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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
SECOND HARVEST FOOD BANK
SANTA CRUZ COUNTY
Employer identification number
77-0326685
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) FOOD BANK SAN BENITO
1133 SAN FELIPE RD
HOLLISTER,CA95023
77-0306871 501(C)(3) 7,500 0     PASS-THROUGH
(2) GREY BEARS
2710 CHANTICLEER AVE
SANTA CRUZ,CA95065
94-2298681 501(C)(3) 30,000 0     PASS-THROUGH
(3) VARIOUS MEMBER AGENCIES
VARIOUS
VARIOUS,CA99999
  0 14,633,266 SEE PG. 2 FOOD FOR THOSE IN NEED
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
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) EFAP PROGRAM     4,041,279 FMV FOOD
(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
Additional Supplemental Information SCHEDULE I, PART II, LINE 1: PURCHASED FOOD IS VALUED AT ACTUAL PRICE.DONATED FOOD IS VALUED AT AN AVERAGE FMV OF $1.79 PER POUND AS ETERMINED BY FEEDING AMERICA. SCHEDULE I, PART II, LINE 2: FOOD IS DISTRIBUTED TO VARIOUS MEMBER AGENCIES AND PROGRAMS. SCHEDULE I, PART III: FOOD IS DIRECTLY DISTRIBUTED TO INDIVIDUALS THROUGH SECOND HARVEST'S EFAP PROGRAM AND ITS FOOD FOR CHILDREN AND PASSION FOR PRODUCE PROGRAMS.
Grantmaker's Description of How Grants are Used FOOD SAFETY TRAINING IS MANDATED AND PROVIDED ANNUALLY. COMPLIANCE IS TRACKED THROUGH MEMBER AGENCY RECORDS. INDIVIDUAL SITE MONITORING VISITS ARE CONDUCTED EVERY TWO YEARS ON-SITE, AS REQUIRED BY FEEDING AMERICA. FILES ARE REVIEWED TO ENSURE PROPER DOCUMENTATION: AGENCY APPLICATION, AGENCY AGREEMENT, 501(C)(3) DOCUMENT AND PREVIOUS MONITORING FORM. ON-SITE VISITS ARE CONDUCTED TO ENSURE PROPER PAPERWORK ON FILE INCLUDING CLIENT SIGN-IN SHEETS, PROPER FOOD STORAGE AND PROPER FOOD HANDLING PRACTICES.
Schedule I (Form 990) 2021



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