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
LOST TREE VILLAGE CHARITABLE
FOUNDATION INC
Employer identification number
59-2104920
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) ARC OF THE GLADES INC
4250 NW 16TH STREET
BELLE GLADE,FL33430
59-1760374   10,200       PARKING LOT MAINTENANCE
(2) BIG BROTHERS BIG SISTERS OF PALM BEACH & MARTIN COUNTIES INC
1700 KIRK ROAD
WEST PALM BEACH,FL33406
59-2676889   23,525       COMPUTER REPLACEMENT AND FIREWALL AND SECURITY UPGRADES
(3) BIG HEART BRIGADE
5770 WHIRLAWAY RD
PALM BEACH GARDENS,FL33418
65-0581187   5,000       2015 BIG HEART BRIGADE THANKSGIVING FEAST
(4) BOYS & GIRLS CLUBS OF MARTIN COUNTY
PO BOX 910
HOBE SOUND,FL33475
65-0253002   56,793       COLE-CLARK BRANCH GYMNASIUM FLOOR
(5) CATHOLIC CHARITIES OF THE DIOCESE OF PALM BEACH INC
9995 N MILITARY TRAIL
PALM BEACH GARDENS,FL33410
59-2470479   10,615       MULTI-PROGRAM RESOURCE ROOM/COMPUTER LAB PROJECT
(6) CENTER FOR CHILD COUNSELING INC
7731 N MILITARY TRAIL
PALM BEACH GARDENS,FL33410
65-0932032   25,000       TECHNOLOGY AND PLAY THERAPY KITS FOR THERAPEUTIC SERVICES
(7) CENTER FOR CREATIVE EDUCATION
425 24TH ST
WEST PALM BEACH,FL334075401
65-0594599   12,000       SECURING THE WELL BEING OF STUDENTS AND VISITORS
(8) CENTER FOR FAMILY SERVICES OF PALM BEACH COUNTY
4101 PARKER AVE
WEST PALM BEACH,FL33405
59-1084179   18,360       PAT REEVES VILLAGE SHELTER
(9) CHILD PROTECTION TEAM PALM BEACH
5305 GREENWOOD AVENUE
WEST PALM BEACH,FL33407
65-0746922   38,974       FACILITY & SECURITY UPGRADES
(10) CHILDREN'S HOME SOCIETY OF FLORIDA
3333 FOREST HILL BOULEVARD
WEST PALM BEACH,FL33406
59-0192430   37,599       SAFE HARBOR TRANSPORTATION NEEDS
(11) CLASS OF 57 ROOSEVELT HIGH SCHOOL
PO BOX 9124
RIVIERA BEACH,FL33419
31-1504009   9,000       SCHOLARSHIPS FOR DISADVANTAGED STUDENTS
(12) DEPORRES PLACE INC
1016 N DIXIE HWY 2ND FLOOR
WEST PALM BEACH,FL33401
65-0747575   4,310       INFORMATION TECHNOLOGY AND COMMUNICATIONS UPGRADE
(13) EL SOL JUPITER'S NEIGHBORHOOD RESOURCE CENTER
106 MILITARY TRAIL
JUPITER,FL33458
01-0870672   30,000       EL SOL VAN
(14) FAMILIES FIRST OF PALM BEACH COUNTY
3333 FOREST HILL BLVD 2ND FLOOR
WEST PALM BEACH,FL33406
65-0166352   15,287       SERVERS FOR FAMILIES FIRST OF PALM BEACH COUNTY
(15) FARMWORKER CHILDRENS CENTER INC
130 ISLAND DRIVE
OCEAN RIDGE,FL33435
65-0169221   11,000       CAMPO ALEGRE
(16) FARMWORKER COORDINATING COUNCIL OF PALM BEACH COUNTY INC
1123 CRESTWOOD BOULEVARD
LAKE WORTH,FL33460
59-1830267   18,485       FWCC OFFICE FURNITURE & EQUIPMENT
(17) FEDERATION OF FAMILIES OF FLORIDA INC
1402 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH,FL33411
52-2313668   50,000       GLADES STAR: FAMILY EMPOWERMENT CENTER
(18) FERN HOUSE INC
1958 CHURCH STREET
WEST PALM BEACH,FL33409
59-2286556   33,495       MOVING TOWARDS RECOVERY
(19) FIRST TEE OF THE PALM BEACHESCHILDRENS GOLF FOUNDATION
7301 HAVERHILL ROAD
WEST PALM BEACH,FL33407
65-0262208   25,000       DRIVING RANGE MOVABLE CANOPY/OFFICE & BUILDING UPGRADES
(20) FLORIDA ATLANTIC UNIVERSITY CHRISTINE E LYNN COLLEGE OF NURSING
777 GLADES ROAD
BOCA RATON,FL33431
59-0917284   25,000       ENSURING QUALITY HEALTH CARE THROUGH SUPPORTING NURSING EDUCATION
(21) FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC
4100 OKEECHOBEE BLVD
WEST PALM BEACH,FL33409
59-2487590   28,600       RESOURCE CONNECTIONS FOR FOSTER CHILDREN
(22) FRIENDS OF FOSTER CHILDREN OF PALM BEACH COUNTY INC
4100 OKEECHOBEE BLVD
WEST PALM BEACH,FL33409
59-2487590   25,000       COMMUNITY BACK TO SCHOOL BASH
(23) GRATITUDE HOUSE
1700 N DIXIE HWY
WEST PALM BEACH,FL33407
23-7215223   50,000       GRATITUDE HOUSE KITCHEN RENOVATION
(24) GULF STREAM COUNCIL BOY SCOUTS OF AMERICA
8335 NORTH MILITARY TRAIL
PALM BEACH GARDENS,FL33410
59-0624407   50,000       FOR MUCH NEEDED RENOVATIONS AND UPDATES AT THE TANAH KEETAH SCOUT RESERVATION.
