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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
MEDICAL MUTUAL OF OHIO CHARITABLE FOUNDA
 
Employer identification number
34-1879613
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) AMERICAN DIABETES ASSOCIATION
112 WASHINGTON PLACE STE 1520
PITTSBURGH,PA15219
13-1623888 501 C 3 20,000   N/A   IMAGINE CAMP VIRTUAL YOUTH PROGRAMMING DURING COVID-19
(2) DOMESTIC VIOLENCE & CHILD ADVOCACY CENTER DBA JOURNEY CENTER FOR SAFETY AND
PO BOX 5466
CLEVELAND,OH44101
34-1278377 501 C 3 50,000   N/A   CANOPY CHILD ADVOCACY CENTER
(3) LESBIAN GAY BISEXUAL TRANSGENDER COMMUNITY CENTER
6600 DETROIT AVENUE
CLEVELAND,OH44102
34-1190920 501 C 3 50,000   N/A   EXPANDED YOUTH PROGRAMS AND SERVICES
(4) SISTERS OF CHARITY FOUNDATION OF CLEVELAND
2475 EAST 22ND ST 4TH FLOOR
CLEVELAND,OH44115
34-1832698 501 C 3 25,000   N/A   PACKARD FINISH LINE PROJECT
(5) UP SIDE OF DOWNS OF NORTHEAST OHIO
PO BOX 31720
INDEPENDENCE,OH44131
34-1630114 501 C 3 30,000   N/A   VIRTUAL YOUTH PROGRAMMING DURING COVID-19
(6) YOUTH CHALLENGE
800 SHARON DRIVE
WESTLAKE,OH44145
34-1396825 501 C 3 25,000   N/A   VIRTUAL YOUTH PROGRAMMING DURING COVID-19
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
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
FORM 990, SCHEDULE I, PART I THE FUND REQUIRES GRANT RECIPIENTS TO SUBMIT SCHEDULED NARRATIVE AND FINANCIAL PROGRESS REPORTS ON ACTIVITY RELATED TO THE GRANT ON THE FUND'S GRANT REPORTING FORMS, AS SCHEDULED IN THEIR GRANT AWARD LETTER. GRANT REPORTS ARE AN INTEGRAL PART OF OUR MONITORING AND EVALUATION PROCESS. THE REPORTS ARE REVIEWED BY THE CLEVELAND FOUNDATION STAFF WHO FOLLOW-UP WITH THE FUND'S DIRECTORS IF THERE ARE QUESTIONS OR ISSUES IDENTIFIED BY THIS REVIEW. WE HAVE FOUND THESE FORMS SERVE AS A VALUABLE LEARNING TOOL FOR THE CLEVELAND FOUNDATION STAFF AND THE GRANTEE ORGANIZATION. A CLOSING EVALUATION IS PERFORMED ONCE THE FINAL REPORT IS COMPLETE.
Schedule I (Form 990) 2020



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