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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)

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 CROSSLINES - LEBANON 141 LAWSON RD. LEBANON MO 65536 43-1238022 501C3 7,640 439,084 COST FOOD INVENTORY FOOD ASSISTANCE CROSSLINES - MCDONALD COUNTY 925 N. HWY. 71 ANDERSON MO 64831 43-1837664 501C3 300 657,698 COST FOOD INVENTORY FOOD ASSISTANCE CROSSLINES - SPRINGFIELD 615 N. GLENSTONE AVE. SPRINGFIELD MO 65802 43-0903657 501C3 50,000 1,502,877 COST FOOD INVENTORY FOOD ASSISTANCE DADE COUNTY SENIOR CENTER 58 N. ALLISON AVE. GREENFIELD MO 65661 43-1312970 501C3 13,200 7,188 COST FOOD INVENTORY FOOD ASSISTANCE DESTINY CHURCH - MARSHFIELD 1235 SPUR DR. MARSHFIELD MO 65706 20-3384053 501C3 23,000 705,369 COST FOOD INVENTORY FOOD ASSISTANCE DIXON AREA CARING CENTER 206 S. ELM ST. DIXON MO 65459 56-2522501 501C3 268,327 COST FOOD INVENTORY FOOD ASSISTANCE DOUGLAS COUNTY COUNCIL ON AGING 109 N. SPRING ST. AVA MO 65608 43-1460783 501C3 5,700 18,301 COST FOOD INVENTORY FOOD ASSISTANCE EL DORADO SPRINGS SENIOR CENTER 604 S. FORREST EL DORADO SPRINGS MO 64744 43-1015585 501C3 26,700 113,810 COST FOOD INVENTORY FOOD ASSISTANCE EL PASOANS FIGHTING HUNGER FOOD BAN 9541 PLAZA CIRCLE EL PASO TX 79927 45-2893839 501C3 639,314 COST FOOD INVENTORY FOOD ASSISTANCE 10139900 05/12/2023 10:58 AM Pg 35 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.

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