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
DELAWARE FOUNDATION FOR MEDICAL SERVICES LIMITED
 
Employer identification number
51-0346160
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" on 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) MEDICAL SOCIETY OF DELAWARE INC
C/O DFMS 900 PRIDES CROSSING
NEWARK,DE19713 		51-0061011 501(C)(6) 180,250   FMV - CASH N/A THE ORGANIZATION PROVIDES GRANTS TO ITS SUPPORTED ORGANIZATION TO HELP FURTHER DFMS'S PROGRAMS.
(2) DELAWARE FAMILY CARE ASSOCIATE
C/O DFMS 900 PRIDES CROSSING
NEWARK,DE19713 		51-0374122   1,000   FMV - CASH N/A GRANTS WERE PROVIDED TO DELAWARE FAMILY CARE ASSOCIATION TO HELP PROVIDE QUALITY MEDICAL CARE TO THEIR PATIENTS.
(3) BRANDYWINE COMMUNITY RESOURCE COUNCIL INC
C/O DFMS 900 PRIDES CROSSING
NEWARK,DE19713 		51-0164850 501(C)(3) 5,233   FMV - CASH N/A GRANTS WERE PROVIDED TO THE CLAYMONT COMMUNITY CENTER TO ASSIST ITS COMMUNITY HEALTHCARE ACCESS PROGRAM WHICH HELPS PEOPLE WITHOUT INSURANCE BY EVALUATING THEIR POTENTIAL ELIGIBILITY FOR MEDICAID AND OTHER PROGRAMS SUCH AS SCHIP.
(4) HOPE MEDICAL CLINIC INC
C/O DFMS 900 PRIDES CROSSING
NEWARK,DE19713 		59-3791820 501(C)(3) 4,936   FMV - CASH N/A GRANTS WERE PROVIDED TO THE HOPE MEDICAL CLINIC TO FURTHER ITS MISSION OF PROVIDING MEDICAL CARE TO LOW INCOME AND UNINSURED FAMILIES AND INDIVIDUALS.
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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: GRANTS ISSUED ARE REIMBURSEMENT-TYPE GRANTS IN WHICH SUBTANTIATING DOCUMENTATION IS REQUIRED TO BE PRESENTED FOR ISSUANCE OF GRANTS.
Schedule I (Form 990) 2014



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