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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
MONTGOMERY AREA COMMUNITY
WELLNESS COALITION
Employer identification number
30-0092712
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) ANTIOCH STONETANK CHURCH
CANTELOU ROAD
MONTGOMRY,AL36108 		26-4915870 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
(2) BOYS AND GIRLS CLUB
2612 LOWER WETUMPKA ROAD
MONTGOMERY,AL36110 		63-0302108 501(C)(3) 14,361 0     GRANT PROGRAM SUPPORT
(3) BRANCH GROVE BAPTIST
908 SAYRE STREET
MONTGOMERY,AL36104 		63-0994647 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
(4) FRIENDSHIP MISSION
312 CHISHOLM STREET
MONTGOMERY,AL36110 		45-0566808 501(C)(3) 12,118 0     GRANT PROGRAM SUPPORT
(5) HOPE INSPIRED MINISTRIES
145 COLISEUM BLVD
MONTGOMERY,AL36109 		45-4501764 501(C)(3) 24,236 0     GRANT PROGRAM SUPPORT
(6) HEALTH SERVICES
100 E VANDIVER BLVD
MONTGOMERY,AL36110 		63-0568762 501(C)(3) 30,200 0     GRANT PROGRAM SUPPORT
(7) IKARE PHARMACY
7212 HALCYON PARK DRIVE
MONTGOMERY,AL36117 		83-1885665 501(C)(3) 7,010 0     GRANT PROGRAM SUPPORT
(8) MACON-RUSSELL COMMUNITY ACTION
1111 2 PL S
PHENIX CITY,AL36869 		63-6054092 501(C)(3) 12,118 0     GRANT PROGRAM SUPPORT
(9) MEDICAL OUTREACH MINISTRIES
5741 CARMICHAEL PKWY
MONTGOMERY,AL36117 		63-1204645 501(C)(3) 8,200 0     GRANT PROGRAM SUPPORT
(10) METROPOLITAN UNITED METHODIST
3108 ROSA PARKS AVE
MONTGOMERY,AL36105 		80-0975296 501(C)(3) 45,121 0     GRANT PROGRAM SUPPORT
(11) MENTAL HEALTH AMERICA
1116 S HULL STREET
MONTGOMERY,AL36104 		63-0328645 501(C)(3) 24,118 0     GRANT PROGRAM SUPPORT
(12) MID-ALABAMA COALITION FOR THE HOMELESS
101 COLISEUM BLVD
MONTGOMERY,AL36109 		30-0060631 501(C)(3) 12,118 0     GRANT PROGRAM SUPPORT
(13) OPEN DOOR CHRISTIAN FAITH
2450 PRESIDENTS DR
MONTGOMERY,AL36116 		63-1263203 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
(14) MT OLIVE MISSIONARY BAPTIST
2409 40TH AVENUE N
BIRMINGHAM,AL35207 		63-0818185 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
(15) PARKS PHARMACY
1323 MULBERRY STREET
MONTGOMERY,AL36106 		26-0378863 501(C)(3) 7,200 0     GRANT PROGRAM SUPPORT
(16) QUIET STORM OUTREACH
445 DEXTER AVENUE
MONTGOMERY,AL36104 		84-2065755 501(C)(3) 12,118 0     GRANT PROGRAM SUPPORT
(17) REBIRTH CHRISTIAN MINISTRIES
321 W FLEMING ROAD
MONTGOMERY,AL36105 		36-4492721 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
(18) REHEMA HEALTH
4645 N 12TH STREET
PHOENIX,AZ85014 		86-1592901 501(C)(3) 18,300 0     GRANT PROGRAM SUPPORT
(19) SOUTH VIEW WORSHIP
141 HAYNEVILLE PLAZA
HAYNEVILLE,AL36040 		46-3114667 501(C)(3) 7,700 0     GRANT PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
 
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: ALL SUB RECIPIENTS IDENTIFIED FOR 17-18 RECEIVED AUDITS AND HAVE MAINTAINED THOSE RECORDS ON FILE. FOR CONTRACTORS WHO DO NOT OBTAIN INDEPENDENT AUDITS, THE COALITION REVIEWED FINANCIAL DOCUMENTATION (STATEMENTS OF INCOME, ETC.).
Schedule I (Form 990) 2021



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