Form 990 Return of Organization Exempt From Income Tax Under section 501(e), 527, or 0947(aKt) of the Internal Revenue Code (except black

Department ofine Treasury lung benefit trust or private foundation)

Internal Revenue se.,nce P, The organrzauon may have to use a copy of this return to satisfy sate reporting reqwrer

2002 Open W Publ

Inspection

,2003 A For the 2002 calendar year, or to year beginning JULY 0 1 , Z za B applicable Please kit I CName oforgani ti o n

useIRSCENTRAL UTAH FOOD SHARING Address change label or Name change P=Ofl NumOeranEStnet(orPO box dmail rsnaodelivered tostreet aearass)

«ltn^ See PO BOX 324 Final return Specific, City or town, stake or country, and ZIP " a

Instruc- amenaea . .wrn eons RICHFIELD UT 84701-0324 noolic,anon pending * on 501(c 3 organizations an <9G7(a)(1) nonexempt

charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ)

G web site J Organization type (cneckmiy one) " 501(6)(.3 ) .4 Unsen no 1 49 47(a%q Of 527

I( Check here I- A the organization's gross receipts are normally not more than $25,000 The organization need not file a return with the IRS, but if the organization received a Form 990 Paoeage in the mad, it should file a return without financial data Some states require a complete return

and

1 Enter 4-Cign GEN M Check 0, W it orqanizaUOn is not reQUired to

Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (see 1 Contributions gins, grants, and similar amounts received 8 Direct public sLppon 1 a 109, 738 b indirect public support C Government Contributions (grants) 1C 3 4 , 64 5 d Total (add lines to through 7c) (cash S 144,383 noncash $ 0 ) 2 Program service revenue including government lees and contracts (from Pan VII, line 93) 3 Membership dies end assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 6a Gross rents

:~b! b Less rental expenses C Net rental income or (loss) (subvert line 6b from line 6a)

R 7 Other invesunent income (describe " ) E 88 Gross amount tom sales of assets other (A) Securities (B) Other

than inventory 8a b Less cost or offer basis 8 sates expenses Bb E C Gain or (loss) (attach schedule) BC d Net gain or (loss) (combine line Bc, columns (A) and (B)) 9 Special events and activities (attach schedule) 8 Gross revenue (not including $ of

contributions reported on line ia) 98 17,616 b Less direct expenses other than fundravng expenses 9b 9 68 C Net income or (loss) from special events (subtract line 9b from line 9a) # 1

10a Gross sales of inventory, less returns and allowances l0a b Less cost of goods sold tOb C Gross profit or (loss) from sales of inventory (attach schedule) (subvert line 10b from line toe)

11 Other revenue (from Part VI 03) 12 Total revenue (add lines 1p, 2, 3, d, 9c, 10c, and 11)

E 13 Program services (from 'in

as x 'er p 14 Management znG gener mg Yu'~" 4p4 colu

E 15 Fundraising (tiom line 4 c~ mV ~D~) D ~ f,) N ^X?lae (7 E 16 Payments to file ( ac dule) ~wL(~ 0

g 17 Total expens's (add es 1 A)) (Ej

a 18 Excess or (defciQ for the yea?'~au 6~Yr~ to f~ lfn7rf2) r /

19 Net assets or t_nd balances al beginning ~ from I~he 79, column (A))

T T 20 Other changes in net assets or fund balances (attach xplanauon)

S 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)

For Paperwork Reduction Act Notice, see the separate Instructions

Nn 2 99012 TWF adz Copyright Forms (So1twueOnly)-3007TN'NL

1

W 133,696

177, 580 Form 990 (2002)

Employer Identification number 4-2525453 Telephone number 35-896-5225 Acctg method Cash N Accrual

H 8 I are not applicable to section 527 organizations H(a) Is this a group return for affiliates, Yes Z No H(b)if Y,, - enter hu.b ., of affiliates

H(c)A,c all affiliates h .i.d .dl DYesjTNo ' . .

, . a . . .I See instructions )

H(d)13 this a separate return filed by -h, . . ..n Y..R No

C)

B 1`7

Instructions

ld 144, 383 2 3 4 368 5

6C 7

Bd

9c 16,648

10C

1

2 Formsso(2oo2) CENTRAL UTAH FOOD SHARING 74-2525453 Page PBf~~ll Statement O} All or an¢auons mush complete column (A) Columns (B), (C), end (D) are required for section 507(c)(:

and (~) organizations end section 4947(a (1) nonexempt Uenlable trusts but optional for others (Sea Functional Ex enses Specific Instructions) u

DonotmcWdsamovntsreported OnLneEb,lC,9b,t00,ort6olPart l ((~) Total (B) P, ;~r,°° (C) Mapapnmen~ ~' se cep and a oral ~ Fund,aisin 22 Grants and allocations (attach schedule)

(cash $ noncash $ ) 22 23 Specific assistance to individuals (attach schedule) 23 , 24 Benefits paid to or for members (anach schedule) 24 25 Compensation of officers. directors, etc 25 16, 800 16, 800 26 Other salaries and wages 26 46 , 310 46, 310 27 Pension plan contributions 27 28 Other employee benefits 28 29 Payroll taxes 29 6,651 6, 651 1 30 Professional fundraising fees 30 31 Accounting gees 31 535 535 32 Legal lees 32 I 33 supplies 33 6,252 6,252 34 Telephone 34 4,253 4,253 35 Postage and shipping 35 36 occupancy 36 11,086 11, 086 37 Equipment rental and maintenance 37 38 Printing and publications 38 39 Travel 39 5,082 5, 082 40 Conferences, conventions, and meetings 40 41 Interest 41 42 Depredation, depletion, etc (mach schedule) # 2 42 8,279 8, 279 43

aObove~i:mi:~)'°o«ov«.e dGOODS FOR 438 24,254 24,24

bADVERTISING 43b 52 52 c BANK CHARGES 43c 59 59 d CONTRACT LABOR 43d 1,683 1, 693 I e See attachment 5 43e 4,902 3,149 1,753 I

44 Total functional expenses tried int e. sz in .o~ n .3l

w~rynihesatotelsmlollnesi3~i5ns(B)-~~~' 44 136,198 29, 138 107,060 0 Joint Costs Check " U d you ere following SOP 98-2 Are any point costs from a combined educational campaign and fundraising solicitation reposed in (B) Program services ? 0- Yes No If -Yes ." enter (I) aggregate amount of these point costs $ , (II) the amount allocated to Program services S !1111 the amount allocated to Management and oeneral S . and (Ivl the amount allocated to Fundraising 5

What is the organization's primary exempt purposes ii~ FOOD BANK Program service All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of clients Expenses (aea~~ree � , soi(c)(3la(4) orq . served ubOCabons issued etc Discuss achievements that are not measurable (Segos 501(c)(3) and (4) organizations and a 4947(aft) trusts but 49a7(ay~1) nonexempt charitable vests must also enter the amount of grants and allocations to others) optional eo . others ) a THE ORGANIZATION DISTRIBUTES FOOD AND NON-FOOD ITEMS TO NEEDY INDIVIDUALS HOUSEHOLDS LIVING IN THE SOUTH CENTRAL UTAH

29,138

d

2 Other program services (attach schedule) (Grants and } Total of Program Service Expenses (should equal line 44, column (B),

JVq 2 99012 TWFtaEE CoOYnphiFOrms(Soltw.reOnly)-7001TWNL Form 990 (2002)

and allocations $

and allocations

and allocations

and allocations

b

C

Form sso(2oo2) CENTRAL UTAH FOOD SHARING 74-2525453 Page 3

Part IV Balance Sheets (See Specific Instructions )

47a Accounts receivable 478 b Less allowance for doubtful accounts 47b

48a Pledges receivable 480

b Less allowance for doubtful accounts 48b

49 Grants receivable

50 Recervables from officers, directors, trustees, end key employees (attach schedule)

518 Other notes and loans receivable (attach schedule) 518

S S b Less allowance for doubtful accounts 51b E 52 Inventories for sale or use T g 53 Prepaid expenses and deferred charges

54 Investments -- securities (attach schedule) " ~ Cost 558 Investments -- land, buildings, and

equipment basis 558 Less accumulated depreciation attach schedule) SSb

56 Investments -- other (attach schedule) 570 Land, buildings, and equipment basis #3 570 13 b Less accumulated depreciation (attach

436

1~280 66

133,696 67 68 69

70 71 72

133,696 73

66 Total liabilities (add lines 60 through 65) Organizations that follow SFAS 117, check here Ill- U and complete lines 67

Through 69 and lines 73 and 74

N F 67 Unrestricted E U 68 Temporarily restricted T N 69 Permanently restricted D

p Organizations that do not follow SFAS 117, check here " a and complete S B lines 70 through 74 S A E L 70 Capital stock, trust pnncipal, or current funds T A 71 Paid-in or capital surplus, or land, building, and equipment fund $ N C 72 Retained earnings, endowment, accumulated income, or other funds

O E 73 Total net assets or fund balances (add lines 67 through 69 or lines R S 70 through 72,

column (A) must equal line 19 column (B) must equal line 21) 74 Total liabilities and net assets / fund balances (add lines 66 and 73)

77

Form 990 is available for public inspecuon and for some people serves as the primary or sole source of information abo: .t a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Pan III, the organizations programs and accomplishments JVP 2 9904 iWF1S1I Copyright FOms(SollwareOnly)-300I7WNL

Note Where required, attached schedules and amounts within the clescirption column should be for end-of-year amounts only

45 Cash -- non-interest-beanng 46 Savings and temporary cash investments

FMV

schedule) 57b 63,830 58 Other

assets (deSCri be

59 Total assets (add tines 45 through 58) (must equal line 74)

60 Accounts payable and accrued expenses

L 61 Grants payable 62 Deterred revenue A

B 63 Loans Irom officers, directors, trustees. end key employees (attach schedule)

L 648 Tax-exempt bond liabilities (attach schedule)

Mortgages and other notes payable (attach schedule) 65 otn ., Iii Iiab~Lties /Eescnbe

.S

(A) Beginning of year

42,794 45 16,895 46

47C

48C 49

50

S1C

55c 56

75,287 57C 58

134,976 59

(B) End of year 63,799 39,474

75,606

178,879 1,299

1,299

177,580

I

4 NG 74-2525453 CENTRAL UTAH FOOD SHAR Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See Specific Instructions )

Add amounts on lines (1) through (4) " b

C one a minus line 6 P. C

d Amounts included on line 17,

Form 990 but not on line a

(1) investmient expenses not included on

line 6b, Form 990 S (2) Ocher (specify)

S Add amounts on lines (1) and (Y) pl~ d Add amounts on lines (1) and (Z)

0 Total revenue per line 12, Form 990 C Total expenses per lire 17, Form 990

(line c plus line d) " f 0 (line c plus line d) " 0 0

P8[l V USt Of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated, see Specific Instructions )

,benefit'plansl (E) Expense account H ~~ .*m., and other allowances

0 SALINA

Did any officer, director trustee, or key employee receive aggregate compensation of more than $100,000 from your

organization and rJl related organizations, of which more than $10,000 was provided by the relayed organizations? P. a Yes N No

It "Yes," attach setedule -- see Specific Instructions

Form 990 (2002) JVP 2 990 TNF1577 Copyright Forms (SollwareOnly) -I007TWNL

8 Total revenue, gains and other support per audited financial statements I- a N/A

b Amounts included on line a but not on

line 72, Form 990

(1) Net unrealized gains

on investments S

(2) Donated services 8 use of IaciINes 5

(3) Recovenes of pnor

year grants 5

(4) Other (specify)

5

Add amounts on lines (1) Through (4) 11- L

C Line a minus line b d Amounts included on line 12,

Form 990 but not on line a.

(1) investment expenses

not included on line 6b, Form 990 5

(2) Other (specify)

'art IV-8 Reconciliation of Expenses per Audited Financial Statements with Expenses per Return

8 Total expenses and losses per audited financial statements P. a /A

b Amounts included on line a but not on line 17, Form 990

(1) Donated services

& use of facilities $

(2) Prior year adjust-

ments reported on

line 20, Form 990 $

(3) Losses reported on

line 20 Form 990 $

(4) Other (speaty)

(A) Name and address

REDMOND . UT

RICHFIELD, U?' MARY LEE HARRISON RICHFIELD, UT

(B) 7Ne and average hours (C) Compensation (It per week devoted to position not paid, enter -0- )

?ROGRAM DIR 16800

:HAIRPERSON 0

EC

Formsso(zarz) CENTRAL UTAH FOOD SHARING 74-2525453 Page 5 Part VI Other Information (see sPecmo Instructions) Yes . No

76 Did organization engage in any activity not previously reponeC to IRS? If "Yes," anach detailed description of each activity 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS 77 .{

If "Yes," attach a conformed copy of the changes -788 Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 788 X

b If "Yes ;" has it filed a tax return on Form 990-7 for this year? 78b X 79 Was there a liquidation, dissolution. termination or substantial contraction dunng the year? If "Yes" attach a statement 79 .{

808 Is the organization related (other than by association with a slalewiGe or nalionvnde organization) Through common

membership, governing bodies, trustees, officers etc , to any ocher exempt or nonexempt organization? BOa :{

b If "Yes," enter the name of the organization No and check whether it is 11 exempt or nonexempt

813 Enter direct or indirect political expenditures See line 81 instructions 818 N/A

b Did the organization file Form 1120-POL for this yeah 81 b .{

828 Did the organization receive donated services or the use of materials, equipment, or IaciINes a1 no charge or at substantially less than tar rental values 82a "t

b II'Yes" you may indicate the value of these items here Do not include this amount

as revenue in Pan I or as an expense in Part II (See instructions in Pan III ) 82b N/838 Did the organization comply with the public inspection requirements for returns and exemption applications? 83a

b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b .C

848 Did the organization solicit any conlnbutions or gifts that were not tax deductible? 848 .t

b II "Yes," did the organization include with every solicitation an express statement that such contributions or gills were not

tax deductible? 84b .{

85 501(c)(4), (5) or (6) organizations 8 Were substantially all dues nondeductible by members 858 .S

b Did the organization make only in-house lobbying expenditures of $2,000 or less 85b .{

II "Yes" was answered to either 85a or BSb, do not complete BSc through &5h below unless the organization received a

waver for proxy tax owed for the prior yew _

C Dues, assessments, and similar amounts from members 85C N/ -

d Section 1sz(e) lobbying and political expenditures 85d N

8 Aggregate nondeductible amount of section 6o33(e)(1)(A) dues notices

22 i

N -

Taxable amount of lobbying and political expenditures (line 85d less BSe) N

9 Does the organization elect to pay the section 6033(e) tax on the amount on line BSf? 85 .{

h II section 60.'!3(e)(1)(A) dues notices were sent, does the organizalron agree to add the amount on line BSt to its

reasonable estimate of dues allocable to nondeductible lobbying end political expenditures for the following tax yeah 85h .{

86 SOt(c)(7) orgs Enter 8 Initiation fees and capital coninbuuons included on line 12 86a NIA b Gross receipts, included on line 12 for public use of club facilNes 86b N

$7 501(c)(12) orgs Enter 8 Gross income from members or shareholders 878 N

b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them ) 87b

N/88 At any time during the year, did the organization own a SOI or greater interest in a taxable corporation or

partnership or an enUry disregarded as separate from the organization under Regulations sections

301 7701-2 and 301 7707-3? If "Yes complete Part IX 88 "t

89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the yew under

section 491 1 1. N/A , section 4912 P N/A , section 4955 11- NI A b So7(c)(3) and 50t(c)(a) orgs Did the organization engage in any section 4958 excess benefit transaction

during the yew or did n become aware of an excess benefit transaction horn a prior year? II "Yes ;" attach a statement explaining each transaction 89b .t

C Enter Amount of tax imposed on the organization managers or disqualified persons during the year under

sections 4912, 4955, and 4958

d Enter Amount of tax on line 89c, above, reimbursed by the organization N FT_

90a List the states with which a copy of this return is files I- N T

b Number of employees employed in the pay period that includes March 12, 2002 (See instructions ) I90b I N f

91 The books are in careoto. LINDA GALE Telephone no11- (435) 896-5225

Located atP, RICHFIELD, UT ZI P " a11- 84701

92 Section 4947(a)(t) nonexempt charitable trusts tiling Form 990 in lieu of Form 1041 -- Check here

and enter the amount of tax-exempt interest received or accrued dunng the lax yew t I 92 I N17-

ova 2 99056 twFisxo Copyright FOrms(soitwa .eoniy)-iooxnvNL Form 990 2002)

2525453 Page 6 Instructions ) Excluded by secuon 512, 513, or 514

(C) (D) Related or exempt Exclusion code Amount function income

14 368

I I

16,648

I I

18,683

I 368 I 35,331 11- 35,699

e f Medicare/Medicad payments y Fees & contracts from govt agencies

94 Membership dues & assessments 95 lowest on savings and temporary usn

mes~menis 96 Dividends & interest from securities

97 Net ent.i .nc. me or (loss) from real estate

8 debt-financed property

boot debt-financed property 98 NeI rental mica meor (loss) from personal

property

99 Other investment income 100 Gain or (loss) from sales Of ASSO130ther

than mvmmry

1 01 Net m,.m. or special even is

102 Grossorolit/(ioss)Ir :tmsales olinventory

103 Other revenue a b SALES TAX REFUND c d e

1 04 Subtotal (add rotunns (B) (D) and (E)]

705 Total (add line 104, columns (B), (D), and (E))

Note one toy plus line id, Perk I, should equJ the amount on line 12, Pan I

Part VIII Relationshi p of Activities to the Accomplishment of Exempt Pur uses (see Specific Instructions) lJne No plan how each activity for which income is reported in column (E) of Pert VII contributed importantly to the accomplishment of the

organization's exempt purposes Other than by providing funds for such purposes)

101 HE FUND RAISING 4CTZVITIES PROVIDED OPPORTUNITIES FOR THE GENERAL N CASH

IZATION HE STATE OF UTAH ee attachment 4

Total i of I Nature ml

of or

/ Type or pant name and ulle

Prepuers' Paid signature v v ,~

Preparer's Firm's name (or your KAY SIX MONRO & Use Only ,f self -employed), , 159 NO MAIN ST

address and ZIP " a Ricl-Eield UT 8970 JVA 2 99056 iWFt571 Copyright =orms(Software Only)- 2002 IN

Fom,sso(zarz) CENTRAL UTAH FOOD SHARING

Note Enter gross amounts unless Unrelated business incur

otherwise indicated Business 93 Program service revenue code Amount

a b c

part X1 Information Regarding Transfers Assodat (a) Did organization during the year, receive any funds, directly or (b) Did the organization, during the year, pz,, premiums, directly or Note II "Yes" to (b), file Form 8870 and For- 4720 (see instruction :

Under Oenarmsoloerjury,Ideclare tne Ihave e`emmeAtnisrewn bellel it ~5 ee,corre[t ~nE[ Olele =eclaraLOnotprepamr(ath

Please ' , ,~ � ff, Sign Signature m officer Here ki, c c . � d a 6-0,(e

OMB No 1545-0047 SCHEDULE A Organization Exempt Under Section 501(c)(3) (Form 990 o; 990-EZJ (Except Private Foundation) and Section 501(e) . W(f), 501(k),

