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
Catholic Charities North Dakota
 
Employer identification number
45-0226416
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) Lutheran Disaster Response
1720 3rd Ave N
Fargo,ND58102 		45-0226421 501(c)(3) 48,223       Disaster Assistance
(2) Mennonite Disaster Service ND
1720 4th Ave NW
Minot,ND58703 		23-2713127 501(c)(3) 9,482       Disaster Assistance
(3) Mennonite Disaster Service PA
583 Airport Road
Lititz,PA17543 		23-2713127 501(c)(3) 54,082       Disaster Assistance
(4) Menards Store #3113
101 28th AVE SE
Minot,ND58701 		  124,494       Disaster Assistance Building Materials
(5) Minot Lumber
204 20th Ave SE
Minot,ND58701 		  19,500       Disaster Assistance Building Materials
(6) Muus Lumbe
2700 Burdick Expressway E
Bismarck,ND58702 		  9,900       Disaster Assistance Building Materials












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
3
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
(1) Disaster/Flood Assistance 173 213,843      
(2) Hassing Scholarship 3 1,500      










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: Catholic Charities participated with other non-profit agencies to distribute funds to disaster/flood victims in North Dakota. In FY13 Catholic Charities provided funds to for-profit entities to provide building supplies for disaster assistance projects. The assistance provided to victims of the flooding and disasters was determined by an established method of case management in conjunction with participating agencies to determine eligibility and distribution of funds to those in need. Volunteers provided time to assess cases and determine eligibility for the funds. The funds were distributed based on need and eligibility requirements.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version: