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
TUFTS HEALTH PLAN FOUNDATION INC
 
Employer identification number
26-1374263
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) OPERATION ABLE OF GREATER BOSTON INC
131 TREMONT ST
BOSTON,MA02111
04-2761871 501(C)(3) 52,300       ABLE Employer Outreach and Education
(2) WHITTIER STREET HLTH CENTER Committee Inc
1125 Tremont St
Roxbury,MA02120
04-2619517 501(C)(3) 53,474       Mind/Body Wllness Intervention for Seniors
(3) UNIVERSITY OF MASSACHUSETTS FOUNDATION
225 FRANKLIN ST 12
BOSTON,MA02110
04-6013152 501(C)(3) 125,275       Age-Friendly Boston Initiative: Phase I
(4) ALZHEIMER'S DISEASE & rltd DSRDRS ASSO
480 Pleasant St
Watertown,MA02472
04-2731194 501(C)(3) 298,194       Greater Boston Outreach and Engagement
(5) BERKSHIRES TOMORROW INC
1 Fenn St 2nd Fl
PITTSFIELD,MA01201
03-0572303 501(C)(3) 93,000       Berkshire County Age-Friendly Vision 2020
(6) COASTLINE ELDERLY SERVICES INC
1646 PURCHASE ST
NEW BEDFORD,MA02740
04-2622121 501(C)(3) 75,500       Nutrition: The Key to Healthy Aging
(7) frnds OF JWSH COMM HSNG FOR THE ELDRLY
30 WALLINGFORD RD
BRIGHTON,MA02135
04-2607197 501(C)(3) 75,000       Housing for All Seniors Policy Project
(8) FRIENDS OF THE YARMOUTH CNCIL ON AGING
528 Forest Rd
West Yarmouth,MA02673
04-3330127 501(C)(3) 86,000       Yarmouth Age-Friendly Community
(9) HEALTH CARE FOR ALL
30 WINTER ST 1010
BOSTON,MA02108
04-3071598 501(C)(3) 10,000       Workplace giving
(10) JEWISH FAMILY SERVICE OF METROWEST
475 FRANKLIN ST
FRAMINGHAM,MA01702
04-2730898 501(C)(3) 51,000       Ready for Success: A Mid-Late Career Re-entry Program
(11) MARTHA'S VINEYARD DONORS COLLABORATIVE
25 Osprey Lane
Chilmark,MA02535
90-0066486 501(C)(3) 52,344       Aging Friendly Island Planning & Implementation
(12) RHODE ISLAND PARENT INFO NETWORK INC
1210 PONTIAC AVE
CRANSTON,RI02920
05-0457336 501(C)(3) 100,000       Building Systems to Empower Older Adults Through Evidenced-Based Self-Management Programs
(13) Springfield PARTNERS FOR COMM ACTION
721 STATE ST 2nd Fl
SPRINGFIELD,MA01109
04-2374279 501(C)(3) 48,335       Go Fresh: Improving Food Systems to Increase Fruit and Vegetable Consumption among Older Adults
(14) THE LATINO HLTH INSURANCE PROGRAM INC
12 IRVING ST
FRAMINGHAM,MA01702
30-0614874 501(C)(3) 51,000       "Mi vida, Mi salud": supporting Latino families with diabetes
(15) YWCA OF GREATER LAWRENCE
38 LAWRENCE ST
LAWRENCE,MA01840
04-2130847 501(C)(3) 45,000       Lawrence Latino Chronic Disease Self Management Initiative
(16) ELDER SVCS OF THE MERRIMACK VALLEY INC
360 Merrimack St B5
Lawrence,MA01843
04-2545136 501(C)(3) 311,285       Healthy Living Center of Excellence: Improving the Health of Communities through Collaborative Services and Programs
(17) CITIZENS' HOUSING AND PLANNING ASSO
18 TREMONT ST
BOSTON,MA02108
04-6138418 501(C)(3) 101,250       On Solid Ground Coalition
(18) GRANTMAKERS IN AGING INC
2001 JFFRSN DAVIS Hwy
ARLINGTON,VA22202
13-4014982 501(C)(3) 63,050       Building the Age-Friendly Movement in Massachusetts, New Hampshire and Rhode Island: Developing Learning Circles and Key Strategic Resources
(19) HEALTH RESOURCES IN ACTION
95 Berkeley St
Boston,MA02116
04-2229839 501(C)(3) 145,232       Building Massachusetts' Statewide Capacity to Effectively Conduct Health Impact Assessments and Community Health Improvement Initiatives
(20) HOME CARE AIDE FOUNDATION
124 Watertown St 2E
Watertown,MA02472
46-4379388 501(C)(3) 90,223       Setting the Agenda: Data driven advocacy to address home care aide policy
(21) MASSACHUSETTS LAW REFORM INSTITUTE
99 CHAUNCY ST 5TH FL
BOSTON,MA02111
04-6004303 501(C)(3) 50,000       Elder Food Security Project
(22) MASSACHUSETTS SENIOR ACTION COUNCIL
565 WARREN ST
BOSTON,MA02121
04-2760902 501(C)(3) 75,000       Seniors Power Up! Developing Leaders for Civic Engagement!
