TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Nicole Caskey...................................................................... Board Member	1.00 .................	X
(2) Terry Hertle...................................................................... Board Member	1.00 .................	X
(3) Mark Hixson...................................................................... Board Member	1.00 .................	X
(4) Karina Hutchison...................................................................... Board Member	1.00 .................	X
(5) Lynette Jacoby...................................................................... Board Member	1.00 .................	X
(6) Nate Jensema...................................................................... Board Member	1.00 .................	X
(7) Wayne Manternach...................................................................... Board Member	1.00 .................	X
(8) Melanie Nollsch...................................................................... Board Member	1.00 .................	X
(9) Tom Petersen...................................................................... Board Member	1.00 .................	X
(10) Lynette Richards...................................................................... Board Member	1.00 .................	X
(11) Mark Setterh...................................................................... Board Member	1.00 .................	X
(12) Zachary Trueblood...................................................................... board Member	1.00 .................	X
(13) Dale Walter...................................................................... Board Member	1.00 .................	X
(14) Bob Yoder...................................................................... Board Member	1.00 .................	X
(15) John Brandt...................................................................... President	1.00 .................	X	X
(16) Ed Raber...................................................................... Treasurer	1.00 .................	X	X
(17) Sr Susan O'Connor...................................................................... Vice-President	1.00 .................	X	X

(A) Name and business address	(B) Description of services	(C) Compensation
St Luke's Hospital 1026 A Ave NE Cedar Rapids,IA52402	Contracted professional services	285,049
Willis Dady Emergency Shelter 1247 4th Ave SE Cedar Rapids,IA52403	Contracted professional services	200,915
Jordan's Heating & Cooling Inc 10200 Angle Rd Fairfax,IA52228	weatherization Contractor	172,715
Bob's Heating & Cooling 3925 Heather Ct SW Cedar Rapids,IA52404	weatherization Contractor	148,080
Five Seasons Heating & Cooling Inc 1025 Hawkeye Dr Hiawatha,IA52233	weatherization Contractor	122,396
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 7

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....	26,507,906	23,919,613	27,305,959	28,263,006	30,106,650	136,103,134
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	26,507,906	23,919,613	27,305,959	28,263,006	30,106,650	136,103,134
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						136,103,134

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	26,507,906	23,919,613	27,305,959	28,263,006	30,106,650	136,103,134
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	21,514	12,584	10,409	6,573	7,253	58,333
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.						136,161,467

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

5,460,735

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

Section C. Computation of Public Support Percentage

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

99.960 %

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

99.950 %

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 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.)..

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

Section C. Computation of Public Support Percentage

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

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

Section D. Computation of Investment Income Percentage

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

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

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

Name of the organization

Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

Name of organization Hawkeye Area Community Action Program Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

Page 3

Name of organization Hawkeye Area Community Action Program Inc		Employer identification number 42-0898405

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 Hawkeye Area Community Action Program Inc			Employer identification number 42-0898405
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

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

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Part I

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

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

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

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

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


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

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

Yes No

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

Part V

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

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

1a	Beginning of year balance ....	32,952	37,506	37,144	36,663	33,011
b	Contributions ...
c	Net investment earnings, gains, and losses	3,000	-2,293	2,545	2,648	5,714
d	Grants or scholarships ...	1,600	1,700	1,600	1,600	1,500
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	504	561	583	567	562
g	End of year balance ......	33,848	32,952	37,506	37,144	36,663

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

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

0 %

Temporarily restricted endowment SchDMd Bullet

0 %

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

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

Yes

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

3a(i)

Yes

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

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

1a	Land ...	1,150,106		1,150,106
b	Buildings	10,708,119	7,715,278	2,992,841
c	Leasehold improvements
d	Equipment ...	1,616,147	1,409,638	206,509
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				4,349,456

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Security Deposits	25,972
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	25,972
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	31,289,666
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,600
b	Donated services and use of facilities .........	2b	122,177
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	123,777
3	Subtract line 2e from line 1..................			3	31,165,889
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	31,165,889

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	31,902,476
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	122,177
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	122,177
3	Subtract line 2e from line 1...................			3	31,780,299
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	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	31,780,299

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part V, Line 4:

Hawkeye Area Community Action Program, Inc. (HACAP) is the beneficiary under an endowment fund agreement with Community Foundation of the Great River Bend. The intended use of the endowment fund is for providing assistance in Washington County.

