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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Episcopal Health Foundation
 
Employer identification number
46-2599162
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) Andrews Center
1722 W Front Street
Tyler,TX75702
75-1281410 501(c)(3) 100,000 0     Support Comprehensive Clinics
(2) Angelina County & Cities Health District
503 Hill Street
Lufkin,TX75904
75-1244376 170(c)(1) 300,000 0     Building Brain Development-Community Organizations
(3) Asian American Health Coal of the Greater Houston Area Inc (HOPE Clinic)
7001 Corporate Suite 120
Houston,TX770365110
31-1756818 501(c)(3) 150,000 0     Support Comprehensive Clinics
(4) Asian American Health Coal of the Greater Houston Area Inc (HOPE Clinic)
7001 Corporate Suite 120
Houston,TX770365110
31-1756818 501(c)(3) 450,000 0     Support Comprehensive Clinics
(5) AVANCE Austin
745 Mansell Avenue
Austin,TX787025031
91-1916705 501(c)(3) 400,000 0     Building Brain Development-Community Organizations
(6) Avenue 360 Health & Wellness
2150 West 18th Street
Houston,TX77008
76-0549240 501(c)(3) 300,000 0     Support Comprehensive Clinics
(7) Avenue Community Development Corporation
3517 Irvington Boulevard
Houston,TX77009
76-0380602 501(c)(3) 400,000 0     Support Change in Healthcare Financing
(8) BakerRipley
PO Box 231808
Houston,TX772231808
23-7062976 501(c)(3) 250,000 0     Raise Community Voices
(9) Bastrop County Cares
PO Box 1148
Bastrop,TX78602
47-3250104 501(c)(3) 400,000 0     Support Change in Healthcare Financing
(10) Bastrop County Cares
PO Box 1148
Bastrop,TX78602
47-3250104 501(c)(3) 300,000 0     Raise Community Voices
(11) Bastrop County Cares
PO Box 1148
Bastrop,TX78602
47-3250104 501(c)(3) 10,000 0     Program Support
(12) Baylor College of Medicine - Teen Health Clinic
Advancement and Alumni Affairs
Houston,TX77210
74-1613878 501(c)(3) 140,000 0     Support Comprehensive Clinics
(13) Boat People SOS Inc
11360 Bellaire Boulevard Suite 910
Houston,TX77072
45-4040991 501(c)(3) 280,000 0     Expand Health Coverage & Benefits
(14) Brazos Valley Community Action Agency Inc
1500 University Drive East
College Station,TX77840
74-1715140 501(c)(3) 10,000 0     Program Support
(15) Casa Marianella
821 Gunter Street
Austin,TX78702
74-2377341 501(c)(3) 280,000 0     Expand Health Coverage & Benefits
(16) Center for Public Policy Priorities (CPPP) DBA Every Texan
7020 Easy Wind Drive
Austin,TX78752
74-2898197 501(c)(3) 356,000 0     Expand Health Coverage & Benefits
(17) Center for Urban Transformation
4300 Lyons Avenue Suite 300
Houston,TX770202569
84-2355032 501(c)(3) 150,000 0     Raise Community Voices
(18) Central Health
1111 E Cesar Chavez Street
Austin,TX78702
06-1730907 170(c)(1) 600,000 0     Support Comprehensive Clinics
(19) Central Texas Interfaith
1301 S IH 35 Suite 201
Austin,TX78741
74-2389210 501(c)(3) 630,000 0     Raise Community Voices
(20) Children's Defense Fund
5410 Bellaire Blvd Suite 203
Bellaire,TX77401
52-0895622 501(c)(3) 225,000 0     Raise Community Voices
(21) Children's Defense Fund
5410 Bellaire Blvd Suite 203
Bellaire,TX77401
52-0895622 501(c)(3) 600,000 0     Expand Health Coverage & Benefits
(22) Children's Defense Fund
5410 Bellaire Blvd Suite 203
Bellaire,TX77401
52-0895622 501(c)(3) 175,000 0     Expand Health Coverage & Benefits
(23) City of Longview
300 W Cotton Street
Longview,TX75601
170(c)(1) 400,000 0     Support Change in Healthcare Financing
(24) Coalition of Texans with Disabilities
1716 San Antonio Street
Austin,TX78701
74-2071160 501(c)(3) 145,875 0     Support Change in Healthcare Financing
(25) Community Coalition for Health (C2H)
12224 Jourdan Crossing Blvd
Austin,TX78753
42-1282072 501(c)(3) 75,000 0     Raise Community Voices
(26) CommUnityCare
2115 Kramer Suite 100
Austin,TX787584013
55-0853118 501(c)(3) 500,000 0     Work Upstream
(27) Dallas Area Interfaith
1104 Lupo Drive
Dallas,TX75207
75-2409130 501(c)(3) 125,000 0     Raise Community Voices
(28) Dell Medical School The University of Texas at Austin
Health Learning Building 1501 Red
River St
Austin,TX78712
74-6000203 170(c)(1) 250,000 0     Support Change in Healthcare Financing
(29) East Harris County Empowerment Council
11821 East Freeway Suite 500
Houston,TX77029
27-0377576 501(c)(3) 175,000 0     Raise Community Voices
(30) East Texas Border Health Clinic dba Genesis PrimeCare
1500 West Grand Avenue
Marshall,TX75670
03-0538912 501(c)(3) 175,000 0     Work Upstream
(31) EDOT Financial Services Corp
1225 Texas Street
Houston,TX770023504
76-0658451 501(c)(3) 833,333 0     Expand Health Coverage & Benefits
(32) El Centro de Corazon
PO Box 230209
Houston,TX772230209
76-0442781 501(c)(3) 500,000 0     Support Comprehensive Clinics
(33) Epiphany Community Health Outreach Services-(ECHOS)
9600 S Gessner Bldg E
Houston,TX77071
76-0645238 501(c)(3) 310,000 0     Expand Health Coverage & Benefits
(34) Episcopal Diocese of Texas
1225 Texas Street
Houston,TX770023504
74-1143081 501(c)(3) 350,000 0     Program Support
(35) Episcopal Relief & Development
815 Second Avenue
New York,NY10017
73-1635264 501(c)(3) 600,000 0     Building Brain Development-Community Organizations
(36) Family Service Center Of Galveston County Texas
2200 Market Street Suite 600
Galveston,TX77550
74-1157849 501(c)(3) 185,990 0     Support Comprehensive Clinics
(37) Fort Bend Family Health Center Inc dba AccessHealth
400 Austin Street
Richmond,TX774694406
74-1951476 501(c)(3) 350,000 0     Work Upstream
(38) Fort Bend Family Health Center Inc dba AccessHealth
400 Austin Street
Richmond,TX774694406
74-1951476 501(c)(3) 500,000 0     Work Upstream
(39) Foundation Communities
3000 S IH 35 Frontage Road Suite
300
Austin,TX78704
74-2563260 501(c)(3) 400,000 0     Expand Health Coverage & Benefits
(40) GAVA Go AustinVamos Austin
3710 Cedar Street Suite 230
Austin,TX78705
83-0915321 501(c)(3) 400,000 0     Raise Community Voices
(41) Georgetown Health Foundation
2425 Williams Drive
Georgetown,TX78628
74-2427148 501(c)(3) 400,000 0     Support Change in Healthcare Financing
(42) Giving Austin Labor Support (GALS)
PO Box 41074
Austin,TX78704
27-3448123 501(c)(3) 192,630 0     Support Comprehensive Clinics
(43) Grantmakers in Health
1100 Connecticut Avenue NW Suite
1100
Washington,DC200364110
13-3206571 501(c)(3) 10,000 0     Program Support
(44) Great Commission Foundation
1225 Texas Avenue
Houston,TX77002
46-2673721 501(c)(3) 500,000 0     Program Support
(45) Greater Houston Community Foundation
515 Post Oak Blvd Suite 1000
Houston,TX77027
23-7160400 501(c)(3) 200,000 0     Program Support
(46) Greater Houston Community Foundation
515 Post Oak Blvd Suite 1000
Houston,TX77027
23-7160400 501(c)(3) 500,000 0     Program Support
(47) Greater Houston Community Foundation
515 Post Oak Blvd Suite 1000
Houston,TX77027
23-7160400 501(c)(3) 500,000 0     Program Support
(48) Gulf Coast Leadership Council (GCLC)
4141 Southwest Freeway Suite 605
Houston,TX77027
74-1905927 501(c)(3) 630,000 0     Raise Community Voices
