Name change 509 West 5th Street, Room 102. Red Wing, MN

Transcription

1 Form 990 Department of the Treasury Internal Revenue Service OMB No Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter social security numers on this form as it may e made pulic. G Information aout Form 990 and its instructions is at A For the 2015 calendar year, or tax year eginning 10/01, 2015, and ending 9/30, 2016 B Check if applicale: C D Address change Goodhue County 4-H Federation MN Name change 509 West 5th Street, Room 102 E Telephone numer Initial return Red Wing, MN Final return/terminated Amended return F G Open to Pulic Inspection Employer identification numer Gross receipts Application pending Name and address of principal officer: H(a) Is this a group return for suordinates? Yes No H() Are all suordinates included? Same As C Aove Yes No If 'No,' attach a list. (see instructions) 2 Check this ox G if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) Total numer of individuals employed in calendar year 2015 (Part V, line 2a) Total numer of volunteers (estimate if necessary) a Total unrelated usiness revenue from Part VIII, column (C), line a Net unrelated usiness taxale income from Form 990-T, line Prior Year Current Year 8 Contriutions and grants (Part VIII, line 1h) , ,94 9 Program service revenue (Part VIII, line 2g) , , Investment income (Part VIII, column (A), lines 3, 4, and 7d) ,085. 1, Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) , , Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12) , , Grants and similar amounts paid (Part I, column (A), lines 1-3) , Benefits paid to or for memers (Part I, column (A), line 4) Salaries, other compensation, employee enefits (Part I, column (A), lines 5-10) a Professional fundraising fees (Part I, column (A), line 11e) Part II Total fundraising expenses (Part I, column (D), line 25) G Other expenses (Part I, column (A), lines 11a-11d, 11f-24e) Total expenses. Add lines (must equal Part I, column (A), line 25) Revenue less expenses. Sutract line 18 from line Total assets (Part, line 16) Total liailities (Part, line 26) Net assets or fund alances. Sutract line 21 from line Signature Block $ 211,471. I Tax-exempt status 501(c)(3) 501(c) ( )H (insert no.) 4947(a)(1) or 527 J Wesite: G H(c) Group exemption numer G 5939 K Form of organization: Corporation Trust Association OtherG L Year of formation: M State of legal domicile: MN Part I 1 Summary Briefly descrie the organization's mission or most significant activities: To engage youth, in partnership with adults, in quality learning opportunities that enale them to shape and reach their full potential as active citizens in a gloal community. 115, , , , ,262. 6,867. Beginning of Current Year End of Year 206,37 213, ,37 213,237. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than officer) is ased on all information of which preparer has any knowledge. Sign Here A Signature of officer A Type or print name and title. Date Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date Check if PTIN Firm's name Firm's address G G Non-Paid Preparer self-employed Firm's EIN G Phone no. May the IRS discuss this return with the preparer shown aove? (see instructions) Yes No For Paperwork Reduction Act Notice, see the separate instructions. TEEA0113L 10/12/15 Form 990 (2015)

2 Form 990 (2015) Goodhue County 4-H Federation MN Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III Briefly descrie the organization's mission: To engage youth, in partnership with adults, in quality learning opportunities that enale them to shape and reach their full potential as active citizens in a gloal community. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? Yes No If 'Yes,' descrie these new services on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services?.... Yes No If 'Yes,' descrie these changes on Schedule O. 4 Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4 a (Code: ) (Expenses $ 126,916. including grants of $ ) (Revenue $ 116,349. ) 4-H Auctions: Proceeds from the Auction go to the winning 4-H youth with a portion of the funds designated to further Minnesota 4-H programs. 4 (Code: ) (Expenses $ 25,939. including grants of $ 5 ) (Revenue $ 3,457. ) 4-H Events: Provide opportunities to demonstrate & reflect upon new project knowledge and skills, develop interview skills, and celerate accomplishments. 4 c (Code: ) (Expenses $ 12,386. including grants of $ 5 ) (Revenue $ 1,723. ) 4-H Projects: Provides in-depth experience in project areas appealing for young people to support the development of project specific skills as well as leadership, citizenship & life skills. 4 d Other program services. (Descrie in Schedule O.) See Schedule O (Expenses $ 2,838. including grants of $ 75 ) (Revenue $ 2,106. ) 4 e Total program service expenses G 168,079. TEEA0102L 10/12/15 Form 990 (2015)

3 Form 990 (2015) Goodhue County 4-H Federation MN Page 3 Part IV Checklist of Required Schedules Yes No 1 Is the organization descried in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete Schedule A Is the organization required to complete Schedule B, Schedule of Contriutors (see instructions)? Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic office? If 'Yes,' complete Schedule C, Part I Section 501(c)(3) organizations. Did the organization engage in loying activities, or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives memership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If 'Yes,' complete Schedule C, Part III Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right 6 to provide advice on the distriution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If 'Yes,' complete Schedule D, Part II Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,' complete Schedule D, Part III Did the organization report an amount in Part, line 21, for escrow or custodial account liaility; serve as a custodian 9 for amounts not listed in Part ; or provide credit counseling, det management, credit repair, or det negotiation services? If 'Yes,' complete Schedule D, Part IV 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 V If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, I, 11 or as applicale. a Did the organization report an amount for land, uildings and equipment in Part, line 10? If 'Yes,' complete Schedule D, Part VI Did the organization report an amount for investments ' other securities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part VII c Did the organization report an amount for investments ' program related in Part, line 13 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part VIII d Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part I e Did the organization report an amount for other liailities in Part, line 25? If 'Yes,' complete Schedule D, Part f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part.... Did the organization otain separate, independent audited financial statements for the tax year? If 'Yes,' complete 12 a Schedule D, Parts I, and II a Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' and if the organization answered 'No' to line 12a, then completing Schedule D, Parts I and II is optional Is the organization a school descried in section 170()(1)(A)(ii)? If 'Yes,' complete Schedule E a Did the organization maintain an office, employees, or agents outside of the United States? a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If 'Yes,' complete Schedule F, Parts I and IV Did the organization report on Part I, 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 II and IV Did the organization report on Part I, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If 'Yes,' complete Schedule F, Parts III and IV Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part I, column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions) Did the organization report more than $15,000 total of fundraising event gross income and contriutions on Part VIII, lines 1c and 8a? If 'Yes,' complete Schedule G, Part II Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,' complete Schedule G, Part III a c 11 d 11 e 11 f TEEA0103L 10/12/15 Form 990 (2015)

4 Form 990 (2015) Goodhue County 4-H Federation MN Page 4 Part IV Checklist of Required Schedules (continued) Yes No 20a Did the organization operate one or more hospital facilities? If 'Yes', complete Schedule H a If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part I, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part I, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III Did the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 aout compensation of the organization's current 23 and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J Did the organization have a tax-exempt ond issue with an outstanding principal amount of more than $100,000 as of 24 a the last day of the year, that was issued after Decemer 31, 2002? If 'Yes,' answer lines 24 through 24d and complete Schedule K. If 'No, 'go to line 25a Did the organization invest any proceeds of tax-exempt onds eyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt onds? d Did the organization act as an 'on ehalf of' issuer for onds outstanding at any time during the year? a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? If 'Yes,' complete Schedule L, Part I Is the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I Did the organization report any amount on Part, line 5, 6, or 22 for receivales from or payales to any current or 26 former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If 'Yes', complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, sustantial contriutor or employee thereof, a grant selection committee memer, or to a 35% controlled entity or family memer of any of these persons? If 'Yes,' complete Schedule L, Part III Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part IV 28 instructions for applicale filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV A family memer of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV c An entity of which a current or former officer, director, trustee, or key employee (or a family memer thereof) was an officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV Did the organization receive more than $25,000 in non-cash contriutions? If 'Yes,' complete Schedule M Did the organization receive contriutions of art, historical treasures, or other similar assets, or qualified conservation contriutions? If 'Yes,' complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete Schedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections and ? If 'Yes,' complete Schedule R, Part I Was the organization related to any tax-exempt or taxale entity? If 'Yes,' complete Schedule R, Part II, III, or IV, and Part V, line a Did the organization have a controlled entity within the meaning of section 512()(13)? a 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()(13)? If 'Yes,' complete Schedule R, Part V, line a 24 24c 24d 25a 25 28a 28 28c Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitale related organization? If 'Yes,' complete Schedule R, Part V, line Did the organization conduct more than 5% of its activities 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 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O Form 990 (2015) TEEA0104L 10/12/15

5 Form 990 (2015) Goodhue County 4-H Federation MN Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V a Enter the numer reported in Box 3 of Form Enter -0- if not applicale a Enter the numer of Forms W-2G included in line 1a. Enter -0- if not applicale c Did the organization comply with ackup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered y this return a 0 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may e required to e-file (see instructions) 3 a Did the organization have unrelated usiness gross income of $1,000 or more during the year? a If 'Yes' has it filed a Form 990-T for this year? If 'No' to line 3, provide an explanation in Schedule O At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a 4 a financial account in a foreign country (such as a ank account, securities account, or other financial account)? a If 'Yes,' enter the name of the foreign country: G See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts. (FBAR) 5 a Was the organization a party to a prohiited tax shelter transaction at any time during the tax year? a Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? c If 'Yes,' to line 5a or 5, did the organization file Form 8886-T? c Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization 6 a solicit any contriutions that were not tax deductile as charitale contriutions? a If 'Yes,' did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? Organizations that may receive deductile contriutions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contriution and partly for goods and a services provided to the payor? If 'Yes,' did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file Form 8282? d If 'Yes,' indicate the numer of Forms 8282 filed during the year d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract? g If the organization received a contriution of qualified intellectual property, did the organization file Form 8899 as required? h If the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have excess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxale distriutions under section 4966? Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Section 501(c)(7) organizations. Enter: a Initiation fees and capital contriutions included on Part VIII, line Gross receipts, included on Form 990, Part VIII, line 12, for pulic use of clu facilities Section 501(c)(12) organizations. Enter: a Gross income from memers or shareholders Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) a Section 4947(a)(1) non-exempt charitale trusts. Is the organization filing Form 990 in lieu of Form 1041? a If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain y the states in which the organization is licensed to issue qualified health plans c Enter the amount of reserves on hand c 14 a Did the organization receive any payments for indoor tanning services during the tax year? a If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O TEEA0105L 10/12/15 Form 990 (2015) 10 a a c a 7 7 c 7 e 7 f 7 g 7 h 9 a 9 13 a Yes No

6 Form 990 (2015) Goodhue County 4-H Federation MN Page 6 Part VI Governance, Management, and Disclosure For each 'Yes' response to lines 2 through 7 elow, and for a 'No' response to line 8a, 8, or 10 elow, descrie the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI Section A. Governing Body and Management Yes No 1 a Enter the numer of voting memers of the governing ody at the end of the tax year If there are material differences in voting rights among memers 1 a 6 of the governing ody, or if the governing ody delegated road authority to an executive committee or similar committee, explain in Schedule O. Enter the numer of voting memers included in line 1a, aove, who are independent Did any officer, director, trustee, or key employee have a family relationship or a usiness relationship with any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed y or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? See Sch O Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization ecome aware during the year of a significant diversion of the organization's assets? Did the organization have memers or stockholders? a Did the organization have memers, stockholders, or other persons who had the power to elect or appoint one or more memers of the governing ody?.. See Schedule O a Are any governance decisions of the organization reserved to (or suject to approval y) memers, stockholders, or persons other than the governing See Sch O ody? Did the organization contemporaneously document the meetings held or written actions undertaken during the year y 8 the following: a The governing ody? Each committee with authority to act on ehalf of the governing ody? Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot e reached at the organization's mailing address? If 'Yes,' provide the names and addresses in Schedule O Section B. Policies (This Section B requests information aout policies not required y the Internal Revenue Code.) Yes No 10 a Did the organization have local chapters, ranches, or affiliates? a If 'Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provided a complete copy of this Form 990 to all memers of its governing ody efore filing the form? a Descrie in Schedule O the process, if any, used y the organization to review this Form 99 See Schedule O 12 a Did the organization have a written conflict of interest policy? If 'No,' go to line a Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' descrie in Schedule O how this was done Did the organization have a written whistlelower policy? Did the organization have a written document retention and destruction policy? Did the process for determining compensation of the following persons include a review and approval y independent persons, comparaility data, and contemporaneous sustantiation of the delieration and decision? a The organization's CEO, Executive Director, or top management official Other officers or key employees of the organization If 'Yes' to line 15a or 15, descrie the process in Schedule O (see instructions). 16 a Did the organization invest in, contriute assets to, or participate in a joint venture or similar arrangement with a taxale entity during the year? If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicale federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to e filed G None Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicale), 990, and 990-T (Section 501(c)(3)s only) availale 18 for pulic inspection. Indicate how you made these availale. Check all that apply. Own wesite Another's wesite Upon request Other (explain in Schedule O) 19 Descrie in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements availale to the pulic during the tax year. See Schedule O 20 State the name, address, and telephone numer of the person who possesses the organization's ooks and records: G Goodhue County 4-H Federation 509 West 5th Street, Rm 102 Red Wing MN TEEA0106L 10/12/15 Form 990 (2015) 7 8 a c 15 a a 16

7 Form 990 (2015) Goodhue County 4-H Federation MN Page 7 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a Complete this tale for all persons required to e listed. Report compensation for the calendar year ending with or within the organization's tax year.? List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.'? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportale 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 officers, key employees, and highest compensated employees who received more than $100,000 of reportale compensation from the organization and any related organizations.? 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 reportale compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this ox if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) Position (do not check more (A) (B) than one ox, unless person (D) (E) (F) Name and Title Average is oth an officer and a Reportale Reportale Estimated hours director/trustee) compensation from compensation from amount of other per the organization related organizations compensation week (W-2/1099-MISC) (W-2/1099-MISC) from the (list any organization hours for and related related organizations organizations elow dotted line) (1) (2) (3) (4) (5) (6) (7) Emily Benrud 1 President 0 Morley Struss 1 Vice President 0 Derek Stehr 1 Secretary 0 Cheyan Koehler 2 Youth Treasurer 0 Keith LaCanne 2 FinancialAdivsr 0 Emily Pliscott 1 Parliamentarian 0 (8) (9) (10) (11) (12) (13) (14) TEEA0107L 10/12/15 Form 990 (2015)

8 Form 990 (2015) Goodhue County 4-H Federation MN Page 8 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (B) (C) (A) Name and title Position Average (do not check more than one (D) (E) (F) hours ox, unless person is oth an Reportale Reportale Estimated per officer and a director/trustee) compensation from compensation from amount of other week the organization related organizations compensation (list any (W-2/1099-MISC) (W-2/1099-MISC) from the hours organization for and related related organizations organiza - tions elow dotted line) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1 Su-total G c Total from continuation sheets to Part VII, Section A G d Total (add lines 1 and 1c) G 2 Total numer of individuals (including ut not limited to those listed aove) who received more than $100,000 of reportale compensation from the organization G 0 Yes 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If 'Yes,' complete Schedule J for such individual For any individual listed on line 1a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for such individual Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,' complete Schedule J for such person Section B. Independent Contractors 1 Complete this tale 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. (A) (B) (C) Name and usiness address Description of services Compensation No 2 Total numer of independent contractors (including ut not limited to those listed aove) who received more than $100,000 of compensation from the organization G 0 TEEA0108L 10/12/15 Form 990 (2015)

9 Form 990 (2015) Goodhue County 4-H Federation MN Page 9 Part VIII Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII a Federated campaigns a Memership dues c Fundraising events c d Related organizations d e Government grants (contriutions)..... f All other contriutions, gifts, grants, and similar amounts not included aove f 40,83 g Noncash contriutions included in lines 1a-1f: $ h Total. Add lines 1a-1f G 1 e Business Code (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt usiness excluded from tax function revenue under sections revenue a c d e Livestock Auction Registration Fees Premiums Revenue Ear Tag Revenue Program Revenue ,349. 2,88 1,478. 1, ,349. 2,88 1,478. 1, f All other program service revenue.... WKS 1,053. 1,053. g Total. Add lines 2a-2f G 123, Investment income (including dividends, interest and other similar amounts) G 1,984. 1, Income from investment of tax-exempt ond proceeds... G. 5 Royalties G (i) Real (ii) Personal 6 a Gross rents Less: rental expenses c Rental income or (loss).... d Net rental income or (loss) G Gross amount from sales of 7 a assets other than inventory (i) Securities 5,11 (ii) Other 45,94 Less: cost or other asis and sales expenses c Gain or (loss) d Net gain or (loss) G 8 a Gross income from fundraising events (not including..$ 5,11 of contriutions reported on line 1c). See Part IV, line a 39,121. Less: direct expenses ,687. c Net income or (loss) from fundraising events G Gross income from gaming activities. 9 a See Part IV, line a 23, ,434. Less: direct expenses c Net income or (loss) from gaming activities Gross sales of inventory, less returns 10a and allowances a G Less: cost of goods sold c Net income or (loss) from sales of inventory G Miscellaneous Revenue Business Code 11a c Other Revenue d All other revenue e Total. Add lines 11a-11d G Total revenue. See instructions G , , ,209. TEEA0109L 10/12/15 Form 990 (2015)

10 Form 990 (2015) Goodhue County 4-H Federation MN Page 10 Part I Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part I (A) (B) (C) (D) Do not include amounts reported on lines Total expenses Program service Management and Fundraising 6, 7, 8, 9, and 10 of Part VIII. expenses general expenses expenses 1 Grants and other assistance to domestic organizations and domestic governments. 2 See Part IV, line Grants and other assistance to domestic individuals. See Part IV, line Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 4 Benefits paid to or for memers Compensation of current officers, directors, trustees, and key employees Compensation not included aove, to disqualified persons (as defined under section 4958(f)(1)) and persons descried in section 4958(c)(3)(B) Other salaries and wages Pension plan accruals and contriutions (include section 401(k) and 403() employer contriutions) Other employee enefits Payroll taxes Fees for services (non-employees): a Management Legal c Accounting d Loying e Professional fundraising services. See Part IV, line f Investment management fees g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.) Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local pulic officials Conferences, conventions, and meetings.... Interest Payments to affiliates Depreciation, depletion, and amortization.... Insurance Other expenses. Itemize expenses not covered aove (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.) a Premiums Registration Fees c Awards & Recognition d Ear Tag Expense e All other expenses Total functional expenses. Add lines 1 through 24e ,10 14, ,798. 2,694. 3,104. 1,212. 1, ,885. 3, ,62 126,62 17, ,318. 3,981. 3,981. 3,265. 3,265. 9,55 9, , , , Joint costs. Complete this line only if the organization reported in column (B) joint costs from a comined educational campaign and fundraising solicitation. Check here G if following SOP 98-2 (ASC ) TEEA0110L 11/19/15 Form 990 (2015)

11 Form 990 (2015) Goodhue County 4-H Federation MN Page 11 Part Balance Sheet Check if Schedule O contains a response or note to any line in this Part (A) Beginning of year (B) End of year 1 Cash ' non-interest-earing , , Savings and temporary cash investments , , Pledges and grants receivale, net Accounts receivale, net Loans and other receivales from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L Loans and other receivales from other disqualified persons (as defined under section 4958(f)(1)), persons descried in section 4958(c)(3)(B), and contriuting employers and sponsoring organizations of section 501(c)(9) voluntary employees' eneficiary organizations (see instructions). Complete Part II of Schedule L Notes and loans receivale, net Inventories for sale or use Prepaid expenses and deferred charges Land, uildings, and equipment: cost or other asis. 10a Complete Part VI of Schedule D a Less: accumulated depreciation c 11 Investments ' pulicly traded securities Investments ' other securities. See Part IV, line , , Investments ' program-related. See Part IV, line Intangile assets Other assets. See Part IV, line Total assets. Add lines 1 through 15 (must equal line 34) , , Accounts payale and accrued expenses Grants payale Deferred revenue Tax-exempt ond liailities Escrow or custodial account liaility. Complete Part IV of Schedule D Loans and other payales to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L Secured mortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities (including federal income tax, payales to related third parties, and other liailities not included on lines 17-24). Complete Part of Schedule D Total liailities. Add lines 17 through Organizations that follow SFAS 117 (ASC 958), check here G and complete 27 lines 27 through 29, and lines 33 and 34. Unrestricted net assets , , Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 117 (ASC 958), check here G and complete lines 30 through Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund alances , , Total liailities and net assets/fund alances , ,237. Form 990 (2015) TEEA0111L 10/12/15

12 Form 990 (2015) Goodhue County 4-H Federation MN Page 12 Part I Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part I Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part I, column (A), line 25) Revenue less expenses. Sutract line 2 from line Net assets or fund alances at eginning of year (must equal Part, line 33, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund alances (explain in Schedule O) Net assets or fund alances at end of year. Comine lines 3 through 9 (must equal Part, line 33, column (B)) Part II 1 Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part II Accounting method used to prepare the Form 990: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. 2 a Were the organization's financial statements compiled or reviewed y an independent accountant? a If 'Yes,' check a ox elow to indicate whether the financial statements for the year were compiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial statements audited y an independent accountant? If 'Yes,' check a ox elow to indicate whether the financial statements for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c If 'Yes' to line 2a or 2, does the organization have a committee that assumes responsiility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? a If 'Yes,' did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits , ,917. 6, , c 3 Yes 213,237. No Form 990 (2015) TEEA0112L 10/20/15

13 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Pulic Charity Status and Pulic Support OMB No Complete if the organization is a section 501(c)(3) organization or a section (a)(1) nonexempt charitale trust. G Attach to Form 990 or Form 990-EZ. G Information aout Schedule A (Form 990 or 990-EZ) and its instructions is Open to Pulic at Inspection Employer identification numer Goodhue County 4-H Federation MN Part I Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) A church, convention of churches, or association of churches descried in section 170()(1)(A)(i). A school descried in section 170()(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).) A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 170()(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit descried in section 170()(1)(A)(v). 7 An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 170()(1)(A)(vi). (Complete Part II.) 8 A community trust descried in section 170()(1)(A)(vi). (Complete Part II.) a c d e f g An organization that normally receives: (1) more than 33-1/3% of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions ' suject to certain exceptions, and (2) no more than 33-1/3% of its support from gross investment income and unrelated usiness taxale income (less section 511 tax) from usinesses acquired y the organization after June 30, See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the ox in lines 11a through 11d that descries the type of supporting organization and complete lines 11e, 11f, and 11g. Type I. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y giving the supported organization(s) the power to regularly appoint 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 supervised or controlled in connection with its supported organization(s), y having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III 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 III 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 distriution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this ox if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the numer of supported organizations Provide the following information aout the supported organization(s). (i) Name of supported (ii) EIN (iv) Is the (v) Amount of monetary (vi) Amount of other organization (iii) Type of organization (descried on lines 1-9 organization listed support (see instructions) support (see instructions) aove (see instructions)) in your governing document? Yes No (A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2015 TEEA0401L 10/12/15

14 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 2 Part II Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you checked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please complete Part III.) Section A. Pulic Support Calendar year (or fiscal year eginning in) G 1 Gifts, grants, contriutions, and memership fees received. (Do not include any 'unusual grants.') Tax revenues levied for the 2 organization's enefit and either paid to or expended on its ehalf The value of services or 3 facilities furnished y a governmental unit to the organization without charge Total. Add lines 1 through The portion of total contriutions y each person (other than a governmental unit or pulicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)... 6 Pulic support. Sutract line 5 from line (a) 2011 () 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total Section B. Total Support Calendar year (or fiscal year eginning in) G 7 Amounts from line Gross income from interest, 8 dividends, payments received on securities loans, rents, royalties and income from similar sources Net income from unrelated 9 usiness activities, whether or not the usiness is regularly carried on Other income. Do not include 10 gain or loss from the sale of capital assets (Explain in Part VI.) (a) 2011 () 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total 11 Total support. Add lines 7 through Gross receipts from related activities, etc. (see instructions) First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here G Section C. Computation of Pulic Support Percentage Pulic support percentage for 2015 (line 6, column (f) divided y line 11, column (f)) % 15 Pulic support percentage from 2014 Schedule A, Part II, line % 16 a 33-1/3% support test ' If the organization did not check the ox on line 13, and line 14 is 33-1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization G 33-1/3% support test ' If the organization did not check a ox on line 13 or 16a, and line 15 is 33-1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization G 17 a 10%-facts-and-circumstances test ' If the organization did not check a ox on line 13, 16a, or 16, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this ox and stop here. Explain in Part VI how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a pulicly supported organization G 10%-facts-and-circumstances test ' If the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this ox and stop here. Explain in Part VI how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a pulicly supported organization G 18 Private foundation. If the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions... G Schedule A (Form 990 or 990-EZ) 2015 TEEA0402L 10/12/15

15 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 3 Part III Support Schedule for Organizations Descried in Section 509(a)(2) (Complete only if you checked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please complete Part II.) Section A. Pulic Support Calendar year (or fiscal year eginning in) G (a) 2011 () 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total 1 Gifts, grants, contriutions and memership fees received. (Do not include any 'unusual grants.') Gross receipts from admis- 2 sions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose Gross receipts from activities 3 that are not an unrelated trade or usiness under section 513. Tax revenues levied for the 4 organization's enefit and either paid to or expended on its ehalf The value of services or 5 facilities furnished y a governmental unit to the organization without charge Total. Add lines 1 through a Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year c Add lines 7a and Pulic support. (Sutract line 7c from line 6.) Section B. Total Support Calendar year (or fiscal year eginning in) G 9 Amounts from line a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources Unrelated usiness taxale income (less section 511 taxes) from usinesses acquired after June 30, c Add lines 10a and Net income from unrelated usiness activities not included in line 10, whether or not the usiness is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in (a) 2011 () 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total 168, , , , , ,55 Part VI.).. See Part VI Total support. (Add Iines 9, 10c, 11, and 12.) , , ,41 180, , , First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here G Section C. Computation of Pulic Support Percentage 15 Pulic support percentage for 2015 (line 8, column (f) divided y line 13, column (f)) % 16 Pulic support percentage from 2014 Schedule A, Part III, line % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2015 (line 10c, column (f) divided y line 13, column (f)) % 18 Investment income percentage from 2014 Schedule A, Part III, line % 19 a 33-1/3% support tests ' If the organization did not check the ox on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization G 33-1/3% support tests ' If the organization did not check a ox on line 14 or line 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization..... G 20 Private foundation. If the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions G 31, , , , ,94 161, , , , , , , , , , , , , , , , , , ,55 TEEA0403L 10/12/15 Schedule A (Form 990 or 990-EZ) , ,464. 4,038. 1,085. 1, , ,464. 4,038. 1,085. 1, ,941.

16 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 4 Part IV Supporting Organizations (Complete only if you checked a ox in line 11 on Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11 of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations 1 Are all of the organization's supported organizations listed y name in the organization's governing documents? If 'No,' descrie in Part VI how the supported organizations are designated. If designated y class or purpose, descrie the designation. If historic and continuing relationship, explain Yes No 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If 'Yes,' explain in Part VI how the organization determined that the supported organization was descried in section 509(a)(1) or (2) a Did the organization have a supported organization descried in section 501(c)(4), (5), or (6)? If 'Yes,' answer () and (c) elow a Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the pulic support tests under section 509(a)(2)? If 'Yes,' descrie in Part VI when and how the organization made the determination c 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 c Was any supported organization not organized in the United States ('foreign supported organization')? If 'Yes' and 4 a if you checked 11a or 11 in Part I, answer () and (c) elow a Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If 'Yes,' descrie in Part VI how the organization had such control and discretion despite eing controlled or supervised y or in connection with its supported organizations c 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)? If 'Yes,' explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes a Did the organization add, sustitute, or remove any supported organizations during the tax year? If 'Yes,' answer () and (c) elow (if applicale). Also, provide detail in Part VI, including (i) the names and EIN numers of the supported organizations added, sustituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as y amendment to the organizing document) Type I or Type II only. Was any added or sustituted supported organization part of a class already designated in the organization's organizing document? c Sustitutions only. Was the sustitution the result of an event eyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitale class enefited y one or more of its supported organizations, or (iii) other supporting organizations that also support or enefit one or more of the filing organization's supported organizations? If 'Yes,' provide detail in Part VI c 5a 5 5c 6 7 Did the organization provide a grant, loan, compensation, or other similar payment to a sustantial contriutor (defined in section 4958(c)(3)(C)), a family memer of a sustantial contriutor, or a 35% controlled entity with regard to a sustantial contriutor? If 'Yes,' complete Part I of Schedule L (Form 990 or 990-EZ) Did the organization make a loan to a disqualified person (as defined in section 4958) not descried in line 7? If 'Yes,' complete Part I of Schedule L (Form 990 or 990-EZ) a Was the organization controlled directly or indirectly at any time during the tax year y one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations descried in section 509(a)(1) or (2))? If 'Yes,' provide detail in Part VI Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If 'Yes,' provide detail in Part VI Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal enefit from, c assets in which the supporting organization also had an interest? If 'Yes,' provide detail in Part VI Was the organization suject to the excess usiness holdings rules of section 4943 ecause of section 4943(f) (regarding 10 a certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If 'Yes,' answer 10 elow a 9 9c 10a Did the organization, have any excess usiness holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess usiness holdings.) TEEA0404L 10/12/15 Schedule A (Form 990 or 990-EZ) 2015

17 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 5 Part IV Supporting Organizations (continued) Yes No 11 Has the organization accepted a gift or contriution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons descried in () and (c) elow, the governing ody of a supported organization? A family memer of a person descried in (a) aove? c A 35% controlled entity of a person descried in (a) or () aove? If 'Yes' to a,, or c, provide detail in Part VI Section B. Type I Supporting Organizations 1 Did the directors, trustees, or memership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If 'No,' descrie in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, descrie how the powers to appoint 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 Did the organization operate for the enefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If 'Yes,' explain in Part VI how providing such enefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization Section C. Type II Supporting Organizations 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,' descrie 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) Section D. All Type III Supporting Organizations 11a 11 11c Yes Yes Yes No No No 1 Did the organization provide to each of its supported organizations, y the last day of the fifth month of the organization's tax year, (i) a written notice descriing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization's officers, directors, or trustees either (i) appointed or elected y the supported 2 organization(s) or (ii) serving on the governing ody of a supported organization? If 'No,' explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s) By reason of the relationship descried in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If 'Yes,' descrie in Part VI the role the organization's supported organizations played in this regard Section E. Type III Functionally-Integrated Supporting Organizations 3 1 Check the ox next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions): a c The organization satisfied the Activities Test. Complete line 2 elow. The organization is the parent of each of its supported organizations. Complete line 3 elow. The organization supported a governmental entity. Descrie in Part VI how you supported a government entity (see instructions). 2 Activities Test. Answer (a) and () elow. Yes No a Did sustantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If 'Yes,' then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted sustantially all of its activities Did the activities descried in (a) constitute activities that, ut for the organization's involvement, one or more of the organization's supported organization(s) would have een engaged in? If 'Yes,' explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities ut for the organization's involvement a 2 3 Parent of Supported Organizations. Answer (a) and () elow. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of a each of the supported organizations? Provide details in Part VI a Did the organization exercise a sustantial degree of direction over the policies, programs, and activities of each of its supported organizations? If 'Yes,' descrie in Part VI the role played y the organization in this regard TEEA0405L 10/12/15 Schedule A (Form 990 or 990-EZ)

18 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 6 Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Novemer 20, 197 See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A ' Adjusted Net Income 1 Net short-term capital gain Recoveries of prior-year distriutions Other gross income (see instructions) Add lines 1 through Depreciation and depletion 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) Other expenses (see instructions) Adjusted Net Income (sutract lines 5, 6 and 7 from line 4) Section B ' Minimum Asset Amount 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities a Average monthly cash alances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1, and 1c) e Discount claimed for lockage or other factors (explain in detail in Part VI): 2 Acquisition indetedness applicale to non-exempt-use assets Sutract line 2 from line 1d Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions) Net value of non-exempt-use assets (sutract line 4 from line 3) Multiply line 5 y Recoveries of prior-year distriutions Minimum Asset Amount (add line 7 to line 6) c 1d 4 (A) Prior Year (A) Prior Year (B) Current Year (optional) (B) Current Year (optional) Section C ' Distriutale Amount Current Year 1 Adjusted net income for prior year (from Section A, line 8, Column A) Enter 85% of line Minimum asset amount for prior year (from Section B, line 8, Column A) Enter greater of line 2 or line Income tax imposed in prior year Distriutale Amount. Sutract line 5 from line 4, unless suject to emergency temporary reduction (see instructions) Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions). Schedule A (Form 990 or 990-EZ) TEEA0406L 10/12/15

19 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 7 Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section D ' Distriutions Current Year 1 Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distriutions (descrie in Part VI). See instructions Total annual distriutions. Add lines 1 through Distriutions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions Distriutale amount for 2015 from Section C, line Line 8 amount divided y Line 9 amount Section E ' Distriution Allocations (see instructions) 1 Distriutale amount for 2015 from Section C, line Underdistriutions, if any, for years prior to 2015 (reasonale cause required ' see instructions) Excess distriutions carryover, if any, to 2015: a c d From e From f Total of lines 3a through e g Applied to underdistriutions of prior years h Applied to 2015 distriutale amount i Carryover from 2010 not applied (see instructions) j Remainder. Sutract lines 3g, 3h, and 3i from 3f Distriutions for 2015 from Section D, line 7: $ a Applied to underdistriutions of prior years Applied to 2015 distriutale amount c Remainder. Sutract lines 4a and 4 from Remaining underdistriutions for years prior to 2015, if any. Sutract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) Remaining underdistriutions for Sutract lines 3h and 4 from line 1 (if amount greater than zero, see instructions) (i) (ii) (iii) Excess Underdistriutions Distriutale Distriutions Pre-2015 Amount for Excess distriutions carryover to Add lines 3j and 4c Breakdown of line 7: a c Excess from d Excess from e Excess from Schedule A (Form 990 or 990-EZ) 2015 TEEA0407L 10/12/15

20 Schedule A (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 8 Part VI Supplemental Information. Provide the explanations required y Part II, line 10; Part II, line 17a or 17;Part III, line 12; Part IV, Section A, lines 1, 2, 3, 3c, 4, 4c, 5a, 6, 9a, 9, 9c, 11a, 11, 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 1c, 2a, 2, 3a and 3; 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.) Part III, Line 12 - Other Income Nature and Source Clothing $ 6 Insurance 731. Total $ 791. $ $ $ $ TEEA0408L 10/12/15 Schedule A (Form 990 or 990-EZ) 2015

21 Supplemental Financial Statements OMB No SCHEDULE D (Form 990) G Complete if the organization answered 'Yes' on Form 990, 2015 Part IV, line 6, 7, 8, 9, 10, 11a, 11, 11c, 11d, 11e, 11f, 12a, or 12. G Attach to Form 99 Department of the Treasury Open to Pulic Internal Revenue Service G Information aout Schedule D (Form 990) and its instructions is at Inspection Name of the organization Employer identification numer Part I Goodhue County 4-H Federation MN Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered 'Yes' on Form 990, Part IV, line 6. Total numer at end of year Aggregate value of contriutions to (during year) Aggregate value of grants from (during year) Aggregate value at end of year (a) Donor advised funds 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, suject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can e used only for charitale purposes and not for the enefit of the donor or donor advisor, or for any other purpose conferring impermissile private enefit? Part II Conservation Easements. Complete if the organization answered 'Yes' on Form 990, Part IV, line 7. 1 Purpose(s) of conservation easements held y the organization (check all that apply). Preservation of land for pulic use (e.g., recreation or education) Protection of natural haitat Preservation of open space () Funds and other accounts Yes Yes Preservation of a historically important land area Preservation of a certified historic structure 2 Complete lines 2a through 2d if the organization held a qualified conservation contriution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total numer of conservation easements a Total acreage restricted y conservation easements c Numer of conservation easements on a certified historic structure included in (a) c d Numer of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register d 3 Numer of conservation easements modified, transferred, released, extinguished, or terminated y the organization during the tax year G 4 Numer of states where property suject to conservation easement is located G Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? Yes Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year G Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year G$ 8 Does each conservation easement reported on line 2(d) aove satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? In Part III, descrie how the organization reports conservation easements in its revenue and expense statement, and alance sheet, and include, if applicale, the text of the footnote to the organization's financial statements that descries the organization's accounting for conservation easements. Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 8. 1 a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and alance sheet works of art, historical treasures, or other similar assets held for pulic exhiition, education, or research in furtherance of pulic service, provide, in Part III, the text of the footnote to its financial statements that descries these items. If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and alance sheet works of art, historical treasures, or other similar assets held for pulic exhiition, education, or research in furtherance of pulic service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line G$ (ii) Assets included in Form 990, Part G$ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to e reported under SFAS 116 (ASC 958) relating to these items: a Revenue included on Form 990, Part VIII, line G$ Assets included in Form 990, Part G$ For Paperwork Reduction Act Notice, see the Instructions for Form 99 Yes No No No No TEEA3301L 06/03/15 Schedule D (Form 990) 2015

