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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
EAST TENNESSEE CHILDREN'S HOSPITAL
ASSOCIATION INC
Employer identification number
62-6002604
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) EMERALD YOUTH FOUNDATION
1014 HEISKELL AVENUE
KNOXVILLE,TN37921 		62-1474791 501(C)(3) 5,000 0     GENERAL SUPPORT
(2) VARIETY CHILDREN'S CHARITY
101 E BLOUNT AVENUE
KNOXVILLE,TN37920 		33-1025696 501(C)(3) 5,000 0     GENERAL SUPPORT
(3) KNOXVILLE CHAMBER OF COMMERCE
17 MARKET SQUARE 201
KNOXVILLE,TN37902 		62-0262640 501(C)(6) 12,633 0     GENERAL SUPPORT
(4) AMERICAN HEART ASSOCIATION
4708 PAPERMILL DR
KNOXVILLE,TN37909 		13-5613797 501(C)(3) 7,000 0     GENERAL SUPPORT
(5) THE UNIVERSITY OF TENNESSEE COLLEGE OF NURSING
1200 VOLUNTEER BLVD 309
KNOXVILLE,TN379964180 		62-1844686 501(C)(3) 5,250 0     GENERAL SUPPORT
(6) CHILDREN'S EMERGENCY CARE ALLIANCE OF TENNESSEE
3841 GREEN HILLS VILLAGE DRIVE
SUITE 3048
NASHVILLE,TN37215 		20-2802786 501(C)(3) 12,500 0     GENERAL SUPPORT
(7) THE LEUKEMIA & LYMPHOMA SOCIETY
2250 SUTHERLAND AVENUE SUITE 201
KNOXVILLE,TN37919 		13-5644916 501(C)(3) 7,500 0     GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
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
PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.
Schedule I (Form 990) 2022



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