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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
AMERICAN ACADEMY OF OPTOMETRY
FOUNDATION INC
Employer identification number
43-0768182
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) ILLINOIS COLLEGE OF OPTOMETRY
3241 S MICHIGAN AVE
CHICAGO,IL60616 		36-2310478 501C(3)   8,000     SCHOLARSHIP
(2) INDIANA UNIVERSITY SCHOOL OF OPTOMETRY
800 E ATWATER AVE RM 310
BLOOMINGTON,IN47405 		35-6002673 501C(3)   8,000     SCHOLARSHIP
(3) INTER-AMERICAN UNIVERSITY OF PUERTO RICO
500 JOHN WILL HARRIS AVE
BAYAMON,PR00957 		66-0177776 501C(3)   8,000     SCHOLARSHIP
(4) MARSHALL B KETCHUM UNIVERSITY
2575 YORBA LINDA BLVD
FULLERTON,CA92831 		95-1644593 501C(3)   10,000     SCHOLARSHIP
(5) MASSACHUSETTS COLLEGE OF PHARMACY AND HEALTH SCIENCES
10 LINCOLN SQ
WORCHESTER,MA01608 		04-2104700 501C(3)   7,500     SCHOLARSHIP
(6) MICHIGAN COLLEGE OF OPTOMETRY
1124 STATE STREET
BIG RAPIDS,MI49307 		38-6005159 501C(3)   8,000     SCHOLARSHIP
(7) MIDWESTERN UNIVERSITY
5865 W UTOPIA RD
GLENDALE,AZ85308 		36-3377698 501C(3)   17,500     SCHOLARSHIP
(8) NEW ENGLAND COLLEGE OF OPTOMETRY
424 BEACON STREET
BOSTON,MA02115 		04-1591060 501C(3)   11,000     SCHOLARSHIP
(9) NORTHEASTERN STATE UNIVERSITY
1001 NORTH GRAND AVENUE
TAHLEQUAH,OK74464 		91-1898417     7,500     SCHOLARSHIP
(10) NOVA SOUTHEASTERN UNIVERSITY
3301 COLLEGE AVENUE
FORT LAUDERDALE,FL33314 		59-1083502 501C(3)   7,500     SCHOLARSHIP
(11) PACIFIC UNIVERSITY
2043 COLLEGE WAY
FOREST GROVE,OR97116 		93-0386892 501C(3)   9,500     SCHOLARSHIP
(12) SALUS UNIVERSITY
8360 OLD YORK RD
ELKINS PARK,PA19027 		23-1413680 501C(3)   7,500     SCHOLARSHIP
(13) SOUTHERN COLLEGE OF OPTOMETRY
1245 MADISON AVE
MEMPHIS,TN38104 		62-0548917 501C(3)   7,500     SCHOLARSHIP
(14) STATE UNIVERSITY OF NEW YORK - COLLEGE OF OPTOMETRY
33 WEST 42ND ST
NEW YORK CITY,NY10036 		14-6013200 501C(3)   7,500     SCHOLARSHIP
(15) THE CURATORS OF THE UNIVERSITY OF MISSOURI
ONE UNIVERSITY BLVD
ST LOUIS,MO63121 		43-6003859 501C(3)   7,500     SCHOLARSHIP
(16) THE OHIO STATE UNIVERSITY COLLEGE OF OPTOMETRY
338 W 10TH AVE
COLUMBUS,OH43210 		31-6025986     68,000     RESEARCH GRANT
(17) UNIVERSITY OF ALABAMA - BIRMINGHAM SCHOOL OF OPTOMETRY
1716 UNIVERSITY BLVD
BIRMINGHAM,AL35124 		63-6005396 501C(3)   8,000     SCHOLARSHIP
(18) UNIVERSITY OF CALIFORNIA - BERKELY SCHOOL OF OPTOMETRY
380 MINOR LANE MC 2020
BERKELEY,CA94720 		94-0002123 501C(3)   68,000     RESEARCH GRANT
(19) UNIVERSITY OF PIKEVILLE
147 SYCAMORE STREET
PIKEVILLE,KY41501 		61-0444788 501C(3)   7,500     SCHOLARSHIP
(20) UNIVERSITY OF THE INCARNATE WORD
4301 BROADWAY CPO 315
SAN ANTONIO,TX78209 		74-1109661 501C(3)   8,000     SCHOLARSHIP
(21) WESTERN UNIVERSITY OF HEALTH SCIENCES
701 E SECOND STREET
POMONA,CA91766 		95-3127273 501C(3)   8,000     SCHOLARSHIP
(22) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9
ALBANY,NY122010000 		14-1368361     2,000     SCHOLARSHIP
(23) UNIVERSITY OF HOUSTON COLLEGE OF OPTOMETRY
4901 CALHOUN ROAD
HOUSTON,TX77204 		74-6001399 501C(3)   16,500     SCHOLARSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
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) FELLOWSHIP GRANTS AND TRAVEL GRANTS 33 97,500      
(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 RECIPIENTS MUST SUBMIT A REPORT OF THEIR RESEARCH FINDINGS NO LATER THAN ONE YEAR POST AWARD. TRAVEL FELLOWSHIPS MUST ATTEND THE ANNUAL MEETING IN ORDER TO RECEIVE THEIR FUNDING/AWARDS.
Schedule I (Form 990) 2020



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