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HMSA FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HMSA FOUNDATION (EIN 99-0250429)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-28
IRS object ID
202143019349100544
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-28T19:51:15-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN205325889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ACCUITY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1999 BISHOP STREET STE 1900AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990250429EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HMSA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHMSABusinessNameControlTxt
Phone8089485145PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POBOX 860AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96808ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGINA L MARTINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8089485145PhoneNum
Signature2021-10-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGINAPersonFirstNm
Person LastMARTINGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOAN FUJITAPreparerPersonNm
PTINP00235894PTIN
Phone8085313400PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$26,810,771FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$321InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$321InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$523,637DividendsRevAndExpnssAmt
Dividends Net Invst Incm$523,637DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$187,185NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,300,000GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$492OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$492OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$337,265TotalRevAndExpnssAmt
Total Net Invst Incm$524,450TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$256,246OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$393,157PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$0PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$38,317AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$58,632OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$21,595TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Occupancy Rev And Expnss$180OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$9,165TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$402PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$0PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$96,414OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$874,108TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$7,024,561ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,179,071ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$7,898,669TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,179,071TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$7,561,404ExcessRevenueOverExpensesAmt
Net Investment Income$524,450NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$451,938CashBOYAmt
Cash EOY$126,944CashEOYAmt
Cash EOYFMV$126,944CashEOYFMVAmt
Acct Rcvbl$15,595AcctRcvblAmt
Acct Rcvbl BOY$23,826AcctRcvblBOYAmt
Acct Rcvbl EOY$15,595AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$15,595AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$625,416PrepaidExpensesBOYAmt
Prepaid Expenses EOY$169,965PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$169,965PrepaidExpensesEOYFMVAmt
Other Investments BOY$18,139,408OtherInvestmentsBOYAmt
Other Investments EOY$18,175,821OtherInvestmentsEOYAmt
Other Investments EOYFMV$26,498,267OtherInvestmentsEOYFMVAmt
Total Assets BOY$19,240,588TotalAssetsBOYAmt
Total Assets EOY$18,488,325TotalAssetsEOYAmt
Total Assets EOYFMV$26,810,771TotalAssetsEOYFMVAmt
Accounts Payable BOY$77,573AccountsPayableBOYAmt
Accounts Payable EOY$68,628AccountsPayableEOYAmt
Grants Payable BOY$2,887,169GrantsPayableBOYAmt
Grants Payable EOY$8,736,417GrantsPayableEOYAmt
Other Liabilities BOY$138,536OtherLiabilitiesBOYAmt
Other Liabilities EOY$107,373OtherLiabilitiesEOYAmt
Total Liabilities BOY$3,103,278TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,912,418TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$16,137,310NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$9,575,907NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$16,137,310TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$9,575,907TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$19,240,588TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$18,488,325TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$16,137,310TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$7,561,404ExcessRevenueOverExpensesAmt
Other Increases$1,000,001OtherIncreasesAmt
Subtotal$9,575,907SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$9,575,907TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PIMCO 28,089.89 SHARESP2011-03-312020-05-20$300,000$300,597-$597-$597
VANGUARD MID CAP 2,592.29P2007-12-312020-08-04$125,000$57,858$67,142$67,142
VANGUARD SMALL CAP 1,344P2007-12-312020-08-04$100,000$47,671$52,329$52,329
VANGUARD INSTL INDEX 931P1997-05-292020-08-04$275,000$99,023$175,977$175,977
VANGUARD MID CAP 2,744.7P2007-12-312020-11-30$150,000$61,518$88,482$88,482
VANGUARD SMALL CAP 1,146P2007-12-312020-11-30$100,000$40,813$59,187$59,187
VANGUARD INSTL INDEX 771P2007-12-312020-11-30$250,000$82,688$167,312$167,312
LONG TERM CAPITAL GAIN DISTRIBUTIONP$118,951$118,951
SHORT TERM CAPITAL GAIN DISTRIBUTIONP$84,032$84,032
TGI HOLDINGS, INC. DISSOLUTIONP2011-12-302020-12-15$1,000,000-$1,000,000-$1,000,000
FieldValueIRS element (for citing)
Capital Gain Net Income-$187,185CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$84,032NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$7,290InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$7,290SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$7,290TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$13,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$6,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$19,000TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$11,710OverpaymentAmt
Applied To ES Tax$11,710AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateHIOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.HMSAFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksMARCUS CHUNIndividualWithBooksNm
Phone8089485145PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1818 KEEAUMOKU STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96814ZIPCd
FieldValueIRS element (for citing)
Tax Exempt Interest$0TaxExemptInterestAmt
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARK MUGIISHI
PO BOX 860HONOLULUHI96808PRESIDENT1.00$0$0$0
KATHRYN MATAYOSHI
PO BOX 860HONOLULUHI96808VICE PRESIDENT1.00$0$0$0
GINA L MARTING
PO BOX 860HONOLULUHI96808TREASURER1.00$0$0$0
MICHAEL BRODERICK
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
HELEN COX
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
KASHA HO
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
KEAWE AIMOKU KAHOLOKULA
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
KENNETH NAKAMURA
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
RICHARD TAAFEE
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
GAVIN THORNTON
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
LINDA EZUKA
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
BRANDEE MENINO
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0
LESILE WIKLINS
PO BOX 860HONOLULUHI96808DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
AMY ASSELBAYE
PO BOX 860HONOLULUHI96808EXECUTIVE DIRECTOR40.00$98,034$3,758$0
KAIPO KAUKAHIKO
PO BOX 860HONOLULUHI96808PROGRAM OFFICE40.00$93,852$3,764$0
MERYAM LEONG
PO BOX 860HONOLULUHI96808ADMINISTRATOR40.00$71,303$4,276$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$23,580,571AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$227,301AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$23,807,872TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$23,807,872AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$357,118CashDeemedCharitableAmt
Net Vl Noncharitable Assets$23,450,754NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,172,538MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,172,538MinimumInvestmentReturnAmt
Tax Based On Investment Income$7,290TaxBasedOnInvestmentIncomeAmt
Total Tax$7,290TotalTaxAmt
Distributable Before Adj$1,165,248DistributableBeforeAdjAmt
Recoveries Qualfied Distri$3,758RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,169,006DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,169,006DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,179,071ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,179,071QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,179,071AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,169,006DistributableAsAdjustedAmt
Undistributed Income PY$1,097,133UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$1,179,071QualifyingDistributionsAmt
Applied To Year1$1,097,133AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$81,938AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$1,087,068UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonHMSA FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 860AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96808ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8089485145RecipientPhoneNum
Form And Info And MaterialsSEE STATEMENT 12FormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsSEE STATEMENT 13RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
HANA RETREAT
4224 HANA HIGHWAYHANAHI96713PCTHE 'WAHINE LEADER HUI" IS A PEER SUPPORT NETWORK ANDLEARNING COMMUNITY FOR WOMEN WHO ARE FIRST-TIME NONPROFITLEADERS EARLY IN THEIR TENURE. INVITED PARTICIPANTS ARE LEADINGNONPROFITS WHO LIFT UP THE HEALTH OF OUR LAND. FAMILIES ANDISLAND COMMUNITIES. RETREATS WILL BLEND CONNECTION TOLAND AND COMMUNITY WHERE WE GATHER, PEER SUPPORTFOR EACH OTHER'S WORK, MENTORING LEARNINGOPPORTUNITIES AROUND NONPROFIT MANAGEMENT ANDLEADERSHIP, DEDICATED WORK TIME, REST AND FUN.$5,000
HAWAII INSTITUTE OF PACIFIC AGRICULTURE
PO BOX 497KAPAAUHI96755PCON JANUARY 15. 2020, HAWAII INSTITUTE OF PACIFIC AGRICULTURETOOK SIX HIGH SCHOOL STUDENTS AND THREE TEACHERS TOPARTICIPATE IN THE STATE CAPITAL OPENING DAY OF THELEGISLATIVE SESSION. THE STUDENTS SPENT TIMECONNECTING WITH THEIR DISTRICT SENATORS AND REPRESENTATIVESAND LEARNING ABOUT CIVICS.$2,630
FIVE MOUNTAINS HAWAII
64-1035 MAMALAHOA HWY STE FKAMUELAHI96743PCPROVIDE BIO-PSYCHO-SOCIAL SERVICES TO ADDRESS THE DISPARITIESTHAT EXIST AMONG NORTH HAWAII NATIVE HAWAIIANS AND THEIRFAMILY.$100,000
HAWAIIAN COMMUNITY ASSETS INC
2000 N VINEYARD BLVD B140HONOLULUHI96817PCBUILD THE CAPACITY OF LOW- AND MODERATE-INCOMECOMMUNITIES TO ACHIEVE AND SUSTAIN ECONOMIC SELF-SUFFICIENCYWITH A PARTICULAR FOCUS ON NATIVE HAWAIIANS THROUGHMORTGAGE LENDING PROGRAMS; MICRO-LOANS, HOMEOWNERSHIPASSET BUILDING, AND FINANCIAL EDUCATION; AND TRAINING FORTRANSITIONAL HOUSING AND COMMUNITY BASED ORGANIZATIONSEDUCATION AND FINANCIAL INSTITUTIONS AND GOVERNMENT ENTITIES.$65,000
FAMILY VIOLENCE AND SEXUAL ASSAULT INSTITUTE
