HomeMy WebLinkAboutFree Lunch Financial
Free Lunch Program is a 501(c)(3) nonprofit organization
and a United Way Partner Agency.
1105 S. Gilbert Ct. #100 319-337-6283
Iowa City, IA 52240 iowacityfreelunch.org
an open door, a full plate, no questions asked
October 14, 2024
Dear FY24 Joint Application Review Committees,
Enclosed are the required financial review documents for the Free Lunch Program: 1) Form
990, 2) FY24 Profit and Loss Statement, and 3) the October 2024 board agenda indicating
approval of the financials.
During the preparation of the current application’s budget documents, we identified an error
in the categorization of a $6,842 check from the 2024 Community Food and Farm Grant. This
amount was incorrectly recorded under the Johnson County Block Grant, which should
reflect only $2,287 received from that grant. This miscategorization led to a discrepancy
between the actual grant amounts and the figures reported in the FY24 Profit and Loss
Statement previously approved by the board at the October Quarterly Meeting.
We have corrected this error and will ensure accurate categorization going forward. A
revised FY24 Profit and Loss Statement will be presented for board approval in January.
Please feel free to reach out with any questions.
Sincerely,
Laura Hunter
Co-Director of Development, Outreach & Administrative Operations
Free Lunch Program
A For the 2023 calendar year, or tax year beginning , 2023, and ending , 20
B Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C Name of organization
Number and street (or P.O. box if mail is not delivered to street address) Room/suite
City or town, state or province, country, and ZIP or foreign postal code
D Employer identification number
E Telephone number
F Group Exemption
Number
G Accounting Method: Cash Accrual Other (specify):H Check if the organization is not
required to attach Schedule B
(Form 990).
I Website:
J Tax-exempt status (check only one) — 501(c)(3) 501(c) () (insert no.)4947(a)(1) or 527
K Form of organization:Corporation Trust Association Other:
L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets
(Part II, column (B)) are $500,000 or more, file Form 990 instead of Form 990-EZ .............$
Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . . . .
Re
v
e
n
u
e
1 Contributions, gifts, grants, and similar amounts received .............1
2 Program service revenue including government fees and contracts .........2
3 Membership dues and assessments ....................3
4 Investment income .........................4
5 a Gross amount from sale of assets other than inventory ....5a
b Less: cost or other basis and sales expenses ........5b
c Gain or (loss) from sale of assets other than inventory (subtract line 5b from line 5a) ....5c
6 Gaming and fundraising events:
a Gross income from gaming (attach Schedule G if greater than
$15,000) ....................6a
b Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) . .6b
c Less: direct expenses from gaming and fundraising events . . .6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract
line 6c) .............................6d
7 a Gross sales of inventory, less returns and allowances .....7a
b Less: cost of goods sold ..............7b
c Gross profit or (loss) from sales of inventory (subtract line 7b from line 7a) .......7c
8 Other revenue (describe in Schedule O) ...................8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............9
Ex
p
e
n
s
e
s
10 Grants and similar amounts paid (list in Schedule O) ..............10
11 Benefits paid to or for members .....................11
12 Salaries, other compensation, and employee benefits ..............12
13 Professional fees and other payments to independent contractors ..........13
14 Occupancy, rent, utilities, and maintenance .................14
15 Printing, publications, postage, and shipping .................15
16 Other expenses (describe in Schedule O) .................. 16
17 Total expenses. Add lines 10 through 16 ..................17
Ne
t
A
s
s
e
t
s
18 Excess or (deficit) for the year (subtract line 17 from line 9) ............18
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return) ...............19
20 Other changes in net assets or fund balances (explain in Schedule O) .........20
21 Net assets or fund balances at end of year. Combine lines 18 through 20 .......21
For Paperwork Reduction Act Notice, see the separate instructions. Form 990-EZ (2023)
Form 990-EZ
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form, as it may be made public.
Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
https://iowacityfreelunch.org/
Jul 1 Jun 30
FREE LUNCH PROGRAM
1105 GILBERT CT 100
26-4722790
3193376283
148,966.
190,481.
175,027.
177,658.
41,515.
177,658.
2,631.
87,128.
136,143.
855.
28,080.
19,183.
897.
See Line 16 Stmt
24
IOWA CITY, IA 52240-4536
BAA REV 05/09/24 PRO
Form 990-EZ (2023) Page 2
Part II Balance Sheets (see the instructions for Part II)
Check if the organization used Schedule O to respond to any question in this Part II . . . . . . . . . .
(A) Beginning of year (B) End of year
22 Cash, savings, and investments .................22
23 Land and buildings ......................23
24 Other assets (describe in Schedule O)...............24
25 Total assets ........................25
26 Total liabilities (describe in Schedule O) ..............26
27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . .27
Part III Statement of Program Service Accomplishments (see the instructions for Part III)
Check if the organization used Schedule O to respond to any question in this Part III . .
What is the organization’s primary exempt purpose?
Describe the organization’s program service accomplishments for each of its three largest program services,
as measured by expenses. In a clear and concise manner, describe the services provided, the number of
persons benefited, and other relevant information for each program title.
Expenses
(Required for section
501(c)(3) and 501(c)(4)
organizations; optional for
others.)
28
(Grants $ ) If this amount includes foreign grants, check here .....28a
29
(Grants $ ) If this amount includes foreign grants, check here .....29a
30
(Grants $ ) If this amount includes foreign grants, check here .....30a
31 Other program services (describe in Schedule O) ..................
(Grants $ ) If this amount includes foreign grants, check here .....31a
32 Total program service expenses (add lines 28a through 31a) ...............32
Part IV List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated—see the instructions for Part IV)
Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . . .
(a) Name and title
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099-MISC/
1099-NEC)
(if not paid, enter -0-)
(d) Health benefits,
contributions to employee
benefit plans, and
deferred compensation
(e) Estimated amount of
other compensation
Form 990-EZ (2023)
150,469.
1,503.
190,481.
150,469.
148,966.
192,581.
192,581.
2,100.
150,173.
SEE SCHEDULE O
ROBERT LITTLEHALE
PRESIDENT 0.00 0.0.0.
MARCIA BOLINGER
VICE PRESIDENT 0.00 0.0.0.
SHARYN REITZ
TREASURER 0.00 0.0.0.
COLLEEN SCHILLING
SECRETARY 0.00 0.0.0.
KAI KAISER
CO-DIRECTOR 25.00 38,350.0.0.
DIANE PLATTE
CO-DIRECTOR 25.00 38,350.0.0.
BRYCEN MYERS
BOARD MEMBER 0.00 0.0.0.
CYNTHIA CARDELL
BOARD MEMBER 0.00 0.0.0.
CAROLYN JOHNSON
BOARD MEMBER 0.00 0.0.0.
JAYSON SAINSBURY
BOARD MEMBER 0.00 0.0.0.
0.00 0.0.0.
PROVIDE FREE LUNCH MEALS TO NEEDY INDIVIDUALS IN THE COMMUNTY
9,654.150,173.
See Part IV Stmt
REV 05/09/24 PRO
Form 990-EZ (2023) Page 3
Part V Other Information (Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V .
Yes No
33 Did the organization engage in any significant activity not previously reported to the IRS? If “Yes,” provide a
detailed description of each activity in Schedule O ...................33
34 Were any significant changes made to the organizing or governing documents? If “Yes,” attach a conformed
copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the
change on Schedule O. See instructions ......................34
35 a Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)? ............35a
b If “Yes” to line 35a, has the organization filed a Form 990-T for the year? If “No,” provide an explanation in Schedule O 35b
c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice,
reporting, and proxy tax requirements during the year? If “Yes,” complete Schedule C, Part III .....35c
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets
during the year? If “Yes,” complete applicable parts of Schedule N .............36
37 a Enter amount of political expenditures, direct or indirect, as described in the instructions 37a
b Did the organization file Form 1120-POL for this year? ..................37b
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee; or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? .38a
b If “Yes,” complete Schedule L, Part II, and enter the total amount involved ....38b
39 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on line 9 ..........39a
b Gross receipts, included on line 9, for public use of club facilities .......39b
40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911:; section 4912:; section 4955:
b Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958
excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year
that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I 40b
c Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed
on organization managers or disqualified persons during the year under sections 4912,
4955, and 4958 ........................
d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line
40c reimbursed by the organization .................
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If “Yes,” complete Form 8886-T .....................40e
41 List the states with which a copy of this return is filed:
42a The organization’s books are in care of:Telephone no.
Located at:ZIP + 4
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over
a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes No
42b
If “Yes,” enter the name of the foreign country:
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and
Financial Accounts (FBAR).
c At any time during the calendar year, did the organization maintain an office outside the United States? .42c
If “Yes,” enter the name of the foreign country:
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041—Check here .......
and enter the amount of tax-exempt interest received or accrued during the tax year ......43
Yes No
44 a Did the organization maintain any donor advised funds during the year? If “Yes,” Form 990 must be
completed instead of Form 990-EZ ........................44a
b Did the organization operate one or more hospital facilities during the year? If “Yes,” Form 990 must be
completed instead of Form 990-EZ ........................44b
c Did the organization receive any payments for indoor tanning services during the year? .......44c
d If “Yes” to line 44c, has the organization filed a Form 720 to report these payments? If “No,” provide an
explanation in Schedule O ...........................44d
45 Did the organization have a controlled entity within the meaning of section 512(b)(13)? .......45a a
b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If “Yes,” Form 990 and Schedule R may need to be completed instead of
Form 990-EZ. See instructions ..........................45b
Form 990-EZ (2023)
CORRIDOR TAXES (319)333-0377
52246-3041
REV 05/09/24 PRO
507 KOSER AVE, IOWA CITY IA
Form 990-EZ (2023) Page 4
Yes No
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition
to candidates for public office? If “Yes,” complete Schedule C, Part I .............46
Part VI Section 501(c)(3) Organizations Only
All section 501(c)(3) organizations must answer questions 47–49b and 52, and complete the tables for lines
50 and 51.
Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . . .
Yes No
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax
year? If “Yes,” complete Schedule C, Part II .....................47
48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . .48
49 a Did the organization make any transfers to an exempt non-charitable related organization? ......49a
b If “Yes,” was the related organization a section 527 organization? ..............49b
50 Complete this table for the organization’s five highest compensated employees (other than officers, directors, trustees, and key
employees) who each received more than $100,000 of compensation from the organization. If there is none, enter “None.”
(a) Name and title of each employee
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099-MISC/
1099-NEC)
(d) Health benefits,
contributions to employee
benefit plans, and deferred
compensation
(e) Estimated amount of
other compensation
f Total number of other employees paid over $100,000 .....
51 Complete this table for the organization’s five highest compensated independent contractors who each received more than
$100,000 of compensation from the organization. If there is none, enter “None.”
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
d Total number of other independent contractors each receiving over $100,000 . .
52 Did the organization complete Schedule A? Note: All section 501(c)(3) organizations must attach a
completed Schedule A ............................Yes No
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature of officer Date
Type or print name and title
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature Date Check if
self-employed
PTIN
Firm’s name Firm’s EIN
Firm’s address Phone no.
May the IRS discuss this return with the preparer shown above? See instructions ...........Yes No
Form 990-EZ (2023)
10/07/2024
CORRIDOR TAXES
(319)333-0377
M JON BROWN M JON BROWN P01874796
86-3406011
10/08/2024
NONE
NONE
REV 05/09/24 PRO
SHARYN REITZ, TREASURER
507 KOSER AVE, IOWA CITY, IA 52246
FREE LUNCH PROGRAM 26-4722790
Form 990-EZ: Short Form Return of Organization Exempt from Income Tax
Part IV: List of Officers, Directors, Trustees, and Key Employees Continuation Statement
Name and Title
Average hours per
week devoted to
position
Reportable
compensation
(Forms W-2/1099-
MISC) (If not
paid, enter -0-)
Health benefits,
contributions to
employee benefit
plans, and
deferred
compensation
Estimated amount
of other
compensation
STEVEN DAMM
BOARD MEMBER 0.00 0.0.0.
MICHAEL BROWN
BOARD MEMBER 0.00 0.0.0.
DEB HIDE
BOARD MEMBER 0.00 0.0.0.
0.00 0.0.0.
FREE LUNCH PROGRAM 26-4722790 1
Additional Information From Form 990-EZ: Short Form Return of Organization Exempt from Income Tax
Form 990-EZ: Short Form Return of Organization Exempt from Income Tax
Line 16: Other Expenses Continuation Statement
Description Amount
FACILITY SUPPLIES 2,815.
FUNDRAISING EXPENSES 1,619.
INSURANCE 2,460.
MEMBERSHIP FEES 200.
OFFICE EXPENSE 274.
OUTREACH 363.
PROGRAM EXPENSE 10,499.
SOFTWARE 855.
TRAINING AND TRAVEL 98.
Total 19,183.
SCHEDULE A
(Form 990)
Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization Employer identification number
Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital’s name, city, and state:
5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college
or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or
university:
10 An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3% of its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check
the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the
supporting organization. You must complete Part IV, Sections A and B.
b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III
functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations ......................
g Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization
(described on lines 1–10
above (see instructions))
(iv) Is the organization
listed in your governing
document?
(v) Amount of monetary
support (see
instructions)
(vi) Amount of
other support (see
instructions)
Yes No
(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.Cat. No. 11285F Schedule A (Form 990) 2023
FREE LUNCH PROGRAM 26-4722790
BAA
REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 2
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1
Gifts, grants, contributions, and
membership fees received. (Do not
include any “unusual grants.”) . . .
2
Tax revenues levied for the
organization’s benefit and either paid
to or expended on its behalf . . .
3
The value of services or facilities
furnished by a governmental unit to the
organization without charge ....
4 Total. Add lines 1 through 3 . . .
5
The portion of total contributions by
each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f) ....
6 Public support. Subtract line 5 from line 4
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
7 Amounts from line 4 ......
8
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties, and income from
similar sources ........
9
Net income from unrelated business
activities, whether or not the business
is regularly carried on ......
10
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) .......
11 Total support. Add lines 7 through 10
12 Gross receipts from related activities, etc. (see instructions) ............12
13 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here ..........................
Section C. Computation of Public Support Percentage
14 Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) ....14 %
15 Public support percentage from 2022 Schedule A, Part II, line 14 ..........15 %
16 a 331/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization .............
b 331/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check
this box and stop here. The organization qualifies as a publicly supported organization ............
17
a
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is
10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in
Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported
organization .....................................
b
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported
organization .....................................
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions .....................................
Schedule A (Form 990) 2023
97.15
544,877.
544,877.
544,877.
544,877.
13,278.
558,155.
97.62
77,554.110,517.75,205.116,228.165,373.
77,554.110,517.75,205.116,228.165,373.
77,554.110,517.75,205.116,228.165,373.
2,848.3,294.2,110.2,395.2,631.
REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 3
Part III Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees
received. (Do not include any “unusual grants.”)
2
Gross receipts from admissions, merchandise
sold or services performed, or facilities
furnished in any activity that is related to the
organization’s tax-exempt purpose . . .
3 Gross receipts from activities that are not an
unrelated trade or business under section 513
4
Tax revenues levied for the
organization’s benefit and either paid
to or expended on its behalf . . .
5
The value of services or facilities
furnished by a governmental unit to the
organization without charge ....
6 Total. Add lines 1 through 5 ....
7a Amounts included on lines 1, 2, and 3
received from disqualified persons .
b
Amounts included on lines 2 and 3
received from other than disqualified
persons that exceed the greater of $5,000
or 1% of the amount on line 13 for the year
c Add lines 7a and 7b ......
8 Public support. (Subtract line 7c from
line 6.) ...........
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
9 Amounts from line 6 ......
10a
Gross income from interest, dividends,
payments received on securities loans, rents,
royalties, and income from similar sources
b
Unrelated business taxable income (less
section 511 taxes) from businesses
acquired after June 30, 1975 . . . .
c Add lines 10a and 10b .....
11
Net income from unrelated business
activities not included on line 10b, whether
or not the business is regularly carried on
12
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) .......
13 Total support. (Add lines 9, 10c, 11,
and 12.) ..........
14 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here ..........................
Section C. Computation of Public Support Percentage
15 Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) .....15 %
16 Public support percentage from 2022 Schedule A, Part III, line 15 ...........16 %
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . .17 %
18 Investment income percentage from 2022 Schedule A, Part III, line 17 ..........18 %
19a 331/3% support tests—2023. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . .
b 331/3% support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and
line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .
Schedule A (Form 990) 2023REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 4
Part IV Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A
and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete
Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes No
1 Are all of the organization’s supported organizations listed by name in the organization’s governing
documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by
class or purpose, describe the designation. If historic and continuing relationship, explain.1
2 Did the organization have any supported organization that does not have an IRS determination of status
under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported
organization was described in section 509(a)(1) or (2).2
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer
lines 3b and 3c below.3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the
organization made the determination.3b
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)
purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use.3c
4a Was any supported organization not organized in the United States (“foreign supported organization”)? If
“Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.4a
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion
despite being controlled or supervised by or in connection with its supported organizations.4b
c Did the organization support any foreign supported organization that does not have an IRS determination
under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used
to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)
purposes.4c
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,”
answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN
numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;
(iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action
was accomplished (such as by amendment to the organizing document).5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already
designated in the organization’s organizing document?5b
c Substitutions only. Was the substitution the result of an event beyond the organization’s control?5c
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 class benefited
by one or more of its supported organizations, or (iii) other supporting organizations that also support or
benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.6
7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity
with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990).7
8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line
7? If “Yes,” complete Part I of Schedule L (Form 990).8
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more
disqualified persons, as defined in section 4946 (other than foundation managers and organizations
described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.9a
b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which
the supporting organization had an interest? If “Yes,” provide detail in Part VI.9b
c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.9c
10a Was the organization subject to the excess business holdings rules of section 4943 because of section
4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated
supporting organizations)? If “Yes,” answer line 10b below.10a
b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.)10b
Schedule A (Form 990) 2023REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 5
Part IV Supporting Organizations (continued)
11 Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described on lines 11b and
11c below, the governing body of a supported organization?11a
Yes No
b A family member of a person described on line 11a above?11b
c A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c,
provide detail in Part VI.11c
Section B. Type I Supporting Organizations
Yes No
1 Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or
more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers,
directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s)
effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported
organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the
supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.1
2 Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated,
supervised, or controlled the supporting organization.2
Section C. Type II Supporting Organizations
Yes No
1 Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors
or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control
or management of the supporting organization was vested in the same persons that controlled or managed
the supported organization(s).1
Section D. All Type III Supporting Organizations
Yes No
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax
year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
organization’s governing documents in effect on the date of notification, to the extent not previously provided?1
2 Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported
organization(s), or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI
how the organization maintained a close and continuous working relationship with the supported organization(s).2
3 By reason of the relationship described on line 2, above, did the organization’s supported organizations have
a significant voice in the organization’s investment policies and in directing the use of the organization’s
income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s
supported organizations played in this regard.3
Section E. Type III Functionally Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
a The organization satisfied the Activities Test. Complete line 2 below.
b The organization is the parent of each of its supported organizations. Complete line 3 below.
c The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
Yes No 2 Activities Test. Answer lines 2a and 2b below.
a Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify
those supported organizations and explain how these activities directly furthered their exempt purposes,
how the organization was responsive to those supported organizations, and how the organization determined
that these activities constituted substantially all of its activities.2a
b Did the activities described on line 2a, above, constitute activities that, but for the organization’s
involvement, one or more of the organization’s supported organization(s) would have been engaged in? If
“Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would
have engaged in these activities but for the organization’s involvement.2b
3 Parent of Supported Organizations. Answer lines 3a and 3b below.
a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or
trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI.3a
b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each
of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.3b
Schedule A (Form 990) 2023REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 6
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See
instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A—Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1
2 Recoveries of prior-year distributions 2
3 Other gross income (see instructions)3
4 Add lines 1 through 3.4
5 Depreciation and depletion 5
6 Portion of operating expenses paid or incurred for production or collection
of gross income or for management, conservation, or maintenance of
property held for production of income (see instructions)6
7 Other expenses (see instructions)7
8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)8
Section B—Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year):
a Average monthly value of securities 1a
b Average monthly cash balances 1b
c Fair market value of other non-exempt-use assets 1c
d Total (add lines 1a, 1b, and 1c)1d
e Discount claimed for blockage or other factors
(explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets 2
3 Subtract line 2 from line 1d.3
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount,
see instructions).4
5 Net value of non-exempt-use assets (subtract line 4 from line 3)5
6 Multiply line 5 by 0.035.6
7 Recoveries of prior-year distributions 7
8 Minimum Asset Amount (add line 7 to line 6)8
Section C—Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, column A)1
2 Enter 0.85 of line 1.2
3 Minimum asset amount for prior year (from Section B, line 8, column A)3
4 Enter greater of line 2 or line 3.4
5 Income tax imposed in prior year 5
6 Distributable Amount. Subtract line 5 from line 4, unless subject to
emergency temporary reduction (see instructions).6
7 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization
(see instructions).
Schedule A (Form 990) 2023
REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 7
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1
2
Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity 2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3
4 Amounts paid to acquire exempt-use assets 4
5 Qualified set-aside amounts (prior IRS approval required—provide details in Part VI)5
6 Other distributions (describe in Part VI). See instructions.6
7 Total annual distributions. Add lines 1 through 6.7
8 Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions.8
9 Distributable amount for 2023 from Section C, line 6 9
10 Line 8 amount divided by line 9 amount 10
Section E—Distribution Allocations (see instructions)(i)
Excess Distributions
(ii)
Underdistributions
Pre-2023
(iii)
Distributable
Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023
(reasonable cause required—explain in Part VI). See
instructions.
3 Excess distributions carryover, if any, to 2023
a From 2018 .....
b From 2019 .....
c From 2020 .....
d From 2021 .....
e From 2022 .....
f Total of lines 3a through 3e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4 Distributions for 2023 from
Section D, line 7:$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5
Remaining underdistributions for years prior to 2023, if
any. Subtract lines 3g and 4a from line 2. For result
greater than zero, explain in Part VI. See instructions.
6
Remaining underdistributions for 2023. Subtract lines 3h
and 4b from line 1. For result greater than zero, explain in
Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j
and 4c.
8 Breakdown of line 7:
a Excess from 2019 ...
b Excess from 2020 . . .
c Excess from 2021 . . .
d Excess from 2022 . . .
e Excess from 2023 . . .
Schedule A (Form 990) 2023REV 05/09/24 PRO
Schedule A (Form 990) 2023 Page 8
Part VI Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part
III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section
B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b,
3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E,
lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2023REV 05/09/24 PRO
Schedule B
(Form 990)
2023
Schedule of Contributors
Department of the Treasury
Internal Revenue Service
Attach to Form 990, 990-EZ, or 990-PF.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization Employer identification number
Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ 501(c)( ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF 501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See
instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000
or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a
contributor’s total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the
regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or
16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or
(2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific,
literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering
“N/A” in column (b) instead of the contributor name and address), II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such
contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received
during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the
General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions
totaling $5,000 or more during the year ...................$
Caution: An organization that isn’t covered by the General Rule and/or the Special Rules doesn’t file Schedule B (Form 990), but it
must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line
2, to certify that it doesn’t meet the filing requirements of Schedule B (Form 990).
For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.Schedule B (Form 990) (2023)
FREE LUNCH PROGRAM 26-4722790
3
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BAA
Schedule B (Form 990) (2023)Page 2
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
Schedule B (Form 990) (2023)
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1 CITY OF IOWA CITY
410 E WASHINGTON ST 15,200.
IOWA CITY IA 52240
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Schedule B (Form 990) (2023)Page 3
Name of organization Employer identification number
Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
Schedule B (Form 990) (2023)
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Schedule B (Form 990) (2023)Page 4
Name of organization Employer identification number
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or
(10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and
the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.)$
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
Schedule B (Form 990) (2023)
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SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization Employer identification number
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990) 2023
FREE LUNCH PROGRAM 26-4722790
Pt I, Line 16:
Description: FACILITY SUPPLIES $2,815
Description: FUNDRAISING EXPENSES $1,619
Description: INSURANCE $2,460
Description: MEMBERSHIP FEES $200
Description: OFFICE EXPENSE $274
Description: OUTREACH $363
Description: PROGRAM EXPENSE $10,499
Description: SOFTWARE $855
Description: TRAINING AND TRAVEL $98
BAA
REV 05/09/24 PRO
Form 8879-TE
Department of the Treasury
Internal Revenue Service
IRS E-file Signature Authorization
for a Tax Exempt Entity
For calendar year 2023, or fiscal year beginning , 2023, and ending , 20
Do not send to the IRS. Keep for your records.
Go to www.irs.gov/Form8879TE for the latest information.
OMB No. 1545-0047
2023
Name of filer EIN or SSN
Name and title of officer or person subject to tax
Part I Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form
8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a,
3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b,
3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the
applicable line below. Do not complete more than one line in Part I.
1a Form 990 check here . . .b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . .1b
2a Form 990-EZ check here . .b Total revenue, if any (Form 990-EZ, line 9) ........2b
3a Form 1120-POL check here . .b Total tax (Form 1120-POL, line 22) ..........3b
4a Form 990-PF check here . .b Tax based on investment income (Form 990-PF, Part V, line 5) .4b
5a Form 8868 check here . . .b Balance due (Form 8868, line 3c) ...........5b
6a Form 990-T check here . .b Total tax (Form 990-T, Part III, line 4) ..........6b
7a Form 4720 check here . . .b Total tax (Form 4720, Part III, line 1) ..........7b
8a Form 5227 check here . . .b FMV of assets at end of tax year (Form 5227, Item D) ....8b
9a Form 5330 check here . . .b Tax due (Form 5330, Part II, line 19) ..........9b
10a Form 8038-CP check here . .b Amount of credit payment requested (Form 8038͈CP, Part III, line 22) 10b
Part II Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name
of entity), (EIN)and that I have examined a copy of the
2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and
complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an
acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c)
the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal
(direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this
return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at
1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the
processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to
the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to
electronic funds withdrawal.
PIN: check one box only
I authorize
ERO firm name
to enter my PIN
Enter five numbers, but
do not enter all zeros
as my signature
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state
agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the
return’s disclosure consent screen.
As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically
filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part
of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen.
Signature of officer or person subject to tax Date
Part III Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification
number (EFIN) followed by your five-digit self-selected PIN.
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I
am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file
Providers for Business Returns.
ERO’s signature Date
ERO Must Retain This Form — See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So
For Privacy Act and Paperwork Reduction Act Notice, see back of form.Form 8879-TE (2023)
Jul 1 Jun 30 24
FREE LUNCH PROGRAM 26-4722790
CORRIDOR TAXES
4 2 5 4 8 8 2 1 3 6 5
10/07/2024
177,658.
10/08/2024
SHARYN REITZ, TREASURER
REV 05/09/24 PRO
BAA
Form 8868
(Rev. January 2024)
Department of the Treasury
Internal Revenue Service
Application for Extension of Time To File an Exempt Organization
Return or Excise Taxes Related to Employee Benefit Plans
File a separate application for each return.
Go to www.irs.gov/Form8868 for the latest information.
OMB No. 1545-0047
Electronic filing (e-file). You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms
listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension
request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form
8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.
Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment
instructions.
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form
7004 to request an extension of time to file income tax returns.
Part I — Identification
Type or
Print
File by the
due date for
filing your
return. See
instructions.
Name of exempt organization, employer, or other filer, see instructions.Taxpayer identification number (TIN)
Number, street, and room or suite no. If a P.O. box, see instructions.
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Enter the Return Code for the return that this application is for (file a separate application for each return) ......
Application Is For Return
Code
Form 990 or Form 990-EZ 01
Form 4720 (individual) 03
Form 990-PF 04
Form 990-T (sec. 401(a) or 408(a) trust) 05
Form 990-T (trust other than above) 06
Form 990-T (corporation) 07
Form 1041-A 08
Application Is For Return
Code
Form 4720 (other than individual) 09
Form 5227 10
Form 6069 11
Form 8870 12
Form 5330 (individual)13
Form 5330 (other than individual)14
• After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of
time to file Form 5330.
• If this application is for an extension of time to file Form 5330, you must enter the following information.
Plan Name
Plan Number
Plan Year Ending (MM/DD/YYYY)
Part II — Automatic Extension of Time To File for Exempt Organizations (see instructions)
The books are in the care of
Telephone No. Fax No.
• If the organization does not have an office or place of business in the United States, check this box .........
• If this is for a Group Return, enter the organization’s four-digit Group Exemption Number (GEN) . If this is
for the whole group, check this box .... . If it is for part of the group, check this box ..... and attach
a list with the names and TINs of all members the extension is for.
1 I request an automatic 6-month extension of time until , 20 , to file the exempt organization return for
the organization named above. The extension is for the organization’s return for:
calendar year 20 or
tax year beginning , 20 , and ending , 20 .
2 If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return
Change in accounting period
3 a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions. 3a $
b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit. 3b $
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by
using EFTPS (Electronic Federal Tax Payment System). See instructions.3c $
For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2024)
0.
0.
0.
0 1
CORRIDOR TAXES
(319)333-0377
FREE LUNCH PROGRAM 26-4722790
1105 GILBERT CT, #100
May 15 25
Jul 1 23 Jun 30 24
IOWA CITY IA 52240-4536
BAA REV 05/09/24 PRO
Form 8868 (Rev. 1-2024) Page 2
Part III — Extension of Time To File Form 5330 (see instructions)
1 I request an extension of time until , 20 , to file Form 5330.
You may be approved for up to a 6-month extension to file Form 5330, after the normal due date of Form 5330.
a Enter the Code section(s) imposing the tax.1a
b Enter the payment amount attached.1b $
c For excise taxes under section 4980 or 4980F of the Code, enter the reversion/amendment date
(MM/DD/YYYY).1c
2 State in detail why you need the extension.
Under penalties of perjury, I declare that to the best of my knowledge and belief, the statements made on this form are true, correct, and complete, and that I am authorized
to prepare this application.
Signature Date
Form 8868 (Rev. 1-2024)
FREE LUNCH PROGRAM 26-4722790 1
Smart Worksheets From 2023 Federal Exempt Tax Return
Schedule B: Contributors (Copy 1) -- Smart Worksheet
General Information Smart Worksheet
A Description for this copy of Schedule B, Part I Copy 1
Form 8868: Application for Extension of Time to File an Exempt Organization Return -- Smart Worksheet
Filing Address Smart Worksheet
Send Form 8868 to:Department of the Treasury
Internal Revenue Service Center
Ogden, UT 84201-0045
Free Lunch Program
Profit and Loss
July 2023 - June 2024
Cash Basis Monday, October 14, 2024 11:33 AM GMT-05:00 1/2
TOTAL
Income
Contributions
Business-General 13,615.00
Foundations/Orgs-General 26,165.57
Fundraising Events 1,484.62
Grants 8,488.00
Individuals - General 69,302.09
Religious Orgs-General 20,724.69
United Way
Comm Impact Grants (monthly)5,414.00
UWay Grants Donor Designated 4,978.90
Total United Way 10,392.90
Total Contributions 150,172.87
Government
City of Iowa City 15,200.00
EFSP/ARPA 525.00
Johnson County Block Grant 9,129.00
Total Government 24,854.00
Interest/Dividends 2,631.16
Total Income $177,658.03
GROSS PROFIT $177,658.03
Expenses
Administrative Expense
Accounting Fees 855.00
Charitable Contribution 284.39
Fundraising Expense 1,334.75
Insurance
Commercial Package 2,459.50
Total Insurance 2,459.50
Membership Fees 200.00
Office Supplies 273.47
Outreach 363.14
Phone/Internet Service/Software 855.27
Postage, Mailing Service 897.00
Training/Travel 97.99
Total Administrative Expense 7,620.51
Free Lunch Program
Profit and Loss
July 2023 - June 2024
Cash Basis Monday, October 14, 2024 11:33 AM GMT-05:00 2/2
TOTAL
Program Expense
Direct Luncheon Expenses
Food & Beverages 6,787.40
Kitchen Supplies 3,028.98
Kitchen/Dining Equipment 567.54
Winter Item Purchases 115.39
Total Direct Luncheon Expenses 10,499.31
Facility Costs 349.97
Composting 990.04
Facility Supplies 1,474.81
Total Facility Costs 2,814.82
Payroll Expense 509.25
Custodian 3,087.50
Directors 76,699.92
Payroll Taxes 5,741.45
Workers Compensation Insurance 1,090.00
Total Payroll Expense 87,128.12
Rent 28,080.00
Total Program Expense 128,522.25
Total Expenses $136,142.76
NET OPERATING INCOME $41,515.27
NET INCOME $41,515.27
Iowa City Free Lunch Program Board of Directors Meeting
Tuesday,October 8,2024 3:30-5:00 pm
ZOOM:https://us06web.zoom.us/j/89576521036?pwd=HRBNbqNiTsiuVFQtg0Xawldap7z5hA.1
Participants:Laura Hunter,Diane Platte,Robert Ferguson Littlehale,Marcia Bollinger,Colleen
Schilling,Sharyn Reitz,Brycen Myers,Carolyn Johnson,Jayson Sainsbury,Jon Brown,Deb Hide,
Cynthia Cardwell,Steven Damm,Kai Kiser
Agenda:
1.Call to order and attendance
2.Approve July 9,2024 meeting minutes
3.President’s report –Bob
4.Treasurer’s report-Sharyn
5.Director’s Reports –Laura and Diane
6.Committee reports:
a.Employee Appraisals –Jon and Brycen
b.Fundraising -(Steven)
7.Old Business:
8.New Business:
a.Approve Profit &Loss statements FY23 &24
Approval of Profit &Loss statements FY23 &24
Sharyn motioned,Kai seconded.The motion carried.
b.Approve Form 990 for 2023
Approval of Form 990 for 2023.Form 990 for 2023
Bob motioned,Kai seconded.The motion carried.
c.Vote on renewed terms for board members
Brycen Myers and Robert Ferguson Littlehale
d.Vote on Officers Slate for 2024:
President:Marcia Bollinger
Vice-President:Jon Brown
Secretary:Colleen Schilling
Treasurer:Sharyn Reitz
Executive Committee Member At-Large:Deb Hide
9.Additional Business,Adjournment
Next meeting:January 14,2025