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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
IMPACT 100 PENSACOLA BAY AREA INC
 
Employer identification number
20-0247687
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) EMERALD COAST WILDLIFE REFUGE
105 SANTA ROSA BLVD
FORT WALTON BEACH,FL32548
59-3286744 501(C)(3) 11,939       FUND THE EDUCATION AND OUTREACH CENTER
(2) ESCAMBIA COUNTY PUBLIC SCHOOLS FOUNDATION FOR EXCELLENCE INC
30 EAST TEXAR ST
PENSACOLA,FL32503
59-2715995 501(C)(3) 61,037       FUND SWIM, SOAR, AND FLY INTO SCIENCE PROJECT
(3) MIRACLE LEAGUE OF SANTA ROSA COUNTY
PO BOX 635
GULF BREEZE,FL32562
82-2192217 501(C)(3) 28,946       FUND CUSTOM-DESIGNED, RUBBERIZED FIELD AND FACILITIES
(4) SACRED HEART FOUNDATION INC
PO BOX 2700
PENSACOLA,FL32513
59-2436597 501(C)(3) 54,933       FUND FOUR HIGHLY-TRAINED FACILITY DOGS
(5) KLAASKIDS FOUNDATION
PO BOX 925
SAUSALITO,CA94966
68-0340916 501(C)(3) 16,056       FUND PREVENTATIVE EDUCATION AND EFFECTIVE RESPONSE TO CHILD EXPLOITATION
(6) OPENING DOORS NORTHWEST FLORIDA INC
PO BOX 17222
PENSACOLA,FL32505
59-2909065 501(C)(3) 5       FUND MOBILE OFFICE OUTREACH VAN
(7) RE-ENTRY ALLIANCE PENSACOLA INC
PO BOX 13224
PENSACOLA,FL32591
38-3908383 501(C)(3) 29,426       FUND RE-ENTRY ASSISTANCE TO WOMEN RETURNING FROM PRISON
(8) ESCAMBIA HIGH SCHOOL BAND BOOSTERS ASSOCIATION
1310 N 65TH AVE
PENSACOLA,FL32506
81-2493665 501(C)(3) 31,258       FUND MUSICAL INSTRUMENTS AND CARGO TRAILER AVAILABLE TO ALL STUDENTS
(9) SPLASH CATS INC
2054 MAGNOLIA AVE
PENSACOLA,FL32514
11-3709051 501(C)(3) 94,483       FUND COMPLETE RESURFACING OF WASHINGTON HIGH SCHOOL POOL AVAILABLE TO ALL ESCAMBIA COUNTY STUDENTS
(10) PENSACOLA HABITAT FOR HUMANITY
PO BOX 13204
PENSACOLA,FL32591
59-2186044 501(C)(3) 84,640       FUND PURCHASE OF TOOLS, HEAVY MACHINERY, AND SAFETY EQUIPMENT FOR HOME BUILDING
(11) HEALTH AND HOPE CLINIC
1718 E OLIVE RD
PENSACOLA,FL32514
26-4336638 501(C)(3) 97,987       FUND DRUG OVERDOSE AWARENESS AND TRAINING
(12) PENSACOLA OPERA
75 S TARRAGONA ST
PENSACOLA,FL32502
59-2387417 501(C)(3) 62,228       FUND TRANSPORT VEHICLE, LIGHTING, PORTABLE, RAISED, AND SKIRTED STAGE, A SOUND SYSTEM
(13) PENSACOLA LITTLE THEATRE
400 S JEFFERSON ST
PENSACOLA,FL32502
59-0906711 501(C)(3) 64,107       FUND REPLACEMENT OF THE ENTIRE THEATRE RIGGING SYSTEM
(14) KEEP SANTA ROSA BEAUTIFUL
6785 PARK AVE
MILTON,FL32570
59-3282135 501(C)(3) 29,578       FUND CONSTRUCTION OF A BUTTERFLY VIVARIUM NATURE CENTER
(15) FOOD RAISING FRIENDS
5740 STEWART ST
MILTON,FL32570
82-5218331 501(C)(3) 38,000       FUND CAPITAL IMPROVEMENTS FOR WORKSPACE AND DELIVERY VAN
(16) E COMFORT
PO BOX 1564
PENSACOLA,FL32591
20-8665559 501(C)(3) 22,393       FUND CAPITAL IMPROVEMENTS TO BUILDING AND FOOD TRUCK
