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
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) The Mental Health Center of Greater Manchester NH
401 Cypress St
Manchester,NH03103 		02-0258994 3 0 22,435 FMV Membership Use of Y's facilities and programs
(2) Manchester Community Health Center
1555 Elm Street
Manchester,NH03101 		02-0258994 3 0 5,314 FMV Membership Use of Y's facilities and programs
(3) Moore Center Services
195 McGregor St Unit 400
Manchester,NH03102 		02-0261136 3 0 48,121 FMV Membership Use of Y's facilities and programs
(4) Easter Seals NH Inc
555 Auburn Street
Manchester,NH03103 		02-0272825 3 0 48,728 FMV Membership Use of Y's facilities and programs
(5) Serenty Place
101 Manchester St
Manchester,NH03101 		02-0347186 3 0 14,170 FMV Membership Use of Y's facilities and programs
(6) Big BrotherBig Sister Program
4 Greenleaf Woods Dr
Portsmouth,NH03801 		02-0348477 3 0 23,554 FMV Membership Use of Y's facilities and programs
(7) Hope4NH Recovery
293 Wilson St
Manchester,NH03103 		02-0521502 3 0 6,494 FMV Membership Use of Y's facilities and programs
(8) Robinson House
47 Manchester St
Manchester,NH03101 		02-2068285 3 0 6,494 FMV Membership Use of Y's facilities and programs
(9) MHRA
198 Hanover St
Manchester,NH03104 		02-6000518 3 0 9,963 FMV Membership Use of Y's facilities and programs
(10) IPPI Twin River Associates
38 Porstmouth Ave
Stratham,NH03885 		03-0284103 3 0 7,085 FMV Membership Use of Y's facilities and programs
(11) Teen Challenge
147 Laurel St
Manchester,NH03103 		04-2401399 3 0 10,120 FMV Membership Use of Y's facilities and programs
(12) Granite Bay Connections Inc
26 Pleasant St
Concord,NH03301 		04-3365397 3 0 5,904 FMV Membership Use of Y's facilities and programs
(13) Community Strategies of NH
1490 Elm St
Manchester,NH03101 		04-3461434 3 0 11,218 FMV Membership Use of Y's facilities and programs
(14) Cross Roads
600 Lafayette Rd
Portsmouth,NH03801 		22-2549963 3 0 5,407 FMV Membership Use of Y's facilities and programs
(15) Palace Theatre
80 Hanover Street
Manchester,NH03101 		23-7356019 3 0 28,339 FMV Membership Use of Y's facilities and programs
(16) Cityreach Hope Homes
130 Conant St
Manchester,NH03102 		45-3481443 3 0 10,627 FMV Membership Use of Y's facilities and programs
(17) Seacoast Pathways
355 Spinney Rd
Portsmouth,NH03801 		46-2658558 3 0 7,690 FMV Membership Use of Y's facilities and programs
(18) Big BrotherBig Sister Program
25 Lowell Street 201
Manchester,NH03101 		51-0180586 3 0 13,027 FMV Membership Use of Y's facilities and programs
(19) West Bridge Community Services
1361 Elm Street
Manchester,NH03101 		52-2324227 3 0 18,302 FMV Membership Use of Y's facilities and programs
(20) CRJ - Hampshire House
1492 Elm Street
Manchester,NH03101 		GOV 0 23,026 FMV Membership Use of 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
20
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) FINANCIAL ASSISTANCE- HEALTHY LIVING 9659 0 538,445 FMV Use of Y's facilities and programs
(2) FINANCIAL ASSISTANCE - YTH DEVELOPMENT 2536 0 369,529 FMV Use of Y's facilities and programs
(3) FINANCIAL ASSISTANCE-SOCIAL RESPONSIBILITY 593 0 400,148 FMV Use of Y's facilities and programs
(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 organizations programs and facilities, all within the United States. Usage is measured by class attendance and / or facility access records.
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) 2016



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