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
2016
Open to Public
Inspection
Name of the organization
Louisiana Foundation Against Sexual
Assault Inc
Employer identification number
72-1074547
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
noncash assistance
(h) Purpose of grant
or assistance
(1) ADAPT Inc
216 Memphis Street
Bogalusa,LA70427
72-1274844   23,371 0     Sexual assault center
(2) Hearts of Hope
PO Box 53967
Lafayette,LA70505
72-1312800   31,230 0     Sexual assault center
(3) Metropolitan Center For Women and Childr
PO Box 10775
Jefferson,LA70181
72-1062244   31,791 0     Sexual assault center
(4) New Orleans Family Justice Al
701 Loyola Avenue Ste 201
New Orleans,LA70113
25-2641029   25,614 0     Sexual assault center
(5) Oasis A Safe Haven for Surviv
PO Box 276
Lake Charles,LA70602
72-0859660   29,433 0     Sexual assault center
(6) Pine Hills Sexual Assault Center
PO Box 777
Ruston,LA71273
72-0868663   20,289 0     Sexual assault center
(7) Project Celebration
PO Box 53967
Lafayette,LA70505
72-1321800   32,353 0     Sexual assault center
(8) St Landry-Evangeline Sexual Assualt Cen
539 E Prudhomme Street
Opelousas,LA70570
72-1458509   24,932 0     Sexual assault center
(9) Star East Baton Rouge
233 St Ferdinand Street
Baton Rouge,LA70801
45-3088168   36,844 0     Sexual assault center
(10) The Haven
PO Box 4279
Houma,LA70361
72-1233532   28,540 0     Sexual assault center
(11) The Wellspring Counseling and Family Dev
1103 Hudson Lane Ste 1
Monroe,LA71201
72-0442226   30,095 0     Sexual assault center
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
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) 2016
Page 2

Schedule I (Form 990) 2016
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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash 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
Grantmaker's Description of How Grants are Used Subrecipients are monitored by the organization for compliance with grant conditions. Financial reports are filed monthly by the subrecipients.
Schedule I (Form 990) 2016



Additional Data


Software ID: 16000303
Software Version: 2016v3.0