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
20-8720291
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)  
1010 N DENVER AVE
HASTINGS,NE68901 		27-0637437 501(C)(3) 102,499       CITIZEN ENGAGEMENT
(2)  
7090 UNION PARK AVE STE 460
MIDVALE,UT84047 		45-2463270 501(C)(3) 19,960       CITIZEN ENGAGEMENT
(3)  
PO BOX 521847
SALT LAKE CITY,UT84152 		45-2463539 501(C)(3) 38,570       CITIZEN ENGAGEMENT
(4)  
4 PARK STREET
CONCORD,NH03301 		26-4489456 501(C)(3) 6,500       CITIZEN ENGAGEMENT
(5)  
PO BOX 1322
JEFFERSON CITY,MO65102 		45-4514844 501(C)(3) 45,000       CITIZEN ENGAGEMENT
(6)  
PO BOX 40487
RALEIGH,NC27629 		45-2862040 501(C)(3) 112,712       CITIZEN ENGAGEMENT
(7)  
172 E STATE ST 6TH FLOOR
COLUMBUS,OH43215 		20-4563029 501(C)(3) 15,000       CITIZEN ENGAGEMENT
(8)  
PO BOX 1982
ATHENS,GA30603 		45-3744842 501(C)(4) 14,104       CITIZEN ENGAGEMENT
(9)  
625 SILVER AVE SW
ALBUQUERQUE,NM87102 		45-4128254 501(C)(3) 15,000       CITIZEN ENGAGEMENT






2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
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
Pt I Line 2 SEE ATTACHMENT.
Schedule I (Form 990) 2014



Additional Data


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