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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
SIEMER FAMILY FOUNDATION
 
Employer identification number
31-1550556
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) AFTER-SCHOOL ALL-STARS OHIO
1743 W LANE AVE
COLUMBUS,OH43221 		31-1736272 501C3 15,000 0     EDUCATION
(2) ALL T H A T - TEENS HOPEFUL ABOUT
PO BOX 27113
COLUMBUS,OH43227 		26-0723115 501C3 10,000 0     EDUCATION
(3) BIG BROTHERS BIG SISTERS OF CENTRAL OHIO
1855 E DUBLIN-GRANVILLE RD 1ST
FLOOR
COLUMBUS,OH43229 		31-4379429 501C3 20,000 0     SOCIAL SERVICES
(4) BROAD STREET PRESBYTERIAN CHURCH
760 EAST BROAD STREET
COLUMBUS,OH43205 		31-4380039 501C3 10,000 0     RELIGION
(5) BROAD STREET PRESBYTERIAN CHURCH
760 EAST BROAD STREET
COLUMBUS,OH43205 		31-4380039 501C3 15,000 0     RELIGION
(6) BROAD STREET PRESBYTERIAN CHURCH
760 EAST BROAD STREET
COLUMBUS,OH43205 		31-4380039 501C3 25,000 0     SOCIAL SERVICES
(7) CENTER FOR EMPLOYMENT OPPORTUNITIES INC
33 N 3RD ST SUITE 602
COLUMBUS,OH43215 		13-3843322 501C3 10,000 0     URBAN AFFAIRS
(8) CENTER FOR LEADERSHIP IN SCHOOL REFORM
PO BOX 6929
LOUISVILLE,KY40206 		61-1138855 501C3 15,000 0     EDUCATION
(9) CENTRAL COMMUNITY HOUSE OF COLUMBUS INC
1150 E MAIN ST
COLUMBUS,OH43205 		31-4379438 501C3 20,152 0     EDUCATION
(10) CENTRAL OHIO YOUTH FOR CHRIST
PO BOX 14804
COLUMBUS,OH43214 		31-1011430 501C3 10,000 0     EDUCATION
(11) CHILDHOOD LEAGUE INC DBA
674 CLEVELAND AVE
COLUMBUS,OH43215 		31-6400177 501C3 20,000 0     EDUCATION
(12) CHOICES FOR VICTIMS OF DOMESTIC VIOLENCE
C/O LUTHERAN SOCIAL SERVICES 500 W
WILSON BRIDGE RD STE 245
WORTHINGTON,OH43085 		31-0910779 501C3 20,000 0     SOCIAL SERVICES
(13) CITY YEAR COLUMBUS
350 E 1ST AVE SUITE 250
COLUMBUS,OH43201 		22-2882549 501C3 25,000 0     EDUCATION
(14) CLINTONVILLE-BEECHWOLD COMMUNITY
3222 N HIGH ST
COLUMBUS,OH43202 		31-0834578 501C3 10,000 0     EDUCATION
(15) COLLEGE MENTORS FOR KIDS INC
212 W 10TH STREET SUITE B-260
INDIANAPOLIS,IN46202 		35-2002052 501C3 15,000 0     EDUCATION
(16) COLUMBUS ACADEMY
4300 CHERRY BOTTOM RD
GAHANNA,OH43230 		31-4379445 501C3 10,000 0     EDUCATION
(17) COLUMBUS EARLY LEARNING CENTERS
1611 OLD LEONARD AVE
COLUMBUS,OH43219 		31-4379619 501C3 20,000 0     EDUCATION
(18) COLUMBUS EARLY LEARNING CENTERS
1611 OLD LEONARD AVE
COLUMBUS,OH43219 		31-4379619 501C3 100,000 0     EDUCATION
(19) COLUMBUS FOUNDATION
1234 E BROAD ST
COLUMBUS,OH432051405 		31-6044264 501C3 100,000 0     ADVANCING PHILANTHROPY
(20) COLUMBUS FOUNDATION
1234 E BROAD ST
COLUMBUS,OH432051405 		31-6044264 501C3 60,000 0     EDUCATION
(21) COLUMBUS FOUNDATION
1234 E BROAD ST
COLUMBUS,OH432051405 		31-6044264 501C3 50,000 0     SOCIAL SERVICES
(22) COLUMBUS FOUNDATION
1234 E BROAD ST
COLUMBUS,OH432051405 		31-6044264 501C3 50,000 0     SOCIAL SERVICES
(23) COLUMBUS LITERACY COUNCIL
92 JEFFERSON AVE
COLUMBUS,OH43215 		23-7433168 501C3 25,000 0     EDUCATION
(24) COLUMBUS METROPOLITAN LIBRARY FOUNDATION
96 S GRANT AVE
COLUMBUS,OH43215 		31-1692755 501C3 25,000 0     EDUCATION
(25) COLUMBUS METROPOLITAN LIBRARY FOUNDATION
96 S GRANT AVE
COLUMBUS,OH43215 		31-1692755 501C3 75,000 0     EDUCATION
(26) COLUMBUS MUSEUM OF ART
480 E BROAD ST
COLUMBUS,OH43215 		31-4379447 501C3 30,000 0     ARTS AND HUMANITIES
(27) COLUMBUS MUSEUM OF ART
480 E BROAD ST
COLUMBUS,OH43215 		31-4379447 501C3 125,000 0     ARTS AND HUMANITIES
(28) COLUMBUS SPEECH AND HEARING CENTER
510 E NORTH BROADWAY
COLUMBUS,OH43214 		31-4379449 501C3 10,000 0     EDUCATION
(29) COLUMBUS SYMPHONY ORCHESTRA INC
55 E STATE ST
COLUMBUS,OH43215 		31-6402408 501C3 10,000 0     EDUCATION
(30) COLUMBUS WORKS INC
775 W BROAD ST STE 270
COLUMBUS,OH43222 		38-4015966 501C3 20,000 0     URBAN AFFAIRS
(31) COMMUNITIES IN SCHOOLS OF OHIO
6500 BUSCH BLVD STE 105
COLUMBUS,OH43229 		31-1390077 501C3 25,000 0     EDUCATION
(32) COMMUNITY KITCHEN INC
640 S OHIO AVE
COLUMBUS,OH43205 		31-1124774 501C3 13,000 0     SOCIAL SERVICES
(33) COMMUNITY SHELTER BOARD
355 E CAMPUS VIEW BLVD STE 250
COLUMBUS,OH432355680 		31-1181284 501C3 100,000 0     URBAN AFFAIRS
(34) COURT APPOINTED SPECIAL ADVOCATES
7652 SAWMILL RD 154
DUBLIN,OH43016 		31-1322198 501C3 15,000 0     SOCIAL SERVICES
(35) CRISTO REY COLUMBUS HIGH SCHOOL
400 E TOWN ST
COLUMBUS,OH43215 		27-4864843 501C3 30,500 0     EDUCATION
(36) DEAF SERVICES CENTER
5830 N HIGH ST
WORTHINGTON,OH430853959 		31-1329649 501C3 10,000 0     HEALTH
(37) DIRECTIONS FOR YOUTH & FAMILIES
1515 INDIANOLA AVE
COLUMBUS,OH43201 		31-4407642 501C3 25,000 0     EDUCATION
(38) DOMINICAN LEARNING CENTER
1111 EAST STEWART AVENUE
COLUMBUS,OH43206 		26-3550703 501C3 10,000 0     EDUCATION
(39) FRIENDS OF THE CONSERVATORY
1777 E BROAD ST
COLUMBUS,OH43203 		31-1657027 501C3 10,000 0     EDUCATION
(40) FUGEES FAMILY INC
1933 E DUBLIN GRANVILLE RD 117
COLUMBUS,OH43229 		20-5771149 501C3 15,000 0     EDUCATION
(41) FURNITURE BANK OF CENTRAL OHIO
PO BOX 164206
COLUMBUS,OH43216 		31-1600869 501C3 100,000 0     SOCIAL SERVICES
(42) FUTURE READY COLUMBUS
1907 LEONARD AVE SUITE 150
COLUMBUS,OH43219 		45-3819208 501C3 250,000 0     EDUCATION
(43) GIRL SCOUTS OF OHIO'S HEARTLAND COUNCIL
1700 WATERMARK DR
COLUMBUS,OH432151097 		31-4379475 501C3 75,000 0     EDUCATION
(44) GLADDEN COMMUNITY HOUSE
183 HAWKES AVENUE PO BOX 23030
COLUMBUS,OH43223 		31-4379476 501C3 10,000 0     EDUCATION
(45) HOMELESS FAMILIES FOUNDATION
33 N GRUBB ST
COLUMBUS,OH43215 		31-1179492 501C3 20,000 0     EDUCATION
(46) HOMEPORT
3443 AGLER RD
COLUMBUS,OH432193385 		31-1208260 501C3 20,000 0     SOCIAL SERVICES
(47) HORIZON COMMUNITY ENGAGEMENT CORPORATION
48 EAST NORTH BROADWAY
COLUMBUS,OH43214 		26-3052918 501C3 12,000 0     SOCIAL SERVICES
(48) I KNOW I CAN
1108 CITY PARK AVE STE 301
COLUMBUS,OH43206 		31-1229135 501C3 25,000 0     EDUCATION
(49) JOHN CARROLL UNIVERSITY
1 JOHN CARROLL BLVD
UNIVERSITY HEIGHTS,OH44118 		34-0714681 501C3 10,000 0     EDUCATION
(50) JUNIOR ACHIEVEMENT OF CENTRAL OHIO
68 E 2ND AVE
COLUMBUS,OH43201 		31-4385042 501C3 10,000 0     EDUCATION
(51) KINDWAY
PO BOX 443
WESTERVILLE,OH43086 		27-0254185 501C3 10,000 0     SOCIAL SERVICES
(52) LOWER LIGHTS MINISTRIES
1066 BELLOWS AVE
COLUMBUS,OH43223 		31-1300561 501C3 10,000 0     EDUCATION
(53) LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
500 W WILSON BRIDGE RD STE 245
WORTHINGTON,OH43085 		31-4412586 501C3 10,000 0     SOCIAL SERVICES
(54) MARBURN ACADEMY
9555 JOHNSTOWN RD
NEW ALBANY,OH43054 		31-1011901 501C3 15,000 0     EDUCATION
(55) MOMENTUM-EXCELLENCE INC
538 E TOWN ST STE C
COLUMBUS,OH432154835 		46-4509725 501C3 15,000 0     EDUCATION
(56) MY PROJECT USA
PO BOX 1311
HILLIARD,OH43026 		47-2398195 501C3 10,000 0     EDUCATION
(57) NATIONWIDE CHILDREN'S HOSPITAL
PO BOX 16810
COLUMBUS,OH43216 		31-1036370 501C3 20,000 0     EDUCATION
(58) NATIONWIDE CHILDREN'S HOSPITAL
PO BOX 16810
COLUMBUS,OH43216 		31-1036370 501C3 523,990 0     SOCIAL SERVICES
(59) NEW ALBANY COMMUNITY FOUNDATION
220 MARKET STREET SUITE 205
NEW ALBANY,OH43054 		31-1409264 501C3 25,000 0     ADVANCING PHILANTHROPY
(60) NEW ALBANY COMMUNITY FOUNDATION
220 MARKET STREET SUITE 205
NEW ALBANY,OH43054 		31-1409264 501C3 25,000 0     ADVANCING PHILANTHROPY
(61) NEW DIRECTIONS CAREER CENTER
199 E RICH ST
COLUMBUS,OH43215 		31-1130384 501C3 10,000 0     URBAN AFFAIRS
(62) OHIO STATE UNIVERSITY FOUNDATION
PO BOX 710811
COLUMBUS,OH43271 		31-1145986 501C3 10,000 0     HEALTH
(63) PLANNED PARENTHOOD OF GREATER OHIO
206 E STATE ST
COLUMBUS,OH43215 		34-1015976 501C3 30,000 0     HEALTH
(64) PLANNED PARENTHOOD SW CENTRAL FL
736 CENTRAL AVENUE
SARASOTA,FL34236 		59-1274328 501C3 30,000 0     HEALTH
(65) PRAY FOR COLUMBUS
720 E BROAD ST STE 200
COLUMBUS,OH43215 		82-2180507 501C3 88,000 0     EDUCATION
(66) PRO MUSICA CHAMBER ORCHESTRA OF COLUMBUS
620 E BROAD ST SUITE 300
COLUMBUS,OH43215 		31-0952873 501C3 15,000 0     ARTS AND HUMANITIES