10065 OLD GROVE RD STE 101SAN DIEGOCA92131PCKAHAUIKI VILLAGE (KV) IS A UNIQUE PERMANENT HOUSING PROJECT THAT ADDRESSES GENERATIONAL HOMELESSNESS, WITH A GOAL TO MITIGATE ADVERSE CHILDHOOD EXPERIENCES AND TRAUMA THAT MANY HOMELESS CHILDREN AND FAMILIES FACE. THEY SEEK TO BUILD RESILIENCE BY FOSTERING A NEIGHBORHOOD CULTURE THAT AFFORDS OPPORTUNITIES FOR PRO-SOCIAL EXPERIENCES. THEY HOPE THAT THEIR EFFORTS SUPPORT THE GOAL THAT THEIR FAMILIES CAN LEAD PRODUCTIVE AND FULFILLING LIVES TO BREAK THE CYCLE OF INTERGENERATIONAL TRAUMA. DESIGN AND IMPLEMENT PROGRAM EVALUATION TO TRACK OUTCOMES FOR KV FAMILIES AND CHILDREN SERVED THROUGH THEPROJECT AND ESTABLISH FEEDBACK LOOPS TO CONTINUOUSLY IMPROVE CLIENT SERVICES, CONTENT, AND DELIVERY. EVALUATION WILL UTILIZE A MIXED METHODS APPROACH, COLLECTING BOTH QUANTITATIVE AND QUALITATIVE DATA TO CAPTURE THE DIVERSE PERSPECTIVES OF CLIENT FAMILIES, PROGRAM STAFF, AND ALLIED PROVIDERS.$15,000
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 N SCHOOL STHONOLULUHI96819PCSERVE COMMUNITIES, FAMILIES AND INDIVIDUALS THROUGHSTRONG RELATIONSHIPS THAT HONOR CULTURE AND FOSTER HEALTH ANDHARMONY THROUGH TWO PROGRAMS, HO'OULU 'AINA ANDROOT'S. THE PROGRAMS PROVIDED WRAPAROUND SUPPORT,SUPPLIES, FRESH PRODUCE, MEALS AND MEDICINE TO PATIENTSDURING THE 2020 COVID PANDEMIC.$100,000
IMUA FAMILY SERVICES
161 SOUTH WAKEA AVEKAHULUIHI96732PCGROUP LEARNING OPPORTUNITIES FOR KEIKI AND FAMILIES ENROLLED INAUTISM SERVICES AT LMUA FAMILY SERVICES. SOCIAL, PEERINTEGRATION GROUPS SUCH AS TODDLERS WITH AUTISM SPECTRUMDISORDER (ASD) ENTERING PRESCHOOL AND KINDERGARTEN ARE MUCHNEEDED GROUPS THAT FALL OUTSIDE THE TYPICAL SCOPE OF SERVICEDELIVERY YET HAVE A HUGE IMPACT ON CHILDREN'S ABILITIES TOSUCCEED AS THEY MOVE INTO EDUCATION AND EARLY CHILDHOODSETTINGS. ALSO, FAMILY SUPPORT AND TRAINING. COACHING ANDMENTORING ARE CRITICAL TO THE FAMILY SUPPORT OF CHILDREN WITHASD. CURRENTLY, THESE GROUP LED ACTIVITIES FALL OUTSIDE OFBILLING INSURANCE SUPPORT FOR CHILDREN AND FAMILIES WITH ASDBUT ARE CRITICAL TO THEIR ABILITY TO THRIVE IN COMMUNITY ANDEDUCATION.$10,000
KUALOA HEEIA ECUMENICAL YOUTH PROJECT
47-200 WAIHEE RDKANEOHEHI96744PC"KEY PROJECT". NURTURE AND PROMOTE THE CULTURAL,ENVIRONMENTAL, SOCIAL, ECONOMIC AND RECREATIONAL WELL-BEINGOF THE KUALOA-HEEIA AREA BY PROVIDING VITAL GRASSROOTS CIVICPROGRAMS AND RESOURCES THAT EFFECTIVELY SERVE THE NEEDS OFTHE DIVERSE MULTI-CULTURAL COMMUNITY.$75,000
KUMANO I KE ALA
P0 BOX 181WAIMEAHI97696PCKUMANO I KE ALA (KIKA) WILL BUILD A FOUNDATION OFSTEWARDSHIP OF THE LAND AND PLACE THROUGH NATIVEHAWAIIAN CULTURAL EDUCATION PROGRAMS TO GROWSELF-DIRECTED, CRITICAL THINKERS FOR A SUSTAINABLE WEST KAUAI.KIKA'S PROGRAM FOCUS IS LAND RESTORATION, TARO FARMING,FOOD SECURITY, AND YOUTH EMPOWERMENT$80,000
MA KA HANA KA IKE
P0 BOX 968HANAHI96713PCMA KA HANA KA IKE (MKH) WILL PROVIDE HANA YOUTH WITHA WAY TO LEARN THAT MAKES SENSE TO THEM, THAT BUILDSTHEIR SELF-ESTEEM AND SHOWS THEM THEY HAVE THE POWERTO CHANGE THEIR FUTURE$95,000
MOLOKAI CHILD ABUSE PREVENTION PATHWAYS
30 OKI PL STE 204KAUNAKAKAIHI96748PCKEEP CHILDREN SAFE AND SUPPORTS FAMILY WELL-BEING THROUGHPRIMARY PREVENTION EDUCATION. WORK IN MOLOKAI SCHOOLSON THREE AREAS: PRIMARY PREVENTION EDUCATION, ADVOCACYAND EVALUATION, AND IMPACT.$50,000
PARTNERS IN DEVELOPMENT FOUNDATION
2040 BACHELOT STHONOLULUHI96817PCWE ARE OCEANIA (WAO) PROGRAM TO RESPOND TO THEOVERWHELMING NEED FOR SUPPORT OF MICRONESIANS IN HAWAII.PROVIDES DIRECT SERVICES IN LANGUAGE ACCESS, ACCULTURATIONTRAINING, CULTURAL EXPERTISE, HEALTH CONNECTION DAYS,PRE-EMPLOYMENT TRAINING, CENSUS ENUMERATION, SOCIALSERVICE REFERRALS, AND COMMUNITY NEWSLETTERS.$50,000
THE FOOD BASKET INC
80 HOLOMUA STHILOHI96720PCSUPPORT DISTRIBUTION OF THE SAFEST AND HIGHEST FOODFOR HAWAII COUNTY THROUGH THEIR FOOD BANK SITES AS WELL ASTHROUGH OUTREACH PROGRAMS AND PANTRY FOR SENIOR CITIZENS,FOOD BACK PACKS FOR CHILDREN, COMMUNITY SUPPORTEDAGRICULTURE BOXES, BUS MOBILE MARKET. AND FARMERS MARKET$75,000
YWCA OF OAHU
