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
TIKUN OLAM FOUNDATION
 
Employer identification number
95-4871770
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) Jewish Community Foundation of LA
6505 Wilshire Blvd 12th Floor
Los Angeles,CA90048 		95-6111928 501(C)(3) 29,710       GENERAL SUPPORT
(2) Southern California Public Radio
474 South Raymond Avenue
Pasadena,CA91105 		95-4765734 501(C)(3) 87,500       GENERAL SUPPORT
(3) Interfaithfamily Com Inc
PO Box 428
Newton Upper Falls,MA02464 		04-3577816 501(C)(3) 30,000       GENERAL SUPPORT
(4) Jewish Big Brothers Big Sisters Assoc of LA
6505 Wilshire Blvd 600
Los Angeles,CA90048 		95-1691009 501(C)(3) 20,000       GENERAL SUPPORT
(5) Jewish Family Service of Los Angeles
3580 Wilshire Blvd 700
Los Angeles,CA90010 		95-1691013 501(C)(3) 45,000       GENERAL SUPPORT
(6) Jewish Fed Grt San Gabriel & Pomona Valley
114A W Lime Ave
Monrovia,CA91016 		95-4443373 501(C)(3) 30,000       GENERAL SUPPORT
(7) Westside Infant-Family Network
5721 W SLAUSON AVE 200
Culver City,CA90230 		27-4018980 501(C)(3) 208,000       GENERAL SUPPORT
(8) Zimmer Children's Museum
6505 Wilshire Blvd 4th Fl
Los Angeles,CA90048 		20-1470992 501(C)(3) 20,000       GENERAL SUPPORT
(9) UC San Diego Foundation
9500 Gilman Dr La Jolla
San Diego,CA92093 		95-2872494 501(C)(3) 50,000       GENERAL SUPPORT
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
 
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
ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS IN THE US SCHEDULE I, PART I, LINE 2 THE MAJORITY OF GRANTS ISSUED BY THE ORGANIZATION ARE FOR GENERAL OPERATIONS FOR THE PERIOD OF ONE YEAR. WHEN THE ORGANIZATION ISSUES A MULTI-YEAR GRANT FOR A SPECIFIED PURPOSE, A GRANT AGREEMENT IS PREPARED BETWEEN THE ORGANIZATION AND THE GRANTEE DETAILING BENCHMARKS THAT MUST BE ACHIEVED BY THE GRANTEE. THE AGREEMENT IS MONITORED AND THE GRANTEE MUST SHOW FULFILLMENT OF BENCHMARKS WITH A WRITTEN REPORT PRIOR TO RECEIVING THE NEXT INSTALLMENT OF THE GRANT.
Schedule I (Form 990) 2016



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