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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
2020
Open to Public
Inspection
Name of the organization
MARY RUTAN FOUNDATION
 
Employer identification number
34-1407262
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) LOGAN COUNTY FARMERS MARKET
142 W CHILLICOTHE AVE
BELLEFONTAINE,OH43311
27-4611340 501(C)(3) 5,520   N/A N/A CH WELLNESS GRANT PROGRAM - POWER OF PRODUCE
(2) RIVERSIDE EMS
PO BOX 2
DEGRAFF,OH43318
34-1352672 GOV'T 14,500   N/A N/A AUTO PULSE UNITS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
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) SCHOLARSHIPS 38 40,801   N/A N/A
(2) INDIGENT FUNDS FOR MEDICAL BILLS 2 8,876   N/A N/A
(3) EMPLOYEE ASSISTANCE PROGRAM 3 1,100   N/A N/A
(4) JON WEEKS MEMORIAL FUND 6 2,024   N/A N/A
(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
PART I, LINE 2: GRANTS/COMMUNITY DONATIONS AND PROGRAMS. EACH ITEM IS APPROVED BY THE MRH FOUNDATION BOARD OR COMMUNITY RELATIONS DEPARTMENT ANNUALLY OR AT THE TIME OF INDIVIDUAL GRANT/DONATION REQUEST. GRANTS ARE REVIEWED AND APPROVED IN ACCORDANCE WITH THE MISSION OF THE FOUNDATION AND ARE HEALTH, WELLNESS AND SAFETY RELATED AND MUST BE FOR THE SERVICE AREAS OF THE HOSPITAL AND FOUNDATION. IN SOME CASES, SPECIFIC GUIDELINES OR OUTCOMES ARE REQUIRED AND PROGRAMS AND GRANTS ARE MONITORED BY SPECIFIC DEPARTMENTS OF THE HOSPITAL, THE FOUNDATION COO OR THE BOARD OF DIRECTORS. THE BOARD MEETS QUARTERLY TO CONDUCT BUSINESS. MEDICAL SCHOLARSHIP/LOAN PROGRAM AND EMT/ PARAMEDIC SCHOLARSHIP PROGRAM: ALL RECIPIENTS SIGN A SCHOLARSHIP ACCEPTANCE FORM AND MUST PROVIDE VERIFICATION OF ENROLLMENT IN THE EDUCATIONAL PROGRAM FOR WHICH THE SCHOLARSHIP WAS GRANTED. STUDENTS MUST AGREE TO ABIDE BY THE TERMS AND CONDITIONS FOR USE OF THE FUNDS AND RECOGNIZE THAT THERE IS AN OBLIGATION TO RETURN THE FUNDS IF IT IS DEEMED THERE HAS BEEN MISUSE. INDIGENT CARE GRANTS (KERR TRUST): THESE GRANTS ARE SUBMITTED QUARTERLY TO THE FOUNDATION BOARD BY THE VP OF FINANCE AND REFERRED FROM THE HOSPITAL'S BUSINESS OFFICE AND/OR CARE COORDINATION DEPARTMENT. THESE GRANTS ARE FOR INDIVIDUALS THAT NEED FINANCIAL ASSISTANCE. FINANCIAL STATUS IS REVIEWED AS WELL AS WORKING WITH EACH INDIVIDUAL TO ASSURE THEY HAVE RECEIVED ALL ASSISTANCE FROM ALL AVAILABLE CHARITY CARE AND GOVERNMENT PROGRAMS. ONCE REVIEWED, AND AFTER ALL OTHER FINANCIAL ASSISTANCE OPTIONS HAVE BEEN EXHAUSTED, THE REMAINING OUTSTANDING BALANCES ARE SUBMITTED TO THE FOUNDATION FOR PAYMENT FROM THE KERR TRUST. INDIVIDUALS MUST BE A RESIDENT OF LOGAN COUNTY TO APPLY FOR THIS ASSISTANCE IN ACCORDANCE WITH THE GUIDELINES OF THE TRUST.
Schedule I (Form 990) 2020



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