 3 2000 • *- Stephen K. Yamashiro = ° ' \Il,;: i Harry A. Takahashi 9 R ye / .necmr Mayor �O. Il D ' ik S K.Schutte - E • Oi P 9T .t Deputy . (County of 3akuaii . DEPARTMENT OF FINANCE . 25 Aupuni 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: 30 January 2000 ROSE HOUSE . G RANT APPLICATION FOR: Rose House Inc. (Program Title) Legal Name of Organization: HCR 1 Box 4166, Kea'au, HI 96749 Mailing Address: 16 - 1193 39th Ave., Orchidland, HI Facility /Site Address: Phyllis M. Stine 966 - 5000 Director /Site Manager: Phone: Linda Payao 982 - 5478 Organization President: Phone: Phyllis M. Stine 982 - 6296 Contact Person (Grant Writer) Phone: Amount of request for County funds: $ 10,000 Total annual budget of organization: $ 78, 202 Has the applicant applied for any other funds from the County of Hawaii this fiscal year? 0 Yes Source /Department: (.1D No Agency /Program(s): 0 Social Services 0 Youth Programs 0 Elderly Programs - Check Category (ies) • 0 Culture and Arts CS Education 0 Other Supportive LivingHome Briefly, define the program for which funding is being requested: . A structured supportive living home for Women only wishing to recover from substance abuse. 1 . • • *•• . QUALIFYING STANDARDS FOR APPLICANTS • An applicant must meet all of the following standards: cc, 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. [I. 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. (II. 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 01 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 ofCounty 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. 7 • • • • IV. QUARTERLY ALLOCATION • Under no circumstances shall grant funds 'be disbursed in a lump sum payment. Grant funds ‘.■ ill 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 Cur any concerns and complaints about its programs or services that may arise from its members, employees, clients nr front other m embers of the public. • • VI. DISCLOSURE OF INFORMATION • All information, data, or any other material provided to the County by virtue of this application ,hall be subject to the Uniform Information Practices Act (UIPA), ch. 92F, Hawaii Revised Statutes. .A I! 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: I) 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 Rose House Inc. • (Legal Name of Organization) itcreb) agrees to administer the ' Rose House • (Program Title) in accordance with the regulations, policies and procedures prescribed by the Hawaii County Finance Depanment. 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 :it um 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. ph:vicar disabilities, color, religion, sex, age, or national origin as mandated by the Federal Civil Rights n as::.s untended, and any other federal or state laws relating to equal employment opportunities. IX. A:NIENDMENTS TO THE APPLICATION /EVALUATION The applicant assures that it will submit to the HSNPGRC for prior review and approval. a t■ rinen rciluest and justification for any changes, additions, or deletions to any portion(s) of the grant application or a Julr executed Grant Agreement of County Funds. The applicant will cooperate and assist. in amp etlLrt undertaken by the HSNPGRC to evaluate, inspect or otherwise monitor the effectiveness. feasibih■. anCi or cost efficiency of any and all practices, policies and procedures or activities pursuant to this applie tan any grant designation or allocation received as a result of this application. • 3 • • • • } • • AUTHORITY AND CAPACITY OF APPLICANT The applicant certifies that it has the authority and capacity to develop and submit this application. arid io fully administer the program(s) pursuant to this application. UNSIGNED PROPOSA S WILL NOT BE ACCEPTED! • • a a i 30 Jan 2000 Sratur of President/C irperson Date d e ol ie r 30 Jan 2000 Signature of Executive Director /Manager Date • • • • 4 l e House Inc. Hawaii County RFP 2000 -2001 Attachments To Original e • , \ 2 44 o ( / a / 7 § { n 0 / / ± . § , \ 0 ] / j & e \ a 0 a # - \' ( ) =1 . \ 4 m / A, ? 09 tra «m 0 D i p Dose' Howse; Board/of 'D ,s- (As of January 2000) President: Linda Payao Term Expires June 2000 RR 3 Box 1095, Pahoa, Hawaii 96778 Self Employed 982 -5478 (h), 936 -9138 (cell) Vice - President: Virginia "Ginny" Aste Term Expires June 2001 PO Box 10062, Hilo Hawai'i 96721 Retired 965 -9869, E -mail ginnv@interuac.net, Fax, 965 -6093 Secretary: Sharon StaRinger Term Expires June 2002 PO Box 1694, Pahoa, Hawai'i 96778 Work: Hale Mana, LMT 895-8217 (h), 965-7783(w) Treasurer: Arthur J. Arian Tenn Expires June 2001 RR 3 Box 1003, Pahoa, Hawai'i 96778 Retired . 982 -8875 (fax is the same # call first) Member -at- large: Joan Puanani Lee PO Box 1923, Kea'au, Hawai'i 96749 Work: Family Support Services, Outreach Worker 966.6774 (h) 965 -6027 (w) Member -at- large: LuAnn Iwalani Woo- O'Brien 15 -162 Puni Kahakai St. South, Pahoa, Hawai'i 96778 Work: YWCA Sexual Assault Support Services 965 -7550 (h) 935 -7141 (w) Member -at- large: Patricia Martinez PO Box 2070, Kea'au, Hawai'i 96749 Work: YMCA, Kuikahi Mediation Intake Coordinator 934-7744(h), 935-7844(w) ♦ Regular Meetings of The Board of Directors will be held every third Thursday of the month at 6:30pm. If such event the day falls on a legal holiday, the regular meeting shall be held at the same hour on the next business day. • The annual meeting shall be held on the third Thursday, third month of second quarter. In addition to regular business the annual meeting shall conduct an election of officers. • • • • COUNTY OF HAWAII HUMAN SERVICES NONPROFIT GRANTS (FY 2000 -01) Staff Information Sheet . • Degree Admin. Staff of Othe Pull Part g Staff Grant r Time Time Name & Program Staff Position Title Field of Study Phyllis M. Stine Medical /HS X X Executive Director Souci Liberte Human Services X X On-Site Res. Manager To be hired 11 X X 'esident Manager • • • • • • • • PHYLLIS M. STINE • • HCR 1. Box 4166 Kea'au, H'awai'i 96749 (808) 982 -6296 WORK EXPERIENCE June 1996 to present Executive Director Rose House Responsible for the development, direction, and coordination of overall program operations for a women's recovery home. Ensures primary mission and goals of the client and home are upheld. Creates and maintains policies and procedures. Initiates and implements client service plans. Conducts and mediates group problem solving discussions and weekly house meetings. Assures continuity of direction and goal planning. Makes sure all medical needs are met. Assists with visualization of interest relating to life skills. Maintains confidentiality of all clients, business records, and documents. Remains flexible through ongoing developmental changes. Provides the resources and means to fulfill court appointed community service obligations. Solicits, writes, and operates a variety of fundraising efforts. Acts as a resource person to the Board of Directors and all other agencies involved. 1969 -1991 Certified Radiologic Technologist The profession took me from student, to Assistant Director of Radiology, for a 200 - bed hospital, to free -lance technologists for various Private and State facilities. The position(s) required the taking, processing, and developing of any diagnostic x -rays ordered by a licensed physician. Technological assistance was required in many surgical and diagnostic procedures needing radiological viewing. Additional duties were determined by availability of staff, time of day, emergency, or non - emergency of given situation as patient condition demanded. Such duties included but were not limited to all required paperwork such as logging in, typing, filing, and searching for patients records. Quality control, minor equipment up -keep and maintenance were part of the tasks as my position elevated. Supervision took me from being responsible for the evening shift with one other technologist, a part -time clerk, and orderly, to the entire Diagnostic Radiology Department composed of 35+ employees. Planned, controlled, coordinated the Departments overall diagnostic operations. Scheduled or ensured the scheduling of patients appointments and personnel work shifts. Trained Technologist and other staff where applicable. Assisted with or completed employee evaluations. VOLUNTEER /SERVICE 1990- Present NA: Literature chair for East Hawaii meetings. Programming Chair for Hawai'i Regional Convention, and Merchandising Chair 10th Annual Big Island Gathering 1996 -1998 Executive Director, Rose House Inc. 1997 -1996 President Board of Directors, Rose House Inc. 1997 -1991 Hawai'i Regional Service Board of Narcotics Anonymous (Liaison to Guam- Alternate World Service Representative) 1987 -1985 Coach/Trainer, House of Hope, a women's recovery home in San Pedro, 1986 -1983 Coach/Trainer, Beacon House, men's recovery home, San Pedro 1979 -1985 Hospitals and Institutions member, Spokesperson for alternatives to Alcohol and Drugs. REFERENCES Available upon request • • ' + Rose House Inc. Hawaii County RFP 2000 -2001 In Response to Narrative • • If Rose House Inc. 2000 /2001 Hawaii County Application for Funding • ( Rose House Inc. - County of Hawaii Human Services Grant Application for FY July 1, 2000 - June 30, 2001 • PROGRAM /SERVICE DESCRIPTION A. Overview: 1. Describe the program for which funding is being requested. Rose House Inc. is seeking support from the County of Hawaii's Human Services Nonprofit Grants program for a Supportive Living Environment for women who wish to recover from substance abuse. Rose House provides a 3 to 6 month residential program which includes case management, out - patient treatment support, 12 Step program, hands -on life skill education and social reintegration. The program may be extended up to a period of 1 year, with 6 -month follow -up services. The program for which funding is being requested is the Rose House Supportive Living Environment. Women applying for residence at Rose House are required to fill out an application, which is then submitted to the Executive Director for review and an interview is scheduled. Applicants accepted into Rose House are given an orientation and a packet with the house rules and policies and are required to sign a statement of confidentiality and compliance. An assessment is done at intake and women in need of outpatient services are immediately referred to services. All clients are required to participate in a 12 Step program. Any participant who is involved in an active Child Protective Services (CPS) case or is CPS referred and has a goal of reunification with their children must attend Parenting classes on a weekly basis. A Case Management meeting is scheduled within 3 days of intake and an Individual Service Plan is implemented which includes the setting and tracking of weekly goals. Service plans are mutually agreed upon between Rose House and the participant, which include overall goals to be achieved with anticipated timelines for completion. Subsequent weekly goal sheets assist the participant in each step necessary to overcome the barriers stated in the Service Plan. Service plans are revised as necessary. The weekly goal sheets also record the participant accomplishments. This allows the client to see progress achieved or not achieved and provides for re- evaluation and the setting of new goals. While in crisis, clients often cannot see the solution to a problem, or they may have so many barriers that they are overwhelmed as to where to start. Weekly Goal Sheets assist participants to focus on the steps necessary to meet their overall goals. Rose House's main focus is to support recovery from drug and alcohol abuse. Supported recovery includes Treatment Support, Skill Building Education, support for family reunification, and integration back into the community. Currently Rose House fees are $275.00 per month. The first months program fee requires an additional $50.00 for educational supplies such as required books, joumals, pens, etc. This fee also assists in deferring initial cost of transportation for treatment and other immediate referrals and initial necessary personal hygiene supplies. Clients are responsible for the food budgeting, menu planning and maintenance of the house and cottage. Daily group living tasks as well as assigned tasks provide hands -on Life Skill, Budgeting Skill Education, Inter- personal Communication and Relationship Skill building. These are initial issues that plague substance abusers while they are learning how to recover. Once clients have achieved sobriety and have abstained from substance abuse for a period of not less than 3 months they are ready to begin the process of transitioning into society and permanent housing. Transitioning may include preparing a list of needs for their transition, completion of their CPS service Plan, reunification with children, and linking with community resources. Follow -up is maintained through phone contact or personal visit to track progress for a period of not less than 6 months. • 2 Rose House Inc. _ 2000 /2001 Hawai'i County Application for Funding A. Overview • 2. What unique or significant service will be provided? Rose House is unique in that it is designed to serve only women and is the only one of it's kind in the under -served and rapidly growing Puna District. Another unique aspect of Rose House is that it is located in a rural setting isolated from drug and alcohol traffic and oftentimes abusive relationships that hinder recovery. Rose House takes a holistic approach to the treatment of addictions through physical, emotional and spiritual healing and its peaceful rural setting enhances this approach. 3. What specific outcomes are to be achieved? If funding is secured, Rose House proposed to serve 20 individual women, all of who will have service plans (100 %). 50 % will enter permanent housing. 40% will re -enter or be well on their way to employment. 25% will enroll in a training /educational program. 75% will show a marked improvement in inter - personal relationships. 50% will remain abstinent or free from substance abuse for a period of not less than 6 months. Of the remaining 50 %, 30% will reduce their amount of drug or alcohol misuse. 4. How will the proposed program empower participants /clients to become self - sufficient and facilitates positive social change? The individuals in this program benefit by having an opportunity to set goals to change their addictive lifestyle while being assisted by case management and the supportive living environment. The communal living environment provides practical life skills experience and hands -on practice to improve the ability to cope with daily life stresses without resorting to drugs or alcohol. The setting and achieving of goals will empower the participant to make progress toward becoming a productive member of the community through maintaining abstinence, employment and /or further education. The woman then becomes a positive new role model for family, friends, and community. This will have a far reaching effect and generate social change and an improvement in community environment. B. Problem /Need: 1. What is the problem /need the program is designed to meet? Rose House is designed to meet the needs of women who have substance abuse addictions and are seeking recovery. It is the only one of it's kind in all of Puna. The County of Hawaii's Consolidated Plan recognizes the need for appropriate residential treatment facilities. The Homeless Shelter in East Hawaii estimates that over 75% of the homeless population are homeless as a result of substance abuse issues. The Consolidated Plan also indicated that a minimum of 50% of the "sub- population" have substance abuse issues and alcohol issues. Many of the individuals who enter our program also have the additional burden of being homeless. For many of the clients we have served and propose to serve, Rose House will be the first stable environment they've lived in. The community has also identified this need in the Big Island Strategic Planning Process, County of Hawaii Comprehensive Plan to the year 2000. Many of the facilities that offer substance abuse treatment can only house participants for a minimum period if at all due to medical insurance restrictions. Because many of those we serve are low to no income they are forced to return to the environment that is the breeding grounds for their addictions. Rose House offers it's participants up to a year to ensure that they will have the coping skills, self- confidence and self esteem to maintain their recovery. The safe and supportive environment that substance abusers need to recover is offered at Rose House. There would have been approximately 12 women who were potential participants that were unable to receive services due to a lack of adequate funding or a lack of available space. Other social indicators that can be expected to negatively impact the "at -risk" population and cause increased substance abuse issues is the full enforcement of the Federal Department of Health and Human Services and the State Department of Human Services' Welfare Reform. The program began in July 1999 and continues through present with up to 3,000 families being dropped from services this year. The Big Island has the highest unemployment rate in the state, in fact in the nation; with the Puna District having the highest rate on the island. • • 3 t Rose House Inc. • 2000 /200lHawai'i County Application for Funding . - B. Problem /Need: 2. Who is the target population and what are the specific needs? The target population for Rose House services includes indigent/unskilled women in rural areas in the County of Hawaii who abuse alcohol and drugs and are seeking to recovery. Over 85% of these women have minor children who are impacted by their addiction. Rose House has been in existence since June 1996 and served over 52 women to date. However due to the lack of funding we have had to operate primarily with volunteers from the community. We are seeking to enhance the quality of our services and refine our level of treatment by instituting a Computer Based Educational Program. This will also aid us in achieving our goals at the levels stated in A — 3. • 3. What is the geographical area (s) to be served, facility and hours of operation? The geographical area to be served is the County of Hawaii. The facility consists of 4 structures on 2.6 acres in a cul -de -sac in Orchidland Subdivision. The main building includes 2 "dormitory style" bedrooms, bathroom, kitchen facilities, group living area, classroom, and laundry facilities. A second cottage provides an additional "dormitory" bedroom. Current capacity is for 6 participants. The third Cottage is used for the . administration office and case management meetings. The fourth structure is used to house the on -site Resident Manager. Regular business hours are 8:00 am to 5:00 pm, Monday through Friday with services available 24 hours a day, 365 days a year. C. Collaboration /Coordination: 1. What specific measures will be taken to collaborate /coordinate with other community resources to achieve maximum program efficiency and cost effectiveness? Rose House's efforts in networking and coordinating with other agencies and resources in the community include the establishment of memo of agreements and understandings (MOA/MOU) between our agency and two outpatient treatment facilities, Big Island Substance Abuse Council and Hui Ho'Ola and are on file in our Corporate office. New contracts are being sought on an ongoing basis. to provide services to clients at EHCH and to collaborate on homeless projects. Program contracts have been signed between this agency and the following agencies: The Family Crisis Shelter (Kona), Food Bank, Care A Van, Department of Health's Public Health Nursing program and are on file in the corporate offices. New contracts are being sought on an ongoing basis. Other agencies and resources are utilized on an as needed basis, such as: • The American Red Cross, BICIL, Bridge House, Project Storm (Puna), Sand Island, Women's Way, Care -A -Van, Family Support Services, County Housing, Hawaii Housing Authority, Big Island Aides Project, Quest, Child Protective Services, Dept. of Human Service (income NTC, WIC, East Hawaii Referral Service), Dept. of Health • (Public Nursing), Salvation Army, Interim Home, Hale Ohana (battered women's shelter), Family Crisis Shelter - Kona, Alternatives to Violence, Sexual Assault Support Services, State Vocational Rehabilitation, Hawaii Island Food Bank, Hilo Counseling Center, Legal Aide Society, St. Joseph's Outreach, State Employment Agency, Alu Like, Pahoa Clinic, The Vet Clinic, Kea'au and Hilo Police Dept, Under His Wings, The Ohana Counseling Services, Hilo United Methodist Church, Alcoholics Anonymous, and Narcotics Anonymous. Some resources are contacted weekly like the Dept. of Health, Hawaii Island Food Bank etc. The network is constantly being expanded and strengthened. . • • • • Rose House Inc. te 2000 /2001Hawai'i County Application for Funding C. Collaboration /Coordination: 2. How will these measures reduce or eliminate any existing duplication of services to your designated target group? Rose House maintains direct contact with the agencies mentioned above and receives regular in- service training's to ensure that services are not duplicated and to ensure that coordination with the other agencies is appropriate for clients. D. Goal and Objectives: 1. What are the major goals /benchmark of the proposed program? The major goal of Rose House is to fully integrate the participant into home and society as a clean, recovering woman able to be self reliant and free of State subsidy. Case Management provides for goal setting and achievement, especially in the areas of employment and education. To provide support for outpatient treatment, education teaching Life Skills such as budgeting, communication, decision making, energy conservation, household management, inter - personal relationship skills, and other areas which help to prepare for independence in the community. Due to the high incidence of child abuse and neglect, Parenting classes are mandatory for all women . who are CPS clients or are seeking reunification with their children. The twelve step program assists participants in addressing their underlying cause of substance abuse and addressing it so that they may move forward in life and overcome their addictions. Appropriate referrals and in -house support are also utilized to assist in addressing underlying cause. 2. What specific objectives /action steps are planned for each goal? • Objectives for the program are that 75% of participants will achieve at least 75% of their, Individual Service Plan goals within one year of entry. Rose House will provide transportation in support of the completion of outpatient treatment. Rose House will provide a supportive residential environment to 100% of the participants for the hands -on training in and improvement of practical life skills and householder skills to facilitate the reintegration • into family, employment, and society. Cooperation with CPS and support for supervised visitations will assist reunification efforts. Case management services to 100% of participants will address linkage with necessary community resources for supporting goal achievement and employment/educational success. 3.• What is the timeline (start and end dates) for each action step? • Transportation Support: Start date — July 1, 2000 End date — June 30, 2001 • Supportive Living Environment: Start date — July 1, 2000 End date — June 30, 2001 • Case Management: Start date — July 1, 2000 End date — June 30, 2001 • Twelve Step Program: Start date — July 1, 2000 End date — June 30, 2001 • Computer Based Education: Start date — July 1, 2000 End date — June 30, 2001 D. Goal and Objectives: 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. .• • Rose House proposes that approximately 12.5 individuals will maintain recovery and 12.5 individuals will transition into permanent housing. 6 will enroll in a training /educational program. 4 will obtain employment and another 6 will be well on their way to employment. We propose that 3 individuals will transition off welfare. 12 individuals will maintain permanent housing and will be monitored for six months for verification that they have in fact maintained housing and recovery. • • • • • Rose House Inc. 2000 /2001Hawai'i County Application for Funding • - E. Service Delivery: ' 1. What methodology will be used in the proposed program's delivery of service(s)? Rose House will provide a supportive living environment designed to teach basic living and coping skills, increase interpersonal relationship skills and provide a foundation for the studying of the Twelve Step Program. The Computer Based Educational Program will provide the opportunity for participants to increase their knowledge and confidence and ready them to participate in an employment field that demands knowledge of current technology. Rose House currently has Memorandums of Agreement with BISAC and Hui Ho'Ola for coordinated services. We maintain contact with the East Hawaii Coalition for the Homeless, Care A Van; and Kahi Mohala 24 hr crisis line. Rose House networks with outreach agencies to ensure that all those in need are aware of our services. We will be listed with Na Leo O'Hawai'i as well as in the GTE Telephone Directory. • F. Evaluation: • 1. What process will be used to evaluate the program and service(s)? To ensure total quality management of programs, Rose House has developed and established the following control measures: 1. Client Questionnaire Rose House has a measurable instrument designed for clients to evaluate the program as they are exiting. These forms are collected and reviewed by the Executive Director and the Board of Directors. The participants' address any problems in the program on an ongoing weekly basis at the regular Residents meeting and recommendations are taken for improvement. The Board of Directors will receive a quarterly •• statistic grid to show the current quarter objectives met by clients, in a quantitative form. These statistics are complied through the review of participant files where goals and accomplishments are documented. 2. Weekly Meetings with Clients The weekly case management meeting provides another opportunity for clients to communicate issues with the program. The Executive Director collects the information and presents the issues of concern to the Board of Directors. 3. • Effective Program Development and Management A. Monthly Reports The Executive Director provides a comprehensive report to the Board of Directors of subjects of program development and management, financial reports on each grant funding source with variances, administration activities, and public awareness and relation activities. B. Regular Evaluation of Program Rose House will implement a plan to evaluate the program's progress and compliance (at least on a quarterly basis) with the objectives and requirements set forth in each proposal to funding sources. The Executive Director will conduct an in -house program audit that will determine if the program objectives and outcomes for the past quarter have been met in accordance to standards and to the requirements of the • funding source. Methods will include reviewing the assessment, the development and implementation of the social services plan, monitoring and follow up efforts with clients. The Executive Director will review the quarterly audit and develop a plan for maintaining compliance and for effective program management. The programs are evaluated, however, on an on -going basis. • • • • • • ® Rose House Inc. 2000 /20011-1awai'i County Application for Funding - F. Evaluation 2. How will this process measure the outcomes specified in item D, (1-4)? The evaluation and quality assurance process includes the measuring of the program goals and objectives. The Executive Director, and the Program Committee compares the projected outcomes and the actual outcomes achieved in a month /quarter /year. If there are variances of not meeting the projected goals /objectives, the monthly report will reflect the explanations. Moreover, an action plan will be developed by the Executive Director, to make every effort to meet the program goals. Therefore, if there are any large variances or several unmet goals, this statistic will be caught at an early stage to troubleshoot and plan for effective management. If there are valid explanations on not achieving the program goals and objectives, then the County of Hawaii's Human Services division will be notified, and the goals will be reassessed with approval from the County of Hawaii. G. Program Fees: • 1. Does your organization charge a membership fee for service participants? Rose House does not charge participants membership fees. • 2. Does the proposed program charge participants a'fee for service(s) provided by your organization? flf yes]: a. Describe or attach fee for service information; and • All applicants are charged the same amount for our program: $275.00 per month. There is an additional one time charge of $50.00 for new participants to cover the initial cost of transportation, educational materials and personal hygiene items. b. Describe how you will ensure that all interested participants will be included despite the inability to pay the entire fee. The program is currently dependent on the fees that are paid by the participants of the program and donations that are received from the community and private donors. Those participants who are sincere in their recovery are excepted into the program regardless of their ability to pay. Rose House staff will then assist the participant in securing funding to meet their program fees and this will be included in their service plan. Donations from the community are also sought in these instances. H. Viability: 1. What is your justification or rationale for the expenditure of public funds for the proposed program? The grant request is for unrestricted county funds for the Fiscal year 2000/01 for Rose House program operating funds in the amount of $10,000.00. These funds are much needed for the maintenance and refinement of • the program. Rose House is recognized as a community need and as a viable established program, yet we continue to struggle to secure funding as we are a fairly new program that is still in the proving stage. The services being provided by this program are available to residents of Hawaii County. Current operations are being funded through a $1,940.00 award from the County for fiscal year 1998/99, a $10,000.00 award from the Wienberg Foundation (which was utilized for necessary repairs and equipment), $1,000.00 from Hotel Charities, Give Aloha, donations and program fees. 2. What are your financial and programmatic plans to sustain the proposed program beyond the upcoming fiscal year? ' Funding for 2000/2001 will include Hotel Charities, HIUW, Atherton Foundation, Diane Middleton Foundation, Hawaii Community Foundation. The amount of funding for 2000/20001 from these sources has not yet been determined. Most funding sources as well as private foundations do not cover operating costs such as • staffing, or have stringent limitations. • • • p , • • Rose House Inc. 2000 /200111awai'i County Application for Funding H. Viability: - 2. (cont'd) • Rose House will continue to seek out funding sources and pursue those sources, as they become available to support our program. ADAD, and supportive living funding through the State of Hawaii homeless stipend program will be pursued. Most grants are still pending and grants will continue to be produced and submitted as sources are revealed. Ultimately the agency has discussed what we can do to become self - sufficient. We are currently working with Ohana Coffee, which is based in Kona to produce Organic 100% Kona Coffee that is sold under the Rose House label in mainland markets. Rose House is also beginning to produce Organic White Pineapple and develop a viable market for them. Rose House and its Board of Directors have all agreed that the operation of Rose House is a necessity for our community and therefore must continue its operations. Without additional funding Rose House will have to limit the numbers served and rely as it has in the past on the community volunteers, Board of Directors, and participants to provide limited financial support to maintain operations. Budget: 1. Complete the attached Budget tables; and 2. Provide the appropriate attachments, as indicated . Required budget materials are attached. ORGANIZATION /AGENCY INFORMATION A. Board of Directors: • 1. Has the organization's Board of Directors received formal training within the past two fiscal years? The Board received formal training from HIUW in 1998. See attached certification. In October 1999 the Board received additional visioning and goal setting training from Unlimited Learning, a Puna based community educational agency. • 2. What are the primary roles and responsibilities of your organization's Executive Director? The Executive Director is responsible for the day to day operation of the agency, the work performance of its staff and implementing Board policy. The Executive Director, as the chief social service coordinator, shall be responsible for the effectiveness of case management services, it's programs, and its volunteers. The Executive Director shall also be the chief Financial Officer and will be responsible for all fiscal management. The Executive director shall perform such duties as are assigned by the Board. 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 Directors manages the affairs of the corporation.(Rose House Bylaws) The officers of the corporation shall be a President, Vice - President, Secretary, and a Treasurer. The Board may elect or appoint such other officers as it shall deem desirable, such officers to have the authority and perform the duties prescribed, from time to time, by the Board. (Rose House Bylaws /Article IV /Sec. I ) The Corporation shall have no members. • • • • • , Rose House Inc.. 2000 /200! Hawai' County Application for Funding ' ORGANIZATION /AGENCY INFORMATION B. Past Performance: 1. How effective has your organization /agency been in achieving program goals in the past two fiscal years? Include the following information: a. Quantitative data on numbers served; and b. Qualitative data showing number and % of participants achieving measurable outcomes. Of the 35 women Rose House has served for the fiscal years 1997/98 and 1998/99: 17 women (49 %) have remained abstinent • 07 women (20 %) reduced drug abuse or misuse 32 women (91%) completed at least 85% of their initial service plan 24 women (69 %) have shown a marked improvement in interpersonal relationships 12 women (34 %) entered into permanent housing and maintained housing since exiting Rose House 09 women (26 %) entered into education and or employment 05 women (14 %) transitioned off welfare C. Financial: 1. Have your organization's current program operations remained the same as the last year? What major program or financial changes will be incurred next year? Basic Operations remain the same except fo& serving increased numbers of participants. Rose House is implementing a Computer Based Educational Program to facilitate the re -entry of participants into the community with the ability to gain further education and employment. Parent/Child re- unification is a service plan goal of many of the women; Rose House strives to facilitate :safe visitations and the opportunity for the recovering Mother and child (ren) to gradually get to know each other. Often times the family unit was one of dysfunction. This will provide a venue for healthy relationships to begin. We will continue to seek funding and donations to make necessary improvements and repairs to the existing facility. 2. What is the status of all of your organization's major contracts or agreements for the coming year? (employment agreements, office leases, primary grant revenue /supplier, etc.)? Rose House has only one financial contract to date, which is our property lease. We are in the 4 year of a 5 -year lease. We are in the 3 quarter of our second grant from Hawaii County. We are in the first year of funding from HIUW. Grants will continue to be sought after as the sources are revealed. 3. How does the proposed program fit into your organizations long -range financial plan? The proposed program fits into our long -range financial plans as all current statistical data indicates that substance abuse is on the rise. The Hawaii County Branch of the Mental Health Associations survey of social indicator states that Hawaii County has the lowest rate per capita income in the state and the highest percent of population below poverty level. The County has recognized the need for appropriate residential treatment facilities and has indicated so in the Hawaii County Consolidated Plan. Rose House has seen a steady increase in the, numbers seeking help but had to deny aid due to limited space, staff and funding. Rose House often times is the first,step in recovery for women wishing to re -enter society, the workforce, permanent housing, and reunite with their families. • • • �' Rose House Inc. • 2000 /2001 Hawai'i County Application for Funding ORGANIZATION /AGENCY INFORMATION • D. Monitoring: • 1. During the two (2) fiscal years, what financial and /or administrative monitoring has your organization received from any and all funding.sources? • Please list all monitoring sources, contact rimes and phone numbers. Every year Rose House has a financial audit done an independentauditor. The Lehua Jaycees as well as Hawaii County Council visited our site for approval. We are in the third year of monitoring by the Hawaii Island Food Bank. • Ann N. Fukuhara CPA (All previous tax statements) 808 - 961 -5523 . • Laurie Lannan CPA (Formal Audit for FY ending June 30, 1999) • 808- 959 -7987 • Hawaii Island Food Bank Office for Social Ministry Heather Brien • Lehua Jaycees Shawn Humpers, Chairperson 808- 935 -0555 • Northland Insurance Companies • Tad Nottage 808 - 334 -0044 E. Alcohol, Tobacco and Drug-Free Workplace Policies and Information: • 1. How does your organization address alcohol, tobacco and other drug prevention information dissemination as part of your workplace and /or program environment? See attached Alcohol and Drug policy. Rose House Inc. • • Hawaii County RFP 2000 -2001 Narrative Attachments Ilk '. s 1 ' CERTIFICATION REGARDING DRUG -FREE TTORRYLACE REQUIREN-ENTS 1, By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. This certification is required by regulations implementing the Drug- Free Workplace Act of 1988, 45 CFR Part 76, Subpart F, published in the May 25, 1990 Federal Resister, that require grantees to certify in maintaining a drug -free workplace. - 2. The certification set out below is a- material representation of fact upon which reliance Is placed when the agency awards the grant. If it Is later determined that the grantee knowingly rendered a false certification, or otherwise violated the requirements of the Drug -Free Workplace Act, the i agency in addition to any other remedies available to the Federal Government, may take action r authorized under the Drug -Free Workplace Act. } k 3. For grantees other than individuals, Alternate I applies. t - -+ A. For grantees who are individuals, Alternate II applies. r , 5. Workplace under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or on award, if there is no application, the �•'` up grantee at keep the identity of the workplace M s) on file in its office a make the information ":'k available for Federal inspection. Failure to identify all known workplaces constitutes • violation of the grantee's drug-free workplace requirements. , 6. Workplace identifications must include the actual address of buildings (or parts of buildings) or n ud Other sites when work under the grant takes place. Categorical description may be used (e.g., all vehicles of a mass transit authority or State highway deportment while in operation, State employees j In each local ueaployment office, performers in concert halls or radio studios). 7. If the workplace identified to the a •`�• kP agency changes during the performance of the g th e grantee ,.• f shall inform the agent' of the chepests), If it previously identified the workplaces In question (see paragraph 5). ) . '- 8. Definitions of terms in the korproeureme t Suspension and Debarment com rule and Drug -Free ":`. mon Workplace came rule apply to this certification. Grantees' attention is called, in particular, to i the following definitions from thew rules: Controlled substance mew a controlled ubstance in Schedules I through V of the Controlled Substances Act (21 U.S.C..612) and as further defined by regulation (21 CFR 1308.11 through 1308.15)) Conviction means s finding of guilt (including •plea of nolo contendere) or imposition of sentence, or both, by any Judicial body charged with the responsibility to determine violations of the Federal • or State criminal drug statutes; Criminal drum statute Bean s federal or non- Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; Emelovae mean the employee of • grantee directly engaged in. the performance wider nce of work a grant, �. �s Including: (a) All direct charge employees; (b) All indirect charge employees unle their impact or ~ involvement is insignificant to the performance of the graft; and, (c) Temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, awn if used to wt • matching requirement; consultants or independent contractors not an the grantee's payroll; or employees of nbrecipients or subcontractors in covered workplaces). .� Alternate 1. (Grantees Other Than Individuals) A. The grantee certifies that It will or will amine to provide • drag - free workplace by: (a) Publishing a statement notifying clones that the snlaidul manufacture, distribution, dispensing, possession, or feu of a controlled substance is prohibited in the grantee's workplace and specifying the action that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug - free awareness program to inform employees about: - , (1) the dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; . i • • m 1 • (S) Any available drop counseling, rehabilitation, and employee assistance programs; 4 and (4) The penalties that may be imposed upon employes for drug abuse violations marring in the workplace; (c) Making it • requirement that each employee to be engaged in the performance of the grant.be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as • condition of employment under the grant, the employee rill: (1) Abide by the tern of the statement; and (2) Notify the employer in writing of his or her conviction for • violation of a ; • criminal drug statute occurring in the workplace no later than five calendar days • after such conviction; • (a) ` Notifying the agency In writing, within ten cslender days after receiving notice under paragraph (d)(2) from en.eeployee or otherwise receiving actual notice of such cawiction. Employers of convicted employees cast provide notice, including position title, to every grant officer or.other designee on whose gran activity the cawlctd employee was working, Learn the Federal agency has designated • • central point for the receipt of such notices. Notice shaft include the identification number(s) of each affected grant; (f) Taking one of the following action, within 30 calendar days of receiving notice V under paragraph (d)(2), with respect to any employes who is so convicted: • sh (1) Taking appropriate personnel action against such an saployn, up to and including • termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in • dnig abuse assistance or rehabilitation program approved for such prpose by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to meintain s drug -free workplace through implementation of paragraphs (a), (b), (c). (d), (s), and M. f� S. The grantee may In:art to the space provided below the sites) for the performance of work done in connection with the specific grant: Place of Performance (Street address, city, county, , zip code) 16 -1193 39th Ave Kea au,` Hi, Hi, 96749 Check t 1 if there an workplaces on file that are not identified here. Alternate 11. (Orsnteas Hho Are lydividals) (a) TM grantee certifies that, as a condition of the grant, M or she will not engage in the unlawful manufacture , distribution, dispensing, possession, or u of • controlled iibstance in conducting any activity with the grant; (b) If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, he or she will report the conviction, in writing, within 10 calendar days of the conviction, to every grant officer or other • designee, unless the federal agency designates a central point for the receipt of such notices. When notice Is made to such a central point, it shall include the identification number(s) of each affected grant. Rose House Inc Phyllis M. Stine Director ore tion sum // � Name and Title of Authorised Representative _ — 30 Jan '97 gnature Date • `� ll 1 u. •t t e ., t M if , CERTITICATION REGARDING EN9IRONHENTAL TOBACCO SHO}2 r t.. Public Law 103 -227, Part C - Environmental Tobacco Smoke, also : known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted.ui any portion of any indoor facility 4i? in i owned or leased or contracted for by an entity and used routinely„ " or regularly y for the provision of health, day care, education, or` 4 - - library services top children under the age of-18 if the services; are funded by'Federal°programs directly or through State N L,,:; i.: or local governments, by Federal grant, contract, loan or loan I4` guarantee. The law does not apply to children's services 0L; �i�,„ provided in private residences, facilities funded solely by j` i' Lt=s p Medicare or Medicaid funds, and portions of facilities used for '' I ' inpatient drug or alcohol treatment. Failure to comply with the 'I provisions of the law may result in the imposition of a civil monetary penalty of upicto;,$1,000 per day and /or the imposition of .• x an administrative compliance order'on the responsible entity. F i It kat4.! By signing and submitting this document the applicant /grantee ' 1 ,� certifies that it,'will comply =with "'the• requirements of the Act.;.: J $t The • a licant I� ? ^{ pp /grantee °further. 'agrees that .it will require the *F ;;, language of this certification be included in any subawards which !