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
94-2788907
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)  
7900 EDGEWATER DRIVE
OAKLAND,CA94614 		94-2960297 501(C)(3) 25,000       GENERAL SUPPORT
(2)  
115 SANSOME STREET SUITE 1205
SAN FRANCISCO,CA94104 		94-3180356 501(C)(3) 105,625       GENERAL SUPPORT
(3)  
85 2ND STREET 8TH FLOOR
SAN FRANCISCO,CA94105 		53-0196605 501(C)(3) 350,000       GENERAL SUPPORT
(4)  
8928 VOLUNTEER LANE SUITE 100
SACRAMENTO,CA95826 		94-1347021 501(C)(3) 5,560       GENERAL SUPPORT
(5)  
5212 LEMON HILL AVE
SACRAMENTO,CA95824 		68-0338324 501(C)(3) 35,000       GENERAL SUPPORT
(6)  
1215 K STREET SUITE 700
SACRAMENTO,CA95814 		94-3215565 501(C)(3) 11,250       GENERAL SUPPORT
(7)  
PO BOX 446
SANTA ROSA,CA95402 		94-2494324 501(c)(3) 10,000       GENERAL SUPPORT
(8)  
3400 DATA DRIVE
RANCHO CORDOVA,CA95670 		68-0441958 501(C)(3) 10,000       GENERAL SUPPORT
(9)  
1331 GARDEN HWY SUITE 100
SACRAMENTO,CA95833 		27-0419836 501(c)(3) 30,000       GENERAL SUPPORT
(10)  
7 W SCOTTS AVE
STOCKTON,CA95203 		68-0002165 501(C)(3) 15,000       GENERAL SUPPORT
(11)  
111 ROCKVILLE PIKE STE 420
ROCKVILLE,MD20850 		11-3158401 501(C)(3) 15,000       GENERAL SUPPORT
(12)  
PO BOX 6324
CONCORD,CA95424 		94-2418054 501(C)(3) 6,000       GENERAL SUPPORT
(13)  
3081 TEAGARDEN
SAN LEANDRO,CA94577 		94-3121699 501(C)(3) 12,500       GENERAL SUPPORT
(14)  
1919 SANTA MONICA BLVD STE 400
SANTA MONICA,CA90404 		95-3949646   100,000       GENERAL SUPPORT
(15)  
1050 SANSOME STREET 4TH FLOOR
SAN FRANCISCO,CA94111 		13-1846366 501(C)(3) 135,000       GENERAL SUPPORT
(16)  
1300 CIVIC DR
WALNUT CREEK,CA94596 		68-0044205 501(C)(3) 12,500       GENERAL SUPPORT
(17)  
28 GEARY ST STE 650
SAN FRANCISCO,CA94108 		94-2145930 501(C)(3) 10,000       GENERAL SUPPORT
(18)  
16 DIGITAL DRIVE SUITE 100
NOVATO,CA94949 		68-0291178 501(C)(3) 26,875       GENERAL SUPPORT
(19)  
4417 CAREYBACK AVE
ELK GROVE,CA95758 		27-4337527 501(C)(3) 20,000       GENERAL SUPPORT
(20)  
133 CHURCH STREET
ROSEVILLE,CA95678 		94-1740316 501(C)(3) 9,000       GENERAL SUPPORT
(21)  
528 VALLEY WAY
MILPITAS,CA95035 		77-0568469 501(C)(3) 8,333       GENERAL SUPPORT
(22)  
3320 INDUSTRIAL DRIVE
SANTA ROSA,CA95403 		68-0121855 501(C)(3) 10,000       GENERAL SUPPORT
(23)  
1322 27TH STREET
SACRAMENTO,CA95816 		91-1851398 501(C)(3) 15,000       GENERAL SUPPORT
(24)  
PO BOX 1663
MODESTO,CA95353 		94-1156347 501(C)(3) 20,000       GENERAL SUPPORT
(25)  
4410 POWER INN RD
SACRAMENTO,CA95826 		68-0132934 501(C)(3) 5,625       GENERAL SUPPORT
(26)  
900 PENNSYLVANIA AVENUE
SAN FRANCISCO,CA94107 		94-3041517 501(C)(3) 32,500       GENERAL SUPPORT
(27)  
25 VAN NESS AVENUE SUITE 340
SAN FRANCISCO,CA94102 		20-4331462 501(C)(3) 10,000       GENERAL SUPPORT
(28)  
750 CURTNER AVENUE
SAN JOSE,CA95125 		94-2614101 501(C)(3) 33,500       GENERAL SUPPORT
(29)  
800 OHLONE PARKWAY
WATSONVILLE,CA95076 		77-0326685 501(C)(3) 16,500       GENERAL SUPPORT
(30)  
1955 COWELL BLVD
DAVIS,CA95616 		68-0411254 501(C)(3) 50,000       GENERAL SUPPORT
(31)  
3111 W DONATION LINE ROAD
TRACY,CA95376 		94-3150638 501(C)(3) 10,000       GENERAL SUPPORT
(32)  
50 UNIVERSITY HALL MC 7360
BERKELEY,CA94720 		94-6090626   40,000       GENERAL SUPPORT
(33)  
600 A STREET SUITE Y
DAVIS,CA95616 		68-0526185 501(c)(3) 6,000       GENERAL SUPPORT
(34)  
350 HAWTHORNE AVENUE
OAKLAND,CA94609 		94-1196176 501(C)(3) 17,536       GENERAL SUPPORT
(35)  
PO BOX 60000 FILE 73710
SAN FRANCISCO,CA941603711 		94-0562680 501(C)(3) 69,992       GENERAL SUPPORT
(36)  
20103 LAKE CHABOT ROAD
CASTRO VALLEY,CA94546 		94-2948100 501(C)(3) 14,869       GENERAL SUPPORT
(37)  
1501 TROUSDALE DRIVE
BURLINGAME,CA94010 		94-1156265 501(C)(3) 48,328       GENERAL SUPPORT
(38)  
1900 POWELL STREET STE 300
EMERYVILLE,CA94608 		94-6068843 501(C)(3) 260,679       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
38
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
PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: DONATION PAYMENTS WERE UNRESTRICTED AMOUNTS TO THE ORGANIZATIONs. CERTAIN GRANTS ARE MONITORED ON AN INDIVIDUAL BASIS BY REVIEWING EXPENDITURES, PREPARING REPORTS, AND OTHER CONTACT WITH THE GRANTEE TO ENSURE COMPLIANCE WITH GRANT PURPOSE. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES.
Schedule I (Form 990) 2014



Additional Data


Software ID:  
Software Version: