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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
MILITARY ORDER OF THE PURPLE HEART
SERVICE FOUNDATION INC
Employer identification number
59-3184919
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) MOPH OF THE USA INC
5413-B BACKLICK ROAD
SPRINGFIELD,VA22151 		59-0829647 501(C)(19) 61,932       VETERANS SERVICE, REHAB, WELFARE PROGRAMS
(2) MOPH DEPARTMENT OF MICHIGAN
2066 SOUTH WAYNE ROAD
WESTLAND,MI48185 		38-6079438 501(C)(19) 12,636       VETERANS SERVICE, REHAB, WELFARE PROGRAMS
(3) MOPH DEPARTMENT OF PENNSYLVANIA
786 HARTLEY STREET
BEDFORD,PA15522 		24-6412875 501(C)(19) 438,531       VETERANS SERVICE, REHAB, WELFARE PROGRAMS
(4) MOPH AUXILIARY
1219 W SUNSET AVENUE
WAUKESEA,WI53189 		84-1647360 501(C)(19) 60,597       VETERANS SERVICE, REHAB, WELFARE PROGRAMS
(5) MOPH DEPARTMENT OF WISCONSIN
335 BUTTER NUT AVENUE
WAUSAUKEE,WI54177 		23-7395256 501 (C) (19) 36,243       VETERANS SERVICE, REHAB, WELFARE PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
0
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
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 100 92,250      
(2) VETERANS CRITICAL ASSISTANCE PROGRAM 100 56,838      
(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
PART I, LINE 2: DOCUMENTATION OF GRANT EXPENDITURES IN THE FORM OF MACHINE GENERATED RECEIPTS IS REQUIRED. RECEIPTS ARE REVIEWED FOR COMPLIANCE WITH THE TERMS OF THE GRANT AND ARE RECORDED IN A LEDGER. FAILURE TO FULLY DOCUMENT EXPENDITURES DISQUALIFIES A GRANTEE FROM RECEIVING FUTURE GRANTS.
SCHEDULE I, PART II THE AMOUNT DISCLOSED ON PART II AS BEING GRANTED TO MOPH OF THE USA REPRESENTS BOTH AMOUNTS RELATING TO FY2021 PAYMENTS ($10,000) AND TO FY2017 PAYMENTS ADJUSTED DURING FY2021 ($51,932).
Schedule I (Form 990) 2020



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