� ? -. sub grantees shall certif accordin 1 I r" •� 5 �'' : a g Y • E I � c • rx 1 ` s ,. • 1 714. Rose House Inc +r Organization - ; -. (rw. ¢ I 30 Jan '97 ,+ , ' thorized Signature Date i *s i 5 41, - 2 4 , --, Director r Title Si •I V F i r�' l wt' I ��R f• a Y r r •. ... II f . I v. • • r Rose House Inc. Hawai'i County RFP 2000 -2001 Narrative Attachments • ' ROSE HOUSE, INC. RR 3, BOX 1003 PAHOA, HI 96778 -7500 (808) 982 -8875 Januery 31, 1998 Hawaii Island United Way, Inc. 29 Shipman St., Rm 102 Hilo, HI 96720 Attn: Helen Hemmes, CP0 Dear Helen: Thank you so much for the wonderful and informative training, "Essentials of Successful Boards ", and the very informative handouts. You have given us a lot to think about and even more to do. You can expect to see more of me, soon. You are a wonderful resource person and you have a most delightful presentation manner. Enclosed is our check for $6.32 to cover some of your costs. We are grateful for this training at such low cost to us as our budget is very tight at this time. We look forward to future training for our Board either with you or others from the Help for Nonprofits Organization. MAHALO & ALOHA, Cgre.22f.9--" Laraine 0. Arian, President -- • • • Hawaii Island United Way, Inc. • Post Office Box 745 East Hawaii Health and Human Services Council (EHHHSC) Hilo, Hawaii 96721-0745 ailing • Phone (808) 835.6393 FAX (808) 9.'5- 2553 Handouts for January 29, 1997 Workshop • 75 -5706 Kuakini Hwy Kailua-Kona, HI 96740 Phone (808) 326-7400 FAX (808) 329-9303 Attn: Rose House, Inc. No. of No. of Cost No. of Pages - Copies - Copies Subtotal Total per Env. or (p.rtldo No. of - Postage - Postage mailing • Portfolio r=C4edl Sets .. - date 1/28/98 Letter to Arthur 50.32 50.32 1/30/98 Essentials of Successful Boards (Handouts) 20 6 120 50.05 56.00 • • • • • AMOUNT ° ayabel To: Hawaii Island United Way, Inc. • DATE PAID /y>;8 DUE 29 Shipman Si, Rm. 102, Hilo, 11/ 96720 Check # ' l AMOUNT S G $6.32 • • • • • • • Rose House Substance Abuse Policy PROVISION 1: Illegal drugs and drug paraphernalia are not permitted on Agency premises, at Agency - sponsored functions, or in Agency vehicles. Alcohol beverages are not permitted on Agency premises, at Agency - sponsored functions, or in Agency vehicles. Any employee who is using prescription medication shall notify the Executive Director of such medication use if his/her ability to work safely may be adversely affected by the medication use. PROVISION 2: The Agency wishes to prevent workplace problems associated with illegal drug use and alcohol misuse. These problems involve injuries to employees, damage to Agency property, and work performance deterioration. Since substance abuse can have a serious safety and job performance consequences, this policy establishes a illegal drug and alcohol -free work environment. Employees are prohibited from reporting to duty with any detectable level of illegal drugs and/or alcohol in their systems. Also, employees are prohibited from being under the influence of illegal drugs and/or alcohol during working hours. " Under the influence" is defined as being unable to perform work in a safe and productive manner,,being in a physical or mental condition which affects the job performance of the employee or other employees in any way; and/or creates any level of risk to the safety and well -being of the employee, other employees, the public, or Agency property. The Agency prohibits any employees from selling, receiving, or possessing illegal drugs and/or drug paraphernalia during working hours or on Agency premises. No alcoholic beverage may be bought or consumed on Agency premises. Any violation of this policy may result in disciplinary action, up to and including immediate termination. The Agency will take necessary action to ensure an illegal drug and alcohol -free workplace and workforce. Employees are encouraged to voluntarily seek rehabilitation treatment for their problems related to illegal drug use and/or alcohol misuse. At its discretion, the Agency may provide employees with confidential referral services and a one -time opportunity for rehabilitation and treatment; please see the Executive Director for further information PROVISION 3: • • • General Policy. The Agency, as a matter of law and general business practice, has the right to implement reasonable work rules governing the conduct and condition of employees on Agency property and vehicles on/ off Agency property while engaged in Agency business. Because alcohol and drug abuse is often difficult to detect and can lead to serious property damage, serious injury or death, and deterioration in work performance, and in light of the Drug -Free Workplace Act of 1988, clarification of the Agency's position regarding alcohol and drug abuse is appropriate. Policy Standards. As a condition of employment with the Agency, all Employees are expected to: (1) Refrain from the unlawful manufacture, distribution, dispensation, possession, solicitation, sale or use of any alcohol beverage or illegal drug at any time during working hours and/or on Agency premises or vehicles; (2) Report for work alcohol and drug- free- -i.e., with no measurable trace of alcohol or illegal drugs in their bodies; (3) Refrain from using any prescription medication which may adversely affect their fitness for duty or job performance without prior notification and approval to work by the Agency; and (4) Notify the Executive Director no later than five (5) days after any conviction of any criminal drug statute violation occurring in the workplace. For the purposes of this policy, the term "alcoholic beverage" means any beverage that may be legally sold and consumed and has a alcoholic content in excess of 3% by volume, The term "illegal drug" means any drug or controlled substance, the sale or consumption of which is prohibited by law. Some of the drugs that are illegal under Federal, State or local laws include, among others, marijuana, amphetamines (Including crystal methamphetamine) cocaine, heroin, hashish, hallucinogens, and depressants and stimulants not properly prescribed for current personal treatment by an accredited physician. Compliance with these requirements is considered an essential job qualification for all job assignments because of the Agency's concern for your safety and the safety of your fellow employees, our clients, and the general public. Any violation of the forgoing may result in discipline, up to and including discharge. Confidential drug and alcohol counseling, rehabilitation and employee assistance may be available to employees at the sole discretion of the Agency. Please see the Executive Director for further information regarding these services. • • + , PROVISION 4: Purpose. These guidelines are designed to implement the substance abuse policy of the Agency. This substance abuse policy is intended to support existing safety programs and avoid alcohol and illegal drug- related work performance problems by striving for an alcohol and illegal drug -free working environment at the Agency. Guidelines. Employees are made aware of the following guidelines concerning substance abuse: (1) The use, sale, transfer or possession of unauthorized alcoholic beverages, illegal drugs or drug paraphernalia during working hours, while on the job or on Agency premises or vehicles is prohibited. For the purposes of this policy, "alcohol" or "alcoholic beverage" means any beverage with an alcoholic content. "Illegal drug" means any drug or controlled substance, the sale, possession or consumption of which is illegal. This includes but is not limited to, marijuana, cocaine, opiates, amphetamines (including crystal methamphetamine) and phencyclidine (PCP). "Drug paraphernalia" means containers or the objects used, intended for use, or designed for use in consuming, inhaling, or otherwise introducing any illegal drug into the human body. For the purposes of this policy, "vehicles" means any motor vehicle, including but not limited to cars, vans and trucks. (2) Reporting to work or working while under the influence of illegal drugs or alcohol is prohibited. For the purposes of this policy, "under the influence" means being in a physical or mental condition which affects work in any way; creates a possible risk to the safety and well -being of the individual, co- workers, the general public, and/or Agency premises; having any detectable or measurable level of any illegal drug in the body, including but not limited to, a positive test result for substance abuse testing conducted pursuant to this policy; and/or having a blood - alcohol level that is considered to be under the influence of alcohol pursuant to H.R.S. 291 -5. (3) Employees must notify their supervisor or the Executive Director of the Agency if their use of prescription medication may adversely affect their fitness for the duty or job performance. Testing. All job applicants to whom a job offer shall be extended are required to undergo drug testing. The Agency shalt require an employee to submit to drug and/or alcohol testing if the Agency has reasonable suspicion to believe that the employee has violated any of this Policy's guidelines. Any employee who returns to work in any • • i capacity at the Agency after undergoing substance abuse treatment and/or alcohol testing must produce a negative test result for drug and alcohol testing prior to returning to duty in any capacity at the Agency. Also, when such employee returns to work, s/he shall be subject to unannounced follow -up testing for a sixty (60) month period. The number and frequency of follow -up testing shall be determined by the Agency. A positive test result for drug testing means any drug test result that exceeds the cutoff level as set by forth by Hawaii law. Unless otherwise notified in writing and advance of specimen collection, all drug testing shall involve laboratory analysis of urine specimens for the presence of marijuana, cocaine, opiates, amphetamines ( including crystal methamphetamine, and phencyclidine (PCP). You are advised that over - the - counter medications or prescribed drugs may result in a positive test result for drug testing. For this reason the Agencies Executive Director may need your assistance in identifying which medications or drugs you may have taken within the past thirty days to ensure accuracy of testing results. A medication disclosure form may be provided to you by the Agency or the laboratory/collection site. This notice is provided in compliance with Hawaii law and regulations. Regarding alcohol testing, the Agency will utilize an evidential breath testing device. A positive test result for alcohol testing means an alcohol concentration of 0.10 or more. Discipline. Each employee situation shall be reviewed on an individual basis, and disciplinary action, up to and including discharge for the first offense, may be considered an option in each case. The failure to comply with any procedures required by the Agency pursuant to this policy may result in disciplinary action, up to and including immediate termination, for gross insubordination. Employee Assistance. Confidential counseling for substance abuse is available through the Executive Director. Employees may be afforded a one -time opportunity by the Agency at its discretion to obtain rehabilitation assistance for their substance abuse problem. Please contact the Executive Director for further information about rehabilitation assistance. Confidentiality. The Agency shall administer this policy and its substance abuse testing procedures as privately as practicable. All results from substance abuse testing shall be treated as confidential information. • • +' i, Rose House Inc. 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N O • " x , � = N N 0 a. o c LD C '10 O E T - f:4 _ t 0 > - O) O O O O Lfl M ¢ -;; F r O lf) r - In O V3 - H ''Z a) Q -4 0 - N W - o 31".C..)4.', . a _ O mW= u x ,, c t p .,: o ft a) a , N M -- O ' •a F m Z ''.;;;;,;;*. i 3 o v v 4J L 0 Z , . c V ' L. = rt w O 0 E E =, U m, 5 y 'l` m ' ' ° m [ i o A 2 v O 0f i° T ti = - ro c m "t o T v 1. Q. 7. cl. Ce o Ti _ a o N O A -O .> - G _g O C T y = :_ L _ C. Q _.. U OD 0. 0. Q 0 L 0. > ct H H 0 • \M • • Rose H ouse Inc. Hawai'i County RFP 2000 -2001 Budget Attachments • Rose House Inc. Hawai'i County RFP 2000 -2001 In Resnonse to Table 6 Summary of Income Private Foundations In the fiscal year 1999-2000, Rose House is /will apply for Grants from the following Foundations: Diane Middleton Foundation $5,000 Grant is requested for assistance with upgrading electrical and Computer Based Educational Program Atherton Foundation $3,000 Will submit request for new Computer Hawai'i Community Foundations $2,000 For Economic Development - Target coffee and pineapple fields. • • • • Ha4� Stephen K. Yamashiro ' / ° l Harr: a' — p, 3. K. ,chuiic Countp of »atuaii • • DEPARTMENT OF FINANCE Aupuni Street, Room 113 • Hilo. Hawaii 96720 -4252 18081961-8234 • Fox (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 1 below: - Yes No 0 1. Has the agency operated continuously for the past three (3) years? GSA 0 2. Has the agency operated with a positive cash flow for the past (3) years? 0 3. Does your Board of Directors approve a detailed cash flow budget before the beginning of each fiscal year? (� 0 4. Do your Board meeting minutes show that quarterly financial statements are approved? 0 5. Is your equity balance at least 20% of your Total Liability balance'? 0 6.. Is your Total Current Asset balance larger than your Total Current Liability balance'? 7. Are bank reconciliations and accounting perfor ed by someone other than the check signatory? 0 8. Are you fully insured for the agency's vehicle(s) and building(s)? 0 9. Is your Workers' Compensation at least 2% of payroll? 0 ID. Are you current (not delinquent) on all payroll and payroll tax payments'? II. Is the agency free of any pending litigation, liens or judgments? • . 12. 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. / certify that the agency has satisfactorily responded to each of the above questions and explained us needed. 1 hereby certify that this information is true and correct to the best of my knowledge. Agency: Rose House, Inc. _ Phone: ( 808) 966 - 5000 Prepared by: Arthur J. Arian / CFO (1 01/26/09 Print Nanleft'itle Signature/ Dole Certified by: Phyllis M. Stine 4.a2Z2.(2G) D � Print Name of Executive Director . ignature • • Rose House Inc. Hawaii County RFP 2000 -2001 Supporting Documents • • Ann Fukuhara, CPA 714 Kanoelehua Avenue • P.O. Box 6691 Hilo, Hawaii 96721 (808) 961 -2522 Fax (808) 934 -8589 July 26, 1997 To Board of Directors Rose House, Inc. Pahoa, Hawaii 1 b.avc compiled the accompanying statement of financial position of Rose House, Inc. as of June • 30, 1997 and the related statements of activities of functional expenses and cashflows for the - 'car then ended, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. A compilation is limited to presenting in the form of financial statements information that is the rcprescntation of management. I have not audited or reviewed the accompanying financial uatcnKnts and, accordingly, do not express an opinion or any other form of assurance on them. • Ann Fukuhara, CPA July 26, 1997 • • • • Rose House, Inc. Statement of Position June 30, 1997 Assets Current Assets Cash - First Hawaiian - $174 Other receivables, note 3 1,293 Total Current Assets 1,467 Net Assets Unrestricted net assets 1,467 Total net assets $1,467 See accompanying notes and accountants' report. 2 • • Rose House, Inc. Statement of Activities June 30, 1997 Changes in unrestricted net assets Support & Revenues - Donations $9,424 Program services - housing & food 4,898 Special events 234 Total Unrestricted support & revenues 14,556 Expenses Program services 10,914 General and administrative 2,175 _ Total expenses 13,089 Increase (decrease) in unrestricted net assets 1,467 Net assets beginning of year 0 Net assets at end of year $1,467 Sec accompanying notes and accountant's report. 3 • • } ■ • • Rose House, Inc. Statement of Functional Expenses June 30, 1997 ' Program Management Total • & General Auto expenses $20 $20 Bank charge 23 23 Board meeting expense ' 1,241 1,241 Dues and fees 495 495 Maintenance 120 120 Office supplies 285 100 385 Printing 67 67 Professional fees 385 339 724 • Program supplies 3,336 3,336 _ • Rent 5,400 5,400 Taxes 132 132 Travel 156 156 Utilities 935 935 Workshop fees 55 55 41 Total Expenses $10,914 $2,175 $13,089 See accompanying notes and accountant's report. 4 • • • • Rose House, Inc. Statement of Cash flows June 30, 1997 Cash flows from operating activities increase in net assets 1,467 Adjustments to reconcile increase in net assets to net cash provided by operating activities (Increase) decrease in other receivables (1,293) Net cash provided by operating activities 174 Net Increase (decrease) in cash 174 Cash at beginning of year 0 Cash at end of year $174 Scc accompanying notes and accountant's report. 5 • . ' • Rose House, Inc. Notes to financial statements J une 30, 1997 Organization Rose House, Inc. is anon- profit organization incorporated on August 19, 1996 pursuant w the laws of the State of Hawaii to provide a safe living environment for female recovering addicts by instilling pride and responsibility, and to help these women to become productive members of society and ease the women back into the community drug free. • :. Summary of Significant Accounting Policies Basis of accounting - The financial statements of Rose House, Inc. have been prepared on the accrual basis of accounting. Donated property and equipment - Donations of property and equipment are recorded as support at their estimated fair value at the date of donation. Assets donated with explicit restrictions regarding their use and contributions of cash that must be used to acquire property and equipment are reported as restricted support. Expense allocation - The costs of providing various programs and other activities have been summarized on a functional basis in the Statement of Activities and in the Statement of Functional Expenses. Accordingly, certain costs have been allocated among the N. programs and supporting services benefited. Income tax status - Rose House, Inc. is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. Restricted and unrestricted revenue and support - Contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support, depending on the existence and /or nature of any donor restrictions. • • 6 • • Rose House, Inc. Notes to financial statements June 30, 1997 Summary of Significant Accounting Policies - continued Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. All other donor - restricted. support is reported as an increase in temporarily or permanently restricted assets, depending on the nature of the restriction. When a 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. 