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
PLYMOUTH ENDOWMENT FOUNDATION
 
Employer identification number
48-6124180
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) BREAKTHROUGH CLUB
1005 E 2ND
WICHITA,KS67214 		  1,500       PROGRAM SERVICES
(2) HABITAT FOR HUMANITY
420 E ENGLISH
WICHITA,KS67202 		  3,000       PROGRAM SERVICES
(3) MEDICAL SERVICE BUREAU
1148 S HILLSIDE
WICHITA,KS67211 		  1,500       PROGRAM SERVICES
(4) NATIONAL ASSOC CONGREGATIONAL CHURCHES
PO BOX 228
OAK CREEK,WI53154 		  9,000       PROGRAM SERVICES
(5) RAINBOWS UNITED
340 S BROADWAY
WICHITA,KS67202 		  1,500       PROGRAM SERVICES
(6) SENIOR SERVICES INC OF WICHITA
200 S WALNUT
WICHITA,KS67213 		  1,500       PROGRAM SERVICES
(7) UNITED METHODIST URBAN MISSION
228 S ELLIS
WICHITA,KS67212 		  3,000       PROGRAM SERVICES
(8) YMCA WOMEN'S CRISIS CENTER
355 N WACO
WICHITA,KS67202 		  1,500       PROGRAM SERVICES
(9) GRACE MED
1122 N TOPEKA ST
WICHITA,KS67214 		  1,500       PROGRAM SERVICES
(10) UNION RESCUE MISSION
2800 N HILLSIDE
WICHITA,KS67220 		  1,500       PROGRAM SERVICES
(11) PLYMOUTH CONGREGATIONAL CHURCH
202 N CLIFTON AVE
WICHITA,KS67208 		  78,193       PROGRAM SERVICES
(12) ROTARY CLUB OF WICHITA
106 W DOUGLAS SUITE 909
WICHITA,KS67202 		  572       PROGRAM SERVICES
(13) PIEDMONT COLLEGE
165 CENTRAL AVENUE
DEMOREST,GA30535 		  1,500       PROGRAM SERVICES
(14) PAN AMERICAN INSTITUTE
MAR HUDSON 5204
TIJUANA,TX78574 		  1,500       PROGRAM SERVICES
(15) EMBER HOPE
4505 E 47TH ST
WICHITA,KS67210 		  1,500       PROGRAM SERVICES
(16) HEART SPRING
8700 E 29TH ST N
WICHITA,KS67226 		  1,500       PROGRAM SERVICES
(17) INTERFAITH MINISTRIES
829 N MAIN ST
WICHITA,KS67214 		  3,000       PROGRAM SERVICES
(18) ASSISTANCE LEAGUE OF WICHITA
2611 DOUGLAS AVE
WICHITA,KS67211 		  1,500       PROGRAM SERVICES
(19) THE KANSAS SOCIETY FOR CHILDREN WITH CHALLENGES
100 N MAIN ST SUITE 1002
WICHITA,KS67202 		  3,000       PROGRAM SERVICES
(20) NUMANA
405 SW BOYER RD
EL DORADO,KS67042 		  3,000       PROGRAM SERVICES
(21) PANDO INITATIVE
412 SOUTH MAIN SUITE 212
WICHITA,KS67202 		  3,000       PROGRAM SERVICES
(22) WICHITA CHILDREN'S HOME
7271 E 37TH ST N
WICHITA,KS67226 		  1,000       PROGRAM SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
22
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) SCHOLARSHIPS 9 14,000      
(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: THE MISSION BOARD APPROVES AN ALLOTMENT OF GRANT MONEY TO BE DISTRIBUTED IN THE CURRENT YEAR. APPLICATIONS ARE RECEIVED THROUGHOUT THE YEAR AND GOVERNORS APPROVE THE GRANTS.
Schedule I (Form 990) 2016



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