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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
2019
Open to Public
Inspection
Name of the organization
OUR LADY OF THE LAKE FOUNDATION
 
Employer identification number
72-1014324
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) Baton Rouge Area Foundation
100 North Street Suite 900
Baton Rouge,LA70802 		72-6030391 501(c)(3) 15,000       HUMANISM IN MEDICAL EDUCATION PROGRAM
(2) Our Lady of the Lake Hospital
4200 Essen Lane
Baton Rouge,LA70809 		72-0423651 501(c)(3) 49,790,780       SEE PART IV General Support
(3) Franciscan Missionaries of Our Lady University
4200 Essen Lane
Baton Rouge,LA70809 		72-1173156 501(c)(3) 769,319       SCHOLARSHIPS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
3
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) 2019

Schedule I (Form 990) 2019
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
Form Sch I Part I Line 2 THE FOUNDATION MAKES GRANTS TO OUR LADY OF THE LAKE HOSPITAL, INC. AND OTHER COMMUNITY NON-PROFIT ORGANIZATIONS THAT SUPPORT THE HOSPITAL'S CHARITABLE MISSION. GRANT RECIPIENTS ARE CAREFULLY SELECTED AND ARE SUBJECT TO A PRE-GRANT DUE DILIGENCE PROCESS. THE FOUNDATION ANTICIPATES THAT THESE REPUTABLE COMMUNITY ORGANIZATIONS WILL USE THE FUNDS AS INTENDED WITHIN SUCH ORGANIZATION'S CHARITABLE PURPOSES. COLUMN (H) - PURPOSE OF GRANT OR ASSISTANCE OUR LADY OF THE LAKE HOSPITAL - OUR LADY OF THE LAKE CHILDREN'S HOSPITAL AND OTHER GENERAL SUPPORT
Schedule I (Form 990) 2019



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