(25) HABITAT FOR HUMANITY OF MARTIN COUNTY
2090 NW FEDERAL HWY
STUART,FL34994
59-2816698   50,000       NEIGHBORHOOD REVITALIZATION: CARTER PARK, NEW CONSTRUCTION
(26) HOBE SOUND EARLY LEARNING CENTER
11580 SE GOMEZ AVENUE
HOBE SOUND,FL33455
59-1107869   25,000       READY FOR SCHOOL!
(27) HOMELESS COALITION OF PALM BEACH COUNTY INC
810 DATURA STREET
WEST PALM BEACH,FL33401
65-0125852   2,500       MOSQUITO SPRAY FOR THE HOMELESS
(28) HOMESAFE
2840 SIXTH AVENUE SOUTH
LAKE WORTH,FL33461
59-1935485   53,332       INDEPENDENT LIVING HOUSING PROGRAM
(29) HOUSE OF HOPE
2484 SE BONITA STREET
STUART,FL34997
59-2422998   200,000       INCREASING CAPACITY FOR PANTRY WAREHOUSE AND DIRECT CLIENT SERVICES
(30) JACK THE BIKE MAN INC
2406 FLORIDA AVENUE
WEST PALM BEACH,FL33401
26-0579626   7,500       CHRISTMAS BIKE PROGRAM
(31) KIDS CANCER FOUNDATION INC
246 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH,FL33411
01-0551879   25,000       FAMILY SUPPORT PROGRAMS
(32) KIDSAFE FOUNDATION
20283 STATE ROAD 7 300
BOCA RATON,FL33498
27-1067698   32,310       KIDSAFE'S EDUCATIONAL MATERIALS PRINTED & TRANSLATED INTO SPANISH & CREOLE
(33) KIDSANCTUARY CAMPUS INC
700 S DIXIE HIGHWAY
WEST PALM BEACH,FL33401
42-1764903   7,500       SAMS COTTAGE AT KIDSANCTUARY CAMPUS
(34) LEGAL AID SOCIETY OF PALM BEACH COUNTY INC
423 FERN STREET SUITE 200
WEST PALM BEACH,FL33401
59-6046994   12,400       IT NETWORK STABILITY PROJECT (TO INCREASE NETWORK SECURITY, EFFICIENCY AND USER ACCESS POINTS)
(35) LOGGERHEAD MARINE LIFE CENTER
14200 US HIGHWAY 1
JUNO BEACH,FL33408
59-2445926   15,000       PASSPORT PROGRAM
(36) MEALS ON WHEELS OF THE PALM BEACHES INC
PO BOX 247
WEST PALM BEACH,FL334020247
27-2891297   30,000       NORTH PALM PROGRAM EXPANSION
(37) NOPE TASK FORCE INC
50 SW US HIGHWAY ONE
JUPITER,FL33477
20-1289080   10,000       PALM BEACH COUNTY SUBSTANCE ABUSE PREVENTION INITIATIVE
(38) OPPORTUNITY INC OF PALM BEACH COUNTY
1713 QUAIL DRIVE
WEST PALM BEACH,FL33409
59-0624429   77,841       TECHNOLOGY FOR FUTURE OPPORTUNITIES
(39) PALM BEACH COUNTY FOOD BANK
525 GATOR DRIVE
LANTANA,FL33462
90-0788707   100,000       HEALTHY FOOD DISTRIBUTION & NUTRITION EDUCATION
(40) PALM BEACH HABILITATION CENTER
4522 SOUTH CONGRESS AVENUE
LAKE WORTH,FL33461
59-6213381   25,000       FIRE SPRINKLER SYSTEM INSTALLATION FOR JB'S RANCH GROUP HOME (PALM BEACH HABILITATION CENTER)
(41) SEAGULL SERVICES
3879 BYRON DR
WEST PALM BEACH,FL33404
59-1879968   44,730       SAFETY LIGHTING UPGRADES TO SEAGULL ACHIEVEMENT CENTER PARKING LOTS
(42) SOUP KITCHEN INC THE
8645 WEST BOYNTON BEACH BLVD
BOYNTON BEACH,FL33472
59-2628415   34,822       OVERALL COOLING IMPROVEMENTS FOR THE SOUP KITCHEN
(43) SOUTH FLORIDA SCIENCE CENTER AND AQUARIUM
4801 DREHER TRAIL NORTH
WEST PALM BEACH,FL33405