22 Schedule D (Form 990) 2015 Goodhue County 4-H Federation MN Page 2 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection a items (check all that apply): Pulic exhiition d Loan or exchange programs Scholarly research e Other c Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part III. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to e sold to raise funds rather than to e maintained as part of the organization's collection? Yes No Part IV Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' on Form 990, Part IV, line 9, or reported an amount on Form 990, Part, line a Is the organization an agent, trustee, custodian or other intermediary for contriutions or other assets not included on Form 990, Part? If 'Yes,' explain the arrangement in Part III and complete the following tale: c Beginning alance c Yes Amount d Additions during the year d e Distriutions during the year e f Ending alance f 2 a Did the organization include an amount on Form 990, Part, line 21, for escrow or custodial account liaility?..... Yes No If 'Yes,' explain the arrangement in Part III. Check here if the explanation has een provided on Part III Part V Endowment Funds. Complete if the organization answered 'Yes' on Form 990, Part IV, line 1 (a) Current year () Prior year (c) Two years ack (d) Three years ack (e) Four years ack 1 a Beginning of year alance Contriutions c Net investment earnings, gains, and losses d Grants or scholarships a Are there endowment funds not in the possession of the organization that are held and administered for the organization y: Yes No (i) unrelated organizations a(i) (ii) related organizations a(ii) If 'Yes' on line 3a(ii), are the related organizations listed as required on Schedule R? Descrie in Part III the intended uses of the organization's endowment funds. Part VI Land, Buildings, and Equipment. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part, line 1 Description of property 1 a Land Buildings c Leasehold improvements , , , , , ,00 2 1,903. 1,02 3,973. 4, e Other expenditures for facilities and programs f Administrative expenses g End of year alance , , , , , Provide the estimated percentage of the current year end alance (line 1g, column (a)) held as: a Board designated or quasi-endowment G % Permanent endowment G % c Temporarily restricted endowment G % The percentages on lines 2a, 2, and 2c should equal 100%. (a) Cost or other asis () Cost or other (c) Accumulated (investment) asis (other) depreciation (d) Book value d Equipment e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part, column (B), line 10c.) G Schedule D (Form 990) 2015 No TEEA3302L 10/12/15

23 Schedule D (Form 990) 2015 Goodhue County 4-H Federation MN Page 3 Part VII Investments ' Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11. See Form 990, Part, line 12. (a) Description of security or category (including name of security) () Book value (c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives (2) Closely-held equity interests (3) Other Goodhue County 4-H Quasi Endo (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Column () must equal Form 990, Part, column (B) line 12.)... G 51,221. Part VIII Investments ' Program Related. N/A Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part, line 13. (a) Description of investment () Book value (c) Method of valuation: Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column () must equal Form 990, Part, column (B) line 13.)... G Part I Other Assets. N/A Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part, line 15. (a) Description () Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column () must equal Form 990, Part, column (B) line 15.) G Part Other Liailities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part, line 25 (a) Description of liaility () Book value (1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Total. (Column () must equal Form 990, Part, column (B) line 25.) G 2. Liaility for uncertain tax positions. In Part III, provide the text of the footnote to the organization's financial statements that reports the organization's liaility for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has een provided in Part III ,221. End of Year Market Value TEEA3303L 06/03/15 Schedule D (Form 990) 2015

24 Schedule D (Form 990) 2015 Goodhue County 4-H Federation MN Page 4 Part I Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. N/A 1 Total revenue, gains, and other support per audited financial statements Amounts included on line 1 ut not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments a Donated services and use of facilities c Recoveries of prior year grants c d Other (Descrie in Part III.) d e Add lines 2a through 2d e 3 Sutract line 2e from line Amounts included on Form 990, Part VIII, line 12, ut not on line 1: a Investment expenses not included on Form 990, Part VIII, line a Other (Descrie in Part III.) c Add lines 4a and c 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) Part II Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. 1 Total expenses and losses per audited financial statements Amounts included on line 1 ut not on Form 990, Part I, line 25: a Donated services and use of facilities a Prior year adjustments c Other losses c d Other (Descrie in Part III.) d e Add lines 2a through 2d Sutract line 2e from line Amounts included on Form 990, Part I, line 25, ut not on line 1: a Investment expenses not included on Form 990, Part VIII, line a Other (Descrie in Part III.) c Add lines 4a and c 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) Part III Supplemental Information. Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1 and 2; Part V, line 4; Part, line 2; Part I, lines 2d and 4; and Part II, lines 2d and 4. Also complete this part to provide any additional information. 2 e N/A Schedule D (Form 990) 2015 TEEA3304L 06/03/15

25 Supplemental Information Regarding Fundraising or Gaming Activities OMB No SCHEDULE G Complete if the organization answered 'Yes' on Form 990, Part IV, lines 17, 18, or 19, or if the (Form 990 or 990-EZ) organization entered more than $15,000 on Form 990-EZ, line 6a G Attach to Form 990 or Form 990-EZ. Department of the Treasury Open to Pulic Internal Revenue Service G Information aout Schedule G (Form 990 or 990-EZ) and its instructions is at Inspection Name of the organization Employer identification numer Goodhue County 4-H Federation MN Fundraising Activities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 17. Part I Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a Mail solicitations e Solicitation of non-government grants c d Internet and solicitations Phone solicitations In-person solicitations f g Solicitation of government grants Special fundraising events 2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? If 'Yes,' list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to e compensated at least $5,000 y the organization. (i) Name and address of individual (ii) Activity (iii) Did fundraiser (iv) Gross receipts (v) Amount paid to (vi) Amount paid to or entity (fundraiser) have custody or control from activity (or retained y) (or retained y) of contriutions? fundraiser listed in organization column (i) 1 Yes No Yes No Total List all states in which the organization is registered or licensed to solicit contriutions or has een notified it is exempt from registration or licensing. G For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA3701L 12/02/15 Schedule G (Form 990 or 990-EZ) 2015

26 Schedule G (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 2 Part II Fundraising Events. Complete if the organization answered 'Yes' on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contriutions and gross income on Form 990-EZ, lines 1 and 6. List events with gross receipts greater than $5,00 (a) Event #1 () Event #2 (c) Other events (d) Total events (add column (a) Hog Roast Cloverstop None through column (c)) R E (event type) (event type) (total numer) V E N 1 Gross receipts , , ,231. U E Less: Contriutions , ,11 3 Gross income (line 1 minus line 2) , , , Cash prizes Noncash prizes D I R E C 6 Rent/facility costs T 7 Food and everages E P 8 Entertainment E N S 9 Other direct expenses E S 10 Direct expense summary. Add lines 4 through 9 in column (d) G 15, Net income summary. Sutract line 10 from line 3, column (d) G 23,434. Part III Gaming. Complete if the organization answered 'Yes' on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. R E V E N U E Gross revenue (a) Bingo 1,943. 3, ,973. 5,00 () Pull tas/instant ingo/progressive ingo (c) Other gaming 25 6,916. 8,521. (d) Total gaming (add column (a) through column (c)) E D 2 Cash prizes I P 3 Noncash prizes R E E N C S T E 4 Rent/facility costs S 5 Other direct expenses Yes % Yes % Yes % 6 Volunteer laor No No No 7 8 Direct expense summary. Add lines 2 through 5 in column (d) G Net gaming income summary. Sutract line 7 from line 1, column (d) G 9 Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? Yes No If 'No,' explain: 10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? Yes No If 'Yes,' explain: TEEA3702L 06/02/15 Schedule G (Form 990 or 990-EZ) 2015

27 Schedule G (Form 990 or 990-EZ) 2015 Goodhue County 4-H Federation MN Page 3 11 Does the organization conduct gaming activities with nonmemers? Yes No 12 Is the organization a grantor, eneficiary or trustee of a trust or a memer of a partnership or other entity formed to administer charitale gaming? Yes No 13 Indicate the percentage of gaming activity conducted in: a The organization's facility An outside facility Enter the name and address of the person who prepares the organization's gaming/special events ooks and records: 13 a 13 % % Name G Address G 15 a Does the organization have a contract with a third party from whom the organization receives gaming revenue? Yes No If 'Yes,' enter the amount of gaming revenue received y the organizationg $ and the amount of gaming revenue retained y the third party G $. c If 'Yes,' enter name and address of the third party: Name G Address G 16 Gaming manager information: Name G Gaming manager compensation G $ Description of services provided G Director/officer Employee Independent contractor 17 Mandatory distriutions a Is the organization required under state law to make charitale distriutions from the gaming proceeds to retain the state gaming license? Yes No Enter the amount of distriutions required under state law to e distriuted to other exempt organizations or spent in the organization's own exempt activities during the tax year G $ Part IV Supplemental Information. Provide the explanations required y Part I, line 2, columns (iii) and (v); and Part III, lines 9, 9, 10, 15, 15c, 16, and 17, as applicale. Also provide any additional information (see instructions). TEEA3703L 06/02/15 Schedule G (Form 990 or 990-EZ) 2015

28 Supplemental Information to Form 990 or 990-EZ OMB No SCHEDULE O (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information G Attach to Form 990 or 990-EZ. G Information aout Schedule O (Form 990 or 990-EZ) and its instructions is Open to Pulic Department of the Treasury Internal Revenue Service at Inspection Name of the organization Goodhue County 4-H Federation MN Form 990, Part III, Line 4d - Other Program Services Description Employer identification numer H Amassadors/Youth Leadership: Youth learn valuale leadership skills they will use in their communities throughout their lives. 4-H Camps and Adventures: Exposes youth to new short-term learning opportunities and promotes on-going engagement in positive endeavors outside of school. Form 990, Part VI, Line 3 - Description of Delegated Duties to Management Company The Executive Board votes on most of the Goodhue County 4-H Federation actions during the course of the year. The annual udget, however, is voted and approved y all the memers. The coordinator, marketing person, and support staff are employed y the University of Minnesota. The Goodhue County 4-H Federation is responsile for reimursing the University of Minnesota for these costs. Form 990, Part VI, Line 7a - How Memers or Shareholders Elect Governing Body The Executive Board is elected each July and takes office on Octoer 1 of each year. The individual 4-H clus that are under the Goodhue County 4-H Federation get a certain numer of proxy votes ased on their size. These votes are used to elect the Executive Board. Form 990, Part VI, Line 7 - Decisions of Governing Body Approval y Memers or Shareholders The yearly udget is approved y all memers. Form 990, Part VI, Line 11 - Form 990 Review Process The Executive Board (Governing Body) mainly consist of youth memers. The Adult Treasurer is the Board Memer who is responsile for reviewing and signing the annual return. For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA4901L 10/12/15 Schedule O (Form 990 or 990-EZ) (2015)

29 Schedule O (Form 990 or 990-EZ) 2015 Page 2 Name of the organization Employer identification numer Goodhue County 4-H Federation MN Form 990, Part VI, Line 19 - Other Organization Documents Pulicly Availale Governing documents are made availale to the pulic upon request. Schedule O (Form 990 or 990-EZ) (2015) TEEA4902L 10/12/15

30 Form 8868 (Rev January 2014) Application for Extension of Time To File an Exempt Organization Return OMB No GFile a separate application for each return. Department of the Treasury Internal Revenue Service GInformation aout Form 8868 and its instructions is at If you are filing for an Automatic 3-Month Extension, complete only Part I and check this ox G? If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Do not complete Part II unless you have already een granted an automatic 3-month extension on a previously filed Form Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must e sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit and click on e-file for Charities & Nonprofits. Part I Automatic 3-Month Extension of Time. Only sumit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension ' check this ox and complete Part I only..... All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Enter filer's identifying numer, see instructions Type or print File y the due date for filing your return. See instructions. Name of exempt organization or other filer, see instructions. Numer, street, and room or suite numer. If a P.O. ox, see instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions. G Employer identification numer (EIN) or Goodhue County 4-H Federation MN West 5th Street, Room 102 Red Wing, MN Social security numer (SSN) Enter the Return code for the return that this application is for (file a separate application for each return) Application Return Application Return Is For Code Is For Code Form 990 or Form 990-EZ 01 Form 990-T (corporation) 07 Form 990-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form Form 990-T (section 401(a) or 408(a) trust) 05 Form Form 990-T (trust other than aove) 06 Form ? The ooks are in the care of G Goodhue County 4-H Federation Telephone No. G Fax No. G ? If the organization does not have an office or place of usiness in the United States, check this ox G? If this is for a Group Return, enter the organization's four digit Group Exemption Numer (GEN). If this is for the whole group, check this ox G. If it is for part of the group, check this ox.... G and attach a list with the names and EINs of all memers the extension is for. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until 5/15, 20 17, to file the exempt organization return for the organization named aove. The extension is for the organization's return for: G calendar year 20 or G tax year eginning 10/01, 20 15, and ending 9/30, If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period 3 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundale credits. See instructions a$ If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundale credits and estimated tax payments made. Include any prior year overpayment allowed as a credit $ c Balance due. Sutract line 3 from line 3a. Include your payment with this form, if required, y using EFTPS (Electronic Federal Tax Payment System). See instructions c$ Caution. If you are going to make an electronic funds withdrawal (direct deit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. FIFZ0501L 12/31/13 Form 8868 (Rev )

31