501(n), or Section 4947(a)(1) Nonexempt Charitable Trust

Department of the Traaaury Supplementary Information - (See separate Instructions .) lnl .rn.1 R.,nm . . Ser,~ . I- MUST be completed by the above organizations and attached to their Form 990 or 990-EZ

2002

Name of the organization Emp

Oyer Identification number CENTRAL UTAH FOOD SHARING ~74 -'2525453

Fp-a-rt-]T Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See the instructions List each one If there we none enter "None')

(d) Cont[Lbw ons to (b) Title and average hours (c) Compensation empi berrelit Plans & er week Devoted to position I Ideterred CDMP@nSat&O

Total number of other employees paid over

professional services 0. 1 0 1 For Paperviork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ- Schedule A (Form 990 or 990-EZ) 2002

JVA 2 990A12 TWF 1116 Copyright Forms(Software Only) - ~102 ~1,11-

(a) Name and address of each employee paid more than $50.000

NONE

P. 1 0 1 Compensation of the Five Highest Paid Independent Contractors for Professional Services (See the instructions List each one (whether individum or firms) It there are none, enter 'None')

Name and address of each independent contractor paid more than $50,000 1 (b) Type of service (C) cc

NONE

Total number of others receiving over $50 000 for

254 CENTRAL UTAH FOOD Form 990 or 990-EZ

Fp-a-rt- 1-11-1 Statements About Activities (See the instructions ) Yes I No

8 Sale exchange or leasing or property?

2e

3 Does the organization make grants for Scholarships, fellowships, student loans, etc ? (See Note below 4 Do you have a sieclUon 403(b) annuity plan for your employees?

Note: Attach a statement to explain how the organization determnes that individuals or organizations receiving grants or loans from it in furtherance of its charitable proqrams 'quality" to receive payments

The organization is not a private foundation because it is (Please check only ONE applicable box 5 A church . convention of churches, or associabon of churches Section 170(b)(1)(A)(i) 6 A school Section 170(b)(l)(A)(r) (Also complete Part V ) 7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(iii) 8 A Federal, slate, or local government or governmental unit Section 170(b)(1)(A)(v) 9 A medical research organization operated in conjunction will a hospital Section 170(1b)(l)(A)(ri) Enter the hospital's name, city,

and state I- 10 An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(l)(A)(iv)

(Also complete the Support Schedule in Part IV-A) 11a An organization that normally receives a substantial part of its support from a governmental unit or from the general public

Secton 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A) 11b A Community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A 12 An organization that normally receives (1) more than 33 lf3% of its support from coninbutions, membership fees, and gross

receipts from activities related to its chantablo, etc functions -- subject to cortain exceptions, and (2) no more than 33 UZI% of its support from grow investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organtzation after Juno 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A)

13 [] An organization that is not controlled by any disqualified person (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) section 501(C)(4), (5), or (6), if they meet the lost of section 509(a)(2) (See section 509(a)(3) I

the Provide the followina information about the (b) Line number

from above (a) Narre(s) of supported organuabon(s)

14 n An organization organized and operated to test for public safety Section 509(a)(4) (See the instructions ) JVA 2 99OA12 l-NNF 1117 Copyright ;or ms (So ftwar. Only) - 2002 -.WNL Schedule A (Form 990 or 990-EZ) 2002

1 During the yew has the organization attempted to influence national . state, or local legislawn, including any attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid or incurred in connection with the lobbying activibes No $ (Must equal amounts on line 38 Part VI-A, or line I of Part VI-B) Organizations that made an election under section 501(h) by filing Form 576B must Complete Part VI-A Other organizations checking "Yes," must complete Part VI-B AND attach a slatement giving a detailed description of the lobbying activities

2 Dunng the yew has the organization, either directly or indirectly, engaged in any of the following acis with any substantial contributors, trustees, directors, officers . creators, key employees, or members of their families, or will any taxable organization with which any such person is affiliated as an officer, director, trustee . majority owner, or principal beneficiary? (If lho answer to any question is "Yes," attach a detailed statement explaining the transacuons

b Lending of money or other extension of credit?

C Furnishing of goods, services, or facilities?

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?

e Transfer of any part of its income or assels?

2b

2c

F-P-a-rt _IV_1 Reason for Non-Private Foundation Status (SeetheinstructionS)

A(Fonm990or990-EZ)2002 CENTRAL UTAH FOOD SHARING 74-252545 3 Support Schedule (complete only d you chocked a box on line 10 . 11 . or 12) Use cash method of accounting use the worksheel in the instructions for converting from the acmal to the Cash method of accounting 1 .111 .1 beginning -0-1 (a) 2001 (b) 2000 (c) 1999 (d) 1998 (a Total Calendar year (or tj

15 Gifts grants ano-ontributions received (Donal 'crude unusual

347,268 347,268

6, 945

168,889 347,268

82 228 24!71~ 72,150 .~~!,2 . Sl4 71, 7 2 .150

ZJ rotator lines 15 Ir ough22

24 Line 23 minus line 7

Enter 1% of line 2- 1 975 1 829 1 947 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e) ine 24

b Prepare a ist for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 1998 through 2DO1 exceeded the amount shown in line 26a Do not file this list with your return Enter the total of all these excess amounts

C Total support for section 509(a)(1) test Enter line 24, column (0) d Add Amounts from column (o) for lines 18 1, 901 19

22 261o -68, 889

s- 26b ii~ 26c

1~ 1?~d 1 ~Z~I~?O

C Add Amounts from column (e) for lines 15 16 17 20 21 27c

d Add Une 27a total and line 271b total 27d e Public support (line 27c total minus line 27d total) 27e f Total support for section 509(a)(2) test Enter arrount from line 23, column (e) 11. 1 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) h Investment Income percentage (line 18, column (a) (numerator) dlvlded by line 2711 (denominator)) ii- 27h

28 Unusual Grants For an organization described in line 10 . 11 . or 12 that received any unLSUal grants during 1998 through 2001 prepare a list for your records to show, for each yew the name of the contributor, the date and amount of the grant and a brief description of the nature of the grant Do not file this list with your return Do not include these grants in lqe is

2 99OA34 TWF 1296 C .0 yng h t F . ran s (So f tw.r e 0 . ly) - 2 DD2 ~.N L Schedule A (Form 990 or 990-EZ) 2002

I b Membership fees aceived

17 Uro.r

- ceipts li, admissions

mer andiSe Sala zr Services performed or fur-ishing at !acilittes in any az-vity that is elated to the organization 5

charitable, etc , p-rpose 18 Gross in .... ft ., uit ., .sf

dividends aMD%m-S received from payments on SeCU~U(15 loans (section 512(a)(5)) ent$ royalties and unreated business taxable income (less section 511 taxes) from busine,ses acquired by the organizati, alter June 30 1975

19 Net income from related business activities not included in line Is

20 I'aa,evenuill . IS,, : forthe organizations ber-fitand either paid tailor exper:ed anit3 behalf

21 Thavalueat servi:esor facilities furnishadto the c ;anization by a governmental un . without charge

00 noluicudeth. ..lue

of services or facii-jes generally furnished to the ; . blic without charge

22 Other income Alach a schedule Do not include ga,- of (loss) from

97,056 1 82,278 1 94,270 1 71,763

419 1 650 1 245 1 387

It.

345,367

1 . 901

e Public support (line 26c minus line 26d total) 1- 6 t Public support percentage (line 26e (numerrator) divided by line 26c (denominator)) I- I 26f 50 .82

27 Organizations described on line 12 a For amounts included in lines 15, 16, anc 17 that were received from a "disqualified person,' prepare a list for your records to show the name of and total amounts received in each year from, each "disqualified person Do not file this list with your return Enter the sum of such amounts for each year

(2001) (2000) (1999) (1998) b For any amount included in line 17 that was received from each person (other than "discLarlied persons'j, prepare a list for your records to

show the name of, and amount received for each yea. that was more than the larger of (1) the amount on line 25 for the yew or (2) $5,000 (include in the hst organizations described in lines 5 through 11 as well as individuals ) Do not file this list with your return After computing the difference between the amount received and the larger amount described n (1) or (2), enter the sum of these differences (the excess amounts) for each yew

(2001) (2000) (1999) (1998)

b Has the organization's nght to such aid ever been revoked or suspended? 11 you answered "Yes" to either 34a or b please explain using an attached statement

Does the organization certify that it has complied with [he applicable requirements of Sections 4 01 through 4 05 of

Rev Proc 75-50, 1975-2 C B 587, covering racial nondisciamination? If 'No," attach an explanation 135 1 1

2 99OA34 TWF 1297 copyrigift Forms (Software Only) - 2002 TWNL Schedule A (Form 990 or 990-EZ) 2002

35

JVA

Schedule A (Form 990 or 990-EZ) 2002 CENTRAL UTAH FOOD SHARING 74-2525453 Page 4 LEartV Privati School Questionnaire (Seethe instrucuons) J

(To be completed ONLY by schools that checked the box on line 6 In Part IV) PAGE N/A 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter. bylaws, other Yes No

governing instrument, or in a resolution of its governing body? 29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,

catalogues, and other wntten communications wth the public dealing wth student admissions, programs . and

scholarships? 30

31 Has the organization publicized its racially nondiscirfirrinalory policy through newspaper or broadcast media dunng the

ponod of soijcitabon for students, or during the registration penod if it has no solicitation progrann, in a way that makes

the policy known to all parts of the general community it serves7 31 If 'Yes," please descnbe it "No," please explain (if you need more space, attach a separate statement

32 Does the organizabon matinlain tho :oliowng a Records indicating the racial composition of the Student body, faculty, and administrallve staff? 32a b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscnmnatory

basis? 32b C Copies of all catalogues brochures announcements and other %Titten communications to the public dealing WIh

student admssions, programs, and scholarships? 32c d Copies of all matenal used by the organization or on its behalf to Solicit contribubons? 32d

It you answered "No" to any of the above please explain (if you need more space, attach a separato statement )

33 Does the organization discnmnate by race in any way with respect to

a Students' rights or privileges7

b Admissions policies? ljjp

C Employment of faculty or administrative staff? L33 c

d Scholarships or other financial assistance'

is Educational policies? [33e

f Use of facilities' I 33f

g Athletic prograrns? 4.3

33h h Other extracurricular activities?

11 you answered'Yes" to any of the above, please explain (if you need more space, attach a separate statement )

34a Does the organization receive any financial aid or assistance from a governmental agency? ~L4 a

. Part Vl-B I Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See the instructions I

During the yea did the organization attempt to influence national, state or local legislation, including any Yes No Amount attempt to inllu~.nce public opinion on a legislative matter or referendum . through the use of a Volunlecrs b Paid sla' or management (include compensation in expenses reponed on lines c through In C Media a-:verlisentaints d Mailings o members. legislators, of the public a Publicawns, or published or broadcast statements If Grants ic other organizations for lobbying purposes g Direct ccilact with legislators, their staffs, government officials, or a legislative body h Rallies, cerrionstrations, seminars conventions, speeches, lectures, or any other means I Total lotcying expenditures (Add lines to through h )

If "Yes' o any of the above, also arlach a statement giving a detailed description of the lobbying activities JVA 2 990456 TWF 1295 Copyright Fornis(Sottveiire Only) - 2002 TWNL Schedule A (Farm 990 or 990-EZ) 2002

Schedule A (Form 990 or 990-EZ) 2002 CENTRAL UTAH FOOD SHARING 74-2525453 Peg Part VI-A Lobbying Expenditures by Electing Public Charities (Sea the instructions)

(To be Completed ONLY by an eligible Organization that filed Form 5768) N/A n d you chocked "a" and "linnited contror provisions apt Check Il- a if the organization belongs to an affiliated gro p Check I, It

(a) (b) Limits on Lobbying Expenditures Affiliated group To be completed

totals for ALL electing (rho form "expenditures" means amounts paid or incurred Organizations_

36 Total lobb%tng expenditures to influence public opinion (grassroots lobbying) 36 37 Total lobb%ing expenditures to influence a legislative body (direct lobbying) 37 38 Total lobb%ing expenditures (add lines 36 and 37) 38 39 Other oxer-pt purpose expenditures 39 40 Total exemot purpose expenditures (add lines 38 and 39) 40 1 41 Lobbying rontaxable amount Enter the amount from the following table --

It the amount on line 40 Is -- The lobbying nontaxable amount Is -- Not over $500,000 20% of the amount on line 40 Over $500 300 but not over $1,0DO .000 $100 000 phis 15% of the excess over $5oo 000 Over $1,010,000 but not over $1,500,000 $175,0DO phis to% of the excess over Si ago goo 41 Over $1,SCO.000 but not over $17 000 000 $225,000 P 1.5 5% 0 1 t h . is xc .s s ever S 1 500 000 Over $17 CO0,000 $1,0D0,0D0

42 Grassroots nontaxable amount (enter 25% of line 41) 42 43 Subtract lire 42 from line 36 Enter -0- if line 42 is more than line 36 43 44 Subtract lire 41 from line 38 Enter -0- il line 41 is more than line 38 44

Caution 1 . there is an amount on either line 43 or line 44, you must file Form 4720 1 1 1 4-Year Averaging Period Under Section 501(h)

(Somit organizations that made a Section 501(h) election do not have to complete all of the five columns below See the instructions for lines 45 through 50 )

Lobbying Expenditures During 4-Year Averaging Period

Calendar yew (or flsral (a) (b) (c) (d) (a) year beginning In) It, 2002 2001 2000 1999 Total

45 Lobbying nontaxable amount

46 L blo mling a='u'n'r 1 .0% of line 41(e')

) 47 Total lobloyng

48 Grassroots

amount (i -j% of line 48(e)) Grassroots lobbying

Schedule A (Form 990 or 990-EZ) 2002 CENTRAL UTAH FOOD SHARING 74-2525453 Page 6

Exempt Organizations (Seethe instructions) 51 Did the reporting organization directly or indirectly engage in any of the following wth any other organization described in section 50i~c) of

the Code (other than section 501(c)(3) organizations) or in section 527, relating to ;olitical organizabons? a Transfers from the reporting organization to a nonchantable exempt organization o- Yes No

(1) Cash (11) Other assets

b Other transactions (1) Sales or exchanges of assets with a noncharilable exempt organization (11) Purchases of assets from a nOnchantable exempt organization (111) Rental of facilities, equipment or other assets (lv) Reimbursement arrangements (v) Loans or loan guarantees I UM 1 1,% (vi) Peitormance of services or membership or fundrarsing solicitations b(VI)

C Sharing of facilities, equipment, mailing lists, other assets, or paid employees C d If the answer to any of the above is "Yes," complete the following schedule Colurnri (b) should always show the fair market vaJue of tle

goods, other assets . or services given by the reporting organization If the organizmon received less than fair marl(et value in any tramaction

