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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
2020
Open to Public
Inspection
Name of the organization
THE HEALTH FOUNDATION OF CENTRAL
MASSACHUSETTS INC
Employer identification number
04-2633274
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) WORCESTER PUBLIC SCHOOLS
20 IRVING ST
WORCESTER,MA01609 		04-8001418 501(C)(3) 25,000   BOOK   WORCESTER HEARS, YEAR 5
(2) QUABOAG VALLEY COMMUNITY DEVELOPMENT
23 WEST MAIN STREET 1
WARE,MA01082 		04-3370097 501(C)(3) 203,763   BOOK   QUABOAG CONNECTOR - DEVELOPING A MODEL FOR RURAL TRANSPORTATION
(3) FITCHBURG STATE UNIVERSITY
160 PEARL STREET
FITCHBURG,MA01420 		04-6002284 501(C)(3) 185,243   BOOK   REIMAGINE NORTH OF MAIN, YEAR 5
(4) TSNE MISSIONWORKS
89 SOUTH STREET SUITE 700
BOSTON,MA02111 		04-2261109 501(C)(3) 28,906   BOOK   WORCESTER REGIONAL FOOD HUB, YEAR 4
(5) SEVEN HILLS FOUNDATION
81 HOPE AVENUE
WORCESTER,MA01603 		04-2274992 501(C)(3) 64,620   BOOK   ENHANCING INTEGRATED SUPPORTS FOR PEOPLE WITH DISABILITIES AND THIER FAMILIES THROUGH TECHNOLOGY.
(6) LUK INC
545 WESTMINSTER STREET
FITCHBURG,MA01520 		04-2483679 501(C)(3) 81,000   BOOK   TELEBEHAVIORAL HEALTH IN SCHOOLS
(7) NEIGHBOR TO NEIGHBOR MASSACHUSETTS
15 COURT STREET SUITE 345
BOSTON,MA02108 		04-3507716 501(C)(3) 15,500   BOOK   OUR NEIGHBORS COUNT! - STRENGTHENING THE NEW MAJORITY'S CIVIC ENGAGEMENT CAPACITY THROUGH THE 2020 U.S. CENSUS
(8) COMMUNITY LEGAL AID
405 MAIN STREET 4TH FLOOR
WORCESTER,MA01608 		04-2446242 501(C)(3) 5,000   BOOK   SAVING HOUSING OPPORTUNITIES IN WORCESTER
(9) SOUTH MIDDLESEX OPPORTUNITY COUNCIL
7 BISHOP STREET
FRAMINGHAM,MA01702 		04-2389659 501(C)(3) 65,000   BOOK   CREATION OF SOBER HOUSING IN FITCHBURG
(10) ASCENTRIA CARE ALLIANCE
11 SHATTUCK STREET
WORCESTER,MA01606 		04-3566243 501(C)(3) 8,000   BOOK   IMMIGRATION LEGAL ASSISTANCE PROGRAM
(11) ABBY'S HOUSE
52 HIGH STREET
WORCESTER,MA01609 		04-2648411 501(C)(3) 13,000   BOOK   COMMUNITY PARTNERSHIPS PROJECT; ABBY'S HOUSE (HYLTON)
(12) QUINSIGAMOND COMMUNITY COLLEGE
670 WEST BOYLSTON STREET
WORCESTER,MA01606 		04-2492727 501(C)(3) 75,790   BOOK   RADIOLOGIC TECHNOLOGY UPGRADES
(13) GAAMHA INC
208 COLEMAN STREET
GARDNER,MA01440 		04-2437107 501(C)(3) 7,000   BOOK   PBS CLINICIAN
(14) FRIENDLY HOUSE
36 WALL STREET
WORCESTER,MA01604 		04-2104239 501(C)(3) 15,000   BOOK   REFRIGERATED FOOD VAN
(15) WORCESTER REGIONAL CHAMBER OF COMMERCE
311 MAIN STREET SUITE 200
WORCESTER,MA01608 		04-1988780 501(C)(3) 10,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS FUNDING
(16) WORCESTER AREA BUSINESS EDUCATION FOUNDATION
311 MAIN STREET SUITE 200
WORCESTER,MA01608 		04-3265642 501(C)(3) 468,000   BOOK   WORCESTER REGIONAL FOOD HUB
(17) MASSACHUSETTS ASSOCIATION FOR COMMMUNITY ACTION
105 CHAUNCY STREET 3RD FLOOR
BOSTON,MA02111 		22-2777630 501(C)(3) 215,500   BOOK   READYGO - READYING EDUCATORS AND DEVELOPING YOUNG CHILDREN FOR GREAT OUTCOMES
(18) RCAP SOLUTIONS
191 MAY STREET
WORCESTER,MA01602 		04-2454675 501(C)(3) 204,150   BOOK   CENTRAL MASSACHUSETTS PRIVATE WELL PROGRAM TO PROTECT PUBLIC HEALTH
(19) MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
125 HARTWELL AVENUE
LEXINGTON,MA02421 		04-2103596 501(C)(3) 232,920   BOOK   FOSTER PARENT SUPPORTS IN WORCESTER
(20) WORCESTER COMMON GROUND
5 PIEDMONT STREET
WORCESTER,MA016102520 		22-2976657 501(C)(3) 100,000   BOOK   126 CHANDLER STREET ROOFTOP GREENHOUSE
(21) EDWARD M KENNEDY COMMUNITY HEALTH CENTER
650 LINCOLN STREET
WORCESTER,MA01605 		04-2513817 501(C)(3) 60,000   BOOK   OPENING UP ACCESS TO ORAL HEALTH CARE IN MILFORD
(22) NEADS WORLD CLASS SERVICE DOGS
