Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 07-01-2015 , and ending 06-30-2016
BCheck if applicable:
CName of organization
FOOD LIFELINE
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
815 S 96TH ST
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SEATTLE, WA98108
D Employer identification number

91-1090450
E Telephone number

G Gross receipts $ 80,179,181
F Name and address of principal officer:
LINDA NAGEOTTE
815 S 96TH ST
SEATTLE,WA98108
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.FOODLIFELINE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1991
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF FOOD LIFELINE IS TO END HUNGER IN WESTERN WASHINGTON BY ENGAGING COMMUNITIES AND MOBILIZING RESOURCES. WE COLLECT AND DISTRIBUTE THE FOOD INDUSTRY'S SURPLUSES TO OUR NETWORK OF FOOD PROGRAMS THAT FEED HUNGRY PEOPLE, INCLUDING RESCUING FOOD THAT WOULD OTHERWISE HAVE GONE TO WASTE. OUR POLICY WORK DEFENDS THE COMMUNITY'S SAFETY NET AND REDUCES BARRIERS TO PEOPLE GETTING THE HEALTHY, NUTRITIOUS FOOD THEY NEED.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 108
6 Total number of volunteers (estimate if necessary) ............. 6 10,000
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
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 76,596,678 77,760,172
9 Program service revenue (Part VIII, line 2g) ......... 269,265 287,212
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,510 41,544
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,713 298,140
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 76,881,166 78,387,068
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 62,548,051 68,231,899
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) 3,825,349 4,541,876
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 235,510
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,168,126    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 7,226,224 8,608,164
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 73,599,624 81,617,449
19 Revenue less expenses. Subtract line 18 from line 12....... 3,281,542 -3,230,381
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 23,392,968 30,454,240
21 Total liabilities (Part X, line 26)............. 699,538 11,017,319
22 Net assets or fund balances. Subtract line 21 from line 20..... 22,693,430 19,436,921
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF FOOD LIFELINE IS TO END HUNGER IN WESTERN WASHINGTON BY ENGAGING COMMUNITIES AND MOBILIZING RESOURCES. WE SOURCED AND DISTRIBUTED OVER 40 MILLION POUNDS OF FOOD TO OVER 800,000 PEOPLE THROUGH OUR NETWORK OF 275 FOOD BANKS, MEAL PROGRAMS AND SHELTERS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 78,132,575 including grants of $ 68,231,899 ) (Revenue $ 543,283 )
DISTRIBUTED OVER 40 MILLION POUNDS OF FOOD TO OVER 800,000 HUNGRY PEOPLE IN WESTERN WASHINGTON THROUGH OUR NETWORK OF NEARLY 275 NEIGHBORHOOD FOOD BANKS, HOT MEAL PROGRAMS AND SHELTERS. THAT IS THE EQUIVALENT OF MORE THAN 32 MILLION MEALS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet78,132,575
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
16
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
108
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJOHN HRIBERNICK815 S 96TH ST   SEATTLE,WA98108 (206) 545-6600
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MIKE WITTMAN......................................................................
CHAIR
 5.00
.................
  		X   X       0 0 0
(2) BRUCE CHRISTIANSEN......................................................................
CHAIR-ELECT
 5.00
.................
  		X   X       0 0 0
(3) ADAM LEMIEUX......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(4) AMY KIRTLAND......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(5) CHRIS BLANTON......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(6) FRANK GENOVESE......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(7) JULIE FELSS MASINO......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(8) KATHY SHEEHAN......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(9) KATIE QUINN......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(10) LYLE SNYDER......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(11) PETER JOHNSON......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(12) ROGER GARRATT......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(13) SUZANNE DALY......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(14) THIERRY RAUTUREAU......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(15) TOM DOUGLAS......................................................................
BOARD MEMBER
 5.00
.................
  		X           0 0 0
(16) LINDA NAGEOTTE......................................................................
PRESIDENT/CEO
 40.00
.................
  		    X       150,798 0 8,298
(17) HENRY ALTSCHULER......................................................................
CFO
 40.00
.................
  		    X       65,031 0 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 215,829 0 8,298
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
DEBBI LEWANG,
76 CEDAR ST
SEATTLE,WA98121 		CFO AND CONSULTING 127,775
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 215,310
b Membership dues..1b  
c Fundraising events..1c 1,053,204
d Related organizations1d  
e Government grants (contributions)1e 2,136,669
f All other contributions, gifts, grants, and similar amounts not included above1f 74,354,989
g Noncash contributions included in lines 1a-1f:$ 65,702,009
h Total.Add lines 1a-1f.......MediumBullet 77,760,172
Program Service RevenueAmt Business Code
2a FOOD SALES & DELIVERY 900099 287,212 287,212    
b
c
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 287,212
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 12,373     12,373
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   70,000
b Less: rental expenses   0
c Rental income or (loss)   70,000
d Net rental income or (loss)......MediumBullet 70,000     70,000
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   1,139,446
b Less: cost or other basis and sales expenses   1,110,275
c Gain or (loss)   29,171
d Net gain or (loss).....MediumBullet 29,171     29,171
8a Gross income from fundraising events (not including $ 1,053,204of contributions reported on line 1c). See Part IV, line 18 ....
a 31,600
b Less: direct expenses ...b 59,531
c Net income or (loss) from fundraising events..MediumBullet -27,931   -27,931
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a 878,378
b Less: cost of goods sold ..b 622,307
c Net income or (loss) from sales of inventory..MediumBullet 256,071 256,071    
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 78,387,068 543,283 0 83,613
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 68,231,899 68,231,899
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
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 .... 284,630 192,801 46,351 45,478
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 3,388,604 2,286,802 557,670 544,132
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 20,708 14,809 2,838 3,061
9 Other employee benefits ....... 483,061 345,457 66,193 71,411
10 Payroll taxes ........... 364,873 260,936 49,998 53,939
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ........... 24,000   24,000  
e Professional fundraising services. See Part IV, line 17 235,510 235,510
f Investment management fees ...... 8,135   8,135  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 263,831 98,396 165,435  
12 Advertising and promotion .... 111,310 8,397 18,510 84,403
13 Office expenses ....... 215,759 162,265 38,457 15,037
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 2,594,554 2,433,829 115,068 45,657
17 Travel ............ 27,874 11,148 9,083 7,643
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 45,481 18,190 14,820 12,471
20 Interest ........... 63,280 57,842 3,164 2,274
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 378,896 283,641 43,298 51,957
23 Insurance ... 168,282 125,890 19,269 23,123
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 PROCURE & DISTRIB 3,321,015 3,321,015    
b HUNGER SOLUTION CENTER 815,364     815,364
c MISCELLANEOUS 444,664 153,539 134,459 156,666
d REPAIR AND MAINTENANCE 125,719 125,719    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 81,617,449 78,132,575 1,316,748 2,168,126
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 5,869,119 1 7,294,000
2 Savings and temporary cash investments ......... 190,956 2 482,423
3 Pledges and grants receivable, net ...... 12,005,869 3 8,306,409
4 Accounts receivable, net ............. 105,924 4 609,481
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 ........ 2,459,143 8 3,667,325
9 Prepaid expenses and deferred charges ...... 255,279 9 169,237
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 10,410,311
b Less: accumulated depreciation 10b 2,012,881 908,608 10c 8,397,430
11 Investments—publicly traded securities . 888,070 11 1,008,327
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 ........... 710,000 15 519,608
16 Total assets. Add lines 1 through 15 (must equal line 34)... 23,392,968 16 30,454,240
Liabilities 17 Accounts payable and accrued expenses ..... 699,538 17 577,556
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 .. 0 23 7,337,655
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 0 25 3,102,108
26 Total liabilities. Add lines 17 through 25.. 699,538 26 11,017,319
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 5,685,793 27 6,762,848
28 Temporarily restricted net assets ........... 17,007,637 28 12,674,073
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 22,693,430 33 19,436,921
34 Total liabilities and net assets/fund balances ........ 23,392,968 34 30,454,240
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
78,387,068
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
81,617,449
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-3,230,381
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
22,693,430
5
Net unrealized gains (losses) on investments ...............
5
-26,128
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
19,436,921
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow 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
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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

