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
2017
Open to Public
Inspection
Name of the organization
ALTRU HEALTH SYSTEM
 
Employer identification number
45-0310462
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) COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207
GRAND FORKS,ND58201 		45-0359167 501(C)(3) 50,000       2017 SUPPORT
(2) UNIVERSITY OF MINNESOTA FOUNDATION
200 OAK ST SE STE 500
MINNEAPOLIS,MN55455 		41-6042488 501(C)(3) 20,000       STUDENT SCHOLARSHIP FUND
(3) RE ARENA INC
ONE RALPH ENGLESTAD DR
GRAND FORKS,ND58203 		11-3666663 501(C)(3) 98,500       GAME DAY SPONSORSHIPS
(4) UNITED WAY GRAND FORKSEAST GRAND FORKS
1407 24TH AVE S STE 400
GRAND FORKS,ND58201 		45-0255772 501(C)(3) 10,500       CORPORATE GIFT
(5) UND FOUNDATION
3100 UNIVERSITY AVE STOP 8157
GRAND FORKS,ND58202 		45-0348296 501(C)(3) 461,784       UND ATHLETICS HIGH PERFORMANCE CENTER; ALTRU TURF FUND
(6) GREATER GRAND FORKS YOUNG PROFESSIONALS
202 NORTH 3RD ST
GRAND FORKS,ND58203 		32-0134204 501(C)(6) 5,000       GGFYP VISIONARY SPONSORSHIP
(7) GRAND FORKS PARK DISTRICT FOUNDATION
1060 47TH AVE S
GRAND FORKS,ND58201 		26-0625504 501(C)(3) 195,500       WELLNESS CENTER PROJECT; LEGENDS & HEROES PLEDGE
(8) ALTRU FAMILY YMCA
215 N 7TH ST
GRAND FORKS,ND58203 		45-0226434 501(C)(3) 52,900       YMCA PROJECT; FIRECRACKER ROAD RACE; CATALOG SPONSOR
(9) CITY OF EAST GRAND FORKS
600 DEMERS AVE NW
EAST GRAND FORKS,MN56721 		41-6005112 EAST GRAND FORKS, MN 45,000       WELLNESS PROGRAM
(10) CITY OF GRAND FORKS
255 N 4TH ST
GRAND FORKS,ND58203 		45-6002085 GRAND FORKS, ND 10,000       SOCIAL DETOX FACILITY
(11) GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION
23 N 3RD ST STE 2
GRAND FORKS,ND58203 		46-4711617 501(C)(6) 5,000       SUPPORT
(12) GRAND FORKS REGIONAL ECONOMIC DEVELOPMENT CORPORATION
120 N 4TH ST
GRAND FORKS,ND58203 		45-0410198 501(C)(6) 25,000       2017 SUPPORT
(13) NORTH DAKOTA MUSEUM OF ART
261 CENTENNIAL DR
GRAND FORKS,ND58202 		45-0386152 501(C)(3) 5,000       2017 SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
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) SCHOLARSHIPS 20 15,300      
(2) SPONSORSHIPS 1 50      
(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: UNIVERSITY OF MINNESOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UNIVERSITY OF MINNESOTA FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. COMMUNITY VIOLENCE INTERVENTION CENTER - FUNDS WERE GRANTED WITH THE DIRECTION THAT CVIC WAS ABLE TO USE FUNDS AS NEEDED. CVIC DETERMINES THE RECIPIENTS OF THE ASSISTANCE PROVIDED THROUGH THOSE FUNDS. RE ARENA, INC. - ALTRU REVIEWS THE SPONSORSHIPS WITH RE ARENA/UNIVERSITY OF NORTH DAKOTA OFFICIALS PRIOR TO THE EVENTS AND HAS REPRESENTATIVES ATTEND THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. UNITED WAY GRAND FORKS/EAST GRAND FORKS - FUNDS WERE GRANTED TO THE ANNUAL CAMPAIGN AND UNITED WAY USES THE FUNDS AS NEEDED. UND FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY UND AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. GREATER GRAND FORKS YOUNG PROFESSIONALS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS PARK DISTRICT FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS THE WELLNESS CENTER FACILITY PROJECT AND THE ICON SPORTS CENTER ICE ARENA. ALTRU FAMILY YMCA - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. CITY OF EAST GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. CITY OF GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS A SOCIAL DETOX FACILITY. GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS REGIONAL ECONOMIC DEVELOPMENT CORPORATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. NORTH DAKOTA MUSEUM OF ART - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED.
Schedule I (Form 990) 2017



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