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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
Richard and Diane Van Grunsven Family
Foundation
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

27-4195377
B Telephone number (see instructions)

(800) 839-1754
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$3,801,132J 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) 505,987
2 Check bullet.............
3 Interest on savings and temporary cash investments 827 827  
4 Dividends and interest from securities... 100,034 100,034  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 66,217
b Gross sales price for all assets on line 6a 2,162,509
7 Capital gain net income (from Part IV, line 2)... 229,219
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 673,065 330,080  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 41,612 41,612    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 16,477 2,771    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 21,883 536   21,347
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 79,972 44,919   21,347
25 Contributions, gifts, grants paid....... 139,045 139,045
26 Total expenses and disbursements. Add lines 24 and 25 219,017 44,919   160,392
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 454,048
b Net investment income (if negative, enter -0-) 285,161
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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.............      
2 Savings and temporary cash investments......... 91,323 234,767 234,767
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 123,838 Click to see attachment118,852 117,722
b Investments—corporate stock (attach schedule)....... 3,071,886 Click to see attachment3,374,098 3,287,535
c Investments—corporate bonds (attach schedule)....... 151,452 Click to see attachment164,830 161,108
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,438,499 3,892,547 3,801,132
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 3,438,499 3,892,547
30 Total net assets or fund balances (see instructions)..... 3,438,499 3,892,547
31 Total liabilities and net assets/fund balances (see instructions). 3,438,499 3,892,547
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
3,438,499
2
Enter amount from Part I, line 27a .....................
2
454,048
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
3,892,547
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
3,892,547
Form 990-PF (2018)
Form 990-PF (2018)
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      
b
c
d
e
(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 2,162,509   1,933,290 229,219
b
c
d
e
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       229,219
b
c
d
e
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 2 229,219
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))
2017 129,905 3,383,766 0.038391
2016 105,598 2,651,463 0.039826
2015 107,036 2,199,312 0.048668
2014 99,791 2,161,621 0.046165
2013 103,347 2,036,316 0.050752
2
Total of line 1, column (d) .....................
2
0.223802
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.04476
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
4,066,955
5
Multiply line 4 by line 3......................
5
182,037
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,852
7
Add lines 5 and 6........................
7
184,889
8
Enter qualifying distributions from Part XII, line 4,.............
8
160,392
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 5,703
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  
3 Add lines 1 and 2........................... 3 5,703
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 5,703
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 7,400
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 7,400
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8  
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 1,697
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet1,697 RefundedBullet 11  
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)
    bulletDE
    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 2018 or the taxable year beginning in 2018? See the 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 (2018)
    Form 990-PF (2018)
    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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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
     
     
    ........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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    Diane Van Grunsven VP, Dir
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Richard Van Grunsven Pres, Dir, Sec
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    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  
    2  
    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.........................bullet  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    3,996,064
    b
    Average of monthly cash balances.......................
    1b
    132,824
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,128,888
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    4,128,888
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    61,933
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,066,955
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    203,348
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    203,348
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    5,703
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,703
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    197,645
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    197,645
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    197,645
    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
    160,392
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    160,392
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    160,392
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 197,645
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 157,187
    b Total for prior years:2016, 2015, 2014  
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 160,392
    a Applied to 2017, but not more than line 2a 157,187
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2018 distributable amount..... 3,205
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018.    
    (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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		194,440
    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) .......     		 
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018.... 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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).)
    Diane Van Grunsven
    Richard Van Grunsven
    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 email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    826LA
    1714 W SUNSET BLVD
    LOS ANGELES,CA90026     		N/A PC General & Unrestricted 500
    ABBEY FOUNDATION OF OREGON
    1 ABBEY DR
    ST BENEDICT,OR97373     		N/A SO I General & Unrestricted 1,000
    ADELANTE MUJERES
    2036 MAIN ST STE A
    FOREST GROVE,OR97116     		N/A PC General & Unrestricted 500
    AFRICAN ROAD INC
    13500 SW 72ND AVE STE 205
    TIGARD,OR97223     		N/A PC General & Unrestricted 2,500
    AIRWAY SCIENCE FOR KIDS INC
    PO BOX 4142
    PORTLAND,OR97208     		N/A PC General & Unrestricted 10,000
    ALZHEIMERS DISEASE RESEARCH FOUNDATION - CURE ALZH
