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
YALE NEW HAVEN HEALTH SERVICES CORP
 
Employer identification number
22-2529464
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) NAACP NEW HAVEN BRANCH
545 WHALLEY AVE
NEW HAVEN,CT06511 		06-6099313 501(C)(4) 20,250       SPONSORSHIP
(2) NEW HAVEN INTERNATIONAL FESTIVAL
195 CHURCH STREET
NEW HAVEN,CT06511 		06-1444222 501(C)(3) 20,000       SPONSORSHIP
(3) ACHIEVEMENT FIRST
403 JAMES STREET
NEW HAVEN,CT06511 		65-1203744 501(C)(3) 12,000       SUPPORT MISSION
(4) VISITING NURSE ASSOCIATION SOUTH
ONE LONG WHARF DRIVE
NEW HAVEN,CT06511 		06-0646941 501(C)(3) 10,000       SUPPORT MISSION
(5) ANTI DEFAMATION LEAGUE
WHITNEY AVE
NEW HAVEN,CT06511 		13-1818723 501(C)(3) 10,000       SPONSORSHIP
(6) BEULAH HEIGHT SOCIAL INTEGRATION
782 ORCHARD STREET
NEW HAVEN,CT06511 		06-1290930 501(C)(3) 7,500       SPONSORSHIP
(7) GREATER NEW HAVEN CHAMBER OF COMMER
900 CHAPEL STREET
NEW HAVEN,CT06510 		06-0646890 501(C)(6) 20,090       SPONSORSHIP
(8) NEW HAVEN SYMPHONY ORCHESTRA
70 AUDUBON STREET
NEW HAVEN,CT06510 		06-6000592 501(C)(3) 15,000       SUPPORT MISSION
(9) PROMISING SCHOLARSHIP FUND INC
44 UPPER STATE STREET
NORTH HAVEN,CT06473 		80-0112325 501(C)(3) 10,000       SUPPORT MISSION
(10) RONALD MCDONALD HOUSE
501 GEORGE STREET
NEW HAVEN,CT06511 		06-1063758 501(C)(3) 11,000       SUPPORT MISSION
(11) CT STATE MISSIONARY BAPTIST CONVENT
10 CHERRY DRIVE
DANBURY,CT06812 		06-1421410 501(C)(3) 6,500       SUPPORT MISSION
(12) EASTER SEALS GOODWILL
95 HAMILTON STREET
NEW HAVEN,CT06511 		23-7431264 501(C)(3) 5,400       SUPPORT MISSION
(13) CITY SEED
817 GRAND AVENUE
NEW HAVEN,CT06511 		83-0397621 501(C)(3) 10,000       SUPPORT MISSION
(14) LEEWAY INC
40 ALBERTS ST
NEW HAVEN,CT06511 		22-3065487 501(C)(3) 5,000       SUPPORT MISSION
(15) SHORELINE ARTS ALLIANCE
725 BOSTON POST ROAD
GUILFORD,CT06437 		06-1027403 501(C)(3) 5,000       SUPPORT MISSION
(16) EHEALTH CONNECTICUT INC
1290 SILAS DEAN HIGHWAY
WETHERSFIELD,CT06109 		20-4667060 501(C)(3) 5,000       SUPPORT MISSION
(17) FOUNDATION FOR CHILDREN INC
104 HUNGERFORD STREET
HARTFORD,CT06106 		06-1392883 501(C)(3) 12,500       SUPPORT MISSION
(18) UNITED WAY OF GREENWICH INC
ONE LAFAYETTE COURT
GREENWICH,CT06830 		06-0646578 501(C)(3) 10,000       SUPPORT MISSION
(19) SUSAN KOMEN BREAST CANCER FOUNDATION
74 BETTERSON PARK RD
FARMINGTON,CT06032 		75-2844629 501(C)(3) 5,540       SUPPORT MISSION
(20) CAREER RESOURCES INC
350 FAIRFIELD AVE
BRIDGEPORT,CT06604 		06-1427945 501(C)(3) 5,000       SUPPORT MISSION
(21) CHRISTIAN COMMUNITY ACTION INC
168 DAVENPORT AVE
NEW HAVEN,CT06519 		06-0941885 501(C)(3) 5,000       SUPPORT MISSION
(22) CONNECTICUT WOMEN HALL OF FAME INC
320 FITCH STREET
NEW HAVEN,CT06515 		06-1492895 501(C)(3) 5,000       SUPPORT MISSION
(23) LIBERTY COMMUNITY SERVICES
129 CHURCH STREET
NEW HAVEN,CT06510 		22-2849124 501(C)(3) 5,000       SUPPORT MISSION
(24) NEW HAVEN WORKS INC
205 WHITNEY AVE
NEW HAVEN,CT06511 		UNKNOWN 5,000       SUPPORT MISSION
(25) ST MARTIN DE PORRES ACADEMY
208 COLUMBUS AVE
NEW HAVEN,CT06519 		81-0666655 501(C)(3) 5,000       SUPPORT MISSION
(26) FAMILY CENTERED SERVICES OF CONNECTICUT
235 NICOLL STREET
NEW HAVEN,CT06511 		06-0972684 501(C)(3) 5,000       SUPPORT MISSION
(27) CONNECTICUT PLAYERS FOUNDATION INC
222 SARGENT DRIVE
NEW HAVEN,CT06511 		06-6073063 501(C)(3) 25,000       SUPPORT MISSION
(28) TOWN OF GUILFORD
31 PARK STRET
GUILFORD,CT06837 		GOVERNMENT 6,000       SUPPORT MISSION
(29) BOSTON COLLEGE
140 COMMONWEALTH AVE
CHESTNUT HILL,MA02467 		04-2103545 501(C)(2) 5,995       SUPPORT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
24
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) 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
Schedule I (Form 990) 2012


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