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
SPARTANNASH FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)850 76TH ST SW
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BYRON CENTER, MI49315
A Employer identification number

20-8767495
B Telephone number (see instructions)

(616) 878-2000
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$2,272,314J 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) 1,882,920
2 Check bullet.............
3 Interest on savings and temporary cash investments 25,748 25,748  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
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)....... Click to see attachment 3,966 0  
12 Total. Add lines 1 through 11........ 1,912,634 25,748  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 14,250 0   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
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 15,645 5,295   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 29,895 5,295   0
25 Contributions, gifts, grants paid....... 1,515,480 1,515,480
26 Total expenses and disbursements. Add lines 24 and 25 1,545,375 5,295   1,515,480
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 367,259
b Net investment income (if negative, enter -0-) 20,453
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......... 1,925,138 2,102,110 2,102,110
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet170,204
Less: allowance for doubtful accounts bullet     170,204 170,204
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)      
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)..........      
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) 1,925,138 2,272,314 2,272,314
Liabilities 17 Accounts payable and accrued expenses..........   100
18 Grants payable................. 19,046  
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)......... 19,046 100
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.................. 1,480,417 2,021,448
25 Temporarily restricted............... 425,675 250,766
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    
30 Total net assets or fund balances (see instructions)..... 1,906,092 2,272,214
31 Total liabilities and net assets/fund balances (see instructions). 1,925,138 2,272,314
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
1,906,092
2
Enter amount from Part I, line 27a .....................
2
367,259
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,273,351
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
1,137
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,272,214
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.)
1a
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
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
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  
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 1,550,361 1,876,468 0.826212
2016 1,560,847 1,889,861 0.825906
2015 530,731 1,138,756 0.466062
2014 583,402 703,045 0.829822
2013 759,287 603,599 1.257933
2
Total of line 1, column (d) .....................
2
4.205935
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
0.841187
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,159,147
5
Multiply line 4 by line 3......................
5
1,816,246
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
205
7
Add lines 5 and 6........................
7
1,816,451
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,515,480
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 1 409
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........................... 3 409
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- ..... 5 409
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 409
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   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$ 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
 
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)
    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 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 addressbulletN/A
    14
    The books are in care ofbulletCHANDLER KILLEEN Telephone no.bullet (616) 878-2539

    Located atbullet850 76TH ST SWBYRON CENTERMI ZIP+4bullet493158510
    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
    DAVE STAPLES BOARD CHAIR
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    MEREDITH GREMEL EXECUTIVE DIRECTOR
    5.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    DAN PERSINGER SECRETARY
    2.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    RENE HUNTER TREASURER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    KATHY MAHONEY BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    TOM SWANSON BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    MITCH CADLO BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    TOM WEST BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    CHILAIN BACKMAN BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    YVONNE TRUPIANO BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    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
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    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
    NONE
    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 THE FOUNDATION MAKES DIRECT CASH CONTRIBUTIONS TO VARIOUS 501 (C) (3) ORGANIZATIONS. 0
    2 ALL EXPENSES ARE INCIDENTAL AND DO NOT RELATE TO ANY PARTICULAR 501 (C) (3) ORGANIZATION. 0
    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 (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
    0
    b
    Average of monthly cash balances.......................
    1b
    2,192,027
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,192,027
    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
    2,192,027
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    32,880
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,159,147
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    107,957
    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
    107,957
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    409
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    409
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    107,548
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    3,966
    5
    Add lines 3 and 4............................
    5
    111,514
    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
    111,514
    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
    1,515,480
    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
     
    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
    1,515,480
    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
    1,515,480
    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 7 111,514
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 729,107
    b From 2014...... 548,250
    c From 2015...... 473,793
    d From 2016...... 1,466,354
    e From 2017...... 1,456,538
    fTotal of lines 3a through e........ 4,674,042
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,515,480
    a Applied to 2017, 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 2018 distributable amount..... 111,514
    e Remaining amount distributed out of corpus 1,403,966
    5 Excess distributions carryover applied to 2018. 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 6,078,008
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		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
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		729,107
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		5,348,901
    10 Analysis of line 9:
    a Excess from 2014.... 548,250
    b Excess from 2015.... 473,793
    c Excess from 2016.... 1,466,354
    d Excess from 2017.... 1,456,538
    e Excess from 2018.... 1,403,966
    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).)
    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
    ACTION MINISTRIES
    310 MAIN ST
    DOWAGIAC,MI49047     		  PC FIGHTING HUNGER 1,250
    ADAM OXENDINE
    4 HELENA DR
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 1,000
    ADEILIDO GONZALES
    83 FERNWOOD CIRCLE
    LUMBERTON,NC28358     		  I FLOOD RELIEF 250
    ALBION INTERFAITH MINISTRIES
    118 W PORTER
    ALBION,MI49224     		  PC FIGHTING HUNGER 1,575
    ALEX LOCKLEAR
    3766 OLD LOWERY RD
    RED SPRINGS,NC28377     		  I HURRINCANE RELIEF 100
    ALEX ROSS
    2997 COVINGTON FARM RD
    SHANNON,NC28386     		  I HURRICANE RELIEF 100
    ALFONZO PEARSON
    2185 NEVADA ST
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    ALGER COMMUNITY FOOD PANTRY
    312 LYNN STREET
    MUNISING,MI49862     		  PC FIGHTING HUNGER 1,400
    ALLEN RICHARDSON
    PO BOX 82
    PROCTORVILLE,NC28375     		  I HURRICANE RELIEF 500
    AMEN FOOD PANTRY
    1100 3RD AVE
    DICKENSON,ND58601     		  PC FIGHTING HUNGER 5,800
    ANITA BRITT
    5454 PINE LOG RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 600
    AQUINAS COLLEGE
    1607 ROBINSON RD SE
    GRAND RAPIDS,MI49506     		  PC SCHOOL 10,000
    ARMANDO TORRES CORTES
    112 NORMAN DR
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 1,000
    BELLAIRE COMMUNITY FOOD PANTRY
    PO BOX 343
    BELLAIRE,MI49615     		  PC FIGHTING HUNGER 1,300
    BELLEVUE FOOD PANTRY
    1908 HANCOCK ST
    BELLEVUE,NE68005     		  PC FIGHTING HUNGER 1,350
    BENZIE AREA CHRISTIAN NEIGHBORS
    2804 BENZIE HWY
    BENZONIZA,MI49616     		  PC FIGHTING HUNGER 2,200
    BLACK HILLS AREA HABITAT FOR HUMANITY
    610 E OMAHA ST
    RAPID CITY,SD57701     		  PC DIVERSITY & INCLUSION 5,500
    BLESSINGS IN A BACKPACK
    4121 SHELBYVILLE RD
    LOUISVILLE,KY40207     		  PC GRANT 5,000
    BOYNE CITY FOOD PANTRY
    401 STATE ST
    BOYNE CITY,MI49712     		  PC FIGHTING HUNGER 1,500
    BRANCH AREA FOOD PANTRY
    22 PIERSON ST
    COLDWATER,MI49036     		  PC FIGHTING HUNGER 1,400
    BRIDGE FOR YOUTH
    1111 W 22ND ST
    MINNEAPOLIS,MN55405     		  PC LEGACY GRANT 10,000
    BRUTUS GADDY
    140 BETHESDA CHURCH RD
    FAIRMONT,NC28340     		  I HURRICANE RELIEF 250
    BUIST COMMUNITY ASSISTANCE CENTER
    8306 BYRON CENTER AVE
    BYRON CENTER,MI49315     		  PC FIGHTING HUNGER 1,900
    CANNON FALLS FOOD SHELF
    511 W BELLE ST
    CANNON FALLS,MN55009     		  PC FIGHTING HUNGER 2,250
    CARITAS EMERGENCY SERVICES
    157 ROOSEVELT RD STE 100
    ST CLUD,MN56301     		  PC FIGHTING HUNGER 5,000
    CARO UNITED METHODIST GOOD SAMARITAN
    1053 GLENWOOD DR
    CARO,MI48723     		  PC FIGHTING HUNGER 2,000
    CARVEY CAMPBELL
    473 VAZQUEZ RD
    SHANNON,NC28386     		  I HURRICANE RELIEF 1,250
    CASA DEE ESPERANZA
    PO BOX 40115
    ST PAUL,MN55104     		  PC DIVERSITY & INCLUSION 30,000
    CATHOLIC CHARITIES OF ST PAULMINNEAPOLIS
    1200 SECOND AVE S
    MINNEAPOLIS,MN55403     		  PC HEALTH & WELL-BEING 10,000
    CATHOLIC SOCIAL SERVICES OF SOUTHERN
    1020 CENTRAL AVE
    AUBURN,NE68305     		  PC FIGHTING HUNGER 1,780
    CEDAR RIVER CHAPEL FOOD PANTRY
    PO BOX 513
    BEAVERTON,MI48612     		  PC FIGHTING HUNGER 1,500
    CESAR TAPIA RAMIREZ
    PO BOX 44
    LUMBERTON,NC28359     		  I HURRICANE RELIEF 100
    CHARLEVOIX COMMUNITY FOOD PANTRY
    100 W HURLBUT AVE
    CHARLEVOIX,MI49720     		  PC FIGHTING HUNGER 1,725
    CHIPPEWA VALLEY HABITAT FOR HUMANITY
    1005 OXFORD AVE
    EAU CLAIRE,WI54703     		  PC DIVERSITY & INCLUSION 1,000
    CHRISTIAN FOOD CUPBOARD OF HUDSON INC
    1500 VINE STREET
    HUDSON,WI54016     		  PC FIGHTING HUNGER 2,750
    CHRISTIAN OUTREACH PROGRAM ELKHORN
    3434 N 294TH ST
    ELKHORN,NE68022     		  PC FIGHTING HUNGER 1,830
    CHRISTOPHER FLOWERS
    290 NATURE VIEW DR
    ST PAULS,NC28384     		  I HURRICANE RELIEF 600
    CITY WELFARE MISSION
    710 N 5TH ST
    IRONTON,OH45638     		  PC FIGHTING HUNGER 2,000
    CLAUDIE LOWERY
    63 HARLEYVILLE RD
    ROWLAND,NC28383     		  I FLOOD RELIEF 100
    COMMUNITY ACTION CENTER OF NORTHFIELD
    1651 JEFFERSON PKWY 200
    NORTHFIELD,MN55057     		  PC FIGHTING HUNGER 2,950
    COMMUNITY ACTION HOUSE
    345 WEST 14TH STREET
    HOLLAND,MI49423     		  PC FIGHTING HUNGER 4,400
    COMMUNITY FOOD PANTRY AND EMERGENCY SERVICE
    701 N 6TH STREET
    BEATRICE,NE68310     		  PC FIGHTING HUNGER 2,225
    COMMUNITY SHARING OF LEWISTON
    4615 MONTMORENCY ST
    LEWISTON,MI49756     		  PC FIGHTING HUNGER 1,375
    COOPERSVILLE CARES
    180 68TH AVE
    COOPERSVILLE,MI49404     		  PC FIGHTING HUNGER 1,925
    CRAWFORD COUNTY CHRISTIAN HELP CENTER
    300 HURON ST
    GRAYLING,MI49738     		  PC FIGHTING HUNGER 1,225
    DAL-QUANN BROWN
    3676 RED HILL RD
    MAXTON,NC28364     		  I HURRICANE RELIEF 250
    DANIEL EDWARDS
    PO BOX 2715
    LUMBERTON,NC28364     		  I HURRICANE RELIEF 50
    DAVID CARTER
    65 SEPTEMBER DR
    ROWLAND,NC28383     		  I FLOOD RELIEF 100
    DAVID EMANUEL
    572 MCQUEEN RD
    SHANNON,NC28386     		  I HURRICANE RELIEF 250
    DEBRA LOCKLEAR
    1741 DEEP BRANCH RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 1,250
    DEGAGE MINISTRIES
    144 SOUTH DIVISION AVE
    GRAND RAPIDS,MI49503     		  PC HEALTH & WELL-BEING 10,000
    DEMARRIS JACKSON
    702 W 19TH ST
    LUMBERTON,NC28358     		  I FLOOD RELIEF 250
    DIVINE MERCY PARISH
    254 6TH ST
    MANISTEE,MI49660     		  PC FIGHTING HUNGER 1,800
    DOWNRIVER HELPING HANDS INC
    310 S PARKER ST
    MARINE CITY,MI48039     		  PC FIGHTING HUNGER 1,000
    EAST BAY ELEMENTARY SCHOOL
    3962 THREE MILE RD
    TRAVERSE CITY,MI49686     		  PC FIGHTING HUNGER 20
    EASTERN AVE CHRISTIAN REF CHURCH CHR ED
    514 EASTERN AVE SE
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 800
    EDDIE DUDNEY
    639 BUCK TRAIL
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 600
    EDDIE WALTERS
    3587 DALLAS RD
    LUMBERTON,NC28358     		  I FLOOD RELIEF 1,000
    ELEANORS PANTRY
    221 DREW ST
    PAW PAW,MI49079     		  PC FIGHTING HUNGER 2,500
    ELLIOT DEREK YOST
    108 TOLAR RD
    ST PAULS,NC28384     		  I HURRICANE RELIEF 100
    FAMILY NETWORK OF WYOMING
    1029 44TH STREET SW
    WYOMING,MI49519     		  PC FIGHTING HUNGER 4,400
    FAMILY PROMISE OF HENDRICKS COUNTY
    360 AVON AVE
    AVON,MI46123     		  PC GENERAL SUPPORT 5,000
    FARMINGTON FOOD SHELF
    510 WALNUT ST
    FARMINGTON,MN55024     		  PC HUNGER SCAN 2018 2,000
    FATHER FRED FOUNDATON
    826 HASTINGS
    TRAVERSE CITY,MI49685     		  PC FIGHTING HUNGER 5,800
    FEEDING SOUTH DAKOTA
    1111 N CREEK DR
    RAPID CITY,MI57703     		  PC FIGHTING HUNGER 10,200
    FERGUS FALL HABITAT FOR HUMANITY
    421 W FIR AVE
    FERGUS FALLS,MN56537     		  PC DIVERSITY & INCLUSION 1,000
    FIRST BAPTIST KINGS STOREHOUSE FOOD PANTRY
    125 STIMSON ST
    CADILLAC,MI49601     		  PC FIGHTING HUNGER 1,150
    FIRST CONG CHURCH FOOD PANTRY
    109 S MAIN
    ROSCOMMON,MI48653     		  PC FIGHTING HUNGER 1,575
    FISHER HOUSE FOUNDATION INC
    111 ROCKVILLE PIKE SUITE 420
    ROCKVILLE,MD20850     		  PC HEALTH & WELL-BEING 30,000
    FISHERS OF MEN MINISTRIES
    210 W MAIN
    ZEELAND,MI49464     		  PC FIGHTING HUNGER 6,000
    FIVES LOAVES FOOD PANTRY
    144 W THIRD ST
    NEW RICHMOND,WI54017     		  PC FIGHTING HUNGER 2,675
    FLEDA WALTERS
    8499 NC HWY 72 E
    LUMBERTON,NC28358     		  I FLOOD RELIEF 1,000
    FOOD BANK OF EASTERN MICHIGAN
    2312 LAPEER RD
    FLINT,MI48503     		  PC FIGHTING HUNGER 5,100
    FOOD BANK OF SOUTH CENTRAL MICHIGAN
    5451 WAYNE RD
    BATTLE CREEK,MI49037     		  PC FIGHTING HUNGER 6,200
    FOOD BANK OF SOUTH EASTERN
    800 TIDEWATER DR
    NORFOLK,VA23504     		  PC FIGHTING HUNGER 5,000
    FORKIDS INC
    4200 COLLEY AVE STE A
    NORFOLK,VA23508     		  PC GENERAL SUPPORT 10,000
    FRANKEY CUMMINGS
    4951 OAKGROVE CH RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 1,250
    FREMONT AREA HABITAT FOR HUMANITY
    PO BOX 932
    FREMONT,NE68026     		  PC HABITAT FOR HUMANITY SCAN 500
    GATHERING UNITED METHODIST CHURCH
    426 N 1ST
    HARRISON,MI48625     		  CHURCH FIGHTING HUNGER 150
    GENESEE METHODIST CHURCH
    7190 N GENESEE RD
    GENESEE,MI48437     		  CHURCH FIGHTING HUNGER 1,500
    GINGER JACOBS
    8835 HWY 72 W
    PEMBROKE,NC28372     		  I HURRICANE RELIEF 100
    GIVE AN HOUR NON PROFIT CORPORATION
    PO BOX 5918
    BETHESDA,MD20824     		  PC MILITARY 10,000
    GLEANERS FOOD BANK
    5924 STERLING DR
    HOWELL,MI48843     		  PC FIGHTING HUNGER 2,025
    GLEANERS FOOD BANK OF INDIANA INC
    3737 WALDEMERE AVE
    INDIANAPOLIS,IN46241     		  PC FIGHTING HUNGER 5,000
    GODS KITCHEN
    303 SOUTH DIVISION
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 13,000
    GOOD SAMARITAN
    9746 MAIN ST
    ELLSWORTH,MI49729     		  PC FIGHTING HUNGER 1,125
    GOODHUE COUNTY HABITAT FOR HUMANITY
    1407 W 4TH ST
    RED WING,MN55066     		  PC DIVERSITY & INCLUSION 3,750
    GREAT PLAINS FOOD BANK
    1720 3RD AVE N
    FARGO,ND58102     		  PC FIGHTING HUNGER 6,600
    GREATER LANSING FOOD BANK
    919 FILLEY
    LANSING,MI48906     		  PC GENERAL SUPPORT 10,000
    GREGORY LOCKLEAR
    1318 OPAL RD
    RED SPRINGS,NC28377     		  I HURRICANE RELIEF 600
    GUIDING LIGHT MISSION
    PO BOX 1703
    GRAND RAPIDS,MI49501     		  PC HEALTH & WELL-BEING 20,000
    HABITAT FOR HUMANITY
    618 S CREYTS ROAD
    LANSING,MI48917     		  PC GENERAL SUPPORT 900
    HABITAT FOR HUMANITY OF COUNCIL BLUFFS
    1228 S MAIN
    COUNCIL BLUFFS,IA51503     		  PC DIVERSITY & INCLUSION 1,200
    HABITAT FOR HUMANITY OF GREATER CINCINNATI
    4910 PARA DR
    CINCINNATI,OH45237     		  PC DIVERSITY & INCLUSION 750
    HABITAT FOR HUMANITY OF KENT COUNTY INC
    425 PLEASANT ST SW
    GRAND RAPIDS,MI49503     		  PC DIVERSITY & INCLUSION 40,000
    HABITAT FOR HUMANITY OF MICHIGAN
    618 S CREYTS ROAD
    LANSING,MI48917     		  PC DIVERSITY & INCLUSION 87,500
    HABITAT FOR HUMANITY OF OMAHA
    1701 N 24TH ST
    OMAHA,NE68110     		  PC DIVERSITY & INCLUSION 11,250
    HABITAT FOR HUMANITY OF SARPY
    1001 FORT CROOK RD N SUITE 207
    BELLEVUE,NE68005     		  PC DIVERSITY & INCLUSION 3,400
    HABITAT FOR HUMANITY OF SOUTH CENTRAL MI
    1571 BASSETT DR
    MANKATO,MN56001     		  PC DIVERSITY & INCLUSION 1,750
    HABITAT FOR HUMANITY OF WEST CENTRAL MI
    PO BOX 1171
    WILMAR,MN56201     		  PC DIVERSITY & INCLUSION 1,000
    HASTINGS FOOD PANTRY
    209 W GREEN ST
    HASTINGS,MI49058     		  PC FIGHTING HUNGER 2,250
    HEART AND HAND
    9220 KINNEVILLE RD
    EATON RAPIDS,MI48827     		  PC FIGHTING HUNGER 2,200
    HEART OF WEST MICHIGAN
    118 COMMERCE SW
    GRAND RAPIDS,MI49503     		  PC UNITED WAY 54,093
    HEARTLAND HOPE MISSION
    5210 SOUTH 21ST ST
    OMAHA,NE68102     		  PC FIGHTING HUNGER 1,575
    HELEN OXENDINE
    3762 ROZIER SIDING RD
    ST PAULS,NC28384     		  I HURRICANE RELIEF 50
    HIDDEN HARVEST
    PO BOX 1982
    SAGINAW,MI48805     		  PC GENERAL SUPPORT 5,000
    HOLY FAMILY ACCESS-6 FOOD PANTRY
    9669 KRAFT AVE
    CALEDONIA,MI49316     		  PC FIGHTING HUNGER 2,750
    HOLY FAMILY CHURCH - OMAHA
    1715 IZARD ST
    OMAHA,NE68102     		  CHURCH FIGHTING HUNGER 750
    HONOR AND REMEMBER INC
    PO BOX 16834
    CHESAPEAKE,VA23328     		  PC MILITARY 155,000
    HOOSIERS HILLS FOOD BANK
    2333 W INDUSTRIAL PARK DR
    BLOOMINGTON,IN47402     		  PC FIGHTING HUNGER 5,000
    HOUSE OF CHARITY
    510 S 8TH ST
    MINNEAPOLIS,MN55404     		  PC DIVERSITY & INCLUSION 5,000
    INTERCULTURAL SENIOR CENTER
    3010 R ST
    OMAHA,NE68107     		  PC FIGHTING HUNGER 1,875
    ISREAL SANTA
    2971 COVINGTON FARM RD
    SHANNON,NC28386     		  I FLOOD RELIEF 100
    JAMES MCQUEEN
    134 TOUGAN RD
    FAIRMONT,NC28340     		  I HURRICANE RELIEF 100
    JAMES PITTMAN
    PO BOX 1792
    LUMBERTON,NC28359     		  I HURRICANE RELIEF 100
    JAMES STRICKLAND
    12740 PROVIDENCE RD
    LAURINBURG,NC28352     		  I FLOOD RELIEF 600
    JOHN KNOX PRESBYTERIAN CHURCH
    4150 KALAMAZOO AVENEUE SE
    GRAND RAPIDS,MI49508     		  CHURCH FIGHTING HUNGER 3,600
    JOHNETTE MCKINNON
    327 QUAIL RUN RD
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    JOSE ELIZONDO
    PO BOX 603
    RAEFORD,NC28376     		  I HURRICANE RELIEF 100
    JOSEPHS COAT WASHINGTON COUNTY FOOD
    1737 WASHINGTON ST
