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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
LAKESHORE AVENUE BAPTIST CHURCH FOUNDATION INC
 
Employer identification number
94-3307590
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) Lakeshore Avenue Baptist Church
3534 Lakeshore Ave
Oakland,CA946102223
94-1156832 501(c)(3) 13,000 0     Support of LABC Ministries
(2) Lakeshore Avenue Baptist Church
3534 Lakeshore Ave
Oakland,CA946102223
94-1156832 501(c)(3) 7,098 0     Support of LABC Programs
(3) Interfaith Council of Alameda County
732 Willow St
Oakland,CA94607
82-4175885 501(c)(3) 87,500 0     Pass-through donation from San Francisco Foundation
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
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) None 0 0 0    
(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, Part I, Line 2 Part I, line 2: The LABC Foundation Board works with the church (LABC) council and staff to monitor the disbursement of grant funds. The Board reviews the periodic Financial Reports prepared by the LABC Treasurer to monitor the disbursement of grant funds into the different ministries, funds, and projects of the church (Lakeshore Avenue Baptist Church, LABC). For the Interfaith Council of Alameda County disbursement, this was a pass-through donation from the San Francisco (SF) Foundation, that was monitored by consulting with the LABC Senior Pastor.
Schedule I (Form 990) 2019



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