TY 2021 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/1099-NEC)
(1) SHAYE MORIS...................................................................... EXECUTIVE DIRECTOR	40.00 .................		X	120,892	0	14,923
(2) DEAN PETERSON...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(3) MIKE GRAVES...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(4) STACEY PETERSON...................................................................... BOARD MEMBER UNTIL 9/30/21	0.35 .................	X		0	0	0
(5) JODY FORSYTHE...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(6) JEAN MASLOWSKI...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(7) DAWN ERICKSON...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(8) ERIN BRADSHAW...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(9) PATRICK MINER...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(10) CHRIS THOMPSON...................................................................... BOARD MEMBER	0.35 .................	X		0	0	0
(11) PAM KRALL...................................................................... BOARD TREASURER UNTIL 11/30/2021	0.35 .................	X	X	0	0	0
(12) PRAVEEN AGGARWAL...................................................................... BOARD TREASURER BEG 11/30/2021	0.35 .................	X	X	0	0	0
(13) MARY BERUBE...................................................................... BOARD SECRETARY	0.35 .................	X	X	0	0	0
(14) KATE DEAN...................................................................... BOARD VICE CHAIR	0.35 .................	X	X	0	0	0
(15) TIM MOWBRAY...................................................................... BOARD CHAIR	0.45 .................	X	X	0	0	0

- TIN:

SCHEDULE A
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2021

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

First 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	10,683,204	10,544,985	10,653,116	15,771,074	14,185,334	61,837,713
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	895,031	968,205	1,089,282	1,021,757	821,143	4,795,418
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	11,578,235	11,513,190	11,742,398	16,792,831	15,006,477	66,633,131
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons						0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.						0
c	Add lines 7a and 7b..						0
8	Public support. (Subtract line 7c from line 6.)						66,633,131

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...	11,578,235	11,513,190	11,742,398	16,792,831	15,006,477	66,633,131
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	76,203	91,205	83,358	101,010	255,411	607,187
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	76,203	91,205	83,358	101,010	255,411	607,187
11	Net income from unrelated business activities not included on 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.)..	11,654,438	11,604,395	11,825,756	16,893,841	15,261,888	67,240,318

First 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

99.100 %

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

92.560 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

0.900 %

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

0.620 %

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 (explain in Part VI). 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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization SECOND HARVEST NORTHERN LAKES FOOD BANK

Part I Contributors	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) (2021)

Schedule B (Form 990) (2021)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization SECOND HARVEST NORTHERN LAKES FOOD BANK			Employer identification number 36-3479964
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2021)

Additional Data

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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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2021

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 ....	532,764	361,431	301,316	327,849	234,236
b	Contributions ...	100,250	123,805	500	300	53,950
c	Net investment earnings, gains, and losses	79,636	50,192	62,158	-24,318	41,845
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	3,225	2,664	2,543	2,515	2,178
g	End of year balance ......	709,425	532,764	361,431	301,316	327,853

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

67.670 %

Term endowment SchDMd Bullet

32.330 %

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 .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....	1,102,851	592,408	510,443
e	Other .....	112,910	77,118	35,792
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				546,235

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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

Part VIII

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

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

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

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)MICHAEL E. MINER HUNGER ENDOWMENT FUND				709,425
(2)ASSETS HELD FOR SALE				1,293,400
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,002,825

Part X

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

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

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

Schedule D (Form 990) 2021

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	15,679,742
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	167,761
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	176,661
e	Add lines 2a through 2d .....................			2e	344,422
3	Subtract line 2e from line 1..................			3	15,335,320
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	15,335,320

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	14,051,585
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	303,243
e	Add lines 2a through 2d....................			2e	303,243
3	Subtract line 2e from line 1...................			3	13,748,342
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	13,748,342

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART V, LINE 4:	THE SECOND HARVEST MICHAEL E. MINER HUNGER ENDOWMENT IS A FUND TO ENSURE FOOD FOR THE HUNGRY OF NE MINNESOTA AND NW WISCONSIN IN PERPETUITY.
PART X, LINE 2:	SHNLFB IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND A SIMILAR SECTION OF THE STATE CODE. NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. SHNLFB HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, SHNLFB IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2018.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 176,661.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	IMPAIRMENT LOSS 303,243.

