SCHEDULE I
Grants and Other Assistance to Organizations,
OMB No. 1545-0047
(Form 990)
Governments, and Individuals in the United States
2013
Complete if the organization answered “Yes” to Form 990, Part IV, line 21 or 22.
Open to Public
Attach to Form 990.
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Department of the Treasury
Inspection
Internal Revenue Service
Information about Schedule I (Form 990) and its instructions is at
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Name of the organization
Employer identification number
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?
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Yes
No
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 Governments and Organizations in the United States. Complete if the organization answered “Yes” to 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.
(f) Method of valuation
1
(b) EIN
(c) IRC section
(d) Amount of cash
(e) Amount of non-
(g) Description of
(h) Purpose of grant
(a) Name and address of organization
(book, FMV, appraisal,
if applicable
grant
cash assistance
non-cash assistance
or assistance
or government
other)
(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 .
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3
Enter total number of other organizations listed in the line 1 table
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For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) (2013)