    BLAIR,NE68008     		  PC FIGHTING HUNGER 1,625
    JUAN GUERRA
    86 RUDYS DR
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    JUDY WALTERS
    7172 HWY 72 E
    LUMBERTON,NC28358     		  I FLOOD RELIEF 250
    KAIR
    PO BOX 766
    KALKASKA,MI49646     		  PC FIGHTING HUNGER 1,225
    KALAMAZOO LOAVES AND FISHES
    913 E ALCOTT
    KALAMAZOO,MI49001     		  PC FIGHTING HUNGER 1,825
    KEARNEY AREA HABITAT FOR HUMANITY
    PO BOX 1452
    KEARNEY,NE69103     		  PC DIVERSITY & INCLUSION 2,250
    KIDS PAC INC
    3725 FRONTAGE RD N STE 1
    LAKELAND,FL33810     		  PC GENERAL SUPPORT 5,000
    LAKE AGASSIZ HABITAT FOR HUMANITY
    210 1TH ST N
    MOORHEAD,MN55404     		  PC DIVERSITY & INCLUSION 6,500
    LESLIE COMMUNITY OUTREACH
    614 MILL ST
    LESLIE,MI49251     		  PC FIGHTING HUNGER 1,150
    LIBERTAS CLASSICAL ASSOCIATION
    5181 64TH AVE
    HUDSONVILLE,MI49426     		  PC COMMUNITY SUPPORT 108
    LINCOLN LANCASTER COUNTRY HABITAT
    144 N ANTELOPE VALLEY PKWY
    LINCOLN,NE68503     		  PC DIVERSITY & INCLUSION 750
    LOAVES & FISHES
    1121 JACKSON ST NE 143
    MINNEPAOLIS,MN55413     		  PC FIGHTING HUNGER 10,000
    LORENZO BETHEA
    PO BOX 81
    HAMER,NC29547     		  I HURRICANE RELIEF 250
    LORI LOCKLEAR
    47 ODUM HOME PLACE RD
    ST PAULS,NC28384     		  I HURRICANE RELIEF 50
    LOVE INC
    326 N FERRY ST
    GRAND HAVEN,MI49417     		  PC FIGHTING HUNGER 4,725
    LOVE INC
    3300 VAN BUREN
    HUDSONVILLE,MI49426     		  PC FIGHTING HUNGER 4,900
    LOVE INC OF ALLENDALE
    11620 - 60TH AVE
    ALLENDALE,MI49401     		  PC FIGHTING HUNGER 3,100
    LUIS SEIJO
    67 STONEHAVEN LANE
    LUMBER BRIDGE,NC28357     		  I HURRICANE RELIEF 100
    MAMRELUND FOOD PANTRY
    4085 LUTHERAN CHURCH RD
    KENT CITY,MI49330     		  PC FIGHTING HUNGER 1,950
    MANCELONA FOOD PANTRY
    201 N MAPLE PO BOX 252
    MANCELONA,MI49659     		  PC FIGHTING HUNGER 1,000
    MANNA FOOD BANK
    116 E GONZALEZ ST
    PENSACOLA,FL32501     		  PC FIGHTING HUNGER 5,000
    MANNA FOOD PROJECT
    8791 MCBRIDE PARK COURT
    HARBOR SPRINGS,MI49740     		  PC FIGHTING HUNGER 2,150
    MARCUS OXENDINE
    727 A ROBERTS AVE
    PEMBROKE,NC28372     		  I HURRICANE RELIEF 50
    MARION FOOD PANTRY
    101 WEST ALLEY
    MARION MI,MI49665     		  PC FIGHTING HUNGER 1,650
    MARSHALL OPPORTUNITY HIGH SCHOOL
    225 E WATSON ST
    ALBION,MI49224     		  PC COMMUNITY 380
    MARYLAND FOOD BANK
    2200 HALETHORPE FARMS RD
    BALTIMORE,MD21227     		  PC FIGHTING HUNGER 5,000
    MAURICIO ESTRADA
    2107 N FLOYD AVE
    LUMBERTON,NC28358     		  I FLOOD RELIEF 100
    MEEKER COUNTY EMERGENCY FOOD SHELF
    118 N SIBLEY AVE
    LITCHFIELD,MN55355     		  PC FIGHTING HUNGER 2,300
    MEL TROTTER MINISTRIES
    225 COMMERCE SW
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 3,000
    MICHAEL DAVIS
    150 WOODBRIDGE DR
    SHANNON,NC28386     		  I HURRICANE RELIEF 100
    MICHAEL MORRIS
    37 EDITH DR LOT 2
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 500
    MICHELE SMITH
    525 LONDONDERRY DR
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 500
    MID MICHIGAN COMMUNITY ACTION AGENCY
    1574 E WASHINGTON RD PO BOX 768
    FARWELL,MI48622     		  PC FIGHTING HUNGER 1,175
    MID NEBRASKA FOOD BANK
    114 E 11TH ST
    KEARNEY,NE68847     		  PC FIGHTING HUNGER 3,475
    MIDLAND COUNTY EMERGENCY FOOD NETWORK
    PO BOX 2521
    MIDLAND,MI48641     		  PC FIGHTING HUNGER 1,750
    MIGUEL GARCIA-CAMARA
    13 ARCADIA DR
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 100
    MILLS COUNTY STOREHOUSE
    PO BOX 289
    GLENWOOD,IA51534     		  PC FIGHTING HUNGER 1,575
    MOHMS PLACE
    1435 N 15TH ST
    COUNCIL BLUFFS,IA51501     		  PC FIGHTING HUNGER 1,125
    N STREET VILLAGE
    1333 N STREET NW
    WASHINGTON,DC20005     		  PC GENERAL SUPPORT 5,000
    NEIGHBORHOOD FOOD PANTRY MINISTRIES
    189 WOODLAWN AVE
    BATTLE CREEK,MI49307     		  PC FIGHTING HUNGER 1,675
    NEIGHBORS INC
    222 GRAND AVE W
    SOUTH ST PAUL,MN55075     		  PC HEALTH & WELL-BEING 10,000
    NORTH END COMMUNITY MINISTRY
    214 SPENCER NE
    GRAND RAPIDS,MI49505     		  PC FIGHTING HUNGER 1,375
    NORTH KENT COMMUNTY SERVICES
    10075 NORTHLAND
    ROCKFORD,MI49341     		  PC FIGHTNG HUNGER 2,225
    NORTHVIEW HIGH SCHOOL
    4451 HUNSBERGER AVE NE
    GRAND RAPIDS,MI49525     		  PC COMMUNITY 29
    NORTHWEST FOOD PANTRY
    1224 DAVIS NW
    GRAND RAPIDS,MI49504     		  PC FIGHTING HUNGER 17,050
    OAKWOOD NEIGHBORHOOD
    3320 LAIRD AVENUE
