TY 2015 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) JUDITH VAN DELL...................................................................... BOARD CHAIR	0.45 .................	X	X	0	0	0
(2) DAWN ERICKSON...................................................................... BOARD VICE CHAIR	0.35 .................	X	X	0	0	0
(3) PAMELA KRALL...................................................................... BOARD TREASURER	0.45 .................	X	X	0	0	0
(4) MARY BERUBE...................................................................... BOARD SECRETARY	0.35 .................	X	X	0	0	0
(5) JANET BAUMGARTNER...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(6) ERIN BRADSHAW...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(7) DOUG KING...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(8) WADE PETRICH...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(9) REBA RICE...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(10) JON VINJE...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(11) ADAM LANG...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(12) MATTHEW MINER...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(13) TERESA O'TOOLE...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(14) MICHAEL GAY...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(15) SHAYE MORIS...................................................................... EXECUTIVE DIRECTOR	40.00 .................		X	97,017	0	13,213

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

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

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	6,577,585	7,485,317	8,244,323	8,906,127	8,876,351	40,089,703
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......	839,886	963,286	948,983	978,794	1,028,886	4,759,835
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.	7,417,471	8,448,603	9,193,306	9,884,921	9,905,237	44,849,538
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...						0
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.						0
c	Add lines 7a and 7b..						0
8	Public support. (Subtract line 7c from line 6.)						44,849,538

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...	7,417,471	8,448,603	9,193,306	9,884,921	9,905,237	44,849,538
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	22,933	20,265	20,291	28,205	26,633	118,327
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	22,933	20,265	20,291	28,205	26,633	118,327
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	949					949
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..	7,441,353	8,468,868	9,213,597	9,913,126	9,931,870	44,968,814

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

99.730 %

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

99.540 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

0.260 %

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

0.270 %

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- 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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization SECOND HARVEST NORTHERN LAKES FOOD BANK

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization SECOND HARVEST NORTHERN LAKES FOOD BANK		Employer identification number 36-3479964

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization SECOND HARVEST NORTHERN LAKES FOOD BANK			Employer identification number 36-3479964
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	128,171	119,996	100,783	90,218	60,532
b	Contributions ...	3,175	3,650	9,164	710	10,096
c	Net investment earnings, gains, and losses	-3,639	5,933	11,268	10,930	19,590
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	1,298	1,408	1,219	1,075
g	End of year balance ......	126,409	128,171	119,996	100,783	90,218

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

Board designated or quasi-endowment SchDMd Bullet

79.280 %

Permanent endowment SchDMd Bullet

20.720 %

Temporarily restricted endowment SchDMd Bullet

The percentages on 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)

Yes

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

3a(ii)

If "Yes" on 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.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	44,313		44,313
b	Buildings	2,428,981	622,159	1,806,822
c	Leasehold improvements	105,890	14,154	91,736
d	Equipment ...	773,941	558,576	215,365
e	Other ...	28,207	9,268	18,939
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,177,175

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	9,875,110
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-53,534
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-1,298
e	Add lines 2a through 2d .....................			2e	-54,832
3	Subtract line 2e from line 1..................			3	9,929,942
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	9,929,942

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	9,769,901
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	9,769,901
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	1,298
c	Add lines 4a and 4b.....................			4c	1,298
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	9,771,199

Part XIII

Supplemental Information

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.

Return Reference	Explanation
PART V, LINE 4:	THE SECOND HARVEST MICHAEL E. MINER HUNGER ENDOWMENT IS A FUND TO ENSURE FOOD FOR THE HUNGRY OF NE MINNESOTA AND NW WISCONSIN IN PERPETUITY.
PART X, LINE 2:	NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NOT-FOR-PROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. SHNLFB HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, SHNLFB IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2012.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BANK CHARGES FROM ENDOWMENT FUND -1,298.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BANK CHARGES FROM ENDOWMENT FUND 1,298.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- 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" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Part I

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

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

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 EMPTY BOWL (event type)	(b) Event #2 PROJECT JOY (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	53,357	13,030	66,387
2	Less: Contributions . . . .	49,421	13,030	62,451
3	Gross income (line 1 minus line 2) . . . . . .	3,936		3,936

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	91	751	842
8	Entertainment . . . .
9	Other direct expenses . . .	10,286	350	10,636
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			11,478
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			-7,542

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	10,286	350	10,636

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. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