Schedule D (Form 990) 2021

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number
36-3479964

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) SUPERIOR VINEYARD 603 FAXON STREET SUPERIOR,WI54880	16-1696730	501(C)(3)	27,949	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(2) IRON COUNTY FOOD PANTRY 72 MICHIGAN AVENUE MONTREAL,WI54550	26-1879371	501(C)(3)	18,738	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(3) TRI COMMUNITY FOOD SHELF 5597 HIGHWAY 210 CROMWELL,MN55798	26-4571237	501(C)(3)	66,109	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(4) LINCOLN PARK CHILDREN AND FAMILIES COLLABORATIVE 2424 W 5TH STREET SUITE 10 DULUTH,MN55806	27-4990487	501(C)(3)	87,223	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(5) SUPERIOR SALVATION ARMY 916 HUGHITT AVENUE SUPERIOR,WI54880	36-2167910	501(C)(3)	482,567	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(6) REDEMPTION MINISTRIES 2701 WEST 3RD STREET DULUTH,MN55806	36-3369023	501(C)(3)	8,876	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(7) CENTER CITY HOUSING 105 1/2 W 1ST ST DULUTH,MN55802	36-3485584	501(C)(3)	48,011	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(8) BARNES FOOD PANTRY 3200 COUNTY ROAD N BARNES,WI54873	39-1456203	501(C)(3)	7,665	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(9) IRON RIVER RURAL CARE & SHARE 68160 S GEORGE STREET IRON RIVER,WI54847	39-1460868	501(C)(3)	29,641	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(10) RURAL CARE & SHARE FOOD SHELF 9545 E HIGHWAY 2 POPLAR,WI54864	39-1460868	501(C)(3)	30,395	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(11) CHALLENGE CENTER 39 N 25TH STREET E SUPERIOR,WI54880	39-1658019	501(C)(3)	65,520	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(12) FAITH UNITED METHODIST CHURCH 1531 HUGHITT AVENUE SUPERIOR,WI54880	39-1840533	501(C)(3)	420,245	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(13) WOODLAND HILLS 4321 ALLENDALE AVENUE DULUTH,MN55803	41-0693848	501(C)(3)	22,983	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(14) CLOQUET SALVATION ARMY 316 CARLTON AVENUE CLOQUET,MN55720	41-0698597	501(C)(3)	259,840	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(15) DULUTH SALVATION ARMY 215 S 27TH AVENUE WEST DULUTH,MN55806	41-0698597	501(C)(3)	58,031	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(16) HIBBING SALVATION ARMY 107 W HOWARD STREET HIBBING,MN55746	41-0698597	501(C)(3)	887,283	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(17) VIRGINIA SALVATION ARMY 507 12TH AVENUE WEST VIRGINIA,MN55792	41-0698597	501(C)(3)	360,293	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(18) WATER'S EDGE COMMUNITY CHURCH 2202 W 3RD STREET DULUTH,MN55806	41-0713866	501(C)(3)	50,748	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(19) RANGE MENTAL HEALTH (RMH) 3203 3RD AVENUE W HIBBING,MN55746	41-0849301	501(C)(3)	21,834	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(20) VALLEY YOUTH CENTERS OF DULUTH 720 N CENTRAL AVENUE DULUTH,MN55807	41-0850223	501(C)(3)	61,671	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(21) LUTHERAN SOCIAL SERVICES 424 W SUPERIOR STREET DULUTH,MN33802	41-0872993	501(C)(3)	53,621	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(22) ELIJAH'S PANTRY 501 - 7TH AVENUE TWO HARBORS,MN55616	41-0907044	501(C)(3)	34,015	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(23) COOK COMMUNITY FOOD SHELF PO BOX 633 124 - 5TH ST SE COOK,MN55723	41-0908605	501(C)(3)	70,578	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(24) BOYS & GIRLS CLUB OF THE NORTHLAND PO BOX 16435 DULUTH,MN55816	41-0969947	501(C)(3)	33,958	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(25) CHURCHES UNITED IN MINISTRY (CHUM) 102 W 2ND STREET DULUTH,MN55802	41-1227969	501(C)(3)	649,735	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(26) KIDDY KAROUSEL 3920 13TH AVENUE EAST HIBBING,MN55746	41-1236276	501(C)(3)	23,556	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(27) FLOODWOOD FOOD SHELFSERVICES AND TRAINING 601 ASH STREET FLOODWOOD,MN55736	41-1296075	501(C)(3)	35,058	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(28) SAFE HAVEN SHELTER PO BOX 3558 DULUTH,MN55812	41-1317462	501(C)(3)	56,505	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(29) DAMIANO OF DULUTH 206 W 4TH STREET DULUTH,MN55806	41-1453521	501(C)(3)	209,207	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(30) MN TEEN CHALLENGE CENTER 2 EAST SECOND STREET DULUTH,MN55802	41-1517351	501(C)(3)	69,858	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(31) FRUIT OF THE VINE - VINEYARD 1533 ARROWHEAD ROAD DULUTH,MN55811	41-1680001	501(C)(3)	525,994	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(32) LIFE HOUSE 102 W 1ST STREET DULUTH,MN55802	41-1704840	501(C)(3)	98,293	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(33) AICHO 202 W 2ND STREET DULUTH,MN55802	41-1782394	501(C)(3)	78,945	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(34) AURORA BIWABIK FOOD SHELF 19 W 3RD AVENUE NORTH AURORA,MN55705	41-6052144	501(C)(3)	240,138	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(35) CHISHOLM FOOD SHELF 10 CENTRAL AVENUE NORTH CHISHOLM,MN55719	41-6052144	501(C)(3)	198,245	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(36) ELY FOOD SHELF PO BOX 786 40 N 1ST AVE E ELY,MN55731	41-6052144	501(C)(3)	220,343	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(37) GRAND MARAIS FOOD SHELF AEOA PO BOX 95 GRAND MARAIS,MN55604	41-6052144	501(C)(3)	46,646	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(38) PROCTOR FOOD SHELF AEOA 415 2ND STREET PROCTOR,MN55810	41-6052144	501(C)(3)	86,331	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(39) QUAD CITY FOOD SHELF AEOA 3 SOUTH BROADWAY GILBERT,MN55741	41-6052144	501(C)(3)	1,118,152	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(40) SILVER BAY FOOD SHELF AEOA 99 EDISON BOULEVARD SILVER BAY,MN55614	41-6052144	501(C)(3)	25,257	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(41) TOWER FOOD SHELF AEOA PO BOX 463 TOWER,MN55790	41-6052144	501(C)(3)	27,213	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(42) TWO HARBORS FOOD SHELF 2124 - 10TH STREET AEOA BUILDING TWO HARBORS,MN55616	47-1321541	501(C)(3)	189,410	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(43) BAYFIELD AREA FOOD PANTRY PO BOX 729 BAYFIELD,WI54814	56-2618057	501(C)(3)	114,282	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(44) THE BRICK 420 ELLIS AVENUE ASHLAND,WI54806	61-1536545	501(C)(3)	291,693	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(45) MOOSE LAKE FOOD SHELF 409 1/2 4TH STREET MOOSE LAKE,MN55767	80-0642004	501(C)(3)	111,923	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED
(46) RUTH HOUSE MINISTRY TWIN PORTS 632 GRAND AVENUE SUPERIOR,WI54880	83-2939446	501(C)(3)	14,559	FMV	DONATED AND WHOLESALE FOOD	FEEDING PEOPLE IN NEED

