Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
Second Harvest Food Bank of Santa Clara
and San Mateo Counties
Employer identification number
94-2614101
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Community based food distribution agencies
additional information available
upon request
various cities,CA99999 		501(c)(3)   72,943,365 actual purchase cost and FMV of donated food food To prevent hunger
(2) community based partner distribution agencies
additional information available
upon request
various cities,CA99999 		501(c)(3)   218,508 COST EQUIPMENT TO HELP FACILITATE FOOD DISTRIBUTION THROUGH PARTNER AGENCIES.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
317
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2016

Schedule I (Form 990) 2016
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Brown Bag Program 16214   13,303,315 acutal purchase cost and FMV of donated food food
(2) Family Harvest Program 22031   8,708,181 acutal purchase cost and FMV of donated food food
(3) PRODUCE MOBILE 13843   3,876,518 ACutal purchase cost and FMV of donated food FOOD
(4) KIDS NOW 3138   1,315,179 AcutAl purchAse cost And FMV of donAted food FOOD
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2: Food safety training is mandated and provided annually. Compliance is tracked in the computerized inventory database. A detail Product Distribution Report by program and site is generated and reviewed on a monthly basis. Individual monitorings are conducted every two years on site (as per requirements from Feeding America). Audit reports are obtained from the largest agencies and a random sample of other agencies. The audit report is reviewed to identify internal control issues to discuss with the agency. 1. Files are reviewed to insure proper documents are included a. Agency Application b. Agency Agreement c. 501(c)(3) Documentation d. Previous monitor form 2. On site visit conducted a. Proper paperwork on file including original client sign-in sheets b. Proper food storage c. Proper food handling practices
GRANTS TO PARTNERSHIP DISTRIBUTION AGENCIES SHFB has a formalized process to facilitate the equipment purchases for community based partner distribution agencies. Eligible agencies must complete a funding request form. All agency requests for equipment are then reviewed and approved by a management review group using defined criteria. SHFB's competitive bid process will be used for all new single purchases over $10,000 and all multiple purchases accumulated over the course of one year totaling over $25,000. All agencies receiving such equipment are required to sign a contract and compliance is monitored on an ongoing basis. The agency retention time requirement for the equipment varies from 2-15 years depending on the equipment value.
Schedule I (Form 990) 2016



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