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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
COVENANT HOUSE
 
Employer identification number
13-2725416
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) COVENANT HOUSE ALASKA
755 A STREET
ANCHORAGE,AK99501 		13-3419755 501(C)3 881,240       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(2) COVENANT HOUSE CALIFORNIA
1325 NORTH WESTERN AVENUE
HOLLYWOOD,CA90027 		13-3391210 501(C)3 3,445,916       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(3) COVENANT HOUSE FLORIDA
733 BREAKERS AVENUE
FORT LAUDERDALE,FL33304 		59-2323607 501(C)3 1,994,409       PROGRAM SUPPORT/NATIONAL SLEEPOUT EVENTS
(4) COVENANT HOUSE GEORGIA
1559 JOHNSON ROAD NW
ATLANTA,GA30318 		13-3523561 501(C)3 1,409,215       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(5) COVENANT HOUSE MICHIGAN
2959 MARTIN LUTHER KING JR BLVD
DETROIT,MI48208 		38-3351777 501(C)3 1,146,593       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(6) COVENANT HOUSE MISSOURI
2727 NORTH KINGSHIGHWAY BLVD
ST LOUIS,MO63113 		43-1821599 501(C)3 899,779       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(7) COVENANT HOUSE NEW JERSEY
330 WASHINGTON STREET
NEWARK,NJ07102 		13-3537710 501(C)3 4,490,810       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(8) COVENANT HOUSE NEW ORLEANS
611 NORTH RAMPART STREET
NEW ORLEANS,LA70112 		58-1669937 501(C)3 1,846,826       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(9) COVENANT HOUSE PENNSYLVANIA
31 EAST ARMAT STREET
PHILADELPHIA,PA19144 		23-3003176 501(C)3 4,592,280       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(10) COVENANT HOUSE TEXAS
1111 LOVETT BLVD
HOUSTON,TX77006 		76-0050882 501(C)3 1,760,925       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(11) COVENANT HOUSE WASHINGTON
2001 MISSISSIPPI AVENUE SE
WASHINGTON,DC20020 		13-3537709 501(C)3 2,392,980       PROGRAM SUPPORT/ NATIONAL SLEEPOUT EVENT
(12) UNDER 21 COVENANT HOUSE NEW YORK
460 WEST 41ST STREET
NEW YORK,NY10036 		13-3076376 501(C)3 7,938,500       PROGRAM SUPPORT
(13) COVENANT HOUSE ILLINOIS
5 PENN PLAZA
NEW YORK,NY10001 		81-2061485 501(C)3 1,511,931       PROGRAM SUPPORT/NATIONAL SLEEPOUT EVENTS
(14) US COMMITTEE FOR REFUGEES AND IMMIGRANTS
2231 CRYSTAL DRIVE SUITE 350
ARLINGTON,VA22202 		13-1878704 501(C)3 25,733       JTIP GRANT AWARD
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
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: GRANT FUNDS PROVIDED TO EACH ORGANIZATION ARE MONITORED BY COVENANT HOUSE INTERNATIONAL TO ENSURE THAT THE ORGANIZATION IS USING THESE FUNDS TO SUPPORT ITS CHARITABLE PROGRAMS. COVENANT HOUSE INTERNATIONAL MONITORS THE USE OF THESE FUNDS BY REQUIRING EACH ORGANIZATION TO SUBMIT AN ANNUAL BUDGET, REFORECASTS, AND INTERNAL AND EXTERNAL AUDITS.
Schedule I (Form 990) 2019



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