2949314505808 9 990 Return of Organization Exempt From Income orm Under section 501(c), 527. or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Department of the Treasury Open to Public SCANNED JUL 2 9 2019. I__ntemal Revenue Sen/ice Go to for instructions and the latest information. Inspection A For the 2018 calendar year, or tax year beginning - and ending 8 Check if applicable Name of organization Heal thy Food America Employer identi?cation number Address change Dorng busmess Name change Number and street (or 0 box if mail is not delivered to street address) Roomlsune Telephone number lnItIaIreturn Box 22260 (206)451-8196 Final retumltenninated City or town, state or provmce, country, and ZIP or foreign postal code El Amended return Seattle 1 WA 98122 Gross receipts 115 19.; Application pending Name and address of prinCIpal of?cer James Krieger ls thisagruup return tor subordinates? DYes- No PO Box 22260 Seattle I WA 98122 7\ 1)H(b) Are all subordinates included? No Tax-exempt status 501(c)(3) 501 )1 (Insert no) 4947(a)(1) or I Elk? H"No."anachahst Website: >http: . . ?orgl Hic) Group exemption number Form of organization Corporation DTrust DAssociation DOther Year of formation 2015 IM State of legal domicile WA Summary 1 Brie?y describe the organization's mis5ion or most Signi?cant activme's 3 To act on sc1ence to drum change in pollcy and 1ndustry practice so that all people can 11ve 111 5 places where food 13 easy to obtaln and exposure to unhealthy products 15 lmted . a; 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 3 Number of voting members of the governing body (Part VI, line 13) 3 4 ea 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 3 5 Total number of indiwduals employed in calendar year 2018 (Part V, line 2a) 5 3 6 Total number of volunteers (estimate if necessary) 6 0 2 7a Total unrelated busmess revenue from Part column (C), line 12 7a 0 . Net unrelated busmess taxable income from Form 990-T, line 38 7b 0 . Prior Year Current Year 8 Contributions and grants (Part line 1hProgram semce revenue (Part line 29) 2 9 000 . 10 Investment income (Part column (A), lines 3 4, and 11 Other revenue (Part column (A), lines Total revenue-add lines 8 through 11 (must 913m Part 0 e42Grants and Similar amounts paid (Part IX. (A), My}? 1 -3) 14 Bene?ts pad to or for members (Part IX, um line a 15 Salaries, other compensation, employee 638 457 . 165 502 . a 16a Professwnal fundraismg fees (Part IX, column (A . 10 000 . 3. Total fundraismg expenses (Part IX column (D) line 25) I :15 17 Other expenses (Part ix, column (A), tines 11a-11d, 11f-24e) . 196Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25Revenue less expenses Subtract line 18 from line Beginning of Current Year End of Year ?g 20 Totalassets(PartX,line16) 214,755. 40,397. g; 21 Total liabilities (Part x, line 26Net assets or fund balances Subtract line 21 from line nature Block Under penalties of penury, I declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declara \of prepyfg/ (yfher than of?cer) is based on all information of which preparer has any knowledge 1 . All I 7 [If Sign Signature of of?ceer a Date Here Jim Krie Pr ident Type or print name and WE Paid Print/Type preparers name Prepar r's Signature Date Check .f PTIN Preparer Howard Sckolnik 9W 5059M 4/15? 7 sat-WW? P0 10 64 967 Use Only Finn's name DHoward Sckolnik CPA FirmFirm's address 5 8203 . Sierra Pinta Drive Phone no Scottsdale, AZ 85255 (602) 524-0974 May the IRS discuss this return wuth the preparer shown above? (see instructions) Yes No I For Paperwork Reduction Act Notice. see the separate instructions. Form 990 (2013) UYA 532?? Form 990 (2018) Healthy Food America 47-2 92681-0 Page 2 Statement of Program Service Accomplishments Check If Schedule 0 contains a response or note to any lune In this Part I 1 Bnefly describe the organization's .- To act on science to drive change in policy and industry practice so that all people can live in places where nutritious food is easy to obtain and exposure to unhealthy products is limited. Did the organization undertake any Significant program semces during the year were not listed on the pnor Form 990 or Yes No If "Yes," describe these new semces on Schedule 0 Dad the organization cease or make signi?cant changes In how It conducts. any program semces'? . Yes No If "Yes," describe these changes on Schedule 0 Descnbe the organization's program serVIce accomplishments for each of Its three largest program semces, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are requnred to report the amount of grants and allocatlons to others. the total expenses, and revenue, If any, for each program serv1ce reported 4a (Code (Expenses 195 121 . Including grants of (Revenue During 2018, major BEA accomplishments included:Providing non- partisan technical support to 21 sites working on sugar drink policy. Translating the science of sugar and health into products for advocates, policy makers and the media. Products included a review of of evidence of the effectiveness of water promotion interventions for reducing SSB consumption, seven revised and updated 583 tax site policy profiles, a second edition of the HFA/ChangeLab Solutions 333 Tax Policy Design guide, an in-depth review of current 553 consumption patterns and trends in the US, and three peer?reviewed publications (100% Fruit Juice and Chronic Health Conditions: Implications for 4b (Code (Expenses Including grants of (Revenue for Sugar-Sweetened Beverage Policy in Advances in Nutrition, Association of 100% fruit juice consumption and 3-year weight change amgpg postmenopausal women in Preventive Medicine, and Potential Policy Approaches to Address Diet-Related Diseases in JAMA). Informing the media and public about the health effects of sugar and sugary drinks and the status of sugary drink policies through its website, reports and media. In 2018, HFA continued its appearances in major media outlets including the New York Times, Politico, NPR, US News and WOrld Report, Fox TV and local Seattle newspapers, radio and 4c (Code (Expenses 3; Including grants of (Revenue TV. Completed an online database that compiles adopted US tax policies and lets users compare and contrast them. Lead national leadership and strategy groups, including the national Sugary Drink Tax 4d 49 UYA Other program serwces (Descnbe In Schedule 0 (Expenses Including grants of (Revenue Total program semce expenses 95 12 . Form 990 (2018) Form 990 (2018) Healthy Food America 606677 47- 2926810 Page 3 Checklist of Required Schedules Yes No 1 Is the organization described In section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes, complete Schedule A A 1 2 Is the organization requrred to complete Schedule 8, Schedule of Contributors (see Instructions)? 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposrtion to candidates for public of?ce? If "Yes, complete Schedule C, Partl 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying actIVities, or have a section 501(h) election in effect during the tax year? If "Yes, complete Schedule C, Part ll 4 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues. assessments, or Similar amounts as de?ned in Revenue Procedure 98-197 If "Yes, complete Schedule C, Part 5 6 Did the organization maintain any donor adVised funds or any funds or accounts for which donors have the right to prowde adVIce on the distribution or investment of amounts in such funds or accounts? If "Yes, complete Schedule D, Partl . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space. the enVironment. historic land areas, or histonc structures? If "Yes, complete Schedule D, Part ll 7 8 Did the organization maintain collections of works of art, histoncal treasures, or other Similar assets? If "Yes, complete Schedule D, Part . 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provrde credit counseling, debt management. credit repair, or debt negotiation servrces?? If "Yes," complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quaSi-endowments'? If "Yes," complete Schedule D, Part 10 11 If the organization's answer to any of the foIIovving questions is 'Yes," then complete Schedule D, Parts VI, VII, IX, or as applicable a Did the organization report an amount for land, burldings, and eqUipment in Part X, line 107 If "Yes. complete Schedule D, Part VI 11a Did the organization report an amount for investments?other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16'? If "Yes," complete Schedule D, Part VII 11b Did the organization report an amount for investments?program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16'? If "Yes," complete Schedule D, Part 11c :1 Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes, complete Schedule D, Part IX 11d 9 Did the organization report an amount for other liabilities in Part X, line 25?? If "Yes, complete Schedule D, PartX . 119 Did the organization's separate or consolidated ?nancial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax posmons under FIN 48 (A50 740)? If "Yes, complete Schedule D. PartX 11f 12a Did the organization obtain separate, independent audited finanCiaI statements for the tax year? If "Yes, complete Schedule D, Parts XI and . 12a Was the organization included in consolidated, independent audited financral statements for the tax year? If ?Yes, and rf the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . 12b 13 Is the organization a school described in section 170(b)(1)(A)(ii)9 If ?Yes. complete Schedule . 13 14a Did the organization maintain an office, employees, or agents outside of the United States? 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraismg, busmess, investment, and program serwce actiVities outSide the United States, or aggregate foreign investments valued at $100,000 or more? If ?Yes, complete Schedule F, Parts land IV 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other aSSistance to or for any foreign organization? If "Yes, complete Schedule F, Parts ll and IV 1?5 16 Did the organization report on Part IX, column (A), line 3. more than $5,000 of aggregate grants or other a55istance to or for foreign indiwduals?? ll "Yes, complete Schedule F, Parts Ill and IV 16 17 Did the organization report a total of more than $15,000 of expenses for professmnal fundraismg servrces on Part IX, column (A), lines 6 and 11e?7 If "Yes," complete Schedule G, Partl (see instructions) 17 18 Did the organization report more than $15,000 total of fundraismg event gross income and on Part lines 1c and 8a? If "Yes," complete Schedule G, Part ll 18 19 Did the organization report more than $15,000 of gross income from gaming actiVIties on Part line 9a? If "Yes. complete Schedule G, Part . 19 20a Did the organization operate one or more hospital faCIIities'? If "Yes, complete Schedule . 20a If "Yes," to line 20a, did the organization attach a copy of its audited ?nanCIaI statements to this return9 20b 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes, complete Schedule 1, Parts land It 21 UYA Form 990 (201 a) Form 990(2018) Healthy Food America Checklist of Required Schedules (continued) 47-2926810 Page 4 tr Yes No 22 Did the organization report more than $5,000 of grants or other assmtance to or for domestic indmduals on Part IX, column (A), line 2? if "Yes," complete Schedule I, Parts land Ill 22 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former of?cers, directors, trustees, key employees, and highest compensated employees? If "Yes, complete Schedule 23 24a Did the organization have a tax-exempt bond issue With an outstanding pnnCIpaI amount of more than $100,000 as of the last day of the year, that was Issued after December 31, 2002? If "Yes, answer lines 24b through 24d and complete Schedule If ?No, go to line 25a 24a Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? 24c Did the organization act as an "on behalf of" Issuer for bonds outstanding at any time during the year? 24d 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess bene?t transaction With a disquali?ed person during the year? If "Yes, complete Schedule L, Partl 25a Is the organization aware that it engaged in an excess bene?t transaction With a disquali?ed person in a pnor year, and that the transaction has not been reported on any of the organization's pnor Forms 990 or If "Yes, complete Schedule L, Partl . 25b 26 Did the organization report any amOunt on Part X, line 5, 6, or 22 for receivables from or payables to any current or former of?cers, directors, trustees, key employees, highest compensated employees, or disquali?ed persons? If ?Yes," complete Schedule L, Part ll 26 27 Did the organization prov1de a grant or other aSSistance to an of?cer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes, complete Schedule L, Part 27 28 Was the organization a party to a busmess transaction With one of the followmg parties (see Schedule L, I Part IV instructions for applicable ?ling thresholds, conditions, and exceptions) a A current or former of?cer, director. trustee, or key employee? If "Yes, complete Schedule L, Part IV 28a A family member of a current or former officer, director, trustee, or key employee? If "Yes, complete Schedule L, Part IV 28b An entity of which a current or former officer, director, tnistee, or key employee (or a family member thereof) was an of?cer, director. trustee, or direct or indirect owner? If "Yes, complete Schedule L, Part IV 28c 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes, complete Schedule 29 30 Did the organization receive contributions of art, historical treasures, or other Similar assets, or quali?ed conservation contributions? If "Yes, complete Schedule 30 31 Did the organization liqmdate, terrninate, or dissolve and cease operations? If "Yes, complete Schedule N, Partl 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3? If "Yes, complete Schedule R, Partl 33 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part ll, or IV, and Part V, line 1 34 35 3 Did the organization have a controlled entity Within the meantng of section 512(b)(13)? 35a If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction With a controlled entity Within the meaning of section 512(b)(13)? If "Yes, complete Schedule R, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-chantable related organizatron? If complete Schedule R, Part V, lrne 2 36 37 Did the organization conduct more than 5% of its actmties through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes, complete Schedule R, Part VI 37 38 Did the organization complete Schedule 0 and prov1de explanations in Schedule 0 for Part VI, lines 11b and 19? Note. All Form 990 filers are requued to complete Schedule 0 38 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part [3 Yes No 1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable 13 12 Enter the number of Forms W-2G included in line 1a Enter if not applicable 1b 0 Did the organization comply backup Withholding rules for reportable payments to vendors and reporatble gaming (gambling) Winnings to prize Winners? 1c UYA Form 990 (2013) Form 9905018) Healthy Food America Statements Regarding Other IRS Filings and Tax Compliance (continued) 47-2926810 Page 5 Yes No 2ua Enter the number of employees reported on Form W-3. Transmittal of Wage and Tax Statements. ?led for the calendar year ending With or Within the year covered by this return 2a If at least one is reported on line 2a. did the organization ?le all reqmred federal employment tax returns? 2b Note. If the sum of lines 1a and 2a is greater than 250. you may be requ1red to e-?te (see 3 a Did the organization have unrelated busmess gross income of $1,000 or more during the year? . 3a If "Yes." has it ?led a Form 990-T for this year? If "No" to line 3b, prowde an explanation in Schedule 0 3b 4 a At any time during the calendar year. did the organization have an interest in, or a Signature or other authority over. a Manual account in a foreign country (such as a bank-account. securities account. or other ?nanCIal account)? 4a .b If "Yes." enter the name of the foreign country See Instructions for filing reqUIrements for I-orm 114. Report of Feieign Bank and FinanCIal Accounts (FBAR) 5 a Was the organization a party to a prohibited tax shelter transaction at anytime during the tax year? 5a Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b If "Yes." to line 5a or 5b. did the organization file Form 5c 8 a Does the organization have annual gross receipts that are normally greater than $100,000. and did the organization any contributions that were not tax deductible as charitable contributions? 6a If "Yes." did the organization include With every solicitation an express statement that such contributions or gifts were not tax deductible? 6b 7 Organizations that may receive deductible contributions under section 170(c). i a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and serVices provided to the payor?? 7a If "Yes." did the organization notify the donor of the value of the goods or serwces provided" 7b Did the organization sell. exchange. or othervwse dispose of tangible personal property for which it was reqmred to ?le Form 82827 To ?If "Yes." indicate the number of Forms 8282 ?led during the year IN I 9 Did the organization receive any funds. directly or indirectly. to pay premiums on a personal bene?t contract'7 7e Did the organization. dunng the year. pay premiums. directly or indirectly. on a personal bene?t contract? 7f 9 If the organization received a contribution of quali?ed intellectual property. did the organization file Form 8899 as reqmred7 79 1f the organization received a contribution of cars. boats. airplanes. or other vehicles. did the organization ?le a Form 1098-09 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor adVIsed fund maintained by the sponsoring organization have excess busmess holdings at any time during the year? 8 9 Sponsoring organizations maintaining donor advised funds. I a Did the sponsoring organization make any taxable distributions under section 49669 9a Did the sponsoring organization make a distribution to a donor. donor adwsor. or related person? 9b 10 Section 501(c)(7) organizations. Enter a Initiation fees and capital contributions included on Part line 12 10a Gross receipts, included on Form 990. Part line 12. for public use of club faCIlities 10b 11 Section 501(c)(12) organizations. Enter a Gross income from members or shareholders 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them 11b 12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization ?ling Form 990 in lieu of Form 1041 '7 12a If ?Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13' Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue quali?ed health plans in more than one state? 13a Note. See the instructions for additional information the organization must report on Schedule 0 Enter the amount of reserves the organization is reqwred to maintain by the states in which the organization is licensed to issue quali?ed health plans 13b Enter the amount of reserves on hand . 13c 14 a Did the organization receive any payments for indoor tanning services dunng the tax year? 14a If "Yes." has it ?led a Form 720 to report these payments? If prowde an explanation in Schedule 0 14b 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1 .000.000 in remuneration I or excess parachute payment(s) during the year? 15 If "Yes." see instructions and file Form 4720. Schedule I 16 Is the organization an educational institution subject to the section 4968 ex0ise tax on net investment income? 16 If "Yes." complete Form 4720. Schedule 0 I um Form 990 (2018) Form 990 (2018) Healthy Food America 4 7 13 6810 Page 6 Governance, Management, and Disclosure For each "Yes"iesponse to lines 2 through fb below, and fora "No" response to fine 8a, SD, or 10b betow, describe the Circumstances, processes, or changes in Schedule 0 See instructions Check if Schedule 0 contains a response or note to any line in this Part VI Section A. Governing Body and Management - Yes No 1 a Enter the number of voting members of the governing body at the end of the tax year 13 4 If there are maternal differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or Similar committee, explain in Schedule 0 Enter the number of voting members included in line 1a, above, who are independent 1b 3 2 Did any officer, director, trustee. or key employee have a family relationship or a busmess relationship With any other of?cer, director, trustee, or key employee? 2 3 Did the organization delegate control over management duties customarily performed by or under the direct superVi5ion of of?cers, directors, or trustees, or key employees to a management company or other person? 3 4 Did the organization make any Signi?cant changes to its governing documents smce the prior Form 990 was ?led? 4 5 Did the organization become aware during the year of a Signi?cant diversion of the organization's assets? 5 6 Did the organization have members or stockholders? 6 7 a Did the organization have members, stockholders, or other persons who had the power to elect or appomt one or more members of the governing body? . 7a Are any governance demsrons of the organization reserved to (or subiect to approval by) members, stockholders, or persons other than the governing body? 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken dunng the year by the followmg a The governing body? . 8a Each committee With authority to act on behalf of the governing body? 8b 9 Is there any of?cer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If ?Yes," provrde the names and addresses in Schedule 0 9 Section B, Policies (This Section 8 requests information about polrcres not required by the Intemai Revenue Code . Yes No 10 a Did the organization have local chapters, branches, or af?liates? 10a If ?Yes," did the organization have written petioles and procedures governing the activmes of such chapters, affiliates, and branches to ensure their operations are With the organization's exempt purposes? 10b 11 a Has the organization prowded a complete copy of this Form 990 to all members of its governing body before ?ling the form? 11a Describe in Schedule 0 the process, if any, used by the organization to renew this Form 990 I 12 a Did the organization have a written con?ict of interest policy? If "No, go to line 13 12a Were of?cers, directors, or trustees, and key employees requwed to disclose annually interests that could give rise to con?icts? 12b Did the organization regulaity and con5istently monitor and enforce compliance With the policy? If "Yes, describe in Schedule 0 how this was done . 12c 13 Did the organization have a written whistleblower 13 14 Did the organization have a written document retention and destruction policy?) 14 15 Did the process for determining compensation of the following persons include a reView and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and demsron?> a The organization's CEO, Executive Director, or top management of?Cial 15a Other of?cers or key employees of the organization 15b If "Yes" to line 15a or 15b. describe the process in Schedule 0 (see instnictions) 16 a Did the organization invest in, contribute assets to, or partICIpate in a mint venture or Similar arrangement With a taxable entity during the year? 16a If "Yes," did the organizati0n follow a written policy or procedure requmng the organization to evaluate its participation in jOlnt venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status With respect to such arrangements? . 16b Section C. Disclosure 17 List the states With which a copy of this Form 990 is reqUIred to be ?led 18 Section 6104 reqUIres an organization to make its Forms 1023 (1024 or 1024-A if applicable), 990, and 990-T (Section 501(c)(3)s only) available for public inspection Indicate how you made these available Check all that apply. . Own webSite Another's webSIte Upon request Other (explain in Schedule 0) 19 Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, con?ict of interest policy, and Manual statements available to the public dunng the tax year 20 State the name, address, and telephone number of the person who possesses the organization's books and records (Accountant PO Box 222 60 Seattle WA 98122 um Form 990 (2018) Form 990 (2018) Healthy Food America 4 '7 -2 92 63 10 Page 7 7; Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII Section A. Of?cers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons reqUIred to be listed. Report compensation for the calendar year ending With or Within the organization's tax year. 0 List all of the organization's current of?cers, directors, trustees (whether indiwduals or organizations), regardless of amount of compensation. Enter -0- In columns (D), (E). and (F) if no compensation was paid a List all of the organization's current key employees, if any. See instructions for de?nition of "key employee." a List the organization's ?ve current highest compensated employees (other than an of?cer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. List all of the organization's former of?cers, key employees-and highest compensated employees_who_received more than $100,000 of reportable compensation from the organization and any related organizations. 9 List all of the organization's former directors or trustees that received, in the capaCIty as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the followmg order indiwdual trustees or directors, institutional trustees, of?cers, key employees, highest compensated employees. and former such persons El Check this box if neither the organization nor any related organization compensated any current of?cer, director, or trustee. (C) (A) (3) Position (D) (E) (F) Name and Title Average (do not check more than one Reportable Reportable Estimated hours per box, unless person is both an compensation compensation from amount of week (list any of?cer an da directorltrustee) from related other hours for 7: I _n the organizations compensation related a a (g 2 organization from the 0 organizations 3 g- E. .2 g; a (W-2I1099-MISC) organization below dotted 2 "01 3 8 and related line) 5, T8 organizattons a a 3 (1) James Krieger 23 . 00 Executive Director 124 152 . t2) Matias VALENZUELA 00 . 2O Treasurer (3) Eric Gorovitz 00 . 20 Secretary (4) Maxine Hayes 00 . 20 MD (5) t6) t7) t8) (9) (10) (11) (12) (13) (14) UYA Form 990 (2013) Form 990(2018) Healthy Food America 47-2926810 Page 8 'Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) ,3 .. (Cl . (A) (B) Posmon (D) (E) (F) . Name and title Average (do not check more than one Reportable Reportable Estimated hours per box, unless person ,5 both an compensation compensation from amount of week (listany of?cer and a directorltr stee) from related other hours for mu _n the organizations compensation related a 3 .3. in: 5-3: 0 organization from the organizations 3 a 3 32' organization below dotted ES: g. and related line) 5 :1 7g 3 organizations a 3 a a 3 115) 116) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1b Sub-total 124 152. Total from continuation sheets to Part VII, Section A Total (add lines 1b and 1c) 124 152. 2 Total number of indiwduals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1 Yes No 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If ?Yes, complete Schedule for such indiwdual 3 4 For any indivrdual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes, complete Schedule for such indiwdual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or indIVidual I for sewices rendered to the organization? If "Yes, complete Schedule for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending With or Within the organization's tax year. (C) (A) Name and busmess address of senrices Compensation 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization) UYA Form 990 (2018) Form 990 (2018) Healthy Food America Statement of Revenue Check If Schedule 0 contains a response or note to any line In this Part 47- 2926810 Page 9 (A) Total revenue (Bl Related or exempt function revenue (C) Unrelated busrness revenue (D) Revenue excluded from tax under sections 512-514 Contributions, Gifts, Grants and Other Similar Amounts Federated campaigns 1a Membership dues 1b events 1c Related organizations 1d Government grants (contnbutlons) 1e All other contnbutlons, gifts, grants. and similar amounts not Included above 1f 110,69? Noncash contnbutro?s Included In lines 1a?1f Total. Add lines 1a-1f 110 692 . 23 Program Servrco Revenue Busmess Code All other program servrce revenue Total. Add lines 2a-2f 6a 0 Ta Other Revenue 9a Less rental expenses Less direct expenses Less cost of goods sold Net Income or (loss) from sales Inventory Investment Income (Including dwidends. Interest. and other amounts) Income from Investment of tax-exempt bond proceeds Royalties (I) Rcul (In) Personal Gross rents Rental Income or (loss) Net rental Income or (loss) Gross amount from sales of (I) Securmes (ll) Other assets other than Inventory Less cost or other basrs and sales expenses Gain or (loss) Net gain or (loss) Gross Income from fundralsmg events (not Including of contnbutlons reported on line 1c) See Part IV. lune 18 a Net Income or (loss) from fundralsmg events Gross Income from gaming See Part IV, 19 a Less direct expenses Net Income or (loss) from gaming Gloss sales of Inventory. less returns and allowances a Miscellaneous Revenue Business Code 11a cl 12 Sale of fixed assets 5,098. 5,098. All other revenue Total. Add lines 11a-11d Total revenue. See VV 5,098. 115,790 . 5,098. UYA Form 990 (2018) 99? (2?18) Healthy Food America Statement of Functional Expenses 47-2926810 'Page 10 b? . Sectron 501(c)(3) and 501(c)(4) organrzatrons must complete all columns All other organrzatrons must complete column (A) Check If Schedule 0 contains a response or note to any Ime In thus Part IX 53 Do not include amounts reported on lines 6b(D) Total expenses Program sennce Management and and 10b 0? Part expenses general expenses expenses 1 Grants and other to domestic organizations and domestic governments See Part IV, Ime 21 2 Grants and other to domestic See Part IV, Irne 22 3 Grants and other to foreign orgamzatrons. foreign governments, and foreign See Part IV, lines 15 and 16. 4 Bene?ts pad to or for members I 5 Compensation of current of?cers. directors. trustees. andkeyemployees 124,151. 99,321. 24,830. 5 Compensation not Included above. to drsqualrfled persons (as de?ned under section 4958(0(1)) and persons descnbed In section 4958(c)(3)(B) 7 Othersalanes andwages 19,973. 1,997 . 17,976. 8 Pension plan accruals and (Include section 401(k) and 403(b) employer contributionsOtheremployeebene?ts 6,859. 5,487 . 1,372. 10 Payrolltaxes 13,240. 10,592. 2,648. 11 Fees for servrces (non-employees) a Management Legal 221 . 221 . Accounting 6,319. 6,319. Lobbying Professronal fundralsmg servrces See Part IV, line 17 1 Investment management fees 9 Other (If line 119 amount exceeds 10% of Ime 25, column (A) amount, Irst Ime 11g expenses on Schedule Advertising and promotlon 13 Of?ceexpenses 10,782 . 10,782 . 14 Informatron technology 15 Royalties 15 Occupancy Travel 957 . 957 . 18 Payments of travel or entertainment expenses for any federal. state, or local public of?crals 19 Conferences. conventions. and meetings 20 Interest . 82 . 82 . 21 Payments to af?liates 22 Deprecratlon. depletion, and amortlzatron 23 Insurance 2,250. 2,250. 24 Other expenses Itemlze expenses not covered above (Llst mlscellaneous expenses In Ime 24e If We 24e amount exceeds 10% of Ime 25. column (A) amount. Inst Ime 24e . expenses on Schedule 0 a All other expenses 25 Total functional expenses. Add lines 1 through 24e Joint costs. Complete Irne only If the organlzatlon reported In column (B) Jornt costs from a combined educational campaign and soIICItatIon Check here If followrng SOP 98-2 (ASC 958-720) UYA Form 990 (2018) Form 990(2018) Healthy Food America munce Sheet Check if Schedule 0 contains a response or note to any line in this Part 47-2i26810 Page 11 El (A) (3) Beginning of year End of year 1 Cash non-interest-beanng Savmgs and temporary cash investments 2 3 Pledges and grants receivable, net 3 4 Accounts receivable, net 4 5 Loans and other receivables from current and former of?cers, directors, trustees, key employees. and highest compensated employees Complete Pait ll of Schedule 5 6 Loans and other receivables from other disquali?ed persons (as de?ned under sectton 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and Sponsoring organizations of section 501(c)(9) voluntary employees' a: bene?CIary organizations (see instructions) ?5 Complete Part II of Schedule 6 a 7 Notes and loans receivable. net 7 8 Inventories for sale or use 8 9 Prepaid expenses and deferred charges -1 000 . 9 10 a Land, bUIldings, and eqUIpment cost or other basis Complete Part VI of Schedule 10a Less accumulated depreCIation 10d 10c 11 Investments publicly traded securities 11 12 Investments other securities. See Part IV, line 11 12 13 Investments program-related See Part IV, line 11 13 14 Intangible assets 14 15 Other assets See Part IV. line 11 15 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses Grants payable 18 19 Deferred revenue 19 20 Tax-exempt bond liabilities 20 :3 21 Escrow or custodial account liability Complete Part IV of Schedule 21 22 Loans and other payables to current and former of?cers, directors, trustees. key employees, I ,9 highest compensated employees, and disqualified persons Complete Part II of Schedule 22 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties 24 25 Other liabilities (including federal income tax, payables lu ielaled third parties, and other liabilities not included on lines 17-24) Complete Part of Schedule 25 26 Total liabilities. Add lines 17 through Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 2 through 29, and lines 33 and 34. 27 net assets 192 922 . 27 39 041 . 28 Temporarily restricted net assets 28 '2 29 Permanently restricted net assets . . . 29 a Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34. 9 30 Capital stock or trust principal, or current funds 30 3 31 Paid-in or capital surplus, or land, budding, or equ1pment fund 31 2 32 Retained earnings. endowment, accumulated income, or other funds 32 '5 33 Total net assets or fund balances 192 922 . 33 39 041 . 34 Total liabilities and net.assetslfund balances UYA Form 990 (2018) i Fm? 99? (2?13) Healthy Food America 4 7 ?2 92 6810 'Page 12 Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI 1 Total revenue (must equal Part column (A), line 12Total expenses (must equal Part IX, column (A). line 25Revenue less expenses Subtract line 2 from line 1 3 -151 505 . 4 Net assets or fund balances at beginning of year (must equal Part X. line 33? column Net unrealized gains (losses) on Investments 5 6 Donated semces and use of faculties 6 7 Investment expenses 7 8 Prior period adjustments 8 2 624 . 9 Other changes in net assets or fund balances (explain in Schedule 0) 9 -5 000 . 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X. line 33, column . 1o 39 O41 . [Pa?rt'Xllj Financial Statements and Reportin Check if Schedule 0 contains a response or note to any line In this Part XII . Yes No 1 Accounting method used to prepare the Form 990 [2 Cash Accrual El Other If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0 2a Were the organization's ?nanCIal statements compiled or rewewed by an independent accountant? 2a If "Yes," check a box below to indicate whether the ?nanCIal statements for the year were compiled or rev1ewed on a separate basus. consolidated basus, or both Separate ba5is Consolidated ba3is Both consolidated and separate ba3is Were the organization's ?nanCIal statements audited by an independent accountant? 2b If "Yes." check a box below to indicate whether the Manual statements for the year were audited on a separate basus, consolidated bass, or both Separate ba5is Consolidated basns El Both consolidated and separate ba5is If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsrbility for overs:ght of the audit, renew, or compilation of its ?nancnal statements and selection of an independent accountant? 2c If the organization changed either its over5ight process or selection process during the tax year, explain in Schedule 0. 3a As a result of a federal award, was the organization reqwred to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular . 3a If "Yes," did the organization undergo the reqwred audit or audits? If the organization did not undergo the reqwred audit or audits. explain why in Schedule 0 and descnbe any steps taken to undergo such audits 3b um . Form 990 (2013) OMB No 1545-0047 A Public Charity Status and Public Support (Form 990 or 501(c)(3)organization Department of the Treasury Attach to Form 990 or Form 990-EZ. Open to Public Internal Revenue SerVIce Go to for Instructions and the latest information. Inspection Name of the organization Employer identification number Health Food America 47-2 92 68g Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or assocration of churches described in section 2 A school described in section (Attach Schedule (Form 990 or 3 A hospital or a cooperative hospital servrce organization described In section 4 A medical research organization operated in conjunction With a hospital described in section Enter the hospital's name, crty, and state An organization operated for the benefit of a college or univerSIty owned or operated by a governmental unit described in section (Complete Part II.) A federal, state. or local government or governmental unit described in section An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section (Complete Part II.) A community trust described in section (Complete Part II An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction With a land-grant college or universny or a non-Iand-grant college of agriculture (see instructions). Enter the name, City, and state of the college or 10 An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activrties related to its exempt functions?subject to certain exceptions, and (2) no more than 33 113% of its support from gross investment income and unrelated busrness taxable income (less section 511 tax) from busrnesses acqurred by the organization after June 30, 1975. See section 509(a)(2). (Complete Part 11 An organization organized and operated excluswely to test for public safety See section 509(a)(4). 12 El An organization organized and operated exclusrvely for the bene?t of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 129. a Type I. A supporting organization operated, superwsed, or controlled by its supported organization(s), typically by givmg the supported organization(s) the power to regularly appornt or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervrsed or controlled in connection With its supported organization(s), by havrng control or management of the supporting organization vested in the same persons that control or manage the supported must complete Part IV, Sections A and C. Type functionally integrated. A supporting organization operated in connection With, and functionally integrated With, its supported organization(s) (see instructions).You must complete Part IV, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection With its supported organization(s) that IS not functionally integrated The organization generally must satisfy a distribution requrrement and an attentiveness requirement (see instructions).You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type functionally integrated, or Type non-functionally integrated supporting organization 01 N03 coco 0' D. Enter the number of supported organizations . . Provrde the followrng information about the supported organization(s). Name of supported organization (ii) EIN of organization (N) Is the organization Amount of monetary (vi)Amount of (described on lines 1-10 listed in your governing support (see other support (see above (see instructions? document? instructions) instructions) Yes No (A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or BSD-E2. Schedule A (Form 990 or 990-EZ) 2018 UYA ScheduleA (Form 990 or 990-EZ) 2018 Healthy Food merica ?Support Schedule roTOrganizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) . (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part If the organization fails to qualify under the tests listed below. please complete Part Ill.) 47-2926810 Pasez Section A. Public Support Calendar year (or fiscal year beginning in) 2014 (b)2015 2016 2017 2018 Total 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants") 272 550 .g,262,5173,594 354. 2 Tax revenues leVIed for the organization's bene?t and either paid to or expended on its behalf 3 The value of sewices or furnished by a governmental unit to the organization Without charge 4 Total. Add Ilnes 1 through 3 2'72 550 . 2,262,5173,594,354. 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column 6 Public support. Subtract line 5 from line 4 3 594 354 . Section B. Total Support Calendar year (or fiscal year beginning in) 2014 2015 @3016 2017 2018 Total 7 Amounts from line 4 272 550 . 2,262,517. 943 496.115 '791 . 3,594,354. 