52a Is the organization directly or indirectly affiliated w1h, or related 10 one or more tax-exempt organizations described in secVon 501 (C) of the Code (other than section 501 (c)(3)) or in section 527? m. [] Yes No

"A 2 990AS6 TVWF 1118 Coprigh,Fofms(S.ft..f.0.1y)-2002rWNL Schedule A (Form 990 or 990-EZ) 2002

06-30-2003 Employer Identification Number

'7 A -,) C) C; 4 C~ -1

All Other Total

1-7,6--6

2-E-SCRi JVA Copyright Forms jSoltware Only) - 2002 Laser Systems ~ysville UT84037 OS0726

Attachment 1 : page 1 - 990, Page 1, Part I, line 9 Schedule ot Sudal Events and Activities Open to Public Inspection I For calendar year 2002 or tax peFtod begInmIng07 - 0 1 and Name of Organization CENTRAL UTAH FOOD SHARING Description of Largest Three Special Events (A)CHRISTMAS HOLIDAY DRIVE

(e)BOY SCOUTS DRIVE

(C)FUND RAISING ACTIVITIES

Type and Number of Other Events

Special Event (A) (B) (C)

Grow Receipts 10, 301 5, 851 1,464

Less Conti-ibuDons

Gross Revenue 10, 301 5, 851 1,464

Less Direct Expenses 968

Net Income or (loss) 10,301 4, 8B3 1,464

17,6-6

9~f 8

16, 6-'8

julol Q101 31510d

008 ' E T60l XI .J CINV

SJU8A JO'Jd Ill Qlq"mOllv qlqnn 101110 pnonh-fV Alindoid in tu-,tldij1I,nCj ON JUGA GIL11 (qjvoA) 011-1 jo U0111.11FILAUIL)o ;0 POLIJUVil JO pamolIv well uOileicaide(] N ai% uoijuicajdaC]

JO ISOO alva

ESt,SJS5-~L ONI-dVHS C100S HVJAfl -IVHLNEZ) jeqwnN uOlMOUPOPI JO 01 w3 u0l1Bz1ul?0J0 10 0w8N

E00Z-0E-9cBujpuG pue -tOO'L I I O-LOBuiuuffiaq pomed jeaA xal jo 'ZOOZ jeeA japualLo jo.1 uo T --I DGds u I

OTTqnd o2 uado u0ijaida(i pue u0ijejoaJda(3 jo ainpapS

F5 aulI III -~-Ted '7 ~@612d 066 - I aSed Z ziuawLpe-~ :1V

ZIU00,1_4 bU I Z I IU LLUIV If I 11-All, lwljj~f, - III Doe JAI,) Ili, mil I I IDl,A,1nj

T I I SINSWEAO-ddWIl 1,

Attachment 3 page 1 - 990 Page 3, Part IV, Line 57a-c Schedule oY d; Building & Equipment Open to Public i

8,480 29,438 21, 912 4,000

Total 1 139,4_6 1 "A C.Pyngh . F., .s 2002(Sailware Only) - Laser Systems l(ayliville, UT840:7 050711 2_EO:~ 16

inspection I For calendar year 2002 or tax period beglnnlng0 7 - Name of Organization CENTRAL UTAH FOOD SHARING

Description of Property Cost or

Other Basis LAND 5,500 VEHICLES 8,900 BUILDING 79,574 EQUIPMENT AND FIXTURES 35,152 LEASEHOLD IMPROVEMENTS 10,310

Accumulated

06-30-2 003

V Employer Identification Number 4-M254'53 mp'oy

Fair Market Value Book Value

(Form 990-PF ow 5,500

420 50,136 13 24C 6 : 3 10

606

Open to Public Inspection I For calendar year 2002 or tax period beginningO 7 - 0 1 . 100 2- , and ending 0 6 - 3 0 - 2 0 0 3

Name of Organization Employer Identification Number

CENTRAL UTAH FOOD SHARING 174-2525453

Line No Explain how each activity for which income in column (E) of Part Vil conti-lbuted importantly to the accomplishment of the organization's

exempt purposes (other than by providing funds for such purposes A-X ORIGINALLY PAID BY THE DONOR ON THE DONATED ITEMS THIS ROCESS ENCOURAGES THE PUBLIC TO DONATE IN KIND TO THE ORGANIZATION

2_EOGROO Aa COP YfLght Forms (So fr mare Only) - 2002 Laser System$ Kaysville UT 84037 0 SO 716

Attachment 4 page 1 - 990 Page 6, Part VIII Relationshlb of Adti%nties to the Accomplishment of Exempt Purpo

Attachment 5 : page 1 - 990 Page 2, Part II, Line 43

JVA Cc pyrigh I For r-s (So f I ware Only) - 2002 Laser Systems Kay3,n Ile UT BAD37 D SO? 23 2_EC~R,3