TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Michael Wittman........................................................................ Member	5.00 .......................0.00	X		0	0
(2) Thierry Rautureau........................................................................ Member	5.00 .......................0.00	X		0	0
(3) Katie Quinn........................................................................ Member	5.00 .......................0.00	X		0	0
(4) David Petersen........................................................................ Member	5.00 .......................0.00	X		0	0
(5) Chris Mason........................................................................ Member	5.00 .......................0.00	X		0	0
(6) Adam Lemieux........................................................................ Member	5.00 .......................0.00	X		0	0
(7) Sang Kim........................................................................ Member	5.00 .......................0.00	X		0	0
(8) Kerwin Higashi........................................................................ Member	5.00 .......................0.00	X		0	0
(9) Jonathan Hensley........................................................................ Member	5.00 .......................0.00	X		0	0
(10) Julie Felss Masino........................................................................ Member	5.00 .......................0.00	X		0	0
(11) Tom Douglas........................................................................ Member	5.00 .......................0.00	X		0	0
(12) Suzanne Daly........................................................................ Member	5.00 .......................0.00	X		0	0
(13) Dan Spiegelman........................................................................ Secretary	40.00 .......................0.00	X	X	23,027	2,859
(14) Todd Korman........................................................................ Treasurer	5.00 .......................0.00	X	X	0	0
(15) Amy Kirtland........................................................................ Chair-Elect	5.00 .......................0.00	X	X	0	0
(16) Mary Kay Bowman........................................................................ Chair	5.00 .......................0.00	X	X	0	0
(17) Brian Key........................................................................ CFO	40.00 .......................0.00		X	56,477	2,451

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 United States. See Part IV, line 21	57,721,222	57,721,222
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	280,392	89,114	144,520	46,758
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	2,532,295	1,898,728	307,852	325,715
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	24,542	18,566	3,369	2,607
9	Other employee benefits .......	311,484	224,836	45,260	41,388
10	Payroll taxes ...........	298,643	211,625	47,518	39,500
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	20,550		20,550
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	502,680			502,680
f	Investment management fees ......	11,905		11,905
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	180,968	81,759	99,209
12	Advertising and promotion ....	18,629			18,629
13	Office expenses .......	199,633	44,016	35,676	119,941
14	Information technology ......	36,365		36,365
15	Royalties ..	0
16	Occupancy ...........	474,339	458,046	8,897	7,396
17	Travel ............	38,311	26,051	9,195	3,065
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	36,975	23,863	9,834	3,278
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	291,731	257,416	18,738	15,577
23	Insurance ..............	76,867	59,865	17,002
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Printing	71,058			71,058
b	Dues and Memberships	87,427		81,307	6,120
c	Equipment and Maintenance	151,689	124,271	25,499	1,919
d	Food Distribution / Shrinkage	971,163	971,163
e	All other expenses	117,853		110,459	7,394
25	Total functional expenses. Add lines 1 through 24e	64,456,721	62,210,541	1,033,155	1,213,025
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	200	1	200
2	Savings and temporary cash investments .........	1,516,172	2	2,470,715
3	Pledges and grants receivable, net ...........	2,441,365	3	2,026,632
4	Accounts receivable, net .............	74,737	4	92,768
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6	0
7	Notes and loans receivable, net .............		7	0
8	Inventories for sale or use ..............	2,695,706	8	4,056,514
9	Prepaid expenses and deferred charges ..........	29,300	9	85,805
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,840,184
b	Less: accumulated depreciation .....	10b	2,072,816	1,026,448	10c	767,368
11	Investments—publicly traded securities ..........	653,625	11	672,803
12	Investments—other securities. See Part IV, line 11 .....		12	0
13	Investments—program-related. See Part IV, line 11 .....		13	0
14	Intangible assets ...............		14	0
15	Other assets. See Part IV, line 11 ...........		15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......	8,437,553	16	10,172,805
	17	Accounts payable and accrued expenses .........	353,694	17	431,972
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................		25
26	Total liabilities. Add lines 17 through 25.........	353,694	26	431,972
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	5,192,520	27	7,136,866
28	Temporarily restricted net assets ...........	2,891,339	28	2,603,967
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	8,083,859	33	9,740,833
34	Total liabilities and net assets/fund balances ........	8,437,553	34	10,172,805

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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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Food Lifeline

Employer identification number

91-1090450

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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).

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 ..................................................

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

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


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

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.") ....	40,018,379	53,623,500	59,186,483	64,761,557	66,153,661	283,743,580
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..	46,366	46,366	46,366	46,366	46,366	231,830
4	Total. Add lines 1 through 3	40,064,745	53,669,866	59,232,849	64,807,923	66,200,027	283,975,410
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)..						65,457,071
6	Public support. Subtract line 5 from line 4.						218,518,339

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..	40,064,745	53,669,866	59,232,849	64,807,923	66,200,027	283,975,410
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	62,335	29,353	26,159	7,445	31,223	156,515
9	Net income from unrelated business activities, whether or not the business is regularly carried on..		61,936		6,304		68,240
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..						0
11	Total support (Add lines 7 through 10).						284,200,165

Gross receipts from related activities, etc. (see instructions) ..................

938,094

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........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

76.890 %

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

99.930 %

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 ....................... right arrow

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 ..................... right arrow

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 ..................................................... right arrow

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 ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

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.") .
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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

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 ........ right arrow

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 ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

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:	12000229
Software Version:	2012v2.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

Food Lifeline

Employer identification number

91-1090450

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization Food Lifeline

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization Food Lifeline

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
Food Lifeline

Employer identification number

91-1090450

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2012)

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

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SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Food Lifeline

Employer identification number

91-1090450

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

Publications, or published or broadcast statements? .......................

Yes

205

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

87,408

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

87,663

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Food Lifeline

Employer identification number

91-1090450

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............	478,813	363,432	115,381
d	Equipment ................	1,817,259	1,366,660	450,599
e	Other .................	544,112	342,724	201,388
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				767,368

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	66,991,303
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	13,399
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	657,757
e	Add lines 2a through 2d .....................			2e	671,156
3	Subtract line 2e from line 1.....................			3	66,320,147
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	11,905
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	11,905
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	66,332,052

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	65,148,938
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	46,365
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	657,757
e	Add lines 2a through 2d......................			2e	704,122
3	Subtract line 2e from line 1.....................			3	64,444,816
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	11,905
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c	11,905
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	64,456,721

Part XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Part XII, Line 2d	Part XII, Line 2d: Other expenses and losses per audited F/S	Cost of goods sold $647990 Special event expenses $9767
Part XI, Line 2d	Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	Cost of goods sold $647990 Special event expenses $9767

Schedule D (Form 990) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

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. Form 990-EZ filers are not required to complete this part. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
Food Lifeline

Employer identification number

91-1090450

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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.

(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
	CCS 800 5th Ave Seattle, WA98104	Cap. Campaign		No	213,063	180,000	33,063
	Brad Cecil Asso 2115 Arlington Arlington, TX76011	Mailing		No		220,883








Total .................					213,063	400,883	33,063

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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Savor (event type)	(b) Event #2 Dress Down Hunger (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	193,605	139,883	9,593	343,081
2	Less: Contributions . .	137,366	105,694	5,638	248,698
3	Gross income (line 1 minus line 2) . . .	56,239	34,189	3,955	94,383
4	Cash prizes . . .
5	Noncash prizes . .	35,734	14,564		50,298
6	Rent/facility costs . .	37,356			37,356
7	Food and beverages .	9,690	3,791		13,481
8	Entertainment . . .	200			200
9	Other direct expenses .	26,463	41,787	6,236	74,486
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				175,821
11	Net income summary. Combine line 3, column (d), and line 10. ..........				-81,438

