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
HERMELIN FAMILY SUPPORT FOUNDATION
 
Employer identification number
38-2574834
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) CONGREGATION SHAAREY ZEDEK
27375 BELL RD
SOUTHFIELD,MI48034
38-1420140 501(C)(3) 17,220       TO SUPPORT CONSERVATIVE JUDAISM
(2) CRANBROOK EDUCATIONAL COMMUNITY
PO BOX 801
BLOOMFIELD HILLS,MI48303
38-2015048 501(C)(3) 14,000       TO SUPPORT EDUCATION
(3) HENRY FORD HEALTH SYSTEM
DEPT OF NEUROSURGERY 2799 W GRAND
BOULEVARD
DETROIT,MI48202
38-1357020 501(C)(3) 13,500       TO SUPPORT HEALTH CARE
(4) JARC
30301 NORTHWESTERN HWY SUITE 100
FARMINGTON HILLS,MI48334
23-7044561 501(C)(3) 20,000       TO SUPPORT DISABLED ADULTS
(5) JEWISH THEOLOGICAL SEMINARY
6735 TELEGRAPH RD STE 310
BLOOMFIELD HILLS,MI48301
13-0887640 501(C)(3) 8,000       TO SUPPORT EDUCATION
(6) KARMANOS CANCER INSTITUTE
110 EAST WARREN AVENUE
DETROIT,MI48201
38-1613280 501(C)(3) 25,250       TO SUPPORT MEDICAL RESEARCH
(7) ORT AMERICA
75 MAIDEN LANE 10TH FL
NEW YORK,NY10038
13-5562424 501(C)(3) 14,667       TO SUPPORT EDUCATION
(8) UNIVERSITY OF MICHIGAN
3003 S STATE ST STE 9000
ANN ARBOR,MI48109
38-6006309 501(C)(3) 6,100       TO SUPPORT EDUCATION
(9) JEWISH FEDERATION OF METROPOLITAN DETROIT
6735 TELEGRAPH RD
BLOOMFIELD HILLS,MI48301
38-1359214 501(C)(3) 60,000       TO SUPPORT THE ANNUAL CAMPAIGN
(10) UNITED JEWISH FOUNDATION
6735 TELEGRAPH RD
BLOOMFIELD HILLS,MI48301
38-1360585 501(C)(3) 14,286       TO SUPPORT THE RENOVATION
(11) UNITED JEWISH FOUNDATION
6735 TELEGRAPH RD
BLOOMFIELD HILLS,MI48301
38-1360585 501(C)(3) 5,500       TO SUPPORT THE JEWISH WOMEN'S FOUNDATION
(12) UNITED JEWISH FOUNDATION
6735 TELEGRAPH RD
BLOOMFIELD HILLS,MI48301
38-1360585 501(C)(3) 5,000       TO SUPPORT THE BERMAN THEATER
(13) DETROIT INSTITUTE OF ARTS
5200 WOODWARD AVENUE
DETROIT,MI48202
38-1359510 501(C)(3) 8,000       TO SUPPORT THE ARTS
(14) ORCHARDS CHILDREN'S SERVICE
30215 SOUTHFIELD RD
SOUTHFIELD,MI48076
38-2712084 501(C)(3) 6,667       TO SUPPORT EDUCATION
(15) MICHIGAN OPERA THEATRE
1526 BROADWAY ST
DETROIT,MI48226
38-2052726 501(C)(3) 7,000       TO SUPPORT THE ARTS
(16) BIRMINGHAM BLOOMFIELD ART CENTER
1516 S CRANBROOK RD
BIRMINGHAM,MI48009
38-1717631 501(C)(3) 6,000       TO SUPPORT THE ARTS
(17) JEWISH NATIONAL FUND DOCTORS FOR ISRAEL
160 E 56TH STREET 5TH FLOOR
NEW YORK,NY10022
13-6192275 501(C)(3) 10,000       TO SUPPORT WELL-BEING OF ISRAEL
(18) AMERICAN FRIENDS OF BAR
160 E 56TH STREET 5TH FLOOR
NEW YORK,NY10022
13-6192275 501(C)(3) 5,000       TO SUPPORT EDUCATION
(19) DETROIT SYMPHONY ORCHESTRA
ADMINISTRATIVE OFFICE
DETROIT,MI48201
38-1385132 501(C)(3) 15,000       TO SUPPORT THE ARTS
(20) EPILEPSY FOUNDATION OF LOS ANGELES
5777 W CENTURY BLVD 820
LOS ANGELES,CA90045
95-2046033 501(C)(3) 10,000       TO SUPPORT EPILEPSY RESEARCH
(21) HILLEL DAY SCHOOL
32220 MIDDLEBELT RD
FARMINGTON HILLS,MI48334
38-1586703 501(C)(3) 19,400       TO SUPPORT EDUCATION
(22) MICHIGAN STATE UNIVERSITY
SPARTAN WAY 535 CHESTNUT RD ROOM
300
EAST LANSING,MI48824
38-6005984 501(C)(3) 10,000       TO SUPPORT EDUCATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
22
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) 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 SUPPORTING FOUNDATION ENSURES THAT THE ENTITIES RECEIVING THE FUNDS ARE 501(C)(3) CHARITABLE ORGANIZATIONS.
Schedule I (Form 990) 2012


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