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
84-0726651
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)  
330 E BAYAUD AVE
DENVER,CO80209 		84-0711001   765,626       OPERATIONAL PURPOSES
(2)  
1108 NORTH COLE RD
BOISE,ID83704 		82-0410266   185,403       OPERATIONAL PURPOSES
(3)  
1620 TOWNSEND
HELENA,MT59601 		81-0392068   72,486       OPERATIONAL PURPOSES
(4)  
1333 N BUFFALO
LAS VEGAS,NV89128 		23-7027028   161,250       OPERATIONAL PURPOSES
(5)  
2469 E FORT UNION BLVD
SALT LAKE,UT84121 		87-0335459   200,755       OPERATIONAL PURPOSES
(6)  
PO BOX
LARAMIE,WY82073 		83-0255426   50,239       OPERATIONAL PURPOSES












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
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
SCHEDULE I, PAGE 1, PART I, LINE 2 INTERMOUNTAIN MONITORS THE GRANTS RECEIVED BY THE SIX DISTRICTS THROUGH ANNUAL EVALUATIONS BASED ON THE MANNER, EXTENT, EFFECTIVENESS WITH WHICH IT FURTHERS THE MISSION OF THE ITA, AND THE ITA APPLIES 9 PERFORMANCE/COMPLIANCE CRITERIA WHICH ARE LISTED IN THE GOVERNING DOCUMENTS.
Schedule I (Form 990) 2014



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