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2021

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) DISTRIBUTION OF COMMODITY FOODS TO SENIORS	9335	541,244	FMV	COMMODITY AND DONATED FOODS
(2) DISTRIBUTION OF DONATED, WHOLESALE AND COMMODITY FOODS TO PEOPLE IN NEED	62214	3,042,032	FMV	DONATED, WHOLESALE AND COMMODITY FOODS
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
PART I, LINE 2:	AS GRANTS ARE RECEIVED, OUR FOOD BANK CLOSELY MONITORS THE EXPENSE AND PROGRAM CONTENT RELATED TO EACH GRANT. THIS INVOLVES REPORT COMPILATION UTILIZING OUR FOOD BANK'S INVENTORY AND ACCOUNTING SOFTWARE. THIS INFORMATION IS REVIEWED INTERNALLY AND REPORTED TO OUR GRANT FUNDERS.
PART II, LINE 2:	MANY ORGANIZATIONS RECEIVE MULTIPLE GRANTS TO SUPPORT THEIR VARIOUS PROGRAMS. PART II, LINE 2 REPRESENTS THE NUMBER OF ORGANIZATIONS LISTED ON LINE 1 BASED ON THEIR EMPLOYER IDENTIFICATION NUMBER (EIN). SEE PART II, LINE 1, COLUMN B.

