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
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
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) Adler Aphasia Center
60 West Hunter Avenue
Maywood,NJ07607
02-0687863 501(C)(3) 10,000       SPONSORSHIP
(2) American Heart Association
1 Union Street Suite 301
Robbinsville,NJ086914183
13-5613797 501(C)(3) 7,500       SPONSORSHIP
(3) Arthritis Foundation NJ Chapter
555 Route 1 South Suite 220
Iselin,NJ088302000
58-1341679 501(C)(3) 22,500       SPONSORSHIP
(4) Bergen Volunteer Medical Initiative Inc
241 Moore Street 101
Hackensack,NJ07601
20-2633437 501(C)(3) 15,000       SPONSORSHIP
(5) Borough of Maywood
15 Park Ave
Maywood,NJ07607
22-6002067 501(C)(3) 5,250       SPONSORSHIP
(6) Carl Inserra Leukemia Fund
20 Ridge Road
Mahwah,NJ07430
20-4025605 501(C)(3) 10,000       SPONSORSHIP
(7) Festival of Ballooning Inc
363 Route 46 West Suite 200
Fairfield,NJ07004
22-9255546 501(C)(3) 7,500       SPONSORSHIP
(8) Gregory M Hirsch Memorial Foundation
304 Farnham Avenue
Lodi,NJ07644
20-2691459 501(C)(3) 7,500       SPONSORSHIP
(9) Hudson Riverfront Performing Arts Center
1200 Harbor Boulevard 1st Foor
Weehawken,NJ07086
27-0022918 501(C)(3) 10,000       SPONSORSHIP
(10) Korean American Association of New Jersey
21 Grand Ave 216-B 2nd Floor
Palisades Park,NJ07650
22-3782785 501(C)(3) 10,000       SPONSORSHIP
(11) Kula For Karma
19 Charlden Drive
Saddle River,NJ07458
11-3819369 501(C)(3) 10,000       SPONSORSHIP
(12) Morris Arts
14 Maple Avenue Suite 301
Morristown,NJ07960
22-2012936 501(C)(3) 10,000       SPONSORSHIP
(13) New Jersey Symphony Orchestra
60 Park Place 9th Floor
Newark,NJ07102
22-1559422 501(C)(3) 27,500       SPONSORSHIP
(14) NJ Sharing Network Foundation
691 Central Ave
New Providence,NJ07974
20-2737719 501(C)(3) 15,000       SPONSORSHIP
(15) Partners for Health Inc
54 Plymouth Street
Montclair,NJ07042
22-3122804 501(C)(3) 10,000       SPONSORSHIP
(16) Rutgers Institute for Ethical Leadership
1 Washington Park
Newark,NJ07102
22-6001086 501(C)(3) 15,000       SPONSORSHIP
(17) TABLE TO TABLE INC
PO Box 1051
Englewood Cliffs,NJ07632
47-5044176 501(C)(3) 10,000       SPONSORSHIP
(18) The National Trust for Scotland
45 School Street
Boston,MA02108
04-3511088 501(C)(3) 7,500       SPONSORSHIP
(19) Tom Coughlin Jay Fund Foundation
232 Madison Ave Suite 1107
New York,NY10016
59-3426937 501(C)(3) 10,000       SPONSORSHIP
(20) Nigerian Healthcare Foundation
453 Colfax Road
Wayne,NJ07470
22-3838624 501(C)(3) 15,000       SPONSORSHIP
(21) American Diabetes Association
1160 Route 22 East Suite 103
Bridgewater,NJ08880
54-1734511 501(C)(3) 7,500       SPONSORSHIP
(22) American Sustainable Business Council
1401 New York Ave NW Suite 1225
Washington,DC20005
45-2387029 501(C)(3) 5,500       SPONSORSHIP
(23) Edward J III Excellence in Medicine Fdn
100 Franklin Corner Road
Lawrenceville,NJ08648
20-8498347 501(C)(3) 10,000       SPONSORSHIP
(24) Hackensack Riverkeeper Inc
231 Main Street
Hackensack,NJ07601
22-3530496 501(C)(3) 10,000       SPONSORSHIP
(25) Immaculate Heart Academy
500 Van Emburgh Avenue
Washington Township,NJ07676
22-1772258 501(C)(3) 25,000       SPONSORSHIP
(26) Jewish Federation of Northern New Jersey
50 Eisenhower Drive
Paramus,NJ07652
20-1195592 501(C)(3) 12,500       SPONSORSHIP
(27) Junior Achievement of New Jersey Inc
4365 Route 1 South Suite 201
Princeton,NJ08540
22-1774147 501(C)(3) 8,000       SPONSORSHIP
(28) Main Street Business Alliance Inc
238 Main Street Suite 110
Hackensack,NJ07601
42-1614841 501(C)(3) 6,400       SPONSORSHIP
(29) New Jersey Hospital Association
PO Box 828709
Philadelphia,PA191828709
95-1903935 501(C)(3) 10,300       SPONSORSHIP
(30) New York Botanical Garden
2900 Southern Boulevard
Bronx,NY10458
13-1693134 501(C)(3) 7,500       SPONSORSHIP
(31) Newark Boys Chorus School
1016 Broad Street
Newark,NJ07102
22-1893378 501(C)(3) 25,000       SPONSORSHIP
(32) Pace University
1 Pace Plaza
New York,NY10038
13-5562314 501(C)(3) 20,000       SPONSORSHIP
(33) Palisades Medical Center Foundation
7600 River Road
North Bergen,NJ07047
22-1487278 501(C)(3) 13,000       SPONSORSHIP
(34) Professional Sports Publications
519 8th Avenue Floor 25
New York,NY10018
06-1309165 501(C)(3) 14,000       SPONSORSHIP
(35) Seton Hall University
400 South Orange Ave
South Orange,NJ07079
22-1500645 501(C)(3) 10,000       SPONSORSHIP
(36) Summit Medical Group Foundation
1 Diamond Hill Road
Berkeley Heights,NJ07922
46-3355413 501(C)(3) 15,000       SPONSORSHIP
(37) The Breast Cancer Research Foundation
60 East 56th Street 8th Floor
New York,NY10022
13-3727250 501(C)(3) 20,000       SPONSORSHIP
(38) United Hospital Fund
1411 Broadway 12th Floor
New York,NY10018
13-1562656 501(C)(3) 15,000       SPONSORSHIP
(39) Victor Cruz Foundation Inc
5 The Crossing
North Caldwell,NJ07006
35-2440982 501(C)(3) 10,000       SPONSORSHIP
(40) World Economic Forum
3 E 54th Street Floor 18
New York,NY10022
20-3908371 501(C)(6) 27,000       CONFERENCE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
39
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
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
SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2016



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