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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HELENA FOOD SHARE INC
Employer identification number
36-3507623
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,338,663
2,311,953
2,947,646
2,273,328
2,625,710
11,497,300
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
1,338,663
2,311,953
2,947,646
2,273,328
2,625,710
11,497,300
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.
11,497,300
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,338,663
2,311,953
2,947,646
2,273,328
2,625,710
11,497,300
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
4,733
3,531
1,471
808
1,239
11,782
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.)..
3,100
166
194
658
4,118
11
Total support (Add lines 7 through 10).
11,513,200
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
99.860 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.750 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HELENA FOOD SHARE INC
Employer identification number
36-3507623
Return Reference
Explanation
FY13 990 PART III. 4A - PROGRAM SERVICES
9. KID PACKS PROGRAM KID PACKS OFFER IMPORTANT NUTRITIONAL SUPPORT THROUGH TWO WEEKEND MEALS FOR HUNGRY ELEMENTARY STUDENTS. THE CHILDREN ARE IDENTIFIED AS NEEDING WEEKEND NUTRITIONAL ASSISTANCE BY SCHOOL STAFF BASED ON BEHAVIORS OBSERVED ON MONDAY MORNINGS. IN ACADEMIC YEAR 2012-2013, HFS PROVIDED 8,524 KID PACKS SERVING 250-280 STUDENTS PER WEEK IN FOUR ELEMENTARY SCHOOLS. THE PROGRAM IS STRONGLY SUPPORTED BY THE LOCAL COMMUNITY THROUGH FUNDING AND SPECIFIC FOOD ITEM DONATIONS. 10. INTERAGENCY FOOD SUPPLY COORDINATION HFS VIEWS OUR MISSION AS INEXTRICABLY LINKED WITH THE EFFORTS OF OTHER AGENCIES. THE PEOPLE WE SERVE MUST ALSO HAVE HOUSING, TRANSPORTATION, ACCESS TO HEALTH CARE, AND OFTEN OTHER SUPPORTIVE SERVICES SUCH AS VOCATIONAL TRAINING OR SUBSTANCE ABUSE COUNSELING. THEREFORE, IT IS OUR PLEASURE TO SERVE AS A CENTRAL LOCATION FOR THE DELIVERY OF SEMI-LOADS OF FOOD DESTINED FOR VARIOUS AGENCIES. EACH MONTH WE RECEIVE AND COORDINATE PICK-UP OR DELIVERY OF FOOD FROM MONTANA FOOD BANK NETWORK (MFBN) FOR VARIOUS LOCAL NONPROFITS WITH FEEDING PROGRAMS. ADDITIONALLY, WE MAKE SPECIAL EFFORTS TO HELP KEEP SMALL FOOD PANTRIES AT GOOD SAMARITAN MINISTRIES, YWCA, AND GOD'S LOVE STOCKED. WE DELIVER TO GOD'S LOVE AT LEAST THREE TIMES A WEEK AND TO GOOD SAMARITAN SOMEWHAT LESS FREQUENTLY. BUT A PHONE CALL FROM ANY PARTNER IS USUALLY ENOUGH FOR US TO FIRE UP THE TRUCK AND DELIVER THE NEEDED FOOD! SUPPORTIVE PROGRAMS (2) 1. GROCERY RESCUE GROCERY RESCUE FUELS OUR WEEKLY GROCERY PROGRAMS AND SUPPLEMENTS FOOD PROVIDED IN OUR MONTHLY GROCERY PROGRAMS. OUR TRUCK LEAVES THE LEWIS ST PANTRY AT 8:00 AM FIVE DAYS A WEEK WITH A STAFF DRIVER AND A VOLUNTEER. OUR TEAM FOLLOWS A DAILY ROUTE THAT INCLUDES ALL LOCAL GROCERS AND MANY OTHER FOOD VENDORS. EACH DAY'S WORK BRINGS WONDERFUL DONATIONS OF PRIMARILY PERISHABLE FOODS TO THE LEWIS STREET PANTRY FOR DISTRIBUTION THROUGH OUR VARIOUS PROGRAMS. WE ARE SINCERELY GRATEFUL TO ALL OF OUR LOCAL FOOD RETAILERS WHO DONATE SO GENEROUSLY. 2. FOOD DRIVE COORDINATION IN FY 2013, MANY COMMUNITY PARTNERS HELD FOOD DRIVES. HELENA'S GENEROSITY SEEMS BOUNDLESS AND WE ARE GRATEFUL FOR THE SUPPORT FROM OUR PARTNERS IN BUSINESS, THE FAITH COMMUNITY, CIVIC ORGANIZATIONS, SCHOOLS, AND COMMUNITY GROUPS OF ALL KINDS. HFS STAFF WORKS WITH ANY GROUP REQUESTING INFORMATION ON HOW TO MANAGE A FOOD DRIVE. WE KEEP THEM INFORMED OF THE TOP FOOD ITEMS NEEDED AND ASSIST WITH TRANSPORTATION OF THE FOOD, WHEN REQUESTED. VOLUNTEER PROGRAM THE SERVICES PROVIDED BY HFS ARE STAFFED PRIMARILY BY VOLUNTEERS. EACH DAY OF OPERATION APPROXIMATELY 15-25 VOLUNTEERS ARRIVE AT VARIOUS LOCATIONS TO HELP WITH EVERYTHING FROM SORTING PRODUCE TO STOCKING SHELVES AND PACKING GROCERIES. IN FY13, 846 VOLUNTEERS CONTRIBUTED OVER 15,461 HOURS OF LABOR - A TRUE OUTPOURING OF COMMUNITY GENEROSITY. WE COULD NOT RUN HFS WITHOUT OUR INCREDIBLY DEDICATED VOLUNTEERS. WE PROUDLY GIVE COMMUNITY MEMBERS A CHANCE TO GIVE BACK TO THE COMMUNITY, INTERACT WITH CLIENTS, AND HAVE A FABULOUS TIME MAKING SURE NO ONE HAS TO GO HUNGRY.
FORM 990, PART VI, SECTION B, LINE 11
THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND MAKES A RECOMMENDATION TO THE BOARD. THE TAX RETURN IS DISTRIBUTED TO THE BOARD PRIOR TO FILING AND THE BOARD APPROVES THE RETURN FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C
THE DISCLOSURE INVOLVING BOARD MEMBERS IS MADE TO THE BOARD CHAIR. THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IS MATERIAL, AND IN THE PRESENCE OF AN EXISTING MATERIAL CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO HELENA FOOD SHARE AND IS DOCUMENTED IN THE BOARD MINUTES. THE BOARD REVIEWS AND SIGNS THE CONFLICT OF INTEREST POLICY EACH JANUARY DURING THE BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15
PAY RATES ARE SET ANNUALLY AND APPROVED BY THE BOARD OF DIRECTORS THROUGH THE BUDGET PROCESS.
FORM 990, PART VI, SECTION C, LINE 19
FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZING DOCUMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST.
FORM 990 PART XI LINE 2C - FINANCIAL STATEMENTS AND REPORTING
THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE AUDIT OVERSIGHT AND SELECTION PROCESS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.