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," on 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
2015
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
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) Adler Aphasia Center
60 West Hunter Avenue
Maywood,NJ07607 		02-0687863 501(C)(3) 25,000       SPONSORSHIP
(2) American Diabetes Association
1160 Route 22 East Suite 103
Bridgewater,NJ08880 		54-1734511 501(C)(3) 10,000       SPONSORSHIP
(3) American Heart Association
1 Union Street Suite 301
Robbinsville,NJ086914183 		13-5613797 501(C)(3) 10,000       SPONSORSHIP
(4) Arthritis Foundation NJ Chapter
555 Route 1 South Suite 220
Iselin,NJ088302000 		58-1341679 501(C)(3) 18,000       SPONSORSHIP
(5) Borough of Maywood
15 Park Ave
Maywood,NJ07607 		22-6002067 501(C)(3) 5,250       SPONSORSHIP
(6) Festival of Ballooning Inc
363 Route 46 West Suite 200
Fairfield,NJ07004 		22-3210035 501(C)(3) 7,500       SPONSORSHIP
(7) Foundation for Free Enterprise
South 61 Paramus Road
Paramus,NJ07652 		51-0165577 501(C)(3) 6,000       SPONSORSHIP
(8) Gregory M Hirsch Memorial Foundation
304 Farnham Avenue
Lodi,NJ07644 		20-2691459 501(C)(3) 7,500       SPONSORSHIP
(9) Hackensack Chamber of Commerce
5 University Plaza Drive
Hackensack,NJ07601 		41-1530317 501(C)(3) 10,000       SPONSORSHIP
(10) Hudson Riverfront Performing Arts Center
1200 Harbor Boulevard 1st Foor
Weehawken,NJ07086 		27-0022918 501(C)(3) 7,500       SPONSORSHIP
(11) Kula For Karma
19 Charlden Drive
Saddle River,NJ07458 		11-3819369 501(C)(3) 10,000       SPONSORSHIP
(12) Meridian Health Foundation
1345 Campus Parkway Suite A2
Neptune,NJ07753 		01-0649794 501(C)(3) 6,750       SPONSORSHIP
(13) Morris Arts
14 Maple Avenue Suite 301
Morristown,NJ07960 		22-2012936 501(C)(3) 10,000       SPONSORSHIP
(14) New Jersey Symphony Orchestra
60 Park Place 9th Floor
Newark,NJ07102 		22-1559422 501(C)(3) 37,500       SPONSORSHIP
(15) New York Yankee Foundation
One East 161st Street
Bronx,NY10451 		13-6089577 501(C)(3) 7,500       SPONSORSHIP
(16) NJ Sharing Network Foundation
691 Central Ave
New Providence,NJ07974 		20-2737719 501(C)(3) 10,000       SPONSORSHIP
(17) NJBIZ
1500 Paxton Street
Harrisburg,PA17104 		23-2345334 501(C)(3) 12,500       SPONSORSHIP
(18) Northern NJ Council-Boy Scouts of American
PO Box 670
Oakland,NJ07643 		22-3626147 501(C)(3) 10,000       SPONSORSHIP
(19) Partners for Health Inc
54 Plymouth Street
Montclair,NJ07042 		22-3122804 501(C)(3) 10,000       SPONSORSHIP
(20) Rutgers Institute for Ethical Leadership
1 Washington Park
Newark,NJ07102 		22-6001086 501(C)(3) 25,000       SPONSORSHIP
(21) Stem For Life Foundation
420 Lexington Avenue Suite 350
New York,NY10170 		26-1150435 501(C)(3) 25,000       SPONSORSHIP
(22) Sylvia & Herbert Woods Scholarship Fund
310 East 49th Street 5E
New York,NY10017 		31-1793365 501(C)(3) 15,000       SPONSORSHIP
(23) The Forget Me Not Foundation
225 Lakeview Drive
Ridgewood,NJ07450 		26-3848831 501(C)(3) 10,000       SPONSORSHIP
(24) The National Trust for Scotland
45 School Street
Boston,MA02108 		04-3511088 501(C)(3) 10,000       SPONSORSHIP
(25) Tom Coughlin Jay Fund Foundation
232 Madison Ave Suite 1107
New York,NY10016 		59-3426937 501(C)(3) 10,000       SPONSORSHIP
(26) YWCA of Bergen County
2 University Plaza Suite 208
Hackensack,NJ07601 		22-1494725 501(C)(3) 20,000       SPONSORSHIP
(27) THE CHARLES J COOPER PATIENT SUPPORT FUND
414 EAGLE ROCK AVENUE
WEST ORANGE,NJ07052 		46-4566414 501(C)(3) 475,000       PROGRAM SUPPORT
(28) ADV MED EMERGENCY RESOURCE COALITION
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753 		47-3016571 501(C)(3) 28,750       PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
28
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) 2015
Page 2

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2015



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