1040 RICHARDS STHONOLULUHI96813PCSUPPORT THE FERNHURST STRATEGIC PLANNING PROGRAM.THE CURRENT COMMUNITY-BASED FURLOUGH PROGRAM IS THE ONLYFEMALE RE-ENTRY PROGRAM IN THE STATE AND SO THERE IS ACHALLENGE TO REMAIN VIGILANT TO THE MISSION AND POPULATION WESERVE WHILE STILL ENSURING THE PROGRAM REMAINS FINANCIALLYSUSTAINABLE. YWCA O'AHU SEEKS ADDITIONAL SUPPORT FROMEXTERNAL PARTNERS AND CONSULTANTS TO HELP STRATEGIZE WAYS TOCONTINUE TO SERVE THE JUSTICE-INVOLVED POPULATION ANDECONOMICALLY DISADVANTAGED WOMEN.$12,000
HELPING HANDS HAWAII
2100 N NIMITZ HWYHONOLULUHI96819PCSTAFF DEVELOPMENT FOR LEADERSHIP TEAM TO IMPROVEAND INSPIRE EFFICIENT AND EFFECTIVE OPERATIONS THAT WILLTRANSLATE INTO IMPROVING ABILITY TO SERVICE THE COMMUNITY.$3,500
WAIMANALO HEALTH CENTER
41-1347 KALANIANAOLE HWYWAIMANALOHI96795PCWAIMANALO HEALTH CENTER (WHC) PROVIDES PRIMARY ANDPREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TOTHE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLYUNDERSERVED. A NATIVE HAWAIIAN HEALING PRACTICE ANDPROGRAM HAS BEEN INTEGRATED, INCLUDING A CULTURAL HEALINGGARDEN TO PROVIDE PATIENTS AND COMMUNITY MEMBERSWITH HEALING PLANTS TO BEGIN THEIR OWN FOOD AND MEDICINALGARDENS AND ALSO PROVIDES REMEDIES THROUGHTHE PROVISION OF HEALING SERVICES AND CLASSES$100,000
LANAI COMMUNITY HEALTH CENTER
P0 BOX 630142LANAI CITYHI96763PCLANAI HIGH AND ELEMENTARY SCHOOL EDUCATION ANDPHYSICAL EDUCATION SCHOOL PROGRAM. DEVELOP A TRUSTINGRELATIONSHIP WITH THE YOUTH; PROVIDING EDUCATION ON HEALTHAND WELLNESS; AND DEVELOPMENT OF FUTURE WORKFORCE. ACTIVITIESINCLUDE HEALTH EDUCATION, SCREENING PROGRAMS, PARTICIPATIONIN COLLEGE AND CAREER FAIRS AND OUTREACH AT SCHOOLEVENTS/CARNIVALS.$15,000
THE WAIPA FOUNDATION
P0 BOX 1189HANALEIHI96714PCSUPPORT COMMUNITY POI DAY WHICH PRODUCES AND DELIVERS POITO CRITICALLY ILL AND OTHER AT RISK COMMUNITY MEMBERS. RENOVATEWEBSITE. STRATEGIC PLAN UPDATE.$15,000
YMCA OF HONOLULU
1441 PALI HWYHONOLULUHI96813PCPROVIDE 5,100 USDA REIMBURSABLE MEALS PER WEEK FROMJULY 29 - 31, 2020 TO CHILDREN AND TEENS FROM LOW INCOMEHOUSEHOLDS WHO ARE ELIGIBLE FOR FREE SCHOOL LUNCHES.$10,441
WAIANAE COMMUNITY RE-DEVELOPMENT CORPORATION
P0 BOX 441WAIANAEHI96792PCDEVELOP COMMUNITY HEALTH HUBS (CHHS) TO EMPOWERCOMMUNITY-BASED ORGANIZATIONS (CBOS) WITH RIGOROUS,SCIENTIFICALLY-INFORMED METHODOLOGIES AND DATA TYPICALLYRESERVED FOR ACADEMIC RESEARCH. CHHS WILL SERVE AS A NOVELPLATFORM THAT OFFERS CBOS THE CAPACITY TO COLLECT ANDUNDERSTAND HEALTH-RELEVANT DATA FROM PARTICIPANTS OF THEIRCOMMUNITY-INITIATED PROGRAMS ALONG WITH THAT OF THEIR SOCIALNETWORK. DATA WILL BE EVALUATED IN THE CONTEXT OF THE BUILTENVIRONMENT FOR HEALTH/SOCIAL/ECONOMICS/POLICY IMPACTS BYACADEMIC CONSULTANTS, WHICH WILL BE ROUTED BACK TO THECOMMUNITY AND STAKEHOLDERS. THE INFORMATION CAN ENABLECOMMUNITY ORGANIZATIONS TO ENGAGE STAKEHOLDERS INHEALTH/WELLBEING AND POTENTIALLY PLAY A PREVIOUSLY UNRECOGNIZEDROLE IN PREVENTION$150,000
PACIFIC SURVIVOR CENTER
P0 BOX 3535HONOLULUHI96811PCDEVELOP SHORT ANIMATIONS THAT PROVIDE SIMPLE AND ENTERTAINING EDUCATION ABOUT TRAUMA-INFORMED CARE AS WELL AS THE NEUROBIOLOGY OF TRAUMA, RESILIENCE, MENTAL ILLNESS, AND ADDICTION. THE GOAL IS TO IMPROVE UNDERSTANDINGABOUT TRAUMA, ADDICTION, AND MENTAL HEALTH DISORDERS;INCREASE COMPASSION FOR THOSE IMPACTED BY TRAUMA; ANDTO PROVIDE PROFESSIONALS WITH TECHNIQUES FOR INTERACTING WITHPATIENTS, CLIENTS AND STUDENTS IN A TRAUMA-INFORMED WAY.$7,500
ALOHA HARVEST
3599 WAIALAE AVE 23HONOLULUHI96816PCA VOLUNTEER-BASED, COMMUNITY-WIDE GLEANING PROJECTBASED ON THE ANCIENT TRADITION OF COLLECTING EXCESS FRESHFOOD FROM FARMS, GARDENS, RESTAURANTS, EVEN BACKYARDAND OTHER SOURCES AND DONATING IT TO THOSE IN NEED.IT CAN REDUCE THE WASTE OF VALUABLE PRODUCE AND IT GIVESLOW-INCOME INDIVIDUALS ACCESS TO FRESH, NUTRITIOUS ANDLOCALLY GROWN FOODS NOT OFTEN AVAILABLE IN FOOD PANTRIES.$15,000
THE FOOD BASKET INC