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) right arrow (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.) .... 64,761,557 66,153,661 79,650,322 76,596,678 77,760,172 364,922,390
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.. 46,366 46,366 46,366 46,366 46,366 231,830
4 Total. Add lines 1 through 3 64,807,923 66,200,027 79,696,688 76,643,044 77,806,538 365,154,220
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).. 35,450,404
6 Public support. Subtract line 5 from line 4. 329,703,816
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4.. 64,807,923 66,200,027 79,696,688 76,643,044 77,806,538 365,154,220
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 7,445 31,223 31,087 22,508 12,373 104,636
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.)..       34,870   34,870
11 Total support. Add lines 7 through 10. 365,293,726
12
12
3,543,043
13
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
14
14
90.260 %
15
15
93.820 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

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) right arrow (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 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513...            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2015

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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet 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
FOOD LIFELINE
 
Employer identification number

91-1090450
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box 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
FOOD LIFELINE
  		Employer identification number
91-1090450
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(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
FOOD LIFELINE
  		Employer identification number

91-1090450
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
FOOD LIFELINE
  		Employer identification number

91-1090450
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


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

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ......................................................................................................................SchCMd Bullet
$ 0
3
Volunteer hours .............................................................................................................................
0

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ............................................... 3,109  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................................... 83,067  
c Total lobbying expenditures (add lines 1a and 1b) ....................................................................... 86,176  
d Other exempt purpose expenditures ......................................................................................... 76,343,348  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................................... 76,429,524  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .......................................................................... 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. .......................................................................... 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ........................................................................... 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount     1,000,000 1,000,000 2,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		3,000,000
c Total lobbying expenditures     75,150 86,176 161,326
d Grassroots nontaxable amount     250,000 250,000 500,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 750,000
f Grassroots lobbying expenditures     8,286 3,109 11,395
Schedule C (Form 990 or 990-EZ) 2015


Schedule C (Form 990 or 990-EZ) 2015
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART I-A, LINE 1: THE EMERGENCY FOOD ASSISTANCE PROGRAM, FEDERAL TAX DONATION INCENTIVES, EMERGENCY FOOD ASSISTANCE PROGRAM, FARMERS MARKET NUTRITION PROGRAM, STATE FOOD ASSISTANCE, CHILD NUTRITION REAUTHORIZATION, STOP SUMMER HUNGER ACT, EASY ACT/SUMMER FOOD ACT, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, CHILD AND ADULT CARE FOOD PROGRAM, SUMMER FOOD SERVICE PROGRAM, CITY OF SEATTLE FRESH BUCKS PROGRAM, SUPPORT OF CAPITAL CAMPAIGN REQUESTS IN THE CITY OF SEATTLE AND KING COUNTY BUDGETS, AND FUNDING IN THE SNOHOMISH AND CLALLAM COUNTY BUDGET BUDGETS FOR FOOD BANK OPERATIONS.
Schedule C (Form 990 or 990EZ) 2015


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," 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
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
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.
1a
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.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part 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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 ...      
b Buildings        
c Leasehold improvements   5,928,094 64,836 5,863,258
d Equipment ...   3,593,324 1,160,716 2,432,608
e Other ...   888,893 787,329 101,564
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 8,397,430
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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.)...........Small Bullet  
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  
DEFERRED RENT LIABILITY 3,102,108
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 3,102,108
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

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  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
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  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
3 Subtract line 2e from line 1................... 3  
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  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

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
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" 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 arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation 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
FOOD LIFELINE
 
Employer identification number

91-1090450
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.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
CAMPBELL & CO
ONE EAST WACKER DR SUITE 2100
 
CHICAGO, IL60601 		FUNDRAISING FOR HUNGER SOLUTIONS CENTER   No 4,324,193 43,900 4,280,293
 
BRAD CECIL & ASSOC
2115 ARLINGTON DOWNS RD
 
ARLINGTON, TX76011 		DIRECT MAIL   No 2,667,029 14,400 2,652,629
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 6,991,222 58,300 6,932,922
3
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.
WA
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
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.




VerticalRevenue
(a) Event #1

SAVOR
(event type) 		(b) Event #2

RAISE THE PALLET
(event type) 		(c) Other events

1
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
438,615
641,189
5,000
1,084,804

2
Less: Contributions . . . .
412,043
636,161
5,000
1,053,204
3 Gross income (line 1 minus
line 2) . . . . . .
26,572
5,028
 
31,600



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . . 25,601 33,094 836 59,531
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 59,531
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -27,931
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.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
25,601
33,094
836
59,531


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
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:  
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
FOOD LIFELINE
 