(23) RHODE ISLAND COLLEGE FOUNDATION
600 MOUNT PLEASANT AVE
PROVIDENCE,RI02908
05-6049721 501(C)(3) 129,000       BUILDING AN AGE-FRIENDLY RHODE ISLAND
(24) THE SR AGENDA COALITION OF RHODE ISLAND
70 Bath St
Providence,RI02908
74-3261256 501(C)(3) 50,000       Senior Voices for Aging in Community
(25) WALKBOSTON
45 SCHOOL ST
BOSTON,MA02108
22-3061699 501(C)(3) 50,000       Safe Routes for Boston Seniors
(26) Gr BOSTON INTERFAITH ORG SPNSRG CMMTE
594 COLUMBIA RD 203
DORCHESTER,MA02125
04-3355553 501(C)(3) 25,000       Increasing Civic Engagement for a Healthier Greater Boston
(27) MASSACHUSETTS PUBLIC HEALTH ASSN
434 JAMAICAWAY
JAMAICA PLAIN,MA02130
04-2326503 501(C)(3) 67,500       Advancing Health Equity and Age-friendly Communities
(28) American Heart Assoc Massachusetts Chapter
300 5th Ave
Waltham,MA02451
13-5613797 501(C)(3) 6,025       Workplace giving
(29) BRIDGES TOGETHER INC
47 WAYSIDE INN RD
SUDBURY,MA01776
45-5163085 501(C)(3) 46,644       Building Intergenerational Bridges in 45 Communities
(30) BROCKTON NEIGHBORHOOD HEALTH CENTER
63 MAIN ST 5TH FL
BROCKTON,MA02301
04-3165044 501(C)(3) 100,903       Bringing Health Home
(31) COMMUNITY WORKS INC
14 Beacon Street suite 719
Boston,MA02108
04-2762623 501(C)(3) 20,994       Workplace giving
(32) CRISTO REY BOSTON HIGH SCHOOL
100 Savin Hill Ave
Dorchester,MA02125
56-2438544 501(C)(3) 59,500       Workplace giving
(33) DANA-FARBER CANCER INSTITUTE INC
450 Brookline Avenue
Boston,MA02115
04-2263040 501(C)(3) 5,051       Workplace giving
(34) DIMOCK COMMUNITY FOUNDATION INC
55 DIMOCK ST
ROXBURY,MA02119
04-3487827 501(C)(3) 8,820       Workplace giving
(35) DUDLEY STREET NEIGHBORHOOD INITIATIVE INC
504 Dudley Street
Roxbury,MA02119
04-2859066 501(C)(3) 50,000       Development without Displacement
(36) GREATER BOSTON LEGAL SERVICES INC
197 Friend St
Boston,MA02114
04-2103907 501(C)(3) 75,000       Elder Abuse Prevention Project (EAPP) of Greater Boston Legal Services
(37) HEALTHY WALTHAM
510 Moody St
Waltham,MA02453
46-1174988 501(C)(3) 62,720       Waltham Connections for Healthier Aging
(38) HEARTH INC
1640 Washington St
boston,MA02118
04-3206820 501(C)(3) 5,766       Workplace giving
(39) JEWISH FAMILY & CHILDREN'S SERVICE
1430 Main St
Waltham,MA02451
04-2104356 501(C)(3) 111,192       Dementia Friendly Massachusetts Initiative
(40) MA ASSOC OF HC PRGMS AREA AGCY OF AGING inc
330 Mntgue City Rd 1
Tnrs Flls,MA01376
04-2799672 501(C)(3) 75,000       The RIGHT Program: Rapid Integration for Food Health Transitions
(41) MASSACHUSETTS AUDUBON SOCIETY INC
208 South Great Road
Lincoln,MA01773
04-2104702 501(C)(3) 5,356       Workplace giving
(42) METROPOLITAN BOSTON HOUSING PARTNERSHIP INC
125 Lincoln St 5th Fl
Boston,MA02111
04-2775991 501(C)(3) 70,100       Building Effective Hoarding Response for Boston and Cambridge Elders
(43) SAINT ELIZABETH HOME EAST GREENWICH
One Snt Elizabeth Wy
E Grnwch,RI02818
05-0258998 501(C)(3) 80,000       The WellCare Program
(44) SUSTAINABLE SNHPC FOUNDATION
438 DUBUQUE ST
MANCHESTER,NH03102
80-0449214 501(C)(3) 45,000       Becoming an Age-Friendly (AF) Community A Step-By-Step Analysis and Guide for SNHPC Communities
(45) TRANSITION HOUSE INC
PO Box 392016
Cambridge,MA02139
04-2631789 501(C)(3) 50,000       Community Solutions to Domestic Violence: Focus on Elders
(46) UNITED WAY OF MASSACHUSETTS BAY & MERRIMACK VALLEY
51 Sleeper Street
Boston,MA02210
04-2382233 501(C)(3) 80,169       Workplace giving
(47) YWCA BOSTON INC
140 Clarendon St 403
Boston,MA02116
04-2103548 501(C)(3) 5,100       Workplace giving
(48) Community Health Charities
1199 N Fairfax St 600
Alexandria,VA22314
13-6167225 501(C)(3) 19,160       Workplace giving
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
48
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
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
Form 990, Schedule I Desc of Organization's Procedures for Monitoring the Use of Grants COMMUNITY INVESTORS (GRANTMAKERS) BEGIN DUE DILIGENCE BY REQUIRING A LETTER OF INTENT FROM THE REQUESTING COMMUNITY BASED ORGANIZATION (CBO). THE CBO MUST ALSO UNDERGO A FINANCIAL REVIEW AND BE A 501(C)(3). THIS STATUS IS REVIEWED BY A THIRD PARTY VENDOR AND VERIFIED BY FOUNDATION STAFF. FOR ALL GRANTS AWARDED, THE FOUNDATION REQUIRES SITE VISITS TO THE PROGRAMS BY STAFF, AN INTERIM PROGRESS REPORT WITH FOLLOW-UP AS NEEDED AND ONE POST-GRANT FINAL REPORT. FOR MULT-YEAR GRANTS, REPORTING IS REQUIRED AT 10 MONTHS BEFORE FUNDS FOR SUBSEQUENT YEARS ARE RELEASED.
Schedule I (Form 990) 2016



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