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
CHAMPIONS FOR EDUCATION INC
 
Employer identification number
02-0615986
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) TEACH FOR AMERICA INC
4024 Barringer Dr
Charlotte,NC28220
13-3541913 501(c)(3) 500,000       SUPPORT
(2) WORLD GOLF FOUNDATION INC
1 WORLD GOLF PLACE
ST AUGUSTINE,FL32092
59-2998925 501(c)(3) 50,000       SUPPORT
(3) SOUTH MECK PTSA
8900 PARK ROAD
CHARLOTTE,NC28210
20-0258541 501(c)(3) 20,000       SUPPORT
(4) QUAIL HOLLOW PRESBYTERIAN CHURCH
8081 PARK ROAD
CHARLOTTE,NC28210
13-6128447 501(c)(3) 10,000       SUPPORT
(5) SECOND HARVEST FOOD BANK of METROLINA INC
500-B SPRATT STREET
CHARLOTTE,NC28206
95-1922279 501(c)(3)   33,112 FMV Food SUPPORT
(6) FOREST HILL CHURCH
7224 PARK ROAD
CHARLOTTE,NC28210
75-3204480 501(c)(3) 33,435       SUPPORT
(7) YMCA CHARLOTTE
500 E MOREHEAD STREET SUITE 300
Charlotte,NC28202
54-1351309 501(C)(3) 21,928       SUPPORT
(8) SOUTH MECK HIGH SCHOOL
8900 PARK ROAD
Charlotte,NC28210
20-0258541 501(C)(3) 10,000       SUPPORT
(9) LEVINE CHILDRENS HOSPITAL
LEVINE CHILDRENS HOSPITAL ONCOLOGY
PO BOX 32861
CHARLOTTE,NC28232
56-6060481 501(C)(3) 100,000       SUPPORT
(10) SPECIAL OLYMPICS OF MECKLENBURG COUNTY
4421 STUART ANDREW BLVD SUITE 605
CHARLOTTE,NC28217
56-1149607 501(C)(3) 10,000       SUPPORT
(11) USO of NORTH CAROLINA inc
USO OF CHARLOTTE
501 JOSH BIRMINGHAM PKWY
CHARLOTTE,NC28208
56-0532315 501(C)(3)   45,000 FMV TOURNAMENT TICKETS SUPPORT
(12) FIRST TEE OF CHARLOTTE
214 N Tryon St Room 37000
CHARLOTTE,NC28202
56-2245026 501(C)(3) 50,000       SUPPORT
(13) LAMBDA CHI ALPHA
14429 GLENDON HALL LANE
CHARLOTTE,NC28214
23-7213178 501(c)(7) 5,280       SUPPORT
(14) THE CITY OF GOD INC
PO BOX 669141
CHARLOTTE,NC28266
56-2277663 501(C)(3) 5,953       SUPPORT
(15) PIEDMONT GYMNASTICS
PO BOX 78721
CHARLOTTE,NC28271
56-2257703 501(C)(3) 5,934       SUPPORT
(16) COMBAT LOGISTICS REGIMENT 27
PSC BOX 20125
CAMP LEJUNE,NC28542
56-2663106 GOV'T 20,338       SUPPORT
(17) GOOD SHEPHERD ORPHANAGE
PO BOX 1988
EUSTIS,FL32727
38-3399282 501(C)(3)   13,846 FMV   SUPPORT
(18) SIM USA INCORPORATED
PO BOX 1988
EUSTIS,FL32727
22-1936391 501(C)(3)   5,226 FMV   SUPPORT
(19) PHILLIP O BERRY ACADEMY CLUB
1430 ALLEGHANY ST
CHARLOTTE,NC28208
27-2906636 501(C)(3) 7,383       SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
19
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
MONITORING THE USE OF GRANTS FUNDS SCHEDULE I, PART I, LINE 2 CHAMPIONS FOR EDUCATION, INC. MAINTAINS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS BY PROVIDING GUIDANCE TO ENSURE THAT RECIPIENTS CONDUCT THEIR PORTIONS OF SPONSORED PROJECTS IN COMPLIANCE WITH LAWS, REGULATIONS, AND TERMS AND CONDITIONS OF AWARDS.
Schedule I (Form 990) 2012


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