(67) SALVATION ARMY (CENTRAL OHIO)
966 E MAIN ST
COLUMBUS,OH43205 		13-5562351 501C3 25,000 0     EDUCATION
(68) SALVATION ARMY (CENTRAL OHIO)
966 E MAIN ST
COLUMBUS,OH43205 		13-5562351 501C3 25,000 0     SOCIAL SERVICES
(69) SALVATION ARMY (CENTRAL OHIO)
966 E MAIN ST
COLUMBUS,OH43205 		13-5562351 501C3 25,000 0     SOCIAL SERVICES
(70) SALVATION ARMY (CENTRAL OHIO)
966 E MAIN ST
COLUMBUS,OH43205 		13-5562351 501C3 50,000 0     SOCIAL SERVICES
(71) SALVATION ARMY SARASOTA
PO BOX 2792
SARASOTA,FL342302792 		58-0660607 501C3 50,000 0     SOCIAL SERVICES
(72) SEE KIDS DREAM
PO BOX 341645
COLUMBUS,OH43234 		26-3616431 501C3 10,000 0     EDUCATION
(73) SEEDS OF CARING
355 E CAMPUS VIEW BLVD SUITE 157
COLUMBUS,OH43235 		82-0639894 501C3 10,500 0     EDUCATION
(74) SERVING OUR NEIGHBORS INC DBA SON
2300 LYTHAM RD
COLUMBUS,OH43220 		26-4449380 501C3 10,000 0     SOCIAL SERVICES
(75) SIEMER INSTITUTE
1234 EAST BROAD STREET
COLUMBUS,OH43205 		81-4859121 501C3 12,500,000 0     SOCIAL SERVICES
(76) UNITED SCHOOLS NETWORK INC
1469 E MAIN ST
COLUMBUS,OH43205 		46-2265149 501C3 25,000 0     EDUCATION
(77) UNITED WAY OF CENTRAL OHIO INC
PO BOX 951571
CLEVELAND,OH44193 		31-4393712 501C3 25,000 0     SOCIAL SERVICES
(78) UNITED WAY OF CENTRAL OHIO INC
PO BOX 951571
CLEVELAND,OH44193 		31-4393712 501C3 75,000 0     SOCIAL SERVICES
(79) UNITED WAY SUNCOAST
TAMPA BAY OFFICE 5201 W KENNEDY
BLVD SUITE 600
TAMPA,FL336091820 		59-3725701 501C3 10,000 0     SOCIAL SERVICES
(80) URBAN CONCERN INC
1000 BONHAM AVE
COLUMBUS,OH432112904 		31-1327346 501C3 20,000 0     EDUCATION
(81) URBAN RESURRECTION COMMUNITY
428 E MAIN ST
COLUMBUS,OH43215 		20-1359610 501C3 10,000 0     EDUCATION
(82) WESTERVILLE AREA RESOURCE MINISTRY
150 HEATHERDOWN DR
WESTERVILLE,OH430812868 		31-1640355 501C3 20,000 0     SOCIAL SERVICES
(83) WOSU PUBLIC MEDIA
1800 N PEARL ST
COLUMBUS,OH43201 		31-6025986 501C3 10,000 0     ARTS AND HUMANITIES
(84) YMCA OF CENTRAL OHIO
1907 LEONARD AVE SUITE 150
COLUMBUS,OH43219 		31-4379594 501C3 25,000 0     SOCIAL SERVICES
(85) YWCA COLUMBUS
65 S FOURTH STREET
COLUMBUS,OH43215 		31-4379597 501C3 30,000 0     SOCIAL SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
71
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

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
PART I, LINE 2: GRANTS ARE MADE AT THE RECOMMENDATION OF BOARD MEMBERS AND GRANT APPLICANTS SUBMIT PROPOSALS THAT ARE REVIEWED BY THE BOARD AND THEN REPORTS ARE SUBMITTED BY THE RECIPIENT ORGANIZATION AT THE END OF THE GRANT PERIOD.
Schedule I (Form 990) 2021



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