3. Other receivables Other receivables represents amounts due from members of Rose House, Inc. for advances made. 4. 4. Related Party Transactions a. Rose House, Inc. paid Laraine Arian, a board member $5,400 (600 per month) in rent for the year ended June 30, 1997 for property she owns. The property is located at 16 -1193 39th Street, Orchidland in the district of Puna, County of Hawaii and comprise of 2.67 acres with various residential dwellings and a church with a loft. The lease term commenced on October 1, 1996 and will end on September 30, 2001. b. Rose House, Inc. advanced various board members for expenses incurred for the program. These amounts are disclosed in other receivables, see note 3. • 7 Itose •House, Inc. Proposed Budgets For the Periods Ended June 30, 1997 and 1998 Ann Fukuhara Certified Public Accountant Ann N. Fukuhara, CPA 180 Kinoole Street, Suite 302 P.O. Box 6691 Hilo, Hawaii 96720 (808) 961 -5532 October 15, 1996 To Board of Directors Rose House, Inc. Pahoa, Hawaii I have compiled the accompanying proposed budgeted statement of position and statement of activities of Rose House Inc. as of September 30, 1996 and for the one month ended, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. A compilation is limited to presenting in form of a proposed budget that is the representation of management and does not include evaluation of the support for the assumptions underlying the budget. I have not examined the proposed budget, and accordingly, do not express an opinion or any other form of assurance on the accompanying statements or assumptions. Furthermore, there will usually be differences between the budgeted and actual results because events and circumstances frequently do not occur as expected, and those differences may be material. I have no responsibility to update this report for events and circumstances after the date of this report. Management has elected to omit substantially all of the disclosures ordinarily included in the financial statements. If the omitted disclosures were included in the financial statements, they might influence the user's conclusions about the Company's assets, liabilities, net assets, revenues, and expenses. Accordingly, these financial statements are not designed for those who are not informed about such matters. eiaa llitetit Ann Fukuhara, CPA October 15, 1996 • • ' Rose House, Inc. Proposed Budget Statements of Position June 30, 1997 1998 Assets Cash $29,528 $33,222 Vehicle 2,500 Accumulated depreciation (500) Total Assets $29,528 $35,222 Net Assets Net Assets - Unrestricted $29,528 $35,222 See accountant's report. • • Rose House, Inc. Proposed Budget Statements of Activities June 30, 1997 1998 Revenues & Support Gifts, grants, & contributions Contributions • $12,000 $12,000 In Kind Contributions 2,500 Private grants 12,000 12,000 Government grants 12,000 12,000 Total gifts, grants & contributions $36,000 $38,500 Other revenues Fundraising & special events 6,000 6,000 Total other revenues 6,000 6,000 Program services Housing & food 43,200 43,200 Total program services 43,200 43,200 Total Revenues & Support $85,200 $87,700 Expenses Salaries & Wages -staff 18,000 36,000 Occupancy 9,012 9,012 Depreciation 500 Other expenses (see attached schedule) 28,660 36,494 Total Expenses 55,672 82,006 Excess of revenues over expenses 29,528 5,694 Net assets beginning of year 0 29,528 Net Assets at end of year $29,528 $35,222 See accountant's report. Rose House, Inc. Proposed Budget Schedule of Other Expenses June 30, 1997 1998 Other Expenses Food & supplies 19,200 19,200 Payroll taxes 3,060 6,120 Employee benefits 3,600 Vehicle 1,900 Insurance -.auto 1,674 Mileage reimbursements 2,400 Household supplies 1,200 1,200 Office supplies 1,200 1,200 Insurance - liability 1,000 1,000 Maintenance & repairs 600 600 Total other expenses 28,660 36,494 • • �' r Rose House, Inc. Proposed Budget Statements of Activities June 30, 1997 1998 Revenues & Support Gifts, grants, & contributions $12,000 $12,000 Contributions In Kind Contributions 2,500 Private grants 12,000 12,000 Government grants 12,000 12,000 Total gifts, grants & contributions $36,000 $38,500 Other revenues Fundraising & special events 6,000 6,000 Total other revenues 6,000 6,000 Program services Housing & food 43,200 43,200 Total program services 43,200 43,200 Total Revenues & Support $85,200 $87,700 Expenses 18,000 36,000 Salaries & Wages -staff Occupancy 9,012 9,012 Depreciation 500 Other expenses (see attached schedule) 28,660 36,494 Total Expenses 55,672 82,006 Excess of revenues over expenses 29,528 5,694 Net assets beginning of year 0 29,528 Net Assets at end of year $29,528 $35,222 See accountant's report. FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 1999 • • p j • Laurie Lannaan CPA, MBA 26 Alohalani Drive Hilo, Hawaii 96720 • To the Board of Directors of Rose House, Inc: I have examined the accompanying statement of position of Rose House, Inc. as ofJune 30, 1999 and the related statements of activities; statement of functional expenses, and statement of cash flow for the year then ended. These financial statements are the responsibility of Rose House, Inc.'s management. My responsibility is to express an opinion on these financial statements based on my audit. I conducted my audit in accordance with generally accepted auditing standards. Those standards require that I 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 the management, as well as evaluating the overall financial statement presentation. I believe that my audit provides a reasonable basis for my opinion. In my opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Rose House, Inc. as ofJune 30, 1999, and the results of its operations and its cash flows for the year then ended in conformity with generally accepted accounting principles. December 31 1999 • • • • ROSE HOUSE, INC. Statement of Position 30- Jun -99 ASSETS Current Assets Cash - checking ( 31) Accounts Payable (407) Total Current Assets (438) Net Assets Unrestricted net assets (438) Total Net Assets (438) SEE NOTES TO FINANCIAL STATEMENTS • • • 81) ROSE HOUSE, INC. Statement of Activities 30- Jun -99 • Changes in unrestricted net assets Support & Revenues Donations 1,543 • Program Services- housing &food 10,990 Grants 3,000 Special Events 4,525 Total Unrestricted support & revenues 20,058 Expenses Program services 23,653 General & Administrative 1,052 Total Expenses 24,705 Increase (decrease) in unrestricted net assets (4,647) Net assets beginning of year 4,209 Net assets at end of year (438) SEE NOTES TO FINANCIAL. STATEMENTS • • • • 1 c • ROSE HOUSE, INC. Statement of Functional Expenses 30- Jun -99 • Program General Total Management Auto expenses 2,654 2,654 Bank Charges 15 15 Board Meeting expenses 37 37 Direct Services 2,533 2,533 Dues /Fees /Licenses 508 508 Insurance 1,691 1,691 Repair & Maintenance 1,338 1,338 Office Expense 729 729 Office Supplies 771 200 971 Educational Supplies 127 127 Professional Fees 100 307 407 Program Supplies 992 992 Rent 7,200 7,200 Taxes 321 321 Wages 3,000 3,000 Utilities 2,162 2,162 Misc 20 20 Total Expenses 23,653 1,052 24,705 SEE NOTES TO FINANCIAL STATEMENTS • • ROSE HOUSE, INC. • Statement of Cash Flows 30- Jun -99 • • Cash flows from operating activities Increase (decrease) in net assets (4,647) Adjustments to reconcile net assets: Decrease in prepaid rent 600 Increase in accounts payable 407 Net cash provided (used) by operating activities (3,640) Net Increase (decrease) in cash (3,640) Cash at beginning of year 3,609 Cash at end of year ( SEE NOTES TO FINANCIAL STATEMENTS • • • ROSE HOUSE, Inc. Notes to Financial Statements June 30, 1999 Organization Rose House. Inc. is a non -profit organization incorporated on August 19, 1996 pursuant to the laws of the State of Hawaii to provide a safe living environment for female recovering addicts by instilling pride and responsibility, and to help these women to become productive members of society and ease the women back into the community drug free. Summary of Significant Accounting Policies Basis o Accounting The financial statements of Rose House, Inc. have been prepared on the accrual basis of accounting. . Donated property and equipment Donations of property and equipment are recorded as support at their estimated fair value at the date of donation. Assets donated with the explicit restrictions regarding their use and contributions of cash that must be used to acquire property • and equipment are reported as restricted support. Expense allocation The costs of providing various programs and other activities have been summarized on a functional basis in the Statement of Activities and in the Statement of Functional Expenses. Accordingly; certain costs have been allocated among the programs and supporting services benefited. Income tax status Rose House, Inc. is exempt from federal income tax under Section 5010(3) of the Internal Revenue Code. Restricted and unrestricted revenue and support Contributions received are recorded as • unrestricted. temporarily restricted, or permanently restricted support, depending on the existence and/or nature of any donor restrictions. • Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. All other donor — restricted support is reported as an increase in temporarily or permanently restricted assets, depending on the nature of' the restriction. When a 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 Accounts Payable Accounts payable represents accrued rent expense and accrued employee taxes paid in July_ Related Party Transactions Rose House, Inc. paid Laraine Arian. a board member. $600 per month in rent for the year ended June 30, 1999 for the property she owns. The property is located at 16 -1 193 39`" Street, Orchidland in the district of Puna, County of Hawaii and comprises of 2.67 acres with various residential dwellings and a church with a loft. The term commenced on October I. 1996 and will end on September 30, 2001. • se • Short Form D 0A3 No. 1 545-11: ,:, -. 990 -EZ Return of Organization Exempt Fro nc me ax 1lnnl__II iN/9 Q Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or V private foundation) or section 4947(a)(1) nonexempt charitable trust • Far organizations with gross ' eceipts less than $100,000 and total assets less This Form Is than $250 000 at the end of the year. Open to Public ► The organization may nave re use a copy of this return to satisfy state reporting repu:remenfs. ' Inspection A For the 1998 calendar year, OR tax year beginning _1 u i , 1998, and ending TVq;i__ p , 19 v' (" S qi 6 Please C Name of organization - 0 Employe Identification number y use IRS Rose Hod se, inc. 1 I s label at c6.)c- E. prim m or r Nuoer ark tree] lo P.O ,nx d ntai s not delrverea strret'ao .suite E Tumber :pc - ...I' - ) r1$ H D IL l ea au, nq • 74Y Nspho : number i • r c'ra ct_rr See � �7� . e : e e 01 Cal 5 7 -7 Specific Cr i ly or town, to sr c. m` ^,, and a - - _ A:nantleJH.irn Instrvo I�A . F Check ❑ it exemption 'required a'so 0' Woos. r - .�_ - -.ea - - _ - • applrcat5r is pending Asia reposing' H Enter (ou,'digit group exemption 3 'Accounting method: ❑ Cash [2]. Accrual ❑ Other (specify) • number (; EN) I Type of organization— • [ Exempt under section 501(c)( 3 ) • (inset number) OR •-❑ section 4947(a)(1) no xempt charitable trust Note: Section 501(c)f3) organizations and section 4947(a)(1, nonexempt charitable trusts MUST attach a complet 'd Schedule A (Form 990). J Cnecx • Q it Inc organization's gross receipts are normally not more than $25.000 The organization need not file a return with the RS. out it tee organization receoec a Form 390 Package in the mail. Inc organization should file a return without financial data. ,Some states require a complete ,return. _ X Etter the organization's 1998 gross receipts (add back Tines 5b, 8b, and 7b, to line 9) . . . . • . ► $ zo oW., 11 $100,000 or more, the organization must tile Form 990 instead of Form 990 - EZ. ® Inevenue, Expenses, and Changes in Net Assets or Fund Balances (See Specific Inst ctions on pane 30.) _ 1 Contributions, gifts, grants, and similar amount:. received (attach schedule of contributors) I1 I 2 Program service revenue including government fees and contracts 2 _ 3 Membership dues and assessments '3 • 4 Investment income . . . . . . . . . . . . . . . . . . . . . II.4 5a Gross amount from sale of assets other than inventory . . . . 5a b Less: cost or olner basis and sales expenses 5b i' c Gain or (loss) from sale of assets other than inv'3ntory (line 5a less line 5b) (attach schedule) . _ a \. 6 Special events and activities ]attach schedule): o a Gross revenue (not including $ —__ _ of contributions 4 reposed on line 1) 6a i I b Less: direct expenses other than fundraising expenses 6 b c Net incase Or (loss) from special events and activities (line 6a less line 6b) 7a Gross sales of inventory, less returns and allowances 7a ' b Less: cost of goods sold 7b 1 c Gross profit or (loss) from sales of inventory (line, 7a less line 7b) 8 Other revenue (describe • i • 9 Total revenue (add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8) ,• _ I 10 Grants and similar amounts paid (attach schedule) 11 Benefits paid to or for members a i 12 Saiaries, other compensation. and employee benefits , . . , , , . . 2 j 13 Professional fees and other payments to independent contractors 3 x : 14 Occupancy, rent, utilities, and maintenance 4 W I 15 Printing, publications, postage, and shipping . 5 16 Otner expenses (describe • _ 1 ,6 17 Total expenses (add lines 10 through 16) • '7 i m ' 18 Excess or (deficit) for the year (line 9 less line 17) o m 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with •end -of -year figure reported on prior year's returr) Z ' 20 Other changes in net assets or Lund balances (attach explanation) • is ] 21 Net assets or fund balances at end of year (combine lines 18 through -20) --- — 1111 Balance Sheets —If Totai assets on line 25, column (B) are $250.000 or more, file Form 990 inste ' d of Form 990 -EZ. • (See Specific Instructions on pace 34.) (A) Beginning of yea (a) Eno of year 22 Cash. savings, and investments . . . (22 23 Lard and Puddings ( 23 24 Other assets (describe • ;, 24 . 25 Total assets 1)25 26 Total liabilities (describe • 1 :20 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . . 27 For Paperwork Reduction Act Notice, see page 1 of the separate instructions. Cal. No. 106421 Form 990 - Ez (1998) e e • • • .omr. 990-E_' na99; page 2 ' • Statement of Program Service Accomplishments (See Specific Instructions on page 34.) ! Expense+ 1 ( for 501(ci(3) What is the organization's primary exempt purpose? aria (a) organizations Describe ',vhat was achievea to carrying out the organizatior's exempt purposes. In a dear and cbnoise manner and 49471a0) trusts: describe the services provided, the number of persons benefited. or other relevant information for each program title optional for others./ 28 I I --_. - - - -- - — -- . — (Grants $ ' 1 28H - 29 .... ... ... I I tGrants $ . 29a _ 30 (Grants $ i 30a 31 Other program services (attach schedule) _ GGrants $ _ 1 31a 32 Total pro ram service expenses (ado lines 28a throuOh 31a? - 1 32 I . List cl Officers, Directors, Trustees, and Key Employees ( each one even if not compensated. See Seec is Instructions on page 34.i (B) Title and average (C) Compensation 1I /CI) Contrite •ns to IE) Uoense (A) Nine aro apt hours hours per week f of not paid, employee bone plans scope,' and Devotee lc position I enter -o-.) 4alaned comr nsatien pine slbwances I Other Information (See Specific Irstructions on page 35.) _ I L Yes/ No 33 Dia tne organeanon engage in any activity not previously reportea to the IRS? If "Yes," attach a detailed description of each lictivity . _ 34 - re any changes made to the organizing or governing documents tut not repbrted to the IFS? It "Yes," attach a conformed copy of the changes. 