(49) Harris Health System
4800 Fournace Place
Houston,TX77401
74-1536936 170(c)(1) 200,000 0     Work Upstream
(50) Healthcare for the Homeless - Houston
1934 Caroline Street
Houston,TX77002
76-0647934 501(c)(3) 360,000 0     Support Comprehensive Clinics
(51) Healthy Futures of Texas
2300 W Commerce Street Suite 212
San Antonio,TX78207
20-5793076 501(c)(3) 200,000 0     Raise Community Voices
(52) Houston Business Coalition on Health
9950 Spring Green Blvd Suite
408-233
Katy,TX774943759
76-0058682 501(c)(3) 6,000 0     Support Comprehensive Clinics
(53) Houston Health Foundation
PO Box 20272
Houston,TX772250272
27-2920745 501(c)(3) 22,480 0     Building Brain Development-Community Organizations
(54) Houston Health Foundation
PO Box 20272
Houston,TX772250272
27-2920745 501(c)(3) 201,640 0     Raise Community Voices
(55) Houston Immigration Legal Services Collaborative
515 Post Oak Blvd Suite 1000
Houston,TX77027
30-0098254 501(c)(3) 870,000 0     Expand Health Coverage & Benefits
(56) Houston in Action
515 Post Oak Blvd Suite 1000
Houston,TX77027
83-0940984 501(c)(3) 150,000 0     Raise Community Voices
(57) Katy Christian Ministries
5504 First Street
Katy,TX77493
76-0157123 501(c)(3) 50,000 0     Expand Health Coverage & Benefits
(58) Legacy Community Health
PO Box 66308
Houston,TX772666308
76-0009637 501(c)(3) 212,500 0     Work Upstream
(59) Light & Salt Association
3535 Briarpark Drive Suite 135
Houston,TX770425233
76-0604950 501(c)(3) 141,969 0     Expand Health Coverage & Benefits
(60) Local Initiatives Support Corporation - LISC
1111 North Loop West Suite 740
Houston,TX77008
13-3030229 501(c)(3) 216,400 0     Raise Community Voices
(61) Lone Star Circle of Care
205 East University Avenue Suite
200
Georgetown,TX786266821
74-3001674 501(c)(3) 400,000 0     Support Change in Healthcare Financing
(62) Lone Star Circle of Care
205 East University Avenue Suite
200
Georgetown,TX786266821
74-3001674 501(c)(3) 400,000 0     Support Comprehensive Clinics
(63) Lone Star Circle of Care
205 East University Avenue Suite
200
Georgetown,TX786266821
74-3001674 501(c)(3) 300,000 0     Work Upstream
(64) Lone Star Circle of Care
205 East University Avenue Suite
200
Georgetown,TX786266821
74-3001674 501(c)(3) 425,000 0     Work Upstream
(65) Lone Star Family Health Center
605 S Conroe Medical Drive
Conroe,TX773044722
30-0038860 501(c)(3) 500,000 0     Support Comprehensive Clinics
(66) MAM (Memorial Assistance Ministries)
1625 Blalock Road
Houston,TX77080
76-0044172 501(c)(3) 360,000 0     Expand Health Coverage & Benefits
(67) Mama Sana Vibrant Woman
PO Box 301018
Austin,TX78703
45-5638520 501(c)(3) 10,000 0     Support Comprehensive Clinics
(68) Mama Sana Vibrant Woman
PO Box 301018
Austin,TX78703
45-5638520 501(c)(3) 132,578 0     Support Comprehensive Clinics
(69) Matagorda Episcopal Health Outreach Program (MEHOP)
101 Ave F North
Bay City,TX774143167
20-0537948 501(c)(3) 500,000 0     Support Comprehensive Clinics
(70) Meadows Mental Health Policy Institute (MMHPI)
2800 Swiss Avenue
Dallas,TX75204
46-3992618 501(c)(3) 450,000 0     Support Comprehensive Clinics
(71) Mi Familia Vota Education Fund
7500 Bellaire Blvd Suite 762/BB24
Houston,TX77036
20-0182824 501(c)(3) 250,000 0     Raise Community Voices
(72) Montrose Counseling Center dba The Montrose Center
401 Branard Street 2nd Floor
Houston,TX77006
74-2050245 501(c)(3) 250,000 0     Support Comprehensive Clinics
(73) Mosaic Counseling Centers of East Texas Inc (formerly SCCET)
218 North College Avenue
Tyler,TX75702
45-2047833 501(c)(3) 250,000 0     Strengthen Rural Health
(74) Nia Cultural Center Incorporated
PO Box 1491
Galveston,TX77553
76-0375902 501(c)(3) 150,000 0     Building Brain Development-Community Organizations
(75) North Pasadena Community Outreach
705 1/2 Williams Street
Pasadena,TX77506
76-0560813 501(c)(3) 208,000 0     Expand Health Coverage & Benefits
(76) Northwest Assistance Ministries
15555 Kuykendahl Road
Houston,TX77090
76-0088702 501(c)(3) 500,000 0     Work Upstream
(77) Parents as Teachers National Center
2228 Ball Drive
St Louis,MO63146
43-1569124 501(c)(3) 178,927 0     Building Brain Development-Community Organizations
(78) Partners in Parenting
4300 Speedway
Austin,TX787650877
30-0809437 501(c)(3) 8,500 0     Building Brain Development-Community Organizations
(79) Partners in Parenting
4300 Speedway
Austin,TX787650877
30-0809437 501(c)(3) 200,000 0     Building Brain Development-Community Organizations
(80) People's Community Clinic
1101 Camino La Costa
Austin,TX787523930
23-7087608 501(c)(3) 343,838 0     Building Brain Development-Providers
(81) People's Community Clinic
1101 Camino La Costa
Austin,TX787523930
23-7087608 501(c)(3) 351,090 0     Work Upstream
(82) People's Community Clinic
1101 Camino La Costa
Austin,TX787523930
23-7087608 501(c)(3) 218,250 0     Support Comprehensive Clinics
(83) Philanthropy Southwest
1910 Pacific Avenue Suite 13500
Dallas,TX752014598
51-0163529 501(c)(3) 10,000 0     Program Support
(84) Planned Parenthood Gulf Coast Inc
4600 Gulf Freeway
Houston,TX77023
74-1100163 501(c)(3) 525,000 0     Support Comprehensive Clinics
(85) Planned Parenthood of Greater Texas
7424 Greenville Avenue Suite 206
Dallas,TX75231
52-1243220 501(c)(3) 525,000 0     Support Comprehensive Clinics
(86) Project HOPE The People To People Health Foundation Inc
1220 19th Street NW Suite 800
Washington,DC20036
53-0242962 501(c)(3) 200,000 0     Support Change in Healthcare Financing
(87) Prosper Waco
1105 Wooded Acres Drive Suite 400
Waco,TX76710
46-5714986 501(c)(3) 274,000 0     Support Change in Healthcare Financing
(88) Rice University
6100 Main Street
Houston,TX77005
74-1109620 501(c)(3) 10,000 0     Support Comprehensive Clinics
(89) Rockefeller Philanthropy Advisors - Fund for Shared Insight
6 West 48th Street 10th Floor
New York,NY10036
13-3615533 501(c)(3) 30,000 0     Raise Community Voices
(90) Rupani Foundation
8303 Southwest Freeway Suite 440
Houston,TX77074
26-0476701 501(c)(3) 250,000 0     Building Brain Development-Community Organizations
(91) Sabine Valley Regional MHMR Center DBA Community Healthcore
107 Woodbine Place
Longview,TX75601
75-1724017 501(c)(3) 350,000 0     Support Comprehensive Clinics
(92) Samaritan Counseling Center Of Southeast Texas
7980 Anchor Drive Bldg 500
Port Arthur,TX77642
76-0068922 501(c)(3) 250,000 0     Strengthen Rural Health
(93) SEARCH Homeless Services
2015 Congress Street
Houston,TX77002
76-0260403 501(c)(3) 380,000 0     Expand Health Coverage & Benefits
(94) Smith County Champions for Children
4883 Hightech Drive
Tyler,TX75703
75-2669405 501(c)(3) 262,500 0     Building Brain Development-Community Organizations
(95) Special Health Resources for Texas Inc
PO Box 2709
Longview,TX756062709
75-2405203 501(c)(3) 175,000 0     Work Upstream
(96) Special Health Resources for Texas Inc
PO Box 2709
Longview,TX756062709
75-2405203 501(c)(3) 250,000 0     Support Comprehensive Clinics
(97) St Paul Children's Foundation
1350 E Richards Street
Tyler,TX75702
75-2687636 501(c)(3) 350,000 0     Work Upstream
(98) Stephen F Austin Community Health Network
2552 E Broadway Suite 102
Pearland,TX77581
41-2273820 501(c)(3) 250,000 0     Support Comprehensive Clinics
(99) Stephen F Austin Community Health Network
2552 E Broadway Suite 102
Pearland,TX77581
41-2273820 501(c)(3) 500,000 0     Support Comprehensive Clinics
(100) Talitha Koum Institute
PO Box 2202
Waco,TX76703
75-2849153 501(c)(3) 100,000 0     Building Brain Development-Community Organizations
(101) Tejas Health Care
753 E Travis Street
La Grange,TX78945
75-3260266 501(c)(3) 291,286 0     Support Comprehensive Clinics
(102) Texana Center
2330 Graeber Road
Rosenberg,TX77471
76-0253287 501(c)(3) 200,000 0     Support Comprehensive Clinics
(103) Texans Care for Children
1016 La Posada Drive Suite 240
Austin,TX78752
75-2687008 501(c)(3) 950,000 0     Building Brain Development-Providers
(104) Texas 2036
3963 Maple Avenue Suite 290
Dallas,TX752193209
81-3063099 501(c)(3) 100,000 0     Support Change in Healthcare Financing
(105) Texas Association of Community Health Centers Inc
5900 Southwest Parkway Building 3
Austin,TX78735
74-2308695 501(c)(3) 110,000 0     Support Comprehensive Clinics
(106) Texas Children's Hospital
1919 S Braeswood Boulevard Suite
5214
Houston,TX770304444
74-1100555 501(c)(3) 395,000 0     Building Brain Development-Community Organizations
(107) Texas Children's Hospital
1919 S Braeswood Boulevard Suite
5214
Houston,TX770304444
74-1100555 501(c)(3) 10,000 0     Program Support
(108) Texas Health Institute
9111 Jollyville Road Suite 280
Austin,TX78759
74-2237787 501(c)(3) 50,000 0     Support Change in Healthcare Financing
(109) Texas Health Institute
9111 Jollyville Road Suite 280
Austin,TX78759
74-2237787 501(c)(3) 74,894 0     Support Change in Healthcare Financing
(110) Texas Network of Youth Services
PO Box 26855
Austin,TX78755
75-1791374 501(c)(3) 150,000 0     Raise Community Voices
(111) Texas Organizing Project Education Fund (TOPEF)
PO Box 120296
San Antonio,TX78212
27-1481855 501(c)(3) 500,000 0     Raise Community Voices
(112) Texas Pediatric Society
401 W 15th Street Suite 682
Austin,TX787011624
75-1499413 501(c)(3) 180,720 0     Building Brain Development-Providers
(113) The Beacon of Downtown Houston
1117 Texas Avenue
Houston,TX77002
71-0933434 501(c)(3) 212,188 0     Expand Health Coverage & Benefits
(114) The Council on Recovery
PO Box 2768
Houston,TX77252
74-1173235 501(c)(3) 412,500 0     Support Comprehensive Clinics
(115) The George Washington University
1922 F St NW - 4th Floor
Washington,DC20052
53-0196584 501(c)(3) 150,000 0     Support Change in Healthcare Financing
(116) The Georgetown Project
PO Box 957
Georgetown,TX78627
74-2807713 501(c)(3) 100,000 0     Building Brain Development-Community Organizations
(117) The Harris Center for Mental Health and IDD
9401 Southwest Freeway
Houston,TX77074
74-1603950 501(c)(3) 400,000 0     Support Comprehensive Clinics
(118) The Immunization Partnership (TIP)
PO Box 1985
League City,TX775741985
76-0695612 501(c)(3) 175,000 0     Raise Community Voices
(119) The Network Of Behavioral Health Providers Inc
9401 Southwest Freeway Suite 1242
Houston,TX77074
75-3220882 501(c)(3) 68,500 0     Support Change in Healthcare Financing
(120) The Rose
12700 N Featherwood Drive 260
Houston,TX77034
76-0193812 501(c)(3) 400,000 0     Support Comprehensive Clinics
(121) The Rose
12700 N Featherwood Drive 260
Houston,TX77034
76-0193812 501(c)(3) 10,000 0     Program Support
(122) The Texas A&M University System Health Science Center
8441 Riverside Pkwy Clinical
Building 1 Suite 3100
Bryan,TX77807
74-2907553 170(c)(1) 400,000 0     Support Change in Healthcare Financing
(123) The Texas Campaign to Prevent Teen Pregnancy
PO Box 10357
Austin,TX78766
26-4012273 501(c)(3) 850,000 0     Support Comprehensive Clinics
(124) The University of Texas at Austin - Dell Medical School
1601 Trinity St Bldg B
Austin,TX78701
74-6000203 170(c)(1) 250,000 0     Support Change in Healthcare Financing
(125) The University of Texas Health Science Center at Houston
7000 Fannin Suite 1200
Houston,TX77030
74-1761309 170(c)(1) 500,000 0     Building Brain Development-Community Organizations
(126) The University of Texas Health Science Center at Houston
7000 Fannin Suite 1200
Houston,TX77030
74-1761309 170(c)(1) 76,000 0     Work Upstream
(127) United Way for Greater Austin
2000 E MLK Jr Blvd
Austin,TX78702
74-1193439 501(c)(3) 600,000 0     Building Brain Development-Community Organizations
(128) United Way for Greater Austin
2000 E MLK Jr Blvd
Austin,TX78702
74-1193439 501(c)(3) 200,000 0     Work Upstream
(129) United Way of Brazoria County
4005 Technology Road Suite 1020
Angleton,TX77515
74-1362982 501(c)(3) 85,000 0     Work Upstream
(130) United Way of Waco-McLennan County
PO BOX 7634
Waco,TX76714
74-1189027 501(c)(3) 200,000 0     Raise Community Voices
(131) Vecino Health Centers
424 Hahlo Street
Houston,TX77020
76-0622208 501(c)(3) 300,000 0     Support Comprehensive Clinics
(132) Waco Family Medicine
1600 Providence Drive
Waco,TX767072261
74-2867580 501(c)(3) 310,000 0     Building Brain Development-Providers
(133) Waco Family Medicine
1600 Providence Drive
Waco,TX767072261
74-2867580 501(c)(3) 340,000 0     Work Upstream
(134) Waco Family Medicine
1600 Providence Drive
Waco,TX767072261
74-2867580 501(c)(3) 30,000 0     Support Comprehensive Clinics
(135) Waco Family Medicine
1600 Providence Drive
Waco,TX767072261
74-2867580 501(c)(3) 500,000 0     Support Comprehensive Clinics
(136) Waco Foundation
1227 N Valley Mills Suite 235
Waco,TX767104447
74-6054628 501(c)(3) 10,000 0     Strengthen Rural Health
(137) Young Invincibles
401 Branard Street Suite 116
Houston,TX77006
46-2214021 501(c)(3) 520,000 0     Raise Community Voices
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
113
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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 Foundation asks grant recipients to measure their success in attaining program goals. The purpose of asking for an evaluation plan in the application phase is to 1) encourage potential grantees to incorporate evaluation into their planning process from the inception of the program, and 2) to enable outcome measurement during and at the end of the grant period. The evaluation plan also sets the report criteria for the six-month and annual progress reports. The evaluation plan/report components include an outcomes statement (who or what is expected to change as a result of the grant), measurable goals for the project, activities to achieve the goals, information needed, methods to be used to gather the information and who will be responsible for gathering it. The six-month and annual progress reports accurately describe the progress towards the goals listed on the evaluation plan submitted with the original application and include an explanation of any variances from the goals or expected progress.
Schedule I (Form 990) 2021



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