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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 OF THE
DIOCESE OF SANTA ROSA
Employer identification number
94-2479393
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) CARITAS CENTER QALICB
987 AIRWAY COURT
SANTA ROSA,CA95402 		85-4085935 501(C)(3)   5,333,806 FMV AFFORDABLE HOUSING PROPERTY AFFORDABLE HOUSING
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
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) RENT, UTILITIES AND OTHER HOUSING ASSISTANCE 64   1,442,010 FMV RENT, UTILITIES AND OTHER HOUSING ASSISTANCE
(2) BASIC NEEDS 1   8,000 FMV BASIC NEEDS
(3) OTHER FINANCIAL ASSISTANCE 1   15,000 FMV OTHER FINANCIAL ASSISTANCE
(4) FOOD, SUPPLIES, EQUIPMENT 5   541,366   FOOD, SUPPLIES, EQUIPMENT
(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: CATHOLIC CHARITIES' JUBILEE CENTER MAINTAINS A MONTHLY LOG THAT INCLUDES THE CLIENTS' NAME AND REASON THEY OBTAINED GIFT CARD. TO TRACK BAGS OF FOOD: CALFRESH SIGN-IN SHEET, CALFRESH APPLICATIONS, AND REGISTRATION SHEETS AT FOOD DISTRIBUTIONS ARE TOTALED. CATHOLIC CHARITIES' EMERGENCY FUND ASSISTANCE IS OFFERED ON A LIMITED BASIS FOR QUALIFIED APPLICANTS IN DESIGNATED CATEGORIES. A GRANTEE'S ADDRESS IS VERIFIED AND METHOD OR VEHICLE OF VERIFICATION IS DOCUMENTED ON APPLICATION. COPIES OF UTILITY BILLS ARE REQUESTED FOR UTILITY ASSISTANCE REQUESTS. GRANTEES PRESENT A FORM OF ID WHICH IS USED AS VERIFICATION AND A COPY IS SUBMITTED WITH APPLICATION. APPLICATIONS FOR ASSISTANCE ARE REVIEWED BY A COMMITTEE OF AT LEAST 3 STAFF MEMBERS. APPLICATIONS MUST BE APPROVED BY AT LEAST 2 STAFF MEMBERS TO BE SUBMITTED WITH A CHECK REQUEST. RECORDS ARE KEPT FOR 10 YEARS.
Schedule I (Form 990) 2020



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