Part X, Line 2:

Hawkeye Area Community Action Program, Inc. (HACAP) is required to assess whether it is more likely than not that a tax position will be sustained upon examination on the technical merits of the position assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements. HACAP has determined there are no amounts to record as assets or liabilities related to uncertain tax positions.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

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

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Part I

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

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

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

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

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(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
	Alpha Dog Marketing 9060 Andermatt Drive Lincoln, NE68526	Organize direct mail & email campaign		No	282,867	153,206	129,661









Total . . . . . . . . . . . . . . . . . . . .					282,867	153,206	129,661

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .

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

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

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

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

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

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Hawkeye Area Community Action
Program Inc

Employer identification number
42-0898405

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Ainsworth Community Presbyterian Church 322 Washington St Ainsworth,IA52201	42-1206238	501(c)(3)	5,993	USDA/Feeding America Valuation	Food	Feed those in need
(2) Area Substance Abuse Council Inc 3601 16th Ave SW Cedar Rapids,IA52404	42-1114396	501(c)(3)	5,899	USDA/Feeding America Valuation	Food	Feed those in need
(3) Benton County Food Pantry PO Box 900 Shellsburg,IA52332	42-1261407	501(c)(3)	25,686	USDA/Feeding America Valuation	Food	Feed those in need
(4) Boys & Girls Club of Cedar Rapids 420 6th St SE Suite 240 Cedar Rapids,IA52401	42-1434056	501(c)(3)	10,072	USDA/Feeding America Valuation	Food	Feed those in need
(5) Cedar Hills Community Church Open Hands Food Pantry 6455 E Ave NW Cedar Rapids,IA52405	42-1015013	501(c)(3)	43,024	USDA/Feeding America Valuation	Food	Feed those in need
(6) Cedar Valley Ranch Inc 2591 61st St Lane Vinton,IA52349	42-1367193	501(c)(3)	6,433	USDA/Feeding America Valuation	Food	Feed those in need
(7) Christ Episcopal Church Loaves and Fishes Pantry Inc 220 40th St NE Cedar Rapids,IA52402	39-1879934	501(c)(3)	233,819	USDA/Feeding America Valuation	Food	Feed those in need
(8) Church of God Seventh Day Clothes Closet Giveaway PO Box 393 Marion,IA52302	32-0297742	501(c)(3)	76,847	USDA/Feeding America Valuation	Food	Feed those in need
(9) Coralville Ecumenical Pantry PO Box 5523 Coralville,IA52241	42-1136292	501(c)(3)	23,969	USDA/Feeding America Valuation	Food	Feed those in need
(10) Crisis Center 1121 Gilbert Ct Iowa City,IA52240	42-0955992	501(c)(3)	111,497	USDA/Feeding America Valuation	Food	Feed those in need
(11) First Baptist Church 29th Street Mission 1260 29th St Marion,IA52302	42-1138398	501(c)(3)	86,126	USDA/Feeding America Valuation	Food	Feed those in need
(12) First Lutheran Church Saturday Evening Meal Program 1000 3rd Ave SE Cedar Rapids,IA52403	42-0752621	501(c)(3)	7,845	USDA/Feeding America Valuation	Food	Feed those in need
(13) First Presbyterian Church of Cedar Rapids 310 5th St SE Cedar Rapids,IA52401	42-0680489	501(c)(3)	25,002	USDA/Feeding America Valuation	Food	Feed those in need
