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
SAMARITAN'S PURSE
 
Employer identification number
58-1437002
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) BILLY GRAHAM EVANGELISTIC ASSOC
PO BOX 668129
CHARLOTTE,NC28266 		41-0692230 3 16,843       CHRISTIAN EDUCATION
(2) CALVARY TABERNACLE OF CONEY ISLAND
PO BOX 240078
BROOKLYN,NY11224 		51-0142296 3 284,000       RECONSTRUCTION
(3) CARVER HEIGHTS ELEMENTARY SCHOOL
411 BUNCHE DRIVE
GOLDSBORO,NC27530 		56-6001131 3   12,709 FMV OFFICE MTLS COMM DEV
(4) CHILDREN'S MEDICAL MINISTRY
PO BOX 3382
CROFTON,MD21114 		54-1434743 3   5,086 FMV MED/RELF MTLS MEDICAL ASSISTANCE
(5) CHRISTIAN HEALTH SERVICE CORPS
PO BOX 132
FRUITVALE,TX75127 		27-1505747 3 10,872       MEDICAL ASSISTANCE
(6) COMMUNITY HEALTH OUTREACH (ISABB)
711 WEST CAPITAL DRIVE
MILWAUKEE,WI53206 		39-1353282 3   6,049 FMV MED/RELF MTLS MEDICAL ASSISTANCE
(7) CONEY ISLAND CATHEDRAL OF DELV CHRC
2816 MERMAID AVENUE
BROOKLYN,NY11224 		11-2744627 3 37,320       RECONSTRUCTION
(8) CROSSROADS CHURCH
168 NEW DORP LANE
STATEN ISLAND,NY10306 		32-0020680 3 85,475       RECONSTRUCTION
(9) FIRST BAPTIST CHURCH OF FAR ROCKAWA
1510 REDFERN AVENUE
FAR ROCKAWAY,NY11691 		11-2535221 3 157,836       RECONSTRUCTION
(10) FIRST CHURCH OF GOD INC
1425 BEACH CHANNEL DRIVE
FAR ROCKAWAY,NY11691 		11-2973310 3 61,000       RECONSTRUCTION
(11) FOUR HOLES BAPTIST CHURCH
1622 FOUR HOLES ROAD
ORANGEBURG,SC29115 		57-0762333 3   71,115 FMV MED/RELF MTLS MEDICAL ASSISTANCE
(12) FULL GOSPEL CHURCH OF ISLAND PARK
4101 AUSTIN BLVD
ISLAND PARK,NY11558 		23-7325508 3 60,892       RECONSTRUCTION
(13) GLOBAL AID NETWORK
GAIN
660 INTERNATIONAL PARKWAY STE 100
RICHARDSON,TX75081 		95-4578963 3   76,108 FMV MED/RELF MTLS MEDICAL ASSISTANCE
(14) GREENWELL SPRINGS BAPTIST CHURCH
PO BOX 295
GREENWELL SPRINGS,LA70739 		72-0921983 3 20,000       RECONSTRUCTION
(15) HOUSE ON THE ROCK CHURCH
263 LEE AVENUE
STATEN ISLAND,NY10307 		13-3777752 3 500,000       RECONSTRUCTION
(16) INTERNATIONAL FOUNDATION
133 C STREET SE
WASHINGTON,DC20003 		53-0204614 3 50,000       CHRISTIAN ED/TRAIN
(17) INTERSERVE USA
PO BOX 418
UPPER DARBY,PA19082 		23-1644377 3 26,058       MISSIONARY ASSISTANC
(18) JEZREEL INTERNATIONAL
10 INTERSTATE AVENUE
ALBANY,NY12205 		14-1790920 3   42,000 FMV MED/RELF MTLS MEDICAL ASSISTANCE
(19) JOHN BROWN UNIVERSITY
2000 W UNIVERSITY STREET
SILAOM SPRINGS,AR72761 		71-0239576 3 22,932       EMERGENCY RELIEF
(20) LIBERTY UNIVERSITY
1971 UNIVERSITY BLVD
LYNCHBURG,VA24515 		54-0946734 3 14,890       CHRISTIAN EDUCATION
(21) MISSION AVIATION REPAIR CENTER
MARC
PO BOX 511
SOLDOTNA,AK996690511 		92-0032812 3 120,313       CHRISTIAN ED/TRAIN
(22) MISSIONARY FLIGHTS INTERNATIONAL
3170 AIRMANS DRIVE
FORT PIERCE,FL34946 		23-7199063 3 125,000       CHRISTIAN EDUCATION
(23) MOODY AVIATION
6719 E RUTTER AVE BUILDING 68
SPOKANE,WA99212 		36-2167792 3 50,000       EMER REL/MISSNY ASST
(24) NAOMI AMEZ CHURCH
2502 NEPTUNE AVENUE
BROOKLYN,NY11224 		11-2496548 3 165,000       RECONSTRUCTION
(25) NEW CHURCH INTERNATIONAL
2002 NEPTUNE AVENUE
BROOKLYN,NY11224 		47-1061015 3 51,200       RECONSTRUCTION
(26) PROVINCIAL BD OF ALASKA MORAVIAN CH
PO BOX 545
BETHEL,AK99559 		92-0110419 3 15,200       CHRISTIAN EDUCATION
(27) SALEM EVANGELICAL FREE CHURCH
634 CLOVE ROAD
STATEN ISLAND,NY10310 		13-3144776 3 181,300       RECONSTRUCTION
(28) TANALIAN BIBLE CAMP
101 CHURCH DRIVE
PORTS ALSWORTH,AK99653 		92-0138282 3 10,000       CHRISTIAN EDUCATION
(29) TANALIAN SCHOOL
1400 SCHOOL ROAD
PORT ALSWORTH,AK99653 		92-0057379 3 7,500       CHRISTIAN EDUCATION
(30) WORLD GOSPEL MISSION
PO BOX 948
MARION,IN46952 		35-0911947 3 36,000       CHRISTIAN EDUCATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
30
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) MISSIONARY ASSISTANCE 11 236,911      
(2) CHILDREN'S MINISTRY 2 1,400      
(3) OPERATION CHRISTMAS CHILD 13175   314,266 COST SHOEBOX GIFTS
(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, PAGE 1, PART I, LINE 2 GRANT RECIPIENTS ARE REQUIRED TO SUBMIT TO SAMARITAN'S PURSE AN ACKNOWLEDGEMENT OF FUNDS FORM UPON RECEIPT OF THE GRANT. THE FORM SERVES TO CONFIRM THAT THE FUNDS WERE RECEIVED AND TO REPORT HOW THE FUNDS WERE USED. THIS PROCESS IS CLOSELY MONITORED BY THE PROJECTS DEPARTMENT STAFF.
Schedule I (Form 990) 2016



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