Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
2020
Open to Public
Inspection
Name of the organization
EASTSIDE RETIREMENT ASSOCIATION
 
Employer identification number
91-1261904
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) CONGREGATIONS OF THE HOMELESS
515 116TH AVENUE NE SUITE 150
BELLEVUE,WA98004 		45-3932748 501(C)(3) 55,000       GENERAL OPERATING SUPPORT
(2) EVERGREEN HEALTH FOUNDATION
12040 NE 128TH STREET MS-5
KIRKLAND,WA98034 		91-1519430 501(C)(3) 150,000       GENERAL OPERATING SUPPORT
(3) FOOD BANK FARM
11526 162ND AVENUE NE
REDMOND,WA98052 		91-1554454 501(C)(3) 22,500       GENERAL OPERATING SUPPORT
(4) MEDIC ONE FOUNDATION
11747 NE 1ST STREET SUITE 310
BELLEVUE,WA98005 		91-6183158 501(C)(3) 45,000       GENERAL OPERATING SUPPORT
(5) OPERATION NIGHTWATCH
PO BOX 21181
SEATTLE,WA98111 		91-0964027 501(C)(3) 12,500       GENERAL OPERATING SUPPORT
(6) UNIVERSITY OF WASHINGTON ALZHEIMERS DISEASE RESEARCH CENTER
325 9TH AVENUE BOX 359791
SEATTLE,WA98104 		UNIV. OF WASHINGTON 80,000       GENERAL OPERATING SUPPORT
(7) PHILANTHROPY NORTHWEST
2101 FOURTH AVENUE SUITE 650
SEATTLE,WA98121 		91-1110995 501(C)(3) 50,000       GENERAL OPERATING SUPPORT
(8) EASTWEST FOOD RESCUE
23515 NE NOVELTY HILL RD STE B221
REDMOND,WA98053 		85-1100467 501(C)(3) 25,000       GENERAL OPERATING SUPPORT
(9) HEARTS AND HAMMERS
141 156TH AVENUE SE
BELLEVUE,WA98007 		91-0724638 501(C)(3) 10,000       GENERAL OPERATING SUPPORT
(10) SAMARITAN COUNSELING OF PUGET SOUND
564 NE RAVENNA BOULEVARD
SEATTLE,WA98115 		91-1268538 501(C)(3) 25,000       GENERAL OPERATING SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
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) 2020

Schedule I (Form 990) 2020
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
PART I, LINE 2: THE ORGANIZATION ENSURES THAT ALL GRANT RECIPIENTS ARE QUALIFIED TO RECEIVE CHARITABLE CONTRIBUTIONS. GRANT FUNDS ARE INTENDED FOR GENERAL OPERATING SUPPORT, SO NO FOLLOW-UP PROCEDURES ARE USED TO MONITOR THE SPECIFIC USES OF GRANTED FUNDS.
Schedule I (Form 990) 2020



Additional Data


Software ID:  
Software Version: