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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
Sutter County Community Action Agency
 
Employer identification number
94-3024267
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) The Salavation Army
PO Box 869
Marysville,CA95901
94-1156347 501c3 16,000       Family self-sufficiency
(2) Yuba-Sutter Legal Center
725 D Street
Marysville,CA95901
94-2431169 501c3 20,000       Senior legal
(3) Yuba Sutter Food Bank
760 Stafford Way
Yuba City,CA95991
94-2909773 501c3 20,000       Nutrition
(4) NorCal Center on Deafness
1521 Butte House Road No B
Yuba City,CA95993
94-2523562 501c3 15,000       Disabled Assistance
(5) Sutter Yuba Friday Night Live
301 Fourth Street
Marysville,CA95901
68-0285713 501c3 15,000       Youth Services
(6) Casa de Esperanza
PO Box 56
Yuba City,CA95992
94-2415741 501c3 20,719       Shelter Services
(7) Habitat for Humanity
202 D Street
Marysville,CA95901
68-0301692 501c3 20,000       Youth Build
(8) The Salvation Army Depot
PO Box 869
Marysville,CA95901
94-1156347 501c3 25,000       Family self-sufficiency
(9) Regional Housing Auth-SutterNevada
1455 Butte House Road
Yuba City,CA95993
94-6003474 Govt 10,000       Housing
(10) Hands of Hope
PO Box 88
Yuba City,CA95992
20-3192107 501c3 20,000       Emergency Services
(11) Bridges to Housing
909 Spiva Avenue
Yuba City,CA95991
83-0490654 501c3 20,000       Emergency housing assistance
(12) Habitat for Humanity
202 D Street
Marysville,CA95901
68-0301692 501c3 34,000       Family Services
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) 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
Schedule I (Form 990) 2017



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