** PUBLIC DISCLOSURE COPY **

Name of organization

THE FREESTORE FOODBA]iIK FOUNDATION

Number and street (or P.0. box il mail is not delivered to stre€t address)

LLAL CENTRAL PARKWAYCity or town, state or province, country, and ZIP or foreign postal code

INCINNATI, OH 45202F Name and address of principal officer: KURT REIBERSAME AS C ABOVE

Year ot lormation: 1 9 9 9

8 Contributions and grants (Part Vlll, line t h)

I Program service revenue (Part Vlll, line 29)

10 lnvestment income (Part Vlll, column (A), lines 3, 4. and 7d) ........................11 Other revenue (Part Vlll, column (A), lines 5, 6d, 8c,9c, 10c, and 11e)

12 Total revenue-add lines 8 throuqh 11 (must equal Part Vlll. column (A). line 1

l_,159 ,044.*14 .889.

43.155.13 Grants and similar amounts paid (Part lX, column (A), lines 1 3)

14 Benefits paid to or for members (Part lX, column (A), line 4)

15 Salaries, other comp€nsation, employee benefits (Part lX, column (A). lines 5-10)

16a Professional fundraising fees (Part lX, column (A), line 1 1 e) ... ..

bTota|fundraiSingexpenses(Part|X,co|umn(D),line25)>17 Otherexp€nses (Part lX, column (A), lineslla-11d, 11f-24e) ..

18 Total expenses. Add lines 13-1 7 (must equal Part lX, column (A), line 25)

19 Revenue less exoenses. Subtract line 18 from line 12

355 .282.

42 .885 .

2O Total assets (Part X, line 16)

21 Total liabilities (Part X, line 26)

22 Net assets or fund balances. Subtract line 21 from line 20

9,36r. ,622.

36]- 622.

Return of Organization Exempt From Income TaxUnder section $1(cl, 527, or 4947(a)(1) of the Internal Revenue Code (except private foundatirrns)

) Do not enter socaal security numbers on this form as it may be made purlrlic.

OMB No 15a5-0047

-,'990Department of lhe Treasrylnternal Rewnw Service

A For the 2O16 calendar

B check ffapplicable

-AddessLlchanget--- l NameL l change

f---- InitialI lrerfnl----lFtmlL----lretun/

terminaled

l----l ArendedI lrelunf__-lApplica-I tton

pendr ng

about Form 99O and its insfuctions isbeginning JUL 201 JUN 30, 2OL7

D Employer identification number

31-L670386f Telephone number

5r_3 482- 4500

o

o

(5o!

o

.2a

G G.ossreceipts$

H(a) ls this a group return

for subordinatesl f-.l ve" [Xl NoH(b) ere arr ilbordimtes irctudeot f_-] Y." f_-] ruo

lf "No," attach a list. (see instructions)

J Website: N/Adomicile: OH

ary'l Briefly describe the organization's mission or most significant activities: TO PROVIDE INCOME TO THE FSFB

ITS SOLE BENEFICIARY, ON A DEPENDABLE, YEAR-TO-YEAR BASIS2 Check this box > [--] if the organization discontinued its operations or disposed of more lhan 25o/a of its net assets.

3 Numberof votingmembersof thegoverningbody(PartVl, linela) l34 Number of independent voting members of the governing body (Part Vl, line 1b)

5 Total number of individuals ernployed in calendar year 2016 (Part V, line 2a) .

6 Total number of volunteers (estimate if necessaM

7 a Total unrelated business revenue from Part Vlll, column (C), line 12

b Net unref ated businsss taxable income from Form 99GT. line 34 . . .. .

2L6,727.

292 7 2L.

509 448.404 9]-2.

47,805.452 111

592 529.

592 529.

Under penalties of perjury, I declare thal I have thrs return, includrng accompanying schedules and statemsnts, and t0 the best of my knowledge and belie{, it is

true. correct, and complete. Declaration ol pf thar officer) is based on all inlormation of which preparer has any k

SignHere TIMOTHY WEIDNER CHIEF FINANCIAI, OFFICER

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7356

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Paid

Preparer

Use 0nly

or print name and title

PTIN

0r_679066Firm's EIN 31-08000s3

Phone n0.513-24\ - 3111

08/1_BPrinyType preparer's name

LL M. SULLIVAN, CPAPreparer's signature

LL M. SULLIVAI{SCHAEFER, HACKETT & CO.

Firmsaddress;,. 1 EAST 4TH STREETCINCINNATI, OH 45202

LFIA For Paperwork Reduction Act Notce, see the separate instructions. rorm 990 lzot o;

Formse0(2o16) THE FREESTORE FOODBAIIK FOUNDATION 3L-I670386 paoc2

CheckifScheduleOcontainsaresponseornotetoanvlineinthisPartlll .... .. ................ . . _1 Briefly describe the organization's mission.

TO PROVIDE INCOME TO THE FREESTORE FOODBA}IK, TTS SOLE BENEFICIARY ONA DEPENDABLE, YEAR-TO-YEAR BASIS, HELPING ENSURE THE FREESTOREFOODBANK' S LONG-TERM FTNANCIAL STABTLITY.

Did the organization undertake any significant program services during the year which were not listed on theprior Form 990 or 99GfZ?lf "Yes, " describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services?

fIY." lT-l ruo

flY." [Flruolf "Yes, " describe these changes on Schedule O.

Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.Section 50t (c)(3) and 501 (c)( ) organizations are required to r€port the amount of grants and allocations to others, the total expenses, andrevenue, if anv, for each program service

4a (coo" _ ) (rxpenses $ 40 4 , 9L2 . ircrudins eranrs or $ 404,9L2. ) (Reuen,e$

THE FREESTORE FOODBANK FOUNDATION IS THE ENDOWMENT FUND FOR FREESTOREFOODBANK (FSFB). ALL UNDESIGNATED BEOUESTS TO THE FSFB GO TO THEFOUNDATION, AS WEIJIJ AS SPECIFICALLY DESIGNATED DONATIONS. FOUNDATIONASSETS HAVE GROWN SIGNIFICANTTJY TN RECENT YEARS. THIS EARNTNGS GROWTHHAS PERMITTED THE FOUNDATION TO BECOME INCREASINGLY IMPORTANT TO THEMISSION OF THE FSFB, CONTRIBUTING SIGNIFICANTLY TO AGENCY OPERATIONS.THE BOARD IS COMPRISED OF COMMUNITY LEADERS, FINANCIAI, EXPERTS A}ID FSFBBOARD MEMBERS.

ztb (coae: _ ) (expenses$ iocludrng grants of $ ) [Revenue $

4c (coae ) (Expenses $ ircl!drng grants of $ i (hevenue b

4d Other program services (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )

4e Total proqram service expenses ) 40 4 , 9L2 .rorm 990 (20t6)

632002 1 1-1 1-16

22OL6.O5O2O THE FREESTORE FOODBANK FO 17046-01l_3470108 758050 170 46-002

THE FREESTORE FOODBANK 3l_-r_670386

1 ls the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?

ll "Yes," complete Schedule A .. ..........2 ls the c)rganization required to compl€te Schedule B, Schedule of Contributors? ... . .....__...

3 Did the' organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates forpublic ,)ffice? tl "Yes," complete Schedute C, Patl I

4 Section 501(c[3] organizations. Did the organization engage in lobbying activities, or have a section 501 (h) election in effectduring the tax year? If "Yes," complete Schedule C, paft ll

5 ls the organrzation a section 501(c)( ), 5Ot (c)(5), or 501 (c)(6) organization that receives membership dues, assessments, orsimilar amounts as defined in Revenue Procedure 98 19? /f ,'yes," complete Schedule C, parl til

6 Did the, organization maintain any donor advised funds or any similar funds or a@ounts for which donors have the right toprovide advice on the distribution or inve-stment of amounts in such funds or accounts? lf ,'yes," complete Schedule D, paft I

7 Did the, organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? If "yes," complete Schedule D, parl lt

8 Did th€, organization maintajn collections of works of art. historical treasures, or other similar ass€ts? tf ,'yes.', comoleteSchedule D, Parl lll

I Did the, organization report an amount in Part X, line 21 . for escrow or custodial account liability, serve as a custodian foramounts not listed in Part X; or provide credit counseling, debt managsment, credit repair, or debt negotiation services?

/l "Yes, " complete Schedule D. Paft lV10 Did the'organization, directly or through a related organization, hold assets in temporarily restricted endowments. permanent

endow'nents, or quasi-endowments? // "Yes,,, complete Schedule D, paft V

11 lf the organization's answer to any of the {ollowing questions is "Yes," then complete Schedul€ D, Parts Vl, Vll, Vlll, lX. or X

as app icable.

a Did the, organization report an amount for land, buildings, and equipment in Part X, line 10? lf ',yes,,' complete Schedule D,

Part Vl

b Did th€, organization report an amount for investments - other securiti€s in Part X, line 12 that is 5% or more of its totalassets reported in Part X, line 16? tf "Yes," complete Schedute D, part Vll

c Did the organization report an amount for investments - program related in Part X, line 13 that is Sok or more of its total

assets reported in Part X, line 16? lf "yes," complete Schedule D, part Vllld Didthe,organizationreportanamountforotherassetsinPartX, linel5thatis5%ormoreofitstotal assetsreportedin

Part X, line 16? lf "Yes," complete Schedule

e Did the organization report an anrount for other liabilities in Part X, line 25? lf "yes,,' complete Schedule D, paft Xf Did th€, organrzation's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 74O)? tf "yes,, complete Schedule D, parl X'l2a Did the,organization obtain separate, independsnt audited financial statements for th€ tax yea/? lf .yes." complete

Schedule D, Pafts Xl and Xll

b Was the organization included in consolidated. independent audited financial statements for the tax year?

lf "Yes," and if the organization answered 'No" to line 12a, then completing Schedule D, Parls XI and Xll is optional13 lstheorganizationaschool describedinsectionlT0(bXlXAXii)? /f "yes," completescheduleE ....14a Did the, organization maintarn an office, employees, or agents oLJtside of the United States?

b Didthe,organizationhaveaggregaterevonuesorexpensesofmorethan$lO,OO0fromgrantmaking,fundraising,business,investnrent. and program sorvice activities outside the United States, or aggregate foreign investments valued at $100,O00

or mor{l? /f "Yes, " complete schedule15 Did th€, organization report on Part lX, column (A), line 3, more than $5,OOO of grants or other assistance to or for any

foreign organization? 6 "yes, " complete Schedule F, Parts ll and lV16 Did th€, organization report on Part lX, column (A), line 3, more than $5,0O0 of aggregate grants or other assistance to

or for f()reign individuals? lf "Yes,' complete Schedule F, Parts lll and IV

17 Did th€' organization report a total of more than $15,000 of expenses for professional fundraising services on Part lX,

column (A), lines 6 and 11e? lf "Yes," complete Schedule G, Paft |

18 Did th€i organizataon report more than $15,OO0 total of fundraising event gross income and contributions on Part Vlll, lines

1c and 8a? /l "Yes, " complele Schedule G, Parl ll19 Did th€, organization report more than $15,OO0 of gross income from gaming activities on Part Vlll, line 9a? 11 "yes. "

x

x

X

x

x

x

x

x

x

xx

x

x

xx

x

x

X

X

X

X

632003 11-1 1-1€

13470108 758050 17046-002J

2OL6.O5O2O THE FREESTORE FOODBANK FO 1.7046

rorm 990 lzoto;

DBA].TK FOUNDATI 31-1670386

2Oa Did the organization operate one or more hospital facilities? ff,'yes,, complete Schedule Hb lf "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization ordomestic government on Part lX, column (A). line 1? 11

,'yes,,, complete Schedule I, pafts I and lt . . .

