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
AMERICAN HEALTH CARE ASSOCIATION
 
Employer identification number
53-0260105
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) DEMOCRATIC GOVERNORS ASSOCIATION
1401 K STREET NW
WASHINGTON,DC20005 		52-1304889 527 100,000       CONTRIBUTION
(2) REPUBLICAN GOVERNORS ASSOCIATION
1747 PENNSYLVANIA AVENUE NW SUITE
250
WASHINGTON,DC20006 		11-3655877 527 100,000       CONTRIBUTION
(3) CROSSROADS GRASSROOTS POLICY STRATEGIES
1401 NEW YORK AVENUE NW SUITE 1200
WASHINGTON,DC20005 		27-2753378 501(C)(4) 450,000       CONTRIBUTION IN SUPPORT OF AHCA MISSION
(4) PATRIOT MAJORITY USA
PO BOX 35522
WASHINGTON,DC200335522 		45-0710294 501(C)(4) 450,000       CONTRIBUTION IN SUPPORT OF AHCA MISSION
(5) BROWN UNIVERSITY
PO BOX 1893
PROVIDENCE,RI02912 		05-0258809 501(C)(3) 300,000       CONTRIBUTION TO FUND RESEARCH ORGANIZATION IN SUPPORT OF AHCA MISSION
(6) AMERICAN SENIORS HOUSING
5225 WISCONSIN AVENUE NW SUITE 502
WASHINGTON,DC20015 		52-2261594 501(C)(6) 10,000       CONTRIBUTION IN SUPPORT OF AHCA MISSION
(7) CENTER FOR EXCELLENCE IN ASSISTED LIVING
2342 OAK STREET
FALLS CHURCH,VA22046 		43-2080306 501(C)(3) 12,500       CONTRIBUTION IN SUPPORT OF AHCA MISSION
(8) CONGRESSIONAL MANAGEMENT FOUNDATION
710 E STREET SE
WASHINGTON,DC200032840 		52-1076614 501(C)(3) 10,000       CONTRIBUTION IN SUPPORT OF AHCA MISSION
(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
3
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) 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 ARE ONLY MADE TO ORGANIZATIONS THAT SUPPORT THE AHCA MISSION. SMALLER GRANTS ARE REVIEWED AND APPROVED AS PART OF THE ANNUAL BUDGETING PROCESS. LARGER GRANTS ARE REVIEWED AND APPROVED BY THE RESPECTIVE GOVERNANCE COMMITTEE TO WHICH THE GRANT PURPOSE RELATES.
Schedule I (Form 990) 2014



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