Employer identification number
91-1090450
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to 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) ACRS EMERGENCY FEEDING PROGRAM
720 8TH AVE S SUITE 200
SEATTLE,WA98144 		91-0916176 501(C)(3)   266,641 COST PER POUND FOOD FOOD
(2) ACRS FOOD BANK
919 S KING ST
SEATTLE,WA98144 		91-0916176 501(C)(3)   12,424 COST PER POUND FOOD FOOD
(3) ALGER FOOD BANK
1195 ALGER CAIN LAKE ROAD
SEDRO WOOLLEY,WA98284 		91-1517719 501(C)(3)   13,103 COST PER POUND FOOD FOOD
(4) ALGONA PACIFIC FOOD PANTRY
603 3RD AVE SE
PACIFIC,WA98047 		91-1498750 501(C)(3)   533,934 COST PER POUND FOOD FOOD
(5) ALOHA INN
1911 AURORA AVE N
SEATTLE,WA98111 		91-1099134 501(C)(3) 36 184,702 COST PER POUND FOOD FOOD
(6) ANNIE'S COMMUNITY KITCHEN
23525 84TH AVE W
EDMONDS,WA98026 		20-2007731 501(C)(3)   159,836 COST PER POUND FOOD FOOD
(7) AUBURN COMMUNITY SUPPER
930 18TH PL NE
AUBURN,WA98071 		91-1215485 501(C)(3)   459,716 COST PER POUND FOOD FOOD
(8) AUBURN FOOD BANK
930 18TH PL NE
AUBURN,WA98002 		91-1215485 501(C)(3) 2,392 68,628 COST PER POUND FOOD FOOD
(9) AUBURN YOUTH RESOURCES
1000 AUBURN WAY S
AUBURN,WA98002 		91-0903084 501(C)(3)   23,898 COST PER POUND FOOD FOOD
(10) BALLARD FOOD BANK
7005 24TH AVE NW
SEATTLE,WA98117 		91-1428805 501(C)(3)   72,240 COST PER POUND FOOD FOOD
(11) BAY CENTER FOOD BANK
231 BAY CENTER RD
BAY CENTER,WA98586 		46-1095437 501(C)(3)   113,847 COST PER POUND FOOD FOOD
(12) BEACON AVENUE FOOD BANK
6230 BEACON AVE S
SEATTLE,WA98108 		91-1485319 501(C)(3)   230,533 COST PER POUND FOOD FOOD
(13) BELLINGHAM FOOD BANK
1824 ELLIS ST
BELLINGHAM,WA98225 		91-0918619 501(C)(3)   204,144 COST PER POUND FOOD FOOD
(14) BLAINE FOOD BANK
PO BOX 472
BLAINE,WA98231 		91-1160595 501(C)(3)   200,459 COST PER POUND FOOD FOOD
(15) BLESSED SACRAMENT FOOD BANK
5050 8TH AVE NE
SEATTLE,WA98105 		91-0570857 501(C)(3)   193,658 COST PER POUND FOOD FOOD
(16) BLESSED SACRAMENT MEAL PROGRAM
5050 8TH AVE NE
SEATTLE,WA98105 		91-0570857 501(C)(3)   792,750 COST PER POUND FOOD FOOD
(17) BOYS AND GIRLS CLUB-BELLEVUE
209 100TH AVE NE
BELLEVUE,WA98004 		91-0776451 501(C)(3)   672,654 COST PER POUND FOOD FOOD
(18) BOYS AND GIRLS CLUB-S PUGET SOUND
3875 S 66TH ST 101
TACOMA,WA98409 		91-0759832 501(C)(3)   1,378,307 COST PER POUND FOOD FOOD
(19) BOYS AND GIRLS CLUB-SNOHOMISH COUNTY
9502 19TH AVE SE SUITE F
EVERETT,WA98208 		91-0549511 501(C)(3)   1,343,681 COST PER POUND FOOD FOOD
(20) BREAD OF LIFE FOOD BANK MINISTRIES OF LAKE CITY
8810 LAWNDALE AVENUE SW
LAKEWOOD,WA98498 		84-0441300 501(C)(3)   20,186 COST PER POUND FOOD FOOD
(21) BREAD OF LIFE MISSION
97 S MAIN ST
SEATTLE,WA98104 		91-0684801 501(C)(3)   779,673 COST PER POUND FOOD FOOD
(22) BREMERTON FOOD LINE
PO BOX 824
BREMERTON,WA98337 		91-1111086 501(C)(3)   39,887 COST PER POUND FOOD FOOD
(23) BUCKLEY KIWANIS FOOD BANK
127 N RIVER RD
BUCKLEY,WA98321 		91-1761645 501(C)(3)   41,129 COST PER POUND FOOD FOOD
(24) CO BREMERTON FOODLINE
PO BOX 824
BREMERTON,WA98337 		91-1111086 501(C)(3)   57,269 COST PER POUND FOOD FOOD
(25) CO THURSTON COUNTY FOOD BANK
220 THURSTON AVE NE
OLYMPIA,WA98501 		23-7297897 501(C)(3)   16,472 COST PER POUND FOOD FOOD
(26) CALVARY SUPPER OF FEDERAL WAY
2441 SW 316TH ST
FEDERAL WAY,WA98023 		94-3105476 501(C)(3)   142,904 COST PER POUND FOOD FOOD
(27) CAMANO CHAPEL-HIS PANTRY FOOD BANK
867 SW CAMANO DR
CAMANO ISLAND,WA98292 		91-0970973 501(C)(3)   66,481 COST PER POUND FOOD FOOD
(28) CASTLE ROCK LIONS FOOD BANK
224 HUNTINGTON AVE S
CASTLE ROCK,WA98611 		23-7424961 501(C)(3)   160,591 COST PER POUND FOOD FOOD
(29) CATHOLIC COMMUNITY SERVICES HOSPITATILY KITCHEN
1323 S YAKIMA
TACOMA,WA98405 		53-0196617 501(C)(3)   303,188 COST PER POUND FOOD FOOD
(30) CEDARWOOD INTERNATIONAL FOOD BANK
11700 MUKILTEO SPDWY STE 201-1177
MUKILTEO,WA98043 		94-2902936 501(C)(3)   380,669 COST PER POUND FOOD FOOD
(31) CENTRAL KITSAP FOOD BANK
3790 ANDERSON HILL ROAD
SILVERDALE,WA98383 		91-1229210 501(C)(3)   82,092 COST PER POUND FOOD FOOD
(32) CHIEF SEATTLE CLUB
410 2ND AVE EXT S
SEATTLE,WA98104 		91-0852503 501(C)(3)   56,146 COST PER POUND FOOD FOOD
(33) CLOTHES & LOAVES
PO BOX 656
CENTRALIA,WA98531 		91-0978022 501(C)(3)   37,376 COST PER POUND FOOD FOOD
(34) COMMUNITY CARE MINISTRIES FOOD BANK
P O BOX 434
KAPOWSIN,WA98344 		75-3158092 501(C)(3)   335,152 COST PER POUND FOOD FOOD
(35) COMMUNITY CARE SUPPER STEEL LAKE
1829 S 308TH ST
FEDERAL WAY,WA98023 		94-3105476 501(C)(3)   20,446 COST PER POUND FOOD FOOD
(36) COMMUNITY FOOD PANTRY
140 NE ST RTE 300
BELFAIR,WA98528 		45-5576783 501(C)(3)   6,204 COST PER POUND FOOD FOOD
(37) COMMUNITY HOUSE MEAL PROGRAM
431 BOYLSTON AVE E
SEATTLE,WA98102 		91-0963226 501(C)(3)   830,485 COST PER POUND FOOD FOOD
(38) COMMUNITY HOUSE-FIRWOOD
10751 2ND AVE NW
SEATTLE,WA98177 		91-0963226 501(C)(3)   116,052 COST PER POUND FOOD FOOD
(39) COMMUNITY HOUSE-SPRING MANOR
1103 16TH AVE
SEATTLE,WA98122 		91-0963226 501(C)(3)   5,583 COST PER POUND FOOD FOOD
(40) COMMUNITY LUNCH ON CAPITOL HILL
1710 11TH AVE
SEATTLE,WA98122 		05-0566668 501(C)(3) 10,000 32,823 COST PER POUND FOOD FOOD
(41) COMPASS CENTER
77 S WASHINGTON ST
SEATTLE,WA98104 		91-0578229 501(C)(3)   47,862 COST PER POUND FOOD FOOD
(42) CONCERN FOR NEIGHBORS FOOD BANK
4700 228TH ST SW
MOUNTLAKE TERRACE,WA98043 		91-2027084 501(C)(3)   14,584 COST PER POUND FOOD FOOD
(43) COPALIS COMMUNITY CHURCH FOOD
3137 HWY 109
COPALIS BEACH,WA98535 		91-0823403 501(C)(3)   104,994 COST PER POUND FOOD FOOD
(44) DALE TURNER FAMILY YMCA - POPY'S CAFE
1220 NE 175TH ST
SHORELINE,WA98155 		91-0482710 501(C)(3)   106,468 COST PER POUND FOOD FOOD
(45) DAWN
P O BOX 88007
TUKWILA,WA98138 		91-1176122 501(C)(3)   1,334,073 COST PER POUND FOOD FOOD
(46) DES MOINES AREA FOOD BANK
22225 9TH SOUTH
DES MOINES,WA98198 		91-1183154 501(C)(3) 1,128 557,725 COST PER POUND FOOD FOOD
(47) DESC
515 3RD AVE
SEATTLE,WA98104 		91-1275815 501(C)(3)   717,962 COST PER POUND FOOD FOOD
(48) DOWNTOWN FOOD BANK
1531 WESTERN AVE
SEATTLE,WA98101 		91-1034638 501(C)(3)   104,665 COST PER POUND FOOD FOOD
(49) EASTSIDE DOMESTIC VIOLENCE PROGRAM
PO BOX 6398
BELLEVUE,WA98008 		91-1190193 501(C)(3)   168,730 COST PER POUND FOOD FOOD
(50) EATONVILLE FAMILY AGENCY
PO BOX 1764
EATONVILLE,WA98328 		91-1059530 501(C)(3)   478,052 COST PER POUND FOOD FOOD
(51) EDGEWOOD COMMUNITY FISH FOOD BANK
3505 122ND AVE E
EDGEWOOD,WA98372 		91-1198391 501(C)(3)   190,514 COST PER POUND FOOD FOOD
(52) EDMONDS FOOD BANK
828 CASPERS STREET
EDMONDS,WA98020 		91-0652053 501(C)(3)   32,369 COST PER POUND FOOD FOOD
(53) EL CENTRO DE LA RAZA FOOD BANK
2524 16TH AVE S
SEATTLE,WA98144 		91-0899927 501(C)(3)   11,820 COST PER POUND FOOD FOOD
(54) EL CENTRO DE LA RAZA MEAL PROGRAM
2524 16TH AVE S
SEATTLE,WA98144 		91-0899927 501(C)(3)   914,132 COST PER POUND FOOD FOOD
(55) ELIZABETH GREGORY HOME
PO BOX 45130
SEATTLE,WA98145 		91-2139335 501(C)(3)   86,865 COST PER POUND FOOD FOOD
(56) ELOISE'S COOKING POT FOOD BANK
4218 STEEL ST SUITE 215
TACOMA,WA98409 		54-2092145 501(C)(3) 3,600 412,219 COST PER POUND FOOD FOOD
(57) EMERALD CITY CHURCH
801 25TH AVE
SEATTLE,WA98122 		91-1100752 501(C)(3)   181,088 COST PER POUND FOOD FOOD
(58) EMERGENCY FOOD NETWORK
3318 92ND STREET
LAKEWOOD,WA98499 		94-3131776 501(C)(3)   94,203 COST PER POUND FOOD FOOD
(59) ENUMCLAW KIWANIS FOOD BANK
1350 COLE ST
ENUMCLAW,WA98022 		91-1503603 501(C)(3) 445 95,185 COST PER POUND FOOD FOOD
(60) FAITH HOUSE MINISTRIES
911 ALDER ST
HOQUIAM,WA98550 		20-3348807 501(C)(3)   27,787 COST PER POUND FOOD FOOD
(61) FAITH LUTHERAN CHURCH MEAL PROGRAM
6708 CADY RD
EVERETT,WA98203 		36-3513679     786,291 COST PER POUND FOOD FOOD
(62) FAMILYWORKS
1501 N 45TH ST
SEATTLE,WA98103 		91-1757277 501(C)(3)   529,060 COST PER POUND FOOD FOOD
(63) FEDERAL WAY FOOD BANK - MULTI SERVICE CENTER
1200 S 336TH
FEDERAL WAY,WA98093 		91-3105476 501(C)(3) 2,644 12,277 COST PER POUND FOOD FOOD
(64) FERNDALE FOOD BANK
PO BOX 1593
FERNDALE,WA98248 		91-1166240 501(C)(3)   16,620 COST PER POUND FOOD FOOD
(65) FISH FOOD BANKS OF PIERCE COUNTY
621 TACOMA AVE S SUITE 202
TACOMA,WA98445 		91-1198391 501(C)(3) 5,000       PASS THROUGH GRANT FOR UPRIGHT FREEZER
(66) FISH-SAINT ROSE
812 S SILVERDALE ROAD
CASTLE ROCK,WA98611 		23-7452250 501(C)(3)   73,029 COST PER POUND FOOD FOOD
(67) FISH-SEVENTH DAY ADVENTIST CHURCH
5151 NESBIT LOOP ROAD
KELSO,WA98626 		26-3585358 501(C)(3)   145,202 COST PER POUND FOOD FOOD
(68) FOOD BANK OF NORTHERN NEVADA
550 ITALY DRIVE
MCCARRAN,NV89434 		80-0204355 501(C)(3)   298,661 COST PER POUND FOOD FOOD
(69) FOOD LIFELINE MOBILE PANTRY - COWLITZ COUNTY
274 22ND AVE
LONGVIEW,WA92526 		91-1090450 501(C)(3)   353,276 COST PER POUND FOOD FOOD
(70) FOOD LIFELINE MOBILE PANTRY - WHATCOM COUNTY
8251 KENDALL RD
MAPLE FALLS,WA98266 		91-1090450 501(C)(3)   88,279 COST PER POUND FOOD FOOD
(71) FOOTHILLS FOOD BANK
5568 MT BAKER HWY
DEMING,WA98244 		91-1347974 501(C)(3)   226,244 COST PER POUND FOOD FOOD
(72) GIG HARBOR FISH FOOD BANK
P O BOX 154
GIG HARBOR,WA98335 		91-1307991 501(C)(3)   294,942 COST PER POUND FOOD FOOD
(73) GOOD SHEPHERD COMMUNITY SUPPER
345 S 312TH ST
FEDERAL WAY,WA98003 		94-3105476 501(C)(3)   416,166 COST PER POUND FOOD FOOD
(74) GRAHAM SOUTH HILL FISH FOOD BANK
10425 187TH ST E
PUYALLUP,WA98374 		91-1198391 501(C)(3)   131,396 COST PER POUND FOOD FOOD
(75) HAMILTON COMMUNITY FOOD BANK
PO BOX 75
HAMILTON,WA98255 		91-1351355 501(C)(3)   5,074 COST PER POUND FOOD FOOD
(76) HELPING HANDS FOOD BANK
420 WASHINGTON ST
SEDRO WOOLLEY,WA98284 		91-1203572 501(C)(3)   148,350 COST PER POUND FOOD FOOD
(77) HELPLINE HOUSE FOOD BANK
282 KNECHTEL WAY NE
BAINBRIDGE ISLAND,WA98110 		91-0902503 501(C)(3)   330,728 COST PER POUND FOOD FOOD
(78) HIGHLANDS NEIGHBORHOOD CENTER
800 EDMONDS AVE NE
RENTON,WA98057 		    1,403,511 COST PER POUND FOOD FOOD
(79) HIGHLINE FOOD BANK
18300 4TH AVE SOUTH
SEATTLE,WA98166 		91-0982116 501(C)(3) 754 444,978 COST PER POUND FOOD FOOD
(80) HOOD CANAL FOOD BANK
P O BOX 995
HOODSPORT,WA98548 		91-1449048 501(C)(3) 1,350 258,490 COST PER POUND FOOD FOOD
(81) HOPELINK-BELLEVUE
14812 MAIN ST
BELLEVUE,WA98007 		91-0982116 501(C)(3)   144,686 COST PER POUND FOOD FOOD
(82) HOPELINK-KIRKLANDNORTHSHORE
PO BOX 3577
REDMOND,WA98033 		91-0982116 501(C)(3)   105,402 COST PER POUND FOOD FOOD
(83) HOPELINK-REDMOND
16225 NE 87TH ST
REDMOND,WA98073 		91-0982116 501(C)(3)   173,947 COST PER POUND FOOD FOOD
(84) HOPELINK-SHORELINE
15809 WESTMINISTER WAY N
SHORELINE,WA98133 		91-0982116 501(C)(3)   87,135 COST PER POUND FOOD FOOD
(85) HOPELINK-SNO-VALLEY
31957 E COMMERCIAL ST
CARNATION,WA98014 		91-0982116 501(C)(3)   166,180 COST PER POUND FOOD FOOD
(86) HOQUIAM COASTAL HARVEST PROGRAM
117 EAST 3RD STREET
ABERDEEN,WA98520 		94-3252669 501(C)(3)   29,567 COST PER POUND FOOD FOOD
(87) HUNGER INTERVENTION PROGRAM
3841 NE 123RD ST
SEATTLE,WA98125 		26-3716527 501(C)(3) 48 308,984 COST PER POUND FOOD FOOD
(88) HUNGRY SOUL CAFE -TRINITY COMMUNITY CHURCH
3807 REITH ROAD
KENT,WA98032 		23-7424506 501(C)(3)   208,197 COST PER POUND FOOD FOOD
(89) IMMANUEL COMMUNITY SERVICES MEAL PROGRAM
1215 THOMAS ST
SEATTLE,WA98109 		41-1568278 501(C)(3)   512,665 COST PER POUND FOOD FOOD
(90) IMMANUEL COMMUNITY SERVICES FOOD BANK
1215 THOMAS ST
SEATTLE,WA98109 		41-1568278 501(C)(3) 87 38,557 COST PER POUND FOOD FOOD
(91) ISSAQUAH FOOD BANK
179 1ST AVE SE
ISSAQUAH,WA98027 		91-1245499 501(C)(3) 167 330,268 COST PER POUND FOOD FOOD
(92) JEWISH FAMILY SERVICE
1601 16TH AVE
SEATTLE,WA98122 		91-0565537 501(C)(3)   265,413 COST PER POUND FOOD FOOD
(93) JUANITA VIEW APARTMENTS
11807 101ST PL NE OFFICE 54
KIRKLAND,WA98034 		501(C)(3)   90,771 COST PER POUND FOOD FOOD
(94) KALAMA HELPING HANDS
191 CLOVERDALE RD
KALAMA,WA98625 		91-1343233 501(C)(3)   445,741 COST PER POUND FOOD FOOD
(95) KENT FOOD BANK
515 W HARRISON ST SUITE 107
KENT,WA98032 		91-0881434 501(C)(3) 1,417 170,713 COST PER POUND FOOD FOOD
(96) KENT FOOD BANK-SPRINGWOOD ANNEX
515 W HARRISON ST SUITE 107
KENT,WA98032 		91-1580111 501(C)(3)   26,555 COST PER POUND FOOD FOOD
(97) KING COUNTY LIBRARY SYSTEM - BURIEN
400 SW 152ND ST
BURIEN,WA98166 		91-1931457 501(C)(3)   191,556 COST PER POUND FOOD FOOD
(98) KING COUNTY LIBRARY SYSTEM - ENUMCLAW
1700 1ST ST
ENUMCLAW,WA98022 		91-1931457 501(C)(3)   704,385 COST PER POUND FOOD FOOD
(99) KING COUNTY LIBRARY SYSTEM - FEDERAL WAY
34200 1ST WAY S
FEDERAL WAY,WA98093 		91-1931457 501(C)(3)   131,202 COST PER POUND FOOD FOOD
(100) KING COUNTY LIBRARY SYSTEM - KENT
212 2ND AVE N
KENT,WA98032 		91-1931457 501(C)(3)   11,154 COST PER POUND FOOD FOOD
(101) KING COUNTY LIBRARY SYSTEM - RENTON HIGHLANDS
2801 NE 10TH ST
RENTON,WA98056 		91-1931457 501(C)(3)   69,712 COST PER POUND FOOD FOOD
(102) LA CONNER SUNRISE FOOD BANK
602 S 3RD ST
LA CONNER,WA98257 		80-0866528 501(C)(3)   75,149 COST PER POUND FOOD FOOD
(103) LAKE STEVENS COMMUNITY FOOD BANK
PO BOX 1031
LAKE STEVENS,WA98258 		91-1215080 501(C)(3)   5,748 COST PER POUND FOOD FOOD
(104) LAKES AREA FISH FOOD BANK
6900 STEILACOOM BLVD SW
LAKEWOOD,WA98499 		91-1198391 501(C)(3)   416,078 COST PER POUND FOOD FOOD
(105) LAZARUS DAY CENTER
416 2ND EXT S
SEATTLE,WA98104 		91-1099134 501(C)(3)   342,803 COST PER POUND FOOD FOOD
(106) LEWIS COUNTY FOOD BANK COALITION
1709 SEMINARY HILL
CENTRALIA,WA98531 		91-1391826 501(C)(3)   1,304,691 COST PER POUND FOOD FOOD
(107) LIFELONG AIDS ALLIANCE FOOD BANK
1002 E SENECA
SEATTLE,WA98122 		91-1215715 501(C)(3)   542,529 COST PER POUND FOOD FOOD
(108) LIFELONG AIDS ALLIANCE MEAL PROGRAM
1002 E SENECA
SEATTLE,WA98122 		91-1215715 501(C)(3)   43,755 COST PER POUND FOOD FOOD
(109) LOWER COLUMBIA CAC-HELP WAREHOUSE
1526 COMMERCE AVE
LONGVIEW,WA98632 		91-0814141 501(C)(3)   64,046 COST PER POUND FOOD FOOD
(110) LUMMI TRIBE FOOD BANK
2616 KWIN RD
BELLINGHAM,WA98226 		91-1836621 501(C)(3)   17,924 COST PER POUND FOOD FOOD
(111) LUNCHTIME AT ST LUKE'S
5710 22ND AVE NW
SEATTLE,WA98107 		91-0673080 501(C)(3)   105,259 COST PER POUND FOOD FOOD
(112) MAKAH FOOD BANK
90 RESORT DR
NEAH BAY,WA98357 		91-1215709 501(C)(3)   47,326 COST PER POUND FOOD FOOD
(113) MAPLE VALLEY FOOD BANK
PO BOX 322
MAPLE VALLEY,WA98038 		91-6057006 501(C)(3) 647 64,204 COST PER POUND FOOD FOOD
(114) MATLOCK FOOD BANK
216 MATLOCK-BRADY RD
ELMA,WA98541 		91-1229585 501(C)(3)   72,126 COST PER POUND FOOD FOOD
(115) MILL CREEK FOOD BANK
1419 TRILLIUM BLVD SE 9
MILL CREEK,WA98012 		91-0577129 501(C)(3)   691,356 COST PER POUND FOOD FOOD
(116) MILLIONAIR CLUB
2515 WESTERN AVE
SEATTLE,WA98121 		91-0607513 501(C)(3)   120,646 COST PER POUND FOOD FOOD
(117) MINERAL FOOD BANK
127 MINERAL RD N
MINERAL,WA98355 		44-0577787 501(C)(3)   41,199 COST PER POUND FOOD FOOD
(118) MOBILE FOOD PANTRY - KING COUNTY
4011 6TH AVE S
SEATTLE,WA98108 		91-1090450 501(C)(3)   6,091 COST PER POUND FOOD FOOD
(119) MONTANA FOOD BANK
5625 EXPRESSWAY
MISSOULA,MT59808 		81-0421243 501(C)(3)   8,234 COST PER POUND FOOD FOOD
(120) MORTON FOOD BANK
PO BOX 880
MORTON,WA98356 		94-2712386 501(C)(3)   16,894 COST PER POUND FOOD FOOD
(121) MOUNT ZION BAPTIST CHURCH
1634 19TH AVE
SEATTLE,WA98122 		91-9722334 501(C)(3)   250,263 COST PER POUND FOOD FOOD
(122) NAVOS
1220 SW 136TH ST
BURIEN,WA98146 		91-0848698 501(C)(3)   160,662 COST PER POUND FOOD FOOD
(123) NEIGHBOR TO NEIGHBOR
1541 RIVERVIEW DR NE
AUBURN,WA98002 		91-1483873 501(C)(3)   701,970 COST PER POUND FOOD FOOD
(124) NEIGHBORS IN NEED - SKAGIT VALLEY
POBOX 394
MTVERNON,WA98273 		91-0951646 501(C)(3)   83,501 COST PER POUND FOOD FOOD
(125) NEW BEGINNINGS SHELTER
CONFIDENTIAL
SEATTLE,WA98125 		91-1005916 501(C)(3)   159,884 COST PER POUND FOOD FOOD
(126) NOEL HOUSE
2301 2ND AVE
SEATTLE,WA98121 		91-1585652 501(C)(3)   146,025 COST PER POUND FOOD FOOD
(127) NOOKSACK VALLEY FOOD BANK
PO BOX 384
EVERSON,WA98247 		91-1339292 501(C)(3)   137,839 COST PER POUND FOOD FOOD
(128) NORTH GATE CITY CHURCH FOOD BANK
1209 MINOR RD
KELSO,WA98626 		91-0916177 501(C)(3)   353,862 COST PER POUND FOOD FOOD
(129) NORTH HELPLINE
12736 33RD AVE NE
SEATTLE,WA98125 		91-1475182 501(C)(3)   170,242 COST PER POUND FOOD FOOD
(130) NORTH KITSAP FISHLINE
PO BOX 1517
POULSBO,WA98370 		91-1244431 501(C)(3)   70,400 COST PER POUND FOOD FOOD
(131) NORTH MASON FOOD BANK
22471 HWY 3
BELFAIR,WA98528 		94-3197896 501(C)(3)   78,205 COST PER POUND FOOD FOOD
(132) NORTH WHIDBEY HELP HOUSE
1091 SE HATHAWAY ST
OAK HARBOR,WA98277 		91-1003975 501(C)(3)   266,210 COST PER POUND FOOD FOOD
(133) NORTHWEST LIFE CENTER
PO BOX 849
ELMA,WA98541 		20-5965077 501(C)(3) 13,800 239,249 COST PER POUND FOOD FOOD
(134) OCEAN SHORES FOOD BANK
PO BOX 1293
OCEAN SHORES,WA98569 		46-3480003 501(C)(3)   444,658 COST PER POUND FOOD FOOD
(135) OLYMPIA FIRST BAPTIST CHURCH
POBOX 533
OLYMPIA,WA98501 		91-0584053 501(C)(3)   19,844 COST PER POUND FOOD FOOD
(136) OLYMPIC COMMUNITY ACTION PROGRAM
803 WEST PARK
PORT TOWNSEND,WA98368 		91-0814319 501(C)(3)   18,005 COST PER POUND FOOD FOOD
(137) OPERATION NIGHTWATCH
302 14TH AVE S
SEATTLE,WA98111 		91-0964027 501(C)(3)   589,196 COST PER POUND FOOD FOOD
(138) OPERATION SACK LUNCH
77 S WASHINGTON ST
SEATTLE,WA98194 		91-1658187 501(C)(3)   29,753 COST PER POUND FOOD FOOD
(139) ORTING FOOD BANK
PO BOX 1877
ORTING,WA98360 		20-8562623 501(C)(3)   68,860 COST PER POUND FOOD FOOD
(140) PAEP- FILIPINO PROGRAM
210 S HANSFORD ST SUITE 100 A
SEATTLE,WA98134 		91-1346352 501(C)(3)   276,707 COST PER POUND FOOD FOOD
(141) PAEP-HMONG PROGRAM
210 S HANSFORD ST SUITE 100 A
SEATTLE,WA98134 		91-1346352 501(C)(3)   418,301 COST PER POUND FOOD FOOD
(142) PAEP-IDIC
7301 BEACON AVE S
SEATTLE,WA98134 		91-1346352 501(C)(3)   1,025,397 COST PER POUND FOOD FOOD
(143) PAEP-LAOTIAN PROGRAM
210 S HANSFORD ST SUITE 100 A
SEATTLE,WA98134 		91-1346352 501(C)(3)   332,559 COST PER POUND FOOD FOOD
(144) PAEP-POLYNESIAN PROGRAM
210 S HANSFORD ST SUITE 100 A
SEATTLE,WA98134 		91-1346352 501(C)(3)   1,453,684 COST PER POUND FOOD FOOD
(145) PARADISE OF PRAISE FOOD BANK
1316 SW HOLDEN ST
SEATTLE,WA98106 		68-0642500 501(C)(3)   1,358,349 COST PER POUND FOOD FOOD
(146) PHINNEY NEIGHBORHOOD ASSOCIATION - ST JOHN'S
6532 PHINNEY AVE N
SEATTLE,WA98103 		91-1112780 501(C)(3)   191,395 COST PER POUND FOOD FOOD
(147) PHINNEY NEIGHBORHOOD ASSOCIATION CALVARY LUTHERAN
7003 23RD AVE NW
SEATTLE,WA98103 		91-1112780 501(C)(3)   88,159 COST PER POUND FOOD FOOD
(148) PHINNEY RIDGE FOOD BANK
7500 GREENWOOD AVE N
SEATTLE,WA98103 		91-0581656 501(C)(3)   69,995 COST PER POUND FOOD FOOD
(149) PIKE MARKET SENIOR CENTER
85 PIKE ST SUITE 200
SEATTLE,WA98101 		91-1034838 501(C)(3)   262,439 COST PER POUND FOOD FOOD
(150) POINT ROBERTS FOOD BANK
323 EVERGREEN WAY
POINT ROBERTS,WA98281 		36-3513679 501(C)(3)   35,341 COST PER POUND FOOD FOOD
(151) PORT ANGELES FOOD BANK
402 S VALLEY STR
PORT ANGELES,WA98362 		91-1192596 501(C)(3)   47,962 COST PER POUND FOOD FOOD
(152) PROJECT HOPE FOOD BANK
STE 105
LYNDEN,WA98264 		91-0858511 501(C)(3)   72,235 COST PER POUND FOOD FOOD
(153) PROVIDENCE REGINA HOUSE FOOD BANK
8201 10TH AVE S 6
SEATTLE,WA98108 		91-1996732 501(C)(3)   184,045 COST PER POUND FOOD FOOD
(154) PUGET SOUND LABOR AGENCY
2800 1ST AVE 115
SEATTLE,WA98121 		91-0927902 501(C)(3)   97,906 COST PER POUND FOOD FOOD
(155) PUYALLUP FOOD BANK
PO BOX 202
PUYALLUP,WA98371 		23-7259739 501(C)(3)   117,462 COST PER POUND FOOD FOOD
(156) QUEEN ANNE FOOD PROGRAM AT SACRED HEART
232 WARREN AVE N
SEATTLE,WA98109 		53-0196617 501(C)(3)   946,462 COST PER POUND FOOD FOOD
(157) RAINIER VALLEY FOOD BANK
4205 RAINIER AVENUE S
SEATTLE,WA98118 		91-1500768 501(C)(3)   588,551 COST PER POUND FOOD FOOD
(158) RECOVERY CAFE
2022 BOREN AVENUE
SEATTLE,WA98121 		91-2158547 501(C)(3)   89,459 COST PER POUND FOOD FOOD
(159) RENEWAL FOOD BANK
15022 BEL-RED ROAD
BELLEVUE,WA98006 		46-1502418 501(C)(3)   124,865 COST PER POUND FOOD FOOD
(160) ROOF COMMUNITY SERVICES
PO BOX 312
ROCHESTER,WA98579 		77-0620956 501(C)(3)   116,394 COST PER POUND FOOD FOOD
(161) ROOTS
1415 NE 43RD AVE
SEATTLE,WA98105 		92-2110379 501(C)(3)   265,257 COST PER POUND FOOD FOOD
(162) ROSE OF LIMA
120 BELL STREET
SEATTLE,WA98121 		91-1585652 501(C)(3)   142,442 COST PER POUND FOOD FOOD
(163) SACRED HEART SHELTER
232 WARREN AVE N
SEATTLE,WA98109 		91-0583891 501(C)(3)   360,042 COST PER POUND FOOD FOOD
(164) SALVATION ARMY LONGVIEW
1639 10TH AVE
LONGVIEW,WA98632 		94-1156347 501(C)(3) 1,100 34,082 COST PER POUND FOOD FOOD
(165) SALVATION ARMY STOP HUNGER WAREHOUSE
7509 NE 47TH AVE
VANCOUVER,WA98661 		94-1156347 501(C)(3)   358,680 COST PER POUND FOOD FOOD
(166) SALVATION ARMY-ADULT REHAB CENTER
1020 4TH AVE S
SEATTLE,WA98134 		91-0565001 501(C)(3)   181,749 COST PER POUND FOOD FOOD
(167) SALVATION ARMY-BELLINGHAM
2919 NW AVE
BELLINGHAM,WA98227 		94-1156347 501(C)(3)   30,368 COST PER POUND FOOD FOOD
(168) SALVATION ARMY-BREMERTON
P O BOX 886
BREMERTON,WA98337 		94-1156347 501(C)(3)   20,805 COST PER POUND FOOD FOOD
(169) SALVATION ARMY-CAPITOL HILL
1101 PIKE STREET
SEATTLE,WA98102 		94-1156347 501(C)(3)   1,153,549 COST PER POUND FOOD FOOD
(170) SALVATION ARMY-CATHERINE BOOTH HOUSE
1101 PIKE ST
SEATTLE,WA98101 		91-1156347 501(C)(3)   98,030 COST PER POUND FOOD FOOD
(171) SALVATION ARMY-EVERETT
PO BOX 1184
EVERETT,WA98206 		91-1156347 501(C)(3)   99,235 COST PER POUND FOOD FOOD
(172) SALVATION ARMY-RENTON
206 S TOBIN
RENTON,WA98055 		94-1156347 501(C)(3)   250,435 COST PER POUND FOOD FOOD
(173) SALVATION ARMY-TACOMA FOOD BANK
1501 6TH AVENUE
TACOMA,WA98405 		94-1156347 501(C)(3)   102,741 COST PER POUND FOOD FOOD
(174) SALVATION ARMY-TACOMA LODGE
1501 6TH AVE
TACOMA,WA98405 		94-1156347 501(C)(3)   45,829 COST PER POUND FOOD FOOD
(175) SALVATION ARMY-WHITE CENTER FOOD BANK
9050 16TH AVE SW
SEATTLE,WA98146 		91-0565002 501(C)(3)   162,463 COST PER POUND FOOD FOOD
(176) SALVATION ARMY-WHITE CENTER MEAL PROGRAM
9045 16TH AVE SW
SEATTLE,WA98146 		94-1156347 501(C)(3)   244,297 COST PER POUND FOOD FOOD
(177) SALVATION ARMY-WILLIAM BOOTH CENTER
811 MAYNARD AVE S
SEATTLE,WA98134 		91-0565002 501(C)(3)   284,185 COST PER POUND FOOD FOOD
(178) SE TACOMA FISH FOOD BANK
1704 E 85TH ST
TACOMA,WA98445 		91-1198391 501(C)(3)   59,877 COST PER POUND FOOD FOOD
(179) SEATTLE CHILDREN'S HOME
2142 10TH AVE W
SEATTLE,WA98119 		91-0565572 501(C)(3)   54,398 COST PER POUND FOOD FOOD
(180) SEATTLE FIRST PRESBYTERIAN CHURCH
1013 8TH AVE NE
SEATTLE,WA98104 		91-0575941 501(C)(3)   1,765,982 COST PER POUND FOOD FOOD
(181) SEATTLE INDIAN CENTER FB
611 12TH AVE S SUITE 300
SEATTLE,WA98144 		91-0877683 501(C)(3)   13,361 COST PER POUND FOOD FOOD
(182) SEATTLE INDIAN CENTER MP
611 12TH AVE S SUITE 300
SEATTLE,WA98144 		91-0877683 501(C)(3)   1,084,221 COST PER POUND FOOD FOOD
(183) SEATTLE PUBLIC LIBRARY - DELRIDGE
5423 DELRIDGE WAY SW
SEATTLE,WA98106 		91-1140642 501(C)(3)   609,424 COST PER POUND FOOD FOOD
(184) SEQUIM FOOD BANK
PO BOX 1453
SEQUIM,WA98382 		91-1215709 501(C)(3)   63,095 COST PER POUND FOOD FOOD
(185) SERENITY HOUSE
2321 W 18TH ST
PORT ANGELES,WA98362 		91-1180069 501(C)(3)   5,203 COST PER POUND FOOD FOOD
(186) SHARENET FOOD BANK
26061 UNITED RD NE STE A PHYSICAL
ADDRESS
KINGSTON,WA98346 		91-1229210 501(C)(3)   37,281 COST PER POUND FOOD FOOD
(187) SHORELINE COVENANT CHURCH
1330 N 185TH ST
SHORELINE,WA98133 		501(C)(3)   178,330 COST PER POUND FOOD FOOD
(188) SKAGIT COUNTY COMMUNITY ACTION AGENCY
330 PACIFIC PL
MOUNT VERNON,WA98273 		91-1140086 501(C)(3)   67,409 COST PER POUND FOOD FOOD
(189) SNOHOMISH FOOD BANK
PO BOX 1364
SNOHOMISH,WA98291 		91-1334772 501(C)(3)   154,697 COST PER POUND FOOD FOOD
(190) SNOQUALMIE VALLEY FOOD BANK
122 E 3RD ST
NORTH BEND,WA98045 		46-4388454 501(C)(3) 621 123,957 COST PER POUND FOOD FOOD
(191) SOJOURNER PLACE
5071 8TH AVE NE
SEATTLE,WA98105 		91-1289932 501(C)(3)   87,512 COST PER POUND FOOD FOOD
(192) SOUTH KITSAP HELPLINE
1351 BAY STREET
PORT ORCHARD,WA98366 		91-3165664 501(C)(3)   15,360 COST PER POUND FOOD FOOD
(193) SOUTH WHIDBEY CHILDREN'S CENTER
5476 MAXWELTON RD
LANGLEY,WA98260 		91-1128985 501(C)(3)   390,552 COST PER POUND FOOD FOOD
(194) SOUTH WHIDBEY GOOD CHEER
P O BOX 144
LANGLEY,WA98260 		23-7047914 501(C)(3)   9,806 COST PER POUND FOOD FOOD
(195) SPIN CAFE
658 SE BAYSHORE DR
OAK HARBOR,WA98277 		46-1371212 501(C)(3)   13,426 COST PER POUND FOOD FOOD
(196) ST MARK'S EPISCOPAL CATHEDRAL
1245 10TH AVE E
SEATTLE,WA98102 		91-1525836 501(C)(3)   94,535 COST PER POUND FOOD FOOD
