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
2019
Open to Public
Inspection
Name of the organization
BOYS CLUB OF WAKE COUNTY INC
 
Employer identification number
56-0863051
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) BOYS & GIRLS CLUB OF THE ALBEMARLE
824 N OAKUM STREET
EDENTON,NC27932 		61-1546080 501(C) (3) 48,066       SEE PART IV
(2) BOYS & GIRLS CLUB OF CABARRUS COUNTY INC
PO BOX 1405
CONCORD,NC28026 		56-1728315 501(C) (3) 122,491       SEE PART IV
(3) BOYS & GIRLS CLUB OF CENTRAL CAROLINA
PO BOX 2027
SANFORD,NC27331 		56-1923703 501(C) (3) 90,675       SEE PART IV
(4) BOYS & GIRLS CLUB OF CLEVELAND COUNTY INC
PO BOX 2001
SHELBY,NC28151 		56-0577630 501(C) (3) 42,586       SEE PART IV
(5) BOYS & GIRLS CLUB OF COASTAL PLAIN
621 W FIRE TOWER RD
WINTERVILLE,NC28590 		31-1516947 501(C) (3) 326,185       SEE PART IV
(6) BOYS & GIRLS CLUB OF CUMBERLAND COUNTY INC
PO BOX 48155
FAYETTEVILLE,NC28301 		56-0896317 501(C) (3) 64,588       SEE PART IV
(7) BOYS & GIRLS CLUBS OF DURHAM & ORANGE COUNTIES
PO BOX 446
DURHAM,NC27702 		56-6001906 501(C) (3) 65,790       SEE PART IV
(8) BOYS & GIRLS CLUB OF EDEN INC
PO BOX 4628
EDEN,NC27289 		56-0711026 501(C) (3) 36,462       SEE PART IV
(9) BOYS & GIRLS CLUB OF GREATER GASTON
PO BOX 23
GASTONIA,NC28052 		56-1419498 501(C) (3) 83,352       SEE PART IV
(10) BOYS & GIRLS CLUB OF GREATER HIGH POINT INC
PO BOX 2834
HIGH POINT,NC27261 		56-2094591 501(C) (3) 82,041       SEE PART IV
(11) BOYS & GIRLS CLUB OF HENDERSON COUNTY INC
PO BOX 1460
HENDERSONVILLE,NC28793 		56-1803125 501(C) (3) 104,781       SEE PART IV
(12) BOYS & GIRLS CLUB OF LUMBERTONROBESON COUNTY
PO BOX 2067
LUMBERTON,NC28359 		56-1943784 501(C) (3) 28,004       SEE PART IV
(13) BOYS & GIRLS CLUBS OF NORTH CENTRAL NORTH CAROLINA
PO BOX 5094
HENDERSON,NC27536 		56-2525793 501(C) (3) 106,785       SEE PART IV
(14) BOYS & GIRLS CLUBS OF THE PIEDMONT INC
1001 COCHRAN STREET
STATESVILLE,NC28677 		20-3237215 501(C) (3) 75,057       SEE PART IV
(15) BOYS & GIRLS CLUB OF THE PLATEAU
PO BOX 1812
CASHIRES,NC28717 		56-0927694 501(C) (3) 44,031       SEE PART IV
(16) BOYS & GIRLS CLUBS OF THE SANDHILLS
PO BOX 1761
SOUTHERN PINES,NC28388 		91-1877405 501(C) (3) 80,088       SEE PART IV
(17) BOYS & GIRLS CLUBS OF THE TAR RIVER REGION
301 S CHURCH ST 290
ROCKY MOUNT,NC27804 		56-0934910 501(C) (3) 106,354       SEE PART IV
(18) BOYS & GIRLS CLUB OF TRANSYLVANIA COUNTY
PO BOX 1360
BREVARD,NC28712 		56-2142829 501(C) (3) 88,329       SEE PART IV
(19) BOYS & GIRLS CLUBS OF WAYNE COUNTY INC
PO BOX 774
GOLDSBORO,NC27533 		56-0706013 501(C) (3) 78,962       SEE PART IV
(20) BRIGADE BOYS & GIRLS CLUB
2759 VANCE ST
WILMINGTON,NC28412 		56-0529939 501(C) (3) 163,565       SEE PART IV
(21) CHEROKEE YOUTH CENTER BOYS & GIRLS CLUB INC
PO BOX 455
CHEROKEE,NC28719 		56-2053463 501(C) (3) 19,900       SEE PART IV
(22) COMMUNITY BOYS & GIRLS CLUB
901 NIXON STREET
WILMINGTON,NC28401 		56-0636247 501(C) (3) 52,652       SEE PART IV
(23) SEYMOUR JOHNSON AFB YOUTH PROGRAMS
1540 GOODSON
SEYMORE JOHNSON AFB,NC27531 		56-0928222 501(C) (3) 19,900       SEE PART IV
(24) SALVATION ARMY BOYS & GIRLS CLUBS
810 N ALSTON STREET
DURHAM,NC27701 		58-0660607 501(C) (3) 597,205       SEE PART IV
(25) BOYS' CLUB OF WAKE COUNTY FOUNDATION
701 N RALEIGH BLVD
RALEIGH,NC27610 		58-1553011 501(C) (3) 200,000       CAPITAL CAMPAIGN DONATIONS TRANSFERRED TO FOUNDATION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
25
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) 2019
Page 2

Schedule I (Form 990) 2019
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: THE BOYS CLUB OF WAKE COUNTY, INC. RECEIVES FUNDS FROM THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN RESOURCES AND THE NORTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE DELINQUENCY PREVENTION AS THE LEAD AGENCY FOR THE NORTH CAROLINA ALLIANCE OF BOYS AND GIRLS CLUBS. THESE FUNDS ARE DISTRIBUTED TO OTHER BOYS & GIRLS CLUB ORGANIZATIONS THROUGHOUT THE STATE FOR SPECIFIC PROGRAMS. EACH PARTICIPATING ORGANIZATION AGREES THAT THEY WILL IMPLEMENT THE SPECIFIC PROGRAMS AND SUBMITS TWO PROGRAM REPORTS ANNUALLY. THE REPORTS INCLUDE DEMOGRAPHIC INFORMATION ON TOTAL REGISTERED MEMBERS AND ACADEMIC ACHIEVEMENT, AND MUST BE LOCALLY SUPPORTED BY DOCUMENTS AND RECORDS (SUCH AS PROGRAM CALENDARS, ATTENDANCE SHEETS, REPORT CARDS, AND POST-TESTS, ETC.) THAT ARE AVAILABLE FOR REVIEW.
Schedule I (Form 990) 2019



Additional Data


Software ID:  
Software Version: