Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3760 FOWLER STREET
 
Room/suite
City or town, state or country, and ZIP + 4
FORT MYERS, FL33901
D Employer identification number

59-2332120
E Telephone number

G Gross receipts $ 21,324,109
F Name and address of principal officer:
AL BRISLAIN PRES CEO
3760 FOWLER STREET
FORT MYERS,FL33901
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HARRYCHAPINFOODBANK.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1983
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO OVERCOME HUNGER IN CHARLOTTE, COLLIER, GLADES, HENDRY AND LEE COUNTIES THROUGH EDUCATION IN A COOPERATIVE EFFORT WITH AFFILIATED AGENCIES IN THE PROCUREMENT AND DISTRIBUTION OF FOOD, EQUITABLY AND WITHOUT DISCRIMINATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 14
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 0
6 Total number of volunteers (estimate if necessary) .... 6 1,783
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 16,123,148 20,017,562
9 Program service revenue (Part VIII, line 2g) .........   0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,613 -163,497
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 171,491 442,266
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 16,299,252 20,296,331
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 12,755,323 15,950,465
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,273,696 1,533,428
16a Professional fundraising fees (Part IX, column (A), line 11e).... 224,224 280,854
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet505,221    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,348,098 1,593,684
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 15,601,341 19,358,431
19 Revenue less expenses. Subtract line 18 from line 12...... 697,911 937,900
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 8,063,855 8,379,017
21 Total liabilities (Part X, line 26)............ 3,935,085 3,314,428
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 4,128,770 5,064,589
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO OVERCOME HUNGER IN CHARLOTTE, COLLIER, GLADES, HENDRY AND LEE COUNTIES THROUGH EDUCATION IN A COOPERATIVE EFFORT WITH AFFILIATED AGENCIES IN THE PROCUREMENT AND DISTRIBUTION OF FOOD, EQUITABLY AND WITHOUT DISCRIMINATION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 18,610,198 including grants of $ 15,950,465 ) (Revenue $   )
PROVIDES MORE THAN 12.5 MILLION POUNDS OF NUTRITIOUS, QUALITY FOOD TO 176 PARTNER AGENCIES THAT PROVIDE DIRECT SERVICES TO THOSE IN NEED. PARTNER AGENCIES ARE NON-PROFIT ORGANIZATIONS THAT ARE COMPRISED OF CHURCH FOOD PANTRIES, NEIGHBORHOOD CENTERS, KIDS CAFES, LOW-INCOME HOUSING SITES, SENIOR NUTRITION CENTERS, FAMILY CRISIS CENTERS, GROUP HOMES, SOUP KITCHENS, EMERGENCY SHELTERS, AFTER-SCHOOL PROGRAMS, DAY CARE CENTERS, REHABILITATION FACILITIES, AND DISASTER RELIEF AGENCIES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 18,610,198
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1.....................
34
 
No
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DAVE NAJAR
3760 FOWLER STREET
FORT MYERS,FL33901
(239) 334-7007
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JO ANNA BRADSHAW
PRESIDENT
 5.00 X   X       0 0 0
(2) KEITH SCOGGINS
VICE PRES
 5.00 X   X       0 0 0
(3) ALEXANDER ROBINSON
TREASURER
 5.00 X   X       0 0 0
(4) NOELLE MELANSON
SECRETARY
 5.00 X   X       0 0 0
(5) AIDA BARNHART
DIRECTOR
 2.00 X           0 0 0
(6) JEREMY BARRAS
DIRECTOR
 2.00 X           0 0 0
(7) JOHN BELISLE
DIRECTOR
 2.00 X           0 0 0
(8) MARTHA BIREDA
DIRECTOR
 2.00 X           0 0 0
(9) CHARLOTTE RAE
DIRECTOR
 2.00 X           0 0 0
(10) KAREN PATI
DIRECTOR
 2.00 X           0 0 0
(11) STEPHEN POPPER
DIRECTOR
 2.00 X           0 0 0
(12) BRIAN SCHWARTZ
DIRECTOR
 2.00 X           0 0 0
(13) ALAN BRISLAIN
EXE DIR
 40.00     X       76,030 0 29,592








Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 76,030   29,592
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet  
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 2,628,430
f All other contributions, gifts, grants, and
similar amounts not included above1f 		17,389,132
g Noncash contributions included in lines 1a-1f:$ 16,536,626
h Total. Add lines 1a-1f.......MediumBullet 20,017,562
Program Service Revenue Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,978     2,978
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   15,000
b Less: cost or other basis and sales expenses   181,475
c Gain or (loss)   -166,475
d Net gain or (loss)..........MediumBullet -166,475 -166,475    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a 353,666
b Less: direct expenses ...b 20,639
c Net income or (loss) from fundraising events..MediumBullet 333,027    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 872,138
b Less: cost of goods sold ..b 825,664
c Net income or (loss) from sales of inventory..MediumBullet 46,474     46,474
Miscellaneous Revenue Business Code
11a OTHER   62,765     62,765
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 62,765
12 Total revenue. See Instructions....MediumBullet 20,296,331 -166,475   112,217
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 15,950,465 15,950,465
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 102,030 71,421 10,203 20,406
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 1,069,499 855,336 85,806 128,357
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 63,452 50,599 5,144 7,709
9 Other employee benefits ....... 186,955 149,279 13,398 24,278
10 Payroll taxes ........... 111,492 88,363 9,355 13,774
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 17,569   17,569  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17.. 280,854 280,854
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion .... 2,450 1,981 332 137
13 Office expenses ....... 32,908 18,443 2,771 11,694
14 Information technology ...... 44,224 31,301 7,420 5,503
15 Royalties ..        
16 Occupancy ........... 67,690 56,402 11,282 6
17 Travel ............ 22,099 12,778 8,637 684
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 28,728 5,947 22,717 64
20 Interest ........... 174,012 174,012    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 275,300 273,976 662 662
23 Insurance .............. 22,894 21,344 1,550  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a FOOD HANDLING AND TRANSPO 300,682 300,682    
b RESTRICTED GRANTS 178,120 178,120    
c VEHICLE 160,803 160,580 222 1
d AGENCY ASSISTANCE 81,167 81,167    
e REPAIRS AND MAINTENANCE 56,127 49,887 6,240  
f All other expenses 128,911 78,115 39,704 11,092
25 Total functional expenses. Add lines 1 through 24f 19,358,431 18,610,198 243,012 505,221
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 234,804 1 83,316
2 Savings and temporary cash investments ....... 1,319,587 2 1,236,205
3 Pledges and grants receivable, net ......... 20,000 3  
4 Accounts receivable, net ......... 58,672 4 139,359
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 1,193,629 8 1,589,514
9 Prepaid expenses and deferred charges ............ 15,900 9 36,279
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 6,319,913
b Less: accumulated depreciation. ..... 10b 1,044,638 5,136,378 10c 5,275,275
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 10,883 12 12,719
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 74,002 15 6,350
16 Total assets. Add lines 1 through 15 (must equal line 34)... 8,063,855 16 8,379,017
Liabilities 17 Accounts payable and accrued expenses . 123,336 17 80,772
18 Grants payable .......... 77,918 18 78,255
19 Deferred revenue .......... 50,637 19 32,000
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 3,648,149 23 3,055,606
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 35,045 25 67,795
26 Total liabilities. Add lines 17 through 25..... 3,935,085 26 3,314,428
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 4,056,270 27 4,840,150
28 Temporarily restricted net assets ..... 67,500 28 219,439
29 Permanently restricted net assets ..... 5,000 29 5,000
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 4,128,770 33 5,064,589
34 Total liabilities and net assets/fund balances ..... 8,063,855 34 8,379,017
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
20,296,331
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
19,358,431
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
937,900
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
4,128,770
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-2,081
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
5,064,589
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 6,615,227 6,333,085 11,579,456 16,123,148 20,017,562 60,668,478
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3.. 6,615,227 6,333,085 11,579,456 16,123,148 20,017,562 60,668,478
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.           60,668,478
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 6,615,227 6,333,085 11,579,456 16,123,148 20,017,562 60,668,478
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 12,470 4,972 5,146 5,246 2,978 30,812
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. 24,791 23,753 27,017 616,041 934,903 1,626,505
11 Total support (Add lines 7 through 10).           62,325,795
12
12
353,666
13
Section C. Computation of Public Support Percentage
14
14
97.340 %
15
15
98.460 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC 		Employer identification number

59-2332120
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC 		Employer identification number

59-2332120
Part II
Noncash Property (see Instructions)
     
(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, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC 		Employer identification number

59-2332120
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (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.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 952,422 528,161 1,480,583
b Buildings ................   3,351,797 298,152 3,053,645
c Leasehold improvements ............        
d Equipment ................   1,487,533 746,486 741,047
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 5,275,275
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
COMPENSATED ABSENCES 57,839
CAPITAL LEASE PAYABLE 9,956







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 67,795
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 20,296,331
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 19,358,431
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 937,900
4 Net unrealized gains (losses) on investments .......................... 4 1,836
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -3,917
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -2,081
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 935,819
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 21,310,945
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 1,836
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 1,836
3 Subtract line 2e from line 1..................... 3 21,309,109
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -1,012,778
c Add lines 4a and 4b....................... 4c -1,012,778
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 20,296,331
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 20,375,126
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 1,016,695
e Add lines 2a through 2d...................... 2e 1,016,695
3 Subtract line 2e from line 1..................... 3 19,358,431
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 19,358,431
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 TAX LOSS ON DISPOSAL OF ASSETS 166,475 COST OF GOODS SOLD 825,664 DIRECT FUNDRAISING EXPENSES 20,639 BOOK LOSS ON DISPOSAL OF ASSETS -170,392 COST OF GOODS SOLD -825,664 DIRECT FUNDRAISING EXPENSES -20,639
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B TAX LOSS ON DISPOSAL OF ASSETS -166,475 COST OF GOODS SOLD -825,664 DIRECT FUNDRAISING EXPENSES -20,639
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D BOOK LOSS ON DISPOSAL OF ASSETS 170,392 COST OF GOODS SOLD 825,664 DIRECT FUNDRAISING EXPENSES 20,639
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
LW ROBBINS ASSOC DIR MAIL   No 159,360 128,665 30,695
ONE TO ONE GROUP DIR MAIL   No 735,378 101,700 633,678
Total .................right arrow 894,738 230,365 664,373
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
FL
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

HUNGER WALK
(event type) 		(b) Event #2

TASTE OF BOCA G
(event type) 		(c) Other Events

3
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 215,416 36,075 102,175 353,666
2 Less: Charitable
contributions . . . 		       
3 Gross income (line 1
minus line 2) . . . 		215,416 36,075 102,175 353,666
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 8,170 4,597 7,872 20,639
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 20,639
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 333,027
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
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," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number
59-2332120
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 Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code 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
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ABDAS THE MINISTRY OF LIFE INC21100 MCGUIRE AVENUE
PORT CHARLOTTE,FL33948 		26-1128961 3   11,616 AVG COST P FOOD FOOD FOR PUBLIC DIST
(2) ABUNDANT GRACE FELLOWSHIP2701 CLEVELAND AVENUE 2
FORT MYERS,FL33908 		42-1567485 3   9,468 AVG COST P FOOD FOOD FOR PUBLIC DIST
(3) ACT SHELTERPO BOX 60401
FORT MYERS,FL33906 		59-1864735 3   12,119 AVG COST P FOOD FOOD FOR PUBLIC DIST
(4) ADVENTIST COMMUNITY SERVICES1655 TAYLOR ROAD
PUNTA GORDA,FL33950 		65-0652109 3   26,568 AVG COST P FOOD FOOD FOR PUBLIC DIST
(5) AFCAAM AFTER SCHOOL PROGRAM3681 MICHIGAN AVENUE
FORT MYERS,FL33916 		65-0889322 3   16,022 AVG COST P FOOD FOOD FOR PUBLIC DIST
(6) ALL SOULS EPISCOPAL PANTRY14640 N CLEVELAND AVENUE
NORTH FORT MYERS,FL33903 		65-0151247 3   137,106 AVG COST P FOOD FOOD FOR PUBLIC DIST
(7) ALVA UNITED METHODIST CHURCHPO BOX 96
ALVA,FL33920 		59-0250411 3   39,598 AVG COST P FOOD FOOD FOR PUBLIC DIST
(8) AMIGOS CENTER106 S 2ND STREET
IMMOKALEE,FL34142 		59-3646095 3   123,216 AVG COST P FOOD FOOD FOR PUBLIC DIST
(9) AMIKIDS BIG CYPRESS25959 TURNER RIVER ROAD
OCHOPEE,FL34141 		59-2661387 3   11,808 AVG COST P FOOD FOOD FOR PUBLIC DIST
(10) AMIKIDS CROSSROADS INC45991 BERMONT ROAD
PUNTA GORDA,FL33982 		59-2218777 3   13,550 AVG COST P FOOD FOOD FOR PUBLIC DIST
(11) ANN'S RESTORATION HOUSE599 CAROLINA AVENUE
FORT MYERS,FL33905 		20-0053851 3   16,295 AVG COST P FOOD FOOD FOR PUBLIC DIST
(12) ASSEMBLY OF GOD3825 MCGREGOR BOULEVAD
FORT MYERS,FL33901 		65-0616904 3   69,779 AVG COST P FOOD FOOD FOR PUBLIC DIST
(13) BONITA SPRINGS ASSISTANCE OFFICE I10322 PENNSYLVANIA AVENUE
BONITA SPRINGS,FL34134 		59-2337909 3   24,952 AVG COST P FOOD FOOD FOR PUBLIC DIST
(14) BROADWAY CHURCH OF GOD PANTRY3309 SOUTH BROADWAY STREET
FORT MYERS,FL33901 		59-2398091 3   974,739 AVG COST P FOOD FOOD FOR PUBLIC DIST
(15) CHAPS INC18200 PAULSON DRIVE UNIT A-1
PORT CHARLOTTE,FL33954 		65-0498294 3   36,764 AVG COST P FOOD FOOD FOR PUBLIC DIST
(16) CAPE CORAL ASSEMBLY OF GOD717 SKYLINE BOULEVARD
CAPE CORAL,FL33991 		59-2262560 3   75,236 AVG COST P FOOD FOOD FOR PUBLIC DIST
(17) CAPE CORAL CARING CENTER4645 SE 15TH AVENUE
CAPE CORAL,FL33904 		65-0262583 3   84,160 AVG COST P FOOD FOOD FOR PUBLIC DIST
(18) CARL-CON GROUP HOME106 LEE BOULEVARD
LEHIGH ACRES,FL33936 		65-0265397 3   21,825 AVG COST P FOOD FOOD FOR PUBLIC DIST
(19) CATHOLIC CHARITIES OF BONITA SPRING4235 MICHIGAN LINK
BONITA SPRINGS,FL33916 		59-2473176 3   197,680 AVG COST P FOOD FOOD FOR PUBLIC DIST
(20) CATHOLIC CHARITIES OF FORT MYERS4235 MICHIGAN LINK
FORT MYERS,FL33916 		65-0889322 3   225,203 AVG COST P FOOD FOOD FOR PUBLIC DIST
(21) CATHOLIC CHARITIES OF HENDRYGLADES4235 MICHIGAN LINK
CLEWISTON,FL33916 		59-2473176 3   84,746 AVG COST P FOOD FOOD FOR PUBLIC DIST
(22) CENTER FOR LIVINGPO BOX 7043
FORT MYERS,FL33911 		65-0581985 3   78,927 AVG COST P FOOD FOOD FOR PUBLIC DIST
(23) CHARLESTON PARK NEIGHBORHOOD ASSOCI2541 CHARLESTON PARK DRIVE
ALVA,FL33920 		59-3080357 3   87,427 AVG COST P FOOD FOOD FOR PUBLIC DIST
(24) CHARLOTTE COUNTY HOMELESS COALITIONPO BOX 380157
PORT CHARLOTTE,FL33938 		65-0139525 3   71,287 AVG COST P FOOD FOOD FOR PUBLIC DIST
(25) CHRIST COMMUNITY CHURCH4050 COLONIAL BLVD
FORT MYERS,FL33966 		59-6514378 3   39,039 AVG COST P FOOD FOOD FOR PUBLIC DIST
(26) CHRIST COMMUNITY CHURCH OF CAPE COR4801 ORANGE GROVE BOULEVARD
NORTH FORT MYERS,FL33903 		65-0938226 3   128,153 AVG COST P FOOD FOOD FOR PUBLIC DIST
(27) CLEWISTON SEVENTH DAY545 E OBISPO AVE
CLEWISTON,FL33440 		20-5695382 3   44,735 AVG COST P FOOD FOOD FOR PUBLIC DIST
(28) COMMUNITY COOPERATIVE MINISTRIESPO BOX 2143
FORT MYERS,FL33902 		59-2602772 3   540,410 AVG COST P FOOD FOOD FOR PUBLIC DIST
(29) COMMUNITY RESOURCE CENTER INC5400 RIVERSIDE DRIVE BOX 3522
PUNTA GORDA,FL33982 		65-0496363 3   54,666 AVG COST P FOOD FOOD FOR PUBLIC DIST
(30) COMPASSION AVENUE INCPO BOX 418
CLEWISTON,FL33440 		51-0477088 3   127,242 AVG COST P FOOD FOOD FOR PUBLIC DIST
(31) COOPER ST RECREATION CENTERPO BOX 510963
PUNTA GORDA,FL33951 		65-0329777 3   27,170 AVG COST P FOOD FOOD FOR PUBLIC DIST
(32) CORONADO HIGH SCHOOL3057 CLEVELAND
FORT MYERS,FL33901 		36-4617334 3   5,242 AVG COST P FOOD FOOD FOR PUBLIC DIST
(33) COVENANT PRESBYTERIAN CHURCH2439 MCGREGOR BOULEVARD
FORT MYERS,FL33901 		23-6393377 3   25,858 AVG COST P FOOD FOOD FOR PUBLIC DIST
(34) CYPRESS LAKE PRESBYTERIAN PANTRY8260 CYPRESS LAKE DRIVE SW
FORT MYERS,FL33919 		59-1649348 3   550,613 AVG COST P FOOD FOOD FOR PUBLIC DIST
(35) DANIELS ROAD BAPTIST CHURCH5878 DANIELS ROAD
FORT MYERS,FL33912 		59-2350694 3   15,926 AVG COST P FOOD FOOD FOR PUBLIC DIST
(36) DAVID LAWRENCE MENTAL HEALTH CENTER6075 BATHEY LANE
NAPLES,FL34116 		59-2206025 3   53,095 AVG COST P FOOD FOOD FOR PUBLIC DIST
(37) DESTINY MINISTRIES OF SWFL1510 SE 46TH LANE
CAPE CORAL,FL33904 		51-0604091 3   9,339 AVG COST P FOOD FOOD FOR PUBLIC DIST
(38) DISCIPLESHIP DRIVEN MINISTRIES565 PRINEVILLE ST
PORT CHARLOTTE,FL33954 		20-5840548 3   105,695 AVG COST P FOOD FOOD FOR PUBLIC DIST
(39) EBEN-EZER BAPTIST CHURCHPO BOX 6580
FORT MYERS,FL33911 		65-0975889 3   20,840 AVG COST P FOOD FOOD FOR PUBLIC DIST
(40) EDGEWATER UNITED METHODIST CHURCH19190 COCHRAN BOULEVARD
PORT CHARLOTTE,FL33948 		65-0235009 3   185,068 AVG COST P FOOD FOOD FOR PUBLIC DIST
(41) EL SCHADDAI HAITIAN BAPTIST CHURCH2383 LINWOOD AVENUE 308
NAPLES,FL34112 		20-5011523 3   20,030 AVG COST P FOOD FOOD FOR PUBLIC DIST
(42) ELIM FRENCH SEVENTH DAY ADVENTIST C2421 2ND AVENUE NE
NAPLES,FL34120 		56-2311927 3   6,570 AVG COST P FOOD FOOD FOR PUBLIC DIST
(43) ENGLEWOOD EAST CHURCH OF CHRIST9600 GULFSTREAM BOULEVARD
ENGLEWOOD,FL34224 		26-3786816 3   28,021 AVG COST P FOOD FOOD FOR PUBLIC DIST
(44) EVANGEL CHURCH350 S BERNER ROAD
CLEWISTON,FL33440 		59-2236258 3   45,835 AVG COST P FOOD FOOD FOR PUBLIC DIST
(45) EVERGLADES COMMUNITY CHURCHPO BOX 177
CHOKOLOSKEE,FL34139 		22-3934843 3   41,123 AVG COST P FOOD FOOD FOR PUBLIC DIST
(46) FISH OF SANIBEL1630-B PERIWINKLE WAY
SANIBEL,FL33957 		20-8892375 3   15,806 AVG COST P FOOD FOOD FOR PUBLIC DIST
(47) FAITH FELLOWSHIP FOOD PANTRY6111 SOUTH POINTE BOULEVARD
FORT MYERS,FL33919 		65-0827752 3   24,439 AVG COST P FOOD FOOD FOR PUBLIC DIST
(48) FAITH PRESBYTERIAN CHURCHWE CARE4544 CORONADO PARKWAY
CAPE CORAL,FL33904 		59-1021543 3   86,162 AVG COST P FOOD FOOD FOR PUBLIC DIST
(49) FAMILY RESOURCE CENTER4209 TAMIAMI TRAIL EAST
NAPLES,FL34112 		59-2473176 3   146,751 AVG COST P FOOD FOOD FOR PUBLIC DIST
(50) FERRELL'S GROUP HOME2180 CRANFORD AVENUE
FORT MYERS,FL33916 		31-1674779 3   14,680 AVG COST P FOOD FOOD FOR PUBLIC DIST
(51) FIRST ASSEMBLY CORNERSTONE3220 MARTIN LUTHER KING BOULEVARD
FORT MYERS,FL33916 		59-0782460 3   138,988 AVG COST P FOOD FOOD FOR PUBLIC DIST
(52) FIRST ASSEMBLY MINISTRIES4701 SUMMERLIN ROAD
FORT MYERS,FL33919 		59-0782460 3   27,394 AVG COST P FOOD FOOD FOR PUBLIC DIST
(53) FIRST BAPTIST CHURCH OF LEHIGH ACRE1102 E LEELAND HEIGHTS BOULEVARD
LEHIGH ACRES,FL33936 		59-1109528 3   809,971 AVG COST P FOOD FOOD FOR PUBLIC DIST
(54) FIRST BAPTIST CHURCHHORN OF PLENTY459 GILL STREET
PUNTA GORDA,FL33950 		59-6167083 3   51,859 AVG COST P FOOD FOOD FOR PUBLIC DIST
(55) FIRST CHURCH OF THE NAZARENE512 EAST ALLEN STREET
PUNTA GORDA,FL33950 		59-1573582 3   653,703 AVG COST P FOOD FOOD FOR PUBLIC DIST
(56) FIRST COMMUNITY CONGREGATIONAL CHUR200 E LEELAND HEIGHTS BOULEVARD
LEHIGH ACRES,FL33936 		59-1969598 3   84,014 AVG COST P FOOD FOOD FOR PUBLIC DIST
(57) FIRST MACEDONIA MISSIONARY BAPTIST411 E CHARLOTTE AVENUE
PUNTA GORDA,FL33950 		65-0360165 3   24,266 AVG COST P FOOD FOOD FOR PUBLIC DIST
(58) FIRST UNITED METHODIST CHURCH OF IM303 N 9TH ST
IMMOKALEE,FL34142 		59-1963954 3   14,542 AVG COST P FOOD FOOD FOR PUBLIC DIST
(59) FLORIDA BAPTIST CHILDREN'S HOME4551 CAMINO REAL WAY
FORT MYERS,FL33966 		59-0657326 3   5,926 AVG COST P FOOD FOOD FOR PUBLIC DIST
(60) FRIENDSHIP UNITED METHODIST CHURCH12275 PARAMOUNT DR
PUNTA GORDA,FL33955 		36-2167731 3   6,330 AVG COST P FOOD FOOD FOR PUBLIC DIST
(61) FT MYERS CHRISTIAN CENTER3500 FOWLER STREET
FORT MYERS,FL33901 		65-0937140 3   345,193 AVG COST P FOOD FOOD FOR PUBLIC DIST
(62) FT MYERS RESCUE MISSION6900 MISSION LANE
FORT MYERS,FL33916 		59-2469860 3   385,428 AVG COST P FOOD FOOD FOR PUBLIC DIST
(63) FT MYERS SHORES SEVENTH DAY ADVENT14830 PALM BEACH BOULEVARD
FORT MYERS SHORES,FL33905 		65-1136427 3   22,257 AVG COST P FOOD FOOD FOR PUBLIC DIST
(64) FT MYERS SPANISH SDA CHURCH9838 BERNWOOD PLACE DRIVE 211
FORT MYERS,FL33966 		52-6037545 3   65,662 AVG COST P FOOD FOOD FOR PUBLIC DIST
(65) GOOD SAMARITANS OF CHARLOTTE COUNTYPO BOX 494752
PUNTA GORDA,FL33949 		59-2379128 3   40,929 AVG COST P FOOD FOOD FOR PUBLIC DIST
(66) GOOD SHEPHERD MINISTRIES OF SWFL I2621 CENTRAL AVENUE
FORT MYERS,FL33901 		26-1213378 3   11,240 AVG COST P FOOD FOOD FOR PUBLIC DIST
(67) GRACE COMMUNITY CENTER13 SE 21ST PLACE
CAPE CORAL,FL33990 		26-2720721 3   249,845 AVG COST P FOOD FOOD FOR PUBLIC DIST
(68) GRACE PLACE FOR CHILDREN & FAMILIESPO BOX 990531
NAPLES,FL34116 		65-1229558 3   269,947 AVG COST P FOOD FOOD FOR PUBLIC DIST
(69) GRACE UNITED METHODIST CHURCH14036 MATANZAS DRIVE
FORT MYERS SHORES,FL33905 		36-2167731 3   12,370 AVG COST P FOOD FOOD FOR PUBLIC DIST
(70) GUADALUPE CENTER INC211 9TH STREET SOUTH
IMMOKALEE,FL33934 		59-2617151 3   15,192 AVG COST P FOOD FOOD FOR PUBLIC DIST
(71) GUADALUPE SOCIAL SERVICESPO BOX 5034
IMMOKALEE,FL33934 		59-2473176 3   190,927 AVG COST P FOOD FOOD FOR PUBLIC DIST
(72) HARLEM HEIGHTS NEIGHBORHOOD ASSOCIA10511 GLADIOLUS
FORT MYERS,FL33908 		65-0323306 3   59,384 AVG COST P FOOD FOOD FOR PUBLIC DIST
(73) HELPING HANDS5901 PENDRAGON LANE
NORTH FORT MYERS,FL33912 		65-1050988 3   10,343 AVG COST P FOOD FOOD FOR PUBLIC DIST
(74) HENDRY-GLADES MENTAL HEALTH CLINIC601 W ALVEROADEZ AVENUE
CLEWISTON,FL33440 		59-1558636 3   34,536 AVG COST P FOOD FOOD FOR PUBLIC DIST
(75) HOUSE OF PRAYER IV2112 MITCHELL COURT
FORT MYERS,FL33916 		3   66,215 AVG COST P FOOD FOOD FOR PUBLIC DIST
(76) IGLESIA VIDA NUEVATVNEW LIFETV C217 E AZTEC AVENUE
CLEWISTON,FL33440 		65-0397182 3   398,408 AVG COST P FOOD FOOD FOR PUBLIC DIST
(77) INTERFAITH CAREGIVERS INC17592 ROCKEFELLER CIRCLE
FORT MYERS,FL33967 		65-0362473 3   67,133 AVG COST P FOOD FOOD FOR PUBLIC DIST
(78) ISLAND COAST AIDS NETWORK2231 MCGREGOR BOULEVARD
FORT MYERS,FL33901 		65-0147957 3   167,812 AVG COST P FOOD FOOD FOR PUBLIC DIST
(79) JUAN DIEGO CENTER26650 NOBLE LANE
BONITA SPRINGS,FL34135 		59-3742064 3   61,260 AVG COST P FOOD FOOD FOR PUBLIC DIST
(80) JUNIOR LEAGUE12995 S CLEVELAND AVE STE 157
FORT MYERS,FL33901 		59-6194403 3   5,713 AVG COST P FOOD FOOD FOR PUBLIC DIST
(81) LEHIGH ACRES CHRISTIAN CHURCH50 BELL BOULEVARD
LEHIGH ACRES,FL33936 		59-2168522 3   27,720 AVG COST P FOOD FOOD FOR PUBLIC DIST
(82) LEHIGH COMMUNITY SERVICES9 BETH STACY BOULEVARD 206
LEHIGH ACRES,FL33971 		59-1773738 3   30,127 AVG COST P FOOD FOOD FOR PUBLIC DIST
(83) LIFELINE FAMILY CENTER907 SE 5TH AVENUE
CAPE CORAL,FL33904 		65-0529641 3   20,505 AVG COST P FOOD FOOD FOR PUBLIC DIST
(84) MCGREGOR BAPTIST PANTRY3750 COLONIAL BOULEVARD
FORT MYERS,FL33966 		59-2115730 3   213,317 AVG COST P FOOD FOOD FOR PUBLIC DIST
(85) MISSION UNITY INC3512 DEPEW CIRCLE
PORT CHARLOTTE,FL33952 		05-0532477 3   117,180 AVG COST P FOOD FOOD FOR PUBLIC DIST
(86) MORNINGSTAR BAPTIST CHURCH5160 RICHMOND
FORT MYERS,FL33905 		65-0425964 3   16,347 AVG COST P FOOD FOOD FOR PUBLIC DIST
(87) NATIONS ASSOCIATIONPO BOX 1060
FORT MYERS,FL33902 		59-1840066 3   69,060 AVG COST P FOOD FOOD FOR PUBLIC DIST
(88) NATURE'S COVE INC18060 ELMWOOD DRIVE
ALVA,FL33920 		65-0697850 3   38,359 AVG COST P FOOD FOOD FOR PUBLIC DIST
(89) NEW LIFE ASSEMBLY OF GOD5146 LEONARD BLVD S
LEHIGH ACRES,FL33973 		59-2126484 3   6,905 AVG COST P FOOD FOOD FOR PUBLIC DIST
(90) NEW LIFE DREAM CENTER2120 COLLIER AVENUE SUITE H
FORT MYERS,FL33901 		59-2276660 3   28,469 AVG COST P FOOD FOOD FOR PUBLIC DIST
(91) NEXTEP8981 DANIELS PARKWAY
FORT MYERS,FL33912 		26-4144992 3   72,674 AVG COST P FOOD FOOD FOR PUBLIC DIST
(92) NOAHS ARK CHURCH INC576 11TH STREET NORTH
NAPLES,FL34102 		65-0712776 3   15,039 AVG COST P FOOD FOOD FOR PUBLIC DIST
(93) OUR DAILY BREAD1418 HOMESTEAD RD N
LEHIGH ACRES,FL33936 		59-1318118 3   290,836 AVG COST P FOOD FOOD FOR PUBLIC DIST
(94) PAGE PARK COMMUNITY SERVICE CLUB I507 CENTER ROAD
FORT MYERS,FL33907 		59-6155104 3   98,829 AVG COST P FOOD FOOD FOR PUBLIC DIST
(95) PENIEL SDA CHURCH2663 SECOND STREET
FORT MYERS,FL33916 		59-2627645 3   9,609 AVG COST P FOOD FOOD FOR PUBLIC DIST
(96) PINE ISLAND FOOD PANTRY12175 STRINGFELLOW ROAD
ST JAMES CITY,FL33922 		27-1757051 3   73,108 AVG COST P FOOD FOOD FOR PUBLIC DIST
(97) PINE MANOR IMPROVEMENT ASSOCIATIONPO BOX 61464
FORT MYERS,FL33906 		65-0133208 3   93,453 AVG COST P FOOD FOOD FOR PUBLIC DIST
(98) PORT CHARLOTTE CHURCH OF CHRIST20484 MIDWAY BOULEVARD
PORT CHARLOTTE,FL33952 		59-6153816 3   140,357 AVG COST P FOOD FOOD FOR PUBLIC DIST
(99) REDEEMER EARLY LEARNING CENTERPO BOX 7823
FORT MYERS,FL33911 		59-1432835 3   5,452 AVG COST P FOOD FOOD FOR PUBLIC DIST
(100) REMNANT SEED MINISTRIES INC21202 OLEAN BOULEVARD SUITE B-1
PORT CHARLOTTE,FL33952 		65-1078556 3   31,560 AVG COST P FOOD FOOD FOR PUBLIC DIST
(101) SALVATION ARMY BONITA SPRINGS25221 BERNWOOD DR S 2
BONITA SPRINGS,FL34135 		58-0660607 3   26,536 AVG COST P FOOD FOOD FOR PUBLIC DIST
(102) SALVATION ARMY LODGE-FORT MYERSPO BOX 60087
FORT MYERS,FL33906 		58-0660607 3   26,981 AVG COST P FOOD FOOD FOR PUBLIC DIST
(103) SALVATION ARMY SS-FORT MYERSPO BOX 60087
FORT MYERS,FL33906 		58-0660607 3   586,974 AVG COST P FOOD FOOD FOR PUBLIC DIST
(104) SALVATION ARMY SS-NAPLESPO BOX 8209
NAPLES,FL34101 		58-0660607 3   78,518 AVG COST P FOOD FOOD FOR PUBLIC DIST
(105) SALVATION ARMY SERVICE UNIT-CLEWIST335 CENTRAL AVENUE
CLEWISTON,FL33440 		59-0631403 3   30,454 AVG COST P FOOD FOOD FOR PUBLIC DIST
(106) SALVATION ARMY UNIT OF LABELLEPO BOX 218
LABELLE,FL33975 		58-0660607 3   43,950 AVG COST P FOOD FOOD FOR PUBLIC DIST
(107) SEVENTH-DAY ADVENTIST COMM SERVICE2036 LOVELAND BOULEVARD
PORT CHARLOTTE,FL33980 		52-6037545 3   11,345 AVG COST P FOOD FOOD FOR PUBLIC DIST
(108) ST FRANCIS OF ASSISI5265 PLACIDA ROAD
GROVE CITY,FL34224 		59-1933467 3   69,812 AVG COST P FOOD FOOD FOR PUBLIC DIST
(109) ST JOSEPH THE WORKERPO BOX 1109
MOORE HAVEN,FL33471 		59-2545812 3   77,593 AVG COST P FOOD FOOD FOR PUBLIC DIST
(110) ST MATTHEW'S HOUSE2001 AIRPORT ROAD SOUTH
NAPLES,FL34112 		65-0097432 3   28,564 AVG COST P FOOD FOOD FOR PUBLIC DIST
(111) ST MATTHEWS HOUSE THRIFT STORE25091 BERNWOOD DRIVE
BONITA SPRINGS,FL34135 		65-1110501 3   10,208 AVG COST P FOOD FOOD FOR PUBLIC DIST
(112) ST VINCENT DE PAUL CHURCH13031 PALM BEACH BOULEVARD SE
FORT MYERS,FL33905 		59-2824352 3   134,639 AVG COST P FOOD FOOD FOR PUBLIC DIST
(113) ST VINCENT DE PAUL-GRAND AVEPO BOX 2546
FORT MYERS,FL33902 		13-5562362 3   1,402,840 AVG COST P FOOD FOOD FOR PUBLIC DIST
(114) ST VINCENT DE PAUL-PORT CHARLOTTE21505 AUGUSTA AVENUE
PORT CHARLOTTE,FL33952 		37-1566756 3   162,988 AVG COST P FOOD FOOD FOR PUBLIC DIST
(115) ST VINCENT DE PAUL-PUNTA GORDA25200 AIRPORT ROAD
PUNTA GORDA,FL33950 		80-0029958 3   175,045 AVG COST P FOOD FOOD FOR PUBLIC DIST
(116) ST VINCENT DE PAUL-ST MAXIMILLIAN2080 TAMIAMI TRAIL
PORT CHARLOTTE,FL33948 		59-1905861 3   29,406 AVG COST P FOOD FOOD FOR PUBLIC DIST
(117) SUNCOAST NEIGHBORHOOD TASKFORCE IN2440 THOMPSON STREET
NORTH FORT MYERS,FL33901 		94-3415530 3   456,517 AVG COST P FOOD FOOD FOR PUBLIC DIST
(118) SVDP-SAN ANTONIO CONFERENCE24445 RAMPART BLVD
PORT CHARLOTTE,FL33980 		65-0373993 3   7,030 AVG COST P FOOD FOOD FOR PUBLIC DIST
(119) TICE UNITED METHODIST PANTRY4545 TICE STREET
FORT MYERS,FL33905 		59-1155134 3   389,829 AVG COST P FOOD FOOD FOR PUBLIC DIST
(120) TREE OF LIFE CHURCH2132 SHADOWLAWN DRIVE
NAPLES,FL34112 		59-1315066 3   188,840 AVG COST P FOOD FOOD FOR PUBLIC DIST
(121) TRINITY BAPTIST CHURCH OF PUNTA GOR11234 ROYAL ROAD
PUNTA GORDA,FL33955 		64-0147009 3   105,676 AVG COST P FOOD FOOD FOR PUBLIC DIST
(122) TRINITY UNITED METHODIST CHURCHPO BOX 495895
PORT CHARLOTTE,FL33949 		59-6515026 3   61,506 AVG COST P FOOD FOOD FOR PUBLIC DIST
(123) VINEYARD COMMUNITY CHURCH-CAPE923 SE 47TH TERRACE
CAPE CORAL,FL33904 		59-2706764 3   55,852 AVG COST P FOOD FOOD FOR PUBLIC DIST
(124) WE CARE OUTREACH CENTER INCHEALT4231 DESOTO AVENUE
FORT MYERS,FL33905 		61-1485045 3   151,793 AVG COST P FOOD FOOD FOR PUBLIC DIST
(125) WORD OF LIFE CHURCH2150 COLLIER AVENUE SUITE H
FORT MYERS,FL33901 		54-2133463 3   506,746 AVG COST P FOOD FOOD FOR PUBLIC DIST
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
176
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 GRANTEE ORGANIZATIONS ARE MONITORED AT LEAST BI-ANNUALLY TO ENSURE COMPLIANCE WITH RECORD KEEPING RELATED TO FOOD COMMODITIES THAT THEY DISTRIBUTE.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule L
(Form 990 or 990-EZ)
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 lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) 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) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on 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, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting 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 grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
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) SEE SCHEDULE O         No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles .. X 2 160,943 COST OF VEHICLE
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 13,470,822 16,346,640 AVERAGE COST PER POUND
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image (   ) X 2 29,043  
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
HARRY CHAPIN FOOD BANK OF SOUTHWEST
FLORIDA INC
Employer identification number

