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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
SECOND HARVEST FOOD BANK OF MIDDLE TN
INC
Employer identification number
62-1049447
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) AMAZING GRACE MISSION
WESTMORELAND FOOD BANK
WESTMORELAND,TN37186
62-1768690 501C3   38,888 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(2) BETHESDA CENTER
124 S MAIN STREET
ASHLAND CITY,TN37015
82-3055027 501C3   15,167 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(3) BRIDGE MINISTRIES THE
PO BOX 463
GOODLETTSVILLE,TN37070
501C3   22,541 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(4) BUFFALO VALLEY INC
415 SOUTH PARK STREET
HOHENWALD,TN38462
58-1374964 501C3   12,473 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(5) BUT GOD MINISTRIES
861 FONNIC DRIVE
NASHVILLE,TN37207
46-3870845 501C3   10,404 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(6) CEDARCROFT HOME
P O BOX 1266
LEBANON,TN370881266
62-1641402 501C3   6,248 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(7) CHRISTIAN COOP MINISTRY
PO BOX 462
MADISON,TN37116
58-1502903 501C3   69,050 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(8) COLLINWOOD HELP CENTER
P O BOX 293
COLLINWOOD,TN38450
26-3630974 501C3   13,048 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(9) COMMUNITY CARE MINISTRIES THE ATTIC
302 W HOGAN STREET
TULLAHOMA,TN37388
62-1778240 501C3   14,479 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(10) COMMUNITY HELP CTR TROUSDALE
P O BOX 193
HARTSVILLE,TN37074
62-1530097 501C3   6,940 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(11) DICKSON COUNTY HELP CTR
103 WEST COLLEGE STREET
DICKSON,TN37055
62-1075335 501C3   8,123 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(12) EAST NASH COOPERATIVE MIN EFB
3115 GALLATIN PIKE
NASHVILLE,TN37216
62-6118270 501C3   19,968 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(13) EDMONDSON CHAPEL CHURCH
5222 HICKORY HOLLOW PARKWAY
ANTIOCH,TN37013
501C3   6,858 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(14) FAITHWORKSFIRST UMC
202 S MAIN STREET
MT PLEASANT,TN38474
62-1122919 501C3   13,862 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(15) FIRST CHRISTIAN CHURCHCLARKSVILLE
516 MADISON STREET
CLARKSVILLE,TN37040
62-6165692 501C3   21,290 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(16) GOD'S STOREHOUSEFIRST PRESBYTERIAN
947 EAST COLLEGE STREET
PULASKI,TN38478
46-1869765 501C3   91,084 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(17) GOD'S STOREHOUSELAWRENCEBURG
425 FRANK STREET
LAWRENCEBURG,TN38464
41-2108736 501C3   85,979 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(18) GRACE CHURCH OF THE NAZARENE
2302 HIGHLAND AVE
COLUMBIA,TN38401
62-6118755 501C3   8,295 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(19) GRACEWORKS MINISTRIES
PO BOX 438
FRANKLIN,TN37064
62-1584204 501C3   24,458 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(20) GRACEWORKS WEST
2382 FAIRVIEW BLVD STE 102
FAIRVIEW,TN37062
62-1584204 501C3   32,375 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(21) HAMPSHIRE FIRST BAPTIST CHURCH
P O BOX 35
HAMPSHIRE,TN38461
501C3   30,550 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(22) HANDS OF MERCY OUTREACH
28 DEER TRACE
FAYETTEVILLE,TN37334
62-1147122 501C3   69,601 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(23) HARDIN COUNTY CHRISTIAN MINISTRY (CAM)
230 EUREKA ST
SAVANNAH,TN38372
31-1569911 501C3   18,017 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(24) HELPING HAND OF HUMBOLDT
PO BOX 8
HUMBOLDT,TN38343
58-1556492 501C3   73,087 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(25) HELPING HANDS OF HICKMAN COUNTY
10515 LIGON LOVE ROAD
BON AQUA,TN37025
20-3558685 501C3   24,787 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(26) HELPING HANDS OF WARREN COUNTY
220 EAST MAIN STREET
MCMINNVILLE,TN37110
501C3   11,209 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(27) HICKMAN CARES
123 CHURCH STREET
CENTERVILLE,TN37033
501C3   33,214 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(28) HIGHLAND HEIGHTS CHURCH OF CHRIST
785 SOUTH LOWREY STREET
SMYRNA,TN37167
501C3   12,104 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(29) HILLCREST UMC
5112 RAYWOOD LANE
NASHVILLE,TN37211
501C3   11,049 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(30) HOPE MINISTRIES
PO BOX 1098
LEXINGTON,TN38351
62-1626556 501C3   6,645 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(31) LADIES OF CHARITY WELFARE
2212 STATE STREET
NASHVILLE,TN37203
62-0481799 501C3   11,962 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(32) LASCASSAS UNITED METHODIST CHURCH
821 JAY LANE
LASCASSAS,TN37085
501C3   46,828 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(33) LIMESTONE BAPTIST CHURCH
1613 WEST MAIN STREET
FRANKLIN,TN37064
37-1462595 501C3   27,503 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(34) LOVE ONE ANOTHERJOSEPH'S STOREHOUSE
JOSEPHS STOREHOUSE
LEBANON,TN37090
64-1641617 501C3   120,274 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(35) LUKE 1412
705 DREXEL STREET
NASHVILLE,TN37203
62-1813012 501C3   9,923 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(36) MACON HELPS
111 MAIN STREET
LAFAYETTE,TN37083
62-1500589 501C3   40,753 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(37) MADISON BENEVOLENCE CENTER
106 NORTH GALLATIN ROAD
MADISON,TN37115
62-0630112 501C3   77,356 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(38) MANNA CAFE MINISTRIES
1960-J MADISON STREET 312
CLARKSVILLE,TN37043
27-1699146 501C3   304,490 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(39) MILAN MUSTARD SEED-SOUP KITCHEN
2027 SECOND STREET
MILAN,TN38358
62-1224019 501C3   9,648 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(40) NASHVILLE RESCUE MISSION
639 LAFAYETTE STREET
NASHVILLE,TN37203
45-2424130 501C3   95,507 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(41) OLIVET MISSIONARY BAPTIST EFB
144 EWING DRIVE
NASHVILLE,TN37207
501C3   21,981 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(42) OUR DAILY BREAD FOOD PANTRY
1180 WAYNE RD
SAVANNAH,TN38372
27-3220201 501C3   47,291 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(43) PERRY CO FOOD BANK PLUS
FIRST BAPTIST CHURCH
LINDEN,TN37096
501C3   47,810 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(44) PUTNAM COUNTYHELPING HANDS
421 EAST BROAD STREET
COOKEVILLE,TN38501
62-1132736 501C3   44,131 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(45) RADICAL MISSION COMPASIONATE MINISTRIES
150 RICHVIEW RD
CLARKSVILLE,TN37043
20-1630209 501C3   14,153 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(46) ROOM IN THE INN
P O BOX 25309
NASHVILLE,TN37202
62-0811413 501C3   5,165 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(47) SAMARITAN SOUP KITCHEN
1041 28TH AVENUE NORTH
NASHVILLE,TN37208
62-1341004 501C3   6,229 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(48) SOUTH LAWRENCE FOOD CTR
JOHN ALBRIGHT MEMORIAL/FAITH
BAPTIST
LORETTO,TN38469
501C3   19,660 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(49) ST LUKE'S COMMUNITY HOUSE EFB
5601 NEW YORK AVENUE
NASHVILLE,TN37209
51-0185425 501C3   26,514 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(50) STAR MINISTRIES
PO BOX 101482
NASHVILLE,TN37224
62-1651528 501C3   16,494 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(51) THE BRANCH
2620 UNA ANTIOCH PIKE
NASHVILLE,TN37013
46-3153789 501C3   97,983 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(52) THE FAMILY CENTER
PO BOX 576
COLUMBIA,TN38401
62-1597122 501C3   24,741 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(53) THE HELP CENTER
3918 DICKERSON PIKE STE E
NASHVILLE,TN37207
47-2594358 501C3   12,315 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(54) THE LITTLE PANTRY THAT COULD
2011 24TH AVENUE NORTH
NASHVILLE,TN37208
45-3746317 501C3   11,077 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(55) THE MILAN MUSTARD SEED INC
PO BOX 466
MILAN,TN38358
62-1224019 501C3   63,538 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(56) THE WELL
5226 MAIN STREET
SPRING HILL,TN37174
32-0258525 501C3   9,067 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(57) UNITED MINISTRIES
P O BOX 1094
SPRINGFIELD,TN37172
62-1581339 501C3   166,476 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
(58) WHITTAKER CHURCH OF GODWHEEL COMMUNITY FB
1200 BETHLEHEM CHURCH ROAD
SHELBYVILLE,TN37160
501C3   27,009 FAIR MARKET VALUE USDA COMMODITIES TO ASSIST IN FEEDING HUNGRY PEOPLE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
58
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2017
Page 2

Schedule I (Form 990) 2017
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: TEFAP COMMODITIES ELIGIBILITY CRITERIA - PARTNER AGENCIES ARE MONITORED BY SITE VISITS BY SECOND HARVEST STAFF AND ARE REQUIRED TO SUBMIT MONTHLY INVENTORY LISTINGS OF USDA COMMODITIES RECEIVED AND USED IN FEEDING PROGRAMS.
Schedule I (Form 990) 2017



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