FIVE MOUNTAINS HAWAII INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FIVE MOUNTAINS HAWAII INC (EIN 99-0330168)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-06-16
IRS object ID: 201131679349300208
Schema version: 2010v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-06-16T12:06:34-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CYNTHIA L MORSE CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	65-1227 OPELO RD	AddressLine1
City	KAMUELA	City
State	HI	State
ZIP Code	967438401	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	990330168	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Five Mountains Hawaii Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FIVE	NameControl
Phone	8088871284	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 437200	AddressLine1
City	Kamuela	City
State	HI	State
ZIP Code	96743	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jean Sunderland	Name
Title	Treasurer	Title
Date Signed	2011-06-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Cynthia L Morse	Name
Phone	8088854829	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Georgine Busch	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	65-1230 Mamalahoa Hwy 20A	AddressLine1
City	Kamuela	City
State	HI	State
ZIP Code	96743	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	234627	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.fivemtn.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	HI	StateLegalDomicile
Activity Or Mission Description	Our mission is to improve community health in the Northwest region of Hawai'i Island.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	5	TotalNbrEmployees
Total Nbr Volunteers	125	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	216649	ContributionsGrantsPriorYear
Contributions Grants Current Year	228238	ContributionsGrantsCurrentYear
Program Service Revenue CY	6074	ProgramServiceRevenueCY
Investment Income Prior Year	1226	InvestmentIncomePriorYear
Investment Income Current Year	315	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	217875	TotalRevenuePriorYear
Total Revenue Current Year	234627	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	141894	SalariesEtcPriorYear
Salaries Etc Current Year	159247	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	171397	OtherExpensePriorYear
Other Expenses Current Year	152265	OtherExpensesCurrentYear
Total Expenses Prior Year	313291	TotalExpensesPriorYear
Total Expenses Current Year	311512	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-95416	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-76885	RevenuesLessExpensesCY
Total Assets BOY	1255607	TotalAssetsBOY
Total Assets EOY	1176074	TotalAssetsEOY
Total Liabilities BOY	18944	TotalLiabilitiesBOY
Total Liabilities EOY	16296	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1236663	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1159778	NetAssetsOrFundBalancesEOY
Mission Description	Our mission is to improve community health in the Northwest region of Hawai'i Island. We do this though collaboration with community organizations to address identified areas of critical need. Our most significant activities are currently focused on improving health in youth, ages 11- 18. We promote a bended model of health that includes mind, body, spirit, nature and community wellness.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	219793	Expense
Description	The North Hawaii Drug-Free Coalition (NHDFC) is a collaborative program bringing community organizations to effect positive population-based change related to substance abuse in youth, using environmental strategies and collective resources. NHDFC has two main goals: 1) Reducing substance abuse in youth and 2) Building capacity within the coalition to increase community collaboration and impact. The NHDFC network focuses efforts on four North Hawaii communities: Kohala, Hamakua, Waimea and Waikoloa. NHDFC receives federal funding through a drug-free communities (DFC) grant, in its eighth year in 2010, and requires matching funds and in-kind donations.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29169	Expense
Revenue	1280	Revenue
Description	Three programs target improving the health of adults and families through education and access to resources that promote healthy lifestyles, good nutrition and physical activity. Get Fit Hawaii (formerly Take It Off Hawaii) is a wellness initiative that promotes healthy lifestyle changes through a community-wide 12 week team competition. Fiscal sponsors have included AlohaCare, Kaiser Permanente and Walmart. At the end of 2010 over 1200 people had participated in this program in three years. Results included improved blood pressure for 23%, increased physical activity for 38% and weight loss for 59%. Two related programs provide local resources for finding health practitioners (Ke Kukui Resource Guide) and healthy restaurants (Healthy Gindz).	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	26397	Expense
Revenue	4794	Revenue
Description	Lifeplan Institute Hawaii Island (LIHI) was established as a project of Five Mountains Hawaii in 2010. It is a partnership with the California Mentor Foundation, to address key teen risk factors through youth mentoring. LIHI has a mission to support 5,000 Hawaii Island teens in creating a "Life Plan" by 2015. Teens are lead through a discovery-based learning curriculum in peer groups and then each create plan for their future and form a personal Board of Directors with 5 adult mentors . Based on mentoring research, LIHI expects to show a positive impact on several targeted success indicators, including: an increased graduation rate, decreases in substance abuse and teen pregnancy, and increases in attendance in higher education programs.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	275359	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	13	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	false	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Robin Mullin	NamePerson
Telephone Number	8088871284	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	65-1230 Mamalahoa Hwy 20A	AddressLine1
City	Kamuela	City
State	HI	State
ZIP Code	96743	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer
Robin Mullin
Exec Director	40.00	X	63516	0	0
Jeanne Abe
Director	1.00		0	0	0	X
Jean Sunderland
Treasurer	2.00		0	0	0	X	X
Harold Hughes
Director	1.00		0	0	0	X
Georgine Busch
Secretary	3.00		0	0	0	X	X
Earl Bakken
President	1.00		0	0	0	X	X
Barbara Uechi
Vice President	1.00		0	0	0	X	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	63516	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	129049	GovernmentGrants
All Other Contributions	99189	AllOtherContributions
Total Contributions	228238	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Programs & Conferences	Description
Business Code	611710	BusinessCode
Total Revenue Column	6074	TotalRevenueColumn
Related Or Exempt Function Income	6074	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6074	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	315	TotalRevenueColumn
Exclusion	$315	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	234627	TotalRevenueColumn
Related Or Exempt Function Income	6074	RelatedOrExemptFunctionIncome
Exclusion	$315	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	63516	Total
Program Services	50813	ProgramServices
Management And General	12703	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	64265	Total
Program Services	57839	ProgramServices
Management And General	6426	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18544	Total
Program Services	16690	ProgramServices
Management And General	1854	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12922	Total
Program Services	11630	ProgramServices
Management And General	1292	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2146	Total
Program Services	1931	ProgramServices
Management And General	215	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	18513	Total
Program Services	16662	ProgramServices
Management And General	1851	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8973	Total
Program Services	8076	ProgramServices
Management And General	897	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1978	Total
Program Services	1780	ProgramServices
Management And General	198	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20720	Total
Program Services	18648	ProgramServices
Management And General	2072	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	11143	Total
Program Services	10029	ProgramServices
Management And General	1114	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	12475	Total
Program Services	11228	ProgramServices
Management And General	1247	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1695	Total
Program Services	1526	ProgramServices
Management And General	169	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2552	Total
Program Services	2297	ProgramServices
Management And General	255	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Program Activities	11125	11125
Professional Services	38109	34298	3811
Printing and Publications	12896	11606	1290
Mileage Reimbursement	2351	2351
Equipment Lease	3667	3300	367

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3922	Total
Program Services	3530	ProgramServices
Management And General	392	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	311512	Total
Program Services	275359	ProgramServices
Management And General	36153	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	127608	BOY
EOY	98803	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	51882	BOY
EOY	87321	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19706	BOY
EOY	31599	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	1558	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	25178	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20728	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4769	BOY
EOY	4450	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	5314	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1046328	BOY
EOY	952343	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1255607	BOY
EOY	1176074	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18944	BOY
EOY	16296	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	18944	BOY
EOY	16296	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1219299	BOY
EOY	1132804	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	17364	BOY
EOY	26974	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1236663	BOY
EOY	1159778	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1255607	BOY
EOY	1176074	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-76885	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	424169	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	363203	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	270876	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	216649	CurrentTaxYearMinus1Year
Current Tax Year	228238	CurrentTaxYear
Total	1503135	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	424169	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	363203	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	270876	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	216649	CurrentTaxYearMinus1Year
Current Tax Year	228238	CurrentTaxYear
Total	1503135	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	636110	AmountsSubstContributorsTotal
Public Support Total170	867025	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1126	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	979	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	669	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1226	CurrentTaxYearMinus1Year
Current Tax Year	315	CurrentTaxYear
Total	4315	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5038	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	500	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	221	CurrentTaxYearMinus2Years
Current Tax Year	6074	CurrentTaxYear
Total	11833	Total

Field	Value	IRS element (for citing)
Total Support	1519283	TotalSupport
Gross Receipts From Admissions Etc	141327	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.57070	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98300	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24678	OtherCostOrOtherBasis
Depreciation	20353	Depreciation
Book Value	4325	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	500	OtherCostOrOtherBasis
Depreciation	375	Depreciation
Book Value	125	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4450	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Deposits	1300
Ben Int Charitable Lead Trust	951043

Field	Value	IRS element (for citing)
Total Book Value Other Assets	952343	TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Five Mountains Hawaii, Inc. will make the following documents available to the public upon request: Form 990, Form 1023, governing documents, conflict of interest policy and financial statements.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Officers, Directors, Trustees and the Executive Director are asked to complete a form on an annual basis requiring disclosure of any potential conflict of interest. Board members refrain from participating in discussions or Board action when there is a potential conflict of interest.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	Form 990 is reviewed by members of the Board of Directors and current Officers prior to filing.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Officer Georgine Busch is an employee of Officer Earl E. Bakken.