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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
2019
Open to Public
Inspection
Name of the organization
Martin's Point Health Care Inc
 
Employer identification number
01-0353275
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) Southern Maine Agency on Aging
136 US Route 1
Scarborough,ME04101
01-0360259 501(c)(3) 25,000       Meals on Wheels program
(2) Daniel Hanley Center for Health Leadership
100 Foden Road Suite W-300
South Portland,ME04106
20-4271488 501(c)(3) 25,000       General support
(3) United Way of Greater Portland
One Canal Plaza Suite 300
Portland,ME04101
01-0241767 501(c)(3) 24,837       General support
(4) Maineshare
PO Box 2095
Augusta,ME04330
01-0444245 501(c)(3) 18,496       General support
(5) Community Health Charities
1199 North Fairfax Street Suite 600
600
Alexandria,VA22314
13-6167225 501(c)(3) 13,117       General support for Community Health Charities, Maine chapter
(6) YMCA of Southern Maine
70 Forest Avenue
Portland,ME04101
01-0211568 501(c)(3) 6,000       General support
(7) Oasis Health Network Inc (aka Oasis Free Clinics)
66 Baribeau Drive Box 1
Brunswick,ME04011
01-0497587 501(c)(3) 5,000       General support
(8) Maine Huts and Trails
496 Maine Street Apartment C
Kingfield,ME04947
01-0537084 501(c)(3) 5,000       General support
(9) Portland Wheelers
PO Box 11314
Portland,ME04104
47-2690824 501(c)(3) 5,000       General support
(10) Saint Joseph's College
278 Whites Bridge Road Unit 14
Standish,ME04084
01-0212542 501(c)(3) 5,000       General support
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
0
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: All requests, solicited or unsolicited, are reviewed by the Martin's Point Health Care, Inc. Charitable Engagement Team (CET). The CET ensures continuity and consistency with the Organization's stated objective. The CET reviews requests. A charitable contributions/sponsorship application is submitted providing program details and funds requested. The CET also reviews program results and the financial health of the organizations as needed.
Schedule I (Form 990) 2019



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