    KALAMAZOO,MI490085403     		  PC FIGHTING HUNGER 4,475
    OGEMAW COUNTY CLERGY FELLOWSHIP FOOD
    100 E HOUGHTON AVE
    WEST BRANCH,MI48661     		  PC FIGHTING HUNGER 2,125
    OPEN DOOR MISSION
    2828 N 23 ST E
    OMAHA,NE68110     		  PC GENERAL SUPPORT 10,000
    OPERATION HOMEFRONT INC
    1355 CENTRAL PARKWAY SOUTH STE 100
    SAN ANTONIO,TX78232     		  PC MILITARY 155,000
    OTSEGO COUNTY COMMUNITY FOOD PANTRY
    PO BOX 1976
    GAYLORD,MI49734     		  PC FIGHTING HUNGER 1,775
    OUR DAILY BREAD
    2333 W INDUSTRIAL PARK DR
    BELLEFONTAINE,OH43311     		  PC FIGHTING HUNGER 5,000
    OUR LADY OF GRACE FOOD PANTRY
    707 16TH AVE SW
    MINOT,ND58701     		  PC FIGHTING HUNGER 5,000
    OUTREACH EASH
    PO BOX 61
    DAVISON,MI48423     		  PC FIGHTING HUNGER 1,700
    PERSPECTIVES INC
    3381 GORHAM AVE
    ST LOUIS PARK,MN55426     		  PC HEALTH & WELL-BEING 10,000
    PHELPS COMMUNITY PANTRY
    202 W AVE
    HOLDERGE,NE68949     		  PC FIGHTING HUNGER 1,525
    PRESQUE ISLE COUNTY FOOD PANTRY
    125 ONTARIO ST
    ROGERS CITY,MI49779     		  PC FIGHTING HUNGER 1,220
    PROJECT HOPE INC
    PO BOX 464
    PRUDENVILLE,MI48651     		  PC FIGHTING HUNGER 1,450
    RADAMES GARENA
    1620 MARTIN RD
    ST PAULS,NC28384     		  I FLOOD RELIEF 500
    RANDY HUNT
    507 COOLEY ST
    ROWLAND,NC28383     		  I HURRICANE RELIEF 50
    RED WINGS AREA FOOD SHELF
    1755 OLD W MAIN ST
    RED WING,MN55066     		  PC FIGHTING HUNGER 4,350
    REGIONAL FOOD BANK OF OKLAHOMA INC
    3355 S PURDUE AVE
    OKLAHOMA CITY,OK73179     		  PC FIGHTING HUNGER 5,000
    RESURRECTION LIFE CHURCH ROCKFORD
    3233 TEN MILE RD NE
    ROCKFORD,MI49341     		  PC FIGHTING HUNGER 3,250
    RESURRECTION OF THE LORD CHRISTIAN SERVICES
    423 CEDAR ST
    STANDISH,MI48658     		  CHURCH FIGHTING HUNGER 1,475
    REX HOLMES
    514 GLENDALE AVE
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 250
    RICE COUNTY HABITAT FOR HUMANITY
    204 7TH ST W PMB 128
    NORTHFIELD,MN55057     		  PC DIVERSITY & INCLUSION 2,000
    RIVER FALLS FOOD PANTRY
    222 N MAIN ST
    RIVER FALLS,WI54022     		  PC FIGHTNIG HUNGER 3,900
    ROBERTO MARCIAS GABRIBAY
    216 NAPLES DR
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    ROBESON COUNTY CHURCH & COMMUNITY
    600 W 5TH ST
    LUMBERTON,NC28358     		  PC FIGHTING HUNGER 5,000
    ROBIN LOWERY
    PO BOX 32
    FAIRMONT,NC28340     		  I FLOOD RELIEF 1,000
    SACRED HEART CATHOLIC CHURCH
    5300 N US 23
    OSCODA,MI48750     		  CHURCH FIGHTING HUNGER 1,100
    SALVATION ARMY
    601 S WASHINGTON ST
    BISMARCK,ND58504     		  PC FIGHTING HUNGER 17,450
    SALVATION ARMY
    302 EXCHANGE ST
    OWOSSO,MI48750     		  PC FIGHTING HUNGER 1,050
    SAMANTHA KIRBY
    3802 PLEASANT VIEW DR
    FAYETTEVILLE,NC28312     		  I HURRICANE RELIEF 600
    SAN ANTONIO FOOD BANK
    5200 N 1ST AVE
    SAN ANTONIO,TX782272209     		  PC FIGHTING HUNGER 5,000
    SAUNDERS COUNTY FOOD PANTRY
    PO BOX 11
    WAHOO,NE68066     		  PC FIGHTING HUNGER 1,400
    SENCA
    1700 STONE 103
    FALLS CITY,NE68102     		  PC FIGHTING HUNGER 1,150
    SERGIO MIGUEL
    79 RICCO LN
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 500
    SHAMONICA PIERCE
    7166 CRESTLINE RD
    LAURINBURG,NC28352     		  I HURRICANE RELIEF 250
    SHANLEY MORGAN
    2331 SADDLETREE RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 100
    SHAWNDELL IVEY
    3070 MEADOW RD
    OMAHA,NE68102     		  I FIGHTING HUNGER 100
    SIENA FRANCIS HOUSE OF HOMELESS SHELTER
    1702 NICHOLAS ST
    OMAHA,NE68102     		  PC FIGHTING HUNGER 1,150
    SOCIETY OF ST VINCENT DEPAUL
    PO BOX 37
    ROSCOMMON,MI48653     		  PC FIGHTING HUNGER 1,275
    SOJOURNER PROJECT INC
    PO BOX 272
    HOPKINS,MN55343     		  PC DIVERSITY & INCLUSION 10,000
    SOLID GROUND
    3521 ENTURY AVE N
    WHITE BEAR LAKE,MN55110     		  PC HEALTH & WELLBEING 10,000
    SOMERSET COMMUNITY FOOD PANTRY
    203 CHURCH HILL RD
    SOMERSET,WI54025     		  PC FIGHTING HUNGER 1,675
    SOUTH COUNTY COMMUNITY SERVICES
    105 S KALAMAZOO
    VICKSBURG,MI49097     		  PC FIGHTING HUNGER 3,200
    SOUTHSIDE COMMUNITY KITCHEN
    800 W BARNES AVE
    LANSING,MI48910     		  PC FIGHTING HUNGER 1,300
    SOUTHWEST CARVER COUNTY FOOD SHELF
    10 FIRST AVE NE
    NORWOOD YOUNG AMERICA,MN55368     		  PC FIGHTING HUNGER 1,225
    SPECIAL OLYMPICS IOWA
    551 SE DOVETRAIL RD
    GRIMES,IA50111     		  PC DIVERSITY & INCLUSION 3,000
    SPECIAL OLYMPICS MICHIGAN
    1120 SOUTH MISSON STREET
    MT PLEASANT,MI48858     		  PC DIVERSITY & INCLUSION 165,000