35 me organiz -anon had (hoc me from business earlobes, such as those repot ed on fines 2, 6, and 7 (among othel6), but NOT ": � repone7 on Form 990-T, attach a statement explaining your reason for not reporting the income on Fonn 990 -7. \ \� \ a Do the o'ganiz.vion have unrelated business gross income of 51,000 or more or 6033(e) notice, reporting, and proxy tax rcluirerrenis' _ b if "Yes," has it filed a tax return on Form 990 - for th s yea'? __ 36 Was there a liquidation, dissolution, termination, or substantial contraction during the year'? (If "Yes," attach a statement.) 37a Enter amount of political expenditures, direct or indirect, as described in the instructions. • 137e I .W ..:T b Did tne organization file Form 1120 -POL for th.s year?. l 38a Da the organization borrow from, or make any loans •:0, any officer, director, trustee. or key employee 0 9 were any sucn (cans roade in a prior year and still unpaid at the start of the period covered by this return? • o it 're adach the schedule specified in the line 38 instructions and enter the amount Involved. I \ 39 S07(0(7) organizations. Enter: a Initiation fees and capital contributions included on line 9 I 39 \ n Gross receipts, included on line 9, for public use of club facilities . . . . - . . .. 39b r ___ \�\ 40a 501(c)(3) organizations. — Enter: Amount of tax imposed on the organization during tne year under: \ � section 4911 • _. _ ; section 49 • ; Section 4955 • \ � b 50'(c)(3) and (4) organizations. — Did the organization engage in any section 4958 excess benefit transaction during the year? If 'Yes,' attach fi explanation. _—. c Enter: Arnount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ►,; d Enter: Amount of tax on line 40c, above, reimbursed by the organization IW : 41 List the states with which a copy of this return is feed. • _ 42 The books are in care of • Telephone -no. • 'IL ) Located at • ZIP + 4 • 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041 —Check here • C • and enter the amount of tax - exempt interest received or accrued during the tax year , . • . • i 43 l Under penalties of perjury, I declare that t have examinee. Iris return.:n:W rfl 'n cing accompanying schedules and statements, Y to the beF Q my knowledge Please I and node!, it is true, correct, and complete. Ceara:atnon 0 preparer lather than officer) is based on all inlomwtlon of ',tic? peon her any IcrwiedQ Sign !See r ,strati ionn'�age 122 • 4 P P J . L/ .1 in/ 1 I 4...,ignbtr �'h/ Y10-• Ol"Fi., Paid Pre ignatvte p o Date Type or print nene antl title. ald pdrer'e Jeate COeok if T I brewer's SSN s.gnature name e for PC 5 `" C�'47 I /7 /4rb v- employed /7_ l Preparers; Pity -.'s name for War ( �q EIN ► Use Only i YOUIS a son - employed) _ — _ i anti address 61- 42 i4t-i9h4 _.4-th 4 t 47 'ZIP . 4 • 46,7,12 I .- - -._ • • • • INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY DISTRICT DIRECTOR P O BOX 30224 LAGUNA NIGUEL, CA 92607- 0224 -7406 Employer Identification Number: Date: DEC 0 6 1996 99- 0329227 Case Number: , 956298004 ROSE HOUSE INC. Contact Person: ARTHUR J. ARIAN, CFO ANGELA CLARK RR3 BOX 1003 Contact Telephone Number: PAHOA, HI 96778 -7500 (714) 360 -2588 Accounting Period Ending: June 30 Foundation Status Classification: 170(b) (1) (A) (vi) Advance Ruling Period Begins: August 18, 1996 Advance Ruling Period Ends: June 30, 2001 Addendum Applies: YES Dear Applicant: Based on information you supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 501(a) of the Internal Revenue Code as an organization described in section 501(c)(3). Because you are a newly created organization, we are not now making a final determination of your foundation status under section 509(a) of the Code. However, we have determined that you can reasonably expect to be a publicly supported organization described in sections 509(a) (1) and 170(b) (1) (A) (vi). Accordingly, during an advance ruling period you will be treated as a publicly supported organization, and not as a private foundation. This advance ruling period begins and ends on the dates shown above. within 90 days after the end of your advance ruling period, you must send us the information needed to determine whether you have met the require- ments of the applicable support test during the advance ruling period. If you establish that you have been a publicly "supported organization, we will classi- fy you as a section 509(a) (1) or 509(a) (2) organization as long as you continue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, we will classify you as a private foundation for future periods. Also, if we classify you as a private foundation, we will treat you as a private foundation from your beginning date for purposes of section 507(d) and 4940. Grantors and contributors may rely on our determination that you are not a private foundation until 90. days after the end of your advance ruling period. If you send us the required information within the 90 days, grantors and contributors may continue to rely on the advance determination until we make a final determination of your foundation status. If we publish a notice in the Internal Revenue Bulletin stating that we Letter 1045 (DO /CG) , -2- ROSE HOUSE INC. will no longer treat you as a publicly supported organization, grantors and contributors may not rely on this determination after the date we publish the notice. In addition, if you lose your status as a publicly supported organi- zation, and a grantor or contributor was responsible for, or was aware of, the actor failure to act, that resulted in your loss of such status, that person may not rely on this determination from the date of the act or failure to act. Also, if a grantor or contributor learned that we had given notice that you would be removed from classification as a publicly supported organization, then that person may not rely on this determination as of the date he or she acquired such knowledge. If you change your sources of, support, your purposes, character, or method of operation, please let us know so we can consider the effect of the change on your exempt status and foundation. status. If you amend your organizational document or bylaws, please send us a copy of the amended document or bylaws. Also, let us know all changes in your name or address. As of January 1, 1984, you are liable for social security taxes under the Federal Insurance Contributions Act on amounts of $100 or more you pay to each of your employees during a calendar year. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the pri- vate foundation excise taxes under Chapter 42 of the Internal Revenue Code. However, you are not automatically exempt from other federal excise taxes. If you have any questions about excise, employment, or other federal taxes, please let us know. Donors may deduct contributions to you as provided in section 170 of the Internal Revenue Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Donors may deduct contributions to you only to the extent that their contributions are gifts, with no consideration received. Ticket purchases and similar payments in conjunction with fundraising events may not necessarily qualify as deductible contributions, depending on the circumstances. Revenue Ruling 67 - 246, published in Cumulative Bulletin 1967 - 2, on page 104, gives guidelines regarding when taxpayers may deduct payments for admission to, or other participation in, fundraising activities for charity. You are not required to file Form 990 /•Return of Organization Exempt From Income Tax, if your gross receipts each year are normally $25,000 or less. If you receive a Form 990 package in the mail, simply attach the label provided, check the box in the heading to indicate that your annual gross receipts are normally $25,000 or less, and sign the return. If you are required to file a return you must file it by the 15th day of the fifth month after the end of your annual accounting period: we charge a penalty of $10 a day when a return is filed late, unless there is reasonable Letter 1045 (DO /CG) • • • -3- ROSE HOUSE INC. cause for the delay. However, the maximum penalty we charge cannot exceed $5,000. or 5 percent of your gross receipts for the year, whichever is less. We may also charge this penalty if a•return is not complete. So, please be sure your return is complete before you file it. You are not required to file federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Code. If you are subject to this tax, you must file an income tax return on Form 990 - T, Exempt Organization Business Income Tax Return. In this letter we are not determining whether any of your present or proposed activities are unre- lated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not entered on your application, we will assign a number to you and advise you of it. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. This determination is based on evidence that your funds are dedicated to the purposes listed in section .501(c)(3) of the Code. To assure your continued exemption, you should keep records to show that funds are spent only for those purposes. If you distribute funds to other organizations, your records should show whether they are exempt under section 501(c) (3). In cases where the recipient organization is not exempt under section 501(c) (3), you must have evidence that the funds will remain dedicated to the required purposes and that the recipient will use the funds for those purposes. If you distribute funds to individuals, you should keep case histories showing the recipients' names, addresses, purposes of awards, manner of selec- tion, and relationship (if any) to members, officers, trustees or donors of funds to you, so that you can substantiate upon request by the Internal Revenue Service any and all distributions you made to individuals. (Revenue Ruling 56 - 304, C.B. 2956 - 2,, page 306.) If we said in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Because this letter could,help us resolve any questions about your exempt status and foundation status, you should keep it in your permanent records. Letter 1045 (DO /CG) • • 4111 • • • - 4 - ROSE HOUSE INC. • If you have any questions, please contact the person whose name and telephone number are shown in ,the heading of this letter. 'ncerely yours, V , A. Jen en District. Director - • Enclosure(s): • Form 872 -C N. • Letter 1045 (DO /CG) • • ACORD CERTIFICATE OF LIABILITV INSURANCE 01/08/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ■ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ...SURANCE RESOURCES, INC ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. 75-5722 KUAKINI HWY, SUITE 216 COMPANIES AFFORDING COVERAGE KAILUA-KONA, HAWAII 96740 COMPANY PNOTTAGE A NORTHFIELD INSURANCE COMPANY INSURED COMPANY ROSE HOUSE, INC. RR 3,BOX 1003 COMPANY PAHOA, HI. 96778 COMPANY GOVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. CO POLICY EFFECTIVE POUCY EXPIRATION TYPE OF INSURANCE POUCY NUMBER LIMITS LTR DATE (MM/DDNY) DATE (IIIM/DDPM • GENERAL LIABIUTY GENERAL AGGREGATE $1 , 0 0 0 , 0 0 0 COMMERCIAL GENERAL LIABIUTY PRODUCTS - COMP/OP AGO s 0 •— ,H*•E CLAIMS MADE X I OCCUR PERSONAL & ADV INJURY $500,000 X OWNERS & CONTRACTORS PROT CP 342913 01/08/00 01/08/01 EACH OCCURRENCE $500,000 FIRE DAMAGE (Any one fire) $50, 000 MED IDCP (Any one person) $5,000 AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACODENT $ AGGREGATE $ EXCESS UABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND I45EIJA TN EMPLOYERS' UABILITY — EL EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS/IXECUTIVE — INCL EL DISEASE POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER X DIRECTORS AND OFrICERS 01/12/00 01/12/01 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED IN RESPECT TO COVERAGE SET FORTH IN THIS POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF HAWAII EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DIRECTOR OF FINANCE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 25 AUPUNI ST. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILITY 96720 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATWES. AUTHORIZED REPR COM G E is provided in Company Checked ❑ Northlarit NORTHLAND INSURANCE COMPANY • ` Insurance Companies . COMMON POLICY ❑ . NORTHLAND IONS CASUALTY TCE COMPANY YY DECLARATIONS Mendota Heights, MN 55120 Policy, No: CP371163 Agency No: 102 017 Producer No: Previous Policy No: CP342 913 POLICY PERIOD: From .01/08/2000 To 01/08/2001 Term: ONE YEAR at 12:01 A.M. Standard Time at your mailing address shown below. Named Insured: ROSE HOUSE, INC. Mailing Address: • HCR1, BOX 4166 KEAAU HI 96749 Street Number City State Zip Code BUSINESS DESCRIPTION: RESIDENTIAL CARE HOME IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM Commercial Auto /Garage Coverage Part ...... .......... .: Commercial Crime Coverage Part .... $ Commercial General Liability Coverage Part ....... $ INCLUDED Commercial Inland Marine Coverage Part ............ $ Commercial Professional Liability Coverage Part $ 834.00 Commercial Property Coverage Part ............ .. ....... .. ... ... ... $ $ Premium Total $ 834 .00 Other Charges HI SURPLUS LINES TAX $39.03 I2.02 Audit Period: Annua H unlle ss $ oth 5 erwise stated: TOTAL- _ $ 834.00 Forms and Endorsements: S1J -IL (12/98) , S40 -IL (12/96) , S132DIII insgr�lq�)gor agt ue j/ ) , S1030 -IL (6/94) , IL 01 54 (08/89) , frnnerF� iP li7 f Itcgg�dP¢,y the 2/92) State o Hawaii and is not subject to its regulation or examination. If the insurer is fpund insolvent, claims under thi& • contract are n t covered by any guarant f of the State at Hawaii' Agency Name /Address. Swett & Crawford of Arizona 14040 N. Cave Creek Rd., Suite 307 Phoenix, AZ 85022 - 6118 ^ W - J h^� , Countersigned: 01/18/00 CAH By Date Authorized Representative Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc.. 1985 S1D-IL (10 -87) INSURED • • • State of Hawaii DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 1010 Richards Street Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810 ARTICLES OF INCORPORATION (Section 415B -34, Hawaii Revised Statutes) The undersigned, desiring to form a nonprofit corporation under the laws of the State of Hawaii, certify as follows: I. The name of the corporation shall be Rose House, Inc. TI. The address of the corporation's office is 16 -1193 39` Street, Orchidland Estates, Kea'au, Hawaii 96749. The mailing address of the corporation's office is H.C.R. 1 Box 4166, Keaau, Hawaii, 96749. III. The period of its duration is perpetual. IV. Section 1. The purpose(s) for which the corporation is organized: To provide a safe living environment for female recovering addicts by instilling pride and responsibility, and to help these women become productive members of society. These objectives will be accomplished through a supportive living arrangement, group 12 Step meetings which will include educational and instructional materials and through any and all other appropriate means and the 4 . . transaction of any or all lawful activities for which nonprofit corporations may be incorporated under Chapter 415B, Hawaii Revised Statutes. This corporation is organized exclusively for one or more of the purposes as specified in Section 501(c)(3) of the Internal Revenue Code, including for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501 (c)(3) of the Internal Revenue Code, or corresponding section of any future federal tax code. Section 2. And in furtherance of said purposes, the corporation shall have all powers, rights, privileges and immunities, and shall be subject to all of the liabilities conferred or imposed by law upon corporations of this nature, and shall be subject and have all the benefits of all general laws with respect to corporations. V. The number of directors shall not exceed (15). The following are the names and residence street addresses of the founding directors: 1. Phyllis Maureen Stine 16 -2110 Macadamia Drive, Pahoa, HI 9677E 2: Laraine Olivia Arian 571 W. 17 Street, San Pedro, Ca 90731 3. Edwin Duane Harris 77 -6549 Keelikolani Drive Kailua -Kona, Hi 96740 4. Renee Louise Molica 2819 -A Kahawai Street Honolulu, HI 96822 5. Arthur Joseph Arian RR3, Box 1003, Pahoa, HI 9677E 2 • • • • • The officers of the corporation shall consist of a president, vice president, secretary and treasurer. The following are the names and residence street address of the current officers: • President: Phyllis Maureen Stine 16 -2110 Macadamia Drive Pahoa, HI 96778 First Vice President: Laraine Olivia Arian 571 W. 17 Street San Pedro, CA 90731 Second Vice President: Edwin Duane Harris 77-6549 Princess Keelikolani Drive Kailua -Kona, HI 96740 Secretary: Renee Louise Molica 2819 -A Ka:nawai Street Honolulu, Hi 96822. Treasurer: Arthur Joseph Arian R.R. 3 Box 1003 Pahoa, HI 96778 16 -2110 Macadamia Drive, Pahoa, HI 96778 VII. The corporation has no members. VII. The classes, rights, privileges, qualifications, and obligations of members of the corporation are as follows: As stated in the Bylaws of this corporation. Ix. • Upon the dissolution of this corporation, its assets remaining after payment, or provision for payment, of all debts and liabilities of this corporation shall be distributed for one or more exempt purposes within the meaning of section 501 (c)(3) of the Internal Revenue Code or Shall be distributed to the federal government, or co a state or local government, for a public purpose. • • No substantial part of the activities of this corporation shah: consist of carrying on propaganda, or otherwise attempting to influence legislation (except as otherwise provided by Section 50 (h) of the Internal Revenue Code), and this corporation shall not participate in, or intervene in (including the publishing or distribution of statements), and political campaign on behalf of, or in opposition to, any candidate for public office. No Part of the net earnings of this corporation shall inure to the benefit of, or be distributable to, its members directors, officers, or other private persons, except that this corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in these Articles. Notwithstanding any other provision of these articles, :his corporation shall not carry on any other activities not permitted to be carried on (1) by a corporation exempt from federal income tax under Section 501 (c)(3) of the Internal Revenue Code or (2) by a corporation contributions to which are deductible under Section 170 (c)(3) of the Internal Revenue Code. X. The corporation is nonprofit in nature, and shall not authorize or issue shares of stock. No dividends shall be paid and no cart of the income or profit of the corporation shall be distributed to its members, directors, or officers, except for services actually rendered to the corporation. We certify under the penalties of Section 415B -158, Hawaii Revised Statutes, that we have read the above statements and that same are true and correct. Witness our hands this 8 " day of August, 1996. Phyllis M. Stine Arthur J. Arian (Signature of Incorporator) (Signature o/ Incorporator) (Sign in black ink) (Sign in black ink) • • 4 • BYLAWS OF Rose House, Inc. • ARTICLE I OFFICES SECTION 1. PRINCIPAL OFFICE The principal office of the corporation is located in Hawai'i County , Puna District, State of Hawai'i. SECTION 2. CHANGE OF ADDRESS The designation of the county of' state of the corporation's principal office may be changed by amendment of these Bylaws. The Board of Directors may change the principal office from one location to another within the named county by noting the changed address and effective date below, and such changes of address shall_ not be deemed, nor required, an amendment of these Bylaws: Same address - move from main to ohana house dated 6 -14 -97 To Rose House property dated 8- 15 -98. 16 -1193 39` Street Orchidland Estates, Kea'au Hawai'i 96749. Mailing address H.C.R.1, Box 4166, Kea'au, Hawai'i 96749 SECTION 3. OTHER OFFICES The corporation may also have offices at such other places, within or without its state of incorporation, where it is qualified to do business, as its business and activities may require, and as the board of directors may, from time to time, designate. • • ARTICLE 2 NONPROFIT PURPOSES SECTION 1. IRC SECTION 501 (c)(3) PURPOSES This corporation is organized exclusively for one or more of the purposes as specified in Section 501 (c) (3) of the Internal Revenue Code, including, for such purpose, the making of distributions to organizations that qualify as exempt organizations under Section 501 (c)(3) of the Internal Revenue Code. SECTION 2. SPECIFIC OBJECTIVES AND PURPOSES The specific objectives and purposes of this corporation shall be: To provide a safe living environment for female recovering addicts by instilling pride and responsibility, and to help these women become productive members of society. These objectives will be accomplished through a supportive living arrangement, and group twelve -step meetings. Such meetings will include educational and instructional materials and through any and all lawful activities for which nonprofit corporations may be incorporated under Chapter 415B, Hawaii Revised Statutes. ARTICLE 3 DIRECTORS Section 1. Number. The corporation shall have no more /than 15 directors and collectively they shall be known as the Board of Directors. 2 • • • Section 2. Qualifications Directors shall be of the age of majority in this state, and have the willingness and ability to serve and follow the traditions of Twelve -Step programs. Section 3. POWERS Subject to the provisions of the laws of this state and any limitations in the Articles of Incorporation and these Bylaws relating to action required or permitted to be taken or approved by the members, if any, of this corporation, the activities and affairs of this corporation shall be conducted and all corporate powers shall be exercised by or under the direction of the Board of Directors. SECTION 4. DUTIES It shall be the duty of the directors to: (a) Perform any and all duties imposed on them by the Articles of Incorporation or by these Bylaws; (b) Appoint and remove, employ and discharge, and, except as otherwise provided in these Bylaws, prescribe the duties and fix the compensation, if any, of all officers, agents and employees of the corporation; (c) Supervise all officers, agents and employees of the corporation to assure that their duties are performed properly; (d) Meet at such times and places' as required by Bylaws; (e) Register their addresses with the Secretary of the corporation, and notices of meetings sent by whatever means (i.e. mail, telephone, fax, e- mail) to them at such addresses shall be valid notices thereof, except that in 3 • • the case of fax or e -mail a response from that director must be received within 24 hours to be valid notice. (f) Any director who misses 2 consecutive Meetings without good cause may be re- moved from the Board of Directors. SECTION 5. Term of Office Each director shall hold office for a period of three (3) years and until his /her successor is elected and qualifies. The directors elected at the annual meeting to succeed the directors named in the Article of Incorporation shall be elected for staggered terms of one, two, and three years. The president's term shall be one year, the Vice - president's term shall be two years, and the secretary's term shall be a normal 3 years term, and the treasurer's term shall be one year. As the terms of such directors expire they shall remain in office until their successors are elected and have qualified. SECTION 6. COMPENSATION Directors shall serve without compensation. Reimbursement for necessary pre- approved expenses may be made. SECTION 7. PLACE OF MEETINGS Meetings shall be held at such place as may be designated from time to time by resolution of the board of directors. Directors shall receive appropriate notice of such meetings as provided elsewhere in these Bylaws. SECTION 8. REGULAR MEETINGS Regular meetings of the directors shall be held on the third Thursday of each month at 5:30 p.m. 4 • • l SECTION 8.1. ANNUAL MEETING The Annual Meeting of the Board of Directors shall be held on the third month of the second quarter (i.e. June) of the calendar year. Day, date, time and place of meeting to be announced. Notice as per Sect 11, (a) below. SECTION 9. SPECIAL MEETINGS Special meetings of the Board of Directors may be called by the Chairperson of the Board of Directors, the President, the Vice President, the Secretary, or by the Treasurer, or by any two directors or, if different, by the person specifically authorized under the laws of this state to call special meetings of the Board. Such meetings shall be held at the place, date and time as specified by the person or persons calling the meeting. SECTION '10 NOTICE OE MEETINGS Unless otherwise provided by the Articles of Incorporation, these Bylaws, or provisions of law, the following provisions shall govern the giving of notice of meetings of the Board of Directors: (a) Regular and Annual Meetings. Notice, either oral or written shall be given at least one week prior to the meeting. Such notice shall state the place, date and day and time of said meeting, and shall set forth on the agenda the matters to be acted upon at the meeting.. (b) Special Meetings. Notification must comply with the provisions of (a) above. The person calling the meeting shall be responsible for notification of all Board members. (c) Waiver of Notice. Whenever any notice of a meeting is required to be given to any director of this corporation under provisions 5 • • of the Articles of Incorporation, these Bylaws, or the laws of this state, a waiver of notice in writing Signed by the director, whether before or after the time of the meeting, shall be equivalent to the giving of such notice. SECTION 11. QUORUM FOR MEETINGS A quorum shall consist of one more than half of the filled Board seats. Except as otherwise provided under the Articles of Incorporation, these Bylaws, or provisions of law, no business shall be considered by the board at any meeting at which the required quorum is not present, except that the meeting shall be briefly • recessed in order to secure a quorum (phone call to directors), after such recess if their remains no quorum the only motion which the chair shall entertain at such meeting is a motion to adjourn. SECTION 12. MAJORITY ACTION AS BOARD ACTION Every act or decision done or made by a majority of the directors present at a meeting duly held at which a quorum is present is the act of the Board of Directors, unless the Articles of Incorporation, these Bylaws, or provisions of law require a greater percentage or different voting rules for approval of a matter by the board. SECTION 13. CONDUCT OF MEETINGS Meetings of the Board of Directors shall be presided over by the Chairperson of the Board or, if no such person has been so designated or, in his or her absence, the President of the corporation or, in his or her absence, by the Vice President of the corporation or, in the absence of each of these persons, by a Chairperson chosen by a majority of the directors present at the meeting. The Secretary of the 6 • • • • ' , corporation shall act as secretary of all meetings of the board, provided that, in his or her absence, the presiding officer shall 'appoint another person to act as Secretary of the Meeting. Meetings shall be governed by Roberts Rule of Order, the Articles of Incorporation, these Bylaws, or with provisions of law. SECTION 14. VACANCES Vacancies on the Board of Directors shill exist (1) on the death, resignation or removal of any director, and (2) whenever the number of authorized directors is increased. Any director may resign effective upon giving written notice to the Chairperson of the Board, the President, the Secretary, or the Board of Directors, unless the notice specifies a later time for the effectiveness of such resignation. No director may resign if the corporation would then be left without a duly elected director or directors in charge of its affairs, except upon notice to the Office of the Attorney 'General or other appropriate agency of this state. Directors may be removed from office, with or without cause, as permitted by and in accordance with the laws of this state. , Unless . otherwise prohibited by the Articles of Incorporation, these Bylaws or provisions of law, vacancies on the board may be filled by approval of the board of directors. If the number of directors then in office is less than a quorum, a vacancy on the board may be filled by approval of a majority of the directors then in office or by a sole remaining director. A person elected to fill a vacancy on the board shall hold office until the next election of the Board of Directors or until his or her death resignation or removal from office. 7 411 410 SECTION 15. NONLIABILITY OF DIRECTORS The directors shall not be personally liable for the debts, liabilities, or other obligations of the corporation. SECTION 16. INDEMNIFICATION BY CORPORATION OF DIRECTORS AND OFFICERS The directors and officers of the corporation shall beindemnified by the corporation to the fullest extent permissible under the laws of this state. SECTION 17. INSURANCE FOR CORPORATE AGENTS Except as may be otherwise proveded under provisions of law, the Board of Directors may adopt a resolution authorizing the purchase and maintenance of insurance on behalf of any agent of the corporation (including a director, officer, employee or'other agent of the corporation) against liabilities asserted against or incurred by the agent in such capacity or arising out of the agent's status as such, whether or not the corporation would have the power to indemnify the agent against such liability under the Articles of Incorporation, these Bylaws or provisions of law. ARTICLE 4 OFFICERS SECTION 1. DESIGNATION OF OFFICERS The officers of the corporation shall be a President, a Vice President, a Secretary, and a Treasurer. The corporation my also have a Chairperson of the Board, one or more Vice Presidents, Assistant Secretaries, Assistant Treasurers, and other such 8 • • • . • officers with such titles as may be determined from time to time by the Board of Directors. SECTION 2. QUALIFICATIONS Any person who upholds the principles and falls within the guidelines of Pose. House, Inc. may serve as an officer of this corporation. SECTION 3. ELECTION AND TERM OF OFFICE Officers shall be elected by the Board of Directors, at any time, and each officer shall hold office until he or she resigns or -is removed or is otherwise disqualified to serve, or until his or her successor shall be elected and qualified, whichever occurs first. SECTION 4. RMOVAL AND RESIGNATION Any officer may be removed, either with or without cause, by'the Board of Directors, at any time.. Any officer may resign at any time by giving written notice to the Board of Directors or to the President or Secretary of the corporation. Any such resignation shall take effect at the date of receipt of such notice or at any later date specified therein, and , unless otherwise specified therein, the acceptance of such resignation shall not be necessary to make it effective. The above provisions of this Section shall be superseded by any conflicting terms of a contract which has been approved and ratified by the Board of Directors relating to the employment of any officer of the corporation. SECTION 5. VACANCIES • Any vacancy caused by the death, resignation, removal, disqualification, or otherwise, of any officer shall be filled by the Board of Directors. In the event of a vacancy in any office other than that of President, such vacancy may be filled temporarily by appointment by the President until such time as the 9 • 4 4 Board shall fill the vacancy. Vacancies occurring in offices of officers appointed at the discretion of the board may or may not be filled as the board shall determine. SECTION 6. DUTIES OF PRESIDENT The President shall be the chief executive officer of the corporation and shall, subject to the control of the Board of Directors, supervise and control the affairs of the corporation and the activities of the officers. He or she shall perform all duties incident to his or her office and such other duties as may be required by law, by the Articles of Incorporation, or by these Bylaws, or which may be prescribed from time to time by the Board of Directors. Unless another person is specifically appointed a Chairperson of the Board of Directors, the President shall preside at all meetinne F the Board of Directors and; if this corporation has members, at all meetings of the members. Except as otherwise expressly provided by law, by the Articles of Incorporation, or by these Bylaws, he or she shall, in the name of the corporation, execute such deeds, mortgages, bonds, contracts, checks, or other instruments which may from time to time be authorized by the Board of Directors. SECTION 7. DUTIES OF VICE PRESIDENT In.the absence of the President, or in the event of his or her inability or refusal to act, the Vice President shall perform all the duties of the President, and when so acting shall have all the powers of, and be subject to all the restrictions on, the President. The Vice President shall have other powers and perform such other duties as may be prescribed by law, by the Articles of Incorporation, or by these Bylaws, or as may be prescribed by the Board of Directors. 