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
MINNESOTA INDEPENDENT SCHOOL FORUM
 
Employer identification number
41-1267531
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) BENILDE-ST MARGARET'S SCHOOL
2501 HIGHWAY 100 SOUTH
ST LOUIS PARK,MN55416 		41-1240936 501(C)(3) 10,025       STEM MINI-GRANT
(2) MARTIN LUTHER HIGH SCHOOL
PO BOX 228 315 MARTIN LUTHER DRIVE
NORTHROP,MN56075 		41-1451098 501(C)(3) 5,025       STEM MINI-GRANT
(3) MAYER LUTHERAN HIGH SCHOOL
305 FIFTH ST NE
MAYER,MN55360 		41-0849152 501(C)(3) 5,025       STEM MINI-GRANT
(4) ST CROIX CATHOLIC
621 3RD ST SOUTH
STILLWATER,MN55082 		41-1731931 501(C)(3) 5,025       STEM MINI-GRANT
(5) SOUTHWEST MINNESOTA CHRISTIAN HIGH SCHOOL
550 ELIZABETH ST W
EDGERTON,MN56075 		41-0734757 501(C)(3) 5,025       STEM MINI-GRANT
(6) MARNATHA CHRISTIAN ACADEMY
9201 75TH AVE N
BROOKLYN PARK,MN55428 		41-1392954 501(C)(3) 5,000       STEM MINI-GRANT
(7) DELASALLE HIGH SCHOOL
ONE DELASALLE DRIVE
MINNEAPOLIS,MN55401 		41-0705834 501(C)(3) 5,000       STEM MINI-GRANT
(8)  

 
  		          STEM MINI-GRANT








2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
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: SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) MINI-GRANT FUNDS ARE AWARDED TO MEMBER SCHOOLS EACH YEAR. SCHOOL HEADS SIGN AN "ACKNOWLEDGEMENT OF RECEIPT OF FUNDS/AGREEMENT TO USE FOR INTENDED PURPOSES" FORM STATING THAT THEY AGREE TO ENSURE THAT THESE FUNDS ARE EXPENDED AS DESCRIBED IN THEIR STEM MINI-GRANT APPLICATION AND BUDGET FORMS. BY SIGNING THIS FORM THEY ALSO AGREE TO PRODUCE CURRICULUM DOCUMENTATION AND SUBMIT A FINAL REPORT AT THE END OF THE SCHOOL YEAR TO SHOW HOW FUNDS WERE USED.
Schedule I (Form 990) 2012


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