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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
KITCHEN GARDEN PROJECT INC GARDEN RAISED BOUNTY
Employer identification number
91-1594312
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
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
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.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
341,719
354,106
406,527
476,475
518,995
2,097,822
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......
117,879
124,163
45,915
51,225
71,918
411,100
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.
459,598
478,269
452,442
527,700
590,913
2,508,922
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.)
2,508,922
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
459,598
478,269
452,442
527,700
590,913
2,508,922
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
5,537
1,352
965
298
8,152
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
5,537
1,352
965
298
8,152
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.)
..
43,313
36,239
30,593
110,145
13
Total support. (Add lines 9, 10c, 11, and 12.)..
465,135
522,934
489,646
558,591
590,913
2,627,219
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
95.500 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
KITCHEN GARDEN PROJECT INC GARDEN RAISED BOUNTY
Employer identification number
91-1594312
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
GARDEN-RAISED BOUNTY (GRUB) IS A GRASSROOTS NONPROFIT ORGANIZATION DEDICATED TO NOURISHING THE COMMUNITY BY EMPOWERING PEOPLE TO GROW GOOD FOOD. THE ORGANIZATION DEVELOPS INSPIRED, SELF-CONFIDENT, AND COMMUNITY MINDED YOUTH THROUGH EDUCATION AND EMPLOYMENT.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
REPLICATION OF THIS PROGRAM TO SERVE MORE STUDENTS THROUGHOUT WASHINGTON STATE AND BEYOND. THE 2012 PILOT PROGRAM IMPACTS ARE AS FOLLOWS. SUMMER: TWENTY-NINE STUDENTS ENROLLED IN THE 2012 SUMMER GRUB SCHOOL PROGRAM. TWENTY-ONE OF THESE STUDENTS WERE NEW TO GRUB'S SCHOOL PROGRAMS, AND 76% OF THESE YOUTH REPORTED EXPERIENCING LOW FOOD SECURITY BASED ON A USDA FOOD SECURITY SURVEY. EIGHT OF THE 29 STUDENTS HAD PREVIOUSLY COMPLETED AT LEAST ONE YEAR OF SERVICE WITH GRUB AND RETURNED TAKING ON IMPORTANT LEADERSHIP ROLES-- FOUR PEER CREW LEADERS, THREE FARM ASSISTANTS, AND ONE FUNDRAISING/ADMINISTRATIVE ASSISTANT. ALL OF THE STUDENTS WERE ELIGIBLE TO EARN 1.0 CREDIT IN NATURAL RESOURCES THROUGH A CONTRACT WITH THE NEW MARKET VOCATIONAL SKILLS CENTER. EACH STUDENT ALSO EARNED AN AVERAGE OF 1,326 THROUGH SUMMER STIPENDS FOR THEIR WORK. THEY GREW OVER 5,000 POUNDS OF PRODUCE AND TOOK HOME FRESH, ORGANIC PRODUCE ONCE PER WEEK FOR THEMSELVES AND THEIR FAMILIES. OF THE 21 NEW STUDENTS, 19 FINISHED THE SUMMER PROGRAM, YIELDING A 90% RETENTION RATE. SIXTEEN OF 19 NEW STUDENTS (84%) REPORTED HAVING GREATER ACCESS TO FOOD THROUGH THE SUMMER. ACADEMIC YEAR: TWENTY-SIX STUDENTS ENROLLED IN THE 2012/13 ACADEMIC YEAR GRUB SCHOOL PROGRAM, THE SECOND YEAR OF THE PILOT. NINE OF THESE STUDENTS ALSO PARTICIPATED IN THE FIRST YEAR OF THE PILOT, AND FOR THEIR SECOND YEAR, THEY ENGAGED IN A SPECIAL CLASS DIRECTED AT SECURING AND DEVELOPING OLYMPIA HIGH SCHOOL'S OWN FARM FOR AN EXPANSION OF GRUB SCHOOL. THESE STUDENTS EARNED CREDITS IN AN ADVANCED HORTICULTURE CLASS. THIRTEEN STUDENTS STARTED THE PROGRAM IN SUMMER 2012, AND FOUR MORE STUDENTS JOINED THEM IN THE FALL SEMESTER. THESE STUDENTS PARTICIPATED IN A FOUR-PERIOD BLOCK AND EARNED CREDITS IN AMERICAN STUDIES, HORTICULTURAL BIOLOGY, ADVANCED HORTICULTURE, AND ENTREPRENEURSHIP. ONLY 44% OF THE STUDENTS WHO STARTED THE PILOT IN THE SECOND YEAR ENTERED ON-TRACK TO GRADUATE FROM HIGH SCHOOL. HOWEVER, 94% DEMONSTRATED POSITIVE MOVEMENT TOWARDS THEIR EDUCATIONAL AND CAREER GOALS, AND THERE WAS A 40% DECREASE IN DISCIPLINE REFERRALS. FIELD TRIP PROGRAM: STUDENTS IN GRUB SCHOOL APPLIED THEIR LEARNING ON FARMING AND FARM SCIENCE TO LEAD FIELD TRIPS FOR YOUNGER STUDENTS FROM ELEMENTARY AND MIDDLE SCHOOLS IN THE AREA. APPROXIMATELY 400 STUDENTS VISITED THE FARM IN THE SPRING AND FALL OF 2012. FARM FIELD TRIPS CONNECT STUDENTS WITH HEALTH, SELF-ESTEEM, AND POSITIVE LIFE CHANGES THAT COME WITH GROWING AND EATING GOOD FOOD. THE GOAL IS TO EMPOWER STUDENTS WITH THE BASIC KNOWLEDGE TO GROW AND EAT NUTRITIOUS FOOD, WORK TOGETHER AS A TEAM, AND THINK STRATEGICALLY ABOUT COMMUNITY NUTRITION ISSUES.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
FAMILIES; 29% NON-CAUCASIAN HOUSEHOLDS; 17% HOUSEHOLDS WITH SENIORS; 51% HOUSEHOLDS WITH SPECIAL NEEDS; 33% HOUSEHOLDS WITH NUTRITION-RELATED CHRONIC HEALTH ISSUES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE FORM 990 IS REVIEWED BY THE BOARD MEMBERS AND KEY STAFF MEMBERS TOGETHER BEFORE THE RETURN IS FILED.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN THE "CONFLICT OF INTEREST POLICY" WHICH IS PART OF THE ORGANIZATION'S POLICY AND PROCEDURES.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS AND IS WITHING THE RANGE OF OTHER GROUPS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.