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 09-01-2018 , and ending 08-31-2019
Name of foundation
GENERATIONS HEALTH CARE INITIATIVES INC
 
Number and street (or P.O. box number if mail is not delivered to street address)130 W SUPERIOR STREET NO 700
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DULUTH, MN55802
A Employer identification number

41-2000473
B Telephone number (see instructions)

(218) 336-5700
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$10,928,537J 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) 221,674
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 237,681 237,681  
5a Gross rents............ 9,691    
b Net rental income or (loss) 9,691
6a Net gain or (loss) from sale of assets not on line 10 243,826
b Gross sales price for all assets on line 6a 2,192,421
7 Capital gain net income (from Part IV, line 2)... 243,826
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 3,772 0  
12 Total. Add lines 1 through 11........ 716,644 481,507  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 178,718 4,786   173,932
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 15,130 757   14,226
c Other professional fees (attach schedule).... Click to see attachment 44,566 44,566   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,038 206   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 3,667 0  
20 Occupancy.............. 37,769 0   37,922
21 Travel, conferences, and meetings....... 2,119 0   2,027
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 290,796 1,130   288,206
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 574,803 51,445   516,313
25 Contributions, gifts, grants paid....... 297,424 305,450
26 Total expenses and disbursements. Add lines 24 and 25 872,227 51,445   821,763
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -155,583
b Net investment income (if negative, enter -0-) 430,062
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............. 90,844 96,683 96,683
2 Savings and temporary cash investments......... 1,221 1,243 1,243
3 Accounts receivable bullet28,192
Less: allowance for doubtful accounts bullet   39,324 28,192 28,192
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.......... 24,802 12,541 12,541
10a Investments—U.S. and state government obligations (attach schedule) 595,789 Click to see attachment732,124 732,124
b Investments—corporate stock (attach schedule)....... 9,832,837 Click to see attachment9,035,498 9,035,498
c Investments—corporate bonds (attach schedule)....... 674,295 Click to see attachment749,518 749,518
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 120,028 Click to see attachment261,452 261,452
14 Land, buildings, and equipment: basis bullet99,834
Less: accumulated depreciation (attach schedule) bullet88,548 9,043 Click to see attachment11,286 11,286
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 11,388,183 10,928,537 10,928,537
Liabilities 17 Accounts payable and accrued expenses.......... 83,644 65,047
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) Click to see attachment39,280 Click to see attachment34,952
23 Total liabilities (add lines 17 through 22)......... 122,924 99,999
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.................. 11,265,259 10,828,538
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    
30 Total net assets or fund balances (see instructions)..... 11,265,259 10,828,538
31 Total liabilities and net assets/fund balances (see instructions). 11,388,183 10,928,537
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
11,265,259
2
Enter amount from Part I, line 27a .....................
2
-155,583
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
11,109,676
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
281,138
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
10,828,538
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 P    
b CAPITAL GAINS DIVIDENDS P    
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 2,012,415   1,948,595 63,820
b 180,006     180,006
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       63,820
b       180,006
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 2 243,826
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 1,029,819 11,080,533 0.092939
2016 1,059,840 10,516,908 0.100775
2015 1,355,413 10,445,900 0.129756
2014 854,579 11,542,980 0.074035
2013 1,091,294 11,684,999 0.093393
2
Total of line 1, column (d) .....................
2
0.490898
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
0.098180
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
10,649,253
5
Multiply line 4 by line 3......................
5
1,045,544
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,301
7
Add lines 5 and 6........................
7
1,049,845
8
Enter qualifying distributions from Part XII, line 4,.............
8
821,763
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 8,601
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 8,601
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 8,601
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 15,025
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 15,025
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,424
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet6,424 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
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)
    bulletMN
    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 addressbulletWWW.GHCI.US
    14
    The books are in care ofbulletTERRY LEONIDAS Telephone no.bullet (218) 336-5702

