990 Schedule I Grants and Other Assistance to Organizations, Government

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SCHEDULE I
(Form 990)
(Rev. December 2024)
Department of the Treasury
Internal Revenue Service
Name of the organization

Part I
1
2

TREASURY/IRS
AND OMB USE
ONLY DRAFT
November 12, 2024
DO NOT FILE

(4)
(5)
(6)
(7)

Open to Public
Inspection

Employer identification number

Yes

No

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.
or government

(3)

OMB No. 1545-0047

General Information on Grants and Assistance

1 (a) Name and address of organization

(2)

Complete if the organization answered “Yes” on Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

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? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Describe in Part IV the organization’s procedures for monitoring the use of grant funds in the United States.

Part II

(1)

Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States

(b) EIN

(c) IRC section
(if applicable)

(d) Amount of cash
grant

(f) Method of valuation
(e) Amount of
(book, FMV, appraisal,
noncash assistance
other)

(g) Description of
noncash assistance

(h) Purpose of grant
or assistance

(8)
(9)
(10)
(11)
(12)
2
3

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table .
Enter total number of other organizations listed in the line 1 table . . . . . . . . . .

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

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Cat. No. 50055P

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Schedule I (Form 990) (Rev. 12-2024)

TREASURY/IRS
AND OMB USE
ONLY DRAFT
November 12, 2024
DO NOT FILE

Schedule I (Form 990) (Rev. 12-2024)

Part III

(a) Type of grant or assistance

1
2
3
4
5
6
7

Part IV

Page 2

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.
(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

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Schedule I (Form 990) (Rev. 12-2024)