    SPECIAL OLYMPICS MINNESOTA
    100 WASHINGTON AVE S
    MINNEAPOLIS,MN55401     		  PC DIVERSITY & INCLUSION 30,000
    SPECIAL OLYMPICS NORTH DAKOTA
    2616 S 26TH ST
    GRAND FORKS,ND58201     		  PC DIVERSITY & INCLUSION 35,000
    SPECIAL OLYMPICS OHIO INC
    620 SECOND ST
    CHESAPEAKE,OH45619     		  PC DIVERSITY & INCLUSION 5,000
    SPECIAL OLYMPICS OMAHA
    9427 F ST
    OMAHA,NE68127     		  PC DIVERSITY & INCLUSION 30,000
    SPECIAL OLYMPICS SOUTH DAKOTA
    800 E I-90 LANE
    SIOUX FALLS,SD57104     		  PC DIVERSITY & INCLUSION 8,000
    SPECIAL OLYMPICS WISCONSIN
    2310 CROSSROADS DR 1000
    MADISON,WI53718     		  PC DIVERSITY & INCLUSION 10,500
    ST BARTHOLOMEW COMMUNITY FOOD PANTRY
    789 RYNO ROAD
    MIO,MI48647     		  PC FIGHTING HUNGER 2,800
    ST CHARLES IN HELENA
    230 E VIENNA ST
    CLIO,MI48420     		  PC FIGHTING HUNGER 1,625
    ST CROIX VALLEY HABITAT FOR HUMANITY
    116 E ELM ST
    RIVER FALLS,WI54022     		  PC DIVERSITY & INCLUSION 5,000
    ST IGNACE AREA HOPE
    PO BOX 170
    SAINT IGNACE,MI49781     		  PC FIGHTING HUNGER 2,675
    ST MARY'S FOOD PANTRY
    423 FIRST STREEET
    GRAND RAPIDS,MI49504     		  PC FIGHTING HUNGER 2,375
    ST PETER AREA FOOD SHELF
    35615 398TH LANE
    ST PETER,MN56082     		  PC FIGHTING HUNGER 3,025
    ST PIUS C CHURCH
    3937 WILSON AVE
    GRANDVILLE,MI49418     		  CHURCH FIGHTING HUNGER 1,725
    ST SAVIOURS FOOD PANTRY
    4136 MYRTLE AVE
    CINCINNATI,OH45236     		  PC FIGHTING HUNGER 1,350
    ST STEPHEN EVANGELICAL LUTHERAN CHURCH
    32900 NORTH WAVERLY RD
    LANSING,MI48906     		  PC FIGHTING HUNGER 1,675
    ST THOMAS LUTHERAN CHURCH
    332 S WESTERN AVE
    CHEBOYGAN,MI49721     		  CHURCH FIGHTING HUNGER 1,100
    THANKSUSA
    1390 CHAIN BRIDGE RD 260
    MCLEAN,VA22101     		  PC GENERAL SUPPORT 6,000
    THE ASHLAND FOOD PANTRY
    102 S 24TH
    ASHLAND,NE68003     		  PC FIGHTING HUNGER 1,600
    TOGETHER INC OF METROPOLITAN OMAHA
    812 SOUTH 24TH ST
    OMAHA,ME68108     		  PC FIGHTING HUNGER 6,725
    TRAVERSE CITY HIGH SCHOOL
    3962 THREE MILE RD
    TRAVERSE CITY,MI49686     		  PC COMMUNITY 45
    TRI-CITIES FOOD PANTRY
    302 AMERICAN PKWY
    PAPILLION,NE68046     		  PC FIGHTING HUNGER 2,025
    TWIN CITIES HABITAT FOR HUMANITY
    1954 UNIVERSITY AVE W
    ST PAUL,MN55104     		  PC DIVERSITY & INCLUSION 1,600
    VALLEY RESCUE MISSION
    2903 SECOND AVE
    COLUMBUS,GA31904     		  PC GENERAL SUPPORT 5,000
    VETSHOUSE INCORPORATE
    1005 BENNINGTON RD
    VIRGINIA BEACH,VA23464     		  PC HEALTH & WELL-BEING 30,000
    WANDA HUNT
    160 ANNEASE DR
    FAIRMONT,NC28340     		  I HURRICANE RELIEF 600
    WARRIORS AT EASE INC
    8400 CEDAR ST
    SILVER SPRING,MD20910     		  PC MILITARY 10,000
    WELL HOUSE
    600 CASS SE
    GRAND RAPIDS,MI49503     		  PC GENERAL SUPPORT 5,000
    WEST OHIO FOOD BANK
    1380 E KIBBY ST
    LIMA,OH458021566     		  PC FIGHTING HUNGER 5,000
    WESTERN MICHIGAN UNIVERSITY FOUNDATION
    1903 W MICHIGAN AVENUE
    KALAMAZOO,MI490085403     		  PC COMMUNITY 10,000
    WESTMINSTER PRESBYTERIAN CHURCH
    47 JEFFERSON AVE SE
    GRAND RAPIDS,MI49503     		  CHURCH FIGHTING HUNGER 3,225
    WESTSIDE APOSTOLATE
    1232 BRIDGE ST NW
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 2,475
    WILLIAM GODWIN JR
    225 UDELL RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 600
    WILLIAM HALL
    4186 N CHICKEN RD
    LUMBERTON,NC28360     		  I HURRICANE RELIEF 250
    WILLIAM PHILLIPS
    88 WOODBRIDGE DR
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    WILLIAM WALKER
    1103 GOUGH ST
    LUMBERTON,NC28358     		  I HURRICANE RELIEF 100
    WILLIAMSTON FOOD BANK
    439 E CHURCH ST
    WILLIAMSTON,MI48895     		  PC FIGHTING HUNGER 3,650
    YOBANI RIVERIA
    109 GRAHAM ST
    RED SPRINGS,NC28377     		  I FLOOD RELIEF 100
    Total .................................bullet 3a 1,515,480
    bApproved for future payment
    Total .................................bullet 3b 0
    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 25,748  
    4 Dividends and interest from securities....          
    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 ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRECOVERIES OF AMOUNTS TREATED AS QUALIFYING DISTRIBUTIONS     		  3,966      
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 3,966 25,748 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    29,714
    (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
    SPARTANNASH FOUNDATION
     