10 •� •, SECTION 8. DUTIES OF SECRETARY The Secretary shall: Certify and keep at the principal office of the corporation the original, or a copy, of these Bylaws as amended or otherwise altered to date. Keep at the principal office of the corporation or at such other place as the board may determine, a book of minutes of all meetings of the directors, and, if applicable, meetings of committees of directors and of members, recording therein the time and place of holding, whether regular or special, how called, how notice thereof was given, the names of those present or represented at the meeting, and the proceedings thereof. See that all notices are duly given in accordance with the provisions of these Bylaws or as required by law. Be custodian of the records and of the seal of the corporation and affix the seal, as authorized by law or the provisions of these Bylaws, to duly executed documents of the corporation. Keep at the principal office of the corporation a membership book containing the name and address of each and any, members, and, in the case where any membership has been terminated, he or she shall record such fact in the membership book together with the date on which such membership ceased. Exhibit at all reasonable times to any director of the corporation, or to his or her agent or attorney, on request therefor, the Bylaws, the membership book, and the minutes of the proceedings of the directors of the corporation. In General, perform all duties incident to the office of Secretary and such other duties as may be required by law, by the Articles of Incorporation, or by these Bylaws, or which may be assigned to him or her ■—• from time to time by the Board of Directors. 11 • SECTION 9. DUTIES OF TREASURER The Treasurer shall: Have charge and custody of, and be responsible for, all funds and securities of the corporation, and deposit all such funds :in the name of the corporation in such banks, trust companies, or other depositories . as shall be selected by the Board of Directors. Receive, and give receipt for, monies due and payable to the corporation from any source whatsoever. Disburse, or cause to be disbursed, the funds of the corporation as may be directed by the Board of Directors, taking proper vouchers for such disbursements. Keep and maintain adequate and correct accounts of the corporation's properties and business transactions, including accounts of its assets, liabilities, receipts, disbursements, gains and losses. Exhibit at all reasonable times the books of account and financial records to any director of the corporation, or to his or her agent or attorney, on request therefor. Render to the President and directors, whenever requested, an account of any or all of his or her transactions as Treasurer and of the financial condition . of the corporation. Prepare, . or cause to be prepared, and certify, or cause to be certified, the financial statements to be included in any required reports. In general, perform all duties incident to the office of Treasurer and such other duties as may be required by law, by the. Articles of Incorporation of the corporation, or by these Bylaws, or which may be assigned to him or her from time to time by the Board of Directors. 12 • • • 4 , SECTION 10. COMPENSATION No board member shall receive any salary or other compensation. ARTICLE 5 COMMITTTEES SECTION 1. EXECUTIVE COMMITTEE The Board of Directors may, by a majority vote of its members, designate an Executive Committee consisting of two or more board members Consisting of the treasurer, secretary, executive director, or any member -at- large, and further, the board may delegate to such committee the powers and authority of the board in the management of the business and affairs of the corporation, to the extent permitted, and except as may otherwise be provided, by provisions of law. By a majority vote of its members, the board may at any time revoke or modify any or all of the Executive Committee authority so delegated, increase or decrease but not below two (2) the number of the members of the Executive Committee, and fill vacancies on the Executive Committee from the members of the board. The Executive Committee shall keep regular minutes of its proceedings, cause them to be filed with the corporate records and report the same to the board from time to time as the board may require. SECTION 2. Other Committees The corporation shall have such other committees as may from time to time be designated by resolution of the Board of Directors. These committees may consist of persons who are not also members of the board and shall act in an advisory capacity to the board. Standing committees shall consist of By -laws, Policy and Procedures, Personnel, Finance and Fiscal Policy, Fundraising and Grant Acquisitions. 13 O . • • • SECTION 3. MEETINGS AND ACTION OF COMMITTEES Meetings and action of committees shall be ' governed by, noticed, held and taken in accordance with the provisions of these Bylaws concerning meetings of the Board of Directors, with such changes in the context of such Bylaw provisions as are necessary to substitute the committee and its members for the Board of Directors and its members, except that the time for regular and special meetings of committees may be fixed by resolution of the Board of Directors or by the. committee. The Board of Directors may also adopt rules and regulations pertaining to the conduct of meetings of committees to the extent that such rules and regulations are not inconsistent with the provisions of these Bylaws. ARTICLE 6 - EXECUTION OF INSTRUMENTS, DEPOSITS AND FUNDS SECTION 1'. EXECUTION OF INSTRUMENTS The Board of Directors, except as otherwise provided in these Bylaws, may by resolution authorize ,, any officer or agent of the . corporation to enter into any contact or execute and deliver any. instrument in the name of and on behalf of the corporation, and such • authority may be general or confined to specific instances. Unless so authorized no officer, agent or employee shall have any power or authority to bind the corporation by any contract or engagement or to pledge '.' its credit or to render it liable monetarily for any purpose or in any amount. SECTION 2. CHECKS AND NOTES. Except as otherwise specifically determined by • resolution of the Board of Directors, or as otherwise required by law, checks, drafts, promissory notes, Orders for the payment of money, and other evidence of. indebtedness of the corporation shall be signed by the ' Treasurer and countersigned by the President of the corporation. 14 • • % • • • SECTION 3. DEPOSITS 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 4 GIFTS The Board of Directors may accept on behalf of the corporation . any contribution, gift, bequest, or devise for the nonprofit purposes of this corporation. ARTICLE 7 CORPORATE RECORDS, REPORTS AND SEAL SECTION 1. MAINTENANCE OF CORPORATE RECORDS. The corporation shall keep at its principal office: (a) Minutes of all meetings of directors, committees of the board and, if this corporation has members, of all meetings of members, indicating the time and place of holding such meetings, whether regular or special, how called, the notice given, and the names of those present and the proceedings thereof: (b) Adequate and correct books and records of account, including accounts of its properties and business transactions and accounts of its assets, liabilities, receipts, disbursements, gains and losses; (c) A record of its members, if any, indicating their Names and addresses and, if applicable, the class of membership held by each member and the termination date of any membership. • (d) A copy of the corporation's Articles of Incorporation and Bylaws as amended to date, which shall be. open to inspection by the members, if any, of the corporation at all reasonable times during office hours. 15 • • • SECTION 2. CORPORATE SEAL The Board of Directors may adopt, use, and at will alter, a corporate seal. Such seal.shall be kept at the principal office of the corporation. Failure to affix the seal to corporate instruments, however, shall not affect the validity of any such instrument. SECTION 3. DIRECTORS' INSPECTION RIGHTS Every director shall have the absolute right at any ' reasonable time to inspect and copy all books, records and documents of every kind and to inspect the physical properties of the corporation and shall have such other rights to inspect the books, records and priorities of this corporation as may be required under the Articles of Incorporation, other provisions of these Bylaws, and provisions of law. SECTION 4. MEMBERS' INSPECTION RIGHTS If this corporation has any members, then each and every member shall have the following inspection rights, for a purpose reasonably related to such person's interest as a member: (a) To inspect and copy the record of all members'names, addresses and voting rights, at reasonable times, upon written demand on the secretary of the corporation, which demand shall state the purpose for which the inspection rights are requested. (b) To obtain from the Secretary of the corporation, upon written demand on, and payment of a reasonable charge to, the Secretary of the corporation,'a list of the names, addresses and voting rights of those members entitled to vote for the election of directors as of the most recent record date for which the list has been compiled or as of the date specified by the member subsequent to the date of demand. The demand shall state the purpose for which the list is requested. The membership list shall be made within a reasonable time after the demand is received by the Secretary of the 16 • • • o corporation or after the date specified therein as of which the list is to be compiled. (c) To inspect at any reasonable time the books, records, or minutes of proceedings of the members or of the board or committees of the board; upon written demand on the Secretary of the corporation by the member, for a purpose reasonable related to such person's interests as a member. Members shall have such other rights to inspect the books, records and properties of this corporation as may be required under the Articles of Incorporation, other provisions of these Bylaws, and provisions of law. SECTION 5. RIGHT TO COPY AND MAKE EXTRACTS Any inspection under the provisions of this Article may be made in person or by agent or attorney and the right to inspection shall include the right to copy and make extracts. SECTION 6'. PERIODIC REPORT The board shall cause any annual or periodic report required under law to be prepared and delivered to an office of this state or to the members, if any, of this corporation, to be so prepared and delivered within the time limits set by law. ARTICLE 8 IRC 501 (C) (3) TAX EXEMPTION PROVISIONS SECTION 1. LIMITATIONS ON ACTIVITIES No substantial part of the activities of this corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation (except as otherwise provided by Section 501 (h) or the Internal Revenue Code), and this corporation shall not participate in, or intervene in (including the publishing or distribution of statements), any political campaign on behalf of, or in opposition to, any candidate for public office. 17 • et - 411 • Notwithstanding any other provisions of these Bylaws, this corporation shall not carry on any activities not permitted to be carried on (a) by a corporation exempt from federal income tax under Section 501 (c)(3) of the Internal Revenue Code, or (b) by a corporation, contributions to which are deductible under Section 170 (c)(2) of the Internal Revenue Code. SECTION 2. PROHIBITION AGAINST PRIVATE INUREMENT No part of the net earnings of this corporation shall inure to the benefit of, or be distributable to, its members, directors or trustees, officers, or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes of this corporation. SECTION 3. DISTRIBUTION OF ASSETS Upon'the dissolution of this corporation, its assets remaining after payment, or provision for payment, of all debts and liabilities of this corporation shall be distributed for one or more exempt purposes within the meaning of Section 501 (C)(3) of the Internal Revenue Code or shall be distributed to the federal government, or to a state or local • government, for a public purpose. Such distribution shall be made in accordance with all applicable provisions of the laws of this state. SECTION 4. PRIVATE FOUNDATION REQUIREMENTS AND RESTRICITIIONS In any taxable year in which this corporation is a private foundation as described in Section 509 (a) of the Internal Revenue Code, the corporation (1) shall distribute its income for said period at such time and manner as not to subject it to tax under Section 4942 of the internal revenue Code; (2) shall not engage in any act of self - dealing as defined in Section 4941 (d) of the Internal Revenue Code; (3) shall not retain any 18 • c ,D of the Internal Revenue Code; (3) shall not retain any excess business holdings as defined ir\Section,4943(c) of the Internal Revenue Code; (4) shal] not make any investments in such manner as to subject tha corporation to tax under Section 4944 of the Internal Revenue Code; and (51 shall,.:not make aay taxable expenditures as defined in Section 1945(d) of tthe Internal Revenue Code. ARTICLE 9 AMENDMENT OF BYLAWS SECTION 1. AMENDMENT Subject to the power of the members, if any, , 1,f this corporation to adopt, amend or repeal the Bylr >,•.a of this corporation and except as may'otherwise be '‘� specified under provisions of law, these Bylaws,. or of them, maybe altered, amended, or repealed' and nev Bylaws adopted by approval of the Board of Directors. ARTICLE 10 GRIEVENCES SECTION 1. BOARD MEMBER GRIEVANCES Step 1. A member of the Board of Directors shall present their grievance at any regular meeting or special meeting of the Board. If resolution is not achieved the member may elevate thier grievance to level two; Step 2. At level two the member may request a third party mutually agreed to by the Board at•large and the Member. Such third.party shall be called in to find facts and issue a ruling which shall be binding on all parties. Such ruling shall be issued within 30 days, in writing to all parties. The cost of the arbitrator;shAll be equally - shared between:. the Board and the Member. 19 U • C 2 Step 3. If either patty is not satisfied they may elevate the grievance to The Court System in. the State of Hawaii. SECTION 2. Other Grievances - .re to Rose House Policy Manual. ARTICLE 11 CONSTRUCTION AND TERMS If there is .:any conflict between the provisions of these Bylaws and.the Articles of Incorporation of this corporation, th'J provisions of the Articles of Incorporation ;hall govern. Should •ny of the provisions or portions of these Bylaws be h'_ld unenforceable or invalid for any reason, the remaining provisions and portions of these Bylaws shall be inaffected by such holding. Al references in these Bylaws to a section or sectir. the Internal Revenue Code shall be to such sect',:onsIof the•Internal Revenue Code of 1986 as ame , lded i f from time to time, or to corresponding p ",ovisi'ons of any future federal tax code. 7 ADOPTION OF BYLAWS We, the undersigned, are all of the initial directors or incorporators of this corporation, and we consent to, and hereby do, adopt the foregoing Bylaws, consisting of 19 preceding pages, as the Bylaws of this corporation. Adopted: 6/22/96 Amended: 10/19/97. - Amended: 1/4/98 • Amended: 9/16/99 fl / / n'ia Payao, PTsident 20