Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 04-01-2015 , and ending 03-31-2016
Name of foundation
THE CHELSEA HEALTH AND WELLNESS
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)14800 E OLD US 12
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHELSEA, MI48118
A Employer identification number

26-3040367
B Telephone number (see instructions)

(734) 433-4599
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$47,100,107J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 267 267  
4 Dividends and interest from securities... 499,891 499,891  
5a Gross rents............ 339,599 339,599  
b Net rental income or (loss) 256,729
6a Net gain or (loss) from sale of assets not on line 10 35,541
b Gross sales price for all assets on line 6a 26,776,351
7 Capital gain net income (from Part IV, line 2)... 2,198,919
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 104,547
b Less: Cost of goods sold.... 63,876
c Gross profit or (loss) (attach schedule)..... 40,671 40,671
11 Other income (attach schedule)....... Click to see attachment 4,395,963 -29,041 4,420,664
12 Total. Add lines 1 through 11........ 5,311,932 3,009,635 4,461,335
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 194,745 76,718 0 118,027
14 Other employee salaries and wages...... 2,849,561 46,886 2,689,514 113,161
15 Pension plans, employee benefits....... 44,141 9,095 0 35,046
16a Legal fees (attach schedule)......... Click to see attachment 1,152,097 0 450 1,151,647
b Accounting fees (attach schedule)....... Click to see attachment 53,885 0 0 53,885
c Other professional fees (attach schedule).... Click to see attachment 432,475 0 332,640 144,893
17 Interest............... 311,971 0 311,971 0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 5,721 0 0 0
19 Depreciation (attach schedule) and depletion... 969,032 0 249,911
20 Occupancy.............. 352,809 0 25,122 327,645
21 Travel, conferences, and meetings....... 23,874 0 11,306 12,718
22 Printing and publications.......... 1,704 0 0 1,704
23 Other expenses (attach schedule)....... Click to see attachment 1,558,726 231,120 1,127,784 295,910
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,950,741 363,819 4,748,698 2,254,636
25 Contributions, gifts, grants paid....... 339,187 463,707
26 Total expenses and disbursements. Add lines 24 and 25 8,289,928 363,819 4,748,698 2,718,343
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -2,977,996
b Net investment income (if negative, enter -0-) 2,645,816
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 17,224 6,458 6,458
2 Savings and temporary cash investments......... 661,011 446,897 446,897
3 Accounts receivable bullet45,511
Less: allowance for doubtful accounts bullet1,834 74,573 43,677 43,677
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use.............. 18,594 21,465 21,465
9 Prepaid expenses and deferred charges.......... 182,304 4,631 4,631
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 27,952,665 Click to see attachment24,544,087 24,544,087
14 Land, buildings, and equipment: basis bullet26,650,614
Less: accumulated depreciation (attach schedule) bullet4,617,722 22,838,267 Click to see attachment22,032,892 22,032,892
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 51,744,638 47,100,107 47,100,107
Liabilities 17 Accounts payable and accrued expenses.......... 349,655 515,018
18 Grants payable.................. 331,490 220,915
19 Deferred revenue................. 398,194 382,119
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 11,408,471 10,895,086
22 Other liabilities (describe bullet) Click to see attachment195,790 Click to see attachment226,073
23 Total liabilities (add lines 17 through 22)......... 12,683,600 12,239,211
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 39,061,038 34,860,896
30 Total net assets or fund balances (see instructions)..... 39,061,038 34,860,896
31 Total liabilities and net assets/fund balances (see instructions). 51,744,638 47,100,107
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
39,061,038
2
Enter amount from Part I, line 27a .....................
2
-2,977,996
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
36,083,042
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,222,146
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
34,860,896
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P    
b FROM K-1 CFI STRATEGIC SOLUTIONS GLOBAL EQUITY FUND P    
c FROM K-1 CFI STRATEGIC SOLUTIONS GLOBAL EQUITY FUND P    
d FROM K-1 CFI INSTITUTIONAL HIGH QUALITY BOND FUND P    
e FROM K-1 CFI INSTITUTIONAL HIGH QUALITY BOND FUND P    
FROM K-1 RUSSELL MULTI ASSET CORE PLUS FUND P    
FROM K-1 RUSSELL MULTI ASSET CORE PLUS FUND P    
FROM K-1 RUSSELL CORE BOND FUND P    
FROM K-1 RUSSELL CORE BOND FUND P    
LOSS ON SALE OF CFI STRATEGIC SOLUTIONS P    
LOSS ON SALE OF CFI HQ BOND FUND P    
LOSS ON SALE OF FIXED ASSETS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,931,286   2,892,502 38,784
b 407,251     407,251
c 1,852,391     1,852,391
d 38,295     38,295
e 12,428     12,428
44,583     44,583
125,878     125,878
    117,973 -117,973
    28,520 -28,520
18,965,466   19,115,105 -149,639
2,398,773   2,420,089 -21,316
    3,243 -3,243
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       38,784
b       407,251
c       1,852,391
d       38,295
e       12,428
      44,583
      125,878
      -117,973
      -28,520
      -149,639
      -21,316
      -3,243
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 2,198,919
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 2,074,568 30,616,055 0.067761
2013 15,860,549 31,385,034 0.505354
2012 1,769,220 30,639,829 0.057742
2011 1,297,445 30,267,005 0.042867
2010 1,225,970 29,372,688 0.041738
2
Total of line 1, column (d) .....................
20.715462
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.143092
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
27,031,264
5
Multiply line 4 by line 3......................
5
3,867,958
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
26,458
7
Add lines 5 and 6........................
7
3,894,416
8
Enter qualifying distributions from Part XII, line 4.............
8
2,885,243
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 52,916
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 52,916
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 52,916
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 60,313
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 60,313
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 419
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,978
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet6,978 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.5HEALTHYTOWNS.ORG
    14
    The books are in care ofbulletAMY HEYDLAUFF Telephone no.bullet (734) 433-4599

    Located atbullet14800 E OLD US 12CHELSEAMI ZIP+4bullet48118
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    AMY HEYDLAUFF CHIEF EXECUTIVE OFFICER
    40.00     		119,350 11,791 0
    14800 OLD US 12
    CHELSEA,MI48118
    SCOTT BROSHAR TREASURER
    7.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    LARRY COBLER CHAIR
    3.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    NANCY GRAEBNER BOARD MEMBER
    2.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    KARI NEWMAN BOARD MEMBER
    4.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    KEVIN DOMBKOWSKI SECRETARY
    4.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    ANNE KITTENDORF BOARD MEMBER
    4.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    TOM MANN BOARD MEMBER
    7.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    ROBERT STEPHENS BOARD MEMBER
    3.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    JEFF WALLACE BOARD MEMBER
    4.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    ROB CASALOU BOARD MEMBER
    1.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    SALLY DEVOL BOARD MEMBER
    12.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    COY VAUGHN BOARD MEMBER
    8.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    MICHAEL WILLIS BOARD MEMBER
    9.00     		0 0 0
    14800 OLD US 12
    CHELSEA,MI48118
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    MATT PEGOUSKIE COMMUNITY RESOURCE M
    40.00     		57,449 1,723 0
    14800 OLD US 12
    CHELSEA,MI48118
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    SCHIFF HARDIN LLP ATTORNEY FEES 1,105,002
    350 S MAIN STREET SUITE 210
    ANN ARBOR,MI48104
    RUSSELL INVESTMENTS INVESTMENT MANAGEMENT FEES 208,406
    1301 SECOND AVENUE
    SEATTLE,WA98101
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 OVERSIGHT OF THE CHELSEA, DEXTER, MANCHESTER & STOCKBRIDGE WELLNESS CENTERS WHICH SERVE APPROXIMATELY 6,700 SERVICE AREA RESIDENTS. THE WELLNESS CENTERS ARE MEDICALLY INTEGRATED WELLNESS FACILITIES THAT INCLUDE ORTHOPEDIC AND PHYSICAL THERAPY SERVICES OPEN TO THE PUBLIC, THERAPY POOLS AND WORKOUT EQUIPMENT. THEY ALSO PROVIDE FREE CLASSES TO DEVELOPMENTALLY DISABLED ADULTS AND OTHER COMMUNITY MEMBERS PLUS FEE BASED CLASSES TO ANYONE IN THE COMMUNITY. HEALTH LECTURES ARE FREE FOR THE COMMUNITY. CHELSEA WELLNESS CENTER IS THE FIRST CERTIFIED MEDICAL INTEGRATION CENTER IN MI. 4,519,597
    2 ESTABLISHED FIVE COMMUNITIES WELLNESS COALITIONS. OUR TECHNICAL SUPPORT INCLUDES IDENTIFYING LOCAL/STATE & NATIONAL RESOURCES, IDENTIFYING PREVENTION BEST PRACTICES, PLANNING & FUNDING ACTIVITIES & MEETINGS, ARCHIVING DOCUMENTS, DEVELOPING MARKETING & EDUCATIONAL MATERIAL, PUBLICITY, EDUCATING ON THE ROLE OF COALITIONS & PROJECT DEVELOPMENT, HOSTING WORKSHOPS, PROBLEM SOLVING AND GENERAL SUPPORT OF VOLUNTEERS (COALITION MEMBERS). FUNDS ARE AVAILABLE FOR COMPREHENSIVE WELLNESS PLANS IN EACH OF THE FIVE COMMUNITIES IN THE SERVICE AREA. 154,730
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    25,798,834
    b
    Average of monthly cash balances.......................
    1b
    298,241
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,345,833
    d
    Total (add lines 1a, b, and c).........................
    1d
    27,442,908
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    27,442,908
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    411,644
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    27,031,264
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,351,563
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,351,563
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    52,916
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
    501
    c
    Add lines 2a and 2b............................
    2c
    53,417
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,298,146
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    12,754
    5
    Add lines 3 and 4............................
    5
    1,310,900
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,310,900
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    2,718,343
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    166,900
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,885,243
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,885,243
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 1,310,900
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013...... 13,639,331
    e From 2014...... 549,326
    fTotal of lines 3a through e........ 14,188,657
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,885,243
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 1,310,900
    e Remaining amount distributed out of corpus 1,574,343
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 15,763,000
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		15,763,000
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013.... 13,639,331
    d Excess from 2014.... 549,326
    e Excess from 2015.... 1,574,343
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    AMY HEYDLAUFF
    14800 E OLD US 12
    CHELSEA,MI48118
    (734) 433-4599
    bThe form in which applications should be submitted and information and materials they should include:
    ELECTRONIC SUBMISSION THROUGH THE "GRANTS" TAB ON WEBSITE. ALL INFORMATION RELATED TO GRANT APPLICATION IS POSTED ON WEBSITE. APPLICANTS WILL BE REQUIRED TO PROVIDE PROOF OF NON-PROFIT STATUS, RESPONSIBLE CONTACT, DEMONSTRATED NEED, PURPOSE, MISSION, BUDGET, METHOD OF MEASUREMENT, AND SUBSTAINABILITY PLAN.
    cAny submission deadlines:
    APPROXIMATELY THE FIRST OF FEBRUARY, APRIL, JUNE, AUGUST, OCTOBER & DECEMBER.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS ARE LIMITED TO NON-PROFITS IN THE ORGANIZATION'S SERVICE AREA, INCLUDING CHELSEA, DEXTER, GRASS LAKE, MANCHESTER, AND STOCKBRIDGE. THE ORGANIZATION ONLY GRANTS TO NON-PROFITS RELATED TO THE ORGANIZATION'S VISION (EAT BETTER, MOVE MORE, AVOID UNHEALTHY SUBSTANCES, AND CONNECT WITH OTHERS IN HEALTHY WAYS).
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ST JOSEPH MERCY CHELSEA
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC HEART & SOLE RACE 2,000
    ST JOSEPH MERCY CHELSEA
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC SRSLY CHELSEA 20,000
    ST JOSEPH MERCY CHELSEA
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC CAC 5H FARM MARKET DEMONSTRATIONS 6,400
    ST JOSEPH MERCY CHELSEA
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC FARMERS MARKET 17,190
    CHELSEA SCHOOL DISTRICT
    500 WASHINGTON STREET
    CHELSEA,MI48118     		NONE PC IRON CLAD BASEBALL FESTIVAL 1,500
    CHELSEA SCHOOL DISTRICT