    34 WASHINGTON ST STE 310
    WELLESLEY HILLS,MA02481     		N/A PC General & Unrestricted 500
    AMNESTY INTERNATIONAL OF THE USA INC
    5 PENN PLZ 16TH FL
    NEW YORK,NY10001     		N/A PC General & Unrestricted 500
    AOPA FOUNDATION
    421 AVIATION WAY
    FREDERICK,MD21701     		N/A PC General & Unrestricted 1,500
    BLANCHET HOUSE OF HOSPITALITY
    310 NW GLISAN ST
    PORTLAND,OR97209     		N/A PC General & Unrestricted 10,000
    CATHOLIC CHARITIES
    2740 SE POWELL BLVD
    PORTLAND,OR97202     		N/A PC General & Unrestricted 5,000
    CATHOLIC RELIEF SERVICES INC
    228 W LEXINGTON ST
    BALTIMORE,MD21201     		N/A PC General & Unrestricted 1,000
    CHEETAH CONSERVATION FUND
    PO BOX 2496
    ALEXANDRIA,VA22301     		N/A PC General & Unrestricted 2,525
    CHESS FOR SUCCESS
    2701 NW VAUGHN ST STE 101
    PORTLAND,OR97210     		N/A PC General & Unrestricted 250
    CHILDREN OF THE NIGHT
    14530 SYLVAN ST
    VAN NUYS,CA91411     		N/A PC General & Unrestricted 500
    CYSTIC FIBROSIS FOUNDATION
    1801 E EDINGER AVE STE 135
    SANTA ANA,CA92705     		N/A PC General & Unrestricted 1,000
    DE PAUL TREATMENT CENTERS INC
    PO BOX 3007
    PORTLAND,OR97208     		N/A PC General & Unrestricted 10,000
    DIOCESAN MIGRANT & REFUGEE SERVICES INC
    499 SAINT MATTHEWS ST
    EL PASO,TX79907     		N/A PC Legal help for refugees at Tornillo tent camp 500
    DOERNBECHER CHILDRENS HOSPITAL FOUNDATION
    1121 SW SALMON ST STE 201
    PORTLAND,OR97205     		N/A PC General & Unrestricted 500
    DOWNTOWN WOMENS CENTER
    442 S SAN PEDRO ST
    LOS ANGELES,CA90013     		N/A PC General & Unrestricted 500
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE ST
    MONTGOMERY,AL36104     		N/A PC General & Unrestricted 5,000
    EVERGREEN AVIATION AND SPACE MUSEUM AND THE CAPTAI
    500 NE CAPT MICHAEL KING SMITH WAY
    MCMINNVILLE,OR97128     		N/A PC General & Unrestricted 1,000
    EXPERIMENTAL AIRCRAFT ASSOCIATION INC
    PO BOX 3086
    OSHKOSH,WI54903     		N/A PC General & Unrestricted 10,000
    EXPERIMENTAL AIRCRAFT ASSOCIATION INC
    PO BOX 3086
    OSHKOSH,WI54903     		N/A PC Fund for the purchase of a Sweepstakes aircraft 1,500
    FOOD FOR THE POOR INC
    6401 LYONS RD
    COCONUT CREEK,FL33097     		N/A PC General & Unrestricted 2,000
    FRIENDS OF THE NORTH PLAINS PUBLIC LIBRARY
    PO BOX 525
    NORTH PLAINS,OR97133     		N/A PC General & Unrestricted 500
    HABITAT FOR HUMANITY INTERNATIONAL INC
    PO BOX 806
    FOREST GROVE,OR97116     		N/A PC General & Unrestricted 1,000
    HIAS INC
    411 5TH AVE 10TH FL
    NEW YORK,NY10016     		N/A PC General & Unrestricted 1,000
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND ST 12TH FL
    NEW YORK,NY10168     		N/A PC General & Unrestricted 1,000
    IRCO
    10301 NE GLISAN ST
    PORTLAND,OR97220     		N/A PC General & Unrestricted 1,000
    LGBTQ COMMUNITY CENTER FUND
    4115 N MISSISSIPPI AVE
    PORTLAND,OR97217     		N/A PC General & Unrestricted 500
    LIFEWORKS NW
    14600 NW CORNELL RD
    PORTLAND,OR97229     		N/A PC General & Unrestricted 500
