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
The Chest Foundation
 
Employer identification number
36-3286520
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) Boards of Regents of the University of Wisconsin System
600 HIghland Avenue
K4/910 MC 9988
Madison,WI53792 		39-6006492 501(3) 30,000       Community Service Grants
(2) Brigham and Women's Hospital
PO Box 3149
Boston,MA02241 		04-2312909 501(3) 50,000       Clinical Research COPD
(3) Brigham and Women's Hospital
PO Box 3149
Boston,MA02241 		04-2312909 501(3) 30,000       Clinical Research Venous Thromboembolism
(4) Foundation for Sarcoidosis Research
1820 West Webster Ave
Chicago,IL60614 		36-4378232 501(3) 69,000       Disease Awareness Sarcoidosis
(5) Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
Box 3500
New York,NY10029 		13-6171197 501(3) 10,000       Clinical Research Women's Lung Health
(6) Massachusetts General Hospital
P O Box 414876
Boston,MA02114 		04-1564655 501(3) 45,000       Clinical Research Lung Cancer
(7) Massachusetts General Hospital
P O Box 414876
Boston,MA02114 		04-1564655 501(3) 30,000       Clinical Research Pulmonary Fibrosis
(8) Mayo Clinic
PO Box 860334
Minneapolis,MN55486 		41-6011702 501(3) 50,000       Scholar in Critical Care
(9) Nationwide Children's Hospital
PO Box 781653
Detriot,MI48278 		31-1036372 501(3) 50,000       Scholar in Respiratory Health
(10) Pulmonary Fibrosis Foundation
230 E Ohio Street
Chicago,IL60611 		84-1558631 501(3) 62,292       Pulmonary Fibrosis
(11) University of California San Francisco
505 Parnassus Ave
San Francisco,CA94143 		94-6036493 501(3) 30,000       Clinical Research Pulmonary Fibrosis
(12) University of Washington
12455 Collections Drive
Chicago,IL60693 		91-6001537 501(3) 50,000       Clinical Research in PAH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
12
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)
(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, Part I, Line 2 Procedures for monitoring use of grant funds. The CHEST Foundation (the Foundation) enters into a formal legal agreement with all grantees articulating all requirements related to the grant including reporting, intellectual property ownership, circumstances related to noncompliance to grant agreement terms, payment schedule, and project expectations. All reporting deadlines are supervised by the Foundation staff. The Foundation requires proof of 501(c)(3) status and/or proof that the funds will be used consistently with the Foundation's exempt purposes. The Foundation screens all organizations prior to issuing grant payments.
Schedule I (Form 990) 2016



Additional Data


Software ID: 16000421
Software Version: 2016v3.0