(14) First United Methodist Church North Liberty Community Pantry 85 North Jones Blvd North Liberty,IA52317	42-1233284	501(c)(3)	133,179	USDA/Feeding America Valuation	Food	Feed those in need
(15) Foundation 2 Inc 1714 Johnson Ave NW Cedar Rapids,IA52404	42-1078444	501(c)(3)	42,799	USDA/Feeding America Valuation	Food	Feed those in need
(16) Four Oaks Family and Childrens Services 5400 Kirkwood Blvd SW Cedar Rapids,IA52404	42-0998726	501(c)(3)	44,857	USDA/Feeding America Valuation	Food	Feed those in need
(17) Green Square Meals Inc PO Box 5303 Cedar Rapids,IA52406	42-1307429	501(c)(3)	252,354	USDA/Feeding America Valuation	Food	Feed those in need
(18) HD Youth Center 1445 Mt Vernon Rd SE Cedar Rapids,IA52403	39-1907548	501(c)(3)	12,976	USDA/Feeding America Valuation	Food	Feed those in need
(19) Harvest Christian Daycare and Learning Center Inc 4070 22nd Ave SW Cedar Rapids,IA53404	26-3900028	501(c)(3)	28,880	USDA/Feeding America Valuation	Food	Feed those in need
(20) Hillside Wesleyan Church Hillside Wesleyan Church Food Pantry 2600 1st Ave NW Cedar Rapids,IA52405	42-1111974	501(c)(3)	10,952	USDA/Feeding America Valuation	Food	Feed those in need
(21) Horizons - a Family Service Alliance 819 5th St SE Cedar Rapids,IA52401	42-1135083	501(c)(3)	9,255	USDA/Feeding America Valuation	Food	Feed those in need
(22) Jane Boyd Community House 943 14th Ave SE Cedar Rapids,IA52401	42-0680359	501(c)(3)	30,793	USDA/Feeding America Valuation	Food	Feed those in need
(23) Jones County Community Food Bank 105 Broadway Place Anamosa,IA52205	42-0940030	Jones County	8,904	USDA/Feeding America Valuation	Food	Feed those in need
(24) Community Serving Community 2024 G St Iowa City,IA52240	26-4630052	501(c)(3)	7,977	USDA/Feeding America Valuation	Food	Feed those in need
(25) Lifeline Ministries CHurch 1101 Oakland Rd NE Cedar Rapids,IA52402	42-1497165	501(c)(3)	5,375	USDA/Feeding America Valuation	Food	Feed those in need
(26) Linn Community Food Bank Inc 310 5th St SE Cedar Rapids,IA52401	20-0076420	501(c)(3)	14,053	USDA/Feeding America Valuation	Food	Feed those in need
(27) Mechanicsville United Methodist Church 307 East 1st St Mechanicsville,IA52306	42-1228797	501(c)(3)	20,950	USDA/Feeding America Valuation	Food	Feed those in need
(28) Aging Services Inc 317 7th Ave SE No 302B Cedar Rapids,IA52401	23-7085316	501(c)(3)	63,501	USDA/Feeding America Valuation	Food	Feed those in need
(29) Mission of Hope 1700 B Ave NE Cedar Rapids,IA52403	42-1514642	501(c)(3)	143,948	USDA/Feeding America Valuation	Food	Feed those in need
(30) National Council of the United States Society of St Vincent DePaul 928 7th St SE Cedar Rapids,IA52401	42-0862588	501(c)(3)	431,436	USDA/Feeding America Valuation	Food	Feed those in need
(31) Neighborhood Centers of Johnson County PO Box 2491 Iowa City,IA52244	42-1060964	501(c)(3)	6,979	USDA/Feeding America Valuation	Food	Feed those in need
(32) North English Community Center Inc 210 S Main St North English,IA52316	42-1105354	501(c)(3)	7,977	USDA/Feeding America Valuation	Food	Feed those in need
(33) Northeast Iowa Food Bank PO Box 2397 Waterloo,IA50704	42-1169648	501(c)(3)	46,027	USDA/Feeding America Valuation	Food	Feed those in need
(34) Northeast Linn Food Pantry 137 North 4th St Central City,IA52214	42-1084802	Linn County	18,048	USDA/Feeding America Valuation	Food	Feed those in need
(35) Olin United Methodist Church Tri-County Pantry 102 W Locust St Olin,IA52320	26-0038804	501(c)(3)	28,564	USDA/Feeding America Valuation	Food	Feed those in need
(36) Olivet Presbyterian Church Olivet Neighborhood Mission 2000 1st Ave NW Cedar Rapids,IA52405	42-0757412	501(c)(3)	181,044	USDA/Feeding America Valuation	Food	Feed those in need
(37) Open Bible Standard Churches 1st Church of the Open Bible Pantry 1911 E Ave NW Cedar Rapids,IA52405	42-1217762	501(c)(3)	23,669	USDA/Feeding America Valuation	Food	Feed those in need
