2024-05-15T13:12:26-05:00 2023-06-30 930428202 MOLATORE SCROGGIN PETERSON & CO LLP 824 PINE STREET KLAMATH FALLS OR 97601 990 2022-07-01 930873280 KLAMATH LAKE COUNTIES FOOD BANK KLAM 5418821223 PO BOX 317 KLAMATH FALLS OR 97601 NIKI SAMPSON EXECUTIVE DIRECTOR 5418821223 2024-05-15 1 NIKI SAMPSON 999009999 0 ANDY PETERSON P00124161 5418844164 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NIKI SAMPSON PO BOX 317 KLAMATH FALLS OR 97601 3764291 0 X WWW.KLAMATHFOODBANK.ORG X 1984 OR TO ADDRESS HUNGER BY PROVIDING FOOD TO EMERGENCY FOOD ASSISTANCE PROGRAMS AND SUPPORT OTHER NON-PROFIT AGENCIES AND THEIR PROGRAMS THAT HAVE A POSITIVE AFFECT ON THE LIVES OF CHILDREN AND ADULTS IN KLAMATH AND LAKE COUNTIES. 9 8 14 0 0 0 4073657 3763058 0 0 331 770 1554 463 4075542 3764291 0 0 0 0 348770 397626 0 0 80652 3575143 3107553 3923913 3505179 151629 259112 1612904 1844756 83141 54268 1529763 1790488 X PROVIDE FOOD TO UNDERPRIVILEGED AND INDIGENT RESIDENTS OF KLAMATH, LAKE AND SISKIYOU COUNTIES OF SOUTHERN OREGON AND NORTHERN CALIFORNIA AND TO ADDRESS HUNGER BY PROVIDING FOOD TO EMERGENCY FOOD ASSISTANCE PROGRAMS AND SUPPORT OTHER NON-PROFIT AGENCIES AND THEIR PROGRAMS THAT HAVE A POSITIVE AFFECT ON THE LIVES OF CHILDREN AND ADULTS IN KLAMATH AND LAKE COUNTIES. 0 0 3339043 KLAMATH-LAKE COUNTIES FOOD BANK SOLICITED, STORED, AND DISTRIBUTED FOOD TO THOSE WITH EMERGENCY FOOD NEEDS BENEFITING PEOPLE IN THE KLAMATH AND LAKE COUNTY REGIONS OF OREGON AND NORTHERN MOST PARTS OF SISKIYOU COUNTY IN CALIFORNIA. WE PROVIDED FOOD TO NEARLY 9,500 HOUSEHOLDS AND PROVIDED FOOD TO ASSIST IN THE PREPARATION OF 250,000 MEALS THAT FED KIDS, SENIORS, DISABLED AND HOMELESS. DISTRIBUTED NEARLY 2.4 MILLION POUNDS OF FOOD TO NEARLY 70 AGENCIES IN KLAMATH AND LAKE COUNTIES. 3339043 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 14 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 OR X X NIKI SAMPSON 5418821223 PO BOX 317 KLAMATH FALLS OR 97601 NIKI SAMPSON EXECUTIVE DIRECTOR 40.00 X 0 81533 0 JOHN PELLISSIER PRESIDENT 1.00 X X 0 0 0 ROB SIEMS VICE PRESIDENT 1.00 X X 0 0 0 CHRIS STONE SECRETARY 1.00 X X 0 0 0 DIANA BOYD DIRECTOR 1.00 X 0 0 0 DAN GELLNER DIRECTOR 1.00 X 0 0 0 JOHN STACY DIRECTOR 1.00 X 0 0 0 JENNY COELHO DIRECTOR 1.00 X 0 0 0 MICHELLE SCOTT DIRECTOR 1.00 X 0 0 0 0 81533 0 0 0 0 0 0 916003 2847055 2587738 3763058 520 520 250 0 250 250 250 MISCELLANEOUS 900099 463 463 463 3764291 713 0 520 84111 33645 25233 25233 257602 256812 395 395 21517 18289 1614 1614 34396 29236 2580 2580 38293 38293 39024 39024 2201 110 110 1981 31290 30351 626 313 12260 6743 2820 2697 50802 48770 1016 1016 15656 10490 4227 939 IN-KIND FOOD 2465380 2465380 FOOD PURCHASES 309212 309212 REPAIRS 56048 53806 1681 561 MISCELLANEOUS 37616 37616 49771 38583 6889 4299 3505179 3339043 85484 80652 900871 1058753 105112 96501 108110 222534 22338 26258 986227 576464 447139 409763 29334 30947 1612904 1844756 83141 54268 83141 54268 X 1435303 1656825 94460 133663 1529763 1790488 1612904 1844756 259112 1613 0 X 0 0 0 X 2681252 3524712 3667991 4073630 3763058 17710643 2681252 3524712 3667991 4073630 3763058 17710643 17710643 457 709 250 250 520 2186 709 219 1179 1554 463 4124 17716953 0.99960 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29334 1613 30947 30136 2000 -2802 29334 26359 3777 30136 22296 4000 63 26359 18919 3000 377 22296 1 0 600490 287152 313338 385737 289312 96425 409763 3765904 1613 1613 3764291 0 3764291 3505179 0 3505179 0 3505179 PART V, LINE 4: THE ENDOWMENT FUNDS WILL BE USED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION. X 2579804 FAIR VALUE X IT SERVICES 1 7934 FAIR VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C IF ANY CONFLICT OF INTEREST BECOMES APPARENT, THE BOARD OF DIRECTORS WILL INVESTIGATE TO SEE WHAT ACTION IS NEEDED TO RESOLVE THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST