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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
UNITED WAY OF BEMIDJI AREA
 
Employer identification number
41-1567744
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) ADULT DAY SERVICES
620 CARR LAKE RD SE
BEMIDJI,MN56601
43-1960840 501C3 10,000       ELDERLY SERVICES
(2) NORTHWOODS BATTERD WOMENS SHELTER
PO BOX 563
BEMIDJI,MN56619
41-1333404 501C3 20,000       SHELTER AND ADVOCACY
(3) BEMIDJI COMMUNITY FOOD SHELF
1260 INDUSTRIAL PARK DR SE
BEMIDJI,MN56601
41-1494430 501C3 15,000       FOOD SHELF
(4) BEMIDJI COMMUNITY SOUP KITCHEN
8429 BEMIDJI RD NE
BEMIDJI,MN56601
36-3615054 501C3 10,000       SOUP KITCHEN
(5) BOYS & GIRLS CLUB OF THE BEMIDJI AR
PO BOX 191
BEMIDJI,MN56601
81-0599601 501C3 30,000       AFTER SCHOOL PROGRAM
(6) CHURCHES UNITED
PO BOX 1967
BEMIDJI,MN56601
13-4257663 501C3 12,000       EMERGENCY ASSISTANCE
(7) COMMUNITY RESOURCE CONNECTIONS
716 PAUL BUNYAN DRIVE NW
BEMIDJI,MN56601
41-1782146 501C3 7,000       COMMUNITY RESOURCES
(8) EVERGREEN HOUSE
PO BOX 662
BEMIDJI,MN56619
41-1297737 501C3 33,500       SHELTER AND YOUTH
(9) HEADWATERS SCIENCE CENTER
413 BELTRAMI AVE NW
BEMIDJI,MN56601
41-1625917 501C3 7,000       YOUTH EDUCATION
(10) HOPE HOUSE
PO BOX 1097
BEMIDJI,MN56619
41-1658456 501C3 26,000       MENTAL ILLNESS SERVS
(11) LEGAL SERVICES OF NORTHWEST MN
PO BOX 838
MOORHEAD,MN56561
41-1291705 501C3 8,000       LEGAL ASSISTANCE
(12) NAMELESS COALITION FOR THE HOMELESS
PO BOX 353
BEMIDJI,MN56619
47-2472053 501C3 7,500       HOMELESS SHELTER
(13) NORTH COUNTRY FOOD BANK
424 N BROADWAY
CROOKSTON,MN56716
41-1459758 501C3 30,000       FOOD BANK
(14) NORTHWOODS CAREGIVERS
616 AMERICA AVE SUITE 170
BEMIDJI,MN56601
41-1993133 501C3 8,000       SENIOR SERVICES
(15) PAUL BUNYAN SENIOR CENTER
216 3RD ST NW
BEMIDJI,MN56601
41-1470043 501C3 8,000       SENIOR ACTIVITIES
(16) PEACEMAKER RESOURCES
PO BOX 862
BEMIDJI,MN56619
45-0507287 501C3 10,000       CONFLICT MGMT PROG
(17) SUPPORT WITHIN REACH
PO BOX 1472
BEMIDJI,MN56619
41-1369558 501C3 17,000       SEXUAL VIOLENCE SERV
(18) TIMBER BAY
PO BOX 371
BEMIDJI,MN56619
23-7058853 501C3 10,000       AT-RISK YOUTH SERVS
(19) VILLAGE OF HOPE
PO BOX 1035
BEMIDJI,MN56619
36-3418205 501C3 25,000       HOMELESS SHELTER
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
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
Schedule I (Form 990) 2019



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