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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CITY OF MUSKOGEE FOUNDATION INC
 
Employer identification number
26-3057250
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) MUSKOGEE PUBLIC SCHOOLS
202 W BROADWAY
MUSKOGEE,OK74401
73-1325400 GOV 100,000       ROUGHER RISE
(2) MUSKOGEE CITY-COUNTY PORT AUTHORITY
PO BOX 2819
MUSKOGEE,OK74402
73-0782327 GOV 250,000       SIP EMPLOYEE RECRUIT
(3) CITY OF MUSKOGEE
PO BOX 1927
MUSKOGEE,OK74402
73-6005340 GOV 15,000       YOUTH VOL CORP
(4) NEIGHBORS BUILDING NEIGHBORHOODS
207 N 2ND ST
MUSKOGEE,OK74401
73-1600003 501C3 75,000       COMMUNITY TREASURES
(5) MUSKOGEE PUBLIC SCHOOLS
202 W BROADWAY
MUSKOGEE,OK74401
73-6069062 GOV 125,000       CAMP BENNETT
(6) NEIGHBORS BUILDING NEIGHBORHOODS
207 N 2ND ST
MUSKOGEE,OK74401
73-1600003 501C3 225,000       DREAM TEAM
(7) NEIGHBORS BUILDING NEIGHBORHOODS
207 N 2ND ST
MUSKOGEE,OK74401
73-1600003 501C3 25,000       NONPROFIT RESOURCE
(8) COURT APPOINTED SPECIAL ADVOCATES
PO BOX 1274
MUSKOGEE,OK74402
73-1497371 501C3 110,000       OPERATIONS
(9) KIDS' SPACE MUSKOGEE CO CHILD
ADVOCACY CTR
PO BOX 277
MUSKOGEE,OK74402
73-1424859 501C3 32,000       ABUSE AWARENESS PGM
(10) CITY OF MUSKOGEE
PO BOX 1927
MUSKOGEE,OK74402
73-6005340 GOV 150,000       TEEN CENTER
(11) NEIGHBORS BUILDING NEIGHBORHOODS
207 N 2ND ST
MUSKOGEE,OK74401
73-1600003 501C3 25,000       PROGRAM MANAGER
(12) ICTC INDIAN CAPITAL TECHNOLOGY CENT
2403 N 41ST ST EAST
MUSKOGEE,OK74403
73-0767065 GOV 60,000       CDI SIMULATOR
(13) LAKE AREA UNITED WAY
PO BOX 1612
MUSKOGEE,OK74402
73-0581441 501C3 25,000       DP IMAGINATION LIBRA
(14) THREE RIVERS MUSEUM
220 ELGIN
MUSKOGEE,OK74401
73-1360363 501C3 24,000       MUSKOGEE READS
(15) CITY OF MUSKOGEE
PO BOX 1927
MUSKOGEE,OK74402
73-6005340 GOV 500,000       RIVER CTRY WATERPARK
(16) EASTERN OK DEVELOPMENT DIST
PO BOX 1367
MUSKOGEE,OK74402
73-0761967 501C3 194,525       MUSKOGEE MEALS
(17) KELLY B TODD
PO BOX 2643
MUSKOGEE,OK74402
51-0163643 501C3 45,000       OPERATIONS
(18) CITY OF MUSKOGEE
PO BOX 1927
MUSKOGEE,OK74402
73-6005340 GOV 50,000       PORTABLE STAGE PROJE
(19) MUSKOGEE COUNTY TRANSIT AUTHORITY
PO BOX 2973
MUSKOGEE,OK74402
73-1334926 GOV 220,545       INTELLIGENT TRANSPOR
(20) KIDS' SPACE MUSKOGEE CO
PO BOX 277
MUSKOGEE,OK74402
73-1424859 501C3 60,000       TRAUMA FOCUSED
(21) HILLDALE PUBLIC SCHOOL
313 E PEAK BLVD
MUSKOGEE,OK74403
73-1037746 GOV 15,000       HILLDALE GOES TO OZ
(22) HILLDALE PUBLIC SCHOOL
313 E PEAK BLVD
MUSKOGEE,OK74403
73-1037746 GOV 10,000       BUILDING BAND
(23) CITY OF MUSKOGEE
PO BOX 1927
MUSKOGEE,OK74402
73-6005340 GOV 80,000       ADULT & JUVENILE
(24) GREEN COUNTRY BEHAVIORAL HEALTH
619 N MAIN ST
MUSKOGEE,OK74401
73-1084521 501C3 205,837       OPERATIONS
(25) OKLAHOMA DENTAL FOUNDATION
317 NE 13 STREET
OKLAHOMA CITY,OK73104
46-4163547 501C3 30,000       ORAL HEALTH NEEDS
(26) WOMEN IN SAFE HOME INC
PO BOX 487
MUSKOGEE,OK74402
73-1233396 501C3 68,400       COUNSELING PROGRAM
(27) VOLUNTEERS OF AMERICA
9605 E 61ST ST
TULSA,OK74133
73-1600003 501C3 20,000       PAYEE SERVICES
(28) CITY-COUNTY PORT AUTHORITY
PO BOX 2819
MUSKOGEE,OK74402
73-0782327 GOV 500,000       SIP GEORGIA PACIFIC
(29) CITY-COUNTY PORT AUTHORITY
PO BOX 2819
MUSKOGEE,OK74402
73-0782327 GOV 510,000       SIP CAPTIVAIRE
(30) CITY-COUNTY PORT AUTHORITY
PO BOX 2819
MUSKOGEE,OK74402
73-0782327 GOV 1,000,000       SMITH FERRY RD PROJE
(31) CITY-COUNTY PORT AUTHORITY
PO BOX 2819
MUSKOGEE,OK74402
73-0782327 GOV 626,000       SIP PROJ BUMBLEBEE
(32) ST PAUL UNITED METHODIST CHURCH
2130 W OKMULGEE
MUSKOGEE,OK74401
73-0617470 501C3 18,000       PROJ TRANSFORMATION
(33) HILLDALE PUBLIC SCHOOLS
313 E PEAK BLVD
MUSKOGEE,OK74403
73-1037746 GOV 24,000       ALT EDUCATION
(34) HILLDALE PUBLIC SCHOOLS
313 E PEAK BLVD
MUSKOGEE,OK74403
73-1037746 GOV 30,000       TECHNOLOGY PROGRAMS
(35) MUSKOGEE PUBLIC SCHOOLS
202 W BROADWAY
MUSKOGEE,OK74401
73-1325400 GOV 175,000       PROGRAMS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
18
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
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)
(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, PAGE 1, PART I, LINE 2 GRANT MONITORING IS HANDS-ON BY THE SUB-COMMITTEES OF THE BOARD. THESE SUB-COMMITTEES INCLUDE HEALTH AND WELLNESS, QUALITY OF LIFE, EDUCATION AND EMPOWERMENT, AND ECONOMIC DEVELOPMENT. SUB-COMMITTEE MEMBERS VISIT GRANT SITE LOCATIONS TO DETERMINE DEMONSTRABLE RESULTS.
Schedule I (Form 990) 2021



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