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
2015
Open to Public
Inspection
Name of the organization
HOUSE OF RUTH INC
 
Employer identification number
61-1231355
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
non-cash assistance
(h) Purpose of grant
or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
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) 2015
Page 2

Schedule I (Form 990) 2015
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
non-cash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
(1) FOODS VOUCHERS, TARC TICK   443,892      
(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, PAGE 4, PART IV TARC ASISTANCE THE CLIENT IS ELIGIBLE FOR TARC ASSISTANCE OF 20 BUS TICKETS OR 10 SPECIAL NEEDS TRANSPORTATION TICKETS EVERY OTHER MONTH. EXCEPTIONS ARE BASED ON EXTENUATING OR EMERGENCY CIRCUMSTANCES, WHICH MUST BE APPROVED BY THE PROGRAM MANAGER OR EXECUTIVE DIRECTOR. CERTAIN AGENCY GRANTS ALSO HAVE BUDGETS FOR DIRECT TRANSPORTATION VOUCHER ASSISTANCE. FOOD VOUCHER ASSISTANCE FOOD VOUCHERS ARE PROVIDED TO CLIENTS BASED ON EXTENUATING OR EMERGENCY CIRCUMSTANCES. CERTAIN GRANTS ALSO HAVE BUDGETS FOR DIRECT FOOD VOUCHER ASSISTANCE. EDUCATIONAL ASSISTANCE CLIENTS ENROLLED IN SCHOOL MAY RECEIVE 100 PER SEMESTER FOR EDUCATIONAL EXPENSES. THIS ASSISTANCE MAY INCLUDE BUT IS NOT LIMITED TO TUITION, BOOKS, REQUIRED SCHOOL SUPPLIES, APPLICATION OR TESTING FEES. CLIENTS SHOULD PROVIDE CASE MANAGERS WITH PROOF OF SCHOOL ENROLLMENT AND AMOUNT OF REQUESTED EDUCATIONAL EXPENSE WITH PROPER DOCUMENTATION. THE EXECUTIVE DIRECTOR MUST APPROVE THESE REQUESTS. MEDICAL ASSISTANCE CLIENTS MAY BE APPROVED FOR 200 IN MEDICAL ASSISTANCE FOR ITEMS SUCH AS PRESCRIPTION CO-PAYS FOR NON-HIV MEDICATIONS, ENSURE, WHEELCHAIRS AND OTHER MEDICAL NEEDS. THE CLIENT IS REQUIRED TO SUBMIT WRITTEN DOCUMENTATION FOR THIS ASSISTANCE. PRESCRIPTIONS MUST BE IN WRITING. RENTAL/UTILITY ASSISTANCE DIRECT CLIENT ASSISTANCE FOR RENTAL OR UTILITY EXPENSES IS BASED ON CLIENT EMERGENCY CIRCUMSTANCES, SUCH AS THE THREAT OF UTILITY TURN-OFF OR EVICTION. EXCEPTIONS ARE MADE FOR FAMILIES WITH CHILDREN IN EXTREME WEATHER. IF THE CLIENT IS RECEIVING ASSISTANCE VIA OTHER GOVERNMENTAL HOUSING ASSISTANCE PROGRAMS, THE AGENCY IS PROHIBITED FROM PROVIDING HOUSING OR UTILITY ASSISTANCE. CERTAIN AGENCY GRANTS ALSO HAVE BUDGETS FOR DIRECT CLIENT RENT OR UTILITY ASSISTANCE. HOUSING REFERRALS AN INDIVIDUAL IS ELIGIBLE FOR HOUSING ASSISTANCE, ONCE PROOF OF MEDICAL STATUS (AIDS OR HIV POSITIVE) IS DETERMINED. GRANTS RELATED TO HOUSING ASSISTANCE HAVE OTHER CONDITIONS FOR ELIGIBILITY. FOR EXAMPLE, ELIGIBILITY FOR HOPWA IS GENERALLY LIMITED TO INDIVIDUALS SPENDING GREATER THAN 50% ON HOUSING. SOME HUD GRANTS REQUIRE CERTAIN CONDITIONS OF HOMELESSNESS. OTHER CLIENT ASSISTANCE OTHER DIRECT CLIENT ASSISTANCE, SUCH AS FUNERAL ASSISTANCE OR AUTO ASSISTANCE, IS PROVIDED BASED ON CLIENT OR FAMILY CIRCUMSTANCES. OTHER CLIENT ASSISTANCE MUST BE APPROVED BY THE PROGRAM MANAGER OR EXECUTIVE DIRECTOR.
Schedule I (Form 990) 2015



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