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
United Way of Yavapai County
 
Employer identification number
86-0610730
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) Yav Big Brothers Big Sisters
3208 Lakeside Village
Prescott,AZ86301 		86-0278776 501c3 20,000   semi annual report with measurable results report   Community Impact Services mentoring porg
(2) Catholic Charities-North Star
434 W Gurley St
Prescott,AZ86301 		86-0223999 501c3 7,000   semi annual report with measurable results report   Safe Sitter Grant
(3) Coalition for Compassion and Justic
PO Box 1882
Prescott,AZ86302 		47-0851633 501c3 10,500   semi annual report with measurable results report   Community Impact Services Tiny House Pro
(4) Bagdad PTO
700 Palo Verde
Bagdad,AZ86321 		46-3712041 government 2,630   semi annual report with measurable results report   Education Catch the Reading Excitement
(5) Humbolt Unified School District
6411 N Robert Road
Prescott Valley,AZ86314 		86-6003010 public school 16,832   semi annual report with measurable results report   3rd Grade Reading Program
(6) Prescott Area Shelter Services
336 N Ruth Street
Prescott,AZ86301 		26-4188028 501c3 50,000   semi annual report with measurable results report   case management and guest services
(7) Yavapai Food Council
2020 Contractors Rd
Sedona,AZ86336 		27-4818161 501c3 30,000   semi annual report with measurable results report   Hunger Relief
(8) Boys to Men
551 1st Street
Prescott,AZ86301 		27-2093996 501c3 5,000   semi annual report with measurable results report   Community Impact
(9) People Who Care
PO Box 12977
Prescott,AZ86304 		86-0707449 501c3 10,000   semi annual report with measurable results report   Transportation health and income program
(10) West Yavapai Guidance Clinic
3343 Windsong Dr
Prescott Valley,AZ86314 		86-0206928 501c3 5,000   semi annual report with measurable results report   Accute care center sponsorship
(11) NAU Yav student internship
7351 E Civic Circle
Prescott Valley,AZ86314 		74-2579628 university 3,000   semi annual report with measurable results report   Student Internship program
(12) Hillside Elementary Education
HC 1 Box 3056
Bagdad,AZ86321 		86-0719281 School 600   semi annual report with measurable results report   A New Approach to Science program
(13) Bagdad Unified School District
515 Breezy Circle
Bagdad,AZ86321 		86-6002983 School 30,000   semi annual reports with measurable results   Stem program
(14) Bagdad HS PAL Program
434 W Gurley Steet
Prescott,AZ86301 		86-6002983 School 11,450   semi annual report with measurable results report   Peer assistance and leadership program
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
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) 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
Monitoring procedures (Part I, line 2) The Organization utilized grant applications, payouts, and grant moniotoring reports from awardees on an annual basis.
Schedule I (Form 990) 2016



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