Is the organization licensed to conduct 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) 2015

Page 3

Does the organization conduct 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 conducted 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. 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).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- 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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number
36-3479964

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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) AICHO 202 W 2ND STREET DULUTH,MN55802	41-1782394	501(C)3	77,182	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(2) ALL WE CAN BE DAYCARE 1418 DODDRIDGE AVENUE CLOQUET,MN55720	41-1000979	501(C)3	7,297	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(3) APPLE TREE LEARNING CENTER 409 1ST STREET NORTH VIRGINIA,MN55792	41-1515081	501(C)3	13,646	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(4) AURORA BIWABIK FOOD SHELF 19 W 3RD AVENUE NORTH AURORA,MN55705	41-6052144	501(C)3	141,510	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(5) BARNES FOOD PANTRY 3200 COUNTY ROAD N BARNES,WI54873	39-1456203	501(C)3	24,264	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(6) BAYFIELD AREA FOOD PANTRY PO BOX 729 BAYFIELD,WI54814	56-2618057	501(C)3	32,626	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(7) BETHANY CRISIS SHELTER LSS 9239 IDAHO STREET DULUTH,MN55807	41-0872993	501(C)3	32,703	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(8) BOYS & GIRLS CLUB OF THE NORTHLAND PO BOX 16435 DULUTH,MN55816	41-0969947	501(C)3	38,171	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(9) BRUCE CARLTON FOOD PANTRY 2101 - 14TH STREET CLOQUET,MN55720	41-1849304	501(C)3	9,226	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(10) CARLTON YOUTH SHELTER LSS 531 SLATE STREET CLOQUET,MN55720	41-0872993	501(C)3	9,595	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(11) CENTER CITY HOUSING 105 1/2 W 1ST ST DULUTH,MN55802	36-3485584	501(C)3	48,839	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(12) CHALLENGE CENTER 39 N 25TH STREET E SUPERIOR,WI54880	39-1658019	501(C)3	57,207	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(13) CHICAGAMI CHILDREN'S CENTER 702 ROOSEVELT EVELETH,MN55734	41-1540311	501(C)3	11,761	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(14) CHISHOLM FOOD SHELF 10 CENTRAL AVENUE NORTH CHISHOLM,MN55719	41-6052144	501(C)3	106,404	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(15) CHUM - STEVE O'NEIL APARTMENTS 115 W 4TH STREET DULUTH,MN55802	41-1227969	501(C)3	22,978	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(16) CHUM DROP IN 125 N 1ST AVE WEST DULUTH,MN55802	41-1227969	501(C)3	377,624	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(17) CHUM FOOD SHELF 120 N 1ST AVENUE WEST DULUTH,MN55802	41-1227969	501(C)3	257,020	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(18) CLOQUET SALVATION ARMY 316 CARLTON AVENUE CLOQUET,MN55720	41-0698597	501(C)3	159,155	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(19) COMMUNITY ACTION DULUTH 2424 WEST 5TH STREET SUITE 102 DULUTH,MN55806	41-1410670	501(C)3	18,843	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(20) COOK COMMUNITY FOOD SHELF PO BOX 633 124 - 5TH ST SE COOK,MN55723	41-0908605	501(C)3	92,579	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(21) COVENANT PARK BIBLE CAMP 3402 COVENANT PARK ROAD MAHTOWA,MN55707	41-1411768	501(C)3	5,715	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(22) DAMIANO OF DULUTH 206 W 4TH STREET DULUTH,MN55806	41-1453521	501(C)3	115,878	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(23) DULUTH SALVATION ARMY 215 S 27TH AVENUE WEST DULUTH,MN55806	41-0698597	501(C)3	134,002	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(24) ELIJAH'S PANTRY 501 - 7TH AVENUE TWO HARBORS,MN55616	41-0907044	501(C)3	38,116	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(25) ELY FOOD SHELF AEOA PO BOX 786 40 N 1ST AVE E ELY,MN55731	41-6052144	501(C)3	221,911	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(26) FAITH UNITED METHODIST CHURCH 1531 HUGHITT AVENUE SUPERIOR,WI54880	39-1840533	501(C)3	130,154	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(27) FAMILY RESOURCE CENTER LSS 507 - 9TH AVE SOUTH VIRGINIA,MN55792	41-0872993	501(C)3	7,957	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(28) FLOODWOOD FOOD SHELF 601 ASH STREET FLOODWOOD,MN55736	41-1296075	501(C)3	30,977	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(29) FLOODWOOD SERVICES & TRAINING 601 ASH STREET FLOODWOOD,MN55736	41-1296075	501(C)3	5,800	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(30) FRESHWATER VINEYARD 603 FAXON STREET SUPERIOR,WI54880	16-1696730	501(C)3	101,678	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(31) FRUIT OF THE VINE - VINEYARD 1533 ARROWHEAD ROAD DULUTH,MN55811	41-1680001	501(C)3	390,054	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(32) GRAND MARAIS FOOD SHELF AEOA PO BOX 95 GRAND MARAIS,MN55604	41-6052144	501(C)3	51,993	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(33) HIBBING SALVATION ARMY 107 W HOWARD STREET HIBBING,MN55746	41-0698597	501(C)3	760,150	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(34) HUMAN DEVELOPMENT CENTER 1401 E SUPERIOR STREET DULUTH,MN55805	41-0777937	501(C)3	19,902	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(35) IRON COUNTY FOOD PANTRY 72 MICHIGAN AVENUE MONTREAL,WI54550	26-1879371	501(C)3	47,129	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(36) IRON RIVER RURAL CARE & SHARE 68160 S GEORGE STREET IRON RIVER,WI54847	39-1460868	501(C)3	39,535	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(37) KIDDY KAROUSEL 3920 13TH AVENUE EAST HIBBING,MN55746	41-1236276	501(C)3	8,892	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(38) LIFE HOUSE 102 W 1ST STREET DULUTH,MN55802	41-1704840	501(C)3	60,952	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(39) LINCOLN PARK CHILDREN AND FAMILIES COLLABORATIVE 2424 W 5TH STREET SUITE 10 DULUTH,MN55806	27-4990487	501(C)3	17,088	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(40) LINCOLN PARK COMMUNITY CHURCH 2202 W 3RD STREET DULUTH,MN55806	41-0713866	501(C)3	15,170	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(41) LITTLE TREASURES DAY CARE 4002 LONDON ROAD DULUTH,MN55804	41-1942142	501(C)3	6,146	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(42) LSS - RENAISSANCE YOUTH SHELTER 424 W SUPERIOR STREET 204 DULUTH,MN55802	41-0872993	501(C)3	8,230	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(43) MESABI ACADEMY 200 WANLESS STREET BUHL,MN55713	41-1904179	501(C)3	62,907	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(44) MN TEEN CHALLENGE CENTER 2 EAST SECOND STREET DULUTH,MN55802	41-1517351	501(C)3	68,167	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(45) MOOSE LAKE FOOD SHELF 409 1/2 4TH STREET MOOSE LAKE,MN55767	80-0642004	501(C)3	123,477	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(46) MYERS-WILKENS COMMUNITY COLLABORATIVE 108 E 6TH STREET DULUTH,MN55805	41-2002724	501(C)3	7,370	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(47) NEIGHBORHOOD YOUTH SERVICES 310 N FIRST AVE W DULUTH,MN55806	41-0693848	501(C)3	13,814	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(48) PROCTOR FOOD SHELF AEOA 415 2ND STREET PROCTOR,MN55810	41-6052144	501(C)3	64,201	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(49) QUAD CITY FOOD SHELF AEOA 3 SOUTH BROADWAY GILBERT,MN55741	41-6052144	501(C)3	472,002	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(50) RED CLIFF FIRST PREVENTION FOOD SHELF 88385 PIKE ROAD HWY 13 BAYFIELD,WI54814	39-1178866	501(C)3	18,667	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(51) RIVER CHURCH 1902 E 4TH STREET DULUTH,MN55812	41-0911367	501(C)3	19,873	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(52) RMH - MERRITT HOUSE 731 3RD STREET SOUTH VIRGINIA,MN55792	41-0849301	501(C)3	6,005	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(53) RMH ADAPT CHILD VIRGINIA 504 N 1ST STREET VIRGINIA,MN55792	41-0849301	501(C)3	6,670	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(54) RMH CSP ONSITE PROGRAM 504 1ST STREET NORTH VIRGINIA,MN55792	41-0849301	501(C)3	25,756	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(55) RMH TREATMENT CENTER 626 S 13TH STREET VIRGINIA,MN55792	41-0849301	501(C)3	7,720	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(56) RURAL CARE & SHARE FOOD SHELF 9545 E HIGHWAY 2 POPLAR,WI54864	39-1460868	501(C)3	36,104	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(57) SAFE HAVEN SHELTER PO BOX 3558 DULUTH,MN55812	41-1317462	501(C)3	47,710	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(58) SILVER BAY FOOD SHELF AEOA 99 EDISON BOULEVARD SILVER BAY,MN55614	41-6052144	501(C)3	18,356	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(59) SUPERIOR SALVATION ARMY 916 HUGHITT AVENUE SUPERIOR,WI54880	36-2167910	501(C)3	307,162	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(60) THE BRICK 420 ELLIS AVENUE ASHLAND,WI54806	61-1536545	501(C)3	365,323	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(61) TOWER FOOD SHELF AEOA PO BOX 463 TOWER,MN55790	41-6052144	501(C)3	41,726	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(62) TRI COMMUNITY FOOD SHELF 5597 HIGHWAY 210 CROMWELL,MN55798	26-4571237	501(C)3	64,838	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(63) TWO HARBORS FOOD SHELF AEOA 2124 - 10TH STREET AEOA BUILDING TWO HARBORS,MN55616	41-6052144	501(C)3	205,915	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(64) UNITED WAY SUPERIOR BACKPACK PROGRAM 3701 TOWER AVENUE SUPERIOR,WI54880	39-6084805	501(C)3	9,067	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(65) VALLEY YOUTH CENTERS OF DULUTH 720 N CENTRAL AVENUE DULUTH,MN55807	41-0850223	501(C)3	50,663	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(66) VIRGINIA SALVATION ARMY 507 12TH AVENUE WEST VIRGINIA,MN55792	41-0698597	501(C)3	449,825	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(67) WOODLAND HILLS 4321 ALLENDALE AVENUE DULUTH,MN55803	41-0693848	501(C)3	115,569	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1) DISTRIBUTION OF COMMODITY FOODS TO MOTHERS, CHILDREN AND SENIORS	10705	617,005	FMV	COMMODITY AND DONATED FOODS
(2) DISTRIBUTION OF DONATED, WHOLESALE AND COMMODITY FOODS TO PEOPLE IN NEED	26418	1,002,312	FMV	DONATED, WHOLESALE AND COMMODITY FOODS
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	AS GRANTS ARE RECEIVED, OUR FOOD BANK CLOSELY MONITORS THE EXPENSE AND PROGRAM CONTENT RELATED TO EACH GRANT. THIS INVOLVES REPORT COMPILATION UTILIZING OUR FOOD BANK'S INVENTORY AND ACCOUNTING SOFTWARE. THIS INFORMATION IS REVIEWED INTERNALLY AND REPORTED TO OUR GRANT FUNDERS.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- 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.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

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	4,474,334	7,606,368	ANNUAL VALUATION STUDY
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
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 through 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) (2015)

Page 2

Part II

Supplemental Information. 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.

Return Reference	Explanation
PART I, COLUMN (B):	POUNDS OF FOOD

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD'S FINANCE COMMITTEE REVIEWS THE 990 AND AUDIT. BOTH DOCUMENTS ARE PROVIDED TO THE ENTIRE BOARD FOR REVIEW. THE FINANCE COMMITTEE MAKES A RECOMMENDATION FOR ACCEPTANCE/APPROVAL AT ITS REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	I. CONFLICT OF INTEREST DEFINED. FOR PURPOSES OF THIS POLICY, THE FOLLOWING CIRCUMSTANCES SHALL BE DEEMED TO CREATE CONFLICTS OF INTEREST. A. OUTSIDE INTERESTS. (I) A CONTRACT OR TRANSACTION BETWEEN SECOND HARVEST NORTHERN LAKES FOOD BANK AND A RESPONSIBLE PERSON OR FAMILY MEMBER. (II) A CONTRACT OR TRANSACTION BETWEEN SECOND HARVEST NORTHERN LAKES FOOD BANK AND AN ENTITY IN WHICH A RESPONSIBLE PERSON OR FAMILY MEMBER HAS A MATERIAL FINANCIAL INTEREST OR OF WHICH SUCH PERSON IS A DIRECTOR, OFFICER, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR OR OTHER LEGAL REPRESENTATIVE. B. OUTSIDE ACTIVITIES. (I) A RESPONSIBLE PERSON COMPETING WITH SECOND HARVEST NORTHERN LAKES FOOD BANK IN THE RENDERING OF SERVICES OR IN ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. (II) A RESPONSIBLE PERSON'S HAVING A MATERIAL FINANCIAL INTEREST IN; OR SERVING AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR OR OTHER LEGAL REPRESENTATIVE OF, OR CONSULTANT TO; AN ENTITY OR INDIVIDUAL THAT COMPETES WITH SECOND HARVEST NORTHERN LAKES FOOD BANK IN THE PROVISION OF SERVICES OR IN ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. C. GIFTS, GRATUITIES AND ENTERTAINMENT. A RESPONSIBLE PERSON ACCEPTING GIFTS, ENTERTAINMENT OR OTHER FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT: (I) DOES OR IS SEEKING TO DO BUSINESS WITH, OR IS A COMPETITOR OF SECOND HARVEST NORTHERN LAKES FOOD BANK; OR (II) HAS RECEIVED, IS RECEIVING OR IS SEEKING TO RECEIVE A LOAN OR GRANT, OR TO SECURE OTHER FINANCIAL COMMITMENTS FROM SECOND HARVEST NORTHERN LAKES FOOD BANK; (III) IS A CHARITABLE ORGANIZATION OPERATING IN MINNESOTA; UNDER CIRCUMSTANCES WHERE IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD INFLUENCE THE RESPONSIBLE PERSON IN THE PERFORMANCE OF HIS OR HER DUTIES. THIS DOES NOT PRECLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL OR INSIGNIFICANT VALUE OR ENTERTAINMENT OF NOMINAL OR INSIGNIFICANT VALUE, WHICH ARE NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF SECOND HARVEST NORTHERN LAKES FOOD BANK. 2. DEFINITIONS. A "RESPONSIBLE PERSON" IS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE OR MEMBER OF THE BOARD OF DIRECTORS OF SECOND HARVEST NORTHERN LAKES FOOD BANK. A "FAMILY MEMBER" IS A SPOUSE, DOMESTIC PARTNER, PARENT, CHILD OR SPOUSE OF A CHILD, BROTHER, SISTER, OR SPOUSE OF A BROTHER OR SISTER, OF A RESPONSIBLE PERSON. 3. PROCEDURES. A. PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. B. A DIRECTOR OR COMMITTEE MEMBER WHO PLANS NOT TO ATTEND A MEETING AT WHICH HE OR SHE HAS REASON TO BELIEVE THAT THE BOARD OR COMMITTEE WILL ACT ON A MATTER IN WHICH THE PERSON HAS A CONFLICT OF INTEREST SHALL DISCLOSE TO THE CHAIR OF THE MEETING ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CHAIR SHALL REPORT THE DISCLOSURE AT THE MEETING AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. C. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSONAL; SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. D. A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR THE PURPOSE OF THIS VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE BY SECRET BALLOT. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. FOR PURPOSES OF THIS PARAGRAPH, A MEMBER OF THE BOARD OF DIRECTORS OF SECOND HARVEST NORTHERN LAKES FOOD BANK HAS A CONFLICT OF INTEREST WHEN HE OR SHE STANDS FOR ELECTION AS AN OFFICER OR FOR RE-ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS. E. RESPONSIBLE PERSONS WHO ARE NOT MEMBER OF THE BOARD OF DIRECTORS OF SECOND HARVEST NORTHERN LAKES FOOD BANK, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEES ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE RESPONSIBLE PERSON KNOWS THE CONFLICT OF INTEREST. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT SECOND HARVEST NORTHERN LAKES FOOD BANK'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE CHAIR OR CHAIR'S DESIGNEE, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. 4. CONFIDENTIALITY. EACH RESPONSIBLE PERSON SHALL EXERCISE CARE NOT TO DISCLOSE CONFIDENTIAL INFORMATION ACQUIRED IN CONNECTION WITH SUCH STATUS OR INFORMATION THE DISCLOSURE OF WHICH MIGHT BE ADVERSE TO THE INTERESTS OF SECOND HARVEST NORTHERN LAKES FOOD BANK. FURTHERMORE, A RESPONSIBLE PERSON SHALL NOT DISCLOSE OR USE INFORMATION RELATING TO THE BUSINESS OF SECOND HARVEST NORTHERN LAKES FOOD BANK FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE RESPONSIBLE PERSON OR A FAMILY MEMBER. 5. REVIEW OF POLICY. A. EACH NEW RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THIS POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO. B. EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES, IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES, COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. SUCH RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES MIGHT INCLUDE SERVICE AS A DIRECTOR OF, OR CONSULTANT TO, A NONPROFIT ORGANIZATION, OR OWNERSHIP OF A BUSINESS THAT MIGHT PROVIDE GOODS OR SERVICE TO SECOND HARVEST NORTHERN LAKES FOOD BANK. ANY SUCH INFORMATION REGARDING THE BUSINESS INTERESTS OF A RESPONSIBLE PERSON OR FAMILY MEMBER SHALL BE TREATED AS CONFIDENTIAL AND SHALL GENERALLY BE MADE AVAILABLE ONLY TO THE CHAIR, THE EXECUTIVE DIRECTOR, AND ANY COMMITTEE APPOINTED TO ADDRESS CONFLICT OF INTEREST, EXCEPT TO THE EXTENT ADDITIONAL DISCLOSURE IS NECESSARY IN CONNECTION WITH THE IMPLEMENTATION OF THIS POLICY. C. THIS POLICY SHALL BE REVIEWED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. ANY CHANGES TO THE POLICY SHALL BE COMMUNICATED IMMEDIATELY TO ALL RESPONSIBLE PERSONS. BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. THE STAFF POLICY IS WITHIN THE EMPLOYEE HANDBOOK, IS REVIEWED AND THE HANDBOOK ACKNOWLEDGEMENT IS SIGNED. ALL ARE ON FILE AT THE FOOD BANK.
FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY THE BOARD APPROVES SALARY RANGES FOR EACH FOOD BANK POSITION. RANGES ARE DEVELOPED USING COMPARABLE DATA PROVIDED BY THE MINNESOTA COUNCIL OF NONPROFITS SALARY & BENEFITS SURVEY AS WELL AS THE FEEDING AMERICA SALARY & BENEFITS SURVEY. THE BOARD'S EXECUTIVE COMMITTEE CONDUCTS THE EXECUTIVE DIRECTOR'S ANNUAL EVALUATION AND PROVIDES A RECOMMENDATION OF SALARY TO THE ENTIRE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18	OUR FORM 1023 AND FORM 990 ARE AVAILABLE ON OUR WEBSITE, THROUGH GUIDESTAR, AND IN OUR BUSINESS OFFICE FOR INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AND ON FILE AT THE FOOD BANK FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART XI, LINE 6	DONATED SERVICES FOR THE YEAR VALUED $182,817.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FEED NE MINNESOTA AND NW WISCONSIN'S HUNGRY BY RESCUING AND DISTRIBUTING FOOD AND ENGAGING OUR REGION IN OUR FIGHT AGAINST HUNGER.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	19
6	Total number of volunteers (estimate if necessary) .............	6	1,417
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	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,906,127	8,876,351
9	Program service revenue (Part VIII, line 2g) .........	978,794	1,028,886
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	50,518	32,247
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-7,284	-7,542
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	9,928,155	9,929,942
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,712,970	8,343,179
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	684,205	721,084
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 254,498
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	747,861	706,936
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,145,036	9,771,199
19	Revenue less expenses. Subtract line 18 from line 12.......	-216,881	158,743
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,676,439	4,785,640
21	Total liabilities (Part X, line 26).............	43,092	47,084
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,633,347	4,738,556

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 7,514,462 including grants of $ 6,688,025 ) (Revenue $ 814,999 )
	SECOND HARVEST NORTHERN LAKES FOOD BANK'S PRIMARY PROGRAM IS FOOD BANKING. AS THE ONLY "FOOD BANK" SERVING NE MINNESOTA (ST. LOUIS, CARLTON, LAKE AND COOK COUNTIES) AND NW WISCONSIN (DOUGLAS, BAYFIELD, ASHLAND AND IRON COUNTIES), WE RESCUE NATIONALLY AND REGIONALLY DONATED FOOD FROM MANUFACTURERS, WHOLESALERS, RETAILERS AND GROWERS, FOR DISTRIBUTION TO OVER 75 NON-PROFIT AGENCY PARTNERS (SOUP KITCHENS, FOOD SHELVES, SHELTERS AND OTHER CHARITABLE PARTNERS). IN 2015, WE PROVIDED OVER 4.1 MILLION POUNDS OF FOOD AND GROCERY PRODUCT, THE EQUIVALENT OF 3.3 MILLION MEALS, TO OUR AGENCY PARTNERS. WE ESTIMATE THAT OUR NATIONALLY AND REGIONALLY DONATED FOOD REACHES AND FEEDS 44,000 PEOPLE IN NEED EACH YEAR. VOLUNTEERS ARE CRITICAL TO OUR FOOD BANK AND ITS OPERATIONS. IN FACT, IN 2015 VOLUNTEERS CONTRIBUTED 4,596 HOURS TO OUR FOOD BANK PROGRAM WHICH WAS THE EQUIVALENT OF 2.21 FULL-TIME POSITIONS AT OUR FOOD BANK.

4b	(Code: ) (Expenses $ 693,762 including grants of $ 616,884 ) (Revenue $ 43,208 )
	THE HERMANTOWN AREA FOOD SHELF IS A PROGRAM OF SECOND HARVEST NORTHERN LAKES FOOD BANK. IN 2015, WE PROVIDED FOOD SHELF SERVICE DIRECTLY TO AN AVERAGE OF 774 IN-NEED CHILDREN, ADULTS AND SENIORS PER MONTH WHO RESIDE IN HERMANTOWN OR COMMUNITIES NORTH. WE DISTRIBUTED 401,426 POUNDS OF FOOD AND GROCERY PRODUCT TO OUR FOOD SHELF PARTICIPANTS WHICH IS THE EQUIVALENT OF 321,141 MEALS. ON AVERAGE, OUR FOOD SHELF PARTICIPANTS RECEIVED AN 14-DAY SUPPLY OF FOOD FOR EACH MEMBER IN THEIR HOUSEHOLD AT EACH VISIT. OUR FOOD SHELF OPERATED ALMOST ENTIRELY BY VOLUNTEERS. IN FACT, IN 2015 VOLUNTEERS CONTRIBUTED 3,832 HOURS OF SERVICE OR 92% OF THE HOURS NEEDED TO CARRY OUT THIS PROGRAM WHICH WAS THE EQUIVALENT OF A 1.84 FULL-TIME POSITION AT OUR FOOD BANK.

4c	(Code: ) (Expenses $ 711,834 including grants of $ 622,285 ) (Revenue $ 62,006 )
	THE NUTRITION ASSISTANCE PROGRAM FOR SENIORS (NAPS) IS A FEDERAL COMMODITY FOOD PROGRAM ADMINISTERED BY THE MINNESOTA DEPARTMENT OF HEALTH AND IMPLEMENTED LOCALLY BY SECOND HARVEST NORTHERN LAKES FOOD BANK. IN 2015, WE PROVIDED COMMODITY FOOD BOXES TO AN AVERAGE OF 892 IN-NEED SENIORS PER MONTH THROUGHOUT NE MINNESOTA. WE DISTRIBUTED 362,944 POUNDS OF FOOD OR THE EQUIVALENT OF 290,355 MEALS. ON AVERAGE, OUR NAPS PARTICIPANTS RECEIVED AN 11-DAY SUPPLY OF FOOD AS PART OF OUR MONTHLY SERVICE. OUR NAPS PROGRAM RELIES HEAVILY ON VOLUNTEERS. IN FACT IN 2015, VOLUNTEERS CONTRIBUTED 2,902 HOURS OF SERVICE OR THE EQUIVALENT OF A 1.40 FULL-TIME POSITION AT OUR FOOD BANK.

	(Code: ) (Expenses $ 473,643 including grants of $ 415,985 ) (Revenue $ 108,673 )
	MOBILE FOOD PANTRY PROGRAMS ARE OPERATED BY SECOND HARVEST NORTHERN LAKES FOOD BANK TO SUPPLEMENT FOOD DISTRIBUTION IN NE MINNESOTA AND NW WISCONSIN COMMUNITIES WHERE SERVICE IS LIMITED OR IN GREATER DEMAND THAN LOCAL RESOURCES ARE AVAILABLE. IN 2015, WE PROVIDED SERVICE IN THREE (3) LOCATIONS SERVING AN AVERAGE OF 786 IN-NEED CHILDREN, ADULTS AND SENIORS PER MONTH. WE DISTRIBUTED 218,985 POUNDS OF FOOD AND GROCERY PRODUCT TO OUR PANTRY PARTICIPANTS WHICH IS THE EQUIVALENT OF 175,188 MEALS. ON AVERAGE, OUR MOBILE FOOD PANTRY PARTICIPANTS RECEIVED AN 8-DAY SUPPLY OF FOOD FOR EACH MEMBER IN THEIR HOUSEHOLD AT EACH VISIT. THE BACKPACK PROGRAM IS OPERATED BY SECOND HARVEST NORTHERN LAKES FOOD BANK, IN PARTNERSHIP WITH REGIONAL SCHOOLS, TO PROVIDE FOOD TO CHILDREN IN NEED ON WEEKENDS WHEN THEY MAY BE MISSING THEIR FEDERALLY SUBSIDIZED SCHOOL BREAKFAST AND/OR LUNCH. IN 2015, WE PROVIDED 26,026 BAGS OF FOOD TO CHILDREN IN NEED. WE DISTRIBUTED 91,091 POUNDS OF FOOD OR THE EQUIVALENT OF 72,873 MEALS. ON AVERAGE OUR BACKPACK PROGRAM PARTICIPANTS RECEIVED 3-5 MEALS/SNACKS AS PART OF OUR SERVICE. IN 2015, VOLUNTEERS CONTRIBUTED 1,651 HOURS OF SERVICE OR THE EQUIVALENT OF A .79 FULL-TIME POSITION AT OUR FOOD BANK.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 473,643 including grants of $ 415,985 ) (Revenue $ 108,673 )
4e	Total program service expenses9,393,701

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	97,017	0	13,213

1a	Federated campaigns..		1a	48,329
b	Membership dues..		1b
c	Fundraising events..		1c	97,211
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	8,730,811

g	Noncash contributions included in lines 1a-1f:$ 7,606,368
h Total.Add lines 1a-1f.......		8,876,351

		Business Code
2a	FOOD BANKING	624200	814,999	814,999
b	BACKPACK PROGRAM	624200	67,225	67,225
c	NAPS	624200	62,006	62,006
d	HERMANTOWN AREA FOOD S	624200	43,208	43,208
e	MOBILE FOOD PANTRY PRO	624200	41,448	41,448
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,028,886

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			26,633			26,633
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		52,964
b	Less: cost or other basis and sales expenses	310	47,040
c	Gain or (loss)	-310	5,924
d	Net gain or (loss).....			5,614			5,614
8a	Gross income from fundraising events (not including $ 97,211of contributions reported on line 1c). See Part IV, line 18 ....
	a		3,936
b	Less: direct expenses ...b		11,478
c	Net income or (loss) from fundraising events..			-7,542			-7,542
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..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			9,929,942	1,028,886	0	24,705

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	6,723,862	6,723,862
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	1,619,317	1,619,317
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	110,230	87,564	13,724	8,942
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	513,533	407,937	63,939	41,657
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	52,477	41,686	6,534	4,257
10	Payroll taxes ...........	44,844	35,623	5,583	3,638
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	18,081	14,465	3,616
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	14,466	3,761	1,736	8,969
13	Office expenses .......	233,552	45,903	9,331	178,318
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	57,708	51,937	5,771
17	Travel ............	10,440	8,188	2,252
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	8,520	8,520
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	139,123	139,123
23	Insurance ...	40,233	35,620	4,613
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	FOOD TRANSPORTATION & S	129,925	129,925
b	DUES	28,411	14,125	5,569	8,717
c	REPAIRS AND MAINTENANCE	24,018	23,686	332
d	MISCELLANEOUS	2,459	2,459
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	9,771,199	9,393,701	123,000	254,498
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).

1	Cash–non-interest-bearing ........			286,275	1	98,425
2	Savings and temporary cash investments .........			15,411	2	164,883
3	Pledges and grants receivable, net ......			0	3	9,205
4	Accounts receivable, net .............			40,773	4	81,044
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
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
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			710,582	8	852,458
9	Prepaid expenses and deferred charges ......			0	9	5,797
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,381,332
b	Less: accumulated depreciation	10b	1,204,157	2,302,714	10c	2,177,175
11	Investments—publicly traded securities .			1,192,513	11	1,270,248
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			128,171	15	126,405
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,676,439	16	4,785,640

17	Accounts payable and accrued expenses .....	43,092	17	47,084
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..	43,092	26	47,084

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	4,536,310	27	4,638,344
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets	97,037	29	100,212
	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 ...........	4,633,347	33	4,738,556
34	Total liabilities and net assets/fund balances ........	4,676,439	34	4,785,640