59-0915177   57,500       GROW UP GREAT EARLY CHILDHOOD PLAYGROUND
(44) SPEAK UP FOR KIDS OF PALM BEACH COUNTY
PO BOX 1896
WEST PALM BEACH,FL33402
80-0345608   25,000       CHILD ADVOCATE
(45) ST VINCENT DE PAUL OF ST PETER
1701 INDIAN CREEK PKWY
JUPITER,FL33458
59-1058446   40,000       TEMPORARY EMERGENCY CASH PROGRAM
(46) THE COUNCIL ON AGING OF MARTIN COUNTY
900 SE SALERNO ROAD
STUART,FL34997
52-1007762   49,074       A FOOD SERVICE DELIVERY TRUCK FOR MEALS ON WHEELS AND SENIOR DINING CENTER PROGRAMS
(47) THE EDUCATION FOUNDATION OF PALM BEACH COUNTY INC
3300 FOREST HILL BLVDC-141
WEST PALM BEACH,FL33406
59-2420369   30,000       EDUCATION FOUNDATION FREE SCHOOL SUPPLY STORE
(48) THE EDUCATION FOUNDATION OF PALM BEACH COUNTY INC
3300 FOREST HILL BLVDC-141
WEST PALM BEACH,FL33406
59-2420369   587,063       RIVIERA BEACH LITERACY PROJECT
(49) URBAN LEAGUE OF PALM BEACH COUNTY
1700 NORTH AUSTRALIAN AVENUE
WEST PALM BEACH,FL33417
59-1533710   12,518       HIGH SCHOOL SUCCESS
(50) URBAN YOUTH IMPACT
2823 N AUSTRALIAN AVENUE
WEST PALM BEACH,FL33407
91-1901103   100,000       URBAN YOUTH IMPACT LIFE CENTER
(51) VILLAGES OF HOPE OF PALM BEACH COUNTY INC
3551 BURMA CIRCLE
LAKE PARK,FL33403
20-4591024   50,000       NEW ROOF, APARTMENT RENOVATIONS AND DECORATIONS AND CAMPUS VEHICLE
(52) VINCEREMOS THERAPEUTIC RIDING CENTER
13300 SIXTH COURT N
LOXAHATCHEE,FL33470
59-2274451   33,000       STAFF HOUSING
(53) VITAL FLIGHT INC
3080 SE CHANDELLE
JUPITER,FL33478
27-3302681   10,000       FLIGHTS OF COMPASSION
(54) CARIDAD CENTER INC
8645 W BOYNTON BEACH BLVD
BOYNTON BEACH,FL33437
65-0149423   400,000       CARIDAD EXPANSION AND RENOVATION PROJECT
(55) LORD'S PLACE INC THE
2808 NORTH AUSTRALIAN AVENUE
WEST PALM BEACH,FL33407
59-2240502   300,000       BURCKLE PLACE II (BURCKLE PLACE GRADUATE HOUSING)
(56) YOUTH RECREATION ASSOCIATION
3005 BERNARDO LANE
RIVIERA BEACH,FL33407
65-0250058   15,000       GIRLS AND BOYS BASKETBALL PROGRAM
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
55
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: GRANT PROCEDURES ARE AS FOLLOWS: 1. ONCE A GRANT IS APPROVED, A GRANT CONTRACT IS SENT TO THE AGENCY WHICH MUST BE SIGNED AND AGREED TO BY AN EXECUTIVE OF THE AGENCY. 2. WHEN THE CONTRACT IS RETURNED AND ALL CONDITIONS ARE MET, A CHECK FOR THE GRANT AMOUNT IS ISSUED. WHEN THE PROJECT IS COMPLETE, THE AGENCY SUBMITS A GRANT ACCOUNTABLITY REPORT. THIS REPORT REQUIRES THE AGENCY TO INCLUDE A NARRATIVE ON THE GRANT OUTCOMES AND AN ACCOUNTING OF EXPENSES WITH BACK-UP DOCUMENTATION. 3. ALSO, IF AN AGENCY RECEIVES A GRANT IN ONE YEAR AND A VISITING TEAM GOES BACK THE NEXT YEAR, ONE OF THE REQUIREMENTS FOR THE TEAM IS TO ENSURE THAT THE GRANT OF THE PRIOR YEAR WAS SPENT CORRECTLY.
Schedule I (Form 990) 2015



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