TY 2021 Form 990PF

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	56,545	37,825	37,825
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......
	c	Investments—corporate bonds (attach schedule).......
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	56,545	37,825	37,825
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	0	0
	27	Paid-in or capital surplus, or land, bldg., and equipment fund	0	0
	28	Retained earnings, accumulated income, endowment, or other funds	56,545	37,825
	29	Total net assets or fund balances (see instructions).....	56,545	37,825
	30	Total liabilities and net assets/fund balances (see instructions).	56,545	37,825

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................	3

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	0
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	0
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a
b	Exempt foreign organizations—tax withheld at source......	6b
c	Tax paid with application for extension of time to file (Form 8868)...	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............	7	0
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.	8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......	9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...	10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
BRENT MITCHELL	PRESIDENT 2.00	0	0	0
PO BOX 113 PRINCETON,MO64673
WES GUILKEY	VICE-PRESIDENT 0.50	0	0	0
PO BOX 113 PRINCETON,MO64673
GARY WATKINS	DIRECTOR 0.50	0	0	0
PO BOX 113 PRINCETON,MO64673
HOLLY BOXLEY	DIRECTOR 0.50	0	0	0
PO BOX 113 PRINCETON,MO64673
KIM PALMER	SECRETARY/TREASURER 3.00	3,567	0	0
PO BOX 113 PRINCETON,MO64673
JOANN MOORE	DIRECTOR 0.50	0	0	0
PO BOX 113 PRINCETON,MO64673

	(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7				3,875
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......			0
b Total for prior years:20, 20, 20		0
3 Excess distributions carryover, if any, to 2021:
a From 2016......
b From 2017......
c From 2018......
d From 2019......
e From 2020......
f Total of lines 3a through e ........	0
4Qualifying distributions for 2021 from Part
XI, line 4: $ 289,372
a Applied to 2020, but not more than line 2a			0
b Applied to undistributed income of prior years (Election required—see instructions).....		0
c Treated as distributions out of corpus (Election required—see instructions)........	0
d Applied to 2021 distributable amount.....				3,875
e Remaining amount distributed out of corpus	285,497
5 Excess distributions carryover applied to 2021.	0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5	285,497
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........		0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......		0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........		0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............			0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........				0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......	285,497
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...	0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......	0
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....
c Excess from 2019....
d Excess from 2020....
e Excess from 2021....

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

KIM PALMER
PO BOX 113
PRINCETON,MO64673
(660) 748-3490
KPALMER@NORTHMERCER.K12.MO.US

bThe form in which applications should be submitted and information and materials they should include:

APPLICATION FOR SCHOLARSHIP AND CONTRACTUAL AGREEMENT FORM ALONG WITH AUTHORIZATION FOR RELEASE OF FINANCIAL AID RECORDS.

cAny submission deadlines:

DETERMINED BY THE BOARD OF DIRECTORS EACH SEMESTER.

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

RECIPIENTS OF FINANCIAL ASSISTANCE FOR COLLEGE MUST BE A GRADUATE OF AN ACCREDITED HIGH SCHOOL LOCATED IN MERCER COUNTY, MISSOURI, AND COMPLETED TWO YEARS OF SCHOOLING IN A MERCER COUNTY HIGH SCHOOL; FEMALE; UNMARRIED; NON-SMOKING; AND CARRY A MINIMUM OF 12 CREDIT HOURS PER SEMESTER; ENROLLED IN AN ACCREDITED COLLEGE OR UNIVERSITY LOCATED IN THE STATE OF MISSOURI; MAINTAIN A GPA OF 2.0 ON A 4.0 SCALE IN COLLEGE STUDIES; NEED AS DETERMINED BY THE BOARD OF DIRECTORS; SUBMIT FAFSA WITH INSTITUTION BY THE ANNUAL DEADLINE AS SET BY THE BOARD; MAXIMUM OF 10 PAYMENTS FROM THE SCHOLARSHIP FUND.

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ALISON ALLEN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,801
ALYVIA BINKLEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,029
ALYVIA BINKLEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,209
ASHTON JOHNSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,334
AUBREY WILSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,509
AUBREY WILSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,529
BRAELYN BERNDT PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,436
BREA SHIPLEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,637
BREA SHIPLEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	11,703
BREANNA MAIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,822
BREANNA MAIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,862
CHARLEEN PRENTICE PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,341
CHARLEEN PRENTICE PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,142
CHASIDY FINNEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,100
CHASIDY FINNEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,240
CORTNEY GOODMAN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,060
CORTNEY GOODMAN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,705
EMILY HANSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,554
EMILY HANSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,029
GILLIAN SAPP PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,704
GILLIAN SAPP PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,879
HALEY JOHNSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	8,362
HALEY JOHNSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	9,376
JADEN PURDUN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	5,320
JADEN PURDUN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,106
JAYSA GOODIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,433
JAYSA GOODIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,009
JAZMINE MAIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,509
JAZMINE MAIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,529
JILLIAN FINNEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,101
JILLIAN FINNEY PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,509
KASEN PURDUN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	7,916
KASEN PURDUN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	8,897
KAYDEE CUNNINGHAM PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,891
KELSEY HOUK PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,979
KELSEY HOUK PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	5,476
KELSEY MOORE PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	2,140
KELSEY MOORE PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,192
KENNEDY NORTON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,009
KENNEDY NORTON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,692
LINDSEY BATSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	1,169
LINDSEY BATSON PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	1,169
MORGAN EASTIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,610
MORGAN EASTIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,678
PAYTON GOODIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,200
PAYTON GOODIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	10,308
SARA SPENCER PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	8,550
SAVANNAH MARTIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	3,094
SAVANNAH MARTIN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,604
SYDNEY WEBER PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	5,297
SYDNEY WEBER PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	5,749
VIVIAN ALLEN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	4,552
VIVIAN ALLEN PO BOX 113 PRINCETON,MO64673	NONE	N/A	FINANCIAL ASSIST FOR COLLEGE	6,111
Total ................................. 3a				282,162

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	270,652
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10
b	Gross sales price for all assets on line 6a
7	Capital gain net income (from Part IV, line 2)...			0
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	270,652		0
13	Compensation of officers, directors, trustees, etc.	3,567		0	3,567
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		75	0	75
b	Accounting fees (attach schedule).......		1,022	0	1,022
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		479	0	479
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		2,067	0	2,067
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	7,210		0	7,210
25	Contributions, gifts, grants paid.......	282,162			282,162
26	Total expenses and disbursements. Add lines 24 and 25	289,372		0	289,372
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-18,720
b	Net investment income (if negative, enter -0-)			0
c	Adjusted net income (if negative, enter -0-)...

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1a
b
c
d
e

(e) Gross sales price		(f) Depreciation allowed (or allowable)	(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a
b
c
d
e

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................				0

bApproved for future payment

Total ................................. 3b				0

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		0	0

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Name of organization GENE KAUFFMAN SCHOLARSHIP FOUNDATIONINC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
1	GENE KAUFFMAN SCHOLARSHIP FOUNDATION TRUST 515 WASHINGTON PO BOX 50 CHILLICOTHE, MO64601	$ 270,652	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization GENE KAUFFMAN SCHOLARSHIP FOUNDATIONINC		Employer identification number 43-1825689

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)


Name of organization GENE KAUFFMAN SCHOLARSHIP FOUNDATIONINC			Employer identification number 43-1825689
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

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