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
FAMILY SERVICE OF RHODE ISLAND INC
 
Employer identification number
05-0258858
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) BENNINGTON SCHOOL INC
192 FAIRVIEW STREET
BENNINGTON,VT05201 		03-0277105 501(C)(3) 346,190       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(2) BLACKSTONE VALLEY YOUTH & FAMILY
209 COTTAGE STREET
PAWTUCKET,RI02860 		41-2249364 501(C)(3) 249,932       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(3) BOYS TOWN NEW ENGLAND
58 FLANAGAN ROAD
PORTSMOUTH,RI02871 		20-0655240 501(C)(3) 2,602,944       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(4) CENTER FOR SOUTHEAST ASIANS
270 ELMWOOD AVENUE
PROVIDENCE,RI02907 		22-2914654 501(C)(3) 98,496       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(5) CHILDHOOD LEAD ACTION PROJECT
1192 WESTMINSTER ST
PROVIDENCE,RI02909 		22-3179528 501(C)(3) 9,736       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(6) CHILDREN'S FRIEND AND SERVICE
153 SUMMER STREET
PROVIDENCE,RI02903 		05-0258819 501(C)(3) 517,302       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(7) CHILDREN'S SHELTER OF BLACKSTONE VALLEY
15 GATES STREET
PAWTUCKET,RI02861 		05-0387153 501(C)(3) 159,169       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(8) COMMUNITY CARE SERVICES
70 MAIN STREET
TAUNTON,MA02780 		04-2506078 501(C)(3) 274,644       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(9) COMPREHENSIVE COMMUNITY ACTION INC
311 DORIC AVENUE
PROVIDENCE,RI02910 		05-6018801 501(C)(3) 493,964       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(10) CRYSTAL SPRINGS INC
38 NARROWS RAOD
ASSONET,MA02702 		04-2764196 501(C)(3) 508,930       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(11) DEVEREUX FOUNDATION INC
60 MILES ROAD
RUTLAND,MA01543 		23-1390618 501(C)(3) 146,799       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(12) DORCAS INTERNATIONAL INSTITUTE OF RHODE ISLAND INC
220 ELMWOOD AVENUE
PROVIDENCE,RI02907 		05-0258886 501(C)(3) 45,915       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(13) EAGLETON
DEPT 1730 PO BOX 4110
WOBURN,MA018884110 		  148,962       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(14) FALL RIVER DEACONESS HOME
309 FRENCH STREET PO BOX 2118
FALL RIVER,MA02822 		04-2103766 501(C)(3) 109,127       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(15) FAMILY RESOURCE COMMUNITY ACTION
245 MAIN STREET
WOONSOCKET,RI02895 		05-0259103 501(C)(3) 1,001,716       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(16) GATEWAY HEALTHCARE INC
249 ROOSEVELT AVENUE
PAWTUCKET,RI02860 		05-0309043 501(C)(3) 2,097,256       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(17) GERMAINE LAURENCE - YOUTH VILLAGES
18 CLAREMONT AVENUE
ARLINGTON,MA024765812 		04-2630584 501(C)(3) 105,802       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(18) THE GRODEN CENTER
610 MANTON AVENUE
PROVIDENCE,RI02909 		05-0369378 501(C)(3) 2,681,780       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(19) HARMONY HILL SCHOOL
63 HARMONY HILL ROAD
CHEPACHET,RI02914 		05-0369168 501(C)(3) 2,597,895       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(20) HILLCREST EDUCATIONAL CENTERS INC
788 SOUTH STREET
PITTSFIELD,MA01201 		04-2848510 501(C)(3) 97,930       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(21) JAMMAT HOUSING
801 ELMWOOD AVENUE
PROVIDENCE,RI02907 		05-0463993 501(C)(3) 1,640,037       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(22) JULIA DYCKMAN ANDRUS MEMORIAL INC
1156 NORTH BROADWAY
YONKERS,NY10701 		13-2793295 501(C)(3) 147,351       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(23) JUSTICE RESOURCE INSTITUTE INC
160 GOULD STREET STE 300