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

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

2012

Open to Public
Inspection

Name of the organization
Food Lifeline

Employer identification number
91-1090450

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(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) YWCA Seattle -King -Snohomish 2024 3rd Ave Seattle,WA98121	91-0482890	501(c)(3)	0	382,912	Cost per pound	Food	Food distribution
(2) Youthcare Orion Center 1828 Yale Ave Seattle,WA98101	91-0917079	501(c)(3)	1,000	30,558	Cost per pound	Food	Food distribution
(3) Yelm Community Services 624 Crystal Springs Road Yelm,WA98597	23-7226534	501(c)(3)	0	186,591	Cost per pound	Food	Food distribution
(4) Woodland Community Center FB 736 Davidson Woodland,WA98674	91-2105285	501(c)(3)	0	226,740	Cost per pound	Food	Food distribution
(5) White Center Food Bank 10829 8th Ave SW Seattle,WA98146	91-1167830	501(c)(3)	1,068	865,831	Cost per pound	Food	Food distribution
(6) West Seattle Food Bank 3419 SW Morgan St Seattle,WA98126	91-1464412	501(c)(3)	0	702,206	Cost per pound	Food	Food distribution
(7) Volunteers of America 9747 Greenwood Ave N Seattle,WA98103	91-0577129	501(c)(3)	519	2,036,363	Cost per pound	Food	Food distribution
(8) Vietnamese Friendship Assn 4714 Ranier Ave S Ste 80 Seattle,WA98118	91-1191229	501(c)(3)	0	21,982	Cost per pound	Food	Food distribution
(9) Victory Outreach-Seattle 2035 NW 58th St Seattle,WA98107	95-0583891	501(c)(3)	0	172,862	Cost per pound	Food	Food distribution
(10) Vashon Maury Comm Food Bank 10030 210 St SW Vashon,WA98070	91-3165664	501(c)(3)	0	161,380	Cost per pound	Food	Food distribution
(11) Utah Food Bank 1025 S 700 West Salt Lake City,UT84104	87-0212453	501(c)(3)	0	209,938	Cost per pound	Food	Food distribution
(12) US Conf of Catholic Bishops 3314 S 59th Street Tacoma,WA98409	53-0196617	501(c)(3)	0	327,902	Cost per pound	Food	Food distribution
(13) University Place Food Bank 8101 27th St W UniversityPlace,WA98466	20-0435496	501(c)(3)	0	80,048	Cost per pound	Food	Food distribution
(14) Univ Street Ministry 4740 B University Way NE Seattle,WA98105	91-3034862	501(c)(3)	0	16,892	Cost per pound	Food	Food distribution
(15) United Methodist Church 116 Kindle Rd Randle,WA98377	80-0184689	501(c)(3)	0	59,594	Cost per pound	Food	Food distribution
(16) United Friends Group Homes PO Box 17017 Seattle,WA98127	23-7396644	501(c)(3)	0	30,519	Cost per pound	Food	Food distribution
(17) UGM-Olympia PO Box 7668 Olympia,WA98507	91-1680748	501(c)(3)	0	51,381	Cost per pound	Food	Food distribution
(18) Tukwila Pantry 3118 S 140th St Tukwila,WA98168	75-2974441	501(c)(3)	0	1,435,500	Cost per pound	Food	Food distribution
(19) Tuesdays Table 3118 S 140th St Tukwila,WA98168	91-0845808	501(c)(3)	0	115,592	Cost per pound	Food	Food distribution
(20) Tri-Parish Food Bank 935 Peterson Rd Burlington,WA98223	91-0778147	501(c)(3)	0	99,292	Cost per pound	Food	Food distribution
(21) Thurston County Food Bank 220 Thurston Ave NE Olympia,WA98501	23-7297897	501(c)(3)	937	981,721	Cost per pound	Food	Food distribution
(22) The Saints Pantry 214 S Second St Shelton,WA98584	27-0386653	501(c)(3)	0	344,128	Cost per pound	Food	Food distribution
(23) The Food Bank at St Marys 611 20th Ave S Seattle,WA98144	91-1989445	501(c)(3)	1,000	1,233,360	Cost per pound	Food	Food distribution
(24) TACS Food Bank PO Box 11291 Tacoma,WA98411	52-0957460	501(c)(3)	0	181,058	Cost per pound	Food	Food distribution
(25) Sumner Community Food Bank 15625 Main Street East Sumner,WA98390	91-2061833	501(c)(3)	0	29,473	Cost per pound	Food	Food distribution
(26) StVdP-Longview Food Bank PO Box 2957 Longview,WA98632	91-0615380	501(c)(3)	0	234,797	Cost per pound	Food	Food distribution
(27) StVdP 5950 4th Ave S Seattle,WA98108	91-0583891	501(c)(3)	0	1,013,927	Cost per pound	Food	Food distribution
(28) Storehouse 26201 180th Ave SE Covington,WA98042	02-0551015	501(c)(3)	0	625,215	Cost per pound	Food	Food distribution
(29) Stillaguamish Senior Center 18308 Smokey Point Blvd Arlington,WA98223	23-7087247	501(c)(3)	0	17,172	Cost per pound	Food	Food distribution
(30) Stanwood Camano Food Bank PO Box 1285 Stanwood,WA98292	91-1155426	501(c)(3)	0	88,414	Cost per pound	Food	Food distribution
(31) St Marys Food Bank Alliance 2831 N 31st Ave Phoenix,AZ85009	23-7353532	501(c)(3)	0	5,337	Cost per pound	Food	Food distribution
(32) St Leos Food Connection 1323 S Yakima Ave Tacoma,WA98405	91-0622353	501(c)(3)	0	13,754	Cost per pound	Food	Food distribution
(33) St Vincent de Paul 1137 N Callow Bremerton,WA98312	91-0635027	501(c)(3)	0	63,513	Cost per pound	Food	Food distribution
(34) St Marks Episcopal Cathedral 1245 10th Ave E Seattle,WA98102	91-1525836	501(c)(3)	0	5,519	Cost per pound	Food	Food distribution
(35) Spiritual Miracles Food Bank 7230 S 126th Seattle,WA98178	16-1676016	501(c)(3)	0	97,488	Cost per pound	Food	Food distribution
(36) South Whidbey Good Cheer P O Box 144 Langley,WA98260	23-7047914	501(c)(3)	0	124,637	Cost per pound	Food	Food distribution
(37) South Park Area Redevel Comm 8201 10th AVE S Seattle,WA98108	91-0899041	501(c)(3)	0	96,636	Cost per pound	Food	Food distribution
(38) South Kitsap Helpline 1351 Bay Street Port Orchard,WA98336	91-1117868	501(c)(3)	0	1,014,491	Cost per pound	Food	Food distribution
