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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.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ACTION FOR HEALTHY KIDS
 
Employer identification number
47-0902020
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) BUNCOMBE CO SCHOOL DISTRICT
175 BINGHAM ROAD
ASHEVILLE,NC28806
56-6000994 115 10,000       SCHOOL GRANT
(2) CHICAGO PUBLIC SCHOOLS
125 S CLARK ST
CHICAGO,IL60603
36-6005821 115 36,000       SCHOOL GRANT
(3) COUNCIL BLUFFS CMTY SCH DIST
300 WEST BROADWAY SUITE 1600
COUNCIL BLUFFS,IA51503
42-6001281 115 6,500       SCHOOL GRANT
(4) DAVIESS CO PUBLIC SCH DIST
1622 SOUTHEASTERN PARKWAY
OWENSBORO,KY42303
61-6001338 115 16,000       SCHOOL GRANT
(5) DES MOINES PUBLIC SCHOOL DIST
1225 2ND AVE
DES MOINES,IA50314
42-6001433 115 14,000       SCHOOL GRANT
(6) FULTON CO SCHOOL DISTRICT
6201 POWERS FERRY ROAD NW
ATLANTA,GA30339
58-6000246 115 6,000       SCHOOL GRANT
(7) GOLETA UNION SCHOOL DISTRICT
401 N FAIRVIEW AVE
GOLETA,CA93117
77-0068725 115 12,000       SCHOOL GRANT
(8) GORDON CO SCHOOL ISTRICT
590 BELWOOD RD SE
CALHOUN,GA30701
58-6000250 115 20,000       SCHOOL GRANT
(9) GREATER EGG HARBOR REGIONAL HIGH SCHOOL DISTRICT
1824 DR DENNIS FOREMAN DR
MAYS LANDING,NJ08330
21-6007349 115 6,000       SCHOOL GRANT
(10) HAYWOOD COUNTY SCHOOLS
1230 N MAIN ST
WAYNESVILLE,NC28786
56-6001045 115 12,000       SCHOOL GRANT
(11) HOKE CO SCHOOL DISTRICT
310 S MAGNOLIA ST
RAEFORD,NC28375
56-6001051 115 26,000       SCHOOL GRANT
(12) IBERVILLE PARISH SCHOOL DISTRICT
59595 BELLEVIEW RD
PLAQUEMINE,LA70764
72-6000552 115 14,000       SCHOOL GRANT
(13) LAKAWANNA CITY SCHOOL DISTRICT
245 S SHORE BLVD
LACKAWANNA,NY14218
16-6001854 115 6,000       SCHOOL GRANT
(14) LOS ANGELES USD
333 SOUTH BEAUDRY AVE
LOS ANGELES,CA90017
95-6001908 115 27,000       SCHOOL GRANT
(15) MILWAUKEE PUBLIC SCHOOLS
5225 W VLIET STREET
MILWAUKEE,WI53208
39-6003457 115 7,000       SCHOOL GRANT
(16) MINNESOTA DEPT OF EDUCATION
511 GROVELAND AVE
MINNEAPOLIS,MN55403
41-1945936 115 6,000       SCHOOL GRANT
(17) MONTGOMERY CO PUBLIC SCHOOLS
850 HUNGERFORD DR
ROCKVILLE,MD20850
52-6000989 115 10,000       SCHOOL GRANT
(18) NEOSHO SCHOOL DISTRICT
418 FAIRGROUND RD
NEOSHO,MO64850
44-6003638 115 5,000       SCHOOL GRANT
(19) NEW YORK CITY DEPT OF EDUCATION
1700 3RD AVE
NEW YORK CITY,NY10128
69-0210637 115 29,000       SCHOOL GRANT
(20) NORTHAMPTON CO SCHOOL DISTRICT
701 N CHURCH ST
JACKSON,NC27845
56-6001087 115 13,000       SCHOOL GRANT
(21) OAKLAND UNIFIED SCHOOL DIST
900 HIGH ST
OAKLAND,CA94601
94-6000385 115 8,000       SCHOOL GRANT
(22) ORANGE CO PUBLIC SD
445 WEST AMELIA ST
ORLANDO,FL32801
59-6000771 115 8,000       SCHOOL GRANT
(23) OSSINING UNION FREE SCH DIST
22 EDWARD STREET
OSSINING,NY10562
13-6007160 115 5,000       SCHOOL GRANT
(24) OWENSBORO INDEPENDENT SCHOOL DISTRICT
1335 W 11TH ST
OWENSBORO,KY42301
61-6001339 115 6,000       SCHOOL GRANT
(25) OXNARD ELEMENTARY SCHOOL DISTRICT
1051 S A ST
OXNARD,CA93030
95-6002318 115 9,000       SCHOOL GRANT
(26) PALMER INDEPENDENT SCHOOL DISTRICT
418 W JEFFERSON ST
PALMER,TX75152
75-6002186 115 6,000       SCHOOL GRANT
(27) PASCO CO SCHOOL DISTRICT
7227 LAND OLAKES BLVD
LAND OLAKES,FL34638
59-6000792 115 36,500       SCHOOL GRANT
(28) SCHOOL DISTRICT OF PHILADELPHIA
440 NORTH BROAD STREET
PHILADELPHIA,PA19130
23-6004102 115 8,500       SCHOOL GRANT
(29) RIVERSIDE BEAVER CO SCHOOL DISTRICT
302 COUNTRY CLUB DR
ELLWOOD CITY,PA16117
25-6011233 115 6,000       SCHOOL GRANT
(30) SAN FRANCISCO UNIFIED SCHOOL DISTRICT
555 FRANKLIN ST
SAN FRANCISCO,CA94102
94-6000416 115 6,000       SCHOOL GRANT
(31) SHEBOYGAN AREA SCHOOL DISTRICT
1017 UNION AVE
SHEBOYGAN,WI53081
39-6004431 115 6,000       SCHOOL GRANT
(32) SOCORRO INDEPENDENT SCHOOL DISTRICT
14400 PEBBLE HILLS BLVD
EL PASO,TX79938
74-6029385 115 5,000       SCHOOL GRANT
(33) ST MARY PARISH SCHOOL DISTRICT
474 HWY 317
CENTERVILLE,LA70522
72-6001284 115 45,000       SCHOOL GRANT
(34) TOLEDO PUBLIC SCHOOLS
1609 N SUMMIT ST
TOLEDO,OH43604
34-6401449 115 9,000       SCHOOL GRANT
(35) UPLAND UNIFIED SCHOOL DISTRICT
390 N EUCLID AVE STE 100
UPLAND,CA91786
33-0209386 115 24,000       SCHOOL GRANT
(36) W ST PAUL-MENDOTA-EAGAN SCHOOL DISTRICT 197
1897 DELAWARE AVE
MENDOTA HEIGHTS,MN55118
41-6007628 115 6,000       SCHOOL GRANT
(37) WELD COUNTY SCHOOL DISTRICT RE-6 GREELEY
1025 9TH AVE
GREELEY,CO80631
84-6002058 115 10,000       SCHOOL GRANT
(38) WICHITA FALLS INDEPENDENT SCHOOL DISTRICT
1104 BROAD ST
WICHITA FALLS,TX76301
75-6002774 115 32,000       SCHOOL GRANT
(39) WINSTON-SALEM FORSYTH COUNTY SCHOOL DISTRICT
475 CORPORATE SQUARE DR
WINSTONSALEM,NC27105
56-0795164 115 5,000       SCHOOL GRANT
(40) YONKERS PUBLIC SCHOOL DISTRICT
1 LARKIN CTR
YONKERS,NY10701
13-6007340 115 60,000       SCHOOL GRANT
(41) ZION ELEMENTARY SCHOOL DISTRICT 6
2800 29TH ST
ZION,IL60099
36-6004832 115 15,000       SCHOOL GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
41
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
PART I, LINE 2: GRANTS ARE AWARDED THROUGH AN APPLICATION PROCESS OPEN TO SCHOOLS ACROSS AMERICA. SELECTED SCHOOLS MUST PROVIDE A PLAN TO ENHANCE THEIR NUTRITION AND/OR PHYSICAL ACTIVITY PROGRAMS FOR SCHOOL CHILDREN. EACH SCHOOL OR SCHOOL DISTRICT IS REQUIRED TO PROVIDE PERIODIC REPORTS ON HOW THE GRANT AWARDS HAVE BEEN UTILIZED WITHIN THEIR SCHOOL ENVIRONMENT.
Schedule I (Form 990) 2018



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