    500 WASHINGTON STREET
    CHELSEA,MI48118     		NONE PC CAMP GABIKA 11,000
    CHELSEA SCHOOL DISTRICT
    500 WASHINGTON STREET
    CHELSEA,MI48118     		NONE PC HEALTHY SELFIES 1,560
    RUN FOR THE ROLLS
    6045 QUEEN OAKS DRIVE
    CHELSEA,MI48118     		NONE PC RUN FOR THE ROLLS RACE 2,000
    ST LOUIS CENTER
    16195 OLD US 12
    CHELSEA,MI48118     		NONE PC 21ST ANNUAL GOLF & GLORY 500
    CHELSEA SENIOR CENTER
    512 E WASHINGTON STREET
    CHELSEA,MI48118     		NONE PC FESTIVAL OF TABLES 500
    LEGACY LAND CONSERVANCY
    1100 MAIN STREET
    ANN ARBOR,MI48104     		NONE PC FAMILY REC. BROCHURES 200
    CHELSEA DISTRICT LIBRARY
    221 SOUTH MAIN
    CHELSEA,MI48118     		NONE PC COMMUNITY READ 6,000
    BALLET CHELSEA-YDT
    PO BOX 591
    CHELSEA,MI48118     		NONE PC ADAPTIVE MOVEMENT CHELSEA 7,000
    EDDY DISCOVERY CENTER
    17030 BUSH RD
    CHELSEA,MI48118     		NONE PC SNOW SHOES FOR LANTERN LIT TRAILS 500
    DEXTER DISTRICT LIBRARY
    3255 ALPINE STREET
    DEXTER,MI48130     		NONE PC 5H COMMUNITY READ 4,000
    DEXTER SENIOR CENTER
    7720 DEXTER-ANN ARBOR RD
    DETER,MI48118     		NONE PC WINTER MARKEPLACE 500
    METROPARKS FOUNDATION
    PO BOX 337
    DEXTER,MI48130     		NONE PC DEXTER B2B 10K RUN/WALK 500
    EDDY DISCOVERY CENTER
    17030 BUSH RD
    CHELSEA,MI48118     		NONE PC SNOW SHOES FOR LANTERN LIT TRAILS 500
    GRASS LAKE CHARTER TOWNSHIP
    373 LAKESIDE DRIVE
    GRASS LAKE,MI49240     		NONE PC G.L. PARK IMPOVEMENTS 11,500
    GRASS LAKE COMMUNITY SCHOOLS
    1000 GRASS LAKE RD
    GRASS LAKE,MI49240     		NONE PC PROJECT SAFE GRADUATION 1,000
    GRASS LAKE METHODIST CHURCH
    449 E MICHIGAN AVE
    GRASS LAKE,MI49240     		NONE PC FOOD FOR FRIENDS 500
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC COMMUNITY & SCHOOL GARDENS 7,470
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC STRESS MANAGEMENT 6,690
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC SRSLY MANCHESTER 24,130
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC SAFE ROUTES TO SCHOOL 5,000
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC HEALTHY CHEFS 10,000
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC HEALTHY CHEFS 3,272
    MANCHESTER COMMUNITY SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC THE LEADER IN ME 5,000
    MANCHESTER COMMUNITY SCHOOLS FOUNDATION
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC MHS AFTER PROM EVENT 500
    VILLAGE OF MANCHESTER
    912 CITY RD
    MANCHESTER,MI48158     		NONE PC MANCHESTER FARMERS MARKET 8,000
    VILLAGE OF MANCHESTER
    912 CITY RD
    MANCHESTER,MI48158     		NONE PC SAFE ROUTES TO SCHOOL 15,000
    BALLET CHELSEA-YDT
    PO BOX 591
    CHELSEA,MI48118     		NONE PC ADAPTIVE MOVEMENT MANCHESTER 5,500
    MANCHESTER DISTRICT LIBRARY
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC COMMUNITY READ 2,000
    CS MOTT CHILDREN'S HOSPITAL
    1500 MEDICAL CENTER DR
    ANN ARBOR,MI48109     		NONE PC HELMETS FOR PRE-K STUDENTS 345
    RIVERFOLK MUSIC & ARTS ORGANIZATION
    PO BOX 133
    MANCHESTER,MI48104     		NONE PC GAZEBO CONCERTS 1,200
    STOCKBRIDGE COMMUNITY SCHOOLS
    305 W ELIZABETH STREET
    STOCKBRIDGE,MI49285     		NONE PC GATHERING UNDER THE PAVILION 7,000
    STOCKBRIDGE COMMUNITY SCHOOLS
    305 W ELIZABETH STREET
    STOCKBRIDGE,MI49285     		NONE PC COMMUNITY PATHWAYS 2,250
    STOCKBRIDGE COMMUNITY SCHOOLS
    305 W ELIZABETH STREET
    STOCKBRIDGE,MI49285     		NONE PC YOUTH ATHLETIC FIELDS 8,400
    STOCKBRIDGE COMMUNITY SCHOOLS
    305 W ELIZABETH STREET
    STOCKBRIDGE,MI49285     		NONE PC HERITAGE HEALTHY SNACKS 4,500
    STOCKBRIDGE COMMUNITY SCHOOLS
    305 W ELIZABETH STREET
    STOCKBRIDGE,MI49285     		NONE PC OPEN AIR MARKET 3,628
    VILLAGE OF STOCKBRIDGE
    PO BOX 155
    STOCKBRIDGE,MI49285     		NONE PC LAKELAND TRAILS STATE PARK 20,000
    FRIENDS OF THE STOCKBRIDGE LIBRARY
    PO BOX 802
    STOCKBRIDGE,MI49285     		NONE PC COMMUNITY READ 4,225
    ST JOSEPH MERCY CHELSEA
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC SRSLY STOCKBRIDGE 20,000
    UNIVERSITY OF MISSOURI
    PO BOX 807012
    KANSAS CITY,MO64180     		NONE PC BEHAVIOURAL RISK FACTOR SURVEY 32,825
    ST JOSEPH MERCY HOSPITAL
    PO BOX 995
    ANN ARBOR,MI48105     		NONE PC NEXT STEPS FITNESS PROGRAM 24,775
    MANCHESTER SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC HEALTHY CHEF'S PROGRAM 10,000
    DEXTER METHODIST CHURCH
    7643 HURON RIVER DR
    DEXTER,MI48130     		NONE PC FARMERS MARKET 5,616
    HURON PATHWAYS
    14800 E OLD US 12
    CHELSEA,MI48118     		NONE PC CONSULTING FOR PATHWAY CONSTRUC 3,500
    LEGACY LAND GRANT
    1100 N MAIN
    ANN ARBOR,MI48104     		NONE PC CONSULTING FOR PATHWAY CONSTRUC 3,000
    CITY OF DEXTER
    8140 MAIN
    DEXTER,MI48130     		NONE PC FARM FRESH 200
    MANCHESTER SCHOOLS
    410 CITY RD
    MANCHESTER,MI48158     		NONE PC YOUTH FOOTBALL 310
    CHELSEA COMMUNITY HOSPITAL
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC SJMHS RENTAL PAYMENTS 120,521
    PROGRAMS TO EDUCATE ALL CYCLISTS
    32 N WASHINGTON STE 1
    YPSILANTI,MI48197     		NONE PC PEAC DEXTER BIKE SAFETY 4,000
    Total .................................bullet 3a 463,707
    bApproved for future payment
    CHELSEA COMMUNITY HOSPITAL
    775 S MAIN STREET
    CHELSEA,MI48118     		NONE PC SJMHS RENTAL PAYMENTS 220,915
    Total .................................bullet 3b 220,915
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    aMEMBERSHIP FEES         4,411,113
    bMISCELLANEOUS INCOME     14 30 9,521
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 267  
    4 Dividends and interest from securities....     18 499,891  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......     16 67,227  
    bNot debt-financed property.....     16 189,502  
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 35,541  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..     03 40,671  
    11 Other revenue:
    aK-1 OTHER INCOME HIGH QUALITY BOND FUND     		    14 -3,622  
    bK-1 OTHER INCOME CF STRATEGIC SOLUTIONS FLOBAL EQUITY LLC 900099 4,346 14 -28,473  
    cK-1 OTHER INCOME RUSSELL MULTI ASSET CORE PLUS FUND 900099 -6 14 152  
    dK-1 OTHER INCOME RUSSELL CORE BOND FUND     14 2,902  
    e
    12 Subtotal. Add columns (b), (d), and (e).. 4,340 804,088 4,420,634
    13Total. Add line 12, columns (b), (d), and (e)..................
    135,229,062
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    1A FEES GENERATED FROM OPERATION OF MEDICALLY-INTEGRATED COMMUNITY
    1A WELLNESS CENTER
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 53,885 0 0 53,885