22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals onPart lX, column (A), line 2? lf "Yes," completeSchedule l, parls land lll

23 Did the organization answer "Yes' to Part Vll, Section A, line 3, 4, or 5 about compensation of the organization,s currentand fonner officers, directors, trustees, key employees, and highest compensated employses? /f ',yes.,' comoleteSchedule J

24a Dtd the organization have a tax-exempt bond issue with an outstanding principal amount of more than $10O,OOO as of thelast da! of the year, that was issued after December 31,2OO2? lf "yes,' answer ]ines 24b through 24d and comp@@Schedule K. lf 'No'. oo to line 25a

b Did the organization invest any proceeds o{ tax-exempt bonds beyond a temporary period exception?c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to d€teas€

any tax exempt bonds?

d Did th€ organization act as an "on b€half of" issuer for bonds outstanding at any time during the year?

25a Sectiort 5O1(c[3), 501(c)(a), and 5O1(c[29) organizations. Did the organization engage in an excess benefittransacfion with a disqualified person during the year? lf ,'yes," complete Schedute L, part I

b ls the o -ganization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, andthat th€ transaction has not been reported on any of the organizatron's prior Forms 990 or 990-EZ? lf ,'yes.,' comoleteSchedute L. Paft I

26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payablss to any current orformer tlfficers, directors. trustees, key employees, highest compensated employees, or disqualified persons? /f ,yes,.

comple'e Schedule L, Parl ll27 Did the organization provide a grant or other assistance to an officer, director, trustee, key €mployee, substantial

contribtjtor or employee thereof, a grant solection committee member, or to a 35% controlled entity or family memberof any of these persons? /f "Yes,, complete Schedule L, paft lil

2A Was th<; organization a party to a business transaction with one of the following parties (see Schedule L, Part lVinstruct ons for applicable filing thresholds, conditions, and exceptions):

a A curretrt or former officer, director, trustee, or key employee? lf ,yes," complete Schedule L, paft IVb A family' member of a current or former officer, director, truste€, or key employee? lf "yes,,' complete Schedule L, paft IV ...

c An entily of which a current or former officer. director, trustee, or key employee (or a family member thereof) was an officer,director, trustee, or direct or indirect owner? ff "yes," complete Schedule L, pad lV

N Did the organization rec€ive more than $25,000 in non{ash contributions? If "yes." complete Schedule M30 Did the organization rsceive contributions of art, historical treasures, or other simrlar assets, or qualified conservation

contribrJtions? lf "yes," complete Schedule M31 Did the organization liquidate, terminate, or dissolve and cease operations?

lf "Yes,' complete Schedu/e N, Paft I

32 Did the organization sell, exchange, dispose of , or transfer more than 25Vo of iIs n6t assets? // ,,yes.', comolete

Schedute N, Paft ll ....

33 Did the organization own 1OA/o ot an entity disregarded as separate from the organization under Regulationssectionri 3O1 .77 01 -2 and 301 .7701 -3? lf ,'yes," compl ete Schedule R, part t

U Was tho organization related to any tax-exempt or taxable entity? /f "yes," complete Schedule R, paft ll, Ill, or lV, and

ParlV,tinel .........35a Did the organization have a controlled entity within the meaning of section 51 2(bX13)?

b lf "Yes" to line 35a, did the organization recoive any payment from or engage in any transaction with a controlled entitywithintremeaningof section5l2(b)03)? /f ''yes,- completeScheduleR,paftV,tine2 .............

36 Sectiorr 5O1(c[3) organizations. Did the organization make any transfers to an exempt non-charitable related organization?

lf "Yes,' complete Schedule R, Parl V, line 2

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? lf "yesj complete Schedule R, part Vl38 Did the organization complete Schedule O and provide explanations in Schedule O for Part Vl. lines 11b and 19?

Note. All Form 990 filers are r

No

x

xX

Xx

x

X

x

x

X

x

632004 11-1 1-16

13470108 758050 17046-002A

2OL6.O502O THE FREESTORE FOODBAI{K FO 17046_01

rorm 990 lzot o;

Schedule O

forl1esol20'r6) THE FREESTORE FOODBAI,IK FOUNDATION 3L-I670396 paqeSEq-

rorm 99O lzoto;

1a

b

Ohsck if Schedule O contains a respons€ or note to anv line in this part V

Enter the number reported in Box 3 of Form 1096_ Enter -G if not applicable . . .

Enter the number of Forms W-2G included in line 1a. Enter {, if not aoolicableDid the crganization comply with backup withholding rules for reportable payments to vendors and reportable gaming(ganblirrg) winnings to prize winners?

2a Enter the number of employees reported on Form W 3, Transmittal of Wage and Tax Statements,filed for the calendar year ending with or within the year covered by this returnlf at lealit one is reported on line 2a, did the organization file all required federal employm€nt tax returns?Note. lfthesumof lineslaand2aisgreat€rthan250,youmayberequiredto s1i1s(seeinstructions)Did the crganization have unrelated business gross income of $1 ,oo0 or more during the year?

ff "Yes,' has it filed a Form gg0 T for this year? lf ,'No," to line 3b, provide an explanation in Schedule OAt any trme during the calendar year, did the organization have an interest in, or a signature or other authority over, afinancia account in a foreign country (such as a bank account, securities account, or other financial account)?lf "Yes,' enter the name of the foreign country: )See inslructions for filing requirements for FinCEN Form 1 14, Report of Foreign Bank and Financial Accounts (FBAR).

5a Was th€ organization a party to a prohibited tax shelter transaction at any time during th€ tax year?

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?c lf "Yes,' to line 5a or 5b, did the organization file Form 8886-T?

6a Doesthsorganizationhaveannual grossreceiptsthatarenormallygr€aterthan$lO0,OOO,anddidtheorganizationsolicitany contriblrtions that were not tax deductible as charitable contributions? . .

b lf "Yes,' did the organization tnclude with €very solicitation an exprass stat€msnt that such contributions or giftswere not tax deductible?

7 Organiz:ations that may receive deductible contributions under section 17Qc).a Did the organization receive a payment in excsss 0f $75 made partly as a contribution and partly for goods and ssrvices provided to the payor?

b lf "Yes,' did the organization notify the donor of the value of the goods or services provided?

c Did the lrganization sell, exchange, or otherwise dispose of tangible personal property for which it was requiredto file Frxm 8282?

d tf "Yes,' indicate the number of Forms 8282 filed durinq the vear 7de Did the rrganization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . ......f Did the )rganization, dunng the year, pay premiums, directly or indirectly, on a personal benefit contract? .

g lftheor]anizationrecervedacontributionofqualifiedintellectual property,didtheorganizationfileFormsSggasrequired?.h lf the orJanization recerved a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

8 Sponsoring organizataons maintaining donor advised funds. Did a donor advised fund maintained by thesponsoring organization have excess business holdings at any time during the year?

I Sponsoring organizations maintaining donor advissd funds.

a Did the sponsoring organization make any taxable distributions under section 4966?

b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?

10 Section 501(c[7] organizations. Enter:

a Initiation fees and capital contributions included on Part Vlll, line 12 .. . . . . .

b Gross roceipts, included on Form 99O, Part Vlll, line 12, for public use of club facilities11 Section 5O1(cX12) organizations. Enter:

a Gross ir come trom memb€rs or shareholders

b Gross ir'come from other sources (Do not net amounts due or paid to other sources againstamount; due or received from them.)

12a Section a9a7(a)(1) non-exempt charitable trusts. ls the organization filing Form 990 in lieu of Form

b lf "Yes,' enter the amount of tax'exempt interest received or accrued during the year

13 Section 501(cX29) qualified nonprofit health insurance issuers.

a ls the organization licensed to issue qualified health plans in more than one state?

Note. See the instructions for additional information the organization must report on Schedule O.

b Enter the amount of reserves the organization is required to maintain by the states in which the

organizirtion is lic€nsod to issue qualified health plans

c Enter the amount of reserves on hand

14a Did the frganization receive any payments for indoor tanning services during the tax year?

1U1?1b

3a

b

4a

xx

x

xx

632005 11-1 1-16

3470r_08 758050 \7046-002f,

201.6.05020 THE FREESTORE FOODBANK FO 17046-O].

these

tc, line 8a, 8b, or 10b below, descibe the circumstance,s, processes, or changes in Schedute O. See instructjons

Eor!tes0(2016) THE FREESTORE FOODBAI,IK FOUNDATION 3l--1670386 paqe6fF"-ft-ViTe

"oo,""

b

2

O contains a Iine in this Part VlSection A. and

Enter tl- e number of voting members of the governing body at the end of the tax yearIt there a re material differences rn voting rights among members of the governing body, or if the governing

body del:gated broad authority to an executive committee or similar committee. exolain in Schedule 0.Enter tl- e number of voting members included in line 1 a, above, who are independent I tt I

Did any officer. director, trustee, or key employee have a family relationship or a business relationship with anv otneroffcer, lirector, trustee, or key employee?Did the organization del€gate control over management dLrties customarily performed by or under the direct supervisionof office ,rs, directors, or trustees, or key employees to a management company or other person?Did the organization make any significant changes to its goveming documents since the prior Form g90 was filed?Did the organization become aware during the year of a significant diversion of the organization's assets?Did the organization have members or stockholders?Did the organization have members, stockholders, or other persons whomore members of the governing body?Are any governance decisions of the organization reserved to (or subieclpersons other than the governing body?

Did the c rganization contemporaneously document the meetings held or written actions undertaken during the yaar by the lollowing:The gor erning body?

Each cc,mmittee with authority to act on behalf of the governing body?ls there any officer. director, trustee, or key employee listed in Part Vll, Ssction A, who cannot be reached at the

3

4

5

6

7a

b

Ia

b

I

had the power to elect or appoint one or

to approval by) members, stockholders, or

Policies

10a Did the organization have local chapters. branches, or affiliates? . .. ...b lf "Yes,'didtheorganizationhav€writtenpoliciesandproceduresgoverningtheactivitiesof suchchapters,affiliates,

and bra'rches to ensure their operations are c,onsistent with the organization's exempt purposes?

