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

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

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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 SENIORAGE - THAYER 100 CHESTNUT THAYER MO 65791 43-1190762 501C3 11,900 10,041 COST FOOD INVENTORY FOOD ASSISTANCE SENIORAGE - WILLOW SPRINGS 501 SENIOR CENTER LANE WILLOW SPRINGS MO 65793 43-1881619 501C3 28,000 4,923 COST FOOD INVENTORY FOOD ASSISTANCE SENIORAGE - WINONA 8498 SAPPER STREET WINONA MO 65588 43-1206956 501C3 10,751 COST FOOD INVENTORY FOOD ASSISTANCE SHANNON COUNTY FOOD PANTRY 18276 W. 2ND STREET WINONA MO 65588-0537 43-1125136 501C3 150 265,179 COST FOOD INVENTORY FOOD ASSISTANCE SOUTHERN STONE COUNTY FOOD PANTRY 20 KIMBERLING BLVD. KIMBERLING CITY MO 65686 44-0571348 501C3 18,050 904,666 COST FOOD INVENTORY FOOD ASSISTANCE SPECIAL FORCE FAMILY MINISTRIES 428 S. HARRISON ST. NIXA MO 65714-0882 41-1339757 501C3 22,813 COST FOOD INVENTORY FOOD ASSISTANCE SPRINGFIELD COMMUNITY GARDEN - WELL 1624 E. BLAINE ST. SPRINGFIELD MO 65802 27-1883334 501C3 232,526 COST FOOD INVENTORY FOOD ASSISTANCE ST. CLAIR COUNTY FOOD PANTRY 5TH AND MARKET ST. OSCEOLA MO 64776-0266 43-1583740 501C3 30,500 133,694 COST FOOD INVENTORY FOOD ASSISTANCE ST. ELIZABETH ANN SETON - SEAS 2200 W. REPUBLIC ROAD SPRINGFIELD MO 65807 26-4638421 501C3 205,315 COST FOOD INVENTORY FOOD ASSISTANCE 10139900 05/12/2023 10:58 AM Pg 43 u u

Grants and Other Assistance to Organizations,

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

u Attach to Form 990.

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