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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
MASSACHUSETTS MEDICAL SOCIETY
 
Employer identification number
04-2050773
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) PHYSICIAN HEALTH SERVICES
860 WINTER STREET
WALTHAM,MA02451
22-3234975 501(C)(3) 533,000       PHYSICIAN OUTREACH SERVICES
(2) MMS AND ALLIANCE CHARITABLE FOUNDATION
860 WINTER STREET
WALTHAM,MA02451
22-3199624 501(C)(3) 185,500       COMMUNITY ACTION
(3) MASS MEDICAL BENEVOLENT SOCIETY
860 WINTER STREET
WALTHAM,MA02451
23-7089741 501(C)(3) 100,000       FINANCIAL RELIEF
(4) MASS MEDICAL ALLIANCE
860 WINTER STREET
WALTHAM,MA02451
23-7055291 501(C)(6) 25,000       HEALTH EDUCATION
(5) MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS
40 COURT STREET
BOSTON,MA02108
04-2507409 501(C)(3) 5,655       COMMUNITY HEALTH
(6) ALL OTHERS (5000 OR LESS)
860 WINTER STREET
WALTHAM,MA02451
501(C)(3) 77,082       VARIOUS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
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) MEDICAL STUDENT GRANTS - SCHOLAR AWARDS PROGRAM 32 176,000      
(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 AMOUNTS LISTED IN PART II ARE GENERAL UNRESTRICTED CONTRIBUTIONS AND NOT GRANTS. AMOUNTS QUALIFYING AS GRANTS ARE REPORTED IN SCHEDULE I, PART III. THE FOLLOWING PROCESS APPLIES TO MEDICAL STUDENT GRANTS: STUDENTS MUST BE ENROLLED IN A MEDICAL SCHOOL IN MASSACHUSETTS. THE MEDICAL SCHOOLS SELECT CANDIDATES BASED ON THEIR ACADEMIC EXCELLENCE, COMMUNITY SERVICE, AND FINANCIAL NEED. THE MASSACHUSETTS MEDICAL SOCIETY SELECTION COMMITTEE INTERVIEWS CANDIDATES AND FINAL AWARDS (GRANTS) ARE BASED ON THEIR DECISION.
Schedule I (Form 990) 2020



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