    MARILLAC ST VINCENT FAMILY SERVICES INC
    PO BOX 14699
    CHICAGO,IL60614     		N/A PC General & Unrestricted 500
    MARINE TOYS FOR TOTS FOUNDATION
    18251 QUANTICO GATEWAY DR
    TRIANGLE,VA22172     		N/A PC General & Unrestricted 2,000
    MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT
    PO BOX 5030
    HAGERSTOWN,MD21741     		N/A PC General & Unrestricted 2,000
    MEMORIAL SLOAN-KETTERING CANCER CENTER
    1275 YORK AVE
    NEW YORK,NY10065     		N/A PC General & Unrestricted 1,000
    MERCY CORPS
    45 SW ANKENY ST
    PORTLAND,OR97204     		N/A PC General & Unrestricted 1,000
    MICHAEL J FOX FOUNDATION FOR PARKINSONS RESEARCH
    GRAND CENTRAL STA PO BOX 4777
    NEW YORK,NY10163     		N/A PC General & Unrestricted 720
    NATIONAL PEDIATRIC CANCER FOUNDATION INC
    5550 W EXECUTIVE DR STE 300
    TAMPA,FL33609     		N/A PC General & Unrestricted 500
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 W 20TH ST
    NEW YORK,NY10011     		N/A PC General & Unrestricted 500
    NORTH BY NORTHEAST COMMUNITY HEALTH CENTER
    714 NE ALBERTA ST
    PORTLAND,OR97211     		N/A PC General & Unrestricted 250
    OREGON AVIATION HISTORICAL SOCIETY INC
    2475 JIM WRIGHT WAY
    COTTAGE GROVE,OR97424     		N/A PC Rupert Special restoration 500
    OREGON AVIATION HISTORICAL SOCIETY INC
    2475 JIM WRIGHT WAY
    COTTAGE GROVE,OR97424     		N/A PC Story Special #1 aircrafts fund 500
    OREGON AVIATION HISTORICAL SOCIETY INC
    2475 JIM WRIGHT WAY
    COTTAGE GROVE,OR97424     		N/A PC Wimpy Restoration 500
    OREGON FOOD BANK INC
    7900 NE 33RD DR
    PORTLAND,OR97211     		N/A PC General & Unrestricted 1,000
    P EAR
    338 NW 6TH AVE
    PORTLAND,OR97209     		N/A PC General & Unrestricted 1,000
    PEOPLE ASSISTING THE HOMELESS
    340 N MADISON AVE
    LOS ANGELES,CA90004     		N/A PC General & Unrestricted 500
    PORT TOWNSEND AERO MUSEUM
    105 AIRPORT RD
    PORT TOWNSEND,WA98368     		N/A PC General & Unrestricted 2,000
    PORTLAND LEADERSHIP FOUNDATION
    809 N RUSSELL 203
    PORTLAND,OR97227     		N/A PC Embrace Oregon 500
    PORTLAND RESCUE MISSION
    PO BOX 3713
    PORTLAND,OR97208     		N/A PC General & Unrestricted 300
    PROVIDENCE ST VINCENT MEDICAL FOUNDATION
    9205 SW BARNES RD STE 2111
    PORTLAND,OR97225     		N/A PC Breast Center Transitions 2,000
    RAPHAEL HOUSE OF PORTLAND
    4110 SE HAWTHORNE BLVD 503
    PORTLAND,OR97214     		N/A PC General & Unrestricted 500
    RECREATIONAL AVIATION FOUNDATION
    1711 W COLLEGE ST
    BOZEMAN,MT59715     		N/A PC General & Unrestricted 500
    REFUGEE & IMMIGRANT CENTER FOR EDUCATION & LEGAL S
    5121 CRESTWAY RD STE 105
    WINDCREST,TX78239     		N/A PC General & Unrestricted 1,000
    ROSE HAVEN CIC
    PO BOX 11620
    PORTLAND,OR97211     		N/A PC General & Unrestricted 500
    SALVATION ARMY - CASCADE DIVISION
    8495 SE MONTEREY AVE
    HAPPY VALLEY,OR97086     		N/A PC General & Unrestricted 1,500
    SAVE THE CHILDREN FEDERATION INC
    501 KINGS HWY E STE 400
    FAIRFIELD,CT06825     		N/A PC General & Unrestricted 3,000
    SOARING SOCIETY OF AMERICA INC
    PO BOX 2100
    HOBBS,NM88241     		N/A PC General & Unrestricted 1,500
    SOUTHERN CALIFORNIA SOARING ACADEMY INC
    24307 MAGIC MOUNTAIN PKWY STE 513
    VALENCIA,CA91355     		N/A PC General & Unrestricted 500
    ST ANDRE BESSETTE CATHOLIC CHURCH PORTLAND OREGON
    601 W BURNSIDE ST
    PORTLAND,OR97209     		N/A PC General & Unrestricted 5,000
    ST ANDREW LEGAL CLINIC
    807 NE ALBERTA ST
    PORTLAND,OR97211     		N/A PC General & Unrestricted 1,000
    ST JUDE CHILDRENS RESEARCH HOSPITAL INC
    262 DANNY THOMAS PL
    MEMPHIS,TN38105     		N/A PC General & Unrestricted 1,500
    SUSAN G KOMEN BREAST CANCER FOUNDATION
    1500 SW 1ST AVE STE 270
    PORTLAND,OR97201     		N/A PC General & Unrestricted 2,000
    TEAM KELSEY FOUNDATION INC
    PO BOX 564
    ALTOONA,IA50009     		N/A PC General & Unrestricted 500
    THE ANIMAL PROTECTORATES
    PO BOX 1645
    BURBANK,CA91507     		N/A PC General & Unrestricted 500
    THE CARTER CENTER INC
    453 FREEDOM PKWY NE ONE COPENHILL
    ATLANTA,GA30307     		N/A PC General & Unrestricted 500
    THE ROTARY FOUNDATION OF ROTARY INTERNATIONAL
    1560 SHERMAN AVE
    EVANSTON,IL60201     		N/A PC General & Unrestricted 500
    THE TREVOR PROJECT INC
    8704 SANTA MONICA BLVD
    WEST HOLLYWOOD,CA90069     		N/A PC General & Unrestricted 1,000
    THUMBUDDY SPECIAL INC
    PO BOX 145
    DOWNERS GROVE,IL60515     		N/A PC General & Unrestricted 2,000
    UNITED STATES ASSOCIATION FOR UNHCR
    1310 L ST NW STE 450
    WASHINGTON,DC20005     		N/A PC General & Unrestricted 500
    UNITED STATES FUND FOR UNICEF
    125 MAIDEN LN 10TH FLR
    NEW YORK,NY10038     		N/A PC General & Unrestricted 500
    UNIVERSITY OF PORTLAND
    5000 N WILLAMETTE BLVD
    PORTLAND,OR97203     		N/A PC Presidents club fund 1,000
    VISITATION CATHOLIC CHURCH
    4285 NW VISITATION RD
    FOREST GROVE,OR97116     		N/A PC New School fund 15,000
    WESTERN ANTIQUE AEROPLANE ANDAUTOMOBILE MUSEUM
    1600 AIR MUSEUM RD
    HOOD RIVER,OR97031     		N/A PC General & Unrestricted 1,500
    WINGS OVER THE ROCKIES AIR & SPACE MUSEUM
    7711 E ACADEMY BLVD
    DENVER,CO80230     		N/A PC General & Unrestricted 5,000
    WORLD VISION
    PO BOX 9716
    FEDERAL WAY,WA98063     		N/A PC General & Unrestricted 500
    YOUTH RIGHTS & JUSTICE
    1785 NE SANDY BLVD STE 300
    PORTLAND,OR97232     		N/A PC General & Unrestricted 500
    Total .................................bullet 3a 139,045
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 827  
    4 Dividends and interest from securities....     14 100,034  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    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 66,217  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   167,078  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    167,078
    (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.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    Richard and Diane Van Grunsven Family
    Foundation
    Employer identification number