(197) ST MARTIN DE PORRES SHELTER
1561 ALASKAN WAY S
SEATTLE,WA98134 		91-1585652 501(C)(3)   161,849 COST PER POUND FOOD FOOD
(198) ST MARTIN'S ON WESTLAKE
2008 WESTLAKE AVENUE
SEATTLE,WA98121 		91-1099134 501(C)(3)   59,266 COST PER POUND FOOD FOOD
(199) ST VINCENT DE PAUL - BREMERTON (KITSAP)
1137 N CALLOW
BREMERTON,WA98312 		91-0635027 501(C)(3)   88,695 COST PER POUND FOOD FOOD
(200) ST LEO'S FOOD CONNECTION
1323 S YAKIMA AVE
TACOMA,WA98405 		91-0622353 501(C)(3)   16,314 COST PER POUND FOOD FOOD
(201) ST MARYS FOOD BANK ALLIANCE
2831 N 31ST AVE
PHOENIX,AZ85009 		23-7353532 501(C)(3)   29,728 COST PER POUND FOOD FOOD
(202) ST VINCENT DE PAUL AT ST CATHERINE'S
1680 E STATE ROUTE 4
CATHLAMET,WA98612 		41-2218247 501(C)(3)   77,161 COST PER POUND FOOD FOOD
(203) STANWOOD CAMANO FOOD BANK
PO BOX 1285
STANWOOD,WA98292 		91-1155426 501(C)(3)   20,397 COST PER POUND FOOD FOOD
(204) STILLAGUAMISH SENIOR CENTER
18308 SMOKEY POINT BLVD
ARLINGTON,WA98223 		23-7087247 501(C)(3)   48,815 COST PER POUND FOOD FOOD
(205) STOREHOUSE FOOD BANK
26201 180TH AVE SE
COVINGTON,WA98042 		02-0551015 501(C)(3)   186,307 COST PER POUND FOOD FOOD
(206) STVDP-GEORGETOWN FOOD BANK
5950 4TH AVE S
SEATTLE,WA98108 		91-0583891 501(C)(3)   75,124 COST PER POUND FOOD FOOD
(207) STVDP-LONGVIEW FOOD BANK
PO BOX 2957
LONGVIEW,WA92526 		91-0615380 501(C)(3)   6,942 COST PER POUND FOOD FOOD
(208) SULTAN BOYS AND GIRLS CLUB
617 1ST ST
SULTAN,WA98294 		91-0549511 501(C)(3)   10,882 COST PER POUND FOOD FOOD
(209) SUMNER COMMUNITY FOOD BANK
PO BOX 475
SUMNER,WA98390 		91-2061833 501(C)(3)   108,668 COST PER POUND FOOD FOOD
(210) TACS FOOD BANK
PO BOX 11291
TACOMA,WA98411 		52-0957460 501(C)(3)   264,115 COST PER POUND FOOD FOOD
(211) TARGET MEALS FOR MINDS - M4M
11725 1ST AVE NE
SEATTLE,WA98125 		91-1090450 501(C)(3)   610,311 COST PER POUND FOOD FOOD
(212) THE FOOD BANK AT ST MARY'S
611 20TH AVE S
SEATTLE,WA98144 		91-1989445 501(C)(3)   20,544 COST PER POUND FOOD FOOD
(213) THE SAINTS PANTRY
PO BOX 1064
SHELTON,WA98584 		27-0386653 501(C)(3)   354,743 COST PER POUND FOOD FOOD
(214) THURSTON COUNTY FOOD BANK
220 THURSTON AVE NE
OLYMPIA,WA98501 		23-7297897 501(C)(3)   225,578 COST PER POUND FOOD FOOD
(215) TRI-PARISH FOOD BANK
935 PETERSON RD
BURLINGTON,WA98223 		91-0778147 501(C)(3)   12,042 COST PER POUND FOOD FOOD
(216) TUESDAY'S TABLE
3118 S 140TH ST
TUKWILA,WA98168 		91-0845808 501(C)(3)   97,916 COST PER POUND FOOD FOOD
(217) TUKWILA PANTRY
3118 S 140TH ST
TUKWILA,WA98168 		75-2974441 501(C)(3) 1,060 635,291 COST PER POUND FOOD FOOD
(218) UGM-ALL PROGRAMS SEATTLE
3800 S OTHELLO ST
SEATTLE,WA98118 		91-0595029 501(C)(3)   764,316 COST PER POUND FOOD FOOD
(219) UGM-MEN'S SHELTER SEATTLE
318 2ND AVE EXT S
SEATTLE,WA98118 		91-0595029 501(C)(3)   1,019,982 COST PER POUND FOOD FOOD
(220) UGM-OLYMPIA
PO BOX 7668
OLYMPIA,WA98507 		91-1680748 501(C)(3)   26,275 COST PER POUND FOOD FOOD
(221) UNITED FRIENDS GROUP HOMES
PO BOX 17017
SEATTLE,WA98127 		23-7396644 501(C)(3)   7,597 COST PER POUND FOOD FOOD
(222) UNITED FRIENDS GROUP HOMES - BEVERLY PARK
PO BOX 17017
SEATTLE,WA98127 		23-7396644 501(C)(3)   514,141 COST PER POUND FOOD FOOD
(223) UNIV STREET MINISTRY-TEEN FEED
4740 B UNIVERSITY WAY NE
SEATTLE,WA98105 		91-3034862 501(C)(3)   142,806 COST PER POUND FOOD FOOD
(224) UNIVERSITY DISTRICT FOOD BANK
4731 15TH AVE NE
SEATTLE,WA98105 		91-1585652 501(C)(3)   221,794 COST PER POUND FOOD FOOD
(225) UNIVERSITY DISTRICT YOUTH CENTER
4516 15TH AVE NE
SEATTLE,WA98105 		91-1585652 501(C)(3)   71,112 COST PER POUND FOOD FOOD
(226) UNIVERSITY PLACE FOOD BANK
8101 27TH ST W
UNIVERSITY PLACE,WA98466 		20-0435496 501(C)(3)   12,399 COST PER POUND FOOD FOOD
(227) VASHON MAURY COMMUNITY FOOD BANK
10030 210 ST SW
VASHON,WA98070 		91-3165664 501(C)(3) 220 489,194 COST PER POUND FOOD FOOD
(228) VICTORY OUTREACH-SEATTLE
2035 NW 58TH ST
SEATTLE,WA98107 		95-0583891 501(C)(3)   731,691 COST PER POUND FOOD FOOD
(229) VOA SULTAN FOOD BANK
PO BOX 268
SULTAN,WA98294 		91-0577129 501(C)(3)   208,476 COST PER POUND FOOD FOOD
(230) VOLUNTEERS OF AMERICA-EVERETT
1230 BROADWAY AVE
EVERETT,WA98206 		91-0577129 501(C)(3)   2,116,594 COST PER POUND FOOD FOOD
(231) VOLUNTEERS OF AMERICA-GREENWOOD
9747 GREENWOOD AVE N
SEATTLE,WA98103 		91-0577129 501(C)(3) 154 88,150 COST PER POUND FOOD FOOD
(232) WEST SEATTLE FOOD BANK
3419 SW MORGAN ST
SEATTLE,WA98126 		91-1464412 501(C)(3)   339,255 COST PER POUND FOOD FOOD
(233) WHATCOM EFAP LEAD
1824 ELLIS ST
BELLINGHAM,WA98225 		91-0776451 501(C)(3)   27,656 COST PER POUND FOOD FOOD
(234) WHIDBEY ISLAND NOURISHES
2382 SOUNDVIEW DR
LANGLEY,WA98260 		27-5112668 501(C)(3)   246,581 COST PER POUND FOOD FOOD
(235) WHITE PASS FOOD BANK
116 KINDLE RD
RANDLE,WA98377 		91-6054280 501(C)(3)   6,099 COST PER POUND FOOD FOOD
(236) WOODLAND COMMUNITY CENTER FOOD BANK
PO BOX 1475
WOODLAND,WA98674 		91-2105285 501(C)(3) 15,150 28,722 COST PER POUND FOOD FOOD
(237) WOODLAND PARK PRESBYTERIAN CHURCH
225 N 70TH ST
SEATTLE,WA98103 		91-0601568 501(C)(3)   151,713 COST PER POUND FOOD FOOD
(238) YELM COMMUNITY SERVICES
624 CRYSTAL SPRINGS ROAD
YELM,WA98597 		23-7226534 501(C)(3)   442,520 COST PER POUND FOOD FOOD
(239) YOUTH CONNECTION
305 CENTER ST W
EATONVILLE,WA98328 		501(C)(3)   94,228 COST PER POUND FOOD FOOD
(240) YOUTHCARE ORION CENTER
1828 YALE AVE
SEATTLE,WA98101 		91-0917079 501(C)(3)   374,877 COST PER POUND FOOD FOOD
(241) YOUTHCARE UNIVERSITY DISTRICT YOUTH CENTER
4516 15TH AVE NE
SEATTLE,WA98105 		91-0917079 501(C)(3)   34,725 COST PER POUND FOOD FOOD
(242) YWCA ANGELINE'S MEALS PROGRAM
2024 3RD AVE
SEATTLE,WA98121 		91-0482890 501(C)(3)   647,702 COST PER POUND FOOD FOOD
(243) YWCA PASSAGE POINT HOUSING
15900 227TH AVE SE
MAPLE VALLEY,WA98038 		501(C)(3)   146,774 COST PER POUND FOOD FOOD
(244) FOOD LIFELINE FOUNDATION
815 S 96TH ST
SEATTLE,WA98108 		47-5201113 501(C)(3) 5,187,925       CONTRIBUTION FOR NEW MARKET TAX CREDIT PROGRAM
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
270
3
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