(38) Presbyterian Church USA Churches of Marion Pantry 864 12th St Marion,IA52302	42-0718481	501(c)(3)	18,317	USDA/Feeding America Valuation	Food	Feed those in need
(39) The Fountain Charitable Foundation 5195 Farmers Ave Kalona,IA52247	47-2554837	501(c)(3) PF	7,163	USDA/Feeding America Valuation	Food	Feed those in need
(40) River of Life Ministries River of Life Food Pantry 3801 Blairs Ferry Rd NE Cedar Rapids,IA52402	42-1332316	501(c)(3)	40,696	USDA/Feeding America Valuation	Food	Feed those in need
(41) Second Harvest Heartland 1140 Gervais Ave Maplewood,MN55109	23-7417654	501(c)(3)	85,364	USDA/Feeding America Valuation	Food	Feed those in need
(42) Shelter House Community Shelter and Transition Services 429 Southgate Ave Iowa City,IA52240	42-1231451	501(c)(3)	8,161	USDA/Feeding America Valuation	Food	Feed those in need
(43) SouthEast Linn Community Center Corporation 108 S Washington St Lisbon,IA52253	43-1406317	501(c)(3)	6,912	USDA/Feeding America Valuation	Food	Feed those in need
(44) St John of the Cross St John's Catholic Worker House Pantry PO Box 2321 Cedar Rapids,IA52406	42-1307304	501(c)(3)	19,723	USDA/Feeding America Valuation	Food	Feed those in need
(45) St Marks Lutheran Church Oxford Junction Food Pantry 102 W Church St Oxford Junction,IA52323	42-0996712	501(c)(3)	15,618	USDA/Feeding America Valuation	Food	Feed those in need
(46) St Stephens Food Bank 3145 Cedar Crest Ridge Dubuque,IA52003	42-1222356	501(c)(3)	18,576	USDA/Feeding America Valuation	Food	Feed those in need
(47) Table to Table Food Distribution Network 20 East Market St Iowa City,IA52245	42-1457219	501(c)(3)	2,374,763	USDA/Feeding America Valuation	Food	Feed those in need
(48) Tanager Place 2309 C St SW Cedar Rapids,IA52404	42-0688079	501(c)(3)	45,047	USDA/Feeding America Valuation	Food	Feed those in need
(49) The Catherine McAuley Center Inc 866 4th Ave SE Cedar Rapids,IA52403	42-1342872	501(c)(3)	9,648	USDA/Feeding America Valuation	Food	Feed those in need
(50) The River Community Church IC Compassions Food Pantry 1035 Wade St Iowa City,IA52240	42-0996859	501(c)(3)	53,189	USDA/Feeding America Valuation	Food	Feed those in need
(51) The Salvation Army 10 W Algonquin Des Plaines,IL60016	36-2167910	501(c)(3)	104,322	USDA/Feeding America Valuation	Food	Feed those in need
(52) Tipton Calvary Foursquare Church Bread of Life PO Box 347 Tipton,IA52772	94-2867223	501(c)(3)	12,722	USDA/Feeding America Valuation	Food	Feed those in need
(53) United Church of Christ St Johns UCC & Central City UCC Pantries 5609 Douglas Ave Des Moines,IA50310	42-0794367	501(c)(3)	29,041	USDA/Feeding America Valuation	Food	Feed those in need
(54) United Methodist Church Wyoming Methodist Food Pantry 107 N Washington St Wyoming,IA52362	42-1207035	501(c)(3)	11,707	USDA/Feeding America Valuation	Food	Feed those in need
(55) United States Conference of Catholic Bishops Metro Catholic Outreach 420 4th St NE Cedar Rapids,IA52401	53-0196617	501(c)(3)	284,217	USDA/Feeding America Valuation	Food	Feed those in need
(56) Vinton Presbyterian Church Senior Grocery Sack 608 1st Ave Vinton,IA52349	42-0688084	501(c)(3)	12,192	USDA/Feeding America Valuation	Food	Feed those in need
(57) Westdale Community Church 14945 Ventura Blvd Sherman Oaks,CA91403	23-7205272	501(c)(3)	16,951	USDA/Feeding America Valuation	Food	Feed those in need
(58) YMCA of the Cedar Rapids Metropolitan Area 207 Seventh Ave SE Cedar Rapids,IA52401	42-0680306	501(c)(3)	25,143	USDA/Feeding America Valuation	Food	Feed those in need
(59) Youth for Christ USA Inc 7670 S Vaughn Ct Englewood,CO80155	36-2193619	501(c)(3)	40,585	USDA/Feeding America Valuation	Food	Feed those in need

