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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
THREE ARCHES FOUNDATION
 
Employer identification number
34-6519834
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) B RILEY SOBER HOUSE
3719 DENISON AVENUE
CLEVELAND,OH44109 		81-4500441 501(C)(3) 120,000 0     PROGRAM SUPPORT (OVER TWO YEARS)
(2) BUILDING HOPE IN THE CITY
2038 WEST 29TH STREET
CLEVELAND,OH44113 		33-1072830 501(C)(3) 67,000 0     PROGRAM SUPPORT (OVER TWO YEARS)
(3) ELIZA JENNINGS
26376 JOHN ROAD
OLMSTED TOWNSHIP,OH44138 		34-1560243 501(C)(3) 150,000 0     PROGRAM SUPPORT (OVER TWO YEARS)
(4) HOSPICE OF THE WESTERN RESERVE
17876 ST CLAIR AVENUE
CLEVELAND,OH44110 		34-1256377 501(C)(3) 75,000 0     PROGRAM SUPPORT
(5) JOURNEY CENTER FOR SAFETY AND HEALING
PO BOX 5466
CLEVELAND,OH44101 		34-1278377 501(C)(3) 80,000 0     PROGRAM SUPPORT
(6) LIFEACT
210 BELL STREET
CHAGRIN FALLS,OH44022 		34-1724365 501(C)(3) 25,000 0     PROGRAM SUPPORT
(7) MAY DUGAN CENTER
4115 BRIDGE AVENUE
CLEVELAND,OH44113 		23-7061949 501(C)(3) 130,000 0     PROGRAM SUPPORT (OVER TWO YEARS)
(8) NEIGHBORHOOD FAMILY PRACTICE
4115 BRIDGE AVENUE SUITE 300
CLEVELAND,OH44113 		34-1300581 501(C)(3) 170,048 0     PROGRAM SUPPORT (OVER TWO YEARS)
(9) NEIGHBORHOOD FAMILY PRACTICE
4115 BRIDGE AVENUE SUITE 300
CLEVELAND,OH44113 		34-1300581 501(C)(3) 97,211 0     PROGRAM SUPPORT
(10) OHIO GUIDESTONE
434 EASTLAND ROAD
BEREA,OH44017 		34-0720558 501(C)(3) 173,277 0     PROGRAM SUPPORT (OVER TWO YEARS)
(11) PROVIDENCE HOUSE
2050 W 32ND STREET
CLEVELAND,OH44113 		34-1336325 501(C)(3) 60,000 0     PROGRAM SUPPORT
(12) RENEE JONES EMPOWERMENT CENTER
3764 PEARL ROAD SUITE 200
CLEVELAND,OH44109 		34-1927001 501(C)(3) 124,200 0     PROGRAM SUPPORT (OVER TWO YEARS)
(13) SIGNATURE HEALTH
38882 MENTOR AVENUE
WILLOUGHBY,OH44094 		34-1751703 501(C)(3) 77,850 0     PROGRAM SUPPORT
(14) SMART DEVELOPMENT
1192 E 40TH STREET
CLEVELAND,OH44114 		82-4991900 501(C)(3) 45,000 0     PROGRAM SUPPORT
(15) ST VINCENT CHARITY MEDICAL CENTER
6935 TREELINE DRIVE NO J
BRECKSVILLE,OH44141 		34-0714756 501(C)(3) 30,000 0     PROGRAM SUPPORT
(16) STELLA MARIS
1320 WASHINGTON AVENUE
CLEVELAND,OH44113 		34-0896181 501(C)(3) 50,000 0     PROGRAM SUPPORT
(17) THE LANTERN CENTER FOR RECOVERY
4909 LORAIN AVENUE
CLEVELAND,OH44102 		27-2051836 501(C)(3) 50,000 0     OPERATING SUPPORT
(18) THE LGBT COMMUNITY CENTER OF GREATER CLEVELAND
6705 DETROIT AVENUE
CLEVELAND,OH44102 		34-1190920 501(C)(3) 158,887 0     PROGRAM SUPPORT
(19) THE METROHEALTH FOUNDATION
2500 METROHEALTH DRIVE
CLEVELAND,OH44109 		34-6607695 501(C)(3) 97,500 0     PROGRAM SUPPORT
(20) THE REFUGEE RESPONSE
2054 W 47 TH ST
CLEVELAND,OH44102 		30-0594051 501(C)(3) 149,760 0     PROGRAM SUPPORT (OVER TWO YEARS)
(21) URBAN COMMUNITY SCHOOL
4909 LORAIN AVENUE
CLEVELAND,OH44102 		34-6608706 501(C)(3) 60,000 0     PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
20
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) 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)
(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
PROCEDURES FOR MONITORING THE USE OF GRANTS PART I, LINE 2 THE FOUNDATION COMMUNICATES WITH ITS SUPPORTED ORGANIZATIONS TO ENSURE THAT MONIES GRANTED ARE USED FOR THE PURPOSES AND PROGRAMS INTENDED.
Schedule I (Form 990) 2022



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