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)
(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: ALL FOOD PANTRIES AND MEAL PROGRAMS PLACE A WEEKLY ORDER VIA THE ORDER UP" SYSTEM. THE SYSTEM TRACKS THE ORDER AND POUNDS. ALL CASH GRANTS ARE RECORDED IN THE GENERAL LEDGER SYSTEM.
Schedule I (Form 990) 2015



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1LINDA NAGEOTTEPRESIDENT/CEO (i)

(ii)		 150,798
-------------
0 		0
-------------
0 		0
-------------
0 		1,098
-------------
0 		7,200
-------------
0 		159,096
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the 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 imageInformation 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
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 15 172,249 FMV
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 38,037,210 65,424,002 $1.72 PER POUND
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( FURNITURE ) X 3 105,000 FMV
26 Other Right pointing arrow large image ( GIFT CARDS ) X 5 758  
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 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
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
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)
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
Schedule M (Form 990) (2015)

Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or 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
FOOD LIFELINE
 
Employer identification number

91-1090450
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 BOARD MEMBERS WILL BE EMAILED A DRAFT VERSION OF THE 990. THE AUDIT COMMITTEE OF THE BOARD WILL REVIEW THE 990 IN DETAIL WITH THE CFO PRIOR THE THE GENERAL BOARD DISTRIBUTION.
FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST NOT HAVE A MATERIALLY CONFLICTING INTEREST WITH THE ORGANIZATION. WHEN A MEMBER HAS AN UNAVOIDABLE CONFLICT OF INTEREST, THEY WILL DISCLOSE IT TO THE BOARD, WHO WILL VOTE ON THE MATTER, ABSENT THE INTERESTED PERSON. ANNUALLY, EACH BOARD MEMBER WILL SIGN A CONFLICT OF INTEREST STATEMENT TO DISCLOSE IN WRITING ANY SUCH CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT AND CEO ARE APPOINTED BY AND REPORT TO THE BOARD OF DIRECTORS. THE CEO COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE PERFORMANCE OF THE PRESIDENT AND CEO AT LEAST ONCE ANNUALLY. SALARIES ARE BASED ON JOB DESCRIPTIONS, SALARY RANGES OF SIMILAR POSITIONS IN OTHER LOCAL AGENCIES, AND SALARY RANGES AT FEEDING AMERICA, FORMERLY AMERICA'S SECOND HARVEST, AFFILIATES. THE PRESIDENT AND CEO ARE IN CHARGE OF DETERMINING COMPENSATION FOR ALL OTHER TOP MANAGEMENT, USING THE SAME CRITERIA AS ABOVE.
FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
FOOD LIFELINE
 
Employer identification number

91-1090450
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)FOOD LIFELINE FOUNDATION
815 S 96TH ST

SEATTLE,WA98108
47-5201113 		TO SUPPORT AND BENEFIT, FINANCIALLY AND/OR OPERATIONALLY, FOOD LIFELINE WA 501(C)(3) LINE 11C, III-FI  
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) FOOD LIFELINE FOUNDATION

 B 5,187,925 CASH





Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

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