    27-4195377
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    Richard and Diane Van Grunsven Family
    Foundation         		Employer identification number
    27-4195377
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Van Grunsven Richard  
    9899 NW 316th Place
     
    Hillsboro, OR97124

    		$ 505,987


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    Richard and Diane Van Grunsven Family
    Foundation         		Employer identification number

    27-4195377
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 ADOBE SYSTEMS, INC ADBE, 382 sh. $ 95,765 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 ALIGN TECHNOLOGY, INC ALGN, 225 sh. $ 81,581 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 AMAZON COM AMZN, 48 sh. $ 82,305 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 FACEBOOK INC FB, 266 sh. $ 52,097 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 NETFLIX INC NFLX, 330 sh. $ 129,751 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 SVB FINANCIAL GROUP SIVB, 135 sh. $ 42,504 2018-06-15
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Name of organization
    Richard and Diane Van Grunsven Family
    Foundation         		Employer identification number

    27-4195377
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 VISA INC V, 163 sh. $ 21,983 2018-06-15
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    Richard and Diane Van Grunsven Family
    Foundation         		Employer identification number

    27-4195377
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


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    TY 2018 DepreciationSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Name of Bond End of Year Book Value End of Year Fair Market Value
    21ST CENTY FOX AMER INC - 6.40 2,146 2,495
    21ST CENTY FOX AMER INC BND - 2,173 2,053
    ABBVIE INC - 3.600% - 05/14/20 2,876 2,881
    ALTRIA GROUP INC - 2.850% - 08 3,025 2,880
    ANHEUSER BUSCH INBEV BOND - 3. 5,167 4,713
    ANTHEM INC NOTE - 4.101% - 03/ 3,019 2,940
    APPLE INC - 2.500% - 02/09/202 4,710 4,721
    ASTRAZENECA PLC NOTE - 3.375% 2,012 1,933
    AT&T INC BOND - 3.400% - 05/15 1,894 1,883
    BANK NEW YORK - 3.650% - 02/04 5,052 5,011
    BANK OF MONTREAL MTN - 1.900% 2,973 2,898
    BNP PARIBAS - 3.250% - 03/03/2 1,942 1,965
    BP CAP MKTS - 3.245% - 05/06/2 3,962 3,965
    BURLINGTON NORTHERN SANTA FE - 3,152 3,037
    CAPITAL ONE FINANCIAL CO NOTE 3,999 3,783
    CATERPILLAR INC - 1.350% - 05/ 2,992 2,982
    CITIGROUP INC NOTE - 4.400% - 2,035 1,957
    CITIGROUP INC NOTE - 4.600% - 2,000 1,974
    COMCAST CORP - 3.000% - 02/01/ 5,001 4,878
    CSX CORP - 0.000% - 11/01/2026 2,952 2,729
    CVS CAREMARK CORP NOTE - 4.300 3,970 3,910
    DEERE JOHN CAP CORP BOND - 2.8 5,103 4,889
    DEUTSCHE BANK BOND - 3.125% - 2,991 2,903
    DOMINION RESOURCES INC - 5.200 3,258 3,033
    DUKE ENERGY CORP - 3.750% - 04 1,993 2,003
    ENERGY TRANSFER PARTNERD DTD - 2,865 2,816
    EQT CORP - 3.000% - 10/01/2022 2,893 2,845
    EXPRESS SCRIPTS NOTE - 4.500% 2,116 2,027
    GENERAL ELECTRIC CO - 6.875% - 4,956 4,189
    GENERAL MLS INC - 4.000% - 04/ 985 984
    GENERAL MTRS FINL COINC NOTE - 3,097 2,761
    GEORGIA PAC CORP - 7.750% - 11 2,248 2,674
    GOLDMAN SACHS GROUP NOTE - 2.8 4,009 3,885
    HSBC HLDGS PLC NOTE - 5.100% - 3,338 3,102
    INTERNATIONAL BUSINESS MACHINE 4,567 4,492
    JP MORGAN CHASE - 3.797% - 07/ 4,996 5,010
    KINDER MORGAN EP - 4.150% - 02 4,028 3,973
    MCDONALDS CORP NT - 5.000% - 0 1,099 1,001
    MCKESSON CORP NEW NOTE - 3.950 3,008 2,878
    MORGAN STANLEY - 3.875% - 04/2 4,959 4,965
    ORIX CORPORATION - 2.900% - 07 3,009 2,931
    OWENS CORNING NT - 7.000% - 12 2,020 2,212
    ROYAL BK BOND - 1.625% - 04/15 2,996 2,990
    SHELL INTL FIN NT - 6.375% - 1 2,330 2,527
    STARBUCKS CORP - 3.800% - 08/1 2,983 2,967
    SYNCHRONY FINL - 3.000% - 08/1 5,008 4,967
    UNITED TECHNOLOGIES CORP - 3.6 1,988 1,992
    VERIZON COMMUNICATIONS INC - 4 2,845 2,891
    VMWARE INC - 2.950% - 08/21/20 2,999 2,860
    VODAFONE GROUP PLC - 4.125% - 2,004 1,976
    WELLS FARGO CO MTN BE - 3.300% 4,088 3,869
    WESTPAC BANKING CP - 2.500% - 2,999 2,908

