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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
FIRST STATE COMMUNITY ACTION AGENCY
INC
Employer identification number
51-0104704
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) LATIN AMERICAN COMMUNITY CENTER
403 N VAN BUREN ST
WILMINGTON,DE19805 		23-7047048 501(C)(3)   12,500     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(2) MINISTRY OF CARING
506 N CHURCH ST
WILMINGTON,DE19801 		51-0209843 501(C)(3)   238,447     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(3) DOVER INTERFAITH MISSION
648 FOREST ST
DOVER,DE19904 		501(C)(3)   126,407     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(4) GOODWILL OF DELAWARE
1678 S GOVERNORS AVE
DOVER,DE19904 		501(C)(3)   98,391     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(5) LIMEN HOUSE
PO BOX 1306
WILMINGTON,DE19899 		501(C)(3)   38,500     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(6) SOJOURNERS PLACE
2901 GOVERNOR PRINTZ BLVD
WILMINGTON,DE19802 		501(C)(3)   45,178     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
(7) PEOPLE'S PLACE II
1129 AIRPORT RD
MILFORD,DE19963 		501(C)(3)   28,125     COMPREHENSIVE CASE MANAGEMENT TO WORK WITH RECIPIENTS TO ATTAIN SELF SUFFICIENCY INCLUDING EDUCATION, EMPLOYMENT, HOUSING, TRANSPORTATION, INCREASING CURRENT WAGES, AND REDUCING GOVERNMENT SUBSIDIES.
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
PART I, LINE 2: THE GRANTEES MUST SUBMIT REGULAR REPORTS STATING THE SERVICES PROVIDED AS WELL AS THE OUTCOMES OF THE PROGRAMS. THE CONTRACT ADMINISTRATOR FOR FIRST STATE COMMUNITY ACTION AGENCY EVLAUATES AND COMMUNICATES WITH THE ENTITIES REGARDING THEIR PERFORMANCE.
Schedule I (Form 990) 2019



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