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
ATHENS FOUNDATION INC
 
Employer identification number
31-1040215
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) BIG BROTHERS BIG SISTERS OF ATHENS INC
PO BOX 1199
ATHENS,OH45701
31-1184053 501(C)(3) 12,970   N/A N/A RECRUITMENT CAMPAIGN, FACILITY IMPROVEMENTS
(2) HOCKING ATHENS PERRY COMMUNITY ACTION
3 CARDARAS DR PO BOX 220
GLOUSTER,OH45732
31-0718322 501(C)(3) 90,000   N/A N/A SEO REGIONAL FOOD BANK REPAIRS, STRATEGIC PLANNING
(3) LIVE HEALTHY APPALACHIA
PO BOX 930
ATHENS,OH45701
45-2724317 501(C)(3) 12,800   N/A N/A FUNDING FOR PROGRAMMING AND COOKING COACH PROGRAM
(4) OHIO UNIVERSITY
OFFICE OF THE CASHIER 101 CHUBB
HALL
ATHENS,OH45701
31-6402269 501(C)(3) 11,427   N/A N/A FUNDING FOR PROGRAMMING
(5) RURAL ACTION
PO BOX 157
TRIMBLE,OH45782
31-1124220 501(C)(3) 7,296   N/A N/A ZERO WASTE OUTREACH & YOUTH ENVIRONMENTAL STEWARDSHIP PROGRAMS
(6) STUART'S OPERA HOUSE
PO BOX 217
NELSONVILLE,OH45764
31-0913307 501(C)(3) 14,250   N/A N/A NELSONVILLE MUSIC FESTIVAL KID'S AREA & CAPITAL CAMPAIGN
(7) HABITAT FOR HUMANITY OF SOUTHEAST OHIO
525 W UNION STREET
ATHENS,OH45701
31-1286856 501(C)(3) 11,500   N/A N/A HABITAT FOR HUMANITY HOUSING BUILD
(8) HERBERT WESCOTT MEMORIAL LIBRARY
120 N MARKET ST
MCARTHUR,OH45651
GOVERNMENT AGENCY 9,635   N/A N/A LIBRARY FUNDING, WALTON FUND
(9) WELLSTON PUBLIC LIBRARY
135 EAST SECOND ST
WELLSTON,OH45692
GOVERNMENT AGENCY 9,635   N/A N/A LIBRARY FUNDING FROM WALTON FUND
(10) APPALACIAN PEACE & JUSTICE NETWORK
18 N COLLEGE STREET
ATHENS,OH45701
31-1398572 501(C)(3) 9,000   N/A N/A ATHENS ROCK CAMP FOR GIRLS AFTER SCHOOL PROGRAM
(11) ATHENS COUNTY CHILDRENS SERVICES
PO BOX 1046
ATHENS,OH45701
31-6400063 501(C)(3) 6,114   N/A N/A ATHENS COUNTY CHILDREN SERVICES SIBLING ACTIVITIES
(12) ATHENS COUNTY HISTORICAL SOCIETY & MUSEUM
24 W STATE ST
ATHENS,OH45701
31-1044073 501(C)(3) 16,360   N/A N/A PHASE 1 RAMP
(13) DAIRY BARN
PO BOX 747
ATHENS,OH45701
31-0945939 501(C)(3) 10,000   N/A N/A 1ST PLEDGE PAYMENT ON 30K
(14) FRIENDS OF DOG SHELTER
PO BOX 576
ATHENS,OH45701
45-4941712 501(C)(3) 5,000   N/A N/A OPERATION FIX THE SHELTER
(15) NELSONVILLE FOOD CUPBOARD
83 W WASHINGTON ST
NELSONVILLE,OH45764
51-0603535 501(C)(3) 17,468   N/A N/A PERSONAL CARE PROGRAM
(16) YORK TOWNSHIP FIRE DEPARTMENT
15255 ELMROCK RD
NELSONVILLE,OH45764
GOVERNMENT AGENCY 5,000   N/A N/A YORK TOWNSHIP CHRISTMAS BASKET PROGRAM
(17) MILLCREEK ELEMENTARY SOUTHERN LOCAL
10397 ST RT 155 SE
CORNING,OH43730
31-6400422 501(C)(3) 5,000   N/A N/A MILLCREEK PLAYGROUND FUND
(18) AMERICAN LEGION POST 21
6091 AYERS ROAD
ALBANY,OH45701
31-4370355 501(C)(3) 5,362   N/A N/A ATHENS STAND DOWN AND 40 ET 8, VOITURE 775
(19) ATHENS COUNTY CHILD ADVOCACY CENTER
444 W UNION ST
ATHENS,OH45701
80-0271530 501(C)(3) 10,185   N/A N/A MEDICAL PROGRAM AND EDUCATIONAL OUTREACH
(20) ATHENS PHOTOGRAPHIC PROJECT
PO BOX 916
ATHENS,OH45701
27-4932848 501(C)(3) 5,000   N/A N/A UPTOWN ART INSTALLATION
(21) BISHOPVILLE CHURCH OF CHRIST FOOD PANTRY
6555 S ST RT 78
GLOUSTER,OH45732
30-0811033 501(C)(3) 5,000   N/A N/A COMMERCIAL GENERATOR
(22) FACTORY STREET DANCE STUDIO
37 OHIO AVE
ATHENS,OH45701
31-1061827 501(C)(3) 6,000   N/A N/A NELSONVILLE NEIGHBORS OUTREACH: DANCE CLASSES; NELSONVILLE NEIGHBORS SUMMER OUTREACH PROGRAM
(23) HEALTH RECOVERY SERVICES
PO BOX 724
ATHENS,OH45701
31-0870694 501(C)(3) 5,160   N/A N/A SEEKING GROWTH; TEEN INSTITUTE YOUTH LEADERSHIP ACADEMY
(24) NELSONVILLE LIBRARY
95 W WASHINGTON ST
NELSONVILLE,OH45764
GOVERNMENT AGENCY 6,055   N/A N/A PUBLIC FOUNTAIN AND WATER EDUCATION PROJECT
(25) REUSE INDUSTRIES
PO BOX 823
ATHENS,OH45701
31-1390024 501(C)(3) 8,000   N/A N/A ATHENS MAKERSPACE START-UP
(26) UNITED SENIORS OF ATHENS
701 E STATE ST STE 101
ATHENS,OH45701
31-1007617 501(C)(3) 7,140   N/A N/A OUT OF COUNTY TRANSPORTATION PROJECT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
26
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)
(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 FOUNDATION REQUESTS EACH GRANTEE ORGANIZATION TO FILE A FINALIZED REPORT OUTLINING DETAILS OF THE PROJECT AND HOW THE GRANT FUNDS WERE SPENT.
Schedule I (Form 990) 2016



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