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.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
 
 
Employer identification number
26-4524646
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" 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 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)  
1837 NEBRASKA AVENUE
GRANTS PASS,OR97527
68-0590316   4,734       ELECTRONIC HEALTH RECORDS
(2)  
741 NE 6TH STREET
GRANTS PASS,OR97526
93-1294603   7,440       ELECTRONIC HEALTH RECORDS
(3)  
1600 NW 6TH STREET
GRANTS PASS,OR97526
93-0723375   3,662       ELECTRONIC HEALTH RECORDS
(4)  
715 NW DIMMICK STREET
GRANTS PASS,OR97526
93-6002300 JOSEPHINE COUNTY 16,680       ELECTRONIC HEALTH RECORDS
(5)  
1716 WILLIAMS HIGHWAY
GRANTS PASS,OR97527
93-1286038   7,101       ELECTRONIC HEALTH RECORDS
(6)  
1014 NE 7TH STREET
GRANTS PASS,OR97526
68-0560405   6,000       ELECTRONIC HEALTH RECORDS
(7)  
702 SW RAMSEY AVENUE SUITE 112
GRANTS PASS,OR97527
93-1330014   8,550       ELECTRONIC HEALTH RECORDS
(8)  
1465 NE 7TH STREET
GRANTS PASS,OR97526
93-1284586   4,183       ELECTRONIC HEALTH RECORDS
(9)  
548 NE S STREET
GRANTS PASS,OR97526
93-1060658   3,821       ELECTRONIC HEALTH RECORDS
(10)  
94235 MOORE STREET
GOLD BEACH,OR97444
45-5252325   6,795       ELECTRONIC HEALTH RECORDS
(11)  
124 NW MIDLAND AVENUE
GRANTS PASS,OR97526
27-3717686   4,676       ELECTRONIC HEALTH RECORDS
(12)  
509 E MAIN STREET
ROGUE RIVER,OR97537
20-5885848   9,375       ELECTRONIC HEALTH RECORDS
(13)  
8600 NEW HOPE ROAD
GRANTS PASS,OR97527
54-2152071   4,751       ELECTRONIC HEALTH RECORDS
(14)  
446 OAK STREET
BROOKINGS,OR97415
93-1317211   11,397       ELECTRONIC HEALTH RECORDS
(15)  
942 SW 6TH STREET SUITE H
GRANTS PASS,OR97526
26-1601090   40,820       ELECTRONIC HEALTH RECORDS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
14
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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. 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: THE FOUNDATION ADHERES TO ALL STATE AND FEDERAL REQUIREMENTS FOR FILING AND MAINTAINING RECORDS AND REPORTS.
Schedule I (Form 990) 2014



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