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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
HEAD OF THE LAKES UNITED WAY
 
Employer identification number
41-0857077
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) AMERICAN INDIAN COMMUNITY HOUSING ORGANIZATION
202 WEST SECOND STREET
DULUTH,MN55802 		41-1782394 501(C)(3) 10,962       GIMAAJII HEALTHY FAMILIES INITIATIVE
(2) AMERICAN RED CROSS-NORTHERN MINNESOTA CHAPTER
2524 MAPLE GROVE ROAD
DULUTH,MN55811 		41-0711602 501(C)(3) 12,506       DISASTER/EMERGENCY SERVICES, DESIGNATIONS
(3) ARC NORTHLAND
424 WEST SUPERIOR STREET SUITE 500
DULUTH,MN55802 		41-6042720 501(C)(3) 9,908       FASD INTERVENTION, FAMILY/CHILD MENTAL HEALTH
(4) BOYS AND GIRLS CLUB OF THE NORTHLAND
102 SOUTH 29TH AVE W SUITE 200
DULUTH,MN55816 		41-0969947 501(C)(3) 68,481       EDUCATION/AT-RISK YOUTH, DESIGNATIONS
(5) CATHOLIC CHARITIES BUREAU INC
1416 CUMMING AVENUE
SUPERIOR,WI54880 		39-0940744 501(C)(3) 6,518       FOSTER GRANDPARENTS, RSVPBOOKWORMS PROJECT, DESIGNATIONS
(6) CENTER AGAINST SEXUAL & DOMESTIC ABUSE INC
318 21ST AVENUE EAST
SUPERIOR,WI54880 		39-1478768 501(C)(3) 24,397       EMERGENCY SHELTER (HOMELESSNESS), DESIGNATIONS
(7) CENTER CITY HOUSING CORP
105 WEST FIRST STREET
DULUTH,MN55802 		36-3485584 501(C)(3) 25,968       EARLY CHILDHOOD, TRANSITIONAL HOUSING
(8) CHILDREN'S DENTAL SERVICES
636 BROADWAY STREET NE
MINNEAPOLIS,MN55413 		41-0857929 501(C)(3) 8,808       SMILES PROGRAM, DESIGNATIONS
(9) CHURCHES UNITED IN MINISTRY
102 WEST SECOND STREET
DULUTH,MN55802 		41-1227969 501(C)(3) 49,885       DROP-IN CENTER, EMERGENCY SHELTER, HEALTH AND WELLNESS CLINIC, DESIGNATIONS
(10) COMMUNITY ACTION DULUTH
2424 WEST 5TH ST SUITE 201
DULUTH,MN55806 		41-1410670 501(C)(3) 38,308       FAIM-ASSET DEVELOPMENT, JUMP START, TAX PREPARATION, DESIGNATIONS
(11) COMMUNITY PARTNERS
PO BOX 327
TWO HARBORS,MN55816 		41-1963127 501(C)(3) 8,457       VOLUNTEER SERVICES PROGRAM, SOCIALLY ACTIVE SENIORS, DESIGNATIONS
(12) COURAGE KENNY FOUNDATION
424 WEST SUPERIOR STREET SUITE 201
DULUTH,MN55802 		41-1952989 501(C)(3) 8,581       COURAGE CENTER DULUTH, DESIGNATIONS
(13) DAMIANO OF DULUTH INC
206 WEST FOURTH STREET
DULUTH,MN55806 		41-1453521 501(C)(3) 59,479       SOUP KITCHEN, KIDS CAF, CLOTHING EXCHANGE PROGRAMS, DESIGNATIONS
(14) DOUGLAS COUNTY 4-H CLUBS INC
1313 BELKNAP STREET ROOM 107
SUPERIOR,WI54880 		20-5429254 501(C)(3) 5,675       AT-RISK YOUTH, DESIGNATIONS
(15) DULUTH AREA YMCA
302 WEST FIRST STREET
DULUTH,MN55802 		41-0693931 501(C)(3) 34,949       OST PROGRAM AT TITLE 1 SCHOOLS, MENTOR DULUTH, MENTOR SUPERIOR-DOUGLAS COUNTY, DESIGNATIONS
(16) DULUTH COMMUNITY SCHOOL COLLABORATIVE
1027 NORTH 8TH AVENUE EAST
DULUTH,MN55806 		41-2002724 501(C)(3) 30,722       ACADEMIC AND CULTURAL ENRICHMENT, DESIGNATIONS
(17) FAITH UNITED METHODIST CHURCH DBA HARBOR HOUSE CRISIS SHELTERS
1531 HUGHITT AVENUE
SUPERIOR,WI54880 		39-1840533 501(C)(3) 22,963       HOMELESS STABILIZATON PROJECT, CHILDREN'S LIFE SKILLS ENHANCEMENT, DESIGNATIONS
(18) GIRL SCOUTS OF MN AND WI LAKES AND PINES COUNCIL
424 WEST SUPERIOR STREET SUITE G-3
DULUTH,MN55802 		41-0739103 501(C)(3) 17,265       AT-RISK OUTREACH, DESIGNATIONS
(19) GOODWILL INDUSTRIES VOCATIONAL ENTERPRISES INC
700 GARFIELD AVENUE
DULUTH,MN55802 		41-0919602 501(C)(3) 8,242       COMMUNITY EMPLOYMENT, DESIGNATIONS
(20) HUMAN DEVELOPMENT CENTER
1401 EAST FIRST STREET
DULUTH,MN55805 		41-0777937 501(C)(3) 42,841       FAMILY & INDIVIDUAL COUNSELING, DESIGNATIONS
(21) JUST KIDS DENTAL
PO BOX 146
TWO HARBORS,MN54616 		27-2311353 501(C)(3) 16,707       PREVENTIVE DENTAL CARE, DESIGNATIONS
(22) LAKE SUPERIOR COMMUNITY HEALTH CENTER
4825 GRAND AVENUE
DULUTH,MN55807 		23-7167576 501(C)(3) 58,218       HEALTH CARE ACCESS, DESIGNATIONS
(23) LAKE SUPERIOR COMMUNITY HEALTH CENTER
424 WEST SUPERIOR ST SUITE 302
DULUTH,MN55802 		41-0958386 501(C)(3) 54,349       DULUTH LEGAL SERVICES, EXPUNGEMENT PROJECT, DESIGNATIONS
(24) LIFE HOUSE
102 WEST FIRST STREET
DULUTH,MN55802 		41-1704840 501(C)(3) 98,636       KIDS TO ADULTS KATS, BASIC NEEDS, FUTURES EDUCATION PROGRAM, FUTURES EMPLOYMENT PROGRAM, DESIGNATIONS
(25) LUTHERAN SOCIAL SERVICE OF MINNESOTA
424 WEST SUPERIOR ST SUITE 600
DULUTH,MN55802 		41-0872993 501(C)(3) 38,521       CONSUMER CREDIT COUNSELING, TOGETHER FOR YOUTH, TRUANCY ACTION PROJECT, FORECLOSURE PREVENTION, BETHANY CRISIS NURSERY, DESIGNATIONS
(26) MEN AS PEACEMAKERS
205 WEST SECOND STREET 15
DULUTH,MN55802 		41-1841689 501(C)(3) 28,601       BOYS RESTORATIVE PROGRAM, GIRLS RESTORATIVE PROGRAM, DESIGNATIONS
(27) MENTOR NORTH INC
206 WEST FOURTH STREET
DULUTH,MN55806 		82-5321850 501(C)(3) 6,250       MENTOR SUPERIOR-DOUGLAS COUNTY
(28) NORTH SHORE AREA PARTNERS
99 EDISON BOULEVARD ROOM 20
SILVER BAY,MN55614 		20-1156990 501(C)(3) 5,461       VOLUNTEER SERVICES PROGRAM
(29) NORTHWOODS WOMEN INC DBA NEW DAY SHELTER
PO BOX 88
ASHLAND,WI54806 		39-1364912 501(C)(3) 4,324       BASIC SERVICES PROGRAM, DESIGNATIONS
(30) POSITIVE ENERGY OUTDOORS
4757 DATKA ROAD
DULUTH,MN55803 		36-4560104 501(C)(3) 10,699       LOW INCOME YOUTH OUTREACH, DESIGNATIONS
(31) SAFE HAVEN SHELTER AND RESOURCE CENTER
PO BOX 3558
DULUTH,MN55803 		41-1317462 501(C)(3) 36,479       LEGAL ADVOCAY, DESIGNATIONS
(32) SALVATION ARMY - GREATER DULUTH
PO BOX 16052
DULUTH,MN55806 		41-0698597 501(C)(3) 55,185       FOOD SERVICES, EMERGENCY SERVICES, FAMILY TRANSITIONAL HOUSING, DESIGNATIONS
(33) SALVATION ARMY - SUPERIOR
PO BOX 485
SUPERIOR,WI54880 		36-2167910 501(C)(3) 5,652       DESIGNATIONS
(34) SCHOOL DISTRICT OF SUPERIOR
3025 TOWER AVENUE
SUEPRIOR,WI54880 		39-6004736 GOVERNMENTAL 20,937       AT-RISK YOUTH AFTER SCHOOL PROGRAM SCHOLARSHIPS, DESIGNATIONS
(35) SECOND HARVEST NORTHERN LAKES FOOD BANK
4503 AIRPARK BOULEVARD
DULUTH,MN55811 		36-3479964 501(C)(3) 21,792       FOOD DISTRIBUTION SERVICES, DESIGNATIONS
