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
13-3393329
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)  
111 MICHIGAN AVENUE NW
WASHINTION,DC20010 		52-1654453 501C3 29,519       SUICIDE RELATED RESEARCH
(2)  
321 BRACKETT HALL
CLEMSON,SC29634 		52-6000254 501C3 96,761       SUICIDE RELATED RESEARCH
(3)  
615 WEST 131 STREET 4TH FLOOR
NEW YORK,NY10027 		13-5598093 501C3 359,155       SUICIDE RELATED RESEARCH
(4)  
2200 WEST MAIN STREET SUITE 820
DURHAM,NC27705 		56-0532129 501C3 186,579       SUICIDE RELATED RESEARCH
(5)  
1276 GILBREATH DRIVE
JOHNSON CITY,TN37614 		62-6021046 170C1 88,436       SUICIDE RELATED RESEARCH
(6)  
POBOX 3062744
TALLAHASSEE,FL32306 		59-3211153 501C3 98,399       SUICIDE RELATED RESEARCH
(7)  
101 HUNTINGTON AVENUE SUITE 300
BOSTON,MA02199 		04-2697983 501C3 186,801       SUICIDE RELATED RESEARCH
(8)  
501 E 38TH STREET
ERIE,PA16546 		25-0965430 501C3 82,852       SUICIDE RELATED RESEARCH
(9)  
518 HYLAN BUILDING
ROCHESTER,NY14627 		16-0743209 501C3 83,639       SUICIDE RELATED RESEARCH
(10)  
1855 FOLSOM STREET MCB 0857
SAN FRANCISCO,CA94143 		94-6036493 501C3 88,559       SUICIDE RELATED RESEARCH
(11)  
1051 RIVERSIDE DRIVE UNIT 33 SUITE
1914
NEW YORK,NY10032 		14-1410842 501C3 113,155       SUICIDE RELATED RESEARCH
(12)  
POBOX 41105
LUBBOCK,TX79409 		75-6002622 115 88,559       SUICIDE RELATED RESEARCH
(13)  
1230 YORK AVENUE BOX 259A
NEW YORK,NY10065 		13-1624158 501C3 102,334       SUICIDE RELATED RESEARCH
(14)  
3535 MARKET STREET RM 2034
PHILADELPHIA,PA19104 		23-1352685 501C3 83,639       SUICIDE RELATED RESEARCH
(15)  
BOX 951406-11000 KINROSS BLDG STE
211
LOS ANGELES,CA90095 		95-6006143 501C3 88,508       SUICIDE RELATED RESEARCH
(16)  
4333 BROOKLYN AVE NE BOX 359472
SEATTLE,WA98195 		91-6001537 501C3 83,639       SUICIDE RELATED RESEARCH
(17)  
2 GILMORE HALL
IOWA CITY,IA52242 		42-6004813 115 131,854       SUICIDE RELATED RESEARCH
(18)  
620 WEST LEXINGTON STREET 4TH FLOOR
BALTIMORE,MD21201 		52-6002033 501C3 98,399       SUICIDE RELATED RESEARCH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
18
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) 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: AFSP MONITORS THE USE OF GRANT FUNDS THROUGH REQUIRED SUBMISSION OF SEMI-ANNUAL PROGRESS AND FINANCIAL REPORTS. FINANCIAL FORMS ARE ITEMIZED AND REQUIRE DETAILED INFORMATION. ALL FORMS ARE SIGNED BY INVESTIGATORS, AS WELL AS MENTORS IN THE CASE OF YOUNG INVESTIGATORS AND POSTDOCTORAL FELLOWS, AND FINANCIAL/ADMINISTRATIVE OFFICERS DESIGNATED BY THE SUPPORTING INSTITUTION. PRIMARY INVESTIGATORS ALSO PROVIDE AFSP WITH A DETAILED BUDGET JUSTIFICATION. ONCE RECEIVED, REPORTS ARE THOROUGHLY REVIEWED BY AFSP'S RESEARCH AND MEDICAL DIRECTORS. ADDITIONAL INFORMATION IS REQUESTED WHEN NECESSARY.
Schedule I (Form 990) 2014



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