8 Gross income from interest, diVidends, payments received on securities loans, rents, royalties, and income from similar sourpes 9 Net income from unrelated busmess activmes, whether or not the busmess is regularly carried on 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) 11 Total support. Add lines 7 through 10 3,594,354. 12 Gross receipts from related actiwties. etc. (see instructions) 12 I 13 First five years. If the Form 990 is for the organization's ?rst. second, third, fourth, or ?fth tax year as a section 501(c)(3) organization, check this box and stop here Section C. Computation of Public Support Percentage 14 Public support percentage for 2018 (line 6, column diVided by line 11, column (0) 14 15 Public support percentage from 2017 Schedule A, Part II. line 14 15 16a 33 1,3 support test-2018. If the organization did not check the box on line 13, and line 14 is 33 1/3 or more, check this box and stop here. The organization quali?es as a publicly supported organization 33 1I3 support test?2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3 or more, check this box and stop here. The organization quali?es as a publicly supported organization El 17a 10%-facts-and-circumstances test-2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-CIrcumstances" test. check this box and stop here. Explain in Part VI how the organization meets the "facts-and-CIrcumstances" test. The organization qualifies as a publicly supported organization 5 10%-facts-and-circumstances test-2017. If the organization did not check a box on line 13, 16a, 16b, or 17a. and line 15 is 10% or more, and if the organization meets the "facts-and-CIrcumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-curcumstances" test The organization quali?es as a publicly supported organization . 18 Private foundation. If the organization did not check a box on line 13. 16a, 16b, 17a, or 17b, check this box and see instructions . UYA Schedule A (Form 990 or 990-EZ) 2018 Schedule (Form 990 or 990-EZ) 2018 Healthy Food America -2 92 6810 Page 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or ?scal year beginning in) 2014 2015 2016 2017- 2018 (??Total 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusualgrants 2 Gross receipts from merchandise sold or sewices performed, or faCIIities furnished in any activrty that is related to the organization'stax-exempt purpose 3 Gross receipts from actiwties that are not an unrelated trade or busmess under section 513 4 Tax revenues levied for the organization's bene?t and either paid to or expended on its behalf 5 The value of services or faCIlities furnished by a governmental unit to the organization Without charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 and 3 received from other than disquali?ed persons that exceed the greater of $5,000 or 1% ofthe amount on line 13 fortheyear Add lines 7a and 7b 8 Public support. (Subtract line 7c from line 6 Section B. Total Support Calendar year (or fiscal year beginning in) 201,4 201 5 2016 2017 2018 Total 9 Amounts from line 6 10a Gross income from interest, dwidends, payments received on securities loans, rents, royalties, and income from Similar sources Unrelated busmess taxable income (less section 511 taxes) from busmesses/ acquired after June 30, 1975 Add lines 10a and 10b 11 Net incomefrom unrelated busmess/ actiwties not included in line 10b, wether or not the business is regularly cayried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI 13 Total support. (Add lines 9, 10c, 11, and 12.) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or ?fth tax year as a section 501(c)(3) organization, check this box and stop here . Section C. Computation/6f Public Support Percent_age 15 Public support percentage for 2018 (line 8, column diVided by line 13, column 15 16 Public support percentage from 2017 Schedule A, Part line 15 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2018 (line 10c, column dwided by line 13, column 17 18 Investment income percentage from 2017 Schedule A, Part line 17 18 19a 33 113 sup ort test-2018. If the organization did not check the box on line 14, and line 15 is more than 331/3 and line line 17 is no orethan 331/3 check this box and stop here.The organization quali?es as a publicly supported organization 331I3 support test?2017. if the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3 and line 18 is not morethan 331/3 check this box and stop here.The organization quali?es as a publicly supported organization? 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions UYA Schedule A (Form 990 or 990-EZ) 2018 Schedule A (Form 990 or 990-52) 2018 Heal thy Food America Supporting Organizations 47-2926810 P8984 I (Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A and If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and If you checked 12d of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations the organization?s supported organizations listed by name in the organization's governing documents? If "No, describe in Part VI how the supported organizations are desrgnated If desrgnated by class or purpose, describe the desrgnation lf historic and contrnurng relationship, explain Did the organization have any supported organization that does not have an IRS determination of status Yes No under section 509(a)(1) or (2)7lf "Yes, explain in Part VI how the organization determrned that the supported organization was descnbed in section 509(a)( 1) or (2) Did the organization have a supported organization described in section 501(c)(4), (5), or (6)9 If "Yes, answer and below Did the organization con?rm that each supported organization quali?ed under section 501 (5), or (6) and satis?ed the public support tests under section If ?Yes, describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes, explain in Part VI what controls the organization put in place to ensure such use Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes? and if you checked 12a or 12b in Part I, answer and below Did the organization have ultimate control and discretion in deCIding whether to make grants to the foreign supported organization? it "Yes, describe in Part VI how the organization had such control and discretion despite being controlled or supervrsed by or in connection With its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)7 it "Yes, explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusrvely for section 170(c)(2)(B) purposes Did the organization add, substitute. or remove any supported organizations during the tax year? If "Yes, answer and below (if applicable) Also, provrde detail in Part VI, including the names and EN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action; the authonty under the organization's document such action, and (iv) how the action was accomplished (such as by amendment to the organizmg document) Type I or Type It only. Was any added or substituted supported organization part of a class already designated in the organization's organizmg document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization pl'OVIde support (whether in the form of grants or the provrsion of sewices or faCIlities) to anyone other than its supported organizations, (ii) indiwduals that are part of the charitable class bene?ted by one or more of its supported organizations, or other supporting organizations that also support or bene?t one or more of the ?ling organization's supported organizations? lr' "Yes, provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other Similar payment to a substantial contributor (as defined in section a family member of a substantial contributor, or a 35% controlled entity With regard to a substantial contributor? If "Yes, complete Part I of Schedule (Form 990 or QQO-EZ) Did the organization make a loan to a disquali?ed person (as de?ned in section 4958) not described in line if "Yes, complete Part I of Schedule l. (Form 990 or 990-EZ) Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as de?ned in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or If "Yes, provrde detail in Part VI. Did one or more disqualified persons (as de?ned in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes, provrde detail in Part VI. Did a disquali?ed person (as de?ned in line 9a) have an ownership interest in, or derive any personal bene?t from, assets in which the supporting organization also had an interest? If "Yes, "provrde detail in Part VI. Was the organization subject to the excess busmess holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type non-functionally integrated supporting organizations)? it "Yes, answer 10b below Did the organization have any excess busmess holdings in the tax year? (Use Schedule C, Form 4720, to deterrnine whether the organization had excess busrness holdings 4b 5b 5c 10a 10b UYA Schedule A (Form 990 or 990-EZ) 2018 ScheduleA(Form 990 or 990-52) 2013 Bea; thy Food America 47-2 92681.0 Page 5 Bart Vi; Supporting Organizations (continued) Yes No 11 Has the organization accepted a gift or contribution from any of the followrng persons? a A person who directly or indirectly controls, either alone or together With persons described in and below the governing body of a supported organization? 