Sample Form 990-Pf - Return Of Private Foundation - 2015 Page 11

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11
Form 990-PF (2015)
Page
Part XV
Supplementary Information (continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
If recipient is an individual,
Recipient
Foundation
Purpose of grant or
show any relationship to
status of
Amount
any foundation manager
contribution
Name and address (home or business)
recipient
or substantial contributor
a
Paid during the year
St. Teresa's Catholic Church and School
421 Edgewood Lane, Albany, Ga 31707
None
Scholarships and Charity
41450
MSGR Daniel J Bourke Council 3607, K of C- 3rd Degree
2009 Gillionville Road, Albany, GA 31707
None
Catholic Fraternal Organi
22460
Fr. Peter J Whelan, K of C Assembly #178, 4th Degree
2009 Gillionville Road, Albany, GA 31707
None
Catholic Fraternal Organi
4840
SOWEGA Council on Aging,1105 Palmyra Road,
Albany, GA 31701
None
Senior Citizens Charitabl
12000
College Challenge Students & Others
717 Pine Avenue, Albany, GA
None
Habitat for Humanity & Others
2540
Total
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3a
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83290
b
Approved for future payment
None
Total
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3b
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0
990-PF
Form
(2015)

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