Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
SAMARITAN'S PURSE
 
Employer identification number

58-1437002
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) EDWARD GRAHAM SON DIRECTOR 234,651 COMP/BENEFITS   No
(2) MARTY COTTRELL SON-IN-LAW DIR 88,831 COMP/BENEFITS   No
(3) JEREMY ZERKLE SN-IN-LAW KYEMP 87,582 COMP/BENEFITS   No
(4) TYLER PAULS SON DIRECTOR 77,798 COMP/BENEFITS   No
(5) ANN KOMEL DAUGHTER OFF 59,261 COMP/BENEFITS   No
(6) JOHN PAYNE SPOUSE DIR 52,937 COMP/BENEFITS   No
(7) JANE GRAHAM SPOUSE DIR 49,220 COMP/BENEFITS   No
(8) JESSICA ZERKLE DAUGHTER KEYEMP 43,545 COMP/BENEFITS   No
(9) AUSTIN WOODRING SON DIRECTOR 43,287 COMP/BENEFITS   No
(10) ANDREW HARRELSON SON KEYEMP 26,405 COMP/BENEFITS   No
(11) KRISTEN GRAHAM DAUG-IN-LAW DIR 16,941 COMP/BENEFITS   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV KRISTEN GRAHAM 16,941 DAUG-IN-LAW DIR COMP/BENEFITS
Schedule L (Form 990) 2021


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