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
CANCER SUPPORT COMMUNITY
 
Employer identification number
95-4163931
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) CSC GREATER CINCINNATINORTHERN KY
4918 COOPER ROAD
CINCINNATI,OH45242 		31-1287785 501(C)(3) 11,500       PROVIDE PATIENT EDUCATION WORKSHOPS
(2) GILDA'S CLUB METRO DETROIT
3517 ROCHESTER ROAD
ROYAL OAK,MI48073 		38-3150211 501(C)(3) 9,500       PROVIDE PATIENT EDUCATION WORKSHOPS
(3) CSC ATLANTA
5775 PEACHTREE DUNWOODY ROAD STE
C-225
ATLANTA,GA30342 		58-2142151 501(C)(3) 7,000       PROVIDE PATIENT EDUCATION WORKSHOPS
(4) CSC GREATER PHILADELPHIA
4100 CHAMOUNIX DRIVE
PHILADELPHIA,PA19131 		23-2657403 501(C)(3) 6,517       PROVIDE PATIENT EDUCATION WORKSHOPS
(5) CSC SAN FRANCISCO BAY AREA
3726 MCNUTT AVENUE
WALNUT CREEK,CA94597 		68-0157858 501(C)(3) 6,250       PROVIDE PATIENT EDUCATION WORKSHOPS
(6) GILDA'S CLUB CHICAGO
537 NORTH WELLS STREET
CHICGAO,IL60654 		36-4115144 501(C)(3) 6,000       PROVIDE PATIENT EDUCATION WORKSHOPS
(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
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
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: GRANT PAYMENTS ARE MADE IN TWO PARTS. INITIAL PAYMENT IS MADE WHEN WORKSHOP IS SET AND FINAL PAYMENT IS MADE ONCE EDUCATION & OUTREACH MANAGER RECEIVES PARTICIPANT'S FEEDBACK FORMS.
Schedule I (Form 990) 2014



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