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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.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
TRI-COUNTIES ASSOCIATION FOR THE
DEVELOPMENTALLY DISABLED INC
Employer identification number
95-2623230
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
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) LIVING OUT OF HOME 16351 77,477,132      
(2) DAY PROGRAM 16351 90,635,378      
(3) TRANSPORTATION 16351 13,925,406      
(4) SUPPORTED LIVING SERVICES 16351 83,945,363      
(5) BEHAVORIAL SERVICES 16351 7,299,081      
(6) MEDICAL SERVICES 16351 9,390,011      
(7) RESPITE SERVICES 16351 41,999,316      
(8) OTHER SERVICES 16351 12,057,458      
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: ASSISTANCE IS PROVIDED TO RESIDENTS OF THE STATE OF CALIFORNIA WHO HAVE DEVELOPMENTAL DISABILITIES. THE ENTITY KEEPS CONFIDENTIAL FILES ON EACH OF ITS CLIENTS. THE ORGANIZATION IS AUDITED BY THE STATE OF CALIFORNIA'S DEPARTMENT OF DEVELOPMENTAL SERVICES AND ALSO REVIEWED BY FEDERAL STAFF FROM CMS TO ENSURE COMPLIANCE. THE ORGANIZATION HAS INTERNAL ACCOUNTING AND AUDITING PROCEDURES TO REGULAR MONITOR USE OF STATE FUNDS. VARIOUS REPORTS ARE PROVIDED TO THE DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS) AS REQUESTED. DDS ALSO HAS ACCESS TO THE ORGANIZATION'S FINANCIAL DATA THROUGH THE STATEWIDE ACCOUNTING SYSTEM (UNIFORM FISCAL SYSTEM) THAT ALL CALIFORNIA REGIONAL CENTERS USE. SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES ARE AUTHORIZED THROUGH A PLANNING TEAM PROCESS. ONLY SERVICES AUTHORIZED THROUGH THIS PROCESS CAN BE PAID.
Schedule I (Form 990) 2020



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