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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
GREATER WISCONSIN AGENCY ON AGING
RESOURCES INC
Employer identification number
39-1204540
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ADAMS COUNTY AGING UNIT
569 N CEDAR ST STE 4
ADAMS,WI539109800 		39-6005665 ADAMS COUNTY 252,419       AGING PROGRAMS AND SERVICES
(2) AGING AND DISABILITY RESOURCE CENTER OF BROWN COUNTY
300 S ADAMS ST
GREEN BAY,WI543014516 		39-1286261 BROWN COUNTY 1,188,916       AGING PROGRAMS AND SERVICES
(3) AGING AND DISABILITY RESOURCE CENTER OF CENTRAL WISCONSIN
1000 LAKE VIEW DR
WAUSAU,WI544036784 		39-6005716 MARATHON COUNTY 1,756,775       AGING PROGRAMS AND SERVICES
(4) AGING AND DISABILITY RESOURCE CENTER OF CHIPPEWA COUNTY
711 N BRIDGE ST RM 118
CHIPPEWA FALLS,WI547291845 		39-6005678 CHIPPEWA COUNTY 415,977       AGING PROGRAMS AND SERVICES
(5) AGING AND DISABILITY RESOURCE CENTER OF COLUMBIA COUNTY
2652 MURPHY RD
PORTAGE,WI539011094 		39-6005681 COLUMBIA COUNTY 362,116       AGING PROGRAMS AND SERVICES
(6) AGING AND DISABILITY RESOURCE CENTER OF JEFFERSON COUNTY
1541 ANNEX RD
JEFFERSON,WI535499803 		39-6005705 JEFFERSON COUNTY 402,118       AGING PROGRAMS AND SERVICES
(7) AGING AND DISABILITY RESOURCE CENTER OF KENOSHA COUNTY
8600 SHERIDAN RD STE 500
KENOSHA,WI531436514 		39-6005707 KENOSHA COUNTY 907,906       AGING PROGRAMS AND SERVICES
(8) AGING AND DISABILITY RESOURCE CENTER OF LAKESHORE
4319 EXPO DR
MANITOWOC,WI542207305 		39-6005715 MANITOWOC COUNTY 717,133       AGING PROGRAMS AND SERVICES
(9) AGING AND DISABILITY RESOURCE CENTER OF NORTHWEST WISCONSIN
100 POLK COUNTY PLZ STE 60
BALSAM LAKE,WI548109097 		39-6005730 POLK COUNTY 544,239       AGING PROGRAMS AND SERVICES
(10) AGING AND DISABILITY RESOURCE CENTER OF PORTAGE COUNTY
1519 WATER ST
STEVENS POINT,WI544813548 		39-6005731 PORTAGE COUNTY 454,462       AGING PROGRAMS AND SERVICES
(11) AGING AND DISABILITY RESOURCE CENTER OF RACINE COUNTY
1717 TAYLOR AVE
RACINE,WI534032405 		39-6005734 RACINE COUNTY 951,055       AGING PROGRAMS AND SERVICES
(12) AGING AND DISABILITY RESOURCE CENTER OF RICHLAND COUNTY
181 W SEMINARY ST
RICHLAND CENTER,WI535812356 		39-6005735 RICHLAND COUNTY 190,412       AGING PROGRAMS AND SERVICES
(13) AGING AND DISABILITY RESOURCE CENTER OF SHEBOYGAN COUNTY
650 FOREST AVE
SHEBOYGAN FALLS,WI530852518 		39-6005744 SHEBOYGAN COUNTY 616,647       AGING PROGRAMS AND SERVICES
(14) AGING AND DISABILITY RESOURCE CENTER OF SOUTHWEST WISCONSIN SOUTH-GRANT CO
8820 HIGHWAY 61
LANCASTER,WI538139306 		39-6005698 GRANT COUNTY 397,949       AGING PROGRAMS AND SERVICES
(15) AGING AND DISABILITY RESOURCE CENTER OF SOUTHWEST WISCONSIN SOUTH-GREEN CO
N3152 STATE ROAD 81
MONROE,WI535669397 		39-6005699 GREEN COUNTY 272,867       AGING PROGRAMS AND SERVICES
(16) AGING AND DISABILITY RESOURCE CENTER OF WASHINGTON COUNTY
333 E WASHINGTON ST STE 1000
WEST BEND,WI530952501 		39-6005754 WASHINGTON COUNTY 591,415       AGING PROGRAMS AND SERVICES
(17) AGING AND DISABILITY RESOURCE CENTER OF WAUKESHA COUNTY
1320 PEWAUKEE RD
WAUKESHA,WI531883878 		39-6005756 WAUKESHA COUNTY 1,327,242       AGING PROGRAMS AND SERVICES
(18) AGING UNIT OF IRON COUNTY
308 3RD AVE S
HURLEY,WI545341365 		39-1591706 IRON COUNTY 144,377       AGING PROGRAMS AND SERVICES
(19) ASHLAND COUNTY AGING UNIT
400 CHAPPLE AVE STE 100
ASHLAND,WI548061477 		39-6005666 ASHLAND COUNTY 204,685       AGING PROGRAMS AND SERVICES
(20) ASSOCIATION FOR PREVENTION OF FAMILY VIOLENCE
735 N WISCONSIN ST STE 101
ELKHORN,WI531211136 		39-1315379 501(C)(3) 5,123       AGING PROGRAMS AND SERVICES
(21) BAD RIVER TRIBAL AGING PROGRAM
53508 NOKOMIS RD
SANBORN,WI548064272 		39-1178897 BAD RIVER BAND OF TH 32,916       AGING PROGRAMS AND SERVICES
(22) BARRON COUNTY OFFICE ON AGING
335 E MONROE AVE RM 112
BARRON,WI548121484 		39-6005668 BARRON COUNTY 514,333       AGING PROGRAMS AND SERVICES
(23) BAYFIELD COUNTY AGING AND DISABILITY SERVICES
117 E 5TH ST
WASHBURN,WI548914522 		39-6005670 BAYFIELD COUNTY 187,211       AGING PROGRAMS AND SERVICES
(24) BUFFALO COUNTY UNIT ON AGING
407 S 2ND ST
ALMA,WI546109715 		39-6005673 BUFFALO COUNTY 184,632       AGING PROGRAMS AND SERVICES
(25) BURNETT COUNTY
7410 COUNTY ROAD K STE 180
SIREN,WI548724444 		39-6005675 BURNETT COUNTY 9,900       AGING PROGRAMS AND SERVICES
(26) CALUMET COUNTY SENIOR RESOURCE CENTER
206 COURT ST
CHILTON,WI530141127 		39-6005676 CALUMET COUNTY 207,728       AGING PROGRAMS AND SERVICES
(27) CHRISTINE ANN DOMESTIC ABUSE SERVICES INC
206 ALGOMA BLVD
OSHKOSH,WI549014740 		39-1441770 501(C)(3) 7,125       AGING PROGRAMS AND SERVICES
(28) CLARK COUNTY OFFICE ON AGING
517 COURT ST RM 201
NEILLSVILLE,WI544561927 		39-6005679 CLARK COUNTY 341,768       AGING PROGRAMS AND SERVICES
(29) CRAWFORD COUNTY SENIOR RESOURCES
225 N BEAUMONT RD
PRAIRIE DU CHIEN,WI538211445 		39-6005682 CRAWFORD COUNTY 210,874       AGING PROGRAMS AND SERVICES
(30) DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT
127 E OAK ST RM 203
JUNEAU,WI530391329 		39-6005685 DODGE COUNTY 454,347       AGING PROGRAMS AND SERVICES
(31) DOMESTIC VIOLENCE ESCAPE (DOVE) INC
709 SUTHERLAND ST
IRONWOOD,MI499382326 		38-2488437 501(C)(3) 6,000       AGING PROGRAMS AND SERVICES
(32) DOOR COUNTY SENIOR RESOURCE CENTER
832 N 14TH AVE
STURGEON BAY,WI542351222 		39-6005686 DOOR COUNTY 285,917       AGING PROGRAMS AND SERVICES
(33) DUNN COUNTY OFFICE ON AGING
808 E MAIN ST E
MENOMONIE,WI547512735 		39-6005690 DUNN COUNTY 303,184       AGING PROGRAMS AND SERVICES
(34) EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER
721 OXFORD AVE STE 1550
EAU CLAIRE,WI547035498 		39-6005694 EAU CLAIRE COUNTY 536,538       AGING PROGRAMS AND SERVICES
(35) EMBRACE WISCONSIN
107 LINDOO AVE E
LADYSMITH,WI548482217 		39-1372488 501(C)(3) 8,000       AGING PROGRAMS AND SERVICES
(36) FLORENCE COUNTY AGING UNIT
501 LAKE AVE
FLORENCE,WI541219260 		39-6005695 FLORENCE COUNTY 136,170       AGING PROGRAMS AND SERVICES
(37) FOND DU LAC COUNTY DEPARTMENT OF SENIOR SERVICES
160 S MACY ST
FOND DU LAC,WI549354241 		39-6005696 FOND DU LAC COUNTY 568,928       AGING PROGRAMS AND SERVICES
(38) FOREST COUNTY COMMISSION ON AGING
200 E MADISON ST
CRANDON,WI545201415 		39-1225059 FOREST COUNTY 183,755       AGING PROGRAMS AND SERVICES
(39) FOREST COUNTY POTAWATOMI TRIBE
5456 KAK YOT LN
CRANDON,WI545208746 		39-1225059 FOREST COUNTY POTAWA 19,003       AGING PROGRAMS AND SERVICES
(40) GREEN LAKE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
500 LAKE STEEL ST
GREEN LAKE,WI549418832 		39-6005700 GREEN LAKE COUNTY 185,918       AGING PROGRAMS AND SERVICES
(41) HO CHUNK NATION TRIBAL AGING UNIT
W8825 DECORAH RD
BLACK RIVER FALLS,WI546156419 		39-1140880 HO-CHUNK NATION OF W 99,197       AGING PROGRAMS AND SERVICES
(42) HOPE HOUSE OF SOUTH CENTRAL WISCONSIN INC
720 ASH ST
BARABOO,WI539132138 		39-1499324 501(C)(3) 8,000       AGING PROGRAMS AND SERVICES
(43) IOWA COUNTY COMMISSION ON AGING
222 N IOWA ST
DODGEVILLE,WI535331564 		39-6005701 IOWA COUNTY 107,105       AGING PROGRAMS AND SERVICES
(44) JACKSON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
420 STATE HIGHWAY 54
BLACK RIVER FALLS,WI546155965 		39-6005703 JACKSON COUNTY 212,196       AGING PROGRAMS AND SERVICES
(45) JUNEAU COUNTY AGING UNIT
220 LA CROSSE ST
MAUSTON,WI539482101 		39-6005706 JUNEAU COUNTY 273,477       AGING PROGRAMS AND SERVICES
(46) KEWAUNEE COUNTY DEPARTMENT OF HUMAN SERVICES
810 LINCOLN ST
KEWAUNEE,WI542161140 		39-6005708 KEWAUNEE COUNTY 12,900       AGING PROGRAMS AND SERVICES
(47) LA CROSSE COUNTY AGING UNIT
400 4TH ST N RM 205
LA CROSSE,WI546013227 		39-6005709 LA CROSSE COUNTY 597,965       AGING PROGRAMS AND SERVICES
(48) LAC COURTE OREILLES ELDERLY SERVICES
13878 W AGENCY RD
STONE LAKE,WI548764002 		39-1165322 LAC COURTE OREILLES 62,755       AGING PROGRAMS AND SERVICES
(49) LAC DU FLAMBEAU TRIBAL OFFICE
125 OLD ABE RD
LAC DU FLAMBEAU,WI545389386 		39-0817274 LAC DU FLAMBEAU BAND 46,296       AGING PROGRAMS AND SERVICES
(50) LAFAYETTE COUNTY COMMISSION ON AGING
627 MAIN ST
DARLINGTON,WI535301395 		39-6005711 LAFAYETTE COUNTY 97,857       AGING PROGRAMS AND SERVICES
(51) LEGAL ACTION OF WISCONSIN INC
230 W WELLS ST RM 800
MILWAUKEE,WI532031866 		39-1077192 501(C)(3) 81,236       AGING PROGRAMS AND SERVICES
(52) MARINETTE COUNTY ELDERLY SERVICES
515 N US HIGHWAY 141
CRIVITZ,WI541141639 		39-1338524 MARINETTE COUNTY 437,090       AGING PROGRAMS AND SERVICES
(53) MARQUETTE COUNTY DEPARTMENT OF HUMAN SERVICES
77 W PARK ST
MONTELLO,WI539499366 		39-6005719 MARQUETTE COUNTY 215,474       AGING PROGRAMS AND SERVICES
(54) MENOMINEE COUNTY DEPARTMENT OF HUMAN SERVICES
W3272 WOLF RIVER RD
KESHENA,WI541359202 		39-6031372 MENOMINEE COUNTY 9,900       AGING PROGRAMS AND SERVICES
(55) MENOMINEE COUNTY TRIBAL AGING DIVISION
N2222 WHITE CEDAR
KESHENA,WI541359200 		39-1205576 MENOMINEE INDIAN TRI 147,721       AGING PROGRAMS AND SERVICES
(56) MONROE COUNTY SENIOR SERVICES
14305 COUNTY HIGHWAY B STE 16
