2018-03-05T13:12:16-06:00 2017-06-30 930874157 GROVE MUELLER & SWANK PC 475 COTTAGE STREET NE SUITE 200 SALEM OR 97301 990 2016-07-01 943034161 MARION-POLK FOOD SHARE INC MARI 5035813855 1660 SALEM INDUSTRIAL DRIVE NE SALEM OR 973010374 RICK GAUPO EXECUTIVE DIRECTOR 5035813855 2018-02-27 1 RYAN T PASQUARELLA CPA P01304274 5035817788 75.145.65.185 2018-02-27 12:27:38 PS P ECE8FDF2E0F3C59CEDAEDC01E19F6B580E92B044 7B4ED703428361F3001A19DD336D161CFA018489 2016 2021-01-29 14:40:06Z RICK GAUPO 1660 SALEM INDUSTRIAL DRIVE NE SALEM OR 973010374 14415933 0 X WWW.MARIONPOLKFOODSHARE.ORG X 1987 OR LEADING THE FIGHT TO END HUNGER IN MARION AND POLK COUNTIES, BECAUSE NO ONE SHOULD BE HUNGRY. 15 15 79 3400 12899 0 11992599 13692199 514917 526614 20183 20746 65884 43773 12593583 14283332 8795065 10422853 0 0 2251356 2504209 0 0 940257 1520563 1465894 12566984 14392956 26599 -109624 6510798 6428741 249160 223626 6261638 6205115 LEADING THE FIGHT TO END HUNGER IN MARION AND POLK COUNTIES, BECAUSE NO ONE SHOULD BE HUNGRY. 0 0 12911223 10422853 576451 MARION-POLK FOOD SHARE HAS BEEN LEADING THE FIGHT TO END HUNGER IN MARION AND POLK COUNTIES SINCE 1987. THIS FISCAL YEAR, WE DISTRIBUTED OVER 9 MILLION POUNDS OF EMERGENCY FOOD TO HUNGRY INDIVIDUALS AND FAMILIES THROUGH A NETWORK OF MORE THAN 100 NONPROFIT, HUNGER-RELIEF PARTNERS. OUR MEALS ON WHEELS PROGRAM PROVIDES HOME-DELIVERED AND COMMUNITY MEAL TO HUNDREDS OF SENIORS IN SALEM AND KEIZER. WE ALSO OPERATE A FOOD PANTRY UNDER CONTRACT WITH THE CONFEDERATED TRIBES OF GRAND RONDE. TO ADDRESS THE ROOT CAUSES OF HUNDER, WE OFFER EDUCATION AND SKILL-BUILDING OPPORTUNITIES AND ENGAGE IN FOOD SYSTEMS COMMUNITY ORGANIZING. ACTIVITIES INCLUDE COMMUNITY GARDENS, A YOUTH-RUN URBAN FARM, NUTRITION EDUCATION AND WORK EXPERIENCE PROGRAMS. 12911223 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 11 0 1 79 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 OR X X THE ORGANIZATION 5035813855 1660 SALEM INDUSTRIAL DRIVE NE SALEM OR 973010374 ALEX BEAMER CHAIR 1.00 X X 0 0 0 BERNADETTE MELE BOARD MEMBER 1.00 X 0 0 0 BRENDA TUOMI BOARD MEMBER 1.00 X 0 0 0 CHERYL WELLS VICE CHAIR 1.00 X X 0 0 0 COURTNEY KNOX BUSCH SECRETARY 1.00 X X 0 0 0 DENNIS K YOUNG BOARD MEMBER (THROUGH AUG 2016) 1.00 X 0 0 0 DICK YATES BOARD MEMBER 1.00 X 0 0 0 EILEEN ZIELINSKI BOARD MEMBER 1.00 X 0 0 0 ESTHER PUENTES BOARD MEMBER 1.00 X 0 0 0 FRANCES LARA ALVARADO BOARD MEMBER 1.00 X 0 0 0 GEORGE HAPP BOARD MEMBER 1.00 X 0 0 0 JIM GREEN TREASURER 1.00 X X 0 0 0 JOHN BURT BOARD MEMBER 1.00 X 0 0 0 JULIE HUCKESTEIN BOARD MEMBER 1.00 X 0 0 0 MIKE GARRISON BOARD MEMBER 1.00 X 0 0 0 WARREN BEDNARZ BOARD MEMBER 1.00 X 0 0 0 RICK GAUPO EXECUTIVE DIRECTOR 40.00 X 96566 0 25796 96566 0 25796 0 0 0 0 0 145764 1455436 12090999 9810559 13692199 HOME MEAL DELIVERY 624210 401339 401339 FOOD BANK OPERATION 624210 111976 111976 CATERING 722320 12899 12899 CLASS FEES 611430 400 400 526614 12155 12155 24370 0 24370 24370 24370 16169 7578 8591 8591 8591 28128 145764 71461 -43333 -43333 91785 53562 38223 38223 OTHER REVENUE 900099 24513 24513 24513 14283332 576451 12899 1783 10422853 10422853 132254 52902 39676 39676 1822363 1123473 276483 422407 54774 34157 9066 11551 318267 216188 20329 81750 176551 105934 28842 41775 2737 2737 31000 31000 7591 7591 102342 51909 47979 2454 41742 2470 1376 37896 349420 95682 26219 227519 71933 32967 12098 26868 145691 138527 3525 3639 107892 103477 3105 1310 20470 7742 8411 4317 225367 203651 10593 11123 29421 15149 8331 5941 PROGRAM SUPPLIES 151987 151987 MEAL DELIVERY EXPENSES 133845 133845 CATERING EXPENSE 5577 5577 BETTER BURGER PRODUCTIO 177 177 38702 12556 4115 22031 14392956 12911223 541476 940257 1835 1240 959463 1436826 265829 221913 1127308 672466 118740 105499 5136240 2038656 3208898 3097584 828725 893213 6510798 6428741 187220 149789 61940 73837 249160 223626 X 5800722 5523859 224981 443946 235935 237310 6261638 6205115 6510798 6428741 X -109624 94417 -41316 X X 0 1 X 1 1 1 X 12995366 12098276 11608629 11992599 13692199 62387069 12995366 12098276 11608629 11992599 13692199 62387069 5929912 56457157 11382 13453 12489 17184 36525 91033 17330 7145 24475 336 1558 119966 7458 24513 153831 62656408 1648187 0.90110 0.91810 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2012 AMOUNT: $ 336. 2013 AMOUNT: $ 1,558. 2014 AMOUNT: $ 119,966. 2015 AMOUNT: $ 7,458. 2016 AMOUNT: $ 24,513. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 828725 1375 110574 29439 18023 893212 795675 101535 -23707 37697 7081 828725 827935 3634 5615 34356 7153 795675 755584 1271 123972 46404 6488 827935 697802 7040 75054 18146 6166 755584 0.73430 0.26570 1 0 6101 6101 3831244 1058928 2772316 693041 513390 179651 605854 466338 139516 3097584 OREGON COMMUNITY FOUNDATION 893213 F 893213 X 14484484 94417 2950 125023 222390 14262094 21238 21238 14283332 14541007 2950 171204 174154 14366853 26103 26103 14392956 PART V, LINE 4: THE TRUE ENDOWMENT HAS NAMED FUNDS. SOME ARE FOR BUILDING AND MAINTENANCE AND THE REST IS UNRESTRICTED. WE ONLY USE DISTRIBUTIONS, NO PRINCIPAL RECOVERIES ARE EXPECTED. QUASI IS UNRESTRICTED BUT NO PULLING OF FUNDS IS EXPECTED. PART X, LINE 2: MPFS FOLLOWS THE PROVISIONS ACCOUNTING STANDARDS CODIFICATION (ASC) 740 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." MPFS' FEDERAL AND STATE INCOME TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES UNTIL THE EXPIRATION OF THE RELATED STATUTES OF LIMITATIONS ON THOSE TAX RETURNS. IN GENERAL, THE FEDERAL AND STATE INCOME TAX RETURNS HAVE A THREE YEAR STATUTE OF LIMITATIONS. MPFS WOULD RECOGNIZE ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX PROVISIONS, IF ANY, AS PART OF THE INCOME TAX PROVISION. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT - DIRECT EXPENSES 71,461. COST OF SALES 53,562. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT NONCASH DONATIONS 21,238. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT - DIRECT EXPENSES 71,461. COST OF SALES 53,562. BAD DEBT EXPENSE 46,181. PART XII, LINE 4B - OTHER ADJUSTMENTS: PREPAID EVENT EXPENSES FROM PY 4,865. SPECIAL EVENT NONCASH DONATIONS 21,238. CHEF'S NITE OUT 64558 64558 5533 200 200 6380 FARM TO TABLE 109334 81206 28128 3540 11588 500 43520 173892 145764 28128 9073 11788 700 49900 71461 -43333 1 ARCHES MWVCAA 1164 MADISON ST NE SALEM OR 97301 237056987 501(C)(3) 11256 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER AUMSVILLE FOOD BANK 10153 MILL CREEK RD SE AUMSVILLE OR 97325 440612817 501(C)(3) 825 86398 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER AWARE FOOD BANK PO BOX 551 WOODBURN OR 97071 237312454 501(C)(3) 581725 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER BROOKS ASSEMBLY OF GOD FOOD PANTRY 9165 PORTLAND RD NE