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) Nutrition assistance	23611	1,298,500
(2) Energy assistance	198	3,508,942
(3) Children assistance	8588	42,706
(4) Veteran support assistance	208	317,855
(5) Homelessness assistance	268	127,871
(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:	THE MAJORITY OF THE GRANTS ARE INCOME AND/OR ELIGIBILITY BASED SO THE ORGANIZATION ENSURES THAT IT FOLLOWS THE GUIDELINES OUTLINED IN EACH GRANT.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Hawkeye Area Community Action
Program Inc

Employer identification number
42-0898405

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF HIAWATHA IOWA	42-6025060	Noneavail	06-01-2010	1,342,650	REFINANCING BOND		X		X		X
B	City of Coralville Iowa	42-6004814	NONEAVAil	04-01-2011	346,735	ReFINANCING BOND		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	787,023		174,304
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	1,342,650		346,735
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	1,342,650		346,735
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........	X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, Part I, Line B:	In fiscal year 2011 Hawkeye Area Community Action Program, Inc. negotiated a lower interest rate on a tax exempt bond from the city of coralville that was issued prior to December 31, 2002. The bond is being listed as the interest rate was adjusted more than a .25%.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	5,207,205	6,311,088	USDA/Feeding America
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SUPPLIES )	X	62	28,128	Cost of donated prop
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

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

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

Yes

32a

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

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

32a

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

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

Return Reference	Explanation
Part I, Column (b):	Number of items contributed for food inventory is recorded by the organization in pounds of donated food. Donated supplies is recorded by the organization in number of contributions.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Hawkeye Area Community Action
Program Inc

Employer identification number

42-0898405

Return Reference	Explanation
Form 990, Part VI, Section A, line 4	During FY2016 the bylaws were updated as follows: The purpose of the organization was updated to add: Hawkeye Area Community Action Program, Inc. (HACAP) is a diverse, community-focused nonprofit dedicated to empowering and improving the lives of families, living with the everyday barriers of poverty. The power to determine major personnel was changed from the Board of Directors to the Chief Executive Officer. The selection of private sector board members was changed to indicate: These groups and interests will be selected by the Board of Directors to ensure that the Board has a continuing and effective mechanism for securing broad community involvement. One private sector seat shall be reserved for a member of the Food Reservoir Policy Council. Private sector representatives shall be elected to the board by the full membership of HACAP, except that the Food Reservoir Policy Council Representative shall be elected by the Food Reservoir Policy Council. Head Start requirements language was added to the bylaws indicating that at least one of the directors shall have expertise in fiscal management or accounting, one shall have expertise in early child education, and one shall be a licensed attorney. If there is not a director to meet each of these requirements the board shall use a consultant, or an individual with the qualifications required to meet the areas of expertise. Language was added to the bylaws in regards to minutes of the board meetings: The board shall keep written minutes of each meeting and shall record all votes, motions and seconds to motions therein. Copies of the minutes shall be kept at the Corporate office and shall be available to officers and directors. Copies of the minutes of the previous meeting shall be distributed to all members and shall be made available to the public upon request. Language was added to the bylaws in regards to closed sessions: The board of directors or the Steering Committee may go into Closed Session on any majority vote of the members of the Board of Directors or Steering Committee that are present. Separate minutes shall be kept of the Closed Sessions. Closed sessions may be entered into to consider HACAP's position with respect to any possible or threatened claims or actions against HACAP, employee or personnel matters or any other matters which, if considered in open session might lead to material harm to HACAP. Such employees present at any meeting may remain present during any closed session except as determined by the Board of Directors or the Steering Committee at the time of the vote on the motion to go into Closed Session. Closed sessions shall be ended by a motion and second a a majority vote of the Board of Directors or Steering Committee members present at the time that the Closed Session began.
Form 990, Part VI, Section B, line 11	Form 990 is reviewed at the Board of Directors Meeting prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	ANNUALLY, THE BOARD OF DIRECTORS AND ALL HAWKEYE AREA COMMUNITY ACTION PROGRAM, INC. STAFF MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST POLICY, COMMITMENT STATEMENT AND CODE OF ETHICS. THE BOARD OF DIRECTORS AND SENIOR MANAGEMENT STAFF ANNUALLY REVIEW A LISTING OF VENDORS THAT HAWKEYE AREA COMMUNITY ACTION PROGRAM, INC. HAS PAID $5,000 OR MORE AND ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS WITH VENDORS IN THAT CATEGORY. IF THERE IS A CONFLICT THE EMPLOYEE OR BOARD MEMBER CANNOT HAVE DECISION MAKING POWER REGARDING THE TRANSACTION.
Form 990, Part VI, Section B, line 15	ANNUALLY, A WAGE COMPARABILITY STUDY IS CONDUCTED, COMPARING Chief Executive Officer AND KEY POSITIONS' SALARIES AND BENEFITS TO COMPARABLE POSITIONS FROM IOWA WORKFORCE DEVELOPMENT, SIMILAR SIZED COMMUNITY ACTION AGENCIES IN THE STATE AND SIMILAR NON-PROFITS (SIZE AND SCOPE) IN THE CEDAR RAPIDS / IOWA CITY AREA. THE DATA IS PRESENTED TO THE STEERING COMMITTEE MEMBERS (LEADERSHIP COMMITTEE OF THE BOARD OF DIRECTORS) FOR APPROVAL.
Form 990, Part VI, Section C, line 19	The organization makes financial statements available for public inspection on the organization's website. The organization's governing documents and conflict of interest policy are available to the public upon request.
Form 990, Part IX, line 11g	Contracted & Professional Services: Program service expenses 5,034,308. Management and general expenses 32,335. Fundraising expenses 0. Total expenses 5,066,643.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HELPING PEOPLE DEVELOP SKILLS TO BECOME SUCCESSFUL AND BUILD STRONG COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	347
6	Total number of volunteers (estimate if necessary) .............	6	2,000
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	28,263,006	30,106,650
9	Program service revenue (Part VIII, line 2g) .........	1,196,305	1,051,986
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,573	7,253
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	29,465,884	31,165,889
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,767,282	11,068,079
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)	11,402,228	12,044,822
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	106,209	153,206
b	Total fundraising expenses (Part IX, column (D), line 25) 317,724
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	8,035,168	8,514,192
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	30,310,887	31,780,299
19	Revenue less expenses. Subtract line 18 from line 12.......	-845,003	-614,410
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	9,447,958	8,849,776
21	Total liabilities (Part X, line 26).............	3,805,537	3,820,165
22	Net assets or fund balances. Subtract line 21 from line 20.....	5,642,421	5,029,611

