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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
2022
Open to Public
Inspection
Name of the organization
GREATER WINSTON-SALEM INC
FOUNDATION
Employer identification number
51-0167887
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) BAILEY PRESCHOOL
1300 POLO ROAD
WINSTONSALEM,NC27106
13-4224004   20,000       BUSINESS MINORITY PR
(2) CREANDO FAMILIES FELICES LLC
1225 E 5TH STREET SUITE 100
WINSTONSALEM,NC27101
85-0948190   20,000       BUSINESS MINORITY PR
(3) DOVE INNERCITY NOTARY LLC
5142 IVYSTONE LANE
WINSTONSALEM,NC27104
86-1624275   20,000       BUSINESS MINORITY PR
(4) SHERMAN'S DROP IN INC
2101 PETERS CREEK PKWY
WINSTONSALEM,NC27127
83-3134241   10,000       BUSINESS MINORITY PR
(5) ABLE TRANSPORTATION SERVICES LLC
153 WOODBRIAR ROAD
WINSTONSALEM,NC27106
87-4038621   15,000       BUSINESS MINORITY PR
(6) RUBYG'S BUTTERCREME SENSATIONS
2050 INDEPENDENCE ROAD
WINSTONSALEM,NC27106
84-3217729   15,000       BUSINESS MINORITY PR
(7) ONDREA DIGNITY PRODUCTS INC
1409 PLAZA WEST ROAD SUITE D
WINSTONSALEM,NC27103
56-2101380   15,000       BUSINESS MINORITY PR
(8) LANDAMUR INC
2928 DAHILA DRIVE
WINSTONSALEM,NC27107
85-2912418   15,000       BUSINESS MINORITY PR
(9) WINSTON-SALEM TEES LLC
3714 INDIANA AVE
WINSTONSALEM,NC27105
90-1180934   10,000       BUSINESS MINORITY PR
(10) TEAM J CONSTRUCTION LLC
3860 DAYTON STREET
WINSTONSALEM,NC27105
47-3589259   10,000       BUSINESS MINORITY PR
(11) INFINITY CARE LLC
3640 WESTGATE CENTER CIR SUITE A
WINSTONSALEM,NC27103
82-1997919   10,000       BUSINESS MINORITY PR
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
11
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022
Page 2

Schedule I (Form 990) 2022
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) BUSINESS MINORITY PROGRAM 2 25,000      
(2) WEAVER FIRE GRANT 34 51,000      
(3) STUDENT INCENTIVES 10 2,175      
(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
SCHEDULE I, PAGE 1, PART I, LINE 2 THE FOUNDATION HAS IMPLEMENTED POLICIES AND PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THAT ARE INTENDED TO ESTABLISH APPROPRIATE AND EFFECTIVE CONTROLS TO PROMOTE COMPLIANCE WITH ALL CONTRACTUAL ARRANGEMENTS. PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INCLUDE BUT ARE NOT LIMITED TO A FORMAL PREQUALIFICATION PROCESS, COMPLIANCE CERTIFICATIONS, REVIEW OF FINANCIAL AND OTHER PERTINENT INFORMATION FROM A RECIPIENT TO ENSURE COMPLIANCE AND DELIVERABLES ARE WITHIN THE TERMS AND CONDITIONS OF THE AWARD DOCUMENT.
Schedule I (Form 990) 2022



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