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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
EASTERSEALS NORTHEAST CENTRAL
FLORIDA INC
Employer identification number
59-0722785
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) DISABILITY SOLUTIONS FOR
INDEPENDENT LIVING INC
119 S PALMETTO AVE 180
DAYTONA BEACH,FL32114 		20-1755435   31,826   FMV   GENERAL FUND
(2) CENTER FOR VISUALLY IMPAIRED INC
1187 DUNN AVE
DAYTONA BEACH,FL32114 		59-2938258   14,392   FMV   GENERAL FUND
(3) NORTHEAST FLORIDA AHEC
2223 OAK ST
JACKSONVILLE,FL32204 		59-3200731   5,600   FMV   GENERALFUND
(4) STEWART-MARCHMAN-ACT
BEHAVIORAL HEALTH SERVICES INC
1220 WILLIS AVE
DAYTONA BEACH,FL32114 		59-0976866   21,321   FMV   GENERAL FUND
(5) FLORIDA LIONS CONKLIN CENTER FOR
THE BLIND INC
405 WHITE ST
DAYTONA BEACH,FL32114 		23-7377066   11,387   FMV   GENERAL FUND
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
5
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) CAMP CHALLENGE 6 5,000      
(2) AWARDS 1 673      
(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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