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 10,600,976 including grants of $ 6,621,361 ) (Revenue $ 500,601 )
	Food and Nutrition - Services include:-Channeling donated and purchased food to various community outlets that feed the needy.-Reimbursing registered home family day care providers for providing USDA approved meals and snacks to children in their care.-Providing prenatal and nutritional education and social assessment for pregnant women.-Providing assessment and outreach for low-cost or no-cost health insurance.-Providing well child care for children from birth through 21 years of age.-Administering the USDA funded Supplemental Nutrition Program for Women, Infants, and Children (WIC).-Providing oral health education and screening for children from birth up to age 21.-Providing nutritious meals and snacks that meet daily nutritional requirements for children and seniors.-Providing meals, medical information, medical equipment loans, and some property maintenance services for the elderly.

4b	(Code: ) (Expenses $ 8,664,192 including grants of $ 492,050 ) (Revenue $ 217,710 )
	Children - Services include:-Increasing quality child care capacity by providing training opportunities to child care centers and family day care homes. -Providing safe shelter for children during times of family crisis.-Head Start and Early Head Start programs to provide comprehensive child development for children from birth to age five, pregnant women, and their families.-Strengthening the quality and expanding the availability of child care for families with young children.-Providing opportunities for parents to strengthen parenting skills.

4c	(Code: ) (Expenses $ 6,615,873 including grants of $ 3,508,942 ) (Revenue $ 12,963 )
	Energy - Services include:-Energy efficiency education, budget counseling, and incentives for qualified households.-Energy crisis and bill payment assistance to elderly, disabled, and low-income households.-Weatherization assistance program to reduce personal utility costs by improving the housing stock of low-income individuals and families.-Housing rehabilitation to improve the safety of housing stock for low income households.

	(Code: ) (Expenses $ 2,397,425 including grants of $ 127,871 ) (Revenue $ 320,712 )
	Homelessness - Services include:-Temporary assistance to homeless children by providing funds for emergency childcare, health care, protective clothing, and education supplies or special events.-Operating the United Way of East Central Iowa "First Call for Help" call center to direct those in need to available community resources.-Providing support to communities in leveraging resources that bring together volunteers and families in need.-Managing a number of apartments and single-family dwellings for homeless families with children that provide them with safe and stable housing.-Stabilizing the homeless through safe housing, needs assessment, and creating action plans for returning to society.-Providing transitional housing for the homeless in four counties.-Providing permanent housing for chronically homeless unaccompanied adults in Linn County.