(39) South County Senior Center 220 Railroad Ave Edmonds,WA98020	91-0828576	501(c)(3)	0	49,205	Cost per pound	Food	Food distribution
(40) Snoqualmie Tribe Food Bank PO Box 969 Snoqualmie,WA98065	91-1152338	501(c)(3)	0	83,257	Cost per pound	Food	Food distribution
(41) Snohomish Food Bank Ferguson Park Rd Snohomish,WA98291	91-1334772	501(c)(3)	0	369,462	Cost per pound	Food	Food distribution
(42) Skagit Co Comm Action Agency PO Box 1507 Mount Vernon,WA98273	91-1140086	501(c)(3)	0	165,631	Cost per pound	Food	Food distribution
(43) Shepherds Heart Care Cntr FB 17422 Britt Rd Mount Vernon,WA98273	91-1615025	501(c)(3)	0	104,000	Cost per pound	Food	Food distribution
(44) Serenity House Clallam Co PO Box 4047 Port Angeles,WA98363	91-1180069	501(c)(3)	0	15,747	Cost per pound	Food	Food distribution
(45) Sequim Food Bank PO Box 1453 Sequim,WA98382	91-1215709	501(c)(3)	0	300,641	Cost per pound	Food	Food distribution
(46) Second Harvest 1234 East Front St Spokane,WA99202	23-7173826	501(c)(3)	0	139,135	Cost per pound	Food	Food distribution
(47) Seattles Union Gospel Mission PO Box 202 Seattle,WA98118	91-0595029	501(c)(3)	0	322,073	Cost per pound	Food	Food distribution
(48) Seattle Indian Center FB 611 12th Ave S Suite 300 Seattle,WA98144	91-0877683	501(c)(3)	0	486,396	Cost per pound	Food	Food distribution
(49) Seattle First Presbyterian 1013 8th Ave NE Seattle,WA98104	91-0575941	501(c)(3)	0	19,176	Cost per pound	Food	Food distribution
(50) Seattle Childrens Home 2142 10th Ave W Seattle,WA98119	91-0565572	501(c)(3)	0	14,468	Cost per pound	Food	Food distribution
(51) San Francisco Food Bank 900 Pensylvania Ave San Francisco,CA94107	94-3041517	501(c)(3)	0	209,938	Cost per pound	Food	Food distribution
(52) Salvation Army PO Box 977 Renton,WA98055	94-1156347	501(c)(3)	0	2,153,757	Cost per pound	Food	Food distribution
(53) Salvation Army PO Box 46333 Seattle,WA98146	13-2923701	501(c)(3)	0	451,253	Cost per pound	Food	Food distribution
(54) Salvation Army PO Box 1184 Everett,WA98206	91-1156347	501(c)(3)	0	322,908	Cost per pound	Food	Food distribution
(55) SThurston United Friends FB PO Box 384 Rochester,WA98579	94-3138466	501(c)(3)	0	13,944	Cost per pound	Food	Food distribution
(56) ROOTS 1415 NE 43rd Ave Seattle,WA98105	92-2110379	501(c)(3)	0	97,962	Cost per pound	Food	Food distribution
(57) ROOF Community Services 10140 Hwy 12 SW Rochester,WA98579	77-0620956	501(c)(3)	0	75,129	Cost per pound	Food	Food distribution
(58) Roadrunner Food Bank 5840 Office Blvd NE Albuquerque,NM87109	85-0278525	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(59) Renewal Food Bank 2015 Richards Rd Bellevue,WA98006	91-1734015	501(c)(3)	0	188,128	Cost per pound	Food	Food distribution
(60) Redwood Empire Food Bank 3320 Industrial Dr Santa Rosa,CA95403	68-0121855	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(61) Recovery Cafe 2022 Boren Avenue Seattle,WA98121	91-2158547	501(c)(3)	0	132,182	Cost per pound	Food	Food distribution
(62) Rainier Valley Food Bank 4205 Rainier Avenue S Seattle,WA98118	91-1500768	501(c)(3)	0	711,766	Cost per pound	Food	Food distribution
(63) Puyallup Food Bank PO Box 202 Puyallup,WA98371	23-7259739	501(c)(3)	0	220,346	Cost per pound	Food	Food distribution
(64) Puget Sound Labor Agency 2800 1st Ave 115 Seattle,WA98121	91-0927902	501(c)(3)	0	342,446	Cost per pound	Food	Food distribution
(65) Providence Regina House Fd Bk 8201 10th Ave S 6 Seattle,WA98108	91-1996732	501(c)(3)	0	35,196	Cost per pound	Food	Food distribution
(66) Providence Pariseu 5071 8th Ave NE Seattle,WA98105	91-1289932	501(c)(3)	14	36,052	Cost per pound	Food	Food distribution
(67) Project Hope Food Bank 205 South BC Ave Ste 105 Lynden,WA98264	91-0858511	501(c)(3)	0	15,167	Cost per pound	Food	Food distribution
(68) Port Angeles Food Bank 402 S Valley St Port Angeles,WA98362	91-1192596	501(c)(3)	0	594,995	Cost per pound	Food	Food distribution
(69) Point Roberts Food Bank 323 Evergreen Way Point Roberts,WA98281	36-3513679	501(c)(3)	0	10,158	Cost per pound	Food	Food distribution
(70) Pike Market Senior Center 85 Pike St Suite 200 Seattle,WA98101	91-1034838	501(c)(3)	0	71,834	Cost per pound	Food	Food distribution
(71) Phinney Ridge Food Bank 7500 Greenwood Ave N Seattle,WA98103	91-0581656	501(c)(3)	0	65,858	Cost per pound	Food	Food distribution
(72) Phinney Neighborhood Assn 6532 Phinney Ave N Seattle,WA98103	91-1112780	501(c)(3)	0	157,846	Cost per pound	Food	Food distribution
(73) Perinatal Treatment Services 600 N 130th St Seattle,WA98133	91-1835961	501(c)(3)	0	61,183	Cost per pound	Food	Food distribution
(74) Parkland 1st Baptist Church 3318 S 92nd Street Tacoma,WA98409	91-0971257	501(c)(3)	0	845,568	Cost per pound	Food	Food distribution
(75) Paradise of Praise Food Bank 1316 SW Holden St Seattle,WA98106	68-0642500	501(c)(3)	0	67,758	Cost per pound	Food	Food distribution
(76) Pacific Community Center 100 Thrid Avenue SE Pacific,WA98047	20-5009001	501(c)(3)	0	27,178	Cost per pound	Food	Food distribution
(77) Pacific Asian Empowerment 210 S Hansford St Suite 100 Seattle,WA98134	91-1346352	501(c)(3)	0	492,822	Cost per pound	Food	Food distribution
(78) Orting Food Bank PO Box 1877 Orting,WA98360	20-8562623	501(c)(3)	0	61,040	Cost per pound	Food	Food distribution
(79) Oregon Food Bank 2540 NE Riverside WAY Portland,OR97211	93-0785786	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(80) Operation Sack Lunch PO Box 4128 Seattle,WA98194	91-1658187	501(c)(3)	0	375,278	Cost per pound	Food	Food distribution
(81) Operation Nightwatch PO Box 21181 Seattle,WA98111	91-0964027	501(c)(3)	0	74,027	Cost per pound	Food	Food distribution
(82) Olympic Comm Action Program 228 W 1st Street Ste J Port Angeles,WA98362	91-0814319	501(c)(3)	0	94,635	Cost per pound	Food	Food distribution
(83) Olympia First Baptist Church 904 Washington St SE Olympia,WA98501	91-0584053	501(c)(3)	0	24,724	Cost per pound	Food	Food distribution
(84) Ocean Shores Food Bank PO Box1419 Ocean Shores,WA98569	23-7424961	501(c)(3)	0	21,029	Cost per pound	Food	Food distribution
(85) North Kitsap Fishline PO Box 1517 Poulsbo,WA98370	91-1244431	501(c)(3)	1,938	599,976	Cost per pound	Food	Food distribution
(86) North Helpline 12736 33rd Ave NE Seattle,WA98125	91-1475182	501(c)(3)	0	1,067,444	Cost per pound	Food	Food distribution
(87) North Gate City Church Fd Bk 1209 Minor Rd Kelso,WA98626	91-0916177	501(c)(3)	0	81,714	Cost per pound	Food	Food distribution
(88) Nooksack Valley Food Bank PO Box 384 Everson,WA98247	91-1339292	501(c)(3)	0	98,920	Cost per pound	Food	Food distribution
(89) New Beginnings Shelter PO Box 75125 Seattle,WA98125	91-1005916	501(c)(3)	0	16,935	Cost per pound	Food	Food distribution
(90) Neighbors in Need-Skagit Vly 1615 South 2nd St Mt Vernon,WA98273	91-0951646	501(c)(3)	0	646,420	Cost per pound	Food	Food distribution
(91) Neighbor to Neighbor 1541 Riverview Dr NE Auburn,WA98002	91-1483873	501(c)(3)	0	66,568	Cost per pound	Food	Food distribution
(92) Mukilteo Food Bank P O Box 839 Snohomish,WA98206	91-1999844	501(c)(3)	0	168,837	Cost per pound	Food	Food distribution
(93) Mt Si Helping Hands Food Bank PO Box 2464 North Bend,WA98045	94-3073249	501(c)(3)	719	534,343	Cost per pound	Food	Food distribution
(94) Mount Zion Baptist Church 1634 19th Ave Seattle,WA98122	91-9722334	501(c)(3)	0	6,647	Cost per pound	Food	Food distribution
(95) Morton Food Bank PO Box 880 Morton,WA98356	94-2712386	501(c)(3)	937	324,992	Cost per pound	Food	Food distribution
(96) Montana Food Bank 5625 Expressway Missoula,MT59808	81-0421243	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(97) Monroe Sky Valley Food Bank P O Box 839 Everett,WA98272	91-1186822	501(c)(3)	0	529,935	Cost per pound	Food	Food distribution
(98) Ministries Bread of Life 8810 Lawndale Avenue SW Lakewood,WA98498	84-0441300	501(c)(3)	0	183,451	Cost per pound	Food	Food distribution
(99) Millionair Club 2515 Western Ave Seattle,WA98121	91-0607513	501(c)(3)	0	246,991	Cost per pound	Food	Food distribution
(100) Marysville Food Bank PO Box 917 Marysville,WA98270	91-1347507	501(c)(3)	0	658,458	Cost per pound	Food	Food distribution
(101) Marys Place 1830 9th Ave Seattle,WA98111	27-2087950	501(c)(3)	0	20,057	Cost per pound	Food	Food distribution
(102) Maple Valley Food Bank PO Box 322 Maple Valley,WA98038	91-6057006	501(c)(3)	892	650,912	Cost per pound	Food	Food distribution
(103) Maple Alley Inn 1111 Cornwall Ave Suite C Bellingham,WA98225	91-0787820	501(c)(3)	0	15,600	Cost per pound	Food	Food distribution
(104) Maltby Food Bank P O Box 1256 Snohomish,WA98291	91-1607217	501(c)(3)	0	300,526	Cost per pound	Food	Food distribution
(105) Malone Food Bank P O Box 983 Malone,WA98559	91-6178414	501(c)(3)	0	97,685	Cost per pound	Food	Food distribution
(106) Lynnwood Food Bank PO Box 839 Lynnwood,WA98037	84-1642388	501(c)(3)	0	335,497	Cost per pound	Food	Food distribution
(107) Lutheran Compass Center 77 S Washington St Seattle,WA98104	91-1459445	501(c)(3)	0	169,533	Cost per pound	Food	Food distribution
(108) Lunchtime at St Lukes 5710 22nd Ave NW Seattle,WA98107	91-0673080	501(c)(3)	0	37,036	Cost per pound	Food	Food distribution
(109) Lummi Tribe Food Bank 2616 Kwin Rd Bellingham,WA98226	91-1836621	501(c)(3)	0	32,061	Cost per pound	Food	Food distribution
(110) Lower Columbia CAC 1526 Commerce Ave Longview,WA98632	91-0814141	501(c)(3)	0	745,469	Cost per pound	Food	Food distribution
(111) Los Angeles Food Bank 1734 E 41st St Los Angeles,CA90058	95-3135649	501(c)(3)	0	59,556	Cost per pound	Food	Food distribution
(112) Lifelong Aids Alliance 1002 E Seneca Seattle,WA98122	91-1215715	501(c)(3)	0	353,995	Cost per pound	Food	Food distribution
(113) Lewis Co Food Bank Coalition 1709 Seminary Hill Centralia,WA98531	91-1391826	501(c)(3)	0	302,091	Cost per pound	Food	Food distribution
(114) Lake Stevens Community Fd Bk PO Box 1031 Lake Stevens,WA98258	91-1215080	501(c)(3)	0	219,677	Cost per pound	Food	Food distribution
(115) Key Peninsula Food Bank P O Box 392 Lakebay,WA98349	91-1188981	501(c)(3)	0	321,385	Cost per pound	Food	Food distribution
(116) Kent Food Bank 515 W Harrison St Suite 107 Kent,WA98032	91-0881434	501(c)(3)	1,310	164,405	Cost per pound	Food	Food distribution
(117) Kent Food Bank 515 W Harrison St Suite 107 Kent,WA98032	91-0881434	501(c)(3)	0	609,143	Cost per pound	Food	Food distribution
(118) Jewish Family Service 1601 16th Ave Seattle,WA98122	91-0565537	501(c)(3)	0	108,444	Cost per pound	Food	Food distribution
(119) Jefferson Co Food Bank Assn PO Box 124 Port Hadlock,WA98339	91-1377493	501(c)(3)	0	769,815	Cost per pound	Food	Food distribution
(120) Issaquah Food Bank 179 1st Ave SE Issaquah,WA98027	91-1245499	501(c)(3)	533	673,563	Cost per pound	Food	Food distribution