    TY 2015 InvestmentsOtherSchedule2
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SSG RELATIVE VALUE & EVENT DRIVEN SERIES FMV 0 0
    RUSSELL INSTL FDS MULTI ASSET CORE PLUS FD FMV 18,441,582 18,441,582
    RUSSELL INSTL FDS LLC CORE BD FD FMV 3,483,441 3,483,441
    RUSSELL TTL RETURN Q CL B SRS 6 FMV 2,619,064 2,619,064

    TY 2015 LandEtcSchedule2
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    LAND 3,101,000 0 3,101,000 3,101,000
    BUILDINGS 21,039,367 3,431,418 17,607,949 17,607,949
    BUILDING IMPROVEMENTS 606,594 157,039 449,555 449,555
    MOVABLE EQUIPMENT 1,016,312 509,503 506,809 506,809
    IT EQUIPMENT 366,242 232,476 133,766 133,766
    IT SOFTWARE 37,216 33,046 4,170 4,170
    FURNITURE AND FIXTURES 483,883 254,240 229,643 229,643


    TY 2015 LegalFeesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,152,097 0 450 1,151,647


    TY 2015 OtherDecreasesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Description Amount
    UNREALIZED LOSS ON SECURITIES 746,956
    INCOME FROM K-1 CFI HIGH QUALITY BOND FUND 40,513
    INCOME FROM K-1 CF STRATEGIC SOLUTIONS GLOBAL EQUITY LLC 122,837
    INCOME FROM K-1 RUSSELL MULTI ASSET CORE PLUS FUND 213,818
    INCOME FROM K-1 RUSSELL CORE BOND FUND 98,022


    TY 2015 OtherExpensesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADVERTISING 230,367 0 217,767 12,600
    TELEPHONE 38,206 0 34,274 3,932
    INSURANCE 54,401 0 0 55,898
    POSTAGE AND SHIPPING 19,085 0 18,755 330
    UTILITIES 375,667 3,447 341,198 31,022
    SUBSCRIPTIONS AND PUBLICATIONS 16,386 0 368 16,688
    LICENSES 48,316 0 48,316 0
    COUPONS 10,057 0 10,057 0
    EQUIPMENT LEASING 29,616 0 29,616 0
    BAD DEBT 23,460 0 23,460 0
    REPAIRS & MAINTENANCE 84,679 0 84,096 583
    MISCELLANEOUS 172,135 0 165,212 7,534
    SUPPLIES 157,435 0 154,665 3,035
    INVESTMENT FEES 208,407 208,407 0 0
    EXCESS OPERATING EXP OVER REVENUE - CASH BASIS 0 0 0 99,857
    COALITION PROJECT EXPENSE 71,243 0 0 64,431
    RENTAL EXPENSE - SUPPLIES 1,042 1,042   0
    RENTAL EXPENSE - REPAIRS & MAINTENANCE 17,646 17,646   0
    RENTAL EXPENSE - UTILITIES 578 578   0


    TY 2015 OtherIncomeSchedule2
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MEMBERSHIP FEES 4,411,113   4,411,113
    MISCELLANEOUS INCOME 9,551   9,551
    K-1 OTHER INCOME HIGH QUALITY BOND FUND -3,622 -3,622 0
    K-1 OTHER INCOME CF STRATEGIC SOLUTIONS FLOBAL EQUITY LLC -24,127 -28,473 0
    K-1 OTHER INCOME RUSSELL MULTI ASSET CORE PLUS FUND 146 152 0
    K-1 OTHER INCOME RUSSELL CORE BOND FUND 2,902 2,902 0


    TY 2015 OtherLiabilitiesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Description Beginning of Year - Book Value End of Year - Book Value
    ACCRUED WAGES 25,171 25,717
    OTHER ACCRUED LIABILITIES 170,619 200,356


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 203,742 0 203,742 0
    OUTSIDE CONTRACT SERVICES 228,733 0 128,898 144,893


    TY 2015 TaxesSchedule
    Name:
    THE CHELSEA HEALTH AND WELLNESS
     
    FOUNDATION
    EIN:
    26-3040367
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 5,721 0 0 0