80 HOLOMUA STHILOHI96720PC"DA BUX SNAP" PROJECT TO ENLIST NEW SNAP(SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) OUTLETS TO PROVIDE SNAP RECIPIENTS ACCESS TO AFFORDABLE HAWAIIGROWN PRODUCE.$15,000
AHA KANE - FOUNDATION FOR THE ADVANCEMENT OF NATIVE HAWAIIAN MALES
677 ALA MOANA BLVD STE 105HONOLULUHI96813PC"HE HUEWAI OLA" PROGRAM WHICH OFFERS MENTORING,INSTRUCTION AND INSPIRATION TO FAMILIES ON NATIVE HAWAIIANCULTURAL PRACTICES AND SKILLS (E.G. COOKING, CARVING, LOMI(NATIVE HAWAIIAN HEALING MASSAGE), MELE (NATIVEHAWAIIAN SONG), BUILDING PROJECTS AND OTHERS).WEEKLY WORKSHOPS PROVIDE INSTRUCTION TO IMPLEMENT THEPRACTICE WITHIN THE HOME AND FOLLOW-UP WITHPARTICIPANTS TO MONITOR PROGRESS AND PROVIDE SUPPORT ANDEVALUATE THE PROGRAM$10,000
THE KOHALA CENTER INC
PO BOX 437462KAMUELAHI96743PC"THE FULL CALABASH FUND" PROVIDES GRANTS TO HAWAII COMMUNITY-BASED ORGANIZATIONS THAT ARE PURCHASING FOOD FROM LOCAL FARMERS, RANCHERS AND FOOD PRODUCERS AND PROVIDING FOOD TO COMMUNITY MEMBERS IN NEED.$25,000
FIVE MOUNTAINS HAWAII
64-1035 MAMALAHOA HWY STE FKAMUELAHI96743PCGAP FUNDING FOR PROGRAMS, EQUIPMENT, MEDICAL SUPPLIES SUPPORT FOR COVID-19 PANDEMIC RELATED EXPENSES.$20,000
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 N SCHOOL STHONOLULUHI96819PCPURCHASE FOOD FOR THE FOOD HUB, SUPPORT LOCAL FARMERS, HIRE FARM AND AGROFORESTRY STAFF, PURCHASE FOOD AND OUTDOORKITCHEN EQUIPMENT, AND ADVOCATE FOR LONG-TERM FOODSECURITY IN THE COMMUNITY.$20,000
EFFECTIVE PLANNING INNOVATIVE COMMUNICATION INC
1130 N NIMITZ HWY STE C-210HONOLULUHI96817PC"SHARED PARENTING IN FOSTER CARE" VIDEO TO LESSEN THETRAUMA FOR PARENTS AND CHILDREN WHEN CHILDREN ARE REMOVEDAND PLACED IN FOSTER CARE. THE VIDEO AIMS TO CHANGE HEARTSAND MINDS AND SHIFT PRACTICE SO THAT FOSTER PARENTS SUPPORTBIRTH PARENT CONNECTIONS TO CHILDREN WHILE THEY ARE IN FOSTERCARE AND FAMILY RELATIONSHIPS AFTER REUNIFICATION,ADOPTION OR GUARDIANSHIP.$8,000
HANA RETREAT
4224 HANA HIGHWAYHANAHI96713PC"HANA KU/NOENOE NIGHTS" PROGRAM TO FOCUS ON MULTI-GENERATIONAL MEMBERS ON THE 'OHANA UNIT AND HOWFAMILIAL RELATIONSHIPS ARE NURTURED.$15,000
KE KULA NUI 0 WAIMANALO
P0 BOX 723WAIMANALOHI96795PC"KUKULU KAIAULU" PROGRAM TO PROVIDE AND SUPPORTCULTURALLY GROUNDED, COMMUNITY DRIVEN AND HANDS-ON PROGRAMMING AND RESEARCH THAT PROMOTE WHOLISTIC WELLNESS, MULTI-GENERATIONAL KNOWLEDGE, AND COMMUNITY CONNECTEDNESS.$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,179,071TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FIVE MOUNTAINS HAWAII
64-1035 MAMALAHOA HWY STE FKAMUELAHI96743PCPROVIDE BIO-PSYCHO-SOCIAL SERVICES TO ADDRESS THE DISPARITIES THAT EXIST AMONG NORTH HAWAII NATIVE HAWAIIANS AND THEIR FAMILY.$300,000
KUALOA HEEIA ECUMENICAL YOUTH PROJECT
47-200 WAIHEE RDKANEOHEHI96744PC"KEY PROJECT". NURTURE AND PROMOTE THE CULTURAL, ENVIRONMENTAL, SOCIAL, ECONOMIC AND RECREATIONAL WELL-BEING OF THE KUALOA-HEEIA AREA BY PROVIDING VITAL GRASSROOTS CIVIC PROGRAMS AND RESOURCES THAT EFFECTIVELY SERVE THE NEEDS OF THE DIVERSE MULTI-CULTURAL COMMUNITY.$225,000
KUMANO I KE ALA
P O BOX 181WAIMEAHI96796PCKUMANO I KE ALA (KIKA) WILL BUILD A FOUNDATION OFSTEWARDSHIP OF THE LAND AND PLACE THROUGH NATIVEHAWAIIAN CULTURAL EDUCATION PROGRAMS TO GROWSELF-DIRECTED, CRITICAL THINKERS FOR A SUSTAINABLE WEST KAUAI.KIKA'S PROGRAM FOCUS IS LAND RESTORATION, TARO FARMING,FOOD SECURITY, AND YOUTH EMPOWERMENT$180,000
MA KA HANA KA IKE
P O BOX 968HANAHI96713PCMA KA HANA KA IKE (MKH) WILL PROVIDE HANA YOUTH WITHA WAY TO LEARN THAT MAKES SENSE TO THEM, THAT BUILDSTHEIR SELF-ESTEEM AND SHOWS THEM THEY HAVE THE POWERTO CHANGE THEIR FUTURE$225,000
THE FOOD BASKET INC
80 HOLOMUA STHILOHI96720PCSUPPORT DISTRIBUTION OF THE SAFEST AND HIGHEST FOODFOR HAWAII COUNTY THROUGH THEIR FOOD BANK SITES AS WELL ASTHROUGH OUTREACH PROGRAMS AND PANTRY FOR SENIOR CITIZENS,FOOD BACK PACKS FOR CHILDREN, COMMUNITY SUPPORTEDAGRICULTURE BOXES, BUS MOBILE MARKET. AND FARMERS MARKET$225,000
