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.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
WYOMING HEALTH COUNCIL
 
Employer identification number
83-0292017
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) CHEYENNE-LARAMIE COUNTY HEALTH DEPT
100 CENTRAL AVE
CHEYENNE,WY82007 		83-0332023 GOV 110,160       FAMILY PLANNING SVC
(2) CASPER-NATRONA COUNTY HEALTH DEPT
475 S SPRUCE
CASPER,WY82601 		83-0287956 GOV 74,442       FAMILY PLANNING SVC
(3) FREMONT COUNTY FAMILY PLANNING
450 N 2ND RM 350
LANDER,WY82520 		83-6000107 GOV 5,037       FAMILY PLANNING SVC
(4) GILLETTE REPRODUCTIVE HEALTH
1304 W 4TH ST
GILLETTE,WY82716 		83-0319938 501C3 54,171       TX O&E, NAVIGATOR
(5) LARAMIE REPRODUCTIVE HEALTH
413 S 21ST ST
LARAMIE,WY82070 		83-0212347 501C3 118,039       TX O&E, NAVIGATOR
(6) NORTHWEST WYOMING FAMILY PLANNING
1231 RUMSEY
CODY,WY82414 		83-0303520 501C3 80,482       NAVIGATOR
(7) REPRODUCTIVE HEALTHCAREBIG HORNS
128 S THURMOND
SHERIDAN,WY82801 		83-0319930 501C3 52,451       FAMILY PLANNING SVC
(8) WASHAKIE COUNTY HEALTH DEPT
1007 ROBERTSON
WORLAND,WY82401 		83-6000129 GOV 31,831       FAMILY PLANNING SVC
(9) WESTERN WYOMING FAMILY PLANNING
333 BROADWAY ST STE 120
ROCK SPRINGS,WY82901 		83-0237580 501C3 71,207       TX O&E, NAVIGATOR
(10) TETON COUNTY FAMILY PLANNING
460 E PEARL AVE
JACKSON,WY83001 		GOV 25,181       FAMILY PLANNING
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
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
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, PAGE 1, PART I, LINE 2 THE WYOMING HEALTH COUNCIL PROVIDES OVERSIGHT OF TITLE X FAMILY PLANNING CLINICS ENSURING COMPLIANCE WITH FEDERAL REGULATIONS GOVERNING THE TITLE X PROGRAM (ATTACHED PA.B2). THIS IS ACCOMPLISHED THROUGH A VARIETY OF WRITTEN FINANCIAL, DATA AND PROGRAMMATIC REPORTS SUBMITTED TO THE WHC OFFICE ON A REGULAR BASIS. AMONG THESE REPORTS, AGENCIES SUBMIT A MONTHLY EXPENDITURE AND REVENUE REPORT. IN ADDITION, SUB-RECIPIENTS SUBMIT A PROPOSED BUDGET DESCRIBING HOW THEIR TITLE X FUNDS WILL BE USED IN THE COMING GRANT CYCLE.
Schedule I (Form 990) 2018



Additional Data


Software ID:  
Software Version: