THE LYNDE AND HARRY BRADLEY FOUNDATION, INC.
IRS GRANT COMPLIANCE CHECKLIST

I.	GRANTEE INFORMATION	

	Grant Request ID#:                       Program Officer:                                

	Organization Legal Name:                                                                 

	Organization Known as Name:                                                            

II.	TAX EXEMPT STATUS 

	Type:  Public Charity 

	Determination Letter on File:    Yes     	Charity Check Report Printed:   2/11/10    

III.	PURPOSE OF GRANT 

	Describe:                                                                                  
	
	A.	Does the grant proposal indicate the exempt purpose of the grant? 	   Yes     

	B.	Has it has been determined from the proposal that the grant will not 
		be expended for any of the following?						    Yes    
•	a political campaign or influencing voters
•	influencing legislation at the national, state, or local level
•	individual grants (unless the recipient's choice is totally under the control 
			of the recipient organization)
•	a grant to another private foundation, unless there is an "expenditure 
			responsibility" contract
•	a commercial venture, except for a program-related investment
			
	C.	Based on a review of the information received from the grantee applicant and other
		available information, to the best of my knowledge it appears that the grant will be 
		used exclusively for religious, charitable, scientific, testing for public safety, literary 
		or educational purposes or to foster national or international amateur sports 
		competition (but only if no part of its activities involve the provision of athletic facilities 
		or equipment) or the prevention of cruelty to children or animals.		     Yes   

IV.	THE PATRIOT ACT AND EXECUTIVE ORDER 13224 
	
	  X  	This organization does not appear on any lists identifying organizations with links
		to terrorism or money laundering.

V.	FOREIGN GRANTS WITHHOLDING VERIFICATION 

	     	Not Applicable	(Foreign Grants Only)

	     	No grant funds will be used in connection with activities conducted in the United 
		States; therefore no withholding is required.

VI.	POTENTIAL EXPENDITURE RESPONSIBILITY GRANTS

A.	Evaluate if grant will require expenditure accounting responsibility.  
		Grants to the following organizations may require expenditure responsibility:
•	Another private foundation or private operating foundation
•	An organization exempt under some other Section 501(c) category
•	A new grantee that has no IRS classification 
•	Foreign organization without U.S. IRS classification
•	Government instrumentality

		No   X 	 Yes       (If yes, complete Items B and C below)

	B.	Has a pre-grant inquiry to provide "reasonable" assurance that the grantee 
		will use the grant for the proper purpose been complete?			         

C.	Will the "EXR" code in "Internal" field of the database be used to ensure 
	this grant will be included in the Expenditure Responsibility Log and that 
	the Expenditure Responsibility Grant Agreement will be used?		          

VII.	CONFLICT OF INTEREST 

Any Officer, Board Member or Employee of the Foundation:
	a.	Serving on the board or as an officer of any organization which is being considered for a grant by the Foundation; or
	b.	Has a close relationship or association with a proposed recipient of a grant (including a close relationship or association with a director or officer of such proposed recipient); shall disclose such service, relationship or association to the members of the Board of the Foundation before participating in deliberations on such proposal.  Should the Board or the Officer, Board Member or Employee deem it appropriate, he or she may be excused from the deliberations.  A Board Member should abstain from voting on such proposals.  

List any officer, board member or employee associated with the grantee as described above:                                                 
					                                                                   
	   X    None		                                                                   

VIII.	GRANT AGREEMENT
	
	Type of agreement used:			Regular   X  	Foreign      

	Expenditure Accounting required:		No    X      	Yes          

	Date sent:  02/26/2010         

	
Form updated 1/11/10