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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.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Bellows Family Foundation
 
Employer identification number
36-3864415
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) Arie Crown Hebrew Day School
4600 Main Street
Skokie,IL60076
36-2129620 501(c)(3) 12,500       General Operating Support
(2) American Friends of Matan Inc
75 Seckelpear Road
Levittown,PA19056
13-3639482 501(c)(3) 15,000       General Operating Support
(3) Camp Moshava of Wild Rose Inc
3740 W Dempster
Skokie,IL60076
36-3874839 501(c)(3) 35,000       General Operating Support
(4) Chai Lifeline
151 W 30th Third Floor
New York,NY10001
11-2940331 501(c)(3) 40,000       General Operating Support
(5) Hebrew Theological College
7135 N Carpenter
Skokie,IL60077
36-2167095 501(c)(3) 30,000       General Operating Support
(6) Hillel Foundation of Cambridge
52 Mt Auburn St
Cambridge,MA02138
04-2620801 501(c)(3) 20,000       General Operating Support
(7) Ida Crown Jewish Academy Inc
2828 W Pratt Boulevard
Chicago,IL60645
36-2167009 501(c)(3) 52,300       General Operating Support
(8) Isralight South Florida Inc
8304 Waterline Drive 104
Boynton Beach,FL33472
65-0915662 501(c)(3) 12,000       General Operating Support
(9) Jewish Federation of Metropolitan Chicago
30 S Wells Street
Chicago,IL60606
36-2167761 501(c)(3) 30,000       General Operating Support
(10) Jewish Heritage CongregationChicago Jewish Network
2832 W Touhy Avenue
Chicago,IL60645
36-3666945 501(c)(3) 10,000       General Operating Support
(11) Kehillah Jewish Education Fund
8180 McCormick Boulevard
Skokie,IL60076
26-3948613 501(c)(3) 25,500       General Operating Support
(12) Kehillat Chovevei Tzion
PO Box 381
New York,NY11727
20-1187130 501(c)(3) 65,767       General Operating Support
(13) Kollel Torah Mitzion Inc
2828 W Pratt Boulevard
Chicago,IL60645
36-4348122 501(c)(3) 45,333       General Operating Support
(14) Manhattan Jewish Experience Synagogue
131 W 86th Street
New York,NY10024
13-4010099 501(c)(3) 18,000       General Operating Support
(15) Mishpat VeHalacha BeYisrael
132 Nassau Street
New York,NY10038
30-6074953 501(c)(3) 37,500       General Operating Support
(16) One Israel Fund LTD
1175 West Broadway Suite 10
Hewlett,NY11557
11-3195338 501(c)(3) 45,000       General Operating Support
(17) Project Extreme
335 Central Avenue
Lawrence,NY11559
36-4428246 501(c)(3) 125,000       General Operating Support
(18) SoulUMadraigos Midwest
3557 W Peterson
Chicago,IL60659
80-0251900 501(c)(3) 25,000       General Operating Support
(19) Union of Orthodox Jewish Congregations of America
3200 W Touhy
Skokie,IL60076
13-5623717 501(c)(3) 11,000       General Operating Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
19
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) 2017
Page 2

Schedule I (Form 990) 2017
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: Foundation staff performs due diligence on all organizations seeking grants from the foundation and review grant compliance annually.
Schedule I (Form 990) 2017



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