	(Code: ) (Expenses $ 1,154,922 including grants of $ 317,855 ) (Revenue $ 0 )
	Veteran Support - Services include:-Temporary assistance to homeless veterans and their families that provide housing and economic stability.-Providing case management services to veterans and their families that connect them with community resources and veteran's benefits.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 3,552,347 including grants of $ 445,726 ) (Revenue $ 320,712 )
4e	Total program service expenses29,433,388

(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
(A) Name and Title
(18) Danielle Kirkpatrick........................................................................ Secretary	1.00 .......................	X	X	0	0	0
(19) Jane Drapeaux........................................................................ Chief Executive Officer	40.00 .......................		X	133,308	0	11,420
(20) Mitchel Finn........................................................................ Deputy Executive Director	40.00 .......................		X	101,807	0	20,774
(21) James McGoldrick........................................................................ Chief Financial Officer	40.00 .......................		X	68,585	0	30,403

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	303,700	0	62,597

1a	Federated campaigns..		1a	1,052,439
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	22,174,430

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,879,781

g	Noncash contributions included in lines 1a-1f:$ 6,339,216
h Total.Add lines 1a-1f.......		30,106,650

			Business Code
2a	Food & Nutrition Revenue	624210	500,601	500,601
b	Homelessness Revenue	624200	320,712	320,712
c	Children Revenue	624100	217,710	217,710
d	Energy Revenue	624100	12,963	12,963
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,051,986

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,253			7,253
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			31,165,889	1,051,986	0	7,253

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	5,772,205	5,772,205
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	5,295,874	5,295,874
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 ....	381,331		340,630	40,701
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	8,254,275	7,713,217	446,104	94,954
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	732,962	636,513	90,244	6,205
9	Other employee benefits .......	1,371,827	1,236,234	123,979	11,614
10	Payroll taxes ...........	1,304,427	1,116,461	176,922	11,044
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	20,620		20,620
c	Accounting ...........	42,100		42,100
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17	153,206			153,206
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	5,066,643	5,034,308	32,335
12	Advertising and promotion ....
13	Office expenses .......	1,206,690	1,159,339	47,351
14	Information technology ......	45,389	43,404	1,985
15	Royalties ..
16	Occupancy ...........	884,173	337,025	547,148
17	Travel ............	270,464	242,020	28,444
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	119,342	96,269	23,073
20	Interest ...........	50,455	31,111	19,344
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	480,085	480,085
23	Insurance ...	225,735	154,505	71,230
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	Memberships	36,613	18,935	17,678
b	In-kind Supplies	28,128	28,128
c	Medical & Dental Suppli	24,362	24,362
d
e	All other expenses	13,393	13,393
25	Total functional expenses. Add lines 1 through 24e	31,780,299	29,433,388	2,029,187	317,724
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			693,663	1	509,581
2	Savings and temporary cash investments .........			360,383	2	395,147
3	Pledges and grants receivable, net ......			2,452,417	3	2,580,189
4	Accounts receivable, net .............			168,660	4	128,812
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 ........			563,078	8	372,402
9	Prepaid expenses and deferred charges ......			421,489	9	447,363
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	13,474,372
b	Less: accumulated depreciation	10b	9,124,916	4,752,541	10c	4,349,456
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			32,952	12	33,848
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,775	15	32,978
16	Total assets. Add lines 1 through 15 (must equal line 34)...			9,447,958	16	8,849,776

17	Accounts payable and accrued expenses .....	1,944,538	17	2,103,163
18	Grants payable ...		18
19	Deferred revenue .........	316,784	19	378,476
20	Tax-exempt bond liabilities .........	899,710	20	728,058
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 ..	614,781	23	584,496
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	29,724	25	25,972
26	Total liabilities. Add lines 17 through 25..	3,805,537	26	3,820,165

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	3,735,106	27	3,430,382
28	Temporarily restricted net assets ...........	1,907,315	28	1,599,229
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	5,642,421	33	5,029,611
34	Total liabilities and net assets/fund balances ........	9,447,958	34	8,849,776