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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
AMERICAN EPILEPSY SOCIETY
 
Employer identification number
04-6112600
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) ALLIANCE FOR EPILEPSY RESEARCH
1059 E 1479 RD
LAWRENCE,KS66046 		43-1760017 501(C)(3) 7,500 0     WORKSHOP GRANT
(2) AMERICAN BRAIN FOUNDATION
201 CHICAGO AVENUE
MINNEAPOLIS,MN55415 		41-1717098 501(C)(3) 50,000 0     SPENCER GRANT
(3) BAYLOR COLLEGE OF MEDICINE
ONE BAYLOR PLAZA MSBCM160
HOUSTON,TX77030 		74-1613878 501(C)(3) 102,500 0     RESEARCH GRANT
(4) BRIGHAM & WOMEN'S PHYSICIAN HOSPITAL ORGANIZATION INC
116 HUNTINGTON AVENUE 3RD FLOOR
BOSTON,MA02116 		04-3277859 501(C)(3) 50,000 0     POSTDOCTORAL RESEARCH GRANT
(5) CARNEGIE MELLON UNIVERSITY
5000 FORBES AVE
PITTSBURGH,PA15213 		25-0969449 501(C)(3) 32,625 0     RESEARCH GRANT
(6) CHOP RESEARCH INSTITUTE
3401 CIVIC CENTER BLVD
PHILADELPHIA,PA19104 		23-1352166 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(7) COLUMBIA UNIVERSITY
1601 K ST NW
NEW YORK,NY20006 		13-5598093 501(C)(3) 30,000 0     RESEARCH GRANT
(8) CREIGHTON UNIVERSITY
3177 DAVENPORT ST
OMAHA,NE68131 		47-0376583 501(C)(3) 30,000 0     RESEARCH GRANT
(9) FAMILIESCN2A FOUNDATION INC
PO BOX 82
E LONGMEADOW,MA01028 		47-3169795 501(C)(3) 6,500 0     WORKSHOP GRANTWORKSHOP GRANT
(10) GORDON RESEARCH CONFERENCES
5586 POST RD UNIT 2
E GREENWICH,RI02818 		26-0150662 501(C)(3) 45,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(11) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE BOX 3500
NEW YORK,NY10029 		13-6171197 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(12) NEW YORK UNIVERSITY SCHOOL OF MEDICINE
729 BROADWAY
NEWYORK,NY10003 		13-5562308 501(C)(3) 30,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(13) RUTGERS UNIVERSITY
335 GEORGE ST STE 4000
NEW BRUNSWICK,NJ08901 		23-7318742 501(C)(3) 72,000 0     RESEARCH GRANT
(14) SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371
SEATTLE,WA98145 		91-0564748 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(15) STANFORD UNIVERSITY
520 LASUEN MALL
STANFORD,CA94305 		94-1279777 501(C)(3) 30,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(16) TEXAS A&M UNIV HEALTH SCIENCE CTR
401 GEORGE BUSH DR
COLLEGE STA,TX77840 		74-2245072 501(C)(3) 20,000 0     WORKSHOP GRANT
(17) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA - LA
1100 KINROSS AVENUE SUITE 211
LOS ANGELES,CA90095 		95-6006143 501(C)(3) 70,000 0     SEED GRANT
(18) THE REGENTS OF THE UNIVERSITY OF MI
1000 S STATE ST
ANN ARBOR,MI48109 		38-2222745 501(C)(3) 60,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(19) THE STATE UNIVERSITY OF IOWA
1 W PARK RD
IOWA CITY,IA52242 		42-0796760 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(20) TRUSTEES OF TUFTS UNIVERSITY
136 HARRISON AVENUE
