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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
CATHOLIC CHARITIES WEST VIRGINIA INC
 
Employer identification number
55-0391262
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
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) CHILD NUTRITION - FUND TO ELIGIBLE PROVIDERS 245 1,576,898      
(2) REFUGEE RESETTLEMENT - EMERGENCY ASSISTANCE 7 6,984      
(3) CHILD DAY CARE RESOURCES - FUND TO ELIGIBLE PROVIDERS 184 123,392      
(4) SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM - FUNDS OT ELIGIBLE RECIPIENT 17 44,347      
(5) DISASTER SERVICES - EMERGENCY ASSISTANCE TO VICTIMS OF THE WEST VIRGINIA FLOODS 5   14,834 FMV FOOD, UTILITIES, HOUSING, CLOTHING, MEDICAL HYGIENE AND OTHER ASSISTANCE
(6) REGIONAL COMMUNITY BASED SERVICES 100711   917,845 FMV FOOD, UTILITIES, HOUSING, CLOTHING, MEDICAL HYGIENE AND OTHER ASSISTANCE
(7) HOMECARE 1 226      
(8) DEVELOPMENTALLY DELAYED CHILDREN CASE MANAGEMENT 1 15      
(9) PARISH SOCIAL MINISTRY 1 206      
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: IT IS THE RESPONSIBILITY OF THE FINANCE DIRECTOR TO REVIEW THE GRANT CONTRACT AND EXTRACT ANY FISCAL ITEMS REQUIRING COMPLIANCE BY CCWVA. ONCE FUNDING HAS BEEN EXPENDED, CCWVA REVIEWS ALL EXPENDITURES BY THE RECEIPTS.
FORM 990, SCH I, PART III, COLUMN B CHILD NUTRITION CCWVA DISTRIBUTED FUNDS TO APPROXIMATELY 245 PROVIDERS DURING THE YEAR BASED ON SPECIFIC RECORDS. REFUGEE RESETTLEMENT CCWVA PROVIDED ASSISTANCE TO APPROXIMATELY 7 FAMILIES DURING THE YEAR BASED ON SPECIFIC RECORDS. CHILD DAY CARE RESOURCES CCWVA PROVIDED ASSSISTANCE TO APPROXIMATELY 184 FAMILIES DURING THE YEAR BASED ON SPECIFIC RECORDS. HOMECARE CCWVA PROVIDED ASSISTANCE TO 1 FAMILY DURING THE YEAR BSED ON SPECIFIC RECORDS. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CCWVA PROVIDED ASSISTANCE TO APPROXIMATELY 17 FAMILIES DURING THE YEAR BASED ON SPECIFIC RECORDS. DISASTER SERVICES CCWVA PROVIDED ASSISTANCE TO APPROXIMATELY 5 FAMILIES DURING THE YEAR BASED ON SPECIFIC RECORDS. REGIONAL COMMUNITY BASED SERVICES CCWVA PROVIDED ASSISTANCE TO APPROXIMATELY 100,711 FAMILIES DURING THE YEAR BASED ON SPECIFIC RECORDS. DEVELOPMENTALLY DELAYED CHILDREN CASE MANAGEMENT CCWVA PROVIDED ASSISTANCE TO 1 FAMILY DURING THE YEAR BASED ON SPECIFIC RECORDS. PARISH SOCIAL MINISTRY CCWVA PROVIDED ASSISTANCE TO 1 FAMILY DURING THE YEAR BASED ON SPECIFIC RECORDS.
Schedule I (Form 990) 2020



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