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," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHARITABLE DIVISION
OF THE ROTARY CLUB OF PORTSMOUTH
Employer identification number
02-0482034
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 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.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code 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
non-cash assistance		 (h) Purpose of grant
or assistance
(1) FRIENDS FOREVER
21 RAYNES AVENUE
PORTSMOUTH,NH03801 		02-0482213 3 5,314       GENERAL SUPPORT
(2) ROTARY FOUNDATION
ONE ROTARY CENTER
1560 SHERMAN AVENUE
EVANSTON,IL60201 		36-3245072 3 13,295       GENERAL SUPPORT
(3) NEW HAMPSHIRE CHARITABLE FUND
AGENCY ENDOWMENT FUND
37 PLEASANT STREET
CONCORD,NH03301 		02-6005265 3 283,803       AGENCY ENDOWMENT
(4) SEACOAST FOOD PANTRY
7 JUNKINS AVENUE
PORTSMOUTH,NH03801 		02-0226943 3 6,092       GENERAL SUPPORT
(5) PEASE GREETERS
PO BOX 22311
PORTSMOUTH,NH038022311 		90-0444945 3 6,000        
(6) ORGANIZATIONS 5000 OR LESS

 
  		  73,160       GENERAL SUPPORT












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
50
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012
Page 2

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to 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
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) COLLEGE SCHOLARSHIPS 13 26,000      
(2) GENERAL SUPPORT 500 8,054      










Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 ISSUES REPORTING REQUIREMENTS AND CONDUCTS PERIODIC OVERSIGHT.
Schedule I (Form 990) 2012


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