NEEDHAM,MA02494 		04-2526357 501(C)(3) 1,315,464       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(24) LAKEVIEW NEUROREHABILITATION CENTER
244 HIGHWATCH ROAD
EFFINGHAM,NH03882 		02-0481036   97,617       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(25) LATHAM CENTERS INC
14 LOTS HOLLOW ROAD
ORLEANS,MA02653 		04-2467497 501(C)(3) 72,635       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(26) THE LEARNING CENTER FOR THE DEAF
848 CENTRAL STREET
FRAMINGHAM,MA01701 		23-7064431 501(C)(3) 198,003       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(27) THE MAY INSTITUTE
PO BOX 821
READING,MA028671756 		04-2197449 501(C)(3) 78,317       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(28) NORTH AMERICAN FAMILY INSTITUTE INC
26 HOWLEY STREET
PEABODY,MA02960 		04-2921507 501(C)(3) 4,861,671       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(29) NEW ENGLAND CENTER FOR CHILDREN INC
33 TURNPIKE ROAD
SOUTHBOROUGH,MA01772 		04-2708762 501(C)(3) 265,750       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(30) NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER INC
127 JOHNNYCAKE HILL ROAD
MIDDLETOWN,RI02842 		05-0374759 501(C)(3) 120,017       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(31) PERKINS SCHOOL FOR THE BLIND
175 NORTH BEACON STREET
WATERTOWN,MA08472 		04-2103616 501(C)(3) 228,537       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(32) PERSPECTIVES CORPORATION
1130 TEN ROD ROAD BLDG B
NORTH KINGSTOWN,RI02852 		05-0376486   1,024,560       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(33) THE PROVIDENCE CENTER
530 NORTH MAIN STREET
PROVIDENCE,RI02904 		05-0316969 501(C)(3) 288,648       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(34) PSYCHOLOGICAL CENTERS INC
49 PAVILION AVENUE STE 105
PROVIDENCE,RI02905 		05-0512777   307,756       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(35) RHODE ISLAND CARE MANAGEMENT NETWORK
31 JOHN CLARKE ROAD
MIDDLETOWN,RI02842 		  3,125,709       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(36) ST MARY'S HOME FOR CHILDREN
420 FRUIT HILL ROAD
NORTH PROVIDENCE,RI02911 		05-0213340 501(C)(3) 1,534,269       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(37) STETSON SCHOOL INC
455 SOUTH STREET PO BOX 309
BARRE,MA01005 		04-2631391 501(C)(3) 47,042       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(38) TANNERHILL INC
35 HIGH STREET PO BOX 414
PASCOAG,RI02859 		05-0353463 501(C)(3) 1,123,963       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(39) TIDES
215 WASHINGTON STREET
WEST WARWICK,RI02893 		22-2478229 501(C)(3) 3,344,302       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(40) TURNING POINT
5 KIDS WAY
PAWTUCKET,RI02860 		05-0478786 501(C)(3) 542,931       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(41) WHITNEY ACADEMY INC
85 DR BRALEY ROAD PO BOX 619
EAST FREETOWN,MA02717 		04-2939430 501(C)(3) 43,152       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
(42) YMCA OF GREATER PROVIDENCE
371 PINE STREET
PROVIDENCE,RI02903 		05-0258878 501(C)(3) 40,607       TO PROVIDE INDIVIDUAL AND FAMILY SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
37
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












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
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS A FILE ON EACH GRANTEE WHICH CONTAINS THE ORIGINAL GRANT APPLICATION AND DOCUMENTATION OF THE GRANT AWARD MEETING AT WHICH THE GRANT WAS APPROVED, AS WELL AS CORRESPONDENCE BETWEEN THE GRANTEE AND THE ORGANIZATION REGARDING THE USE OF GRANT FUNDS INCLUDING CONFIRMATION THAT THE FUNDS WERE USED AS INTENDED AND THE RESULTS.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version: