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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
Community Health Choice Texas Inc
 
Employer identification number
81-4077507
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) AIDS Foundation Houston Inc
6260 Westpark Suite 100
Houston,TX77057
76-0073661 501(c)(3) 13,000       Allied Services/2018 World AIDS Day Luncheon
(2) Center for Public Policy Priorities
7020 Easy Wind Dr Suite 200
Austin,TX78752
74-2898197 501(c)(3) 7,500       State of Texas enrollment Conference/2018 Legacy Luncheon
(3) Children at Risk
2900 Weslayan STE 400
Houston,TX77027
76-0360533 501(c)(3) 7,000       Accolades Luncheons
(4) Children's Defense Fund
5410 Bellaire Blvd 203
Bellaire,TX77401
52-0895622 501(c)(3) 22,500       Coalition Health Education 2018/Beat the Odds Awards Luncheon
(5) Connect Community
6700 Bellaire Blvd
Houston,TX77074
81-1424233 501(c)(3) 6,400       Breakthrough Program/Connect Amplify Luncheon/Fall Festival
(6) Culture of Health Advancing Together
530 North Elder Grove Dr
Pearland,TX77584
47-3990099 501(c)(3) 5,700       ESL Classes/Gulfton Story Trail Unveiling Party
(7) Harris County Hospital District
PO Box 301168
Houston,TX77054
74-1536936 GOV 10,000       16th Annual Med Run
(8) Hispanic Health Coalition
2626 South Loop West suite 650R
Houston,TX77054
76-0609180 501(c)(3) 6,500       Scholarship Luncheon/Vive Tu Vida! Get Up Get Moving!
(9) ProUnitas Inc
4802 Lockwood Dr
Houston,TX77026
47-1573396 501(c)(3 10,000       Community Allied Services - Assist in their platform- Purple
(10) San Francisco Nativity Academy
PO Box 36709
Houston,TX77236
47-1472764 501(c)(3) 252,333       3rd Annual Luncheon/FNA Project
(11) St James Evangelical Lutheran Church
1602 W 43rd St
Houston,TX77018
74-1390040 501(c)(3) 12,000       ESL & Charla Program
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
11
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) 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 (Form 990) 2018



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