WAIMANALO HEALTH CENTER
41-1347 KALANIANAOLE HWYWAIMANALOHI96795PCWAIMANALO HEALTH CENTER (WHC) PROVIDES PRIMARY ANDPREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TOTHE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLYUNDERSERVED. A NATIVE HAWAIIAN HEALING PRACTICE ANDPROGRAM HAS BEEN INTEGRATED, INCLUDING A CULTURAL HEALINGGARDEN TO PROVIDE PATIENTS AND COMMUNITY MEMBERSWITH HEALING PLANTS TO BEGIN THEIR OWN FOOD AND MEDICINALGARDENS AND ALSO PROVIDES REMEDIES THROUGHTHE PROVISION OF HEALING SERVICES AND CLASSES$300,000
HAWAIIAN COMMUNITY ASSETS INC
2000 N VINEYARD BLVD B140HONOLULUHI96817PCBUILD THE CAPACITY OF LOW- AND MODERATE-INCOMECOMMUNITIES TO ACHIEVE AND SUSTAIN ECONOMIC SELF-SUFFICIENCYWITH A PARTICULAR FOCUS ON NATIVE HAWAIIANS THROUGHMORTGAGE LENDING PROGRAMS; MICRO-LOANS, HOMEOWNERSHIPASSET BUILDING, AND FINANCIAL EDUCATION; AND TRAINING FORTRANSITIONAL HOUSING AND COMMUNITY BASED ORGANIZATIONSEDUCATION AND FINANCIAL INSTITUTIONS AND GOVERNMENT ENTITIES.$195,000
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
2239 N SCHOOL STHONOLULUHI96819PCSERVE COMMUNITIES, FAMILIES AND INDIVIDUALS THROUGHSTRONG RELATIONSHIPS THAT HONOR CULTURE AND FOSTER HEALTH ANDHARMONY THROUGH TWO PROGRAMS, HO'OULU 'AINA ANDROOT'S CAF.$300,000
MOLOKAI CHILD ABUSE PREVENTION PATHWAYS
30 OKI PL STE 204KAUNAKAKAIHI96748PCKEEP CHILDREN SAFE AND SUPPORTS FAMILY WELL-BEING THROUGHPRIMARY PREVENTION EDUCATION. WORK IN MOLOKAI SCHOOLSON THREE AREAS: PRIMARY PREVENTION EDUCATION, ADVOCACYAND EVALUATION, AND IMPACT.$150,000
PARTNERS IN DEVELOPMENT FOUNDATION
2040 BACHELOT STHONOLULUHI96817PCWE ARE OCEANIA (WAO) PROGRAM TO RESPOND TO THEOVERWHELMING NEED FOR SUPPORT OF MICRONESIANS IN HAWAII.PROVIDES DIRECT SERVICES IN LANGUAGE ACCESS, ACCULTURATIONTRAINING, CULTURAL EXPERTISE, HEALTH CONNECTION DAYS,PRE-EMPLOYMENT TRAINING, CENSUS ENUMERATION, SOCIALSERVICE REFERRALS, AND COMMUNITY NEWSLETTERS.$150,000
WAIANAE COMMUNITY RE-DEVELOPMENT CORPORATION
P O BOX 441WAIANAEHI96792PCDEVELOP COMMUNITY HEALTH HUBS (CHHS) TO EMPOWERCOMMUNITY-BASED ORGANIZATIONS (CBOS) WITH RIGOROUS,SCIENTIFICALLY-INFORMED METHODOLOGIES AND DATA TYPICALLYRESERVED FOR ACADEMIC RESEARCH. CHHS WILL SERVE AS A NOVELPLATFORM THAT OFFERS CBOS THE CAPACITY TO COLLECT ANDUNDERSTAND HEALTH-RELEVANT DATA FROM PARTICIPANTS OF THEIRCOMMUNITY-INITIATED PROGRAMS ALONG WITH THAT OF THEIR SOCIALNETWORK. DATA WILL BE EVALUATED IN THE CONTEXT OF THE BUILTENVIRONMENT FOR HEALTH/SOCIAL/ECONOMICS/POLICY IMPACTS BYACADEMIC CONSULTANTS, WHICH WILL BE ROUTED BACK TO THECOMMUNITY AND STAKEHOLDERS. THE INFORMATION CAN ENABLECOMMUNITY ORGANIZATIONS TO ENGAGE STAKEHOLDERS INHEALTH/WELLBEING AND POTENTIALLY PLAY A PREVIOUSLY UNRECOGNIZEDROLE IN PREVENTION$600,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$2,850,000TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$321ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$523,637ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$492ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$187,185ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$337,265ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$337,265TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail (2 entries)

Organization TypeOrganizationTypeDescRelationship DescriptionRelationshipDescriptionTxt
HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)
501(C)(4)THE FOUNDATION IS ORGANIZED AND OPERATED FOR THE PRIMARY PURPOSE OF ENGAGING IN HEALTH PROMOTION, EDUCATION AND RESEARCH ACTIVITIES WITHIN THE MEANING OF IRC SECTION 170(C)(2).
HAWAII MEDICAL SERVICE ASSOCIATION RETIREE HEALTH BENEFITS TRUST
501(C)(9)THE TRUST WAS ESTABLISHED BY HMSA ("EMPLOYER") TO FUND THE COST OF POST-RETIREMENT MEDICAL BENEFITS FOR ELIGIBLE EMPLOYEES AND DEPENDENTS.

