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
OPEN SPACE INSTITUTE INC
 
Employer identification number
52-1053406
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) GERMANTOWN PARK COMMISSION INC
50 PALATINE PARK RD
GERMANTOWN,NY12526 		45-5337481 501(C)(3) 10,686   N/A N/A CITIZEN ACTION PROGRAM
(2) HUDSON RIVER SLOOP CLEARWATER INC
724 WOLCOTT AVENUE
BEACON,NY12508 		14-6049022 501(C)(3) 6,000   N/A N/A MCHENRY HUDSON RIVER VALLEY AWARDS
(3) HARBORLAB
53-21 VERNON BLVD
LONG ISLAND CITY,NY11101 		80-0853728 501(C)(3) 10,862   N/A N/A CITIZEN ACTION PROGRAM
(4) THE HAVEN AT SKANDA
4000 MOSLEY RD
CAZENOVIA,NY13035 		47-4777339 501(C)(3) 7,000   N/A N/A CITIZEN ACTION PROGRAM
(5) HUDSON HIGHLANDS LAND TRUST
20 NAZARETH WAY
GARRISON,NY10524 		13-3528266 501(C)(3) 6,000   N/A N/A MCHENRY HUDSON RIVER VALLEY AWARDS
(6) PRATTSVILLE ART CENTER AND RESIDENCY
14562 MAIN STREET
PRATTSVILLE,NY12468 		46-3477275 501(C)(3) 6,000   N/A N/A MCHENRY HUDSON RIVER VALLEY AWARDS
(7) RPGA STUDIO INC
43-01 22ND ST SUITE 205
LONG ISLAND CITY,NY11101 		47-2589237 501(C)(3) 20,645   N/A N/A CITIZEN ACTION PROGRAM
(8) CITIZEN CLIMATE COST PROJECT LTD
16192 COASTAL HWY
LEWES,DE19958 		47-4444404 501(C)(3) 37,600   N/A N/A CITIZEN ACTION PROGRAM
(9) ESSEX FARM INSTITUTE
PO BOX 33
ESSEX,NY12936 		47-1368012 501(C)(3) 53,853   N/A N/A CITIZEN ACTION PROGRAM
(10) STORM KING ART CENTER
1 MUSEUM ROAD
NEW WINDSOR,NY12553 		14-1457573 501(C)(3) 8,000   N/A N/A MALCOLM GORDON CHARITABLE FUND
(11) LONG ISLAND COMMUNITY AGRICULTURE NETWORK
47 FOXHURST ROAD
SOUTH HUNTINGTON,NY11746 		11-2687442 501(C)(3) 24,000   N/A N/A CITIZEN ACTION PROGRAM
(12) THE BEACON INSTITUTE
199 MAIN ST
BEACON,NY12508 		14-1883215 501(C)(3) 6,000   N/A N/A MCHENRY HUDSON RIVER VALLEY AWARDS
(13) RONDOUT VALLEY GROWERS ASSOCIATION
PO BOX 867
STONE RIDGE,NY12484 		47-2217833 501(C)(3) 70,315   N/A N/A CITIZEN ACTION PROGRAM
(14) SPROUT FARMS
421 S 5TH STREET
BROOKLYN,NY11211 		47-5051675 501(C)(3) 21,746   N/A N/A CITIZEN ACTION PROGRAM
(15) LAND TRUST ALLIANCE
112 SPRING STREET SUITE 204
SARATOGA SPRINGS,NY12866 		04-2751357 501(C)(3) 5,101   N/A N/A ORGANIZING AND HOSTING NYS LAND CONSERVATION SUMMIT
(16) CARY INSTITUTE OF ECOSYSTEM STUDIES INC
2801 SHARON TURNPIKE
MILBROOK,NY12545 		22-3232968 501(C)(3) 375   N/A N/A CITIZEN ACTION PROGRAM
(17) DUTCHESS LAND CONSERVANCY
PO BOX 138
MILBROOK,NY12545 		14-1667526 501(C)(3) 2,877   N/A N/A CITIZEN ACTION PROGRAM
(18) FABSCRAP INC
184-10 JAMAICA AVENUE 4TH FL
JAMAICA,NY11423 		81-3795981 501(C)(3) 1,500   N/A N/A CITIZEN ACTION PROGRAM
(19) FJC A FOUNDATION OF PHILANTHROPIC FUNDS
520 EIGHTH AVENUE 20TH FL
NEW YORK,NY10018 		13-3848582 501(C)(3) 1,156   N/A N/A CITIZEN ACTION PROGRAM
(20) FRIENDS OF THE SHAWANGUNKS INC
PO BOX 270
ACCORD,NY12404 		22-3332690 501(C)(3) 268   N/A N/A CITIZEN ACTION PROGRAM
(21) HOUSATONIC VALLEY ASSOCIATION
150 KENT RD S
CORNWALL BRIDGE,CT06754 		06-6049295 501(C)(3) 4,877   N/A N/A CITIZEN ACTION PROGRAM
(22) SMITHSONIAN CRAFT SHOW
1000 JEFFERSON DRIVE SW
WASHINGTON DC,DC20560 		53-0206027 501(C)(3) 1,000   N/A N/A CITIZEN ACTION PROGRAM
(23) STEWART PARK AND RESERVE INC
PO BOX 90
BLOOMING GROVE,NY10914 		501(C)(3) 1,400   N/A N/A CITIZEN ACTION PROGRAM
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
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
PART I, LINE 2: GRANTEES EXECUTE A WRITTEN AGREEMENT WHICH REQUIRES THEM TO SUBMIT WRITTEN REPORTS TO OSI FOR THE PERIOD OF THE AGREEMENT.
Schedule I (Form 990) 2016



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