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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
A CHOICE FOR LIFE INC
 
Employer identification number
61-1142823
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
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) GIFT CARDS FOR DISCOUNT STORES, GROCERY STORES & GAS STATIONS 49 3,525      
(2) RENTAL PAYMENTS ASSISTANCE 9 2,247      
(3) UTILITY PAYMENT ASSISTANCE 12 2,040      
(4) MISCELLANEOUS ASSISTANCE (CAR REPAIRS, PARKING TICKETS REC'D AT CENTER, OTHER SMALL BENEVOLENCE ITEMS) 473 3,298      
(5) CLOTHING AND HOUSEHOLD ITEMS 378   38,429 GOODWILL, YARD SALE, CONSIGNMENT PRICE ESTIMATES OR VALUE OF PURCHASED ITEMS DIAPERS, WIPES, BABY ITEMS AND CLOTHING, MATERNITY CLOTHING, TOILETRIES, BABY BEDS, OTHER INVENTORY ITEMS.
(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: A CHOICE FOR LIFE, INC., PROVIDES EMERGENCY HOUSING AND UTILITY ASSISTANCE FOR QUALIFIED CLIENTS. CLIENTS MUST APPLY FOR THE ASSISTANCE AND THE REQUEST IS REVIEWED BY A COMMITTEE OF STAFF PEOPLE AT NECOLE'S PLACE. THE BASIC CRITERIA ARE AS FOLLOWS: - CLIENTS CONSIDERING AN ABORTION OR WHO HAD AND HAVE CHANGED THEIR MIND - ESTABLISHED CLIENTS; REGULAR ATTENDANCE FOR G.E.D. OR OTHER PROGRAMS AND CLASSES AT NECOLE'S PLACE - HAVE BEEN AN AWC CLIENT FOR SEVERAL YEARS - CLIENT IS HOMELESS AND HAS THE OPPORTUNITY TO GET INTO AN APARTMENT/HOME - PREGNANT CLIENTS WHO ARE OFF WORK BECAUSE OF THEIR PREGNANCY - CLIENTS WHO HAVE LEFT ABUSIVE RELATIONSHIPS - CLIENTS WITH ONE OR MORE YOUNG CHILDREN WHOSE LIVING CONDITION PUTS THEM AT RISK/ IN HARMS WAY (E.G., INSECT INFESTATION, LACK OF HEAT OR AIR CONDITIONING IN WEATHER EXTREMES). APPROXIMATELY 9 RENTAL ASSISTANCE PAYMENTS WERE MADE IN 2017, AVERAGING APPROXIMATELY $250 PER PAYMENT. MOST OF THESE PAYMENTS WERE ON BEHALF OF INDIVIDUAL CLIENTS WITH ONE OR TWO CLIENTS RECEIVING TWO RENTAL ASSISTANCE PAYMENTS. APPROXIMATELY 12 UTILITY ASSISTANCE PAYMENTS WERE MADE IN 2017, AVERAGING $170 PER PAYMENT. PAYMENTS MADE ON BEHALF OF CLIENTS ARE PAID DIRECTLY TO THE LANDLORD OR TO THE UTILITY AGENCY SO THAT CASH IS NEVER PAID DIRECTLY TO THE CLIENT. RECORDS OF THE BENEVOLENCE APPLICATIONS ARE MAINTAINED SO THAT THE PARTY WHO BENEFITTED FROM THE ASSISTANCE CAN BE IDENTIFIED. IN ADDITION TO THE ABOVE REFERENCED FINANCIAL ASSISTANCE, A CHOICE FOR LIFE, INC., PROVIDES DISCOUNT STORE, GROCERY STORE, AND GAS STATION GIFT CARDS TO CLIENTS WITH SPECIAL EMERGENCY EXPENSE NEEDS IN INCREMENTS OF $10-$50. WE PROVIDED APPROXIMATELY $3,525 IN GIFT CARDS, TO 49 CLIENTS, AVERAGING $72 PER RECIPIENT. WE LOG RECIPIENTS WHO RECEIVE THE CARDS, HOW MANY CARDS THEY RECEIVE, AND WHAT THE GIFT CARDS WERE FOR.
Schedule I (Form 990) 2017



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