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$38,317Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescMedium ExplanationMediumExplanationTxt
PART XV, LINE 2BTHE FORM IN WHICH APPLICATIONS SHOULD BE SUBMITTED AND INFORMATION AND MATERIALS THEY SHOULD INCLUDE: 1. REGISTRATION INFORMATION * ORGANIZATION INFORMATION * CONTACT INFORMATION 2. PROPOSAL ON ORGANIZATION'S LETTERHEAD (NO MORE THAN EIGHT PAGES). INCLUDE THE FOLLOWING: * STATEMENT OF NEED. WHAT IS THE DESIRED LONG-TERM EFFECT OF THE PROJECT AND WHY IS IT SO IMPORTANT THAT IT HAVE THIS EFFECT? * ACTIVITIES. WHAT WOULD BE THE KEY ACTIONS OR EVENTS DURING THE GRANT PERIOD? * OUTPUTS. WHAT ARE THE PRODUCTS OF THOSE ACTIONS OR EVENTS? * OUTCOMES. WHAT KEY CHANGES IN SKILLS, KNOWLEDGE, VALUES, ATTITUDES, BEHAVIORS, CONDITIONS, ETC. WILL RESULT FROM THE ACTIVITIES? * INDICATORS. INDICATORS, SOMETIMES CALLED EVALUATION, ARE OBSERVABLE AND MEASURABLE DATA THAT CAN BE COLLECTED TO TRACK THE SUCCESS IN ACHIEVING THE OUTCOMES. * DESCRIPTION OF THE ORGANIZATION AND ITS QUALIFICATIONS. * BUDGET. INDICATE THE AMOUNT REQUESTED, THE PROPOSED USE OF FUNDS AND OTHER SOURCES OF FUNDING CURRENTLY BEING SOUGHT. 3. COPY OF THE ORGANIZATION'S CURRENT IRS DETERMINATION LETTER INDICATING 501(C)(3) TAX-EXEMPT STATUS OR LETTER STATING STATUS AS A UNIT OF GOVERNMENT. 4. LIST OF THE ORGANIZATION'S OFFICERS AND DIRECTORS AND THEIR AFFILIATIONS. 5. MOST RECENT IRS FORM 990 AND ANNUAL FINANCIAL STATEMENTS OF THE ORGANIZATION. 6. RELEVANT LETTERS OF SUPPORT. 7. OTHER RELEVANT APPENDICES (QUALIFICATIONS OF KEY STAFF, SAMPLE PROGRAM MATERIALS, ETC.)
PART XV, LINE 2DANY RESTRICTIONS OR LIMITATIONS ON AWARDS, SUCH AS BY GEOGRAPHICAL AREAS, CHARITABLE FIELDS, KINDS OF INSTITUTIONS, OR OTHER FACTORS: IN GENERAL, THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS THAT ARE TAX-EXEMPT BECAUSE 1) THEY ARE A UNIT OF GOVERNMENT OR 2) THEY ARE A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE FOUNDATION DOES NOT MAKE GRANTS TO INDIVIDUALS. ALL APPLICANT ORGANIZATIONS ARE REQUIRED TO SUBMIT PROOF OF THEIR TAX-EXEMPT STATUS BEFORE THEIR PROPOSAL WILL BE CONSIDERED. THE FOUNDATION DOES NOT GENERALLY SUPPORT REQUESTS FOR ENDOWMENTS, CAPITAL CAMPAIGNS, SCHOLARSHIP FUNDS LOBBYING, OR VOTER REGISTRATION FUNDS. A MAXIMUM FLAT RATE OF 5 PERCENT OF TOTAL BUDGET WILL BE ALLOWED FOR INDIRECT COSTS. ALL PROJECTS MUST PRIMARILY BENEFIT PEOPLE WITHIN THE STATE OF HAWAII. FUNDING AMOUNTS AND GRANT PERIODS SHOULD BE COMMENSURATE WITH THE SIZE AND SCOPE OF THE ACTIVITY.

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (7 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
VANGUARD INSTITUTIONAL INDEXFMV$2,085,472$6,265,244
VANGUARD DEVELPED MARKETSFMV$4,367,321$4,600,018
VANGUARD EMERGING MARKETSFMV$2,657,507$2,907,616
VANGUARD INDEX MID CAP FUNDFMV$1,237,406$3,105,674
VANGUARD SMALL CAP FUNDFMV$1,180,412$3,069,015
PIMCO TOTAL RETURN FUNDFMV$3,229,458$3,199,707
DOUBLELINE TOTAL RETURN FUNDFMV$3,418,245$3,350,993

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
NON DEDUCTIBLE PROMOTION$8,167$0$0$0
PROFESSIONAL ASSOCIATIONS$4,256$0$0$0
MEALS$371$0$0$0
PARKING$492$0$0$0
POSTAGE AND FREIGHT$45$0$0$0
DUES AND SUBSCRIPTIONS$316$0$0$0
MISCELLANEOUS$34$0$0$0
FAS 158 ADJUSTMENT$82,733$0$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescREFUND OF INVESTMENT FEESDesc
Revenue And Expenses Per Books$492RevenueAndExpensesPerBooksAmt
Net Investment Income$492NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
ROUNDING$1
TGI HOLDINGS, INC. DISSOLUTION$1,000,000

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO AFFILIATES$29,885$11,691
DEFERRED TAX LIABILITY$108,651$95,682

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BLACKBAUD$12,340$0$0$0
ISLANDER INSTITUTE$42,932$0$0$0
KOKUA KALIHI VALLEY$3,360$0$0$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL AND OTHER TAXES$10,238$0$0$0
TAX ON INVESTMENT INCOME$11,357$0$0$0