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
MIRACLE FLIGHTS
 
Employer identification number
88-0209952
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) CHILDREN'S FLIGHT OF HOPE
1101 AVIATION PARKWAY STE D
MORRISVILLE,NC27560 		56-1762824 501(c)(3) 10,000   FMV N/A TRAVEL RESOURCES FOR SICK CHILDREN TO GET TO HOSPITALS AND DOCTORS
(2) PATIENT AIRLIFT SERVICES
120 ADAMS BLVD
FARMINGDALE,NY11735 		27-2370028 501(c)(3) 10,000   FMV N/A TRAVEL RESOURCES FOR SICK CHILDREN TO GET TO HOSPITALS AND DOCTORS
(3) WORLD PEDIATRIC PROJECT
7201 GLEN FOREST DR
RICHMOND,VA23226 		54-1953305 501(c)(3) 55,000   fmv n/a TRAVEL RESOURCES FOR SICK CHILDREN TO GET TO HOSPITALS AND DOCTORS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
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) 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
Part I, Line 2: MIRACLE FLIGHTS IS COMMITTED TO PROVIDING PATIENTS WITH OPTIMAL CONDITIONS FOR COMFORT AND DIGNITY. IN ORDER TO ACCOMPLISH THIS, THE ORGANIZATION HAS ESTABLISHED THE FOLLOWING CRITERIA TO AID IN ACCEPTING THOSE PATIENTS WHO WILL BENEFIT TO THE GREATEST EXTENT FROM OUR CHARITABLE FLIGHTS: 1. MUST BE ABLE TO SIT UPRIGHT IN A COMMERCIAL AIRLINE SEAT, NO STRETCHERS 2. WHEELCHAIRS ARE PERMITTED 3. MAY BE A BLOOD OR ORGAN DONOR 4. MUST NOT BE ON ANY LIFE SUPPORT SYSTEMS 5. MUST PROVIDE A MEDICAL DOCTOR'S CERTIFICATION FORM AND DOCTOR'S STATEMENT (ON THEIR LETTERHEAD) CONFIRMING THE MEDICAL DIAGNOSIS/CONDITION, THE REASON TRAVEL IS REQUIRED, AND THE DATES OF ALL APPOINTMENTS 6. MUST BE GOING TO OR FROM A RECOGNIZED TREATMENT CENTER 7. MUST ARRANGE GROUND TRANSPORTATION FOR THEMSELVES AND FAMILY MEMBERS TO AND FROM THE AIRPORT 8. MUST ARRIVE AT LEAST TWO HOURS PRIOR TO THE SCHEDULED DEPARTURE 9. MUST BE AWARE THAT MECHANICAL PROBLEMS, WEATHER CONDITIONS, ACTS OF GOD, OR OTHER FACTORS MAY RESULT IN FLIGHT CANCELLATIONS OR DELAYS 10. MUST NOT BE ON ANY MEDICATIONS THAT MAY CAUSE ADVERSE EFFECTS AT ALTITUDE
Schedule I (Form 990) 2015



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