BROOKS OR 97305 930853138 501(C)(3) 17027 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER CADENZA HOME KAIROS 4385 SUNNYVIEW RD NE SALEM OR 97305 930686923 501(C)(3) 8753 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER CAPITAL PARK WESLEYAN CHURCH FOOD PANTRY 425 20TH ST SE SALEM OR 97302 930562924 501(C)(3) 72901 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER CITY VIBE 3094 GELHAR RD NW SALEM OR 97304 943209636 501(C)(3) 28547 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER COMMUNITY OF CHRIST CHURCH GOOD SAMARITAN FOOD PANTRY 4570 CENTER ST NE SALEM OR 97305 931042194 501(C)(3) 187927 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER DALLAS EMERGENCY FOOD BANK INC 322 MAIN ST DALLAS OR 97338 930843261 501(C)(3) 608 385123 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER DALLAS SEVENTH DAY ADVENTIST 589 SW BIRCH ST DALLAS OR 97338 930856473 501(C)(3) 104498 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER EARLY COLLEGE HIGH SCHOOL 4071 WINEMA PL NE BLDG 50 SALEM OR 97305 930831467 501(C)(3) 8054 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER EASTWEST ENGLEWOOD SENIOR MOBILE 3140 TESS AVE NE SALEM OR 97303 930562924 501(C)(3) 31478 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ELLA CURRAN FOOD BANK 840 N MAIN ST INDEPENDENCE OR 97381 930797524 501(C)(3) 136103 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER FALLS CITY SEVENTH DAY ADVENTIST PO BOX 430 FALLS CITY OR 97344 930440796 501(C)(3) 39160 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER FAMILY BUILDING BLOCKS PANTRY CHELSEA'S PLACE 2425 LANCASTER DR NE SALEM OR 97305 930562924 501(C)(3) 13753 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER FAMILY BUILDING BLOCKS PANTRY BROADWAY 1255 BROADWAY ST NE SUITE 200 SALEM OR 97301 930562924 501(C)(3) 20811 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER FAMILY BUILDING BLOCKS PANTRY HELEN'S PLACE 180 18TH ST NE SALEM OR 97301 930562924 501(C)(3) 6124 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER FIRST CHRISTIAN CHURCH 402 N FIRST ST SILVERTON OR 97381 930549197 501(C)(3) 52251 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HIGHLAND COMMUNITY HOME CCS C/O CATHOLIC COMMUNITY SERVICES PO BOX 20400 SALEM OR 973070400 930903773 501(C)(3) 5814 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HOAP NORTHWEST HUMAN SERVICES 681 CENTER ST NE SALEM OR 97301 930605570 501(C)(3) 35825 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HOME YOUTH & RESOURCE CENTER MWVCAA 625 UNION ST NE SALEM OR 97301 931128811 501(C)(3) 15341 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HOPE ON WHEELS 4455 SILVERTON RD NE SALEM OR 97305 281831450 501(C)(3) 18358 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HOST SHELTER NORTHWEST HUMAN SERVICES 681 CENTER ST NE SALEM OR 97301 930605570 501(C)(3) 50 38183 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HOUSE OF ZION FOOD PANTRY 1430 E CLEVELAND ST WOODBURN OR 97071 930871543 501(C)(3) 25464 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HUMANITARIAN MINITRIES NETWORK OF SALEM 498 CHURCH ST NE SALEM OR 97301 800418382 501(C)(3) 8666 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER HUNGRY LIKE THE WOLF 345 N MONMOUTH AVE MONMOUTH OR 97361 936033807 501(C)(3) 19429 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ISKAM MEK H MEK