Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
LIEUTENANT JOSEPH P DIBERNARDO
MEMORIAL FOUNDATION INC
Employer identification number
46-1828044
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) MELROSE FD
576 MAIN ST
MELROSE,MA02176
  12,731       FIRE & SAFETY EQUIP
(2) ORONO
63 MAIN ST
ORONO,ME04473
  7,823       FIRE & SAFETY EQUIP
(3) SUSSEX FD
25 LOOMIS AVE
SUSSEX,NJ07461
  11,922       FIRE & SAFETY EQUIP
(4) KEENE FD
31 VERNON ST
KEENE,NH03431
  11,997       FIRE & SAFETY EQUIP
(5) UNION BEACH
1110 UNION AVE
UNION BEACH,NJ07735
  12,000       FIRE & SAFETY EQUIP
(6) FT LEE
1365 INWOOD TERRACE
FORT LEE,NJ07024
  11,497       FIRE & SAFETY EQUIP
(7) PLAINS TOWNSHIP
126 N MAIN ST
PLAINS,PA18705
  9,353       FIRE & SAFETY EQUIP
(8) CLINTON
404 NORTH BROAD ST
CLINITON,SC29325
  12,390       FIRE & SAFETY EQUIP
(9) KAIBAB ESTATES
3918 N DOUBLE A RANCH RD
ASH FORK,AZ86320
  10,198       FIRE & SAFETY EQUIP
(10) ASHLAND
70 CEDAR ST
ASHLAND,MA01721
  12,454       FIRE & SAFETY EQUIP
(11) LANESBOROUGH
180 SOUTH MAIN ST
LANESBOROUGH,MA01237
  8,332       FIRE & SAFETY EQUIP
(12) BENTON
251 E MARKET ST
BENTON HARBOR,MI49022
  12,000       FIRE & SAFETY EQUIP
(13) RUSSELL
815 N MAPLE ST PO BOX 112
RUSSELL,KS67665
  11,830       FIRE & SAFETY EQUIP
(14) MOON TOWNSHIP
1000 BEAVER GRADE RD
MOON TOWNSHIP,PA15108
  9,954       FIRE & SAFETY EQUIP
(15) SENECA
3494 SR 257
SENECA,PA16346
  11,601       FIRE & SAFETY EQUIP
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
 
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
Schedule I (Form 990) 2022



Additional Data


Software ID:  
Software Version: