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1 PUBLIC INSPECTION COPY OMB Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Do not enter Soil Seurity numers on this form s it my e mde puli. Open to Puli Internl Revenue Servie Informtion out Form 990 nd its instrutions is t Inspetion A For the 01 lendr yer, or tx yer eginning JUL 1, 01 nd ending JUN 0, 01 B Chek if C Nme of orgniztion D Employer identifition numer pplile: Address hnge Nme hnge Arlington Food Assistne Center Doing Business As Initil return Numer nd street (or P.O. ox if mil is not delivered to street ddress) Room/suite E Telephone numer Terminted 708 South Nelson Street Amended return City or town, stte or provine, ountry, nd ZIP or foreign postl ode G Gross reeipts $,67,079. Applition Arlington, VA H() Is this group return pending F Nme nd ddress of prinipl offier: Rymond Goodrih for suordintes? ~~ sme s C ove H() Are ll suordintes inluded? I Tx-exempt sttus: 01()() 01() ( ) (insert no.) 97()(1) or 7 If "," tth list. (see instrutions) J Wesite: H() Group exemption numer K Form of orgniztion: Corportion Trust Assoition Other L Yer of formtion: 1988 M Stte of legl domiile: VA Prt I Summry 1 Briefly desrie the orgniztion s mission or most signifint tivities: AFAC provides supplementl groeries to Arlington residents to help meet si needs. Ativities & Governne Revenue Expenses Net Assets or Fund Blnes Sign Here Chek this ox if the orgniztion disontinued its opertions or disposed of more thn % of its net ssets. Numer of voting memers of the governing ody (Prt VI, line 1) Numer of independent voting memers of the governing ody (Prt VI, line 1) ~~~~~~~~~~~~~~ Totl numer of individuls employed in lendr yer 01 (Prt V, line ) ~~~~~~~~~~~~~~~~ Net unrelted usiness txle inome from Form 990-T, line 16 Professionl fundrising fees (Prt I, olumn (A), line 11e) ~~~~~~~~~~~~~~ Totl fundrising expenses (Prt I, olumn (D), line ) 08,9. true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge. Signture of offier Rymond Goodrih, Tresurer Type or print nme nd title ~~~~~~~~~~~~~~~~~~~~ Totl numer of volunteers (estimte if neessry) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Totl unrelted usiness revenue from Prt VIII, olumn (C), line 1 ~~~~~~~~~~~~~~~~~~~~ Contriutions nd grnts (Prt VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Progrm servie revenue (Prt VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Prt VIII, olumn (A), lines,, nd 7d) ~~~~~~~~~~~~~ Other revenue (Prt VIII, olumn (A), lines, 6d, 8, 9, 10, nd 11e) ~~~~~~~~ Totl revenue - dd lines 8 through 11 (must equl Prt VIII, olumn (A), line 1) Grnts nd similr mounts pid (Prt I, olumn (A), lines 1-) Benefits pid to or for memers (Prt I, olumn (A), line ) ~~~~~~~~~~~ ~~~~~~~~~~~~~ Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines -10) ~~~ = = Prior Yer Current Yer,08,677.,0, ,781. 9,61. -,9. 6,70.,11,109.,86,68.,69,00.,880, ,01,06. 1,118,. 10,90. 9,88. Print/Type preprer s nme Preprer s signture Dte Chek PTIN if Pid Stephen G Trvis, CPA self-employed P Preprer Firm s nme Kositzk, Wiks nd Compny Firm s EIN -198 Use Only Firm s ddress 70 Shwnee Rod, Suite 0 9 9Alexndri, VA 1 Phone no. (70) My the IRS disuss this return with the preprer shown ove? (see instrutions) LHA For Pperwork Redution At tie, see the seprte instrutions. Form 990 (01) Dte Other expenses (Prt I, olumn (A), lines 11-11d, 11f-e) ~~~~~~~~~~~~~ 6,160. 6,6. 18 Totl expenses. Add lines 1-17 (must equl Prt I, olumn (A), line ) ~~~~~~~,07,6.,7, Revenue less expenses. Sutrt line 18 from line 1,7. 11,998. Beginning of Current Yer End of Yer 0 Totl ssets (Prt, line 16) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~,6,71.,71,17. 1 Totl liilities (Prt, line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 119,8. 168,9. Net ssets or fund lnes. Sutrt line 1 from line 0,1,69.,,88. Prt II Signture Blok Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is

2 Form 990 (01) Arlington Food Assistne Center Prt III Sttement of Progrm Servie Aomplishments 1 Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: The Arlington Food Assistne Center is ommunity-sed non-profit tht provides supplementl groeries to its Arlington neighors in need. Pge Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 990 or 990-EZ? If "," desrie these new servies on Shedule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? ~~~~~~ If "," desrie these hnges on Shedule O. Desrie the orgniztion s progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion 01()() nd 01()() orgniztions re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. ( Code: ) ( Expenses $,88,80. inluding grnts of $,880,79. ) ( Revenue $ ) Totl weight of food distriuted:,791,78 pounds, of whih 1,0,8 pounds donted nd 1,0,99 pounds purhsed Fmily visits: 90, ( Code: ) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) ( Code: ) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) d e Other progrm servies (Desrie in Shedule O.) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) Totl progrm servie expenses,88,80. Form 990 (01) Arlington Food Assistne C

3 Form 990 (01) Arlington Food Assistne Center Prt IV Cheklist of Required Shedules d e f Is the orgniztion desried in setion 01()() or 97()(1) (other thn privte foundtion)? If "," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If "," omplete Shedule C, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 01()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion 01(h) eletion in effet during the tx yer? If "," omplete Shedule C, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion setion 01()(), 01()(), or 01()(6) orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure 98-19? If "," omplete Shedule C, Prt III ~~~~~~~~~~~~~~ Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If "," omplete Shedule D, Prt I Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If "," omplete Shedule D, Prt II~~~~~~~~~~~~~~ Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "," omplete Shedule D, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount in Prt, line 1, for esrow or ustodil ount liility; serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If "," omplete Shedule D, Prt IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? If "," omplete Shedule D, Prt V ~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion s nswer to ny of the following questions is "," then omplete Shedule D, Prts VI, VII, VIII, I, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 10? If "," omplete Shedule D, Prt VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - other seurities in Prt, line 1 tht is % or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - progrm relted in Prt, line 1 tht is % or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other ssets in Prt, line 1 tht is % or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other liilities in Prt, line? If "," omplete Shedule D, Prt ~~~~~~ Did the orgniztion s seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion s liility for unertin tx positions under FIN 8 (ASC 70)? If "," omplete Shedule D, Prt ~~~~ Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If "," omplete Shedule D, Prts I nd II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? If "," nd if the orgniztion nswered "" to line 1, then ompleting Shedule D, Prts I nd II is optionl ~~~~~ Is the orgniztion shool desried in setion 170()(1)(A)(ii)? If "," omplete Shedule E ~~~~~~~~~~~~~~ 1 Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? ~~~~~~~~~~~~~~~~ Did the orgniztion hve ggregte revenues or expenses of more thn $10,000 from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $100,000 or more? If "," omplete Shedule F, Prts I nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of grnts or other ssistne to or for ny foreign orgniztion? If "," omplete Shedule F, Prts II nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of ggregte grnts or other ssistne to or for foreign individuls? If "," omplete Shedule F, Prts III nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report totl of more thn $1,000 of expenses for professionl fundrising servies on Prt I, olumn (A), lines 6 nd 11e? If "," omplete Shedule G, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $1,000 totl of fundrising event gross inome nd ontriutions on Prt VIII, lines 1 nd 8? If "," omplete Shedule G, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $1,000 of gross inome from gming tivities on Prt VIII, line 9? If "," omplete Shedule G, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion operte one or more hospitl filities? If "," omplete Shedule H ~~~~~~~~~~~~~~~~ If "" to line 0, did the orgniztion tth opy of its udited finnil sttements to this return? d 11e 11f Pge 0 Form 990 (01) Arlington Food Assistne C

4 Form 990 (01) Arlington Food Assistne Center Prt IV Cheklist of Required Shedules (ontinued) d Setion 01()() nd 01()() orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If "," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $,000 of grnts or other ssistne to ny domesti orgniztion or government on Prt I, olumn (A), line 1? If "," omplete Shedule I, Prts I nd II ~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $,000 of grnts or other ssistne to individuls in the United Sttes on Prt I, olumn (A), line? If "," omplete Shedule I, Prts I nd III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion nswer "" to Prt VII, Setion A, line,, or out ompenstion of the orgniztion s urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $100,000 s of the lst dy of the yer, tht ws issued fter Deemer 1, 00? If "," nswer lines through d nd omplete Shedule K. If "", go to line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption? ~~~~~~~~~~~ Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion t s n "on ehlf of" issuer for onds outstnding t ny time during the yer? ~~~~~~~~~~~ Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion s prior Forms 990 or 990-EZ? If "," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report ny mount on Prt, line, 6, or for reeivles from or pyles to ny urrent or former offiers, diretors, trustees, key employees, highest ompensted employees, or disqulified persons? If so, omplete Shedule L, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to % ontrolled entity or fmily memer of ny of these persons? If "," omplete Shedule L, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV ~~~~~~~~~~~ A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV ~~ An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? If "," omplete Shedule L, Prt IV~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion reeive more thn $,000 in non-sh ontriutions? If "," omplete Shedule M ~~~~~~~~~ Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If "," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If "," omplete Shedule N, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn % of its net ssets? If "," omplete Shedule N, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion own 100% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? If "," omplete Shedule R, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion relted to ny tx-exempt or txle entity? If "," omplete Shedule R, Prt II, III, or IV, nd Prt V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve ontrolled entity within the mening of setion 1()(1)? ~~~~~~~~~~~~~~~~~~ If "" to line, did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion 1()(1)? If "," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~ Setion 01()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If "," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ondut more thn % of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If "," omplete Shedule R, Prt VI ~~~~~~~~ Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines 11 nd 19? te. All Form 990 filers re required to omplete Shedule O 1 d Pge 8 Form 990 (01) Arlington Food Assistne C

5 Form 990 (01) Arlington Food Assistne Center Pge Prt V Sttements Regrding Other IRS Filings nd Tx Compline Chek if Shedule O ontins response or note to ny line in this Prt V 1 Enter the numer reported in Box of Form Enter -0- if not pplile ~~~~~~~~~~~ Enter the numer of Forms W-G inluded in line 1. Enter -0- if not pplile ~~~~~~~~~~ 1 Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? ~~~~~~~~~~ te. If the sum of lines 1 nd is greter thn 0, you my e required to e-file (see instrutions) ~~~~~~~~~~~ 7 Orgniztions tht my reeive dedutile ontriutions under setion 170(). Did the orgniztion reeive pyment in exess of $7 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor? d e f g h If the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form 1098-C? 8 Sponsoring orgniztions mintining donor dvised funds nd setion 09()() supporting orgniztions. Did the supporting orgniztion, or donor dvised fund mintined y sponsoring orgniztion, hve exess usiness holdings t ny time during the yer? Sponsoring orgniztions mintining donor dvised funds. Setion 01()(7) orgniztions. Enter: Setion 01()(1) orgniztions. Enter: 1 Setion 97()(1) non-exempt hritle trusts. Is the orgniztion filing Form 990 in lieu of Form 101? (gmling) winnings to prize winners? Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return ~~~~~~~~~~ Did the orgniztion hve unrelted usiness gross inome of $1,000 or more during the yer? ~~~~~~~~~~~~~~ If "," hs it filed Form 990-T for this yer? If "," to line, provide n explntion in Shedule O ~~~~~~~~~~ At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)?~~~~~~~ If "," enter the nme of the foreign ountry: J See instrutions for filing requirements for Form TD F 90-.1, Report of Foreign Bnk nd Finnil Aounts. Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? ~~~~~~~~~~~~ Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? ~~~~~~~~~ If "," to line or, did the orgniztion file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $100,000, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile s hritle ontriutions? If "," did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion notify the donor of the vlue of the goods or servies provided? Setion 01()(9) qulified nonprofit helth insurne issuers. te. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer? ~~~~~~~~~~~~~~~~ If "," hs it filed Form 70 to report these pyments? If "," provide n explntion in Shedule O 1 ~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form 88? ~~~~~~~~~~~~~~~ If "," indite the numer of Forms 88 filed during the yer ~~~~~~~~~~~~~~~~ Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? 7d ~~~~~~~ ~~~~~~~~~ If the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form 8899 s required? ~ Did the orgniztion mke ny txle distriutions under setion 966? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion mke distriution to donor, donor dvisor, or relted person? ~~~~~~~~~~~~~~~~~~~ Initition fees nd pitl ontriutions inluded on Prt VIII, line 1 ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 990, Prt VIII, line 1, for puli use of lu filities ~~~~~~ Gross inome from memers or shreholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," enter the mount of tx-exempt interest reeived or rued during the yer Is the orgniztion liensed to issue qulified helth plns in more thn one stte? ~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns ~~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves on hnd~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e 7f 7g 7h Form 990 (01) Arlington Food Assistne C

6 Form 990 (01) Arlington Food Assistne Center Pge 6 Prt VI Governne, Mngement, nd Dislosure For eh "" response to lines through 7 elow, nd for "" response to line 8, 8, or 10 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response or note to ny line in this Prt VI Setion A. Governing Body nd Mngement 1 Enter the numer of voting memers of the governing ody t the end of the tx yer ~~~~~~ If there re mteril differenes in voting rights mong memers of the governing ody, or if the governing Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If "," provide the nmes nd ddresses in Shedule O Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) exempt sttus with respet to suh rrngements? Setion C. Dislosure 17 List the sttes with whih opy of this Form 990 is required to e filed JVA ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Enter the numer of voting memers inluded in line 1, ove, who re independent ~~~~~~ Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? ~~~~~~~~~~~~~~ Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form 990 ws filed? ~~~~~ Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion s ssets? ~~~~~~~~~ Did the orgniztion hve memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, stokholders, or persons other thn the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eh ommittee with uthority to t on ehlf of the governing ody? Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form 990. Did the orgniztion hve written onflit of interest poliy? If "," go to line 1 ~~~~~~~~~~~~~~~~~~~~ Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give rise to onflits? ~~~~~~ Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If "," desrie in Shedule O how this ws done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ for puli inspetion. Indite how you mde these ville. Chek ll tht pply. Own wesite Another s wesite Upon request Other (explin in Shedule O) 1 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 Did the orgniztion hve lol hpters, rnhes, or ffilites? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion s exempt purposes? ~~~~~~~~~~~~~ 11 Hs the orgniztion provided omplete opy of this Form 990 to ll memers of its governing ody efore filing the form? Did the orgniztion hve written whistlelower poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve written doument retention nd destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "" to line 1 or 1, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the orgniztion s Setion 610 requires n orgniztion to mke its Forms 10 (or 10 if pplile), 990, nd 990-T (Setion 01()()s only) ville Desrie in Shedule O whether (nd if so, how), the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. 0 Stte the nme, physil ddress, nd telephone numer of the person who possesses the ooks nd reords of the orgniztion: The Orgniztion South Nelson Street, Arlington, VA Form 990 (01) Arlington Food Assistne C

7 Form 990 (01) Arlington Food Assistne Center Pge 7 Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Chek if Shedule O ontins response or note to ny line in this Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees 1 Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. List ll of the orgniztion s urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion s urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion s five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box of Form W- nd/or Box 7 of Form 1099-MISC) of more thn $100,000 from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former offiers, key employees, nd highest ompensted employees who reeived more thn $100,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $10,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. Chek this ox if neither the orgniztion nor ny relted orgniztion ompensted ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week (list ny hours for relted orgniztions elow line) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/1099-MISC) Reportle ompenstion from relted orgniztions (W-/1099-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions (1) Luind Ro.00 Diretor () Ann Doll.00 Diretor () Kren Bte.00 Diretor () Miguel Monteverdi.00 Diretor () John Zeigenhein.00 Diretor (6) Steve Theold.00 Diretor (7) Stephen Brdy.00 Diretor (8) Merle Shneider.00 Diretor (9) Kthleen Stemplinski.00 Diretor (10) Roert Cooper.00 Diretor (11) Toi Rozen.00 Diretor (1) Jeff Bollmn.00 Diretor (1) Steve Shroeder.00 Diretor (1) Andrew Lee.00 Diretor (1) John Murphy.00 Immedite Pst Chir (16) Meliss Klner.00 Seretry (17) Susn Rerdon.00 Chir Form 990 (01) Arlington Food Assistne C

8 Form 990 (01) Arlington Food Assistne Center Pge 8 Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) (A) (B) (C) (D) (E) (F) Nme nd title Averge Position (do not hek more thn one Reportle Reportle Estimted hours per ox, unless person is oth n ompenstion ompenstion mount of week offier nd diretor/trustee) from from relted other (list ny the orgniztions ompenstion hours for orgniztion (W-/1099-MISC) from the relted (W-/1099-MISC) orgniztion orgniztions nd relted elow orgniztions line) Individul trustee or diretor Institutionl trustee Offier (18) Rymond Goodrih Tresurer (19) Pul Evns Assistnt Tresurer (0) Thoms Klndermn.00 Vie Chir (1) Chrles Meng 0.00 Exeutive Diretor 10,. 0. 9,8. Key employee Highest ompensted employee Former 1 d Su-totl~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl from ontinution sheets to Prt VII, Setion A ~~~~~~~~~~ Totl (dd lines 1 nd 1) Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line 1? If "," omplete Shedule J for suh individul ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did ny person listed on line 1 reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If "," omplete Shedule J for suh person Setion B. Independent Contrtors 1 Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $100,000 of reportle ompenstion from the orgniztion For ny individul listed on line 1, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $10,000? If "," omplete Shedule J for suh individul~~~~~~~~~~~~~ Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $100,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. 10,. 0. 9, ,. 0. 9,8. (A) (B) (C) Nme nd usiness ddress NONE Desription of servies Compenstion Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $100,000 of ompenstion from the orgniztion 0 Form 990 (01) Arlington Food Assistne C

9 Form 990 (01) Arlington Food Assistne Center Prt VIII Sttement of Revenue Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue 1 d e f g nsh ontriutions inluded in lines 1-1f: $ d e f g 6 d d d Government grnts (ontriutions) All other ontriutions, gifts, grnts, nd similr mounts not inluded ove ~~ d 1e 1f Business Code Totl. Add lines -f Business Code Pge 9 Chek if Shedule O ontins response or note to ny line in this Prt VIII (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exluded exempt funtion usiness from tx under setions revenue revenue 1-1 Federted mpigns Memership dues ~~~~~~ ~~~~~~~~ Fundrising events ~~~~~~~~ Relted orgniztions ~~~~~~ All other progrm servie revenue ~~~~~ Investment inome (inluding dividends, interest, nd other similr mounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tx-exempt ond proeeds Roylties Gross rents ~~~~~~~ Less: rentl expenses~~~ Rentl inome or (loss) ~~ Net rentl inome or (loss) 7 Gross mount from sles of ssets other thn inventory Less: ost or other sis nd sles expenses ~~~ Gin or (loss) ~~~~~~~ (i) Rel (ii) Personl 8, ,11. (i) Seurities (ii) Other Net gin or (loss) 8 Gross inome from fundrising events (not inluding $ 17,. of ontriutions reported on line 1). See Prt IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundrising events Gross inome from gming tivities. See Prt IV, line 19 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gming tivities Gross sles of inventory, less returns nd llownes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ Net inome or (loss) from sles of inventory Misellneous Revenue All other revenue ~~~~~~~~~~~~~ 17,. 66,00.,906,9.,01,6. h Totl. Add lines 1-1f,0,18. 88,66. 80,97. 9,61. 9,61. 8,11. 8,11. 8,9. 8,9. e Totl. Add lines 11-11d ~~~~~~~~~~~~~~~ 1 Totl revenue. See instrutions.,86,68. 8, , Form 990 (01) Arlington Food Assistne C

10 Form 990 (01) Arlington Food Assistne Center Prt I Sttement of Funtionl Expenses Setion 01()() nd 01()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Shedule O ontins response or note to ny line in this Prt I Do not inlude mounts reported on lines 6, (A) (B) (C) (D) Totl expenses Progrm servie Mngement nd Fundrising 7, 8, 9, nd 10 of Prt VIII. expenses generl expenses expenses 1 Grnts nd other ssistne to governments nd orgniztions in the United Sttes. See Prt IV, line d e f g d Grnts nd other ssistne to individuls in the United Sttes. See Prt IV, line ~~~ Grnts nd other ssistne to governments, orgniztions, nd individuls outside the United Sttes. See Prt IV, lines 1 nd 16 ~ Benefits pid to or for memers ~~~~~~~ Compenstion of urrent offiers, diretors, trustees, nd key employees ~~~~~~~~ Compenstion not inluded ove, to disqulified persons (s defined under setion 98(f)(1)) nd persons desried in setion 98()()(B) ~~~ Other slries nd wges ~~~~~~~~~~ Pension pln ruls nd ontriutions (inlude setion 01(k) nd 0() employer ontriutions) Other employee enefits ~~~~~~~~~~ Pyroll txes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Mngement ~~~~~~~~~~~~~~~~ Legl ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professionl fundrising servies. See Prt IV, line 17 Investment mngement fees ~~~~~~~~ Other. (If line 11g mount exeeds 10% of line, olumn (A) mount, list line 11g expenses on Sh O.) Advertising nd promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Informtion tehnology ~~~~~~~~~~~ Roylties ~~~~~~~~~~~~~~~~~~ Oupny ~~~~~~~~~~~~~~~~~ Trvel ~~~~~~~~~~~~~~~~~~~ Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Pyments to ffilites ~~~~~~~~~~~~ Depreition, depletion, nd mortiztion ~~ Insurne ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not overed ove. (List misellneous expenses in line e. If line e mount exeeds 10% of line, olumn (A) e All other expenses Totl funtionl expenses. Add lines 1 through e 6 Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here if following SOP 98- (ASC 98-70),880,79.,880,79. Pge 10 1,17.,69. 6,6., ,6. 7,701., ,091.,661. 1,671. 1,66. 8,7. 91,61. 7,0.,8. 1,7. 81,786.,7.,67.,97.,00.,00. 10,70. 10,70. 9,88. 9,88. 1,790. 1,790. 6,871.,881. 8,0.,60. 9, , ,91. 19,19. 1,66. 7,101. 9,018.,187., ,06. 60,99. 6,1.,869. 1,099. 6,9., , ,190. 1,766.,11.,1.,11.,. 1,760.,6. mount, list line e expenses on Shedule O.) ~~ Printing nd pulitio 66,09. 8,1.,77.,7. Wrehouse supplies 6,80. 6,69.. Other expenses 6,. 8,91. 7,878. 9,7. Postge nd shipping 17,91.,. 11,60. 1,917. 1, ,18. 1,1.,7,68.,88,80. 17,90. 08, Form 990 (01) Arlington Food Assistne C

11 Form 990 (01) Arlington Food Assistne Center Pge 11 Prt Blne Sheet Net Assets or Fund Blnes Liilities Assets Chek if Shedule O ontins response or note to ny line in this Prt (A) (B) Beginning of yer End of yer 1 Csh - non-interest-ering ~~~~~~~~~~~~~~~~~~~~~~~~~ 997, ,11. Svings nd temporry sh investments ~~~~~~~~~~~~~~~~~~ 9,61. 1,1,678. Pledges nd grnts reeivle, net ~~~~~~~~~~~~~~~~~~~~~,1. 0. Aounts reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Lons nd other reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Lons nd other reeivles from other disqulified persons (s defined under setion 98(f)(1)), persons desried in setion 98()()(B), nd ontriuting employers nd sponsoring orgniztions of setion 01()(9) voluntry employees enefiiry orgniztions (see instr). Complete Prt II of Sh L ~~ 6 7 tes nd lons reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~ 7. 8 Inventories for sle or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ 7, , Prepid expenses nd deferred hrges ~~~~~~~~~~~~~~~~~~ 6, ,6. 10 Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D ~~~ 10 1,17,61. Less: umulted depreition ~~~~~~ 10 6, , , Investments - pulily trded seurities ~~~~~~~~~~~~~~~~~~~ 11 1 Investments - other seurities. See Prt IV, line 11 ~~~~~~~~~~~~~~ 166,. 1 9,16. 1 Investments - progrm-relted. See Prt IV, line 11 ~~~~~~~~~~~~~ 1 1 Intngile ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 Other ssets. See Prt IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~, ,. 16 Totl ssets. Add lines 1 through 1 (must equl line ),6,71. 16,71, Aounts pyle nd rued expenses ~~~~~~~~~~~~~~~~~~ 117, , Grnts pyle ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tx-exempt ond liilities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 1 Esrow or ustodil ount liility. Complete Prt IV of Shedule D ~~~~ 1 Lons nd other pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgges nd notes pyle to unrelted third prties ~~~~~~ Unseured notes nd lons pyle to unrelted third prties ~~~~~~~~ Other liilities (inluding federl inome tx, pyles to relted third prties, nd other liilities not inluded on lines 17-). Complete Prt of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~,00.,00. 6 Totl liilities. Add lines 17 through 119, ,9. Orgniztions tht follow SFAS 117 (ASC 98), hek here nd omplete lines 7 through 9, nd lines nd. 7 Unrestrited net ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~,0,61. 7,9,0. 8 Temporrily restrited net ssets ~~~~~~~~~~~~~~~~~~~~~~ 1,7. 8 1,86. 9 Permnently restrited net ssets ~~~~~~~~~~~~~~~~~~~~~ 9 Orgniztions tht do not follow SFAS 117 (ASC 98), hek here nd omplete lines 0 through. 0 1 Cpitl stok or trust prinipl, or urrent funds ~~~~~~~~~~~~~~~ Pid-in or pitl surplus, or lnd, uilding, or equipment fund ~~~~~~~~ 0 1 Retined ernings, endowment, umulted inome, or other funds ~~~~ Totl net ssets or fund lnes ~~~~~~~~~~~~~~~~~~~~~~,1,69.,,88. Totl liilities nd net ssets/fund lnes,6,71.,71,17. Form 990 (01) Arlington Food Assistne C

12 Form 990 (01) Arlington Food Assistne Center Pge 1 Prt I Reonilition of Net Assets Chek if Shedule O ontins response or note to ny line in this Prt I Totl revenue (must equl Prt VIII, olumn (A), line 1) Totl expenses (must equl Prt I, olumn (A), line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Revenue less expenses. Sutrt line from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)) ~~~~~~~~~~ Net unrelized gins (losses) on investments Donted servies nd use of filities Investment expenses Prior period djustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hnges in net ssets or fund lnes (explin in Shedule O) ~~~~~~~~~~~~~~~~~~~ 10 Net ssets or fund lnes t end of yer. Comine lines through 9 (must equl Prt, line, olumn (B)) 10,,88. Prt II Finnil Sttements nd Reporting Chek if Shedule O ontins response or note to ny line in this Prt II 1 Aounting method used to prepre the Form 990: Csh Arul Other If the orgniztion hnged its method of ounting from prior yer or heked "Other," explin in Shedule O. Were the orgniztion s finnil sttements ompiled or reviewed y n independent ountnt? ~~~~~~~~~~~~ If "," hek ox elow to indite whether the finnil sttements for the yer were ompiled or reviewed on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis Were the orgniztion s finnil sttements udited y n independent ountnt? ~~~~~~~~~~~~~~~~~~~ If "," hek ox elow to indite whether the finnil sttements for the yer were udited on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis If "" to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt?~~~~~~~~~~~~~~~ If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in Shedule O. As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit At nd OMB Cirulr A-1? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits ,86,68.,7,68. 11,998.,1,69.,1. 0. Form 990 (01) Arlington Food Assistne C

13 OMB SCHEDULE A (Form 990 or 990-EZ) Puli Chrity Sttus nd Puli Support Complete if the orgniztion is setion 01()() orgniztion or setion 01 97()(1) nonexempt hritle trust. Deprtment of the Tresury Atth to Form 990 or Form 990-EZ. Open to Puli Internl Revenue Servie Informtion out Shedule A (Form 990 or 990-EZ) nd its instrutions is t Inspetion Nme of the orgniztion Employer identifition numer Arlington Food Assistne Center Prt I Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines 1 through 11, hek only one ox.) e f g h A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Atth Shedule E.) A hospitl or oopertive hospitl servie orgniztion desried in setion 170()(1)(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 170()(1)(A)(iii). Enter the hospitl s nme, ity, nd stte: An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 170()(1)(A)(iv). (Complete Prt II.) A federl, stte, or lol government or governmentl unit desried in setion 170()(1)(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 170()(1)(A)(vi). (Complete Prt II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Prt II.) An orgniztion tht normlly reeives: (1) more thn 1/% of its support from ontriutions, memership fees, nd gross reeipts from tivities relted to its exempt funtions - sujet to ertin exeptions, nd () no more thn 1/% of its support from gross investment inome nd unrelted usiness txle inome (less setion 11 tx) from usinesses quired y the orgniztion fter June 0, 197. See setion 09()(). (Complete Prt III.) An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion 09()(). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion 09()(1) or setion 09()(). See setion 09()(). Chek the ox tht desries the type of supporting orgniztion nd omplete lines 11e through 11h. Type I Type II Type III - Funtionlly integrted d Type III - n-funtionlly integrted By heking this ox, I ertify tht the orgniztion is not ontrolled diretly or indiretly y one or more disqulified persons other thn foundtion mngers nd other thn one or more pulily supported orgniztions desried in setion 09()(1) or setion 09()(). If the orgniztion reeived written determintion from the IRS tht it is Type I, Type II, or Type III supporting orgniztion, hek this ox Sine August 17, 006, hs the orgniztion epted ny gift or ontriution from ny of the following persons? (i) (ii) (iii) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A person who diretly or indiretly ontrols, either lone or together with persons desried in (ii) nd (iii) elow, the governing ody of the supported orgniztion? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A fmily memer of person desried in (i) ove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A % ontrolled entity of person desried in (i) or (ii) ove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following informtion out the supported orgniztion(s). 11g(i) 11g(ii) 11g(iii) (i) Nme of supported (ii) EIN (iii) Type of orgniztion (iv) Is the orgniztion (v) Did you notify the (vi) Is the (vii) (desried on lines 1-9 in ol. (i) listed in your orgniztion in ol. orgniztion in ol. Amount of monetry orgniztion (i) orgnized in the support ove or IRC setion governing doument? (i) of your support? U.S.? (see instrutions) ) Totl LHA For Pperwork Redution At tie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ) Arlington Food Assistne C

14 Shedule A (Form 990 or 990-EZ) 01 Arlington Food Assistne Center Pge Prt II Support Shedule for Orgniztions Desried in Setions 170()(1)(A)(iv) nd 170()(1)(A)(vi) (Complete only if you heked the ox on line, 7, or 8 of Prt I or if the orgniztion filed to qulify under Prt III. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt III.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) 1 Totl. Add lines 1 through ~~~ 6 Puli support. Sutrt line from line. Clendr yer (or fisl yer eginning in) ssets (Explin in Prt IV.) ~~~~ Totl support. Add lines 7 through 10 () 009 () 010 () 011 (d) 01 (e) 01 (f) Totl () 009 () 010 () 011 (d) 01 (e) 01 (f) Totl,1,77.,788,81.,7,1.,,6.,91,67. 1,09,781. First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 01()() 17 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, or 16, nd line 1 is 10% or more, 18 Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supported orgniztion) inluded on line 1 tht exeeds % of the mount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Totl Support Amounts from line ~~~~~~~ Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Net inome from unrelted usiness tivities, whether or not the usiness is regulrly rried on ~ Other inome. Do not inlude gin or loss from the sle of pitl,1,77.,788,81.,7,1.,,6.,91,67. 1,09,781.,1,77.,788,81.,7,1.,,6.,91,67. 1,09,781. Gross reeipts from relted tivities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ 1/% support test If the orgniztion did not hek ox on line 1 or 16, nd line 1 is 1/% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~ 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, 16, or 17, nd line 1 is 10% or more, nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~ Privte foundtion. If the orgniztion did not hek ox on line 1, 16, 16, 17, or 17, hek this ox nd see instrutions 1,17,86. 19,16,9.,19.,66.,.,. 8,11. 6,97. 1,6,708. orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge 1 Puli support perentge for 01 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentge from 01 Shedule A, Prt II, line 1 ~~~~~~~~~~~~~~~~~~~~~ /% support test If the orgniztion did not hek the ox on line 1, nd line 1 is 1/% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Shedule A (Form 990 or 990-EZ) 01 % % Arlington Food Assistne C

15 Shedule A (Form 990 or 990-EZ) 01 Arlington Food Assistne Center Prt III Support Shedule for Orgniztions Desried in Setion 09()() Clendr yer (or fisl yer eginning in) 1 6 The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ Totl. Add lines 1 through ~~~ 7 Amounts inluded on lines 1,, nd reeived from disqulified persons Amounts inluded on lines nd reeived from other thn disqulified persons tht exeed the greter of $,000 or 1% of the mount on line 1 for the yer ~~~~~~ Add lines 7 nd 7 ~~~~~~~ 8 Puli support (Sutrt line 7 from line 6.) Clendr yer (or fisl yer eginning in) 9 Amounts from line 6 ~~~~~~~ 10 Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Unrelted usiness txle inome (less setion 11 txes) from usinesses quired fter June 0, 197 ~~~~ () 009 () 010 () 011 (d) 01 (e) 01 (f) Totl () 009 () 010 () 011 (d) 01 (e) 01 (f) Totl 1 First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 01()() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge 1 16 Puli support perentge from 01 Shedule A, Prt III, line 1 Setion D. Computtion of Investment Inome Perentge Pge Puli support perentge for 01 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ 1 % 19 1/% support tests If the orgniztion did not hek the ox on line 1, nd line 1 is more thn 1/%, nd line 17 is not 0 (Complete only if you heked the ox on line 9 of Prt I or if the orgniztion filed to qulify under Prt II. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt II.) Setion A. Puli Support Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Gross reeipts from dmissions, merhndise sold or servies performed, or filities furnished in ny tivity tht is relted to the orgniztion s tx-exempt purpose Gross reeipts from tivities tht re not n unrelted trde or usiness under setion 1 ~~~~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ Setion B. Totl Support Add lines 10 nd 10 ~~~~~~ Net inome from unrelted usiness tivities not inluded in line 10, whether or not the usiness is regulrly rried on ~~~~~~~ Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt IV.) ~~~~ Totl support. (Add lines 9, 10, 11, nd 1.) Investment inome perentge for 01 (line 10, olumn (f) divided y line 1, olumn (f)) Investment inome perentge from 01 Shedule A, Prt III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 % more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~ 1/% support tests If the orgniztion did not hek ox on line 1 or line 19, nd line 16 is more thn 1/%, nd line 18 is not more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion~~~~ Privte foundtion. If the orgniztion did not hek ox on line 1, 19, or 19, hek this ox nd see instrutions Shedule A (Form 990 or 990-EZ) Arlington Food Assistne C % %

16 Shedule A (Form 990 or 990-EZ) 01 Arlington Food Assistne Center Pge Prt IV Supplementl Informtion. Provide the explntions required y Prt II, line 10; Prt II, line 17 or 17; nd Prt III, line 1. Also omplete this prt for ny dditionl informtion. (See instrutions) Shedule A (Form 990 or 990-EZ) Arlington Food Assistne C

17 SCHEDULE D OMB (Form 990) Complete if the orgniztion nswered "," to Form 990, Prt IV, line 6, 7, 8, 9, 10, 11, 11, 11, 11d, 11e, 11f, 1, or 1. Deprtment of the Tresury Atth to Form 990. Open to Puli Internl Revenue Servie Informtion out Shedule D (Form 990) nd its instrutions is t Inspetion Nme of the orgniztion Employer identifition numer Arlington Food Assistne Center Prt I Orgniztions Mintining Donor Advised Funds or Other Similr Funds or Aounts. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 6. () Donor dvised funds () Funds nd other ounts d Totl numer t end of yer ~~~~~~~~~~~~~~~ Aggregte ontriutions to (during yer) Aggregte grnts from (during yer) Aggregte vlue t end of yer (i) (ii) ~~~~~~~~ ~~~~~~~~~~ ~~~~~~~~~~~~~ Did the orgniztion inform ll donors nd donor dvisors in writing tht the ssets held in donor dvised funds re the orgniztion s property, sujet to the orgniztion s exlusive legl ontrol?~~~~~~~~~~~~~~~~~~ Did the orgniztion inform ll grntees, donors, nd donor dvisors in writing tht grnt funds n e used only for hritle purposes nd not for the enefit of the donor or donor dvisor, or for ny other purpose onferring impermissile privte enefit? Prt II Conservtion Esements. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 7. Purpose(s) of onservtion esements held y the orgniztion (hek ll tht pply). Preservtion of lnd for puli use (e.g., reretion or edution) Protetion of nturl hitt Preservtion of open spe d Preservtion of n historilly importnt lnd re Preservtion of ertified histori struture Complete lines through d if the orgniztion held qulified onservtion ontriution in the form of onservtion esement on the lst dy of the tx yer. Totl numer of onservtion esements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl rege restrited y onservtion esements ~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservtion esements on ertified histori struture inluded in () ~~~~~~~~~~~~ Numer of onservtion esements inluded in () quired fter 8/17/06, nd not on histori struture listed in the Ntionl Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Held t the End of the Tx Yer Numer of onservtion esements modified, trnsferred, relesed, extinguished, or terminted y the orgniztion during the tx yer Numer of sttes where property sujet to onservtion esement is loted Does the orgniztion hve written poliy regrding the periodi monitoring, inspetion, hndling of violtions, nd enforement of the onservtion esements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Stff nd volunteer hours devoted to monitoring, inspeting, nd enforing onservtion esements during the yer Amount of expenses inurred in monitoring, inspeting, nd enforing onservtion esements during the yer $ Does eh onservtion esement reported on line (d) ove stisfy the requirements of setion 170(h)()(B)(i) nd setion 170(h)()(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ In Prt III, desrie how the orgniztion reports onservtion esements in its revenue nd expense sttement, nd lne sheet, nd inlude, if pplile, the text of the footnote to the orgniztion s finnil sttements tht desries the orgniztion s ounting for onservtion esements. Prt III Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 8. 1 If the orgniztion eleted, s permitted under SFAS 116 (ASC 98), not to report in its revenue sttement nd lne sheet works of rt, historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide, in Prt III, the text of the footnote to its finnil sttements tht desries these items. If the orgniztion eleted, s permitted under SFAS 116 (ASC 98), to report in its revenue sttement nd lne sheet works of rt, historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide the following mounts relting to these items: Revenues inluded in Form 990, Prt VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Assets inluded in Form 990, Prt ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion reeived or held works of rt, historil tresures, or other similr ssets for finnil gin, provide the following mounts required to e reported under SFAS 116 (ASC 98) relting to these items: Revenues inluded in Form 990, Prt VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Assets inluded in Form 990, Prt Supplementl Finnil Sttements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ $ 01 LHA For Pperwork Redution At tie, see the Instrutions for Form 990. Shedule D (Form 990) Arlington Food Assistne C

18 Shedule D (Form 990) 01 Arlington Food Assistne Center Pge Prt III Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets (ontinued) Using the orgniztion s quisition, ession, nd other reords, hek ny of the following tht re signifint use of its olletion items d e f d e If "," explin the rrngement in Prt III. Chek here if the explntion hs een provided in Prt III Prt V Endowment Funds. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 10. d e f g (i) (ii) Desrie in Prt III the intended uses of the orgniztion s endowment funds. Prt VI Lnd, Buildings, nd Equipment. 1 (hek ll tht pply): Puli exhiition Sholrly reserh Preservtion for future genertions Lon or exhnge progrms Provide desription of the orgniztion s olletions nd explin how they further the orgniztion s exempt purpose in Prt III. During the yer, did the orgniztion soliit or reeive dontions of rt, historil tresures, or other similr ssets to e sold to rise funds rther thn to e mintined s prt of the orgniztion s olletion? Prt IV Esrow nd Custodil Arrngements. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 9, or reported n mount on Form 990, Prt, line 1. 1 Is the orgniztion n gent, trustee, ustodin or other intermediry for ontriutions or other ssets not inluded on Form 990, Prt? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ () Current yer () Prior yer () Two yers k (d) Three yers k (e) Four yers k 1 1d 1e 1f (i) (ii) () Cost or other () Cost or other () Aumulted (d) Book vlue sis (investment) sis (other) depreition 61, , ,97. 1,96. 8,08. Lesehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~ 68,08. 7,860. 0,178. e Other 17, ,910.,790. Totl. Add lines 1 through 1e. (Column (d) must equl Form 990, Prt, olumn (B), line 10().) 910,907. Other If "," explin the rrngement in Prt III nd omplete the following tle: Beginning lne Additions during the yer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Distriutions during the yer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ending lne ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion inlude n mount on Form 990, Prt, line 1? ~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Beginning of yer lne Contriutions ~~~~~~~~~~~~~~ Net investment ernings, gins, nd losses Grnts or sholrships Other expenditures for filities nd progrms Administrtive expenses End of yer lne ~~~~~~~ ~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~~ Provide the estimted perentge of the urrent yer end lne (line 1g, olumn ()) held s: Bord designted or qusi-endowment % Permnent endowment % Temporrily restrited endowment % The perentges in lines,, nd should equl 100%. Are there endowment funds not in the possession of the orgniztion tht re held nd dministered for the orgniztion y: unrelted orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ relted orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "" to (ii), re the relted orgniztions listed s required on Shedule R? ~~~~~~~~~~~~~~~~~~~~~~ Complete if the orgniztion nswered "" to Form 990, Prt IV, line 11. See Form 990, Prt, line 10. Desription of property Lnd ~~~~~~~~~~~~~~~~~~~~ Buildings ~~~~~~~~~~~~~~~~~~ Amount Shedule D (Form 990) Arlington Food Assistne C

19 Shedule D (Form 990) 01 Arlington Food Assistne Center Pge Prt VII Investments - Other Seurities. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 11. See Form 990, Prt, line 1. () Desription of seurity or tegory (inluding nme of seurity) () Book vlue () Method of vlution: Cost or end-of-yer mrket vlue (1) Finnil derivtives ~~~~~~~~~~~~~~~ () Closely-held equity interests ~~~~~~~~~~~ () Other (A) Stoks 18,67. End-of-Yer Mrket Vlue (B) Bonds 98,907. End-of-Yer Mrket Vlue (C) Rel estte 8,08. End-of-Yer Mrket Vlue (D) Csh 7,80. End-of-Yer Mrket Vlue (E) (F) (G) (H) Totl. (Col. () must equl Form 990, Prt, ol. (B) line 1.) 9,16. Prt VIII Investments - Progrm Relted. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 11. See Form 990, Prt, line 1. () Desription of investment () Book vlue () Method of vlution: Cost or end-of-yer mrket vlue (1) () () () () (6) (7) (8) (9) Totl. (Col. () must equl Form 990, Prt, ol. (B) line 1.) Prt I Other Assets. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 11d. See Form 990, Prt, line 1. () Desription () Book vlue (1) () () () () (6) (7) (8) (9) Totl. (Column () must equl Form 990, Prt, ol. (B) line 1.) Prt Other Liilities. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 11e or 11f. See Form 990, Prt, line. 1. () Desription of liility () Book vlue (1) Federl inome txes () Seurity deposits held,00. () () () (6) (7) (8) (9) Totl. (Column () must equl Form 990, Prt, ol. (B) line.),00.. Liility for unertin tx positions. In Prt III, provide the text of the footnote to the orgniztion s finnil sttements tht reports the orgniztion s liility for unertin tx positions under FIN 8 (ASC 70). Chek here if the text of the footnote hs een provided in Prt III Shedule D (Form 990) Arlington Food Assistne C

20 Shedule D (Form 990) 01 Arlington Food Assistne Center Pge Prt I Reonilition of Revenue per Audited Finnil Sttements With Revenue per Return. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 1. 1 Totl revenue, gins, nd other support per udited finnil sttements ~~~~~~~~~~~~~~~~~~~ 1,10,11. d e Add lines through d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Sutrt line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Prt III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines nd ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,790. Totl revenue. Add lines nd. (This must equl Form 990, Prt I, line 1.),86,68. Prt II Reonilition of Expenses per Audited Finnil Sttements With Expenses per Return. Complete if the orgniztion nswered "" to Form 990, Prt IV, line 1. 1 Totl expenses nd losses per udited finnil sttements ~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,7,89. d e Amounts inluded on line 1 ut not on Form 990, Prt VIII, line 1: Net unrelized gins on investments Donted servies nd use of filities ~~~~~~~~~~~~~~~~~~~~~~ Reoveries of prior yer grnts Other (Desrie in Prt III.) Add lines through d ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 990, Prt VIII, line 1, ut not on line 1: Investment expenses not inluded on Form 990, Prt VIII, line 7 Amounts inluded on line 1 ut not on Form 990, Prt I, line : ~~~~~~~~ Donted servies nd use of filities ~~~~~~~~~~~~~~~~~~~~~~ Prior yer djustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Prt III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sutrt line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 990, Prt I, line, ut not on line 1: Investment expenses not inluded on Form 990, Prt VIII, line 7 Other (Desrie in Prt III.) ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines nd ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl expenses. Add lines nd. (This must equl Form 990, Prt I, line 18.) Prt III Supplementl Informtion. Provide the desriptions required for Prt II, lines,, nd 9; Prt III, lines 1 nd ; Prt IV, lines 1 nd ; Prt V, line ; Prt, line ; Prt I, lines d nd ; nd Prt II, lines d nd. Also omplete this prt to provide ny dditionl informtion. d d,1. 1,790. 1,790. e,1.,8,89. 0.,7,89. 1,790.,7,68. Prt, Line : Explntion: AFAC is exempt from inome txes under Setion 01()() of the Internl Revenue ode nd is lssified s n orgniztion other thn privte foundtion under 170()(1)(A)(vi) of the Internl Revenue Code. The orgniztion dopted the provisions in FASB ASC Shedule D (Form 990) Arlington Food Assistne C

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