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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TOXICS ACTION CENTER INC
 
Employer identification number
04-3211693
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) FORE RIVER RESIDENTS AGAINST THE COMPRESSOR STATION
PO BOX 485
WEYMOUTH,MA02190 		81-0758423 501(C)(4) 28,430 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
(2) FIGHT FOR ZERO INC
6395 W BAKER CIRCLE
COCOA,FL32927 		83-3400160 501(C)(3) 7,877 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
(3) NORTH AMERICAN INDIAN CENTER OF BOSTON
105 SOUTH HUNTINGTON AVE
JAMAICA PLAIN,MA02130 		04-3132204 501(C)(3) 7,500 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
(4) NATIVE GREEN INC
PO BOX 29387
PROVIDENCE,RI02909 		N/A 10,097 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
(5) NEIGHBOR TO NEIGHBOR MASSACHUSETTS EDUCATION FUND INC
PO BOX 30839
WORCESTER,MA01603 		04-3507716 501(C)(3) 98,000 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
(6) CLEAN WATER FUND OF MICHIGAN
PO BOX 188
MOUNT CLEMENS,MI48046 		52-1043444 501(C)(3) 10,000 0 N/A N/A PROGRAM SUPPORT FOR CHARITABLE & EDUCATIONAL ACTIVITIES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
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
PART I, LINE 2: THE ORGANIZATION CONDUCTS DUE DILIGENCE TO BE SURE THAT THE RECIPIENT'S PROGRAMMATIC ACTIVITIES ALIGN WITH THE GOALS OF THE ORGANIZATION. THE ORGANIZATION EXECUTES GRANT AGREEMENTS WITH ALL RECIPIENTS.
Schedule I (Form 990) 2021



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