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABB LTD 17,609 13,725
    ACCENTURE PLC 11,420 13,678
    ADOBE SYSTEMS, INC 79,471 71,718
    AIR PRODS & CHEM INC 10,914 10,243
    ALIBABA GROUP HOLDING LTD 31,236 23,302
    ALIGN TECHNOLOGY, INC 49,311 28,482
    ALLEGION PLC 19,870 18,971
    ALPHABET INC CL A 42,790 50,158
    ALTRIA GROUP INC 5,742 4,050
    AMAZON COM 56,081 73,597
    AMDOCS LIMITED 1,611 1,582
    AMERICAN ELECTRIC POWER INC 7,883 12,556
    AMGEN INC 8,737 9,149
    AON PLC 6,252 7,849
    APPLE INC 17,903 30,759
    ASML HOLDING NV NY REG SHS 16,235 15,095
    ASTRAZENECA 10,233 11,394
    AT&T, INC 12,644 10,331
    BANCO BRADESCO S.A. SPONS ADR 12,935 16,951
    BB&T CP 10,941 9,400
    BHP BILLITON LIMITED 18,231 21,248
    BLACKROCK CREDIT STRATEGIES IN 36,799 35,239
    BLACKROCK MULTI-ASSET INCOME I 23,000 21,634
    BLACKROCK TOTAL RETURN FUND IN 35,943 34,322
    BOEING CO 39,490 35,153
    BOSTON SCIENTIFIC 38,135 36,754
    CANADIAN NATURAL RESOURCES LTD 22,596 16,095
    CARNIVAL CORP 7,160 7,099
    CEMEX SA DE CV A ADS 21,671 11,689
    CENTENE CORP 49,117 43,814
    CHEVRON CORP 6,260 5,875
    CHINA PETRO & CHEM 14,355 13,555
    CHUBB LIMITED 46,204 43,534
    CIGNA CORPORATION 5,949 7,027
    CISCO SYSTEMS INC 15,930 17,635
    CITIGROUP INC 12,017 10,672
    CME GROUP, INC 12,203 20,317
    COCA COLA EUROPEAN PARTNERS PL 24,136 27,052
    COHEN & STEERS QLTY INCM RLTY 12,692 12,100
    COMCAST CORP 14,683 13,756
    COPA HOLDINGS S.A 21,035 16,214
    CREDIT SUISSE GROUP ADR 19,935 14,042
    CROWN CASTLE INTL 15,209 15,208
    DANAHER CORP 6,294 7,734
    DIAGEO PLC ADS 30,272 32,756
    DIGITAL RLTY TR INC 6,472 13,319
    DUKE ENERGY CO 19,927 20,022
    DXC TECHNOLOGY COMPANY 4,598 3,456
    EATON CORP PLC 9,116 8,514
    EATON VANCE FLOATING RATE ADVA 32,531 30,643
    EMBRAER EMPRESA BR 14,731 16,553
    EMERSON ELECTRIC CO 6,308 5,796
    EOG RESOURCES INC 4,660 4,012
    EXELON CORPORATION 8,548 9,516
    EXXON MOBIL CORP 11,842 9,956
    FACEBOOK INC 69,075 51,781
    FIDELITY NATIONAL INFORMATION 7,255 9,230
    FISERV INC 6,334 7,790
    FT-PREFERRED SECUR & INC ETF 18,576 17,358
    GENERAL MILLS INC 7,135 5,335
    GOLDMAN SACHS GROUP 15,523 10,691
    GOLDMAN SACHS INCOME BUILDER F 18,331 17,225
    GOLDMAN SACHS INTL EQUITY INSI 13,800 11,157
    GOLDMAN SACHS U S EQUITY DIVID 31,301 29,284
    GW PHARMACEUTICALS PLC 13,565 12,271
    HONEYWELL INTL 9,318 9,777
    HSBC HOLDINGS PLC 17,294 16,321
    IHS MARKIT LTD 16,146 15,111
    ILLINOIS TOOL WORKS 5,392 5,194
    ING GROUP N V SPONSORED ADR 21,148 13,794
    INGERSOL-RAND PLC 7,843 8,028
    ISHARES CORE DIVIDEND GROWTH 13,782 12,907
    ISHARES IBOXX $ INVESTMENT GRA 18,622 18,164
    ISHARES JP MORGAN USD EM MKTS 14,353 13,508
    JAZZ PHARMACEUTICALS INC 32,363 22,933
    JOHNSON & JOHNSON 29,199 28,778
    JOHNSON CONTROLS INTERNATIONAL 10,227 7,383
    JP MORGAN CHASE 28,287 33,581
    KIMBERLY CLARK CORP 7,250 7,520
    KONINKLIJKE PHILIPS ELECTRONIC 21,195 18,889
    LEAR CORP 4,379 3,932
    LOCKHEED MARTIN CORP 16,391 17,020
    LOOMIS SAYLES HIGH INCOME OPPO 34,510 32,607
    LOOMIS SAYLES SECURITIZED ASSE 219,989 196,522