(121) Immanuel Comm Svcs Food Bank 1215 Thomas St Seattle,WA98109	41-1568278	501(c)(3)	10	209,224	Cost per pound	Food	Food distribution
(122) Hungry Soul Cafe 3807 Reith Road Kent,WA98032	23-7424506	501(c)(3)	0	16,977	Cost per pound	Food	Food distribution
(123) Hunger Intervention Program 3841 NE 123rd St Seattle,WA98125	26-3716527	501(c)(3)	937	13,681	Cost per pound	Food	Food distribution
(124) House of Prayer PO Box 2725 Belfair,WA98528	91-1967132	501(c)(3)	0	22,032	Cost per pound	Food	Food distribution
(125) Hoquiam Coastal Harvest Prog 117 East 3rd Street Aberdeen,WA98520	94-3252669	501(c)(3)	0	111,224	Cost per pound	Food	Food distribution
(126) Hopelink 14812 Main St Bellevue,WA98007	91-0982116	501(c)(3)	767	2,779,651	Cost per pound	Food	Food distribution
(127) Hood Canal Food Bank P O Box 995 Hoodsport,WA98548	91-1449048	501(c)(3)	0	15,507	Cost per pound	Food	Food distribution
(128) Helpline House Food Bank 282 Knechtel Way NE Bainbridge Isl,WA98110	91-0902503	501(c)(3)	0	52,843	Cost per pound	Food	Food distribution
(129) Helping Hands Food Bank P O Box 632 SedroWoolley,WA98284	91-1203572	501(c)(3)	0	609,686	Cost per pound	Food	Food distribution
(130) Heartprints Food Pantry 830 North 16th Mount Vernon,WA98273	91-1080659	501(c)(3)	0	25,349	Cost per pound	Food	Food distribution
(131) Hands of Hope 9506 7th Ave SE Everett,WA98208	91-6071655	501(c)(3)	0	172,141	Cost per pound	Food	Food distribution
(132) Hamilton Community Food Bank PO Box 75 Hamilton,WA98255	91-1351355	501(c)(3)	0	416,232	Cost per pound	Food	Food distribution
(133) Griffin Home for Boys 2500 Lake Washington Blvd Renton,WA98056	91-0672501	501(c)(3)	0	55,267	Cost per pound	Food	Food distribution
(134) Gig Harbor FISH Food Bank P O Box 154 Gig Harbor,WA98335	91-1307991	501(c)(3)	0	191,653	Cost per pound	Food	Food distribution
(135) Genesis House PO Box 22910 Seattle,WA98122	91-0874756	501(c)(3)	0	90,486	Cost per pound	Food	Food distribution
(136) Foothills Food Bank 5568 Mt Baker Hwy Deming,WA98244	91-1347974	501(c)(3)	0	74,359	Cost per pound	Food	Food distribution
(137) Food Bank of Northern Nevada 550 Italy Drive McCarran,NV89434	80-0204355	501(c)(3)	0	209,938	Cost per pound	Food	Food distribution
(138) Food Bank of Alaska 2121 Spar Rd Anchorage,AK99501	92-0073175	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(139) FISH-Seventh Day Adventist 5151 Nesbit Loop Road Kelso,WA98626	26-3585358	501(c)(3)	0	86,850	Cost per pound	Food	Food distribution
(140) FISH-Saint Rose 812 S Silverdale Road Castle Rock,WA98611	23-7452250	501(c)(3)	0	13,476	Cost per pound	Food	Food distribution
(141) FISH Food Bank 1704 E 85th ST Tacoma,WA98445	91-1198391	501(c)(3)	0	1,246,423	Cost per pound	Food	Food distribution
(142) Ferndale Food Bank PO Box 1593 Ferndale,WA98248	91-1166240	501(c)(3)	0	125,216	Cost per pound	Food	Food distribution
(143) Federal Way Food Bank PO Box 23699 Federal Way,WA98093	91-3105476	501(c)(3)	1,699	1,191,765	Cost per pound	Food	Food distribution
(144) Fed Way Comm Caregiving Net 30105 2nd Pl SW Federal Way,WA98023	94-3105476	501(c)(3)	0	18,203	Cost per pound	Food	Food distribution
(145) Fathers House Food Bank 14810 84th St NE Lake Stevens,WA98258	93-0710454	501(c)(3)	0	103,348	Cost per pound	Food	Food distribution
(146) Familyworks 1501 N 45th St Seattle,WA98103	91-1757277	501(c)(3)	0	409,837	Cost per pound	Food	Food distribution
(147) Faith House Ministries 911 Alder St Hoquiam,WA98550	20-3348807	501(c)(3)	0	54,454	Cost per pound	Food	Food distribution
(148) Enumclaw Kiwanis Food Bank 1350 Cole St Enumclaw,WA98022	91-1503603	501(c)(3)	0	237,073	Cost per pound	Food	Food distribution
(149) Emergency Food Network 3318 92nd Street Lakewood,WA98499	94-3131776	501(c)(3)	0	46,428	Cost per pound	Food	Food distribution
(150) Elizabeth Gregory Home PO Box 45130 Seattle,WA98145	91-2139335	501(c)(3)	0	92,864	Cost per pound	Food	Food distribution
(151) El Centro dela Raza Food Bank 2524 16th Ave S Seattle,WA98144	91-0899927	501(c)(3)	0	378,905	Cost per pound	Food	Food distribution
(152) EDVP PO Box 6398 Bellevue,WA98008	91-1190193	501(c)(3)	0	32,804	Cost per pound	Food	Food distribution
(153) Edmonds Westgate Food Bank 22901 Edmonds Way Edmonds,WA98020	91-0774622	501(c)(3)	0	40,459	Cost per pound	Food	Food distribution
(154) Edmonds Food Bank 828 Caspers Street Edmonds,WA98020	91-0652053	501(c)(3)	0	175,436	Cost per pound	Food	Food distribution
(155) Eatonville Family Agency PO Box 1764 Eatonville,WA98328	91-1059530	501(c)(3)	0	34,665	Cost per pound	Food	Food distribution
(156) Downtown Food Bank 1531 Western Ave Seattle,WA98101	91-1034638	501(c)(3)	0	483,965	Cost per pound	Food	Food distribution
(157) DESC 515 3rd Ave Seattle,WA98104	91-1275815	501(c)(3)	0	38,872	Cost per pound	Food	Food distribution
(158) Des Moines Area Food Bank PO Box 98788 Des Moines,WA98198	91-1183154	501(c)(3)	761	851,471	Cost per pound	Food	Food distribution
(159) DAWN P O Box 88007 Tukwila,WA98138	91-1176122	501(c)(3)	0	37,544	Cost per pound	Food	Food distribution
(160) Dale Turner Family YMCA 1220 NE 175th St Shoreline,WA98155	91-0482710	501(c)(3)	0	21,460	Cost per pound	Food	Food distribution
(161) CPC Inc 3512 Albion Pl N Seattle,WA98103	91-0621380	501(c)(3)	0	33,038	Cost per pound	Food	Food distribution