    Located atbullet130 W SUPERIOR STREET SUITE 700DULUTHMN ZIP+4bullet55802
    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
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 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
    TERRY LEONIDAS CFO
    20.00     		33,660 2,356 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    LYNN GOERDT DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    STEVE GREENFIELD DIRECTOR
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    DEBORAH MEDLIN SECRETARY/TREASURER
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    PAMELA FRANKLIN DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    WILLIAM PALMER DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    MICHAEL SLAG MD DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    STEPHANIE BALMER DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    JO ANN HOAG CHAIR
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    JULIE PIERCE VICE CHAIR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    MARY RAPPS EXECUTIVE DIRECTOR
    40.00     		108,623 34,082 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    CARL CRAWFORD DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    STEVE PATRONIS DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    THOMAS ALBRIGHT DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    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
    MEGAN HALENA PROGRAM DIRECTOR
    40.00     		60,424 12,592 0
    130 W SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    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 MNSURE OUTREACH, ENROLLMENT AND THE HEALTH CARE ACCESS OFFICE (HCAO)- GENERATIONS IS THE LEAD ORGANIZATION FOR INSURE DULUTH, A COALITION OF 17 ORGANIZATIONS THAT OFFER A COORDINATED COMMUNITY APPROACH TO 1) INFORMING RESIDENTS OF DULUTH AND THE SURROUNDING AREA ABOUT THE NEW COVERAGE OPPORTUNITIES AVAILABLE THROUGH MNSURE, 2) DOING OUTREACH TO TARGETED POPULATIONS TO ENCOURAGE ENROLLMENT, AND 3) PROVIDING INDIVIDUAL ENROLLMENT ASSISTANCE. GENERATIONS COORDINATES PROJECT ACTIVITIES AND PROVIDES MANAGEMENT FOR A GRANT PROVIDED BY MNSURE. ADDITIONALLY, LAKE SUPERIOR COMM. HLTH. CTR. OPERATES THE HCAO. THE OFFICE HELPS TO INCREASES ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDER-INSURED BY ENROLLING THEM IN EXISTING HEALTH COVERAGE AND PHARMACEUTICAL ASSISTANCE PROGRAMS. THE STAFF SCREENS INDIVIDUALS, ASSISTS IN COMPLETING THE APPLICATIONS, AND PROVIDES ADVOCACY THROUGHOUT THE ENROLLMENT PROCESS. INDIVIDUALS ARE REFERRED TO COMMUNITY RESOURCES IF OTHER SERVICES ARE NEEDED. 424,500
    2 CONNECTING HEALTH WITH COMMUNITIES - IT INVOLVES THE ACCOUNTABLE COMMUNITIES FOR HEALTH (ACH) GRANT, OUR DULUTH COMMUNITY SCHOOL COLLABORATIVE, COMMUNITY HEALTH WORKERS, AND OUR HEALTH COACHING PROGRAM. THE COLLABORATIVE IS A FOCUSED HEALTH EDUCATION PROGRAM OPERATED AT A GRADE SCHOOL IN A FINANCIALLY DISADVANTAGED NEIGHBORHOOD IN DULUTH, MN. THE STAFF INTERACTS WITH PUPILS AND THEIR PARENTS TO HELP THEM LEARN HOW TO ACCESS THE HEALTH CARE SYSTEM AND HOW TO BE RESPONSIBLE FOR THEIR OWN HEALTH MAINTENANCE AND IMPROVEMENT. CONNECTING HEALTH WITH COMMUNITIES IS A MAJOR ELEMENT OF OUR ACH GRANT. IT IS A COMPLIMENTARY STRATEGY TO EDUCATE AND SERVE THE RESIDENTS OF THIS AREA. GENERATIONS IS SUPPORTING COMMUNITY HEALTH WORKERS (CHW'S) AND THEIR ROLE OF CONNECTING COMMUNITIES WITH SYSTEMS OF CARE. COMMUNITY ACTION DULUTH'S HEALTH COACHING PROGRAM PROVIDES INDIVIDUALIZED COACHING AND ACCESSIBLE EDUCATION OPPORTUNITIES ON A VARIETY OF HEALTH TOPICS TO PEOPLE EXPERIENCING POVERTY. 107,734
    3 BROADER HEALTH IMPROVEMENT - THIS INCLUDES THREE TYPES OF ACTIVITIES: 1) BROADER HEALTH IMPROVEMENT WHICH RELATES TO GENERATIONS INVOLVEMENT IN COMMUNITY COALITIONS THAT ADDRESS VARIOUS HEALTH ISSUES; EXAMPLES ARE THE DULUTH COMMUNITY HEALTH NEEDS ASSESSMENT, THE DULUTH & ST. LOUIS COUNTY MENTAL HEALTH INITIATIVE, AND HEALTH IN ALL POLICY COMMITTEE. 2) IT ALSO INCLUDES SOME NOMINAL COSTS ASSOCIATED WITH THE LAST BRIDGE TO HEALTH (BTH) SURVEY WHICH WAS CONDUCED IN 2015. 3) ADDITIONALLY, A BRIDGING HEALTH NORTH DATA BASE GRANT IS INCLUDED THAT IS A WEB-BASED SOURCE OF POPULATION DATA AND COMMUNITY HEALTH INFORMATION. IT IS USED BY BRIDGING HEALTH DULUTH AS A PRIMARY SOURCE OF INFORMATION IN DEVELOPING DULUTH'S JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. IT IS PROMOTED AS A COMMUNITY RESOURCE AVAILABLE TO PLANNERS, POLICY MAKERS AND COMMUNITY MEMBERS TO USE AS A TOOL FOR COMMUNITY ASSESSMENT, STRATEGIC PLANNING, IDENTIFYING BEST PRACTICES, COLLABORATION AND ADVOCACY. 46,891
    4 PROGRAM DEVELOPMENT - GENERAL PROGRAM DEVELOPMENT INCLUDES ACTIVITIES SUCH AS FORMATIVE RESEARCH, PROGRAM PLANNING, AND TRAINING RELATED TO PROGRAM DEVELOPMENT. 25,837
    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
    10,727,222
    b
    Average of monthly cash balances.......................
    1b
    84,202
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    10,811,424
    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
    10,811,424
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    162,171
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    10,649,253
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    532,463
    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
    532,463
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    8,601
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,601
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    523,862
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    523,862
    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
    523,862
    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
    821,763
    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
    821,763
    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
    821,763
    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 7 523,862
    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...... 514,280
    b From 2014...... 287,668
    c From 2015...... 837,998
    d From 2016...... 537,219
    e From 2017...... 490,429
    fTotal of lines 3a through e........ 2,667,594
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 821,763
    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..... 523,862
    e Remaining amount distributed out of corpus 297,901
    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 2,965,495
    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) ...     		514,280
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		2,451,215
    10 Analysis of line 9:
    a Excess from 2014.... 287,668
    b Excess from 2015.... 837,998
    c Excess from 2016.... 537,219
    d Excess from 2017.... 490,429
    e Excess from 2018.... 297,901
    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
    COMMUNITY ACTION DULUTH INC
    2424 W 1ST SUITE 102
    DULUTH,MN55805     		N/A PC INDIVIDUALIZED COACHING/EDUCATION OPPORTUNITIES FOR PEOPLE IN POVERTY 90,939
    DULUTH COMMUNITY SCHOOL COLLABORATIVE
    1027 N 8TH AVE E
    DULUTH,MN55805     		N/A PC EDUCATE FAMILIES ON ACCESS TO HEALTH CARE 9,983
    LAKE SUPERIOR COMMUNITY HEALTH CENTER
    4325 GRAND AVE
    DULUTH,MN55807     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 181,093
    MINNESOTA CITIZENS FEDERATION NORTHEAST
    424 W SUPERIOR ST
    DULUTH,MN55802     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 2,115
    WE HEALTH CLINIC
    32 EAST 1ST ST SUITE 300
    DULUTH,MN55802     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 12,577
    ZEITGEIST CENTER FOR ARTS & COMMUNITY
    222 E SUPERIOR ST
    DULUTH,MN55802     		N/A PC FACILITATE FOCUS GROUPS FOR THE COMBINED COMMUNITY HEALTH NEEDS PROCESS 717
    Total .................................bullet 3a 297,424
    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 ...........     		         
    4 Dividends and interest from securities....     14 237,681  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 9,691  
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 243,826  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER REVENUE     		        3,772
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 491,198 3,772
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    494,970
    (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.)
    11A OTHER REVENUE
    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
    GENERATIONS HEALTH CARE INITIATIVES INC
     
    Employer identification number

    41-2000473
    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
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number
    41-2000473
    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
    MNSURE
     
    320 W SECOND STREET ROOM 301
     
    DULUTH, MN55802

    		$ 212,469


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    COMMUNITY WELLNESS GRANT
     
    404 WEST SUPERIOR STREET SUITE 220
     
    DULUTH, MN55802

    		$ 8,615


    (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
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number

    41-2000473
    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
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number

    41-2000473
    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:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 15,130 757   14,226

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2018 DepreciationSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    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
    LEASEHOLD IMPROVEMENTS 2001-01-01 5,826 5,826 SL 15.000000000000 0 0    
    MOVEABLE EQUIPMENT 2001-01-01 94,008 82,722 SL 5.000000000000 0 0    

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Name of Bond End of Year Book Value End of Year Fair Market Value
    APPLE INC 40,842 40,842
    AT&T INC 27,201 27,201
    BANK OF MONTREAL 25,353 25,353
    CITIGROUP INC 40,682 40,682
    CVS HEALTH CORP 19,373 19,373
    DOW CHEMICAL CO/THE 25,950 25,950
    GOLDMAN SACHS GROUP INC 26,646 26,646
    HALLIBURTON COMPANY 36,461 36,461
    HOME DEPOT INC 42,402 42,402
    JPMORGAN CHASE & CO 35,858 35,858
    METLIFE INC 42,620 42,620
    MORGAN STANLEY 30,166 30,166
    NOVARTIS CAPITAL CORP 42,388 42,388
    SUMITOMO MITSUI FINL GRP 30,533 30,533
    TORONTO-DOMINION BANK 25,164 25,164
    TOYOTA MOTOR CREDIT CORP 25,351 25,351
    WESTPAC BANKING CORP 32,774 32,774
    ANTHEM INC 26,539 26,539
    BANK OF AMERICA CORP 26,601 26,601
    BANK OF NOVA SCOTIA 20,326 20,326
    CAPITAL ONE FINANCIAL CO 25,044 25,044
    CVS HEALTH CORP 16,057 16,057
    HSBC HOLDING PLC 26,230 26,230
    MITSUBISHI UFJ FIN GRP 31,719 31,719
    SUNTRUST BANKS INC 27,238 27,238

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCENTURE PLC 34,878 34,878
    ALEXION PHARMACEUTICALS INC 29,422 29,422
    ALIGN TECHNOLOGY INC 15,198 15,198
    ALPHABET INC CL C 118,810 118,810
    AMAZON COM INC COM 122,564 122,564
    APPLE INC 126,914 126,914
    ARTISAN INTERNATIONAL FUND INSTITUTIONAL CLASS 400,916 400,916
    BOOKING HOLDINGS INC 51,127 51,127
    BOSTON SCIENTIFIC CORP COM 52,771 52,771
    BROADCOM INC 50,027 50,027
    CENTENE CORP DEL COM 32,681 32,681
    COCA COLA CO 51,132 51,132
    CONCHO RESOURCES INC 15,069 15,069
    CONSTELLATION BRANDS INC 52,109 52,109
    CRM SMALL CAP VALUE FUNDS 204,560 204,560
    DANAHER CORP 47,316 47,316
    DODGE & COX INTERNATIONAL STOCK FUND 462,325 462,325
    DODGE & COX STOCK FUND 995,066 995,066
    ECOLAB INC 31,978 31,978
    ESTEE LAUDER COMPANIES INC 36,628 36,628
    FACEBOOK INC 94,506 94,506
    FORTIVE CORP 27,580 27,580
    FORTUNE BRANDS HOME & SECURITY 27,981 27,981
    HOME DEPOT INC 51,508 51,508
    INTERCONTINENTAL EXCHANGE, INC 48,516 48,516
    ISHARES MBS ETF 124,775 124,775
    ISHARES MSCI EAFE ETF 276,544 276,544
    ISHARES MSCI EMERGING MARKETS 363,720 363,720
    ISHARES RUSSELL 1000 GROWTH ETF 175,923 175,923
    ISHARES RUSSELL 1000 VALUE ETF 199,328 199,328
    ISHARES RUSSELL 2000 ETF 96,746 96,746
    ISHARES RUSSELL MID-CAP GROWTH 291,310 291,310
    ISHARES RUSSELL MID-CAP VALUE 129,930 129,930
    JAZZ PHARMACEUTICALS PLC 31,269 31,269
    JP MORGAN MID CAP VALUE FUND-CLASS L 292,633 292,633
    JPMORGAN HIGH YIELD FUND 254,447 254,447
    MICROSOFT CORP 145,029 145,029
    MIDDLEBY CORP COM 32,788 32,788
    MONSTER BEVERAGE CORP 23,351 23,351
    MORGAN STANLEY COM 19,459 19,459
    NETFLIX INC 36,131 36,131
    NORWEGIAN CRUISE LINE HOLDINGS LTD 29,587 29,587
    PALO ALTO NETWORKS INC 35,634 35,634
    PIMCO FOREIGN BOND (UNHEDGED) FUND 288,430 288,430
    POOL CORPORATION COM 45,364 45,364
    PRA HEALTH SCIENCES INC 26,489 26,489
    S&P GLOBAL INC 37,727 37,727
    SALESFORCE COM INC COM 51,347 51,347
    SPDR DJ WILSHIRE INTERNATIONAL REAL ESTATE ETF 415,987 415,987
    SPDR DOW JONES REIT ETF 628,030 628,030
    STONE HARBOR LOCAL MARKET FUND 187,241 187,241
    T ROWE PRICE INSTITUTIONAL EMERGING MARKETS EQUITY FUND 240,314 240,314
    TEMPLETON GLOBAL BOND FUND 217,795 217,795
    TRACTOR SUPPLY CO COM 41,159 41,159
    TRANSDIGM GROUP INC COM 47,372 47,372
    ULTA BEAUTY, INC. 31,380 31,380
    VERTEX PHARMACEUTICALS INC COM 28,623 28,623
    VISA INC-CLASS A SHRS 69,073 69,073
    XPO LOGISTICS INC 21,683 21,683
    LULULEMON ATHLETICA INC 27,516 27,516
    DEXCOM INC 40,672 40,672
    BOEING CO 31,312 31,312
    ACTIVISION BLIZZARD INC 30,765 30,765
    ARISTA NETWORKS INC 33,313 33,313
    FIDELITY NATL INFORMATION SVCS INC 44,816 44,816
    NVIDIA CORP COM 36,517 36,517
    INVESCO OPPENHEIMER DEVELOPING MARKETS FUND CLASS R6 557,112 557,112
    VANGUARD REAL ESTATE ETF 115,275 115,275

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    US Government Securities - End of Year Book Value:

    732,124
    US Government Securities - End of Year Fair Market Value:

    732,124
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2018 InvestmentsOtherSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACC INT REC - SECURITIES FMV 12,815 12,815
    MONEY MARKET FUNDS FMV 248,637 248,637

    TY 2018 LandEtcSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    LEASEHOLD IMPROVEMENTS 5,826 5,826 0  
    MOVEABLE EQUIPMENT 94,008 82,722 11,286  


    TY 2018 OtherDecreasesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 281,138


    TY 2018 OtherExpensesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSES 9,728 0   9,978
    DUES AND MEMBERSHIPS 1,064 0   1,064
    PARKING 4,066 0   4,066
    INSURANCE 4,073 0   4,095
    LEASED EMPLOYEES 38,304 0   37,478
    COMPUTER SUPPLIES & SOFTWARE 24,718 0   26,008
    TAX RETURN REGISTRATION 25 1   24
    PROGRAM DEVELOPMENT 12,280 0   10,544
    BROADER HEALTH IMPROVEMENT 4,081 0   4,056
    PAYROLL FEES 22,576 1,129   21,652
    CONNECTING HEALTH WITH COMMUNITIES 52,080 0   52,147
    ACCESS TO CARE 117,801 0   117,094


    TY 2018 OtherIncomeSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER REVENUE 3,772   3,772


    TY 2018 OtherLiabilitiesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Beginning of Year - Book Value End of Year - Book Value
    ASSETS HELD FOR OTHERS 39,280 34,952


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 44,566 44,566   0


    TY 2018 TaxesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 1,832 0   0
    FOREIGN TAXES 206 206   0