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
31-1580204
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)  
1200 NW NAITO PARKWAY
Portland,OR97209 		27-2028308 501(c)(3) 2,300,000   N/A N/A  
(2)  
848 FOLSOM ST
SAN FRANCISCO,CA94107 		30-0038297 501(c)(3) 402,448   N/A N/A HAITI RECONSTRUCTION.
(3)  
500 WEST MARKHAM
LITTLE ROCK,AR72201 		71-6014465 Government 100,000   N/A N/A  
(4)  
1600 WASHINGTON ST
CONWAY,AR72032 		71-0236897 501(c)(3) 175,000   N/A N/A  
(5)  
PO BOX 60004
FORT MYERS,FL33906 		13-7207776 501(c)(3) 150,670   N/A N/A  
(6)  
3071 FIVE OAKS LANE
GREEN COVE SPRINGS,FL32043 		45-2766475 501(c)(3) 47,500   N/A N/A  
(7)  
1612 K STREET
WASHINGTON,DC20006 		52-1701564 501(c)(3) 116,730   N/A N/A  
(8)  
3950 GREEN VALLEY SCHOOL RD
SEBASTTOPOL,CA95472 		20-8195963 501(c)(3) 25,000   N/A N/A  
(9)  
1120 19TH STREET
WASHINGTON,DC20036 		13-2626135 501(c)(3) 109,852   N/A N/A  
(10)  
383 DORCHESTER AVE
BOSTON,MA02127 		27-1414646 501(c)(3) 2,000,000   N/A N/A HAITI RELIEF
(11)  
2 N RIVERSIDE
STE 2200
CHICAGO,IL60606 		36-3777709 501(c)(3) 20,000   N/A N/A COMM. ACTION SUPPORT


2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
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
FORM 990, SCHEDULE I, PART I, LINE 2 THE ORGANIZATION REQUIRES A FINAL REPORT FROM ALL GRANT RECIPIENTS DETAILING THE USE OF GRANT FUNDS. THE RELEVANT GROUP INITIATIVE WITHIN THE FOUNDATION REVIEWS THESE REPORTS FOR PROPER USE OF GRANT FUNDS AND CONTINUED FUNDING.
Schedule I (Form 990) 2014



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