11a A family member of a person described' in above? 11b A 35% controlled entity of a person described in or above? If "Yes" to a, b, orc, prowde detail in Part VI 11c Section 8. Type I Supporting Organizations Yes No 1 Did the directors. trustees, or membership of one or more supported organizations have the power to regularly appomt or elect at least a majority of the organization's directors or trustees at all times during the tax year? If "No, describe in Part VI how the supported organization(s) effectively operated, supervrsed, or ?controlled the organization 8 actiwties? If the organization had more than one supported organization, descnbe how the powers to appornt and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supewised, or controlled the supporting organization?Plf "Yes, explain in Part VI how provrding such bene?t camed out the purposes of the supported organization(s) that operated, supervrsed, or controlled the supporting organization 2 Section C. Type II Supporting Organizations Yes No 1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No, describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s) 1 Section D. All Type Supporting Organizations - Yes No 1 Did the organization prowde to each of its supported organizations, by the last day of the ?fth month of the . organization's tax year, a written notice describing the type and amount of support prowded during the priortax year, (ii) a copy of the Form 990 that was most recently ?led as of the date of notification, and copies of the organization's governing documents in effect on the date of noti?cation, to the extent not preVIously prowded'? 1 2 Were any of the organization's of?cers, directors, or trustees either appomted or elected by the supported Organization(s) or (ii) servmg on the governing budy of a supported organization? If "No, "oxplain in Part VI how the organization maintained a close and continuous working relationship the supported organization 2 3 By reason of the relationship described in (2), did the organization's supported organizations have a Significant vaice in the organization's investment pohcres and in directing the use of the organization's income or assets at all times during the tax year? If "Yes, describe in Part VI the role the organization's supported organizations played in this regard 3 Section E. Type Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions): a The organization satis?ed the Activrties Test. Complete line 2 below The organization is the parent of each of its supported organizations. Complete line 3 below . The organization supported a governmental entity.Descnbe in Part VI how you supported a govemment entity (see instructions) 2 Activities Test. Answer and below. Yes No a Did substantially all of the organization's actiwties during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responswe'PIf "Yes, then in Part VI identify those supported organizations and explain how these directly furthered their exempt purposes, how the organization was responsrve to those supported organizations, and how the organization determined that these activrties constituted substantially all of its 2a Did the actiVIties described in constitute actIVIties that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged In? If "Yes, explain in Part VI the reasons for the organization's posrtion that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer and below. a Did the organization have the power to regularly appoint or elect a majority of the of?cers, directors, or trustees of each of the supported organizations? Provrde details in Part VI. 33 Did the organization exerCIse a substantial degree of direction over the pohcres, programs, and activmes of each of its supported organizations? If "Yes, describe in Part VI the role played by the organization in this regard 3b UYA Schedule A (Form 990 or SBO-EZ) 2018 Schedule A (Form 990 or 990?52) 2013 Healthy Food America 47 -2 92 68 1 Page 6 Type Non Functionally Integrated 509(a)(3) Supportingo rganizations 1 Check here if the organization satis?ed the Integral Part Test as a qualifying trust on Nov. 20 1970 (explain In Part VI). See instructions. All other Type non- functionally integrated supporting organizations must complete Sections A through (A) Prior Year (B) Current Year (optional) Section A - Adjusted Net Income 1 Net short-term capital gain 2 Recoveries of prior-year distributions 3 Other gross Income (see instructions) 4 Add lines 1 through 3. 5 DepreCIation and depletion 6 Portion of operating expenses paid or incurred for production or . collection of gross income or for management. conservation, or maintenance of property held for production of Income (see Instructions) 7 Other expenses (see Instructions) 8 Adjusted Net lncome(subtract lines 5. 6. and 7 from line 4) 8 Section - Minimum Asset Amount (A) Prior Year um (B) Current Year (optional) 1 Aggregate fair market value of all non-exem pt-use assets (see Instructions for short tax year or assets held for part of year) a Average value of securities 1a Average cash balances 1b Fair market value of other non-exempt-use assets 1c Total (add lines 1a. 1b, and 1c) 1d Discount claimed for blockage or other factors (explain In detail in Part VI). 2 AchISItIon indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use Enter 1-1/2% of line 3 (for greater amount. see Instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by .035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6) Section - Distributable Amount Current Year 1 Adjusted net Income for prior year (from Section A, line 8. Column A) 1 2 Enter 85% of line 1. 2 3 Minimum asset amount for prior year (from Section line 8, Column A) 3 4 5 4 Enter greater of line 2 or line 3. 5 Income tax imposed In prior year 6 Distributable Amount. Subtract line 5 from line 4. unless subject to emergency temporary reduction (see Instructions). 6 7 Check here if the current year Is the organization's ?rst as a non-functionally Integrated Type supporting organization (see instructions). UYA Schedule A (Form 990 or sea-EZ) 201a Schedule?HForm 990 or 990-52) 2013 Healthy Food America Type Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section - Distributions Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform actIVIty that directly furthers exempt purposes of supported 1 2 onsimmasw organizations, In excess of income from actiwty 47-2926810 Page? Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acqurre exempt-use assets Quali?ed set-aSIde amounts (prior IRS approval reqmred) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responswe (prowde details in Part VI). See instructions. SkDistributable amount for 2018 from Section C. line 6 10 Line 8 amount lelded by line 9 amount Current Year Section - Distribution Allocations (see instructions) (0 Excess Distributions Iii) Underdistributions Pre-2018 Distributable Amount for 2018 Distributable amount for 2018 from Section C, line 6 Underdistributions. if any. for years prior to 2018 (reasonable cause reqUIred-explain in Part VI). See instr. Excess distributions carryoier, if any, [0 2018 From 2013 From 2014 From 2015 From 2016 From 2017 Total of lines 3a through Applied to underdistributions of prior years Applied to 2018 distributable amount Carryover from 2013 not applied (see instructions) Remainder. Subtract lines 39, 3h. and 3i from 3f. Distributions for 2018 from Section D, line 7' ID Applied to underdistributions of prior years 0' Applied to 2018 distributable amount Remainder. Subtract lines 4a and 4b from 4. Remaining underdistributions for years prior to 2018, if any. Subtract lines 39 and 4a from line 2. For result greater than zero, explain in Part VI. See instructions Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. For result greater than zero. explain in Part VI. See instructions. Excess distributions carryover to 2019. Add lines 3] and 4c. Breakdown of line 7" Excess from 2014 Excess from 2015 Excess from 2016 (piano-m Excess from 2017 Excess from 2018 UYA Schedule A (Form 990 or 990-EZ) 2018 ScheduleA(Form 990 or 990-EZ) 2018 Healthy Food A?erica 47-2 926810 Page8 Supplemental Information. Provide the explanations reqUIred by Part II, line 10; Part II. line 17a or 17b; . Part line 12, Part IV, Section A, lines 9a, 9b, 9c, 11a, 11b, and 11c, Part IV, Section B, lines 1 and 2, Part IV, Section C, line 1, Part IV, Section D, lines 2 and 3, Part IV, Section E, lines 10. 2a, 2b, 3a, and 3b, Part V, line 1, Part V, Section B, line 1e. Part V. Section D, lines 5, 6, and 8, and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.) UYA Schedule A (Form 990 or 990-EZ) 2018 SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ (Eorm 990 or 990-EZ) Complete to provide information for responses to speci?c questions on Form 990 or 990-EZ or to provide any additional information. Internal Revenue Serwce Go to gov/Form990 for the latest Information. Name of the organization Healthy Food America Inspection Employer identi?cation number 47-2926810 For Paperwork Reduction Act Notice. see the Instructions for Form 990 or 990-EZ. UYA Schedule 0 (Form 990 or BSD-E2) (201B) Schedule 0 (Form 990 or 99052) (2013) Page 2 Name of the orgamzahon Employer identi?cation number Healthy Food America 47-2926810 Part VI Line 11b A copy of the return is provided to members of the governing body for their review prior to filing. Part VI Line 12c At its annual board meeting the organization reviews its conflict reporting requirement. Part VI Line 18 A copy of the return will be provided upon written request. Part VI Line 19 Upon written request the organization's governing documents, conflict of interest policy and finacial statements will be provided. Part Ix Line 11g Consulting Total expenses - $75542 00 Program serVice expenses $75542 00 and general expenses - $0 00 FundraASing expenses - $0 00 Part XI Line 9 Return of contribution from related organization. UYA Schedule 0 (Form 990 or SBO-EZ) (201B) OMB No 1545-0047" SCHEDULE (Form 990) Related Organizations and Unrelated Partnerships 5? Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 35. or 37. Departmentofthe Treasury Attac" to Form 990- Open to Public '"tema? Revenue semce Go to for instructions and the latest information. Inspection Name of the organization Employer Identi?cation number Healthy Food America 47-2 92 6810 Identification of Disregarded Entities.Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (6) id) (8) (0 Name, address, and EIN (if applicable) of disregarded entity Primary actiinty Legal domicile (state Total income End-of-year assets Direct controlling or foreign country) entity (1) (2) (3) (4) l5) (6i Part II Identification of Related Tax-Exempt Organizations. Complete if the organization answered ?Yes" on Form 990 Part IV. line 34, because it had one or more related tax-exempt organizations during the tax year. is? Name. address. and EIN of related organization Primary actiwty Legal domic?e (state Exempt Code section Public charity status Direct controlling Section 512(b)(13) or foreign country) (if section 50' entity controlled entity? Yes No (1) Action for Healthy Food PO Box 22260 Seattle, WA 98122 47'1975156Nutr1t10n educatlonm 501C4 (2) (3) (4) (5) (5) (7) For Paperwork Reduction Act Notice. see the Instructions for Form 990. Schedule (Form 990) 2018 UYA Healthy Food America 47-2926810 Identification of Related Organizations Taxable as a Partnership.Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year. Page 2 Name, address. and EIN of related organization Primary actIVIty (Cl Legal (state or foreign country) Direct controlling entity sections 512-514) Predominant income (related. unrelated. excluded from tax under (0 Share of total Income year assets Share of end-of? Disproportionate allocations? Yes No 0) Code - UBI amount in box 20 of Schedule K-1 (Form 1065) U) General or managing partner? Yes No Percentage ownership U) 0.0000 (3 0.0000 (3 0 . 0000 (0 0.0000 5) 0.0000 (5) 0.0000 (7) 0.0000 vear. Identification of Related Organizations Taxable as a Corporation or Trust.Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or trust durinq the ta Name, address. and EIN of related organization Primary (C) Legal domicne (state or foreign country) (6) Direct controlling entity Type of entity (Coorp.Scorp.orUust) Share of total (0 Income (9) Share of end-of-year assets Percentage ownership (0 Section 512(b)(13) controlled entity? Yes No U) 0.0000 0.0000 (3 0.0000 (0 0.0000 0 . 0000 (Q 0.0000 (7) 0.0000 UYA Schedule (For-[n 990) 2013 'l ScheduleR(Form 990) 2018 Healthy good America 47 Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b. or 36. --2 92 6810? 'Pa?g?ei 3 Note: Complete line 1 if any entity IS listed in Parts ll, ill, or IV of this schedule. 1 During the tax year. did the organization engage in any of the followmg transactions with one or more related organizations listed in Parts ll-IV'? Receipt of interest. (ii) annumes, royalties, or (iv) rent from a controlled entity Gift, grant, or capital contribution to related organization(s) Gift, grant. or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s) Diwdends from related organization(s) . Sale of assets to related organization(s) . . Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of equment. or other assets to related organization(s) $013.- ?a Lease of faculties. equment, or other assets from related organization(s) Performance of sewices or membership or fundraismg sohcntations for related organization(s) Performance of sewices or membership or fundraismg solimtations by related organization(s) Sharing of faculties, eqmpment, mailing lists, or other assets With related organization(s) Sharing of paid employees With related organization(s) x_Ei:o Reimbursement paid to related organization(s) for expenses Reimbursement paid by related organization(s) for expenses Other transfer of cash or property to related organization(s) 5 Other transfer of cash or property from related organization(the answer to any of the above is "Yes." see the instructions for information on who must complete this line. including covered relationships and transaction thresholds. lb) (6) (6) Name of related organization Transaction Amount involved Method of determining amount involved We Action for Healthy Food 5 000 . Cash (2) (3) (4) (5) (5) UYA Schedule (Form 990) 2018 Schedule (Form 990) 2018 Healthy Food America 47-2926810 Unrelated Organizations Taxable as a Partnership. Complete If the organization answered "Yes" on Form 990, Part IV, line 37 Page 4 Provide the followrng Information for each entity taxed as a partnership through the organization conducted more than ?ve percent of Its (measured by total assets or gross revenue) that was not a related organization. See Instructions regarding exclusron for certain Investment partnerships. Name, address, and EIN of entity Primary (6) Legal (state or foreign country) Predominant Income (related, unrelated. excluded from tax under sectlons 512-514) Are all partners (6) section 501(c)(3) organizations? Yes No (0 Share of total Income (SD (M Dusproporhonate allomhons? Share of end-of-year assets Yes No (5) Code - UBI amount In box 20 of Schedule K-1 (Form 1065) General or managing partner? Percentage Yes No U) 0.0000 0.0000 (3 0.0000 (0 0.0000 5) 0.0000 (Q 0.0000 (U 0.0000 0.0000 (W 0.0000 um 0.0000 UH 0.0000 U2) 0.0000 U3 0.0000 U0 0.0000 0.0000 U9 0.0000 UYA Schedule (Form 9913) 201a SChEdu'e 99?) 2018 Healthy Food America 4 '7 -g 92 68 10 Page 5 Supplemental Information. Prowde additional information for responses to questions on Schedule R. See instructions. UYA Schedule (Form 990) 2018