59-2332120
Identifier Return Reference Explanation
ADDITIONAL INFORMATION FORM 990 SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ALEXANDER ROBINSON, TREASURER, IS ALSO THE PRESIDENT OF NORTHERN TRUST, WHICH IS THE HOLDER OF TWO SECURED NOTE PAYABLES, WITH THE REMAINING BALANCES OF 2,852,124 AS OF JUNE 30, 2011. JOHN BELISLE, BOARD MEMBER, IS THE VICE PRESIDENT OF BB&T OSWALD TRIPPE, WHICH IS THE BROKER OF THE VARIOUS INSURANCE POLICIES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD REVIEWS A DRAFT COPY OF THE TAX RETURN FOR ACCURACY AND COMPLETENESS PRIOR TO SIGNING AND FILING THE TAX RETURN.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL COMPLIANCE STATEMENT REGARDING CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE ANNUAL SALARY SURVEY PREPARED BY FEEDING AMERICA, A NATIONAL NONPROFIT DISTRIBUTOR OF DONATED PRODUCE IN THE FOOD BANK NETWORK, AND PREPARES WRITTEN DOCUMENTATION OF THE REVIEW PROCESS AND SALARY RECOMMENDATION. THE BOARD THEN APPROVES THE EXECUTIVE DIRECTOR'S SALARY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

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