BOSTON,MA02111 		04-2103634 501(C)(3) 30,000 0     POSTDOCTORAL RESEARCH GRANT
(21) UNIVERSITY OF ALABAMA - BIRMINGHAM
500 22ND STREET SOUTH STE 406B
BIRMINGHAM,AL35233 		63-0649108 501(C)(3) 14,400 0     RESEARCH GRANT
(22) UNIVERSITY OF CALIFORNIA - DAVIS
944 GARROD DRIVE
DAVIS,CA95616 		46-4117124 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(23) UNIVERSITY OF COLORADO DENVER
13001 E 17TH PL ROOM W1124
AURORA,CO80045 		84-6000555 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(24) UNIVERSITY OF IL URBANA-CHAMPAIGN
1305 WEST GREEN ST
URBANA,IL61801 		37-6006007 501(C)(3) 20,000 0     SEED GRANT
(25) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE
3901 RAINBOW BLVD MSC 1039
KANSAS CITY,KS66160 		48-1108830 501(C)(3) 20,000 0     RESEARCH GRANT
(26) UNIVERSITY OF MINNESOTA
200 OAK ST SE STE 500
MINNEAPOLIS,MN55455 		41-6042488 501(C)(3) 15,000 0     PARTNER PROGRAMS
(27) UNIVERSITY OF VERMONT
111 COLCHESTER AVE
BURLINGTON,VT05401 		03-0219309 501(C)(3) 100,000 0     POSTDOCTORAL RESEARCH GRANT
(28) UNIVERSITY OF WASHINGTON
407 GERBERDING HALL
SEATTLE,WA98195 		94-3079432 501(C)(3) 15,000 0     PARTNER PROGRAMS
(29) UNIVERSITY OF WISCONSIN
1848 UNIVERSITY AVE
MADISON,WI53726 		39-0743975 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(30) WASHINGTON UNIVERSITY
700 ROSEDALE AVE
ST LOUIS,MO63112 		43-0653611 501(C)(3) 20,000 0     SEED GRANT
(31) WEILL MEDICAL COLLEGE OF CORNELL UNIV
377 PINE TREE RD
ITHACA,NY14850 		15-0532082 501(C)(3) 9,964 0     JUNIOR INVESTIGATOR RESEARCH GRANT
(32) YALE UNIVERSITY
PO BOX 208239
NEW HAVEN,CT06520 		06-0646973 501(C)(3) 50,000 0     JUNIOR INVESTIGATOR RESEARCH GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
36
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) BASIC SCIENCE AWARD 1 10,000      
(2) FOUNDERS AWARD 1 10,000      
(3) BERRY AWARD 2 2,000      
(4) GRASS TRAVEL AWARD 7 7,000      
(5) NURSE TRAVEL AWARD 3 3,000      
(6) OTHER ANNUAL MEETING AWARDS 11 19,077      
(7) PELLOCK AWARD IN PEDIATRIC EXCELLENCE 2 2,000      
(8) REBECCA GOLDBERG KAUFFMAN AWARD 1 1,000      
(9) YOUNG INVESTIGATOR AWARD 17 20,400      
(10) ANNUAL MEETING SPEAKER REBATES 255 128,000      
(11) DREIFUSS AWARD 1 1,000      
(12) PENRY AWARD 1 3,000      
(13) CLINICAL SCIENCE RESEARCH 1 5,000      
(14) TRAVEL GRANTS 102 99,250      
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: CANDIDATES SUBMIT FORMAL APPLICATIONS TO THE AMERICAN EPILEPSY SOCIETY, INC. REQUESTING THE GRANT OR FELLOWSHIP. THE APPLICATION MUST STATE HOW THE FUNDING WILL BE USED TO FURTHER MEDICAL RESEARCH TO TREAT OR CURE EPILEPSY. A COMMITTEE OF THE AMERICAN EPILEPSY SOCIETY, INC. REVIEWS THE APPLICATIONS. THIS COMMITTEE IS RESPONSIBLE TO THE BOARD OF DIRECTORS OF THE ORGANIZATION.
Schedule I (Form 990) 2021



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