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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.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
LYDIA PLACE
 
Employer identification number
94-3111948
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
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) 2017

Schedule I (Form 990) 2017
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) SHELTER & DIRECT CASH ASSISTANCE FOR HOMELESS 100 54,465      
(2) CLOTHING & HOUSEHOLD ITEMS 110   21,490 THRIFT SHOP VALUE CLOTHING, ACCESSORIES, TOYS, KITCHEN ITEMS, BOOKS, HOUSEHOLD ACCESSORIES
(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: RENTAL ASSISTANCE IS BASED ON HOUSEHOLD INCOME. ALL HOUSEHOLDS SERVED MUST INCOME QUALIFY AT OR BELOW 30% AREA MEDIAN INCOME (AMI). SPECIAL CIRCUMSTANCES CAN INCREASE THAT ELIGIBILITY TO UNDER 50% AMI. INCOME IS RE-CERTIFIED EVERY THREE MONTHS. RECIPIENTS ARE REQUIRED TO CONTRIBUTE A MINIMUM OF 30% OF THEIR INCOME TOWARDS RENT AND WOULD BE ELIGIBLE FOR SUBSIDY FOR THE BALANCE. SUBSIDY IS ONLY COMMITTED ON A THREE MONTH BASIS AND PARTICIPANTS MUST BE IN COMPLIANCE WITH THEIR LEASE AND PROGRAM REQUIREMENTS. ALL ELIGIBILITY FORMS ARE KEPT IN THE CLIENTS FILE FOR 7 YEARS POST PROGRAM EXIT. ADDITIONALLY, ALL SUBSIDIZED HOUSING UNITS MUST PASS A HOUSING SAFETY INSPECTION AND BE PROVIDED IN SUPPORT OF A VALID RENTAL LEASE. EMERGENCY ASSISTANCE IS PROVIDED ON A CASE-BY-CASE BASIS. CASE MANAGERS CAN MAKE A REQUEST TO A SUPERVISOR FOR EMERGENCY ASSISTANCE IN SPECIAL CIRCUMSTANCES. THIS ASSISTANCE IS USUALLY ONE-TIME AND UNDER $100. THOSE PARAMETERS CAN BE EXPANDED AT THE DISCRETION OF THE PROGRAM SUPERVISOR WHO REVIEWS AND APPROVES SUCH REQUESTS.
Schedule I (Form 990) 2017



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