SPARTA,WI546564509 		39-6005721 MONROE COUNTY 271,094       AGING PROGRAMS AND SERVICES
(57) NEW HORIZONS SHELTER AND OUTREACH CENTERS INC
1223 MAIN ST
LA CROSSE,WI546014130 		39-1737699 501(C)(3) 8,000       AGING PROGRAMS AND SERVICES
(58) NORTH CENTRAL HEALTH CARE ALLIANCE INC
1100 LAKE VIEW DR
WAUSAU,WI544036785 		39-1267785 501(C)(3) 73,203       AGING PROGRAMS AND SERVICES
(59) OCONTO COUNTY COMMISSION ON AGING
1210 MAIN ST
OCONTO,WI541531542 		39-1346216 OCONTO COUNTY 334,622       AGING PROGRAMS AND SERVICES
(60) ONEIDA COUNTY DEPARTMENT ON AGING
100 W KEENAN ST
RHINELANDER,WI545013365 		39-6005723 ONEIDA COUNTY 390,307       AGING PROGRAMS AND SERVICES
(61) ONEIDA TRIBE ELDERLY SERVICES
2907 S OVERLAND RD
ONEIDA,WI541558959 		39-6081138 ONEIDA NATION OF WIS 132,674       AGING PROGRAMS AND SERVICES
(62) OUTAGAMIE COUNTY AGING AND DISABILITY RESOURCE CENTER
401 S ELM ST
APPLETON,WI549115900 		39-6005724 OUTAGAMIE COUNTY 615,326       AGING PROGRAMS AND SERVICES
(63) OZAUKEE COUNTY AGING SERVICES
121 W MAIN ST
PORT WASHINGTON,WI530741813 		39-6005726 OZAUKEE COUNTY 408,261       AGING PROGRAMS AND SERVICES
(64) PEPIN COUNTY AGING UNIT
606 W MADISON ST
DURAND,WI547361025 		39-6005728 PEPIN COUNTY 190,898       AGING PROGRAMS AND SERVICES
(65) PIERCE COUNTY OFFICE ON AGING
412 W KINNE ST
ELLSWORTH,WI540119230 		39-6005729 PIERCE COUNTY 224,148       AGING PROGRAMS AND SERVICES
(66) PRICE COUNTY AGING UNIT
104 S EYDER AVE
PHILLIPS,WI545551342 		39-6005733 PRICE COUNTY 207,454       AGING PROGRAMS AND SERVICES
(67) RAINBOW HOUSE DOMESTIC ABUSE SERVICES INC
1530 MAIN ST
MARINETTE,WI541431302 		39-1747810 501(C)(3) 5,600       AGING PROGRAMS AND SERVICES
(68) RED CLIFF ELDERLY PROGRAM
88385 PIKE RD
BAYFIELD,WI548144818 		39-1178866 RED CLIFF BAND OF LA 41,218       AGING PROGRAMS AND SERVICES
(69) ROCK COUNTY COUNCIL ON AGING
51 S MAIN ST
JANESVILLE,WI535453951 		39-6005736 ROCK COUNTY 797,675       AGING PROGRAMS AND SERVICES
(70) RUSK COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
311 MINER AVE E STE C260
LADYSMITH,WI548482828 		39-6005738 RUSK COUNTY 213,132       AGING PROGRAMS AND SERVICES
(71) SAUK COUNTY COMMISSION ON AGING
505 BROADWAY ST
BARABOO,WI539132183 		39-6005740 SAUK COUNTY 420,208       AGING PROGRAMS AND SERVICES
(72) SENIOR CONNECTIONS INC
1805 N 16TH ST
SUPERIOR,WI544802524 		39-6005689 501(C)(3) 307,636       AGING PROGRAMS AND SERVICES
(73) SENIOR RESOURCE CENTER INC
15856 E 5TH ST
HAYWARD,WI548436534 		39-6005742 501(C)(3) 252,134       AGING PROGRAMS AND SERVICES
(74) SENIORS UNITED FOR NUTRITION PROGRAM INC
303 W CHAPEL ST STE 1400
DODGEVILLE,WI535331396 		39-1340771 501(C)(3) 179,530       AGING PROGRAMS AND SERVICES
(75) SHAWANO COUNTY AGING UNIT
607 E ELIZABETH ST
SHAWANO,WI541663105 		39-6005743 SHAWANO COUNTY 363,471       AGING PROGRAMS AND SERVICES
(76) SOKAOGON CHIPPEWA ELDERLY SERVICES
3154 STATE HIGHWAY 55
CRANDON,WI545208765 		39-1180139 SOKAOGON CHIPPEWA CO 21,019       AGING PROGRAMS AND SERVICES
(77) ST CROIX COUNTY DEPARTMENT ON AGING
1101 CARMICHAEL RD
HUDSON,WI540167708 		39-6005739 ST. CROIX COUNTY 392,060       AGING PROGRAMS AND SERVICES
(78) ST CROIX TRIBAL AGING UNIT
24663 ANGELINE AVE
WEBSTER,WI548939246 		39-1210835 ST. CROIX CHIPPEWA I 37,722       AGING PROGRAMS AND SERVICES
(79) STOCKBRIDGE-MUNSEE COMMUNITY ELDERLY SERVICES
N8651 MAPLEWOOD ST
BOWLER,WI544169440 		39-1145449 STOCKBRIDGE-MUNSEE C 60,361       AGING PROGRAMS AND SERVICES
(80) TAYLOR COUNTY COMMISSION ON AGING
845B E BROADWAY AVE
MEDFORD,WI544511587 		39-6005746 TAYLOR COUNTY 215,821       AGING PROGRAMS AND SERVICES
(81) THE PERSONAL DEVELOPMENT CENTER INC
214 W 2ND ST
MARSHFIELD,WI544492719 		39-1278572 501(C)(3) 6,187       AGING PROGRAMS AND SERVICES
(82) TREMPEALEAU COUNTY SENIOR SERVICES
36245 MAIN ST
WHITEHALL,WI547739139 		39-6005747 TREMPEALEAU COUNTY 265,211       AGING PROGRAMS AND SERVICES
(83) VERNON COUNTY AGING UNIT
318 FAIRLANE DR STE 219
VIROQUA,WI546656140 		39-6005749 VERNON COUNTY 281,294       AGING PROGRAMS AND SERVICES
(84) VILAS COUNTY COMMISSION ON AGING
330 COURT ST
EAGLE RIVER,WI545218362 		39-6005751 VILAS COUNTY 260,684       AGING PROGRAMS AND SERVICES
(85) WALWORTH COUNTY AGING UNIT
W4051 COUNTY ROAD NN
ELKHORN,WI531214338 		39-6005752 WALWORTH COUNTY 472,654       AGING PROGRAMS AND SERVICES
(86) WASHBURN COUNTY UNIT ON AGING
850 W BEAVERBROOK AVE STE 3
SPOONER,WI548017683 		39-6005753 WASHBURN COUNTY 205,187       AGING PROGRAMS AND SERVICES
(87) WAUPACA COUNTY COMMUNITY CARE DIVISION
811 HARDING ST
WAUPACA,WI549812012 		39-6005758 WAUPACA COUNTY 363,688       AGING PROGRAMS AND SERVICES
(88) WAUSHARA COUNTY DEPARTMENT OF AGING SERVICES
209 S ST MARIE ST
WAUTOMA,WI549828114 		39-6005759 WAUSHARA COUNTY 268,032       AGING PROGRAMS AND SERVICES
(89) WINNEBAGO COUNTY ELDERLY SERVICES
220 WASHINGTON AVE
OSHKOSH,WI549015030 		39-6005760 WINNEBAGO COUNTY 801,236       AGING PROGRAMS AND SERVICES
(90) WISCONSIN JUDICARE INC
303 3RD ST STE 210
WAUSAU,WI544035400 		26-0656671 501(C)(3) 18,539       AGING PROGRAMS AND SERVICES
(91) WOOD COUNTY
400 MARKET ST
WISCONSIN RAPIDS,WI544944868 		39-6005763 WOOD COUNTY 29,537       AGING PROGRAMS AND SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
91
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017

Schedule I (Form 990) 2017
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE COUNTY AND TRIBAL GOVERNMENTS EACH SUBMIT A THREE-YEAR PLAN TO THE AGENCY FOR REVIEW AND APPROVAL. THE AGENCY THEN FORWARDS THE APPROVED PLANS TO THE WISCONSIN DEPARTMENT OF HEALTH SERVICES. CONTRACTS ARE THEN SIGNED WITH THE COUNTY AND TRIBAL GOVERNMENTS THAT HAVE APPROVED PLANS. PAYMENTS TO THE RECIPIENT AGENCIES ARE PERIODICALLY RECONCILED TO CONTRACTED AMOUNTS. THE AGENCY ALSO CONDUCTS ON-SITE MONITORING AND AN AUDIT OF FUNDS AT EACH RECIPIENT AGENCY AT LEAST EVERY THREE YEARS.
Schedule I (Form 990) 2017



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