305 REDEMPTION ROCK TRAIL
PRINCETON,MA01541 		23-7281887 501(C)(3) 50,000   BOOK   BREEDING CENTER - BCL (BEHAVIORAL CHECK LIST SPACE)
(23) CENTRO
11 SYCAMORE STREET
WORCESTER,MA01608 		04-2714991 501(C)(3) 50,000   BOOK   TWO FLIGHTS UP
(24) BUILDING FUTURES INC
32 GREAT BROOK VALLEY AVENUE
WORCESTER,MA01605 		01-0628266 501(C)(3) 49,998   BOOK   34/45 FREEDOM WAY : BETTER SERVING WHA YOUTH
(25) GENESIS CLUB INC
274 LINCOLN STREET
WORCESTER,MA01605 		04-2983234 501(C)(3) 40,000   BOOK   BUILDING A VIRTUAL CLUBHOUSE
(26) OPEN SKY COMMUNITY SERVICES
4 MANN STREET
WORCESTER,MA01602 		04-2701581 501(C)(3) 45,777   BOOK   CONNECTIONS TO CARE
(27) CHRISTOPHER HOUSE OF WORCESTER
10 MARY SCANO DRIVE
WORCESTER,MA01608 		22-3196624 501(C)(3) 39,082   BOOK   LESSONS 2 LEADERSHIP
(28) JEFFREYS HOUSE
499 WATER STREET
FITCHBURG,MA01520 		80-0514283 501(C)(3) 23,772   BOOK   SPRINKLER SYSTEMS AND WHEELCHAIR ACCOMODATIONS
(29) LIVING IN FREEDOM TOGETHER
34 CEDAR STREET SUITE 301
WORCESTER,MA01609 		81-3646918 501(C)(3) 19,000   BOOK   SPRINKLER SYSTEM INSTALLATION FOR JANA'S PLACE
(30) YMCA OF CENTRAL MASSACHUSETTS
1 SALEM SQUARE
WORCESTER,MA01608 		04-2105873 501(C)(3) 10,000   BOOK   PRE-KINDERGARTEN CLASSROOM ADDITION
(31) WORLD FARMERS
769 MAIN STREET BOX 112
LANCASTER,MA01523 		27-3138588 501(C)(3) 10,000   BOOK   AFRICAN CORN MILLING
(32) RIVERSIDE COMMUNITY CARE
270 BRIDGE STREET SUITE 301
DEDHAM,MA02026 		04-3097170 501(C)(3) 10,000   BOOK   CAPACITY BUILDING AND INTEGRATION FOR CHILDRENS BEHAVIORAL HEALTHCARE
(33) JEREMIAHS INN
1059 MAIN STREET PO BOX 30035
WORCESTER,MA01603 		22-2567030 501(C)(3) 10,000   BOOK   SOBER HOUSING
(34) HEALTH CARE FOR ALL
ONE FEDERAL STREET
BOSTON,MA02110 		04-3071598 501(C)(3) 45,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
(35) MASSACHUSETTS BUDGET AND POLICY CENTER
1 STATE STREET SUITE 250
BOSTON,MA02109 		04-2967557 501(C)(3) 10,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
(36) MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
7 BULFINCH PLACE SUITE 201
BOSTON,MA02114 		22-3068653 501(C)(3) 10,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
(37) MASSACHUSETTS PUBLIC HEALTH ASSOCIATION
50 FEDERAL STREET FLOOR 8
BOSTON,MA02110 		04-2326503 501(C)(3) 10,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
(38) EASTERSEALS OF MASSACHUSETTS
484 MAIN STREET
WORCESTER,MA01608 		04-2103867 501(C)(3) 8,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
(39) CARE CENTRAL VNA AND HOSPICE
34 PEARLY LANE
GARDNER,MA01440 		04-2104246 501(C)(3) 5,000   BOOK   CARE CENTRAL VNA AND HOSPICE (FLUET)
(40) HEALTH LAW ADVOCATES
ONE FEDERAL STREET
BOSTON,MA02110 		04-3298116 501(C)(3) 10,000   BOOK   SUPPLEMENTAL FUNDING - 2020 CORONAVIRUS RESPONSE
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) 2020
Page 2

Schedule I (Form 990) 2020
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 HEALTH FOUNDATION AND THE GRANTEE SIGN A CONTRACT OUTLINING THE DELIVERABLES, PAYMENT, AND REPORTING REQUIREMENTS FOR THE PROJECT. TYPICALLY, PROJECT PROCESS EVALUATION REPORTS ARE SUBMITTED TO THE FOUNDATION MIDWAY THROUGH THE CONTRACT YEAR. A PROJECT SUMMARY REPORT IS ALSO REQUIRED TO BE SUBMITTED TO THE FOUNDATION APPROXIMATELY TWO MONTHS AFTER THE CONTRACT END DATE, OUTLINING THE RESULTS AND EXPENSES. IN ADDITION, MULTI-YEAR GRANTEES ARE REQUIRED TO MEET WITH FOUNDATION STAFF ON A QUARTERLY BASIS TO ASSESS PROJECT PROGRESS. THE ACTIVATION FUND GRANTEES ARE REQUIRED TO MEET WITH THE FOUNDATION STAFF ONCE DURING THE GRANT CONTRACT.
Schedule I (Form 990) 2020



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