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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
ROTARY ZONES 21 & 27 FOUNDATION
 
Employer identification number
47-4676954
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) CYPRESS-FAIRBANKS ROTARY FOUNDATION
PO BOX 2937
CYPRESS,TX77410 		27-5090424 501(C)(3) 5,000       DISASTER RELIEF
(2) DICKINSON FIRST UNITED METHODIST CHURCH
200 FM 517 RD WEST
DICKINSON,TX77539 		501(C)(3) 35,000       DISASTER RELIEF
(3) HUMBLE INTERCONTINENTAL ROTARY FOUNDATION ACCOUNT
30 WILSON RD
HUMBLE,TX77338 		76-0579934 501(C)(3) 40,678       DISASTER RELIEF
(4) FRIENDS OF THE LIBRARY KINGWOOD INC
PO BOX 5353
KINGWOOD,TX77339 		74-2073064 501(C)(3) 20,000       DISASTER RELIEF
(5) LEAGUE CITY ROTARY FOUNDATION
PO BOX 643
LEAGUE CITY,TX77574 		04-3609536 501(C)(3) 100,000       DISASTER RELIEF
(6) MI LEWIS SOCIAL SERVICE CENTER
PO BOX 1542
DICKINSON,TX77539 		74-6083306 501(C)(3) 65,000       DISASTER RELIEF
(7) MCALLEN NORTH ROTARY FUND
501 W NOLANA AVE
MCALLEN,TX78504 		27-3855943 501(C)(3) 7,967       DISASTER RELIEF
(8) MESA-OUTREACH INC
PO BOX 841075
HOUSTON,TX77284 		27-1022537 501(C)(3) 20,000       DISASTER RELIEF
(9) NEHEMIAH'S VISION
PO BOX 477
VIDOR,TX77670 		20-3705076 501(C)(3) 20,000       DISASTER RELIEF
(10) ROCKPORT ROTARY CLUB
PO BOX 66
ROCKPORT,TX78381 		74-2085698 501(C)(3) 20,000       DISASTER RELIEF
(11) ROTARY CLUB OF SPACE CENTER
PO BOX 58862
HOUSTON,TX77258 		74-6070354 501(C)(4) 6,000       DISASTER RELIEF
(12) ROTARY DISTRICT 5890
3525 PRESTON AVE
PASADENA,TX77505 		76-0569758 501(C)(3) 75,000       DISASTER RELIEF
(13) ROTARY HOUSTON SKYLINE
PO BOX 3031
HOUSTON,TX77253 		26-2774619 501(C)(4) 73,000       DISASTER RELIEF
(14) ROTARY WEST UNIVERSITY FOUNDATION
PO BOX 272727
HOUSTON,TX77277 		76-0617118 501(C)(3) 82,500       DISASTER RELIEF
(15) UNITED METHODIST COMMITTEE RELIEF
458 PONDE DE LEON AVE NE
ATLANTA,GA30308 		13-5562279 501(C)(3) 20,000       DISASTER RELIEF
(16) VIDOR ROTARY CLUB
PO BOX 10
VIDOR,TX77670 		76-0095470 501(C)(3) 85,000       DISASTER RELIEF
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
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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