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)

2

For

(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 CNP - MOUNTAIN GROVE YMCA 1 YMCA DR. MOUNTAIN GROVE MO 65711 43-1617662 501C3 26,385 COST FOOD INVENTORY FOOD ASSISTANCE CNP - SFSP COMMUNITY OUTREACH MINIS 320 S. MARKET AVE. BOLIVAR MO 65613 26-1545304 501C3 3,500 689,305 COST FOOD INVENTORY FOOD ASSISTANCE CNP - SPRINGFIELD DREAM CENTER 829 W. ATLANTIC ST. SPRINGFIELD MO 65803 05-0574634 501C3 7,800 35,107 COST FOOD INVENTORY FOOD ASSISTANCE COMMUNITY BAPTIST - LEBANON 15905 HWY. 64 LEBANON MO 65536 43-1765604 501C3 2,300 4,018 COST FOOD INVENTORY FOOD ASSISTANCE COMMUNITY KITCHEN - HOOD UMC 139 N. WALNUT AVE. REPUBLIC MO 65738 43-1066552 501C3 21,016 COST FOOD INVENTORY FOOD ASSISTANCE COMMUNITY PARTNERSHIP - FULBRIGHT S 3693 N. AMELIA AVE. SPRINGFIELD MO 65803 43-1830026 501C3 25,996 COST FOOD INVENTORY FOOD ASSISTANCE COPE 201 LAWSON RD. LEBANON MO 65536-1281 43-1593771 501C3 20,535 COST FOOD INVENTORY FOOD ASSISTANCE CROSSLINES - CARTHAGE 600 E. 6TH ST. CARTHAGE MO 64836 43-1334801 501C3 8,800 346,949 COST FOOD INVENTORY FOOD ASSISTANCE CROSSLINES - JOPLIN 320 S. SCHOOL AVE. JOPLIN MO 64801 43-1272794 501C3 30,000 1,576,536 COST FOOD INVENTORY FOOD ASSISTANCE 10139900 05/12/2023 10:58 AM Pg 34 u u

Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2021)

Governments, and Individuals in the United States (Form 990)

Grants and Other Assistance to Organizations, 2021

u Attach to Form 990.