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Public Inspection Copy
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?
Employer identification
Describe in Part IV the organization’s procedures for monitoring the use of grant funds in the United States. Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered “Yes” on Form 990, Part
II
Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name and address of organization or government
(1) (2) (3) (4) (5) (6) (7) (8) (9)
For
Paperwork
(b) EIN
(c) IRC (if applicable)
(g) Description of (h) Purpose of grant or assistance section grant
(f) Method of valuation (book, FMV, appraisal, other) noncash assistance
OZARKS FOOD HARVEST, INC. 43-1426384 ASH GROVE FOOD PANTRY 121 W. MAIN ST. ASH GROVE MO 65604 45-1804447 501C3 22,000 50,067 COST FOOD INVENTORY FOOD ASSISTANCE BOYS & GIRLS CLUB - BRANSON 1460 BEE CREEK RD. BRANSON MO 65616 43-1664669 501C3 10,000 10,975 COST FOOD INVENTORY FOOD ASSISTANCE BOYS & GIRLS CLUB - HENDERSON UNIT 835 W. CALHOUN ST. SPRINGFIELD MO 65802 44-0513659 501C3 39,064 COST FOOD INVENTORY FOOD ASSISTANCE BURRELL HEALTH AND WELLNESS 800 S. PARK AVE. SPRINGFIELD MO 65802 43-1081715 501C3 32,312 COST FOOD INVENTORY FOOD ASSISTANCE CALVARY CHAPEL FWB CHURCH 26 OAK RIDGE RD. BUFFALO MO 65622 62-6050669 501C3 7,800 175,499 COST FOOD INVENTORY FOOD ASSISTANCE CAM-BRANSON 610 S. 6TH ST. BRANSON MO 65616 43-1355905 501C3 57,100 2,122,093 COST FOOD INVENTORY FOOD ASSISTANCE CARING PLACE, THE 417 S. WASHINGTON ST. WALNUT GROVE MO 65770 61-1682058 501C3 29,000 118,154 COST FOOD INVENTORY FOOD ASSISTANCE CARTHAGE CRISIS CENTER 100 S. MAIN ST. CARTHAGE MO 64836 43-1769385 501C3 157,507 COST FOOD INVENTORY FOOD ASSISTANCE CASSVILLE PANTRY 800 W. 10TH ST. CASSVILLE MO 65625-1099 43-1307914 501C3 30,000 381,134 COST FOOD INVENTORY FOOD ASSISTANCE 10139900 05/12/2023 10:58 AM Pg 32 u u
(2021)
Governments, and Individuals in the United States (Form 990)
Grants and Other Assistance to Organizations, 2021
u Attach to Form 990.