(162) Copalis Crossing Food Bank 2328 Ocean Beach Road CopalisCrossing,WA98536	91-1042903	501(c)(3)	0	21,120	Cost per pound	Food	Food distribution
(163) Copalis Community Church FB PO Box 279 Copalis Beach,WA98535	91-0823403	501(c)(3)	0	214,771	Cost per pound	Food	Food distribution
(164) Conquest Center 4617 S 144th Tukwila,WA98168	91-0866554	501(c)(3)	0	9,034	Cost per pound	Food	Food distribution
(165) Concrete Food Bank P O Box 53 Concrete,WA98237	91-1643893	501(c)(3)	0	55,898	Cost per pound	Food	Food distribution
(166) Concerned Citizens PO Box 1787 Forks,WA98331	91-1156809	501(c)(3)	0	5,024	Cost per pound	Food	Food distribution
(167) Concern For Neighbors Food Bk 4700 228th St SW Mountlake Terr,WA98043	91-2027084	501(c)(3)	0	218,885	Cost per pound	Food	Food distribution
(168) Community Lunch 1710 11th Ave Seattle,WA98122	05-0566668	501(c)(3)	0	147,885	Cost per pound	Food	Food distribution
(169) Community House 431 Boylston Ave E Seattle,WA98102	91-0963226	501(c)(3)	0	221,815	Cost per pound	Food	Food distribution
(170) Community Food Pantry 140 NE St Rte 300 Belfair,WA98528	45-5576783	501(c)(3)	0	29,908	Cost per pound	Food	Food distribution
(171) Community Food Bank S AZ 3003 S Country Club Rd Tucson,AZ85713	51-0192519	501(c)(3)	0	139,959	Cost per pound	Food	Food distribution
(172) Community Covenant Church P O Box 188 Clear Lake,WA98235	91-1571632	501(c)(3)	0	152,420	Cost per pound	Food	Food distribution
(173) Community CARE Ministries FB P O Box 434 Kapowsin,WA98344	75-3158092	501(c)(3)	0	54,690	Cost per pound	Food	Food distribution
(174) Community Action Council 420 Golf Club Rd SE Ste 100 Lacey,WA98503	91-0818368	501(c)(3)	0	431,416	Cost per pound	Food	Food distribution
(175) Clothes & Loaves 413 N Tower Ave-PO Box 656 Centralia,WA98531	91-0978022	501(c)(3)	0	40,005	Cost per pound	Food	Food distribution
(176) Church of Mary Magdalene 766 Thomas St Seattle,WA98109	94-3176609	501(c)(3)	0	14,819	Cost per pound	Food	Food distribution
(177) Chief Seattle Club 410 2nd Ave Ext S Seattle,WA98104	91-0852503	501(c)(3)	0	96,235	Cost per pound	Food	Food distribution
(178) Catholic Comm Svcs of W Wash 4731 15th Ave NE Seattle,WA98105	91-1585652	501(c)(3)	938	1,019,947	Cost per pound	Food	Food distribution
(179) CAMP Food Bank 722 18th Ave Seattle,WA98122	91-0786727	501(c)(3)	0	913,700	Cost per pound	Food	Food distribution
(180) Camano Chapel-His Pantry FB 867 SW Camano Dr Camano Island,WA98292	91-0970973	501(c)(3)	0	69,271	Cost per pound	Food	Food distribution
(181) California Assn of Food Banks 1624 Franklin St Ste 722 Oakland,CA94612	68-0392816	501(c)(3)	0	69,979	Cost per pound	Food	Food distribution
(182) Buckley Kiwanis Food Bank 127 N River Rd Buckley,WA98321	91-1761645	501(c)(3)	0	52,328	Cost per pound	Food	Food distribution
(183) Bremerton Food Line PO Box 824 Bremerton,WA98337	91-1111086	501(c)(3)	0	478,545	Cost per pound	Food	Food distribution
(184) Bread of Life-Marblemount PO Box 146 Marblemount,WA98267	91-1335192	501(c)(3)	0	104,444	Cost per pound	Food	Food distribution
(185) Bread of Life Mission PO Box 4276 Seattle,WA98104	91-6057907	501(c)(3)	0	392,553	Cost per pound	Food	Food distribution
(186) Boys and Girls Club-Skagit Co PO Box 947 Mount Vernon,WA98273	91-1670669	501(c)(3)	0	7,713	Cost per pound	Food	Food distribution
(187) Boys and Girls Club-Bellevue 209 100th AVE NE Bellevue,WA98004	91-0776451	501(c)(3)	0	23,446	Cost per pound	Food	Food distribution
(188) Bonney Lake Comm Resources PO Box 7551 Bonney Lake,WA98321	27-0270499	501(c)(3)	0	1,089,019	Cost per pound	Food	Food distribution
(189) Blessed Sacrament 5050 8th Ave NE Seattle,WA98105	91-0570857	501(c)(3)	0	88,058	Cost per pound	Food	Food distribution
(190) Blaine Food Bank PO Box 472 Blaine,WA98231	91-1160595	501(c)(3)	0	525,838	Cost per pound	Food	Food distribution
(191) Bellingham Food Bank 1824 Ellis St Bellingham,WA98225	91-0918619	501(c)(3)	1,000	482,655	Cost per pound	Food	Food distribution
(192) Beacon Avenue Food Bank 6230 Beacon Ave S Seattle,WA98108	91-1485319	501(c)(3)	0	272,653	Cost per pound	Food	Food distribution
(193) Bayside Comm AOG Church P O Box 748 Silverdale,WA98383	91-1229210	501(c)(3)	938	643,023	Cost per pound	Food	Food distribution
(194) Ballard Food Bank 7005 24th Ave NW Seattle,WA98117	91-1428805	501(c)(3)	0	910,334	Cost per pound	Food	Food distribution
(195) Auburn Food Bank PO Box 464 Auburn,WA98002	91-1215485	501(c)(3)	1,221	997,215	Cost per pound	Food	Food distribution
(196) Arlington Food Bank 16821 Smokey Point Blvd Arlington,WA98223	91-1445025	501(c)(3)	0	163,482	Cost per pound	Food	Food distribution
(197) Archdiocesan Housing Author 416 2nd Ext S Seattle,WA98104	91-1099134	501(c)(3)	116	393,248	Cost per pound	Food	Food distribution
(198) Annies Community Kitchen 23525 84th Ave W Edmonds,WA98026	20-2007731	501(c)(3)	0	257,757	Cost per pound	Food	Food distribution
(199) Algona Pacific Food Pantry 603 3rd Ave SE Pacific,WA98047	91-1498750	501(c)(3)	0	345,861	Cost per pound	Food	Food distribution
(200) Alger Food Bank 1195 Alger Cain Lake Road SedroWoolley,WA98284	91-1517719	501(c)(3)	0	18,679	Cost per pound	Food	Food distribution
(201) ACRS Food Bank 919 S King St Seattle,WA98144	91-0916176	501(c)(3)	0	618,396	Cost per pound	Food	Food distribution

