Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
BARBARA ANN KARMANOS CANCER INSTITUTE
 
Employer identification number
38-1613280
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) KARMANOS CANCER CENTER
4100 JOHN R
DETROIT,MI48201 		20-1649466 501(C)(3) 289,643   N/A N/A GIFT OF DONOR RESTRICTED FUNDS FOR CAPITAL ASSET PURCHASES
(2) MCLAREN MEDICAL LAB
4000 S SAGINAW ST
FLINT,MI48507 		501(C)(3) 10,216   N/A N/A TO SUPPORT THE MISSION OF THE ORGANIZATION
(3) MICHIGAN JEWISH SPORTS FOUNDATION
30852 CREST FOREST
FARMINGTON HILLS,MI48331 		501(C)(3) 10,000   N/A N/A TO SUPPORT THE MISSION OF THE ORGANIZATION
(4) AMERICAN CANCER SOCIETY
18505 W 12 MILE ROAD
SOUTHFIELD,MI48076 		13-1788491 501(C)(3) 11,500   N/A N/A TO SUPPORT THE MISSION OF THE ORGANIZATION
(5) MICHIGAN ANIMAL RESCUE LEAGUE
790 FEATHERSTONE
PONTIAC,MI48346 		38-1557622 501(C)(3) 7,500   N/A N/A TO SUPPORT THE MISSION OF THE ORGANIZATION
(6) ACCESS
6450 MAPLE ST
DEARBORN,MI48126 		23-7444497 501(C)(3) 25,000   N/A N/A TO SUPPORT THE MISSION OF THE ORGANIZATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
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) 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) MEDICAL SERVICES, FINANCIAL ASSISTANCE, PRESCRIPTION AND MEDICAL SUPPLIES 679 291,104   N/A N/A
(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: GRANTEES OPERATE UNDER A ONE-YEAR CONTRACT THAT REQUIRES AT LEAST TWO PROGRESS REPORTS (MID-YEAR AND YEAR-END).
Schedule I (Form 990) 2017



Additional Data


Software ID:  
Software Version: