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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

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 HOUSE OF HOPE 811 N. OAKLAND BOLIVAR MO 65613 20-2426214 501C3 29,609 COST FOOD INVENTORY FOOD ASSISTANCE HOUSE, THE 24706 STATE HWY. 171 WEBB CITY MO 64841 43-1754894 501C3 36,375 COST FOOD INVENTORY FOOD ASSISTANCE INDEPENDENT LIVING CENTER 2639 E. 34TH ST. JOPLIN MO 64804-2809 43-1714219 501C3 10,000 7,949 COST FOOD INVENTORY FOOD ASSISTANCE ISAIAH 58:7 MISSION FOOD PANTRY 1235 STATE HWY 64 TUNAS MO 65764 87-2967939 501C3 14,788 COST FOOD INVENTORY FOOD ASSISTANCE KINGS FOOD PANTRY (SOUTHERN WEBSTER 732 S. DIVISION SEYMOUR MO 65746 43-0658188 501C3 18,600 298,535 COST FOOD INVENTORY FOOD ASSISTANCE L-LIFE 1448 W. ELM ST. LEBANON MO 65536 27-2819212 501C3 13,800 345,345 COST FOOD INVENTORY FOOD ASSISTANCE LAFAYETTE HOUSE 1809 S. CONNOR AVE. JOPLIN MO 64804 43-1170015 501C3 12,500 50,816 COST FOOD INVENTORY FOOD ASSISTANCE LAMAR GOOD SAMARITAN 1301 PARRY ST. LAMAR MO 64759 43-1465283 501C3 15,000 1,048,341 COST FOOD INVENTORY FOOD ASSISTANCE LEAST OF THESE 1720 JAMES RIVER RD. OZARK MO 65721-6724 43-1867039 501C3 30,610 1,892,327 COST FOOD INVENTORY FOOD ASSISTANCE 10139900 05/12/2023 10:58 AM Pg 38 u u

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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