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
UNITED WAY OF NEBRASKA CITY INC
 
Employer identification number
23-7155162
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) BOY SCOUTS
PO BOX 269
600 S 120TH ST
WATSON,NE68461
47-0432299   8,089       GENERAL DONATION
(2) GIRL SCOUTS SPIRIT OF NEBRASKA
2121 S 44TH ST
OMAHA,NE68105
47-0432299   13,500       GENERAL DONATION
(3) MINISTERIAL ASSOCIATION
1014 CENTRAL AVE
NEBRASKA CITY,NE68410
47-0705116   13,000       GENERAL DONATION
(4) NEBRASKA CITY FIRE & RESCUE
1409 CENTRAL AVE
NEBRASKA CITY,NE68410
47-6006287   12,000       GENERAL DONATION
(5) ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVE
NEBRASKA CITY,NE68410
47-0443636   8,650       GENERAL DONATION
(6) OTOE COUNTY CASA
917 WILDWOOD LANE
NEBRASKA CITY,NE68410
  6,000       GENERAL DONATION
(7) PARTNERS FOR OTOE COUNTY
6142 HWY 75
NEBRASKA CITY,NE68410
36-3925562   7,500       GENERAL DONATION
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) 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
Schedule I (Form 990) 2016



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