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
SOUTHWEST MISSISSIPPI PLANNING AND
 
Employer identification number
64-0579795
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) COPIAH LINCOLN COMMUNTIY COLLEGE
P O BOX 649
Wesson,MS39191 		64-6000293   19,434   INVOICE NOT TO EXCEED BUDGET   AGING SERVICES
(2) FIVE COUNTY PUBLIC TRANSIT
P O BOX 1995
Prentiss,MS39474 		64-0513252   54,845   INVOICE NOT TO EXCEED BUDGET   AGING SERVICES
(3) CLAIBORNE COUNTY HUMAN RESOURCES
P O BOX 719
Port Gibson,MS39150 		64-0885593   14,402   INVOICE NOT TO EXCEED BUDGET   AGING SERVICES
(4) CITY OF NATCHEZ
800 WASHINGTON STREET
Natchez,MS39120 		64-6000864   72,733   INVOICE NOT TO EXCEED BUDGET   AGING SERVICES
(5) CONRAD MORD ATTORNEY AT LAW
P O DRAWER 311
Tylertown,MS39667 		58-7484528   9,000   INVOICE NOT TO EXCEED BUDGET   AGING SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
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
Monitoring procedures (Part I, line 2) SUBCONTRACTORS ARE MONITORED ON AN ANNUAL BASIS
Schedule I (Form 990) 2015



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