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
The Granite Young Men's Christian Association (3585)
 
Employer identification number
02-0222248
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) Big BrotherBig Sister Program
25 Lowell St
Manchester,NH03101 		51-0180586 3 0 23,794 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(2) Big BrotherBig Sister Program
4 Greenleaf Woods Dr
Portsmouth,NH03801 		02-0348477 3 0 8,112 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(3) CRJ - Hampshire House
1492 Elm St
Manchester,NH03101 		GOV 0 13,579 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(4) Cross Roads
600 Lafayette Rd
Portsmouth,NH03801 		22-2549963 3 0 9,043 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(5) Easter Seals NH Inc
555 Auburn St
Manchester,NH03103 		02-0272825 3 0 21,439 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(6) Manchester Community Health Center
1555 Elm St
Manchester,NH03101 		02-0258994 3 0 48,413 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(7) Moore Center Services
195 McGregor St
Manchester,NH03102 		02-0261136 3 0 23,273 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(8) Palace Theatre
80 Hanover St
Manchester,NH03101 		23-7356019 3 0 10,627 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
(9) West Bridge Community Services
1361 Elm St
Manchester,NH03101 		52-2324227 3 0 15,350 FMV MEMBERSHIP USE OF THE Y'S FACILITIES AND PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
9
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) FINANCIAL ASSISTANCE- HEALTHY LIVING 8967 0 583,569 FMV MEMBERSHIP AND PROGRAM ASSISTANCE
(2) FINANCIAL ASSISTANCE - YTH DEVELOPMENT 2848 0 434,643 FMV PROGRAM, CHILDCARE, CAMP ASSISTANCE
(3) FINANCIAL ASSISTANCE-SOCIAL RESPONSIBILITY 530 0 358,551 FMV PROGRAM & OUTREACH ASSISTANCE
(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, Line 2 Procedures for monitoring use of grant funds. THE GRANTS AND ASSISTANCE AWARDED IS FOR USE IN THE ORGANIZATION'S PROGRAMS AND FACILITIES, ALL WITHIN THE UNITED STATES. USAGE IS MEASURED BY CLASS ATTENDANCE AND/OR FACILITY ACCESS RECORDS.
Schedule I (Form 990) 2015



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