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        <BusinessNameLine1>Five Mountains Hawaii Inc</BusinessNameLine1>
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        <ZIPCode>96743</ZIPCode>
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      <Name>Cynthia L Morse</Name>
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        <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>
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        <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>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>-76885</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus3Years>363203</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>270876</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>216649</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>228238</CurrentTaxYear>
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      <TaxRevLeviedForOrgBenefit170>
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        <CurrentTaxYearMinus3Years>363203</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>270876</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>216649</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>228238</CurrentTaxYear>
        <Total>1503135</Total>
      </Total170>
      <AmountsSubstContributorsTotal>636110</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>867025</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>1126</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>979</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>669</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1226</CurrentTaxYearMinus1Year>
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        <Total>4315</Total>
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      <NetUBI>
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        <CurrentTaxYearMinus3Years>500</CurrentTaxYearMinus3Years>
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        <Total>11833</Total>
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      <TotalSupport>1519283</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>141327</GrossReceiptsFromAdmissionsEtc>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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        <Depreciation>20353</Depreciation>
        <BookValue>4325</BookValue>
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        <Depreciation>375</Depreciation>
        <BookValue>125</BookValue>
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      <TotalOfBookValueLandBuildings>4450</TotalOfBookValueLandBuildings>
      <OtherAssets>
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      <OtherAssets>
        <Description>Ben Int Charitable Lead Trust</Description>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is reviewed by members of the Board of Directors and current Officers prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Officer Georgine Busch is an employee of Officer Earl E. Bakken.</Explanation>
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