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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OTSEGO COMMUNITY FOUNDATION
 
Employer identification number
38-3216235
Part I
General Information on Grants and Assistance
1
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? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) OTSEGO COUNTY SPORTSPLEX
PO BOX 1886
GAYLORD,MI49734
38-3216381 (C) (3) 17,760       CATT FAMILY FUND
(2) MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION
825 N CENTER AVENUE
GAYLORD,MI49735
38-2135473 (C) (3) 10,000       WILLIAM AND LINDA MUZYL FUND
(3) GAYLORD COMMUNITY SCHOOLS
615 SOUTH ELM AVENUE
GAYLORD,MI49735
38-6003246 SCHOOL 9,900       GAYLORD COMMUNITY FIELD FUND
(4) OTSEGO COUNTY UNITED WAY
116 EAST FIFTH STREET
GAYLORD,MI49735
23-7156104 (C) (3) 8,038       OTSEGO VOLUNTEER CENTER FUND
(5) CROSSROADS INDUSTRIES LLC
PO BOX 1337
GAYLORD,MI49734
38-2003803 (C) (3) 8,000       CROSSROADS INDUSTRIES, INC. FUND
(6) MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION
825 N CENTER AVENUE
GAYLORD,MI49735
38-2135473 (C) (3) 7,000       MARY KAY (SMITH) SKLARCZYK FUND
(7) OTSEGO COUNTY UNITED WAY
116 EAST FIFTH STREET
GAYLORD,MI49735
23-7156104 (C) (3) 5,686       OTSEGO COUNTY UNITED WAY FUND
(8) WELLSPRING LUTHERAN SERVICES
1260 SOUTH OTSEGO AVENUE
GAYLORD,MI49735
38-1359524 (C) (3) 5,000       COMMUNITY FUND
(9) CROSSROADS MINISTRIES INC
PO BOX 790
GAYLORD,MI49734
38-2879908 (C) (3) 5,000       ELAINE NOWICKI AWESOME FUND
(10) DEPARTMENT OF HEALTH AND HUMAN SERVICES
931 S OTSEGO AVE STE 1
GAYLORD,MI49735
38-6000134 (C) (3) 5,000       COMMUNITY FUND
(11) FIRST CONGREGATIONAL UNITED CHURCH OF CHRIST
218 WEST 2ND STREET
GAYLORD,MI49735
(C) (3) 5,000       FIRST CONGREGATIONAL UNITED CHURCH OF CHRIST OF GAYLORD FUND
(12) MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION
825 N CENTER AVENUE
GAYLORD,MI49735
38-2135473 (C) (3) 5,000       TOGETHER AGAINST CANCER KEPT LOCAL EVERYDAY
(13) OTSEGO COUNTY HOCKEY ASSOCIATION
PO BOX 835
GAYLORD,MI49734
38-2881944 (C) (3) 5,000       WILLIAM AND LINDA MUZYL FUND
(14) OTSEGO COUNTY ECONOMIC ALLIANCE
225 WEST MAIN ST
GAYLORD,MI49735
38-3617810 (C) (3) 5,000       WILLIAM AND LINDA MUZYL FUND
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019
Page 2

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) COLLEGE SCHOLARSHIP 15 30,989   BOOK  
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2019



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