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
FAVRE 4 HOPE FOUNDATION INC
 
Employer identification number
64-0870371
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) WISCONSIN CHAPTER OF CONCERNS OF PO
PO BOX 100402
MILWAUKEE,WI53210 		39-1935011 501C3 10,000       COPS KID CAMP
(2) PROFESSIONAL FIRE FIGHTERS OF WISCO
312 E MAIN STREET SUITE 200
MADISON,WI53703 		81-0548082 501C3 10,000       CAMP FOR KIDS
(3) ARC
PO BOX 18800
HATTIESBURG,MS39404 		64-0685174 501C3 10,000       HEALTH
(4) HOPE HAVEN
PO BOX 3777
BAY ST LOUIS,MS39521 		64-0852491 501C3 10,000       CHILDREN'S SHELTER
(5) MAKE A WISH FOUNDATION OF MS
PO BOX 7488
GULFPORT,MS39506 		64-0730362 501C3 20,000       HEALTH
(6) OAK GROVE BOOSTER CLUB
6068 HIGHWAY 98 W SUITE 1-181
HATTIESBURG,MS39402 		58-2018120 501C3 60,000       EDUCATION
(7) PINK RIBBON FUND
6068 US HWY 98 W SUITE 1305
HATTIESBURG,MS39402 		42-1681566 501C3 20,000       HEALTH
(8) RAWHIDE
E7475 RAWHIDE ROAD
NEW LONDON,WI54961 		39-1052471 501C3 40,000       MENTAL HEALTH SVCS
(9) RIBBON OF HOPE FOUNDATION
PO BOX 148
DE PERE,WI54115 		81-0577926 501C3 40,000       HEALTH
(10) SPECIAL OLYMPICS OF MS
15 OLYMPIC WAY
MADISON,MS39110 		52-0885918 501C3 20,000       HEALTH
(11) USM ATHLETIC FOUNDATION
118 COLLEGE DRIVE
HATTIESBURG,MS39406 		64-0929171 501C3 12,500       EDUCATION
(12) USM CHILDRENS CENTER FOR COMMUNICAT
118 COLLEGE DRIVE 5092
HATTIESBURG,MS39406 		64-6000818 501C3 10,000       HEALTH AND EDUCATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
12
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) SCHOLARSHIPS < 5,000 4 10,000      
(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, PAGE 1, PART I, LINE 2 THE FOUNDATION KEEPS FILES ON ALL GRANT RECIPIENTS WITH COMMENTS FROM THE INTERVIEW OF THE RECIPIENT OR HEALTH CARE PROVIDER.
Schedule I (Form 990) 2015



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