(36) SOAR CAREER SOLUTIONS
206 WEST 2ND STREET SUITE 101
DULUTH,MN55802 		41-1449179 501(C)(3) 41,127       SUBSIDIZED EMPLOYMENT SERVICES, RE-ENTRY SERVICES, DESIGNATIONS
(37) SUPERIOR DOUGLAS COUNTY FAMILY YMCA
9 NORTH 21ST STREET
SUPERIOR,WI54880 		39-0813468 501(C)(3) 5,536       YMCA MEMBERSHIP SCHOLARSHIPS, DESIGNATIONS
(38) SUPERIOR VOCATION CENTER INC
2320 HILL AVENUE
SUPERIOR,WI54880 		39-1077898 501(C)(3) 13,840       REPRESENTATIVE PAYEE PROGRAM, DESIGNATIONS
(39) THE BRICK MINISTRIES INC
420 ELLIS AVENUE SOUTH
ASHLAND,WI54806 		61-1536545 501(C)(3) 13,184       BASIC SERVICES PROGRAM, DESIGNATIONS
(40) THE HILLS YOUTH AND FAMILY SERVICES
4321 ALLENDALE AVENUE
DULUTH,MN55806 		41-0693848 501(C)(3) 56,131       NEIGHBORHOOD YOUTH SERVICES, CAMBIA HILLS, DESIGNATIONS
(41) TWO HARBORS AREA FOOD SHELF
PO BOX 601
TWO HARBORS,MN55616 		47-1321541 501(C)(3) 5,483       FOOD SHELF PROGRAM, DESIGNATIONS
(42) VOLUNTEER ATTORNEY PROGRAM
314 W SUPERIOR STREET SUITE 1000
DULUTH,MN55802 		41-1443184 501(C)(3) 7,801       VOLUNTEER ATTORNEY SERVICES, DESIGNATIONS
(43) WELCH CENTER INC DBA VALLEY YOUTH CENTER
720 NORTH CENTRAL AVENUE W
DULUTH,MN55807 		36-3488171 501(C)(3) 130,222       YOUTH DEVELOPMENT AND SUPPORTIVE SERVICES, MENTOR DULUTH, MENTOR SUPERIOR-DOUGLAS COUNTY, DESIGNATIONS
(44) YWCA OF DULUTH
32 EAST FIRST STREET SUITE 202
DULUTH,MN55802 		41-0696493 501(C)(3) 48,740       GIRLS & YOUTH PROGRAMS, EARLY CHILDHHOD CENTER, DESIGNATIONS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
44
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)
(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: UNITED WAY HAS SEVERAL METHODS IN PLACE TO ENSURE THAT ALLOCATED FUNDS ARE USED FOR INTENDED PURPOSES. THESE INCLUDE: A) ANNUAL REPORTING FROM EACH AGENCY PROGRAM DEMONSTRATING HOW FUNDS ARE UTILIZED AND WHAT IS BEING ACCOMPLISHED; B) SITE VISIT CONDUCTED BY BOARD AND STAFF MEMBERS IN YEAR TWO OF THE TWO-YEAR FUNDING CYCLE TO ENSURE ONGOING FINANCIAL STEWARDSHIP; C) PANEL REVIEW EVERY TWO YEARS WITH BOTH A WRITTEN APPLICATION AND A PRESENTATION OR INTERVIEW. VOLUNTEER REVIEWERS CONDUCT AN IN-DEPTH PROCESS BY REVIEWING GRANT APPLICATIONS AND PARTICIPATING IN PRESENTATIONS AND INTERVIEWS THAT MONITOR ACTIVITY OF THE FUNDED AGENCY PROGRAMS AND HOW UNITED WAY FUNDS SUPPORT THOSE ACTIVITIES. IN ADDITION, AS PART OF THE APPLICATION, THE AGENCY MUST DESCRIBE WHY FUNDS ARE NEEDED, WHAT THEY WILL BE USED FOR, AND WHAT WILL BE ACHIEVED THROUGH INTENTIONAL, OUTCOME-BASED METRICS; D) QUARTERLY AGENCY LEADERSHIP EVENTS (MEETINGS, TRAININGS, AND NETWORKING ACTIVITIES) PROVIDE AN OPPORTUNITY FOR UNITED WAY STAFF TO CONNECT WITH AGENCY LEADERS TO DICUSS A VARIETY OF TOPICS INCLUDING HIGHLIGHTS OR CHALLENGES THAT MAY BE AFFECTING THEIR PROGRAMS AND OUR COMMUNITY.
Schedule I (Form 990) 2017



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