(17) EVERY CHILD A READER
PO BOX 71
PENSACOLA,FL32591
26-1200860 501(C)(3) 20,554       FUND FAMILY ENGAGEMENT PROGRAM INCLUDING BOOKS & LITERACY BASED TOOLS
(18) VETERANS MEMORIAL PARK
PO BOX 12984
PENSACOLA,FL325912984
46-3073405 501(C)(3) 49,824       FUND CONSTRUCTION OF RESTROOMS AT VETERAN'S MEMORIAL PARK
(19) SANTA ROSA COUNTY 4-H
6263 DOGWOOD DR
MILTON,FL32570
45-3572142 501(C)(3) 83,417       FUND CONSTRUCTION OF EDUCATION FACILITY TO EXPAND YOUTH OUTDOOR PROGRAMS
(20) THE SECRET PLACE HOME
4901 FOREST CREEK DR
MILTON,FL32571
83-0573255 501(C)(3) 104,829       FUND THERAPEUTIC CLASSROOM FOR GIRLS 12-17 VICTIMS OF HUMAN SEX TRAFFICKING & CHEVY TAHOE FOR TRANSPORT
(21) YMCA OF NW FL
PO BOX 13170
PENSACOLA,FL32591
59-0624465 501(C)(3) 106,000       FUND 4 NEW 11 PASSENGER VANS FOR AFTER SCHOOL STUDENT PROGRAMS
(22) HEALING PAWS FOR WARRIOR
PO BOX 4373
FORT WALTON BEACH,FL32549
47-3963187 501(C)(3) 101,353       FUND HANDICAP ACCESSIBLE VAN FOR DISABLED VETERANS AND TRAINING FOR SUPPORT SHELTER DOGS
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: IMPACT 100 PENSACOLA BAY ARE MEMBERS WILL VOTE BY INDIVIDUAL BALLOT AT THE ANNUAL MEETING AND THE WINNING PROJECT(S) WILL BE SELECTED BY MAJORITY VOTE. PRIOR TO THE RELEASE OF GRANT FUNDS, EACH RECIPIENT MUST COMPLETE THE IMPACT 100 PENSACOLA BAY AREA GRANT AGREEMENT FORM. THE ORGANZIATION WHOSE PROJECT IS CHOSEN IS PROVIDED WITH A GRANT LIAISON FROM THE IMPACT 100 BOARD OF DIRECTORS WHOSE FOCUS IS TO MONITOR THE PROJECT PROGRESS AND EXPENDITURES. THE GRANT LIAISON SUPPLIES THE ORGANIZATION WITH REQUIRED FORMS THAT NEED TO BE SUBMITTED PRIOR TO ANY GRANT FUNDS BEING EXPENDED. THE GRANT LIAISON IS RESPONSIBLE TO THE IMPACT 100 BOARD TO KEEP THEM INFORMED OF THE STATUS OF THE PROJECT, APPROVE THAT ALL REQUEST FOR REIMBURSEMENTS ARE IN KEEPING WITH THE GRANT SUBMITTAL AND INSURE THAT COPIES OF ALL SUPPORTING DOCUMENTATION, INCLUDING INVOICES OR PURCHASE ORDERS, ARE SUBMITTED WITH THE REQUEST FOR REIMBURSEMENTS TO THE IMPACT 100 TREASURER. THE GRANT LIAISON ALSO PROVIDES THE FULL IMPACT 100 BOARD OF DIRECTORS A REPORT ON THE PROGRESS OF THE THE GRANTEE ORGANIZATION AND EXPENDITURES EACH MONTH AT THE BOARD MEETING. WRITTEN BOARD MINUTES ARE RECORDED EACH MONTH OF THESE REPORTS. GRANTEE ORGANIZATIONS MUST SUBMIT QUARTERLY PERIODIC REPORTS ON IMPLEMENTATION AND PROGRESS OF THE PROJECT TO IMPACT 100 PENSACOLA BAY AREA GRANT LIAISON, AS REQUESTED. WHEN THE PROJECT IS COMPLETE, OR FUNDS ARE FULLY EXPENDED, THE GRANTEE MUST SUBMIT A FINAL REPORT. ALL GRANTEE ORGANIZATIONS MUST EXPEND THEIR FUNDS WITHIN 24 MONTHS FROM THE GRANT PROJECT BEING AWARDED.
Schedule I (Form 990) 2020



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