HAWS 9675 GRAND RONDE RD GRAND RONDE OR 97347 931265867 501(C)(3) 108 410606 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER JAMES 2 COMMUNITY KITCHEN 565 SE LA CREOLE DR DALLAS OR 97338 264033875 501(C)(3) 530 109421 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER JASON LEE UNITED METHODIST FOOD BANK P O BOX 6061 SALEM OR 97304 930406417 501(C)(3) 195230 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER KEIZER COMMUNITY FOOD BANK 4505 RIVER RD N KEIZER OR 97303 930514483 501(C)(3) 209883 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER KINGWOOD BIBLE 1125 ELM ST NW SALEM OR 97304 933602671 501(C)(3) 50604 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER LIFE CHURCH PO BOX 5350 SALEM OR 97304 930843519 501(C)(3) 52432 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MANO-A-MANO FAMILY RESOURCE CENTER 3850 PORTLAND RD NE SALEM OR 97301 930992858 501(C)(3) 75984 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MANO-A-MANO FAMILY RESOURCE CENTER SC 2921 SADDLE CLUB RD SUITE 9 SALEM OR 97301 930992858 501(C)(3) 42407 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MARION FRIENDS CHURCH 5997 STAYTON RD SE TURNER OR 97392 930480595 501(C)(3) 22666 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MEHAMA COMMUNITY CHURCH JOSEPH STOREHOUSE OF HOPE PO BOX 40 MEHAMA OR 97384 930747026 501(C)(3) 145026 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MILL CITY GATES COMMUNITY CENTER PO BOX 426 MILL CITY OR 97360 931139198 501(C)(3) 108 66998 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MISSION BENEDICT FOOD BANK 925 S MAIN ST MT ANGEL OR 97362 930387331 501(C)(3) 1623 102288 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MONMOUTH CHRISTIAN CHURCH HELPING HANDS 959 CHURCH ST W MONMOUTH OR 97361 930419360 501(C)(3) 22893 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MOTHER LOFTON'S KITCHEN 865 MEDICAL CENTER DR SALEM OR 97301 800498122 501(C)(3) 18438 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MOVING FORWARD 4622 CHERRY TREE CT SE SALEM OR 97305 501(C)(3) 18503 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER MT ANGEL COMMUNITY CENTER PO BOX 910 MT ANGEL OR 97362 930760842 501(C)(3) 12539 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER NEW HARVEST CHURCH 4290 PORTLAND RD NE SALEM OR 97301 200692421 501(C)(3) 80320 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER NEW HOPE FOURSQUARE CHURCH PANTRY 4963 SWEGLE RD NE SALEM OR 97305 951684062 501(C)(3) 43138 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER NEW HOPE FOURSQUARE CHURCH MEAL SITE 4963 SWEGLE RD NE SALEM OR 97305 951684062 501(C)(3) 13488 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER NEW LIFE COMMUNITY CHURCH PO BOX 4136 SALEM OR 97302 931246546 501(C)(3) 99220 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER PAULINE MEMORIAL AME ZION CHURCH 3593 SUNNYVIEW RD SALEM OR 97303 931037528 501(C)(3) 241336 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER PEOPLES CHURCH 4500 LANCASTER DR NE SALEM OR 97305 930513504 501(C)(3) 105547 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER PIONEER HOME C/O CATHOLIC COMMUNITY SERVICES PO BOX 20400 SALEM OR 973070400 931069694 501(C)(3) 46066 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER PRECIOUS CHILDREN SALEM EVANGELICAL CHURCH 455 LOCUST ST NE SALEM OR 97303 930569204 501(C)(3) 546 211866 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER QUEEN OF PEACE TABLE OF PLENTY 4227 LONE OAK RD SE SALEM OR 97302 930513650 501(C)(3) 132653 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER RESTORATION HOUSE 650 LOCUST ST NE SALEM OR 97301 930457267 501(C)(3) 25994 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ROBERT LINDSEY TOWERS CITY OF SALEM HOUSING AUTHORITY 360 CHURCH ST SE SALEM OR 97302 930582087 501(C)(3) 209 14111 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SABLE HOUSE PO BOX 808 DALLAS OR 97338 931122800 501(C)(3) 6232 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SACRED HEART GERVAIS 680 ELM ST GERVAIS OR 97026 930459186 501(C)(3) 86655 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SCOTTS MILLS COMMUNITY CENTER FOOD PANTRY PO BOX 196 SCOTTS MILLS OR 97375 930850377 501(C)(3) 38062 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SEVENTH DAY ADVENTIST COMMUNITY SERVICES 1860 SUMMER ST NE SALEM OR 97301 930441769 501(C)(3) 104701 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SHARED BLESSING WESTGATE ASSEMBLY OF GOD PO BOX 5990 SALEM OR 97304 930579568 501(C)(3) 172362 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SILVER CREEK MISSION OF HOPE COMMUNITY PANTRY PO BOX 8 SILVERTON OR 97381 930966117 501(C)(3) 324641 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SILVER CREEK MISSION OF HOPE COMMUNITY MEAL PO BOX 8 SILVERTON OR 97381 930966117 501(C)(3) 26455 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SILVERTON AREA COMMUNITY AID PO BOX 1305 SILVERTON OR 97381 930884237 501(C)(3) 116613 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SIMONKA PLACE WOMEN & CHILDREN MISSION UNION GOSPEL MISSIO PO BOX 431 SALEM OR 97301 SALEM OR 97301 930457267 501(C)(3) 59067 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SOLID ROCK CHURCH 3535 WARD DR NE SALEM OR 97305 930886109 501(C)(3) 350 54288 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SOUTH EAST NEIGHBORHOOD COMMUNITY CENTER 425 19TH ST SE SALEM OR 97301 930562924 501(C)(3) 14324 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SOUTH SALEM FRIENDS CHURCH 1140 BAXTER RD SE SALEM OR 97306 936014035 501(C)(3) 400 59010 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER SPANISH SEVENTH DAY ADVENTIST SALEM 4625 CORDON RD NE SALEM OR 97305 264389184 501(C)(3) 174697 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ST JOSEPH SHELTER 925 S MAIN ST MT ANGEL OR 97362 930387331 501(C)(3) 315 32745 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ST LUKE'S SOCIETY OF ST VINCENT DE PAUL PO BOX 418 DONALD OR 97020 930762880 501(C)(3) 60555 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER ST VINCENT DE PAUL PO BOX 7864 SALEM OR 97301 930464194 501(C)(3) 870282 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER STAYTON COMMUNITY FOOD BANK 155 2ND ST STAYTON OR 97383 930805665 501(C)(3) 209948 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER THE SALVATION ARMY FOOD BANK PO BOX 7047 SALEM OR 97301 911156347 501(C)(3) 635792 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER THE SALVATION ARMY LIGHTHOUSE SHELTER PO BOX 7047 SALEM OR 97301 911156347 501(C)(3) 37568 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER TRINITY UNITED METHODIST CHURCH THE LORD'S CUPBOARD 590 ELMA AVE SE SALEM OR 97301 930454789 501(C)(3) 165607 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER TURNER CHRISTIAN CHURCH FOOD BANK 7871 MARION RD SE TURNER OR 97392 930508312 501(C)(3) 36627 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER UNION GOSPEL MISSION MEN'S MISSION PO BOX 431 SALEM OR 97301 930457267 501(C)(3) 26992 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER WEST SALEM UNITED METHODIST CHURCH FOOD PANTRY 1219 3RD ST NW SALEM OR 97304 930682265 501(C)(3) 83765 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER WOODBURN FAMILY LEARNING CENTER CHILD CARE 1440 NEWBERG HWY WOODBURN OR 97071 930585997 501(C)(3) 11187 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER WOODBURN FAMILY LEARNING CENTER FOOD PANTRY 1440 NEWBERG HWY WOODBURN OR 97071 930585997 501(C)(3) 10770 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER WOODBURN SPANISH SEVENTH DAY ADVENTIST MEAL SITE PO BOX 603 WOODBURN OR 97071 934224170 501(C)(3) 44707 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER WOODBURN SPANISH SEVENTH DAY ADVENTIST FOOD PANTRY PO BOX 603 WOODBURN OR 97071 934224170 501(C)(3) 50958 DONATED FOOD @ $1.10/LB; PURCHASED FOOD @ COST DONATED FOOD TO PREVENT HUNGER 80 0 PART I, LINE 2: GOVERNMENT GRANTS ARE TYPICALLY ON A REIMBURSEMENT BASIS. MPFS WORKS WITH NETWORK PARTNERS (ALL 501C3 ORGANIZATIONS) IN ADVANCE TO OUTLINE A PLAN AND BUDGET TO SATISFY DONOR INTENT. QUARTERLY REPORTS ARE REVIEWED BY MPFS TO TRACK PROGRESS AND ENSURE COMPLIANCE (WHICH INCLUDES CIVIL RIGHTS). DOCUMENTATION WITH REQUESTS FOR REIMBURSEMENT FOR EXPENSES ARE SUBMITTED MONTHLY OR QUARTERLY AND DOCUMENTATION IS MAINTAINED FOR REVIEW AND AUDIT. ANNUAL MONITORING OF SUB-RECIPIENT ENTITIES IS PERFORMED. MPFS MONITORS PROGRAM OPERATIONS TO ENSURE FUNDS ARE ADMINISTERED IN ACCORDANCE WITH FEDERAL AND STATE REQUIREMENTS AND PRIVATE DONOR INTENT. IF DEFICIENCIES ARE IDENTIFIED THROUGH THE MONITORING, MPFS REVIEWS A PLAN FOR CORRECTIVE ACTION. X 15310 DONOR VALUE X 3 2250 SALES VALUE X 3 5017 MARKET VALUE X 640 9780950 SEE SCHEDULE O X PLANTS, SEEDS AND STARTS 9 2899 DONOR VALUE X EQUIPMENT 9 2288 DONOR VALUE X GIFT CERTIFICATES 22 1845 DONOR VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A FAMILY & BUSINESS RELATIONSHIPS CERTIFICATION FORM ANNUALLY DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF KEY EMPLOYEES AND OFFICERS IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD BY REVIEWING SALARY SURVEYS AND SETTING OFFICER SALARIES COMMENSURATE TO THE LEVEL OF SIMILAR AGENCIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND FINANCIAL INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. PUBLIC DISCLOSURE INFORMATION IS ALSO AVAILABLE ON GUIDESTAR AND THE WEBSITE FOR THE NATIONAL CENTER FOR CHARITABLE STATISTICS. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -46,181. PREPAID EVENT EXPENSE 4,865. FORM 990, PART XI, LINE 2C: THE BOARD OF DIRECTORS INCLUDES A FINANCE COMMITTEE WHICH IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. SCHEDULE M - DONATED FOOD INVENTORIES ARE STATED AT $1.25 PER POUND AS OF JUNE 30, 2017, AND ADOPTED BY THE BOARD OF DIRECTORS AS A FIXED PRICE PER POUND RATE. SENIOR TOWNHOUSE INC 1660 SALEM INDUSTRIAL DRIVE NE SALEM OR 973010374 930594276 FOOD DISTRIBUTION AND MEAL DELIVERY OR 501(C)(3) LINE 7 MARION-POLK FOOD SHARE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0