Schedule I (Form 990) 2021

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	6	25,391	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	6,085,253	10,892,602	ANNUAL VALUATION SURVEY
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

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

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't 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 nonstandard contributions?

32a

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

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

32a

If "Yes," describe in Part II.

If the organization didn't 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) (2021)

Page 2

Part IISupplemental 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):	LINE 9: NUMBER OF CONTRIBUTIONS LINE 19: POUNDS OF FOOD

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SECOND HARVEST NORTHERN LAKES FOOD BANK

Employer identification number

36-3479964

Return Reference	Explanation
FORM 990, PART I, LINE 6	SECOND HARVEST NORTHERN LAKES FOOD BANK RECORDS ALL HOURS CONTRIBUTED BY VOLUNTEERS. VOLUNTEERS SIGN IN TO EACH ACTIVITY, THEIR INFORMATION IS RECORDED IN OUR DATABASE, REPORTS ARE PRODUCED BOTH MONTHLY AND ANNUALLY. VOLUNTEERS SORT, RE-PACK AND LABEL FOOD; ASSIST IN OUR PROGRAMS, PERFORM ADMINISTRATIVE TASKS AND THOSE RELATED TO OUR SPECIAL EVENTS.
FORM 990, PART VI, SECTION B, LINE 11B	SECOND HARVEST NORTHERN LAKES FOOD BANK'S BOARD FINANCE COMMITTEE REVIEWS THE 990 AND AUDITED FINANCIAL STATEMENTS. BOTH DOCUMENTS ARE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW. THE FINANCE COMMITTEE RECOMMENDS ACCEPTANCE/APPROVAL AT ITS REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	SECOND HARVEST NORTHERN LAKES FOOD BANK BOARD MEMBERS ANNUALLY REVIEW AND SIGN THEIR CONFLICT OF INTEREST POLICY. THE EMPLOYEE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED AS A PART OF THE EMPLOYEE HANDBOOK. SECTION 1: PURPOSE THE PURPOSE OF THIS CONFLICT OF INTEREST POLICY IS TO ESTABLISH THE PROCEDURES APPLICABLE TO THE IDENTIFICATION AND RESOLUTION OF CONFLICTS OF INTEREST IN THE CONTEXT OF TRANSACTIONS OR ARRANGEMENTS ENTERED INTO BY SECOND HARVEST NORTHERN LAKES FOOD BANK WHERE AN INTERESTED PERSON (DEFINED BELOW) MAY HAVE A FINANCIAL INTEREST (DEFINED BELOW) IN OR FIDUCIARY RESPONSIBILITY (AS DEFINED BELOW) TOWARDS AN INDIVIDUAL OR ENTITY WITH WHICH SECOND HARVEST NORTHERN LAKES FOOD BANK IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. THE DETERMINATION THAT A CONFLICT OF INTEREST EXISTS DOES NOT PROHIBIT SECOND HARVEST NORTHERN LAKES FOOD BANK FROM ENTERING INTO THE PROPOSED TRANSACTION OR ARRANGEMENT PROVIDED THAT THE PROCEDURES SET FORTH IN SECTION 3 BELOW ARE FOLLOWED. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. SECTION 2: DEFINITIONS A. INTERESTED PERSON ANY DIRECTOR, PRINCIPAL OFFICER, EMPLOYEE, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO HAS EITHER (A) A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW ("FINANCIAL INTEREST"); OR (B) A FIDUCIARY RESPONSIBILITY TO ANOTHER ORGANIZATION, AS DEFINED BELOW ("FIDUCIARY RESPONSIBILITY"), IS AN INTERESTED PERSON. B. FINANCIAL INTEREST A PERSON HAS A FINANCIAL INTEREST IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY. FAMILY INCLUDES, SPOUSE, ANCESTORS, BROTHERS AND SISTERS (NATURAL OR STEP), CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDCHILDREN, GREAT GRANDCHILDREN AND COUNTERPARTS BY MARRIAGE (INCLUDING DOMESTIC PARTNERSHIPS). SECTION 3: PROCEDURES A. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST OR FIDUCIARY RESPONSIBILITY AND ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. B. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST OR FIDUCIARY RESPONSIBILITY AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE WILL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINAL DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. C. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST 1. AN INTERESTED PERSON MAY MAKE A FACTUAL PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED PERSON WILL NOT ACTIVELY PARTICIPATE IN THE DISCUSSION OF, OR VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST, EITHER FORMALLY AT A BOARD OR COMMITTEE MEETING OR INFORMALLY THROUGH CONTACT WITH INDIVIDUAL BOARD OR COMMITTEE MEMBERS. IN ADDITION, THE INTERESTED PERSON SHOULD NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT FOR THE BOARD OR COMMITTEE MEETING AT WHICH THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST IS TO BE VOTED UPON. 2. THE CHAIR OF THE BOARD OR COMMITTEE WILL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. 3. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE WILL DETERMINE WHETHER SECOND HARVEST NORTHERN LAKES FOOD BANK CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE (OR OTHER VOTING REQUIREMENT, AS PROVIDED IN THE BYLAWS OF SECOND HARVEST NORTHERN LAKES FOOD BANK) OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN SECOND HARVEST NORTHERN LAKES FOOD BANK INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO SECOND HARVEST NORTHERN LAKES FOOD BANK AND WILL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. SECTION 4: VIOLATIONS OF THE CONFLICT OF INTEREST POLICY A. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT WILL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	SECOND HARVEST NORTHERN LAKES FOOD BANK'S BOARD OF DIRECTORS ANNUALLY APPROVES SALARY RANGES FOR EACH EMPLOYEE POSITION. SALARY RANGES ARE DEVELOPED USING COMPARABLE DATA PROVIDED BY THE MINNESOTA COUNCIL OF NONPROFITS SALARY & BENEFITS SURVEY, THE FEEDING AMERICA COMPENSATION & BENEFITS SURVEY, AND AT TIMES OTHER MARKET SOURCES. THE BOARD'S EXECUTIVE COMMITTEE CONDUCTS THE EXECUTIVE DIRECTOR'S ANNUAL PERFORMANCE EVALUATION. UTILIZING THEIR EXECUTIVE DIRECTOR COMPENSATION PHILOSOPHY AND STRATEGY PROCEDURE THEY RECOMMEND COMPENSATION FOR THE EXECUTIVE DIRECTOR TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	SECOND HARVEST NORTHERN LAKES FOOD BANK'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AND ON FILE AT THEIR REGISTERED ADDRESS FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). ADDITIONALLY, FINANCIAL STATEMENTS FOR THE PRIOR THREE (3) YEARS ARE AVAILABLE ON SECOND HARVEST NORTHERN LAKES FOOD BANK'S WEBSITE: WWW.NORTHERNLAKESFOODBANK.ORG.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 176,661. IMPAIRMENT LOSS -303,243.
FORM 990, PART XI, LINE 6	SECOND HARVEST NORTHERN LAKES FOOD BANK VOLUNTEERS CONTRIBUTED 13,822 HOURS OF SERVICE VALUED AT $206,639.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: END HUNGER TOGETHER IN NE MINNESOTA AND NW WISCONSIN.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	20
6	Total number of volunteers (estimate if necessary) .............	6	1,250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,771,074	14,185,334
9	Program service revenue (Part VIII, line 2g) .........	1,021,757	821,143
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	99,272	328,843
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)	16,892,103	15,335,320
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	11,999,738	11,700,450
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)	1,016,237	950,518
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 315,310
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	949,757	1,097,374
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	13,965,732	13,748,342
19	Revenue less expenses. Subtract line 18 from line 12.......	2,926,371	1,586,978
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	10,411,591	11,885,748
21	Total liabilities (Part X, line 26).............	273,498	119,498
22	Net assets or fund balances. Subtract line 21 from line 20.....	10,138,093	11,766,250

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 9,130,790 including grants of $ 8,117,174 ) (Revenue $ 762,436 )
	SECOND HARVEST NORTHERN LAKES FOOD BANK'S PRIMARY PROGRAM IS FOOD BANKING. AS THE ONLY "FOOD BANK" SERVING NE MINNESOTA (ST. LOUIS, CARLTON, LAKE AND COOK COUNTIES) AND NW WISCONSIN (DOUGLAS, BAYFIELD, ASHLAND AND IRON COUNTIES), WE RESCUE NATIONALLY AND REGIONALLY DONATED FOOD FROM MANUFACTURERS, WHOLESALERS, RETAILERS AND GROWERS, FOR DISTRIBUTION TO OVER 68 NON-PROFIT AGENCY PARTNERS (SOUP KITCHENS, FOOD SHELVES, SHELTERS AND OTHER CHARITABLE PARTNERS). IN 2021, WE PROVIDED 4,627,611 POUNDS OF FOOD AND GROCERY PRODUCT, THE EQUIVALENT OF 3.7 MILLION MEALS, TO OUR AGENCY PARTNERS. WE ESTIMATE THAT OUR NATIONALLY AND REGIONALLY DONATED, AND PURCHASED FOOD, REACHED AND FED APPROXIMATELY 44,000 PEOPLE IN NEED. VOLUNTEERS ARE CRITICAL TO OUR FOOD BANK AND ITS OPERATIONS. VOLUNTEERS CONTRIBUTED 6,462 HOURS TO OUR FOOD BANK PROGRAM WHICH WAS THE EQUIVALENT OF 3.1 FULL-TIME POSITIONS AT OUR ORGANIZATION.

4b	(Code: ) (Expenses $ 1,274,186 including grants of $ 1,126,598 ) (Revenue $ 0 )
	OUR FOOD SHELF IS A PROGRAM OPERATED BY SECOND HARVEST NORTHERN LAKES FOOD BANK TO PROVIDE FOOD DIRECTLY TO PEOPLE IN OUR AREA. IN 2021, WE PROVIDED FOOD SHELF SERVICE DIRECTLY TO AN AVERAGE OF 1,025 IN-NEED CHILDREN, ADULTS AND SENIORS PER MONTH WHO RESIDE IN HERMANTOWN, COMMUNITIES THAT ARE NORTH AND/OR ADJACENT. WE DISTRIBUTED 673,803 POUNDS OF FOOD AND GROCERY PRODUCT TO OUR FOOD SHELF PARTICIPANTS WHICH IS THE EQUIVALENT OF 539,042 MEALS. ON AVERAGE, OUR FOOD SHELF PARTICIPANTS RECEIVED A 15-DAY SUPPLY OF FOOD FOR EACH MEMBER IN THEIR HOUSEHOLD AT EACH VISIT. OUR FOOD SHELF IS OPERATED ALMOST ENTIRELY BY VOLUNTEERS. DESPITE THE CONTINUED IMPACT OF THE COVID-19 PANDEMIC ON OUR VOLUNTEER PROGRAM IN 2021, VOLUNTEERS CONTRIBUTED 2,331 HOURS OF SERVICE OR 92% OF THE HOURS NEEDED TO CARRY OUT THIS PROGRAM WHICH WAS THE EQUIVALENT OF 1.1 FULL-TIME POSITIONS AT OUR ORGANIZATION.

4c	(Code: ) (Expenses $ 1,089,582 including grants of $ 970,789 ) (Revenue $ 0 )
	THE CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) WAS A TEMPORARY, NEW USDA PROGRAM DEVELOPED IN 2020 TO PROVIDE SUPPORT TO U.S. FARMERS, MAINTAIN THE INTEGRITY OF THE FOOD SUPPLY CHAIN, AND ENSURE ADDITIONAL FOOD FOR THOSE IMPACTED BY THE COVID-19 PANDEMIC. SECOND HARVEST NORTHERN LAKES FOOD BANK OPERATED THIS PROGRAM JUNE 2020 THROUGH MAY 2021. IN 2021, WE PROVIDED 542,340 POUNDS OF ADDITIONAL, SUPPLEMENTAL FOOD, THE EQUIVALENT OF 433,872 MEALS, TO FAMILIES, CHILDREN AND SENIORS THROUGHOUT NE MINNESOTA AND NW WISCONSIN WHO WERE IMPACTED BY THE COVID-19 PANDEMIC. IN 2021, VOLUNTEERS CONTRIBUTED 351 HOURS OF SERVICE OR THE EQUIVALENT OF A .17 FULL-TIME POSITION TO CARRY OUT THIS PROGRAM.

	(Code: ) (Expenses $ 954,683 including grants of $ 832,453 ) (Revenue $ 0 )
	MOBILE FOOD PANTRY PROGRAMS ARE OPERATED BY SECOND HARVEST NORTHERN LAKES FOOD BANK TO SUPPLEMENT FOOD DISTRIBUTION IN NE MINNESOTA AND NW WISCONSIN COMMUNITIES WHERE SERVICE IS LIMITED OR IN GREATER DEMAND THAN LOCAL RESOURCES ARE AVAILABLE. IN 2021, WE PROVIDED SERVICE IN FIVE (5) LOCATIONS, INCLUDING TWO NEW LOCATIONS, SERVING AN AVERAGE OF 1,660 IN-NEED CHILDREN, ADULTS AND SENIORS PER MONTH. WE DISTRIBUTED 558,033 POUNDS OF FOOD AND GROCERY PRODUCT TO OUR PANTRY PARTICIPANTS WHICH IS THE EQUIVALENT OF 446,426 MEALS. ON AVERAGE, OUR MOBILE FOOD PANTRY PARTICIPANTS RECEIVED A 9-DAY SUPPLY OF FOOD FOR EACH MEMBER IN THEIR HOUSEHOLD AT EACH VISIT. DESPITE THE CONTINUED IMPACT OF THE COVID-19 PANDEMIC ON OUR VOLUNTEER PROGRAM IN 2021, VOLUNTEERS CONTRIBUTED 1,190 HOURS OF SERVICE OR THE EQUIVALENT OF A .57 FULL-TIME POSITION AT OUR ORGANIZATION.

	(Code: ) (Expenses $ 628,764 including grants of $ 541,244 ) (Revenue $ 83,707 )
	THE NUTRITION ASSISTANCE PROGRAM FOR SENIORS (NAPS) IS A FEDERAL COMMODITY FOOD PROGRAM ADMINISTERED BY THE MINNESOTA DEPARTMENT OF HEALTH AND IMPLEMENTED LOCALLY BY SECOND HARVEST NORTHERN LAKES FOOD BANK. IN 2021, WE PROVIDED COMMODITY FOOD BOXES TO AN AVERAGE OF 778 IN-NEED SENIORS PER MONTH THROUGHOUT NE MINNESOTA. WE DISTRIBUTED 302,371 POUNDS OF FOOD OR THE EQUIVALENT OF 241,897 MEALS. ON AVERAGE, OUR NAPS PARTICIPANTS RECEIVED A 9-DAY SUPPLY OF FOOD AS PART OF OUR MONTHLY SERVICE. OUR NAPS PROGRAM RELIES HEAVILY ON VOLUNTEERS. DESPITE THE CONTINUED IMPACT OF THE COVID-19 PANDEMIC ON OUR VOLUNTEER PROGRAM IN 2021, VOLUNTEERS CONTRIBUTED 1,788 HOURS OF SERVICE OR THE EQUIVALENT OF A .86 FULL-TIME POSITION AT OUR ORGANIZATION.

	(Code: ) (Expenses $ 141,554 including grants of $ 112,192 ) (Revenue $ )
	THE BACKPACK PROGRAM IS OPERATED BY SECOND HARVEST NORTHERN LAKES FOOD BANK, IN PARTNERSHIP WITH REGIONAL SCHOOLS, TO PROVIDE FOOD TO CHILDREN IN NEED ON WEEKENDS WHEN THEY MAY BE MISSING THEIR FEDERALLY SUBSIDIZED SCHOOL BREAKFAST AND/OR LUNCH. DESPITE CONTINUED DISRUPTION BY THE COVID-19 PANDEMIC ON SCHOOLS IN 2021, WE DISTRIBUTED 134,049 POUNDS OF FOOD OR THE EQUIVALENT OF 107,239 MEALS THROUGH OUR WEEKEND BAGS SUPPLIED TO CHILDREN IN NEED. ON AVERAGE OUR BACKPACK PROGRAM PARTICIPANTS RECEIVED 4.5 MEALS/SNACKS AS PART OF OUR SERVICE. DESPITE THE CONTINUED IMPACT OF THE COVID-19 PANDEMIC ON OUR VOLUNTEER PROGRAM IN 2021, VOLUNTEERS CONTRIBUTED 1,700 HOURS OF SERVICE OR THE EQUIVALENT OF A .82 FULL-TIME POSITION AT OUR ORGANIZATION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,725,001 including grants of $ 1,485,889 ) (Revenue $ 83,707 )
4e	Total program service expenses13,219,559

(A) Name and business address	(B) Description of services	(C) Compensation
BRAD CECIL & ASSOCIATES INC 2115 ARLINGTON DOWNS RD ARLINGTON,TX76011	CONSULTING SERVICES	200,288




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 1

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	120,892	0	14,923

1a	Federated campaigns..		1a	38,574
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	3,278,372

f	All other contributions, gifts, grants, and similar amounts not included above		1f	10,868,388

g	Noncash contributions included in lines 1a - 1f:$		1g	10,917,993

h Total. Add lines 1a-1f.......		14,185,334

		Business Code
2a	FOOD BANKING	624200	737,436	737,436
b	NUTRITIONAL ASST. FOR SENIORS	624200	83,707	83,707
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		821,143

3 Investment income (including dividends, interest, and othersimilar amounts) ......			255,411			255,411
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	25,000	4,169,980	7a
b	Less: cost or other basis and sales expenses	0	4,121,548	7b
c	Gain or (loss)	25,000	48,432	7c
d	Net gain or (loss).........			73,432	25,000		48,432
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
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.....			15,335,320	846,143	0	303,843

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	8,117,174	8,117,174
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	3,583,276	3,583,276
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	135,815	27,163	81,489	27,163
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........	668,303	584,379	62,302	21,622
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	85,464	74,425	8,197	2,842
10	Payroll taxes ...........	60,936	46,989	10,411	3,536
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	29,507	23,607	5,900
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	73,529	45,588	11,765	16,176
12	Advertising and promotion ....	63,534	14,613	1,271	47,650
13	Office expenses .......	283,949	79,421	12,906	191,622
14	Information technology ......	39,156	33,674	783	4,699
15	Royalties ..
16	Occupancy ...........	69,089	62,180	6,909
17	Travel ............	5,502	5,080	422
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,999	2,584	415
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	184,935	184,935
23	Insurance ...	52,236	45,441	6,795
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	FOOD TRANSPORTATION & S	276,041	276,041
b	MISCELLANEOUS	7,848	6,240	1,608
c	SUBSCRIPTIONS & DUES	5,145	4,186	959
d	REPAIRS AND MAINTENANCE	3,904	2,563	1,341
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	13,748,342	13,219,559	213,473	315,310
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 ........			730,722	1	381,647
2	Savings and temporary cash investments .........			30,032	2	130,251
3	Pledges and grants receivable, net ......			484,417	3	171,414
4	Accounts receivable, net .............			76,496	4	65,424
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			837,451	8	812,002
9	Prepaid expenses and deferred charges ......			539	9	726
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,215,761
b	Less: accumulated depreciation	10b	669,526	2,119,434	10c	546,235
11	Investments—publicly traded securities .			5,599,736	11	7,775,224
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			532,764	15	2,002,825
16	Total assets. Add lines 1 through 15 (must equal line 33)...			10,411,591	16	11,885,748

17	Accounts payable and accrued expenses .....	109,498	17	119,498
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	164,000	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	273,498	26	119,498

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	9,758,276	27	11,286,183
28	Net assets with donor restrictions ...........	379,817	28	480,067
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	10,138,093	32	11,766,250
33	Total liabilities and net assets/fund balances ........	10,411,591	33	11,885,748