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 Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
REAL Services Inc
 
Employer identification number
35-1157606
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) Combined Community Services
110 E Prairie St
Warsaw,IN46580 		35-1615502 501(c)(3) 49,396       General support
(2) Elkhart Child Development Ctr
2121 Prairie st
Elkhart,IN46517 		35-1163554 501(c)(3) 27,500       General support
(3) La Casa de Amistead
746 S Meade St
South Bend,IN46619 		35-1350013 501(c)(3) 8,717       General support
(4) St Margaret's House
117 N Lafayette
South Bend,IN46601 		35-1913328 501(c)(3) 25,500       General support
(5) Habitat for Humanity
2526 Peddlers Village Road
Goshen,IN46526 		35-1685313 501(c)(3) 10,001       General support
(6) Marshall County Older Adults
305 W Harrison St
Plymouth,IN46563 		35-1522711 501(c)(3) 52,493       Senior services & General support
(7) Council on Aging of Elkhart County Inc
230 East Jackson
Elkhart,IN46515 		51-0178910 501(c)(3) 71,896       Senior services
(8) Indiana Legal Services Inc
151 N Delaware St Ste 1850
Indianapolis,IN46204 		35-6059654 501(c)(3) 18,825       Senior services
(9) The Window Inc
223 S Main St
Goshen,IN46526 		35-1427937 501(c)(3) 21,939       Senior services
(10) Kosciusko County Council on Aging and Aged
800 N Park Ave
Warsaw,IN46580 		35-1451472 501(c)(3) 79,697       Senior services
(11) LaPorte Meals on Wheels
620 Boston St
LaPorte,IN46350 		35-1388725 501(c)(3) 17,136       Senior services
(12) LaPorte County Meals on Wheels
301 E 8th Street
Michigan City,IN46360 		35-1314352 501(c)(3) 48,628       Senior services
(13) Michiana Resources Inc
4315 E Michigan Blvd
Michigan City,IN46360 		35-6076798 501(c)(3) 86,071       Senior services
(14) Elkhart General Hospital
600 East Blvd
Elkhart,IN46514 		35-0877574 501(c)(3) 36,249       Senior services
(15) Compassion Health Care
740 N State Road 25
Rochester,IN46975 		32-0237943 501(c)(3) 17,416       Senior services
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
15
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) 2016

Schedule I (Form 990) 2016
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) Energy Assistance 8330   3,361,301 Cost of services Energy assistance payments
(2) Home Health Care 5339   2,378,777 Cost of services Home health care
(3) Weatherization 108   535,482 Cost of services Home weatherization
(4) Nutrition 2695   27,062 Cost of services Nutrition services
(5) Foster Grandparents 70 122,712      
(6) Other 100   292,526 Cost of services Various
(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
Pt I Line 2 Grants are disbursed from funds received under federal and state grants and are administered in accordance with the terms and requirements of those grants, including eligibility and cost allowability. All such grants are subject to monitoring and audits by the grantor agencies and the Organization's independent auditor.
Schedule I (Form 990) 2016



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