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

174

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

174

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of 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, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Grantmaker's Description of How Grants are Used		Donations to food banks and other programs are tracked through the Organization's food inventory system by both pounds and assigned value. All agencies are monitored and reviewed on an annual basis by the Organization to ensure contract compliance with both the Organization's stipulations, as well as Feeding America's standards.

Schedule I (Form 990) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Food Lifeline

Employer identification number

91-1090450

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash 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 ..
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	299	50,814,180	$1.66 per lb.
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Auction items )	X	87	115,246	FMV
26 Other ( Supplies )	X	9	8,842	FMV
27 Other ( )
28 Other ( )

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 ...

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule M (Form 990) (2012)

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- 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.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Food Lifeline

Employer identification number

91-1090450

Identifier	Return Reference	Explanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Donated facilities receivable = -$185391
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Documents are available upon request.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The CEO compensation committee of the Board of Directors evaluates the performance of the President and CEO at least annually. The Board sets the compensation based on job description, salary ranges of similar positions in other local agencies, and salary ranges at Feeding America, formerly America's Second Harvest, affiliates. This process is documented and the resulting salary is approved by the Board.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Board members must not have a materially conflicting interest with the Organization. When a member has an unavoidable conflict of interest, they will disclose it to the Board, who will vote on the matter, absent the interested person. Annually, each Board member will sign a conflict of interest statement to disclose in writing any such conflicts.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Board members will be emailed a draft version of the 990. The Audit Committee of the Board will review the 990 in detail with the CFO prior to general Board distribution.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

1	Briefly describe the organization’s mission or most significant activities: Collect and distribute food to food banks in 17 counties of Western Washington.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	82
6	Total number of volunteers (estimate if necessary) .............	6	8,744
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	64,761,557	66,153,661
9	Program service revenue (Part VIII, line 2g) .........	785,909	152,185
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	24,210	42,066
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-10,461	-15,860
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	65,561,215	66,332,052
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	58,916,991	57,721,222
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)	3,091,850	3,447,356
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	380,377	502,680
b	Total fundraising expenses (Part IX, column (D), line 25) 1,213,025
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,755,592	2,785,463
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	64,144,810	64,456,721
19	Revenue less expenses. Subtract line 18 from line 12.......	1,416,405	1,875,331
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,437,553	10,172,805
21	Total liabilities (Part X, line 26).............	353,694	431,972
22	Net assets or fund balances. Subtract line 21 from line 20.....	8,083,859	9,740,833

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 62,210,541 including grants of $ 57,700,069 ) (Revenue $ 152,185 )
	Distributed over 35 million pounds of food to over 686,000 hungry people in western Washington through our network of nearly 300 neighborhood food banks, hot meal programs and shelters. That is the equivalent of more than 27 million meals.

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 expenses62,210,541

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	215,190	14,209

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(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
(A) Name and Title
(18) Linda Nageotte........................................................................ President/CEO	40.00 .......................0.00	X	135,686	0	8,899

(A) Name and business address	(B) Description of services	(C) Compensation
Community Counseling Service Co LLC800 5th AveSeattleWA98104	Capital campaign	370,000
Brad Cecil & Associates2115 Arlington Downs RdArlingtonTX76011	Direct mail	119,968



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		76,150
b	Membership dues....1b
c	Fundraising events....1c		248,698
d	Related organizations...1d
e	Government grants (contributions)1e		9,104,708

f	All other contributions, gifts, grants, and similar amounts not included above1f		56,724,105

g	Noncash contributions included in lines 1a-1f:$		50,938,268
h	Total. Add lines 1a-1f.......			66,153,661
			Business Code
2a	Delivery and Sales Charge			152,185	152,185
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			152,185
3	Investment income (including dividends, interest, and other similar amounts).......			31,223			31,223
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	225,534
b	Less: cost or other basis and sales expenses	214,691
c	Gain or (loss)	10,843
d	Net gain or (loss)..........			10,843			10,843
8a	Gross income from fundraising events (not including $ 248,698 of contributions reported on line 1c). See Part IV, line 18 ..
	a		94,383
b	Less: direct expenses ...b		175,821
c	Net income or (loss) from fundraising events..			-81,438			-81,438
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...			0
10a	Gross sales of inventory, less returns and allowances .
	a		698,890
b	Less: cost of goods sold ..b		647,989
c	Net income or (loss) from sales of inventory..			50,901	50,901
Miscellaneous Revenue			Business Code
11a	Other revenue			11,302			11,302
b	Agency conference fees			3,375			3,375
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			14,677
12	Total revenue. See Instructions......			66,332,052	203,086		-24,695


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			200	1	200
2	Savings and temporary cash investments .........			1,516,172	2	2,470,715
3	Pledges and grants receivable, net ...........			2,441,365	3	2,026,632
4	Accounts receivable, net .............			74,737	4	92,768
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net .............				7	0
8	Inventories for sale or use ..............			2,695,706	8	4,056,514
9	Prepaid expenses and deferred charges ..........			29,300	9	85,805
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,840,184
b	Less: accumulated depreciation .....	10b	2,072,816	1,026,448	10c	767,368
11	Investments—publicly traded securities ..........			653,625	11	672,803
12	Investments—other securities. See Part IV, line 11 .....				12	0
13	Investments—program-related. See Part IV, line 11 .....				13	0
14	Intangible assets ...............				14	0
15	Other assets. See Part IV, line 11 ...........				15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......			8,437,553	16	10,172,805
17	Accounts payable and accrued expenses .........			353,694	17	431,972
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................				25
26	Total liabilities. Add lines 17 through 25.........			353,694	26	431,972
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			5,192,520	27	7,136,866
28	Temporarily restricted net assets ...........			2,891,339	28	2,603,967
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			8,083,859	33	9,740,833
34	Total liabilities and net assets/fund balances ........			8,437,553	34	10,172,805