11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?b Describe in Schedule O the process, if any, used by the organization to review this Form 990.

'l2a Did the crganization have a written conflict of interest policy2 lf "No," go to tine 13

b Were off cers, directors, or trustses, and key employees required t0 disclose annually interests that could give rise t0 conflicts?

c Did the crganization regularly and consistently monitor and enforce compliance with the policy? /f "yes.', describein Sche,lule O how this was done

13 Did the crganization have a written whistleblower policy?

14 Did the crganization have a written document retention and destruction policy?

15 Did the process for determining compensation of the following persons include a review and approval by independentpersons, comparability data, and contemporan€ous substantiation of the deliberation and decision?

a The organization's CEO, Executive Director, or top management official

b Other o {icers or key employees ol the organization

lf "Yes" to line 1 5a or -15b, describe the process in Schedule O (see instructions).

16a Didthecrganizationinvestin,contributeassetsto,orparticipateinajointventureorsimilararrangementwithataxable entity during the year?

b lf "Yes,' did the organtzation follow a written policy or procedure requiring the organization to evaluate its partlcipation

in joint Venture arrangements under applicable federal tax law, and take steps to safeguard the organization s

XX

't7't8

List the states with which a copy of this Form 990 is required to be filed ) NONESection 6104 requires an organrzation to make its Forms 1 023 (or 1 024 if applicable), 99O. and 99O T (Section 501 (c)(3)s only) availablefor publ c inspection. Indicate how you made these available. Check all that apply.

f o*n website fTl Another's website fXl upon request I_l otner @xplain in Schedute o)Describs in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financialstatem€ nts available to the public during the tax year.

20 State tl"e name, address, and telephone number of the person who possesses the organization's books and records: )TIMOTHY WETDNER - 513-482-45001-14I CENTRAL PARKWAY, CINCINNATI, OH 45202

632006 11-11-16

13470108 758050 17046-002

rorm 990 rzoror

62OL6. 05O2O THE FREESTORE FOODBANK FO 17046-01

fqioee0(2o16) THE FREESTORE FOODBAI{K FOUNDATION 31-1670386 paqnT

fP€rtTfFEimployees, and Independent ContractorsCheckif ScheduleOcontarnsaresponseornotetoanylineinthispartVll ... ........ .. ........ ......... l-l

Sestien 3=__llffic*s, Directors, Truste"., Key Employees, a.d Highest compensated Employ"es1a Complete this table for all persons required to be listed. Report compensation for the cal€ndar year ending with or within the organization's tax year.

_ t L]"1 all of the organzation's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.Enter 0 in cclumns (D), (E), and (F) if no compensation was paid.

o List all of th€ organization's current key employees. if any. See instructions for definition of "key employee.o List the organization's five cunenl highest compensated €mployees (other than an officer, director, trustee, or key employee) who receaved report.

able compenliation (Box 5 of Form W-2 and/or Box 7 of Form 1Ogg-MISC) of more than $10O,0O0 from the organization and any relatsd organizations.o List all of the organization's former off cers, key employees, and highest compensated employees who received more than $t oo,ooo ot

reportable conpensation from the organization and any related organizations.

' List all of the organization's formsr directors or trustees that receivsd, in the capacity as a former director or trustee of the organization,more than $1 1,000 of reportable comp€nsation from the organization and any related organizations.List persons ir the following order: individual trustees or directors; institlrtional trustees; officers; key employeas; highest comp€nsated employees;and former sLtch o€rsons.

| | Check t his box if current officer or trustee.(A)

Name and Title

( T) DAVID OLSON

V]CE PREST:)NT

12) MARIAI{NE ROWE

SECRETARY

(3) COVE TTEILBRONNER

PRESIDB{T

(4 ) TOM IC\HLE

TRUSTEE

(5) GARY ]{ILLER

TRUSTEE

(6) MICHA:IL OYSTER

TRUSTEE

(7) LARRY WILLIAXS

TREASURER

(8) JONAT]{AN THORNBERRY

TRUSTEE

(9) BOB AI{BACH

TRUSTEE

( 10 ) MARSEJ\ CROXTON

TRUSTEE

(F)

Estimatedamount o{

otnercompensatron

from theorganizationand related

organizations

2L

L7

230.

1aa

(2016)

2OL6.O5O2O THE FREESTORE FOODBANK FO 1-7046-O].

n

n

n

0.(11) JIM D]iESSMAN

TRUSTEE

(12) TIMOT]{Y WETDNER

CHTEF FTNAI{CIAL OFFICER

(].3) KURT ]IEIBER

CHIEF EXECIJTTVE OFFICER

632007 11-1 1-16

(B)

Averagenours per

WEEK

(list anyhours forrelated

(c)Position

{do not check more ihan orebox. unless person is both anofficer and a drector/tr6tee)

(D)

Reportablecompensatton

fromthe

organazation

{w 2/109s-Mrsc)

(E)

Reportablecompensatronfrom related

organizations

w-2/1099-MrSC)

r3L,827.

204,090.

134701-08 758050 170 46-002

THE FREESTORE FOUNDATION 3l_-1 386Ssction A.

1b Sub-tolalc Total from continuation sheets to Part Vll. Section A

1b and 'lc

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensat€d employee online 1a? lf "Yes," complete Schedule J for such individual

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organizationand relirted organizations greater than $150,0OO? lf "yes," complete Schedule J for such individuat

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services

(F)

Estimatedamount of

othercompensatron

from theorganizationand related

organizations

38

38

4TB

418

the oro;rnization. for the calendar

(A)Name and busin€ss addr€ss

2 Total nttmber of independent contractors (including but not limited to

with or within

those listed above) who received more than

0

(c)Compensation

1

632008 11-11-16

l_3470108 758050 77046-002 2OL6.O5O2O THE FREESTORE FOODBANK FO 17046-01

(B)

Averagehours per

WEEK

(list anyhours forrelated

(c)Position

(do not check more than orebox, unless person is both anofficer and a di&tor/tr6tee)

(D)

Reportablecompensation

fromthe

organization

w-2/1099-MrSC)

(E)

R€portablecomp€nsatronfrom related

organizationsw-2l1099-MrSC)

335.917.

335.917.2 Total ntlmber of individuals (ncluding but not limited to those listed above) who received more than $100,m0 of reportable

Section B. lt'ldependent Contractors

1 Compl€ te this table for your five highest compensated independent contractors that received more than $1 O0,0OO of compensation from

Form 990 129161

Formeeo(2016) THE FREESTORE FOODBANK FOUNDATION 3l--1670386 paseglffiTnil

(B)Related or

exempt functionrevenue

1 a F:derated campaigns

b N embership dues

c Frndrarsing events

d Relatedorganizations

e Government grants (contributions)

f A I other contributions, gifts, grants, and

similar amounts not included above . ..

g Noncash contibLrtions included in lires ia,1f $

rtal. Add lines 1a-1 f

2L6 ,727 .

216 .'727 .

a

b

c

d

e

A I other program service revenue

3 Investment income (including dividends, interest, andol her similar amounts)

4 Income trom investment of tax-exempt bond procesds

5 R)yalties . .

Gross rents

Lr>ss: rental expenses . .

R,lntal income or (loss)

N:l rental incorre or (loss)

G'oss amount from sales ofas;sets other than inventory

Loss: cost or other basis

and sales expenses

Gain or (loss) .

N -'1 gain or (loss)

G'oss income from fundraising ev€nts (not

c()ntriblrtions reported on line 1c). See

Prlrt lV, line 18

b L(!ss: direct expenses

c N,rt income or (loss) from fundraising events

9 a G-oss income from gaming activities. Sg€

Pirrt lV, Iine 19

b L*ss:directexpenses ....... . b

c N,)t income or (loss) from gaming activities

1O a G'oss sales of inventory. less returns

artd allowances

b L(ss: cost of goods sold

c N,)t income or

'T 95 ?1d

L .282 .7 02 .

1.185.295.97.407 -

11 ab

d

e

All other revenue

Total. Add lines 1 -1a'-1 '1d

509.448.

Check if Schedule O contains a

632009 11-1 t-16

l-3470108 7:i8050 I7 046-002

or note to anv line in this Part Vlll

Revenue excludedfrom tax under

seclt 0ns512 - 514

o

oU'

o

oo

(,tio

o

oo

o

o

195,314.

97.407

201,6.05020 THE

292 ,'t 2r .

Form 990 129161

FREESTORE FOODBANK FO ].7046-01

3i.-l-67

k if Schedule O contains a

Do not include amounts repofted on lines 6b,7b, 8b, 9b, and 1Ob of ParT Vlll.

'l Grants and other assistance to domestic organizations

and don estic governments. See Part lV, line 21

2 Grants and other assistance to domesticindividrals. See Part tV, line 22

3 Grants and other assistance to foreignorganizations, foreign governments, and foreignindividuals. See Part lV, lines 15 and 16 .. . .

4 Benefitr; paid to or for members5 Compe'tsation of current officers, directors,

trustee{i, and key employees

6 Comp€n iation not included above, to disqualified

persons (as defined under section 4958(l)( 1)) and

persons described in section 4g5B(cX3XB)

7 Other s,rlaries and wages

I Pension plan accruals and contributi0ns (include

section z 0.1(k) and 403(b) employer contributions)

I Other e nployee benefits

10 Payroll axes

11 Fees fot services (non-employees):

a Management

b Legal

c Accounring .

d Lobblrge Prolessirrnal {undraising services. See Part lV, line i7f Investment managsment fees ... . .. . .. ....g Other. ( 1 line 1 19 amount exceeds 10% of line 25,

column (A) amount, list line 1 1g expenses on Sch 0.)

or note to line in this Part lX

10201,6.05020

't2

13

14

15

16

17

18

19

n21

22

23

24

a

b

G

d

I25

Advertis.ing and promotion

Office e(penses

Informa ion technology

Royalties

Occuparcy .

Travel

Payments of travel or entertainment expensesfor any lederal, state, or local public officialsConferercqs, conventions, and meetings .

Interest

Paymerts to affiliates

Depreciirtion, depletion, and amortizationInsuran<:e

Other exlrenses. ltemize expenses not coveredabove. (List miscellaneous expenses in line 24e. lf li24e amount exceeds 10% ol line 25, column (A)amount, ist line 24e expenses on Schedule 0.)

All other exp€nses

Total lun)lional Add lines 1 t 24e

Joint costs. Complete this line only if the organization

reported n column (B) ioint costs from a combined

educatior al campaign and lundraising solicitation.

n

26

Check he(

632010 11-11-16

13470108 71t8050 l_70 46-002

rorm 990 lzor o;

THE FREESTORE FOODBANK FO 17046-

404 ,972. 404,912

40,785.