    LORD ABBETT INVESTMENT TRUST S 34,219 31,923
    LULULEMON ATHLETICA INC 16,476 14,472
    MASTERCARD INC 36,863 39,994
    MCDONALD'S CORP 6,463 11,897
    MCKESSON CORP 5,171 4,087
    MEDTRONIC PLC 10,591 12,552
    MERCK & CO INC 13,603 16,657
    METLIFE INC 4,025 3,490
    MICROSOFT CORP 38,362 37,479
    MITSUBISHI UFJ FINANCIAL GROUP 29,359 22,874
    MOODYS CORP 2,258 1,961
    NASDAQ OMX GROUP 4,684 5,465
    NATIONAL GRID TRANSCO PLC 28,253 24,374
    NESTLE S.A 8,008 8,825
    NETFLIX INC 25,424 39,346
    NEW ORIENTAL ED & TECHNOLOGY G 24,747 15,456
    NORFOLK SOUTHERN CORP 38,132 34,095
    NORTHROP GRUMMAN CORP 5,667 5,878
    NOVARTIS AG ADR 24,322 23,598
    NRG ENERGY 46,405 46,847
    ORANGE 25,405 24,026
    PAYCOM SOFTWARE 48,566 50,939
    PEPSICO INC 12,467 12,595
    PFIZER INC 19,984 26,801
    PHILIP MORRIS INTL 18,004 11,950
    PIONEER EQUITY INCOME FD CL Y 34,450 30,770
    PIONEER STRATEGIC INCOME FD 115,014 111,300
    PNC FINANCIAL GROUP INC 9,817 9,119
    PPG INDUSTRIES INC 11,976 12,063
    PROGRESSIVE CORP OHIO 25,361 26,606
    PRUDENTIAL PLC SC 24,558 18,357
    ROCHE HOLDING LTD ADR 4,672 4,569
    ROGERS COMM CL B 25,074 24,246
    ROYAL DUTCH SHEL PLC SPONS ADR 44,500 43,337
    SANOFI-AVENTIS SPONSORED ADR 29,155 26,133
    SAP AKTIENGESELL ADS 21,368 19,810
    SCHLUMBERGER LTD 11,427 5,556
    SERVICE NOW 41,415 52,525
    SIMON PPTY GROUP INC 10,024 10,247
    SK TELECOM ADS ADS 17,617 19,189
    SONY CORP ADR 25,229 31,189
    STATE STREET CORPORATION 11,097 8,388
    SUMITOMO MITSUI FINCL GRP 16,379 13,580
    SVB FINANCIAL GROUP 49,067 41,592
    SYSCO CORP 9,962 9,775
    TAIWAN SEMICONDUCTOR MFG CO LT 26,915 24,139
    TARGET CORPORATION 8,699 7,600
    TCW GALILEO TOTAL RETURN BOND 24,454 23,072
    TD AMERITRADE HOLDING CORP 45,272 38,189
    TEXAS INSTRUMENTS INC 8,919 10,301
    THE COCA-COLA CO 10,643 12,406
    THE WENDY'S CO 38,277 34,685
    THERMO FISHER SCIENTIFIC INC 3,566 5,147
    TORONTO DOMINION 38,211 36,544
    TRAVELERS COMPANIES INC 7,672 7,664
    UNILEVER N V N Y 32,636 31,850
    UNION PACIFIC 6,387 8,294
    UNITED TECHNOLOGIES CORP 10,933 9,157
    UNITEDHEALTH GROUP INC 44,627 67,761
    US BANCORP 11,856 10,100
    VALE SA 16,992 21,764
    VERIZON COMMUNICATIONS 10,932 12,706
    VERTEX PHARMCTLS INC 42,863 47,724
    VISA INC 41,297 61,088
    VODAFONE GROUP PLC 10,966 6,574
    WAL-MART STORES INC 8,743 8,384
    WELLS FARGO & CO 23,956 19,031
    XCEL ENERGY INC 7,212 8,031

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    US Government Securities - End of Year Book Value:

    118,852
    US Government Securities - End of Year Fair Market Value:

    117,722
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2018 OtherExpensesSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 21,322     21,322
    Bank Charges 536 536    
    State or Local Filing Fees 25     25


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 41,612 41,612    


    TY 2018 TaxesSchedule
    Name:
    Richard and Diane Van Grunsven Family
     
    Foundation
    EIN:
    27-4195377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2018 7,400      
    990-PF Excise Tax for 2017 6,306      
    Foreign Tax Paid 2,771 2,771