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
MINNESOTA INDEPENDENT SCHOOL FORUM
 
Employer identification number
41-1267531
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) ACADEMY OF WHOLE LEARNING
9400 CEDAR LAKE ROAD 7
ST LOUIS PARK,MN55426 		16-1671503 501(C)3 7,542       STEM GRANT
(2) MARANATHA CHRISTIAN ACADEMY
9201 75TH AVE NORTH
BROOKLYN PARK,MN55428 		41-1392954 501(C)3 5,756       STEM GRANT
(3) ST JOSEPH'S SCHOOL
1138 SEMINOLE AVE
WEST ST PAUL,MN55118 		41-0705875 501(C)3 8,998       STEM GRANT
(4) WEST LUTHERAN HIGH SCHOOL
3350 HARBOR LANE NORTH
PLYMOUTH,MN55447 		41-1336777 501(C)3 5,617       STEM GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
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) 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: SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) GRANT FUNDS ARE AWARDED TO MEMBER SCHOOLS EACH YEAR. SCHOOL HEADS SIGN AN "ACKNOWLEDGEMENT OF RECEIPT OF FUNDS/AGREEMENT TO USE FOR INTENDED PURPOSES" FORM STATING THAT THEY AGREE TO ENSURE THAT THESE FUNDS ARE EXPENDED AS DESCRIBED IN THEIR STEM GRANT APPLICATION AND BUDGET FORMS. BY SIGNING THIS FORM THEY ALSO AGREE TO PRODUCE CURRICULUM DOCUMENTATION AND SUBMIT A FINAL REPORT AT THE END OF THE SCHOOL YEAR TO SHOW HOW FUNDS WERE USED.
Schedule I (Form 990) 2016



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