    Employer identification number

    20-8767495
    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
    SPARTANNASH FOUNDATION
          		Employer identification number
    20-8767495
    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
    SPARTANNASH COMPANY
     
    850 76TH ST PO BOX 8700
     
    GRAND RAPIDS, MI49518

    		$ 205,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    THEODORE ADORNATO  
    801 MONROE NW 405
     
    GRAND RAPIDS, MI49503

    		$ 5,200


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    DAVID COUCH  
    2295 TIMBERLEE DR
     
    HOLLAND, MI49424

    		$ 5,200


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    DAVID STAPLES  
    4457 CHANDLER
     
    HUDSONVILLE, MI49426

    		$ 10,920


    (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
    SPARTANNASH FOUNDATION
          		Employer identification number

    20-8767495
    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
     
    		$    
    (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
    SPARTANNASH FOUNDATION
          		Employer identification number

    20-8767495
    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


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 14,250 0   0

    TY 2018 OtherDecreasesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Description Amount
    UNREALIZED LOSS 1,137


    TY 2018 OtherExpensesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE 9,712 0   0
    INTEREST EXPENSE 638 0   0
    BANK FEES 5,295 5,295   0


    TY 2018 OtherIncomeSchedule2
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RECOVERIES OF AMOUNTS TREATED AS QUALIFYING DISTRIBUTIONS 3,966   3,966