52 ,71,1 . 404,972 41,805

01

FREESTORE FOUNDAT ON 3l--1 70386

L4 ,7\4.

9,346,908

9 . 361 .622.'17 Alcountspayableandaccruedexp€nses .. ..18 Grants payable

19 D:ferted revenue

n Tiu-exempt bond liabilities . . . . .

2'l Errcrow or custodial account liability. Complete part lV of Schedule D

22 Loans and other payables to current and former officers, directors, trustees,K()y employees, highest compensated employees, and disqualified persons.C)mplete Part ll of Schedule L

23 Sr)cured mortgages and notes payable to unrelated third parties24 Ursecured notes and loans payable to unrslated third parties25 O:her liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete part X ofSr;hedule D

O-ganizations that follow SFAS 117 (ASC 9Sg), check here ) | X I anAcompbte lines 27 through 29, and lines 3i, and 34.

27 Urtr€stricted net assets

2a Tomporarily restricted net assets

m Pr;rmanently restricted net assets

O'ganizations that do not follow SFAS 117 (ASC 95S), check here ) f_-land cornplete lines 30 through 34.

30 Capital stock or trust principal, or current tunds .

31 Piild-in or capital surplus, or land, building, or equipment fund ..

32 Rotained earnings, endowment, accumulated income, or other fundssdl Total net assets or fund balancesg T('tal liabilities and net assets/fund balances

9.104 .4L7 .227.205.30.000.

9 . 361 .622.9.361_.622.

C;heck if Schedule O contains a or nole Io line in this Part X

1 C.ash -non-interest-bearing .. .

2 Savings and temporary cash investments

3 Pledges and grants receivable, net4 Accounts receivable, nst .. ...5 Lcans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees. CompletePart ll of Schedule L .

6 Lcans and other receivables from other disqualified persons (as defined undersoction 4958(f)(1)). persons described in section a958(c)(3)(B), and contributingenployers and sponsoring organizations of section SO1(c)(9) voluntarye nployees' b€neficiary organizations (see instr). Complete part ll of Sch L

7 Notes and loans receivable, net8 lr ventories for sale or use

9 Prepaid €xpenses and deferred chargas1Oa L,rnd, buildings, and equipment: cost or other

brrsis. Complete Part Vl of Schedule D . .

b Lr:ss: accumulated depreciation1l Investmsnts - publiclv traded securities12 Investments - other securities. See part lV, line 11

13 Investments - program related. See part IV, line 11

14 lntangible assets

15 Other assets. See Part lV line 11

Total

(B)End of year

28ZL

1_0 571 242.

277 936.28 593.

30 nnn

L0 ,592 529.L0.592 z>,

Form (2016)

11201,6.05020 THE FREESTORE FOODBAI\TK FO 17046-01

l_0 529.JZ

d.9

f

n

l!

z

632011 11-1 1-16

l_3470108 7rt8050 170 46-002

Formee0(2c16) THE FREESTORE FOODBAIIK FOUNDATION 3l--16703q 6 paoe12IFfix'-l.I

1

2

3

4

5

D

7

8I

10

C;heck if Schedule O contains a or note to anv Iine in this Part Xl

Total rervenue (must equal Part Vlll, column (A), line 12)

Total e;<penses (must equal Part lX, column (A), line 25)RevenLre less expenses. Subtract line 2 from line 1

Net ass,ets or fund balances at beginning of year (must equal part

Net unrealized gains (losses) on investmentsDonated services and use of facilities

X, line 33. column (A))

Investnrent expenses

Prior poriod adjustments

Other changes in net assets or fund balances (exptain i" iJ"Jrr, OiNet ass.ets or fund balances at end of year. combine lines 3 through 9 f.r"t "qr"r

p.n *, ,'"" aa

F:inancial Statements and ReportingC heck if Schedule O or nole Io in thls Part Xll

1 Accourting method used to prepare the Form ggo: I Casn lT-l Accruat l-_-l Otnerlf the olganization changed its method of accounting from a prior year or checked "Other," explain in Schedule O.Were tfre organization's financial statements compiled or reviewed by an independent accountant? . . . . .. .. .

lf "Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on aseparate basis, consolidated basis, or both:

f_l Separate basis f*l Consolidated basis l-_-.l eotn consotidat€d and separate basisWere tl-re organization's financial statements audited by an indepsndsnt accountant?lf "Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basts,consoli(lated basis, or both:

[-_.] Separate basis lTl Consolidated basis l--l Aotn consotidated and separate basislf "Yes" to line 2a or 2b. does the organization have a committee that assumes responsibility for oversight of the audit,review, or compilation of its financial statements and selection of an independent accountant? .... .. ........ ......lf the organization changed either rts oversight process or selection process during the tax year, explain in Schedule O.As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single AuditAct and OMB Circular A.133?

lf "Yes,' did the organization undergo the required audit or audits? lf the organization did not undergo the required auditin Schedule O

509 448.452 t7.

3 61_ z.774,L'76

IV )>z 529

3156

632012 11,11-16

13470108 758050L2

20L6.05020 THE

rorm 990 poro;

1.7 0 46 -002 FREESTORE FOODBANK FO 17046-01

SCHEDULE A(Form 99O or 99O-EZ)

Department of th€ Treaswylnternal Rewnw l;ervice

Public Charity Status and Public SupportComplete if the organization is a section 5O1(c)(3) organization or a section

a947(a)(1) nonexempt charitable t ust) nttactr to Form gg0 or Form 99O-EZ.

OMB No 1545-0047

2016) fnformation about Schedule A (Form gOO or ggO-EZ) and its instructions is al www.irs

Name of the organization Employer identification numbsrTHE FREE FOODBAI{K TION -1670386

(All organizations must complete this part.) See instructionsThe organizal.ion ls not a private foundation because it is: (For lines 1 through 12, check only one box.)

1 Ll A church, convention of churches, or association of churches described in section iZO(bXlXAXi).2 L---l A school described in section 17O(bXlXAXii). (Attach Schedule E (Form 990 or 990-EZ).)3 L---l A hospital or a cooperative hospital service organization described in section lZqbXlXAXiai).+ [-l n medical research organization operated in coniunction with a hospital d€scribed in section 17o(bxlxAxiii). Enter the hospital's name,

cily, and state:

Art organization operated for the benefit of a college or university owned or operated by a governmental unit described insr:ction 1 7O(b[ 1 )(A)(iv). (Complete Part I l.)

A federal, state, or local government or governmental unit described in section 17o(bll)(A)(v).Arl organization that normally receives a substantial part of its support from a governmental unit or from the gen€ral public described insection 17O(b[1)(A](vi]. (Complete Part tl.)

A oommunity trust described in soction 17O(bNt)(A)(vi). (Complete part ll.)Arr agricultural research organization described in section 17O(bXlXAXix) operated in conjunction with a land-grant collegeor university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the coirege orur iversitv:

10flAr|organizationthatnorma||yreceives:(1)morethangg1/g%oti."",ppoactivities related to its exempt functions - subiect to certain exceptions, and (2) no more than 33 1/3o/o of its support from gross investmenlin<>ome and unrelated business taxable income (less section 51 1 tax) from businesses acquired by the organization after June 30, 1g75.Sere section 5O9(a[2). (Complete Part lll.)Arr organization organized and op€rated exclusively to test for public safety. See section 5O9{a}(4).Arr organization organized and op€rated exclusively for the beneRt of, to perform the functions of, or to carry out the purposes of one ormore publicly supported organizations de-scribed in section sOe{a)(t) or section 5og(a)(2}. See section 5Oe(a}(3). Check the box inlines 1 2a through 1 2d that describ€s the typ€ of supporting organization and complete lines 1 2e, 1 2f, and 1 29.

'type l. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving1:he supported organization(s) the power to regularly appoint or €lect a majority of the directors or trustees of the supportingorganrzation. You must complete Part lV, Sections A and B.'Iype ll. A supporting organization supervised or controlled in connection with its supported organtzation(s), by havingllontrol or management of the supporting organization vested in the sam€ persons that control or manage the supportedr>rganization(s). You must complete Part M, Sections A and C.'fype lll functionally integrated. A supporting organization operated in connection with, and functionally integrated with,its supported organization(s) (see instructions). You must complete Part lV, Sections d D, and E.'Iype lll non-functionally integrated. A supporting organization operated in connection with its supported organization(s)l.hat is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentivenessrequirement (see instructions). You must complete palt M, sections A and D, and part v.()heck this box if the organization received a written determination from the IRS that it is a Type l. Type ll, Type lll

1

5[]

6fl7 T'l

sEeE

11 l---]12 [Fl

u lXl

bE

" l-.-l

d[]

.f_-]lunctionally integrated. or Type lll non-functionally integrated supporting organization.

f Enter tl-r€ number of supported organizations . . .

Provide the f(i) Name of supported (vi) Amount of other

organrzatron support (sre rnstructions)

FREESTORE FOODBANK,INC.

LFIA For Paperwork Redrrction Act Notice, see the lnstuctions for Form 99O or 990-EZ. 602021 os-21-16 Schedule A (Form 99O or 99O-EZ) 2O16

131-3470108 758050 17046-002 20L6.05020 THE FREESTORE FOODBANK FO 17046-01

the

(derribed on lines 1-10(v) Amount of mmetary

support (see instructions)

404 .9I2.

404,9l.2.

ScheduleA(:ormeeooreeo-EZ)zoto THE FREE BANK__EQIDIDATION 31-1670386 c.aqezrMTF

(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 lll. lf the organizationfails to qualify under the tests listed below, please complete part lll.)

Scti6'n A-:

Calendar year (or fiscal year beginning in) )1 Gifts, grants, contributions, and

membership fees received. (Do notinclude any "unusual grants.") . ...

2 Tax rev€,nues levied for the organ-

ization's benefit and €ither paid toor expended on its behalf

.

3 The valure of services or facilitiesfurnisheC by a governmental unit tothe organization withorJt charge

4 Total. Add lines 1 through 3 .. .

5 The porlion of total contributionsby each person (other than a

governntental unit or publiclysupportod organization) i ncludedon line 1 that exceeds 7/o ot theamount shown on line 11,

column tf)

Galendar year (or fiscal year beginning in) )7 Amountr; from line 4

I Gross income from inter€st,

dividends, payments received onsecurities loans, rents, royalties

and incc,me from simrlar sources

I Net income from unrelated business

activities,, whether or not the

business; is regularly carried on

10 Other inoome. Do not include gain

or loss from the sal€ of capital

assets ([xplain in Part Vl.)

1 1 Total support Add lines 7 through 10

12 Gross receipts from related activities, etc. (s6e instructions)13 First fiver vears. lf the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

14 Public support percentage for 2O16 (line 6, column (f) divided by line 1 1 , column (f))

15 Public support percentage from 2015 Schedule A, Part ll, line 1 4

16a33 1/3plosupporttest-2O16. lftheorganizatrondidnotchecktheboxonlinel3,andlin€14stop here. The organization qualifies as a publicly supported organization

Vo

Vio

b33 1/3o/"supporttest-2O15. lftheorgantzationdidnotcheckaboxonlinel3orl6a,andlinel5is33 1/3o/oormore,checkthisboxand stop here. The organization qualifies as a publicly supported organization > t]

17a 1Uk -facts-and-circumstances test - 2O16. lf the organization did not check a box on line 13, 1 6a. or 1 6b, and line 1 4 is 1 0o,4 or more.and tf tho organtzation meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part Vl how the organizationmeets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization > E

b10p/o-facts-and-circumstancestest-2015. lftheorganizationdidnotcheckaboxonlinel3, 16a. 16b,or17a,andline15is10%ormore, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part Vl how theorganization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization >tl

18 Privateloundation. lf theorqanizationdidnotcheckaboxonlinel3. l6a. 16b. lTa,orlTb,checkthisboxandseeinstructions . )l--lSchedule A (Form 99O or 99O-EZ) 2O16

is 33 1/3%io or more, check this box and

>E

L420\6.05020 THE FREESTORE FOODBANK FO 17046-01

632022 09-21-16

13470108 758050 L'7046-002

Schedule A FREESTORE DBAIIK UNDATION 31.-L67n

(tlomplete only if you checked the box on line -10 of Part I or if the organization failed to qualify under Part ll. lf the organization fails toqualifv under the tests listed below. ol.u""

se-ciioffi,Calendar year (or fiscal year beginning in) )

'l Gifts, grants, contributions, and

membershtp fees received. (Do notinclude any "unusual grants.")

2 Gross rocetpts from admissions.merchandise sold or services per,formed, or facilities furnished inany acti,r'ity that is related to theorganiz€rtion's tax-exempt purpose

3 Gross reiceipts from activities thatare not an unrelated trade or bus-

iness under section 513

4 Tax revernues levied for the organization's ben€fit and €ither paid toor expended on its behalf . .......

5 The value of services or facilitiesfurnished by a governmental unit tothe organization without charge

.

6 Total. Add lines 1 through 5

7a Amounts included on lines 1, 2. and3 received from disqualified persons

b Amounts ircllded on lires 2 and 3 receivedfrom other than disqElified persons thatexceed the greater of $5,000 or 1% of the

amounl or lire 13 for the year

c Add lines 7a a dTb

Galendar year (or fiscal year beginning in) )9 Amounts from line 6

10a Gross income from interest,dividendls. payments received onsecurities loans, rents, royaltiesand income from similar sources

b Unrelated business taxable income

(less ssclion 511 taxes) from businesses

acouired alter June 30. 1975

c Add lines 10a and 1Ob11 Net income from unrelated business

activitiesi not included in line 10b,whether or not the business isregularly canied on

12 Other inoome. Do not include gainor loss from the sale of capitalassets (f:xplain in Part Vl.)

13 Total SUppOIl. rAdd tines 9. r0c, i 1, and 12 )

check this box and

Section C.

15 Public support percentage for 2016 (line 8, column (D divided by line 13, column (f))

16 Public suooort o€rcentaoe from 2015 ll line 1

17 Investm{:nt income percentage for 2016 (line 1Oc, column (f) divided by line 13, column (f))

18 Investmont income percentage from 2015 Schedule A, Part lll, line 17

more than 33 1/3o/o, check this box and stop here. The organization qualifies as a publicly supported organization >Tb 33 1/3% support tests - 2O15. lf the organization did not check a box on line 14 or line 1 9a, and line 16 is more than 33 1/3%o. and

line 18 is; not more than gg 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization > f_--l2O Private'foundation. lf theorqanizationdidnotcheckaboxonline14, l9a,orl9b checkthisboxandseeinstructions )l I

'%

Yo

s2023 09-21-16

13470108 758050 17046-002

Schedule A (Form 99O or 990-EZ) 2O16

l_52OL6. 05O2O THE FREESTORE FOODBA.}TK FO ].7046-O]-

14 First fivo years. lf the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 50.1 (cX3) organization,

t9a 33 'll3% support tests - 2O16. lf the organizatton did not check the box on line 14, and line 15 ts more than 33 1/3o2, and line 17 is nol

schedureA(Formeeooree0-EZ)2016 THE FREESTORE FoODBANK FotIIIDATION 31-16703g6 paqe4

(Complete only if you checked a box in ilne 12 on Part l. lf you checked 12a of paril, complete Sectrons Aand B. lf you checked 12b of Part l, complete Sections A and C. lf you checked 12c of part l. compteteSections A, D, and E_ lfyou checked 1 2d of part Sections A and D, and Part V

Section A. All

1 Are all of the organization's supported organizations listed by name in the organization,s governingclocuments? lf "No,' describe in Paft Vl how the suppotled organizations are designated. lf designated byctass or purpose, describe the designation. lf histoic and continuing relationship, exptain.

2 Did the organization have any supported organization that does not have an IRS determination of statusunder siection 509(a)(1) or (2)? lf "Yes," explain in Parl vl how the organization determtned that the suoDoneoorganization was described in section 5og(a)(1) or (2).

3a Did the organization have a supported organization described in section 501 (c)( ), (5) or (6)? lf ,,yes.,, answer(b) and (c) below.

b Did the organization confirm that each supported organization qualified under section 501(c)(a), (5), or (6) andsatisfie,C the public support tests under section 509(a)(2)? lf ,,yes,, describe in part Vl when and how theorganization made the determination.

c Did the organization ensur€ that all support to such organizations was used exclusively for section 120(cX2)(B)purposes? /f "Yes, " explain in Paft Vl what controls the organization put in place to ensure such use.

4a Was any supported organization not organized in the United States ('foreign supported organization")? /f"Yes," end if you checked 12a or 12b in part t, answer (b) and (c) betow.

b Did the organization have ultimate control and discretion in deciding whether to maKe grants to the foreignsupporfed organization? ff "Yes," describe in Paft Vl how the organization had such control and discretiondespite being controlled or supervised by or in connection with its supported organizations.

c Did the organization support any loreign supported organization that does not have an IRS determlnationunder sections 501 (c)(3) and 509(a)(1) or (2)? y "Yes," explain in Paft vl what controls the organization usedto ensure that all suppoft to the foreign supported organization was used exclusively for section 17o(c)(2)(B)purposes.

5a Did the organization add. substitute, or remove any supported organizations during the tax year? lf ,,yes,,

answer (b) and (c) below (f applicable). Atso, provide detait in Part Vt, inctuding 0 the names and EINnumbers of the suppofted organizations added, substituted, or removed; (i) the reasons for each such actioz;(ii) the euthority under the organization's organizing documenl authorizing such action; and (v) how the actionwas accomplished (such as by amendment lo the organizing document).

b Type I or Type ll only. Was any added or substituted supported organization part of a class alreadvdesignated in the organization,s organizing document?

c Substitutions only' Was the substitution the result of an event beyond the organization,s control?6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to

anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable classbenefit€d by one or more of its supported organizations. or (iii) other supporting organizations that alsosupport or benefit one or more of the filing organization's supported organizations? /f ,,yes. ,, orovide detail nPart V!.

7 Did the 'crganization provide a grant, loan, compensation, or other similar payment to a substantial contributor(defined in section as58(c)(3)(C)), a family member of a substantial contributor, or a 35o/o controlled entity withregard t,) a substantial contributor? tf ,'yes," complete parl I of Schedule L (Form 990 or 9g0_EZ).

I Did the organization make a loan to a disqualified person (as defined in section 495g) not described in line 7?/f "Yes, " complete Parl I of Schedute L (Form 990 or 99O-EZ).

9a Was the organization controlled directly or indirectly at any time during the tax year oy one or moredisqualilied psrsons as defined in section 4946 (other than {oundation managers and organizations describeoin section 5O9(a)(1) or Q))? tf ,'yes,,' provide detail in parl Vl.

b Did one or more disqualified persns (as defined in line ga) hold a controlling interest in any entity in whichthe supporting organization had an interest? /i "yes,' provide detait in parl Vl.

c Did a di$qualif,ed person (as defined in line ga) have an ownership interest in, or derive any personal benefitfrom, assets in which the supporting organization also had an interest? lf ,,yes," provtde detail in parl Vl.

loa Was the organizatlon subject to the excess business holdings rules of section 4g4G because of section4943(f) ('egarding certain Type ll supporting organizations, and all Type lll non{unctionally inteqratedsupporting organizations)? // "yes, " answer 1Ob betow.

b Did the organization have any excess business holdings in the tax year? flJse Schedute C, Form 4720, to

X

x

x

x

x

x

X

632024 09-21-16

r.3470108 7:i8050 17046-002l_6

20l.6.05020

Schedule A (Form 99O or 99O-EZ) 2O16

THE FREESTORE FOODBAI.IK FO 17046- 01

11

2O16 THE FREESTORE DBAI{K TION 3r_ -167 86

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?A famil'y member of a person described in (a) above?A 35% controlled described in (a) or

Section B.

Did the directors, trustees, or membership of one or more supported organizations have the power toregularly appoint or elect at least a majority of the organization's directors or trustees at all times during thetax year? lf "No," describe in Paft Vl how the supported organization(s) effectively oSnrated, supervised, orcontrolled the organization's actlvrtles. lf the organization had more than one suppofted organization,descr'be how the powers to appoint and/or remove directors or trustees were allocated among the suppoftedorgantzi?tions 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 supportedorganization(s) that operated, supervised, or controiled the supporting organization? /f "yes. " exorain inPari Vl how providing such benefit carried out the purposes of the supporled organization(s) that operated,

Section C. izations

1 Were a m4ority of the organization's directors or trustees during the tax year also a ma.iority of the directorsor trustoes of each of th€ organization's supported organization(s)? lf ,,No,,, describe in parl Vl how controlor management of the supporting organization was vested in the same persons that controlled or manaeed

Section D. All anizations

Did the organization provide to each of its supported organrzations, by the last day of the fifth month of theorganiz.rtion's tax year. (i) a written notice describing the type and amount of support provided during the prior taxyear, (ii) a copy of the Form 99o that was most recently filed as of the date of notification, and f ii) copies of theorganization's governing documents in effect on the date of notification. to the extent not previously provided?Were arry of the organization's officers, dir€ctors, or trustees either (i) appointed or elected by the supportedorganization(s) or (ii) serving on the governing body of a supported organization? lf ,,No,,, exptain in part Vt howthe 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 asignificant voice in the organization's investment policies and in directing the use of the organization,slncome or assets at all times during the tax year? lf "yes,, describe in parl Vl the role the orqanization,s

Section E. lll Functionally Int

' "* ,r. box nert to the method that the organization used to satisr! the lntegral Paft Test during the year (see lnstructlons).

a

b

il trtt uwLrvr rr/-

ffne organization satisfed the Activities Test. Cornplefe ine 2 below.{ | The organization is the parent of each of its supported organizations. Comptete line 3 betow.f-l trre organization supported a gov€rnmental entity. fs56/"1be in Patl vl how you supported a government entfty (see instructions).

Activities Test. {rsvys/. /6) and b) below.Did subritantially all of the organization's activities during the tax year direcfly further the exempt purposes ofthe supported organization(s) to which the organization was responsive? /f ,,yes,,, then in patl Vl identifythose suppofted organizations and erplain how these activities directly furlhered their exempt purposes,how the organization was responsive to those suppofted organizations, and how the organization determinedthat these activities constltuted substantiatly alt of its activities.Did the activities described in (a) constitute activrties that, but for the organization's invotvement, one or moreof the organization's supported organization(s) would have be€n engaged in? lf ,yes," explain in paft VI thereasons for the organization's position that its suppofted organization(s) would have engaged in theseactivities 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 maiority of the officers, dir€ctors, ortrustees of each of the supported organizations? provide details in paft Vl.

b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of eachof

xxX

3

a

632025 09-21

13470r_08 758050 L7046-002

Schedulg A (Form 990 or 99O-EZ) 20.t6\7

201.6.05020 THE FREESTORE FOODBANK FO 17046-01

A (Form ,EZ)2016 THE FREESTORE FOODBA}IK TION 3r. -1670

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20 1970 (explain in Part Vt.) See instructions. Allc'th€r Type lll non.fu nctionall at€d must E

Section A - Adjusted Net Income

Net short-term

distribt-rt

Income

lines 1

tion and

6 Portion of operating exp€nses paid or incurred for production orcollection of gross income or for management, conservation, ormaintenance of held for of income (see instruc

7 Other

8Ad Income (subtract lines , 6. and 7 from line 4

Section B - Minimum Asset Amount

1 Aggregate fair market value of all non-oxempt-use ass€ts (seeinstructions fgr short tax year or assets held for oart of

a Aver value of securitiesb Aver cash balancesc Fair market value of other non-ex

d Total (add lines 1a. 1b. and 1

e Discount claimed for blockaoe or otherfactors In detail in Part Vl

USE ASSETS

3 Subtract line 2 from line -1d

4 cash dciemed held for exempt use. Enter 1-1/2%o of line 3 (for greater amount,see

5 Net value of -USe aSSetS line 4 from lineline 5 035

7 Recoveries of distributions

line 7 to li

Secfon C - Disfibutable Amount

(B) Current Year(optional)

(B) Cunent Year(optional)

Current Year

te'J net income for Section line 8 Column2 Enter 85% of line 1

3 Minrmurn asset amount for Section line 8 Column4 Enter of line 2 or line 3

5 Income tax

6 Distributable Amount. Subtract line 5 from line 4, unless subiect totemporary reduction

Check here if the cunent year is the organization's first as a nonJunctionally integrated Type lll supporting organizatron (see

Schedule A (Form 99O or 99O-EZ) 2016

632026 09-21-16

13470108 758050Id

2016.05020 THEt7 0 46 -002 FREESTORE FOODBANK FO 17046-01

Section D -

1 Amounts oaid to

2 Amounts paid to perform activity that direcfly furthers exempt purposes of supportedin excess of income from activit

3 Administra

Amounts -use assetsset-aside

Other distributions in Part See7 Totalannual Add lines 1

I Distributions to attentive supported organizations to which the organization is responstvein Part Vl). See instructions

9 Distributable amount tor 2016 from Section C llne t)

10 Line 8 divided bv Line 9 amount

Socfon E - Distribution Allocations (see instuctions)

1 Distributable for 2016 from line 62 Underdistributions if any, for years prior to 2O16 (reason.

able cause explain in Part Vl). See instructions3 Excess distributions if any. to 201 6:

c From 2013

d From 2014

e From 2015

f Total of lines

to underdistrlbutions of

1o 2016 distributable amounl

from 2011 notRemainder, Subtract lines and 3i from 3lDistributions for 2016 from Section D.

line 7

to 2016 distributable amountc Remainder. Subtract lines 4a and 4b from 4

Remaining underdistributions for years prior to 20.16, ifany. Subtract lines 39 and 4a from line 2. For result qreater

than zero, explain in Part Vl, See instructionsRemaining underdistnbutions for 2016. Subtract lines 3hand 4b from line 1. For result greater than zero, explain in

. See instructions

Excess distibutions carryover to Z)17. Add lines 3i

4c

Breakdown of line 7:

from 2013

from 2014

from 20'15

or 990 EZ THE FREESTORE F FOUNDATION I- 670386

Current Year

(iiDDistributable

Amount for 2O16

IRS

632027 @-21-16

13470r_08 758050J.v

20]-6.05020

Schedule A (Form 990 or 99GEZ) 2O16

L7 046-002 THE FREESTORE FOODBANK FO 17046-O]-

scheduleA(FormseooreeoEZ)2o16 THE FREESTORE FooDBANI! FouNDATrgN 31_-l_6703g5 paoee

Part lV, Section A, lines 1 , 2, 3b 3c, 4b, 4c, 5a, _6,

9a, 9b, 9c, 1 1 a, -1 1 b, and 1 1 c; part lV, s€ction B, tines .t and 2; part lv, Section C.

HJ^IT Y^l?"t].i_D; :11"_3 :i1:j Part.v, Section !, |]n* r ",

za., zo, ga, and 3b; part v, tine l; part v, section a, rine r e; iart"v,;"fi;;;;;y;fiilfi#;;il;/Q^^ i^-+.',^+i^^^ \instructions

632028 09-21-16

r.3470108 758050 1,7046-002- n Scheduls A (Form 99O or 99O_EZ) 2O16zv

2OL6.O502O THE FREESTORE FOODBANK FO 17046-01

Schedule B(Form 99O,99O-EZ,or 99O-PF)Department of the TreaswyInternal Rewnw Service

Name of the organization

THEOrganization type (check onei:

Filers of:

Form 990 or 990 EZ

Form 990-PF

Section:

[X] sor 1c;1 3 I lenter numD€r) organizataon

tl

[]

** PUBLIC DISCLOSURE COPY **

Schedule of Contributors> Attach to Form ggo, Form 99O-EZ, or Form 990-pF.

) Information about Schedule B (Form 9gO, gSO-EZ, or ggO-pF) andits instructions is al www.irs

ESTORE FOUNDATION

ON4B No 1545-0047

2016Employer identification number

3r.-r_6703

T

IE

A9A7 @l(1) nonexempt charitable trust not treated as a private foundation

527 political organization

5O1 (c)(3) exempt private foundation

a9a7@)(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 ssction 501(c)|/), (8), or (tO) organizataon can check boxes for both

General Rule

the General Rule and a Sp€cial Rule. See instructions.

990-EZ. or 990-PF that received, during the year, contributions totaling $.5,OOO or more (in money orComplete Parts I and ll. See instructions for determining a contnbutor's total contributions.

lTl for an organization fiting Form 990,

property) from any one contributor_

Special Rules

E For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regutations undersections 509(a)(1 ) and 1 7o(b)(1 )(A)(vi), that check€d Schedule A (Form 99o or 990-EZ), Part tt, tine 1 3, 16a, or 1 6b, and that received fromany one contributor, during the year, total contributions of the greater of (1) $5,O0o or (21 2o/o ot the amount on (i) Form gg0, part Vlll. line t hor (ii) Form 99O-EZ, line 1. Comptete Parts land lt,

For an organization described in section 501 (c)(7), (S), or (1 0) filing Form 99o or 99o-EZ that received from any one contributor, during theyear, total contributions of more than $1 ,oo0 exclusively tor religious, charitable, scientific, literary, or educational purposes, or forthe prevention of cruelty to children or animals. Complete parts l. ll. and lll.

I I For an organization described in section 50t (c)(7), (8), or (1 0) filing Form 990 or 99o,EZ that received from any one contributor, during theyear' contributions 1sa6lusiysly tor religious, charitable, etc., purposes, but no such contributions totaled mor€ than g1 .OO0. lf this boxis 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 nonexclusivelyreligious, charitable, etc., contributions totaling $5,00O or more during the year >$

caution: An organization that isn't covered by the General Rule and/or the special Rules doesn't Rle schedule B (Form 99o, 9g0-EZ, or ggo-pn,but it rnust answer "No" on Part lV, line 2, of its Form 990; or check the box on line H of its Form g90-EZ or on its Form 990-pF, part l, line 2, tocertify that it doesn't meet the filing requirem€nts of schedule B (Form 990, 9g0,EZ, or 990-pF).

LFLA For Paperwork Reduction Act Notice, see lfie lnstuctions for Form 99o, 99o-Ez, or ggo-PF. schedule B (Form 990, ggo-EZ, or gso-pF) (2olE)

E

623451 10-18'16

Schedule B (Form 990, 990-EZ, or

Name of organization

THE FREESTORE FOODBAIVK

Employer identif ication numbor

1-1670386lElt-tl Contributors (See instructions). Use dupticate copies of part I if additionat space is needed.

(a)

No.(b)

Name, address, andZlP + 4(c)

Total contabutions(d)

Tvoe of contrihrrtinn

1

10 nnn

Person EPapolt INoncash E

(Complete Part ll fornoncash contrlbutions.)

(a)

No.(b)

Name, address, and ZIP + 4

(c)

Total confibutions(d)

2 Person EPayroll DNoncash E

(Complete Part ll fornoncash contributions.)

(a)

No.(b)

Name, addrsss. and ZIP + 4(c)

Total contributions(d)

Type of confibution

3

38 550.

Person iEjPayroll t]Noncash E

(Complete Part ll fornoncash contributions.)

(a)

No.(b)

Name. address, and ZIP + 4(c)

Total contibutions(d)

Type of contibution

.1

5. 000.

Person EPayroll tlNoncash t]

(Complete Part ll fornoncash contributions.)

(a)

No.(b)

Name, address. and ZIP + 4(c)

Total confibutions(d)

Type of contibution

5

5,475.

Person EPayroll ENoncash I

(Complete Part ll fornoncash contributions.)

(a)

No.(b)

Name, address, and Z:IP + 4(c)

Total contibutions(d)

of contibution

R

501.

PersonPayrollNoncash

EtlE(Complete Part ll fornoncash contributions.)

623452 10-18'16

r"3470108 758050 170 46-002zz

20J,6.05020 THE

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

FREESTORE FOODBANK FO 17046-01

Schedule B (Form 990, 99O,EZ, or

Nams of organization

THE FREESTORE

Employer id€ ntif ication numbot

3r--1670385IFeq Contributors (see instructions). use dupricate copies of part I if additional space is needed.

(a)

No.

7

(b)

Name, address , and ZIP + 4(c)

Total contibutions(d)

of contibution

l_0,000.

Person EPayrolt ENoncash t]

(Complete Part ll fornoncash contribLrtions.)

(a)

No.(b)

Name, addrsss, and Zlp + 4(c)

Total conbibutions(d)

of contritil

R

(")No.

28,303.

Person EPayroll f]Noncash I

(Complete Part ll fornoncash contribLJtions.)

(b)

Name, address, and Zlp + 4(c)

Total contributions(d)

of contribution

38 439.

Person EPayoll f]Noncash []

(Complete Part ll fornoncash contribLJtions.)

(a)

No.(b)

Name, address, and ZIP + 4(c)

Total contributions(d)

of confibution

10

44 250.

Person EPayroll t]Noncash I

(Complete Part ll fornoncash contributions.)

(a)

No.(b)

Name, address, and ZIP + 4(c)

Total contributions(d)

of conf,bution

Person fPayroll I]Noncash f]

(Complete Part ll fornoncash contribLrtions.)

(a)

No.(b)

Name, address, and ZIP + 4(c)

Total conbibutions(d)

of conlrihrfi^n

Person EPay'oll ENoncash I

(Complete Part ll fornoncash contributions.)

623452 10-18-16

l_3470108 758050 L7046-00223

201,6.05020

Schedule B (Form 990, 990-EZ, or 9g0".pF) (2010)

THE FREESTORE FOODBANK FO 1-7046- 01

Schedule B (Form 99O, 99O,EZ or 99O-PF) (2016)Name ol organization

THE FBEESTORE FOODBANK

Employer identification number

31,-7670386lEEli] Noncash Property (see instructions). Use dupticate copies of part lt it additionat space is neeoso.

(a)

No.fromPart I

(a)

No.fromPart I

{b)Description of noncash property given

(c)

FMV (or sstimats)(See instructions)

(d)

Date received

q

(b)

Description of noncash property given

(c)

FMV (or estimate)(See instructions)

(d)

Date received

a

(a)

No,fromPart I

(b)

Description of noncash property given

(c)

FMV (or estimate)(See instructicns)

(d)

Date received

q

(a)

No.fromPart I

(b)Description of noncash property given

(c)

FMV (or estimate)(See instructions)

(d)

Date received

a

(a)

No.fromPart I

(b)

Description of noncash property given

{c)FMV (or estimate)(See instructions)

(d)

Date received

(a)

No.fromPart I

(b)

DescripUon of noncash property given

(c)

FMV (or estimate)(See instructions)

(d)

Date received

$623453 10-18,16

13470108 758050 t7046-002z4

2016.05020 THE

Schedule B (Form 990,990-EZ, or 990-PF) (201S)

FREESTORE FOODBANK FO 17046- 0l_

Schedule B (Form 990, 990-EZ, orName of organization

THE FREESTORE FOODBANK TIONf:!!::y?!y _i.ll.s1?f :

clinrabr€, €rc., conrributions@rn€ year Trom any one contributor. Oonplele columns (a) throLgh (e) and the lollowing line enky.completingPartlll,enterthetotalofexclusivevrellgioG, charitable,etc.,confbultonsof$l,O00orlessforthevear

For orqantattons(Ente'tns ntc.once t ) $.

if addition

Employer identif ication number

3l--1670386

(d) Description of how gift is held

bansferor to

(d) Description of how gift is held

of tansferor

(d) Description of how gift is held

(d) Description of how gift is held

ansferor to

Schedule B (Form 990, 990-EZ, or ggo-pF) (2018)

THE FREESTORE FOODBANK FO ]-7046-O]-

(e) Transfer of gift

and ZIP +

andZlP + 4

(e) Trans{er of gift

(e) Transfer of gift

(e) Transfer of gift

623454 10-18-16

13470108 758050 17046-00225

2016.05020

(b) Purpose of gift

(b) Purpose of gift (c) Use of gift

(c) Use of gift

SCHEDULE D(Form 99O)

Deoartment of the Treaswlnternal Rewnw Ssuce is atName of the organization Employer identification number

E FREESTORE FOUNDATI 31-L670386o1 tS, Comptete if the

tion answered "Yes" on Form gg0. Part lV. line 6

(b) Funds and oth€r accounts1

2

3

4

5

Total number at end of year

Aggregate value of contributions to (during year)

Aggr€gate value of grants from (during year)

Aggregate value at end of year

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised fundsare the organization's property, subject to the organization's exclusive l€gaj control? f-l Y." [--l ruo

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be useo ontyfor charitable purposes and not for the b€nefit of the donor or donor advisor, or for any other purpose conferringimpermissible orivate benefit?

lV, line 7.1 Prrpose(s) of conservation easements n.n Oy tn"

I I Preservation of land for public use (e.g-, recreation or education) f_-l Preservation of a historicaily important land areaf_-.l Protection of natural habitat f_l preservation of a certified historic structure| | Preservation of open space

2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of aday of the tax year.

a Total numb€r of conservation easements

b Total acreage restricted by conssrvation easementsc Number of conservation easements on a certified historic structure included in (a)

d Number of conservation easements included in (c) acquired after 8/17/06. and not on a historic structurelisted in the National Register .

3 Number of conservation eassments modified, transferred, released, extinguishedyear >

-

or terminated by the organization during the tax

4

5

Number of states where property subject to consgrvation easement is located )Does the organization have a written policy regarding the periodic monitoring, insp€ction, handling ofviolations, and enforcement of the conservation easements it holds? f--l V"" [-l ruoStaff and volunteer hours devoted to monitoring, inspecting, handling of violations. and enforcing conservation easements during the year

7 Amount of expenses incurred in monitoring, inspecting, handling of violations. and enforcing conservation easements during the year>i _Does each conservation easerment reported on line 2(d) above satisfy the requirements of section 170(h)(4XBXDand ssction 170(ht(4)(Bxii)? fl yr" f--r lroIn Part Xlll, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, andinclude, if applicable. the text of the footnote to the organization's financial statements that describes the organization's accounting forconservation easements.

la lf 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 Xlll,the text of the footnote to its financial statements that describes these items.

b lt the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historicaltreasures, or other similar assets held for public exhibition. education, or research in furtherance of public service, provide the following amountsrelatlng to these items:(i) Revenue included on Form 990, Part Vlll, line 1

(ii) Assets included in Form 990. Part X

2 lf the organization received or held works of art, historical treasures. or other similar assets for financial gain, providethe following amounts required to be reported under SFAS 1 16 (ASC 958) relatinq to these items:

Supplemental Financial Statements^). Qgqrntele rf the,organization answered "yes,' on Form 9gO,Part fV, f ine 6, 7, 8, I, lO, 1 1a, 11b, 1 jc, 11d, 11e, 11f, 12a, or 1ib.

) Attacn to Form g9O.2016

>$>$

a Revenue included on Form 990. Part Vlll. line 1

b Assets included in Form 990. Part X

LA>s

Complete if the organization answered "Yes', on Form 990, part lV, line g.

LF|A For Paperwork Reduction Act Notice, seethe lnstuctionsfor Form g9O.

632051 06-29-16

Schedule D (Form 9SO) 2016

zo201-6.05020 THE FREESTORE FOODBANK FO 17046-011-3470108 758050 r_7046-002

THE FREESTORE DBA}IK FOUNDATTON 31- 70386 PCollections of An, Hii

using the organization's acquisition, accession. and other records, check any of the following that are a significant use ot its collection items(check all that appty):

" l--l Pubtic exhibition

b E Scholarly research

" l-_l Preservation for future generatrons

4 Provide a description of the organization's collections and explain how they further the organization,s exempt purpose in part Xlll.5 During the year, did the organization solicit or receive donations of art, historical rrsasures, or other similar assets

d f Loan or exchange programs. l-l otne,

than to beEscrowandcustodiaterrangements.coIp|eteiftheorganizat|on"n"*reponed an amount on Form 990, part X. line 21.

1a ls the organization an agent, trustee, custodian or other intermediary for contributrons or other assets not included

1a

b

cd

e

on Form 990, Part X?

b lf "Yes, " explain the arrangement in part xilr and comprete the foilowing tabre:

c Beginning balance

d Additions during the year

e Distributions during the yearf Ending balance

2a Did the organization include an amount on Form 99o, Part X, line 21 , for escrow or custodial account liabilitv?

on Part Xlllzatron answered "Yes" on Form 99O part lV, line 10.

Beginning of year balanceContributions

Net investment earnings, gajns, and lossesGrants or scholarships

Other expenditures for facilitlesano ptograms

Adminisl rative expenses

End of year balance

Provide the estimated percentage of the current year end balance (line 1g, column (a)) hsld asBoard designated or quasi-endowment ) 97.03 %Permanent endowment ) .28Temporarilyrestrictedendowment ) 2. 69 %The percentages on lines 2a, Zb. and 2c should equal 1OO%.

Are ther€ endowment funds not in the possession of the organization that are held and administered for the organizationby:

(ii) related organizations

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

f-.] Y"" f--] ruo

Four years back

4 ,64L,921.L,048,692.

523,487.2I9 .8I7 .

5 ,99 4 ,283 .

fg

2

a

b

367 ,622 . I ,8L0 ,562 . 6 .709 .382 . 994,283.216 ,72'7 . 1 .158 .044.419 ,092. -251 ,7 02 . 73_639.404,9I2. 355 ,282 . ,pa a(, 252 .832.

r0 ,592 ,529 . 361- .622. 8.810.562. 6 ,709 .382 .

Complete if the zaton answered "Yes" on Form g9o. part lV, rine 11a. See Form 9g0, part X, line i0Description of property

Land

Buildings

Leasehold improvements

Equipment

Other'otal. Add lines 1a

632052 08-29-16

13470108 758050 17046-002

1a

b

G

d

(d) Book value

n

27201.6.05020 THE FREESTORE FOODBA}TK

Schedule D (Form 99O) 2016

FO 17046-01

jf the organization answered "yes" on Form Part lV, Iine .1 1b. See Form 99O. part X. line 12(a) Description of secUrity or category (inctudins nare of *cuity) (c) Method of valuation: Cost or end-of-year market vaG(1) Financial derivatives(2) Closely-hetd equity interests(3) Other

vestments - am Related.atron answered "Yes" on Part lV, line-11c. See Form 990, part X. line 13.(a) Description of investmenr (c) Method of valuation: Cost or end-of-year market value

atron answered "Yes" on Form 990, part lV, line .1 1d. See Form 990, part X, line 1S.(a) Descriptaon (b) Book value

if the organization answered ,,yes,, on Form 9gO, part lV. line 1 .1e or 1 1 | See Form 99O, Part X. tine 25.

(a) Description of liability

Federal income taxes

Liability for uncertain tax positions ln Part Xlll, provide th€ text of the footnote to the organization's financial statements that reports thefor

632053 06-29-16

l_34701-08 758050 170 46-002z6

2076.05020 THE

Schedule D (Form 9gO) 2016

FREESTORE FOODBAI.IK FO 17046-01

FOUNDATION -1670386per

answered "Yes" on Form 990, part lV. line 12a.1

2

a

b

d

e

3

4

a

b

c

Total revenue, gatns, and other support per audited financial statementsAmounts included on line 1 but not on Form 990, part Vlll, line 12.N€t unrealized gains (losses) on investmentsDonated services and use of facilitiesRecoveries of prior year grants ..

Other (Describe in Part Xlll.)

Add lines 2a through 2dSubtract line 2e from line 1

Amounts inctuded on Form ggo p",t v r r;; it, ;ri ;;r ;n ,n" i,Investment expenses not included on Form 990, part Vlll, line 7bOther (Describe in Part Xilt.)

Add lines 4a and 4b

a ses perif the answered "Yes" on Form gg0. part lV. line 12a.

1

2

a

b

c

d

e

3

4

a

b

c

Total €xpenses and losses por audited financial statemenrsAmounts included on line -1 but not on Form gg0, part lX, line 25:Donated services and use of facilitiesPrior year adjustrnents

Other losses

Other (Describe in Part Xttt.)

Add lines 2a through 2dSubtract line 2e from line 1 . .

Amounts included on Form 99O, part lX, line 25, but not on line 1

Investment exp€nses not included on Form 990, part Vlll, line 7bOther (Describe in Part Xlll.)

Add lines 4a and zlb

Add

Provide the descriptions required for Part ll, lines 3, 5, and 9; Part lll, lines 1a and 4; part lV, lines 1b and 2b; part v, line 4; part X, line 2; partTlines 2d and 4b; and Part Xll, lines 2d and 4b. Also complete this part to provide any additional information.

PART V, LINE

THE ENDOWMENT FUND IS USED TO FUSTHER FREESTORE FOODBANK'S EXEMPT PURPOSE.

THE ENDOWMENT FUND CONSIDERS GENERAL ECONOMTC CONDITIONS; THE POSSIBLE

TIIE TTWESTMENT POLTCTES OF THE AGENCY.

EFFECT OF TNFLATION AND DEFLATION; THE EXPECTED TOTAL RETURN FROM INcoME

THE APPRECIATION OF INVESTMENT_9-; QTHER RESOURCES OF THE AGENCy; ArrD

632054 08-29-16

13470108 758050 17046-00229

20t6.05020

Schedule D (Form 99O) 2016

THE FREESTORE FOODBANK FO 17046- 01

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SCHEDULE J(Form 990)

Department oi the TreasryInlernai RewnE Service

Name of the organization

632111 09-09-16

l-3470108 758050

Compensation InformationFor certain Officers, Directors, Trustees, Key Employees, and Highest

) comprete if the orsaniza:ffli;ffi::: txP:ffi,-

seo, part rv. rine 23.)Attach to Form 99O.

OMB No 1545-0047

THE FREESTORE FOODBA}IK FOUNDATT

1a check the appropriate box(es) if the organrzation provided any of the following to or for a person listed on Form ggo.Part vll Section A' line 1a- Complete Part lll to provide any relevant information regarding these items.I I First-class or chartertravel I Housing allowance or residence for personar usef_l rraver ror companions E ourn..i

" t;; ;=;;;;;;;;;, residence

I I Tax tndemnification and gross-up payments f_-l H""m or social club dues or initiation feesf_f Discretionary spending account l-i P.rson.l servrces (such as, maid, chauffeur. chefl

b lf any of the boxes on line 1a are checked, did the organization follow a written pottcy regarding payment orreimbursement or provision of all of the expenses described above? lf "No,,, complete part lll to explain

2 Did the organization require substantiation prior to reimbursing or allowing expenses Incurred by all directors,trustees, and officers, including the cEo/Executive Dirsctor, regarding the it€ms checked on line 1a?

3 Indicate which, if any, of the following the filing organization used to establish the compensation of the organization,scEo/Executive Director. check all that apply. Do not check any boxes for methods used by a related organization toestablish compensation of the cEo/Exocutive Director, but exprain in part ilr.I I Compensation committee l---l Written smptoyment contractL_-l Independent comp€nsation consultant f--l Cornp.n"atton survey or studyI I Form 990 of other organizations fl Approval by the board or compensation commrttee

4 During the year, did any person listed on Form 990, Part Vll, Section A, line 1a, with respect to the filinoorganization or a related organization:

a Receive a severance payment or changeof-control payment?b Participa.te in, or receive payment from, a supprementar nonquarified retirement pran? ..c Participate in, or receive payment from, an equity-based compensation arrangement?

lf 'Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in part lll.

onlv section 5o1(c)(3), 5o1(c)(a), and 5o1(c)(29) organizations must comptete lines 5-9.5 For persons listed on Form g90, Part Vll, Section A, line -1a, did the organization pay or accrue any compensation

contingent on the revenues of:

b Any related organization?

lf 'Yes" on line 5a or 5b, describe in part lll.6 For persons listed on Form gg0, Part Vll, Section A, line 1a, did the organization pay or accrue any compensation

contingent on the net earnings of:a The organization?

b Any related organization?

lf 'Yes" on line 6a or 6b, describe in part lll.7 For persons listed on Form gg0, Part Vll, Section A, line 1a, did the organization provide any nonfixed payments

not described on lines 5 and 6? lf ',yes,,' describe in part lll8 were any amounts reported on Form 990, Part vll. pard or accrued pursuant to a contract that was subiect to the

initial contract exception described in Regulations section 53.4958-a(a)(3)? lf ,'yes,,,describe in part lll9 lf 'Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in

LFIA For Paperwork Reduction Act Notice, see the Instuctions for Form g9o.

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322076.05020

2016

Emp loyer idsntification numb€r

-16703

Schedule J (Form 99O) 2016

1,'t 0 46 -002 THE FREESTORE FOODBANK FO 17046-01

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SCHEDULE O(Form 99O or 99O-EZ)

Department of ihe TreaswyRewnw

Name of th€ organization

2016

Employer identification number-167038FOT]NDATT

Supplemental Information to Form 990 or ggO-EZComplete to provide information for responses to specific questions on

Form 99O or g9O-EZ or to provide any additional informaUon.) ettactr to Form 990 or 99O_EZ.

THE FRE

FORM 990, PART VI, SECTION A LTNE 6;

THE FREESTORE FOODBANK IS THE SOLE MEMBER OF THE FREESTORE FOODBAI.TK

FOUNDATION.

FORM 990, PART yr, sEcTroN A, LrNE 7A:

THE SOLE MEMBER ACTING THROUGH THE SOLE MEMBER'S BOARD OF TRUSTEES THEN

SERVING AT THE TTME OF ELECT]ON SHALL HAVE THE POWER AND AUTHORITY TO

NOMINATE AND ELECT FROM ITS BOARD OF TRUSTEES UP TO FIVE TRUSTEES OF THE

FOUNDATTON, AND MUST IN FACT NOMINATE AND EI,-Egq AT LEAST THREE TRUSTEES OF

THE FOUNDATTON. THESE TRUSTEES OF THE FOUN)ATTON SHALTJ BE KNOWN AS THE

"FS/FB TRUSTEES. ''

FORM 990, PART VT, SECTION A, I,INE 78:

A FREESTORE FOODBANK TRUSTEE MAY BE REUOVED AT AI{Y TIME FOR ANY REASON BY

THE SOLE MEMBER ACTINq BY }TA{QBIIY VOTE OF ITS TRUSTEES OR BY AI{

AFFIRMATIVE VOTE OF A MA^IORITY OF THE FOUNDATION'S TRUSTEES, EXCIJUDfNG THE

TRUSTEE WHOSE REMOVAL IS IN QUESTION FOR CAUSE. DISSOLUTION OF THE

FOUNDATION SHALL rRE THE AFFIRMATIVE VOTE OF THE SOLE MEMBER AI,TD

LEAST FOUR OF THE FOUNDATION TRUSTEES.

FORM 990 PART VI SECTION B. LTNE 1]-B:

THE 990 TS REVIEWED BY THE BOARD BEFORE IT TS FILED.

FORM 990, PART Vr, SECTTON B, LINE 12C:

PER DOCUMENTED rNQUrRy OF BOARD MEIAERS FSFB MANAGEMENT, DIRECTORS OR

632211 08-25-16

13470108 758050 ]-7046-002

TEES A}INUALLY DISCLOSE ANY ENTIALLFIA For Paperwork Reduction Act Notice, see the lnstuctions for Form 9go or 99o-F7.

ICTS OF INT . POTENTIALSchedule O (Form 99O or 99O-EZ) (2016)

FREESTORE FOODBANK FO 17046-35

20\6.05020 THE n1UI

THE FRE FOODBAI{K FOUNDATIEmp loyer identification number

3r.-1670385

coNFI,rcTS ARE HANDLED ON A CASE BY CASE BASTS.

FORM 990, PART Vr, SECTION B, LINE 15:

RELATED PARTY COMPENSATION DISCLOSED ON THIS FOR$ 990 IS DETERMINED BY THE

FREESTORE FOODBAIIK'S BOARD CE4IE_r_J4EI CHATR AND ONE OTHER MEMBER. THrS

COMITTEE SHALL REVIEW THE CEQ-ANQI:OMPARABILTTY DATA AND },IAKE A

RECOMMENDATTON TO THE EXECUTTVE COMMTTTEE ErrrgH 4PPROVES ArirD REPoRTS TO THE

ENTTRE BOARD. THE FREESTORE FOODBANK FOUNDATION DOES NOT HAVE EMPLOYEES.

FORM 990, PART VI, SECTION C, IJINE 19:

THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL

STATEMENTS ARE AVATLABLE UPON EST.

FORM 990, PART XII, LINE 2C:

THE ORGANIZATTON HAS A COMMTTTEE WHICH TS RESPONSIBLE FOR THE SELECTION

oF Al'I TNDEPENDENT ACCOUNTAI{T AND OVERSTGHT OF THE AUDrr. PROCEDURES FOR

CARRYING OUT THESE RESPONSIBTLITIES HAVE NOT CHANGED FROM LAST YEAR.

632212 08-25- 16

13470108 758050 17046-00236

2016.05020 THE

Schedule O (Form 99O or 99O-EZ) (2Oi6)

FREESTORE FOODBANK FO 17046-01

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632165 09-06-16

13470108 758050 17046-0024L

20L6.05020

Schedule R (Form 99O) 2016

THE FREESTORE FOODBAI{K FO 17046-01