-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE CARLS FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
6001 N ADAMS ROAD NO 215
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BLOOMFIELD HILLS
,
MI
48304
A Employer identification number
38-6099935
B
Telephone number (see instructions)
(248) 434-5512
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
137,842,426
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
3,110,298
3,110,298
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
4,421,170
b
Gross sales price for all assets on line 6a
124,442,150
7
Capital gain net income (from Part IV, line 2)
...
4,421,170
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
7,531,468
7,531,468
13
Compensation of officers, directors, trustees, etc.
134,200
0
134,200
14
Other employee salaries and wages
......
115,489
0
115,489
15
Pension plans, employee benefits
.......
67,542
0
67,542
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
27,500
9,167
18,333
c
Other professional fees (attach schedule)
....
491,560
491,560
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
153,585
0
18,585
19
Depreciation (attach schedule) and depletion
...
3,522
0
20
Occupancy
..............
29,056
0
29,056
21
Travel, conferences, and meetings
.......
10,570
0
10,570
22
Printing and publications
..........
235
0
235
23
Other expenses (attach schedule)
.......
40,316
0
40,316
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
1,073,575
500,727
434,326
25
Contributions, gifts, grants paid
.......
5,922,084
5,922,084
26
Total expenses and disbursements.
Add lines 24 and 25
6,995,659
500,727
6,356,410
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
535,809
b
Net investment income
(if negative, enter -0-)
7,030,741
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
62,503
89,576
89,576
2
Savings and temporary cash investments
.........
3,855,794
6,900,357
6,900,357
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
23,652,201
14,635,857
14,703,883
b
Investments—corporate stock (attach schedule)
.......
73,494,433
68,974,708
94,497,347
c
Investments—corporate bonds (attach schedule)
.......
5,516,839
10,897,919
11,091,772
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
4,792,030
10,414,714
10,554,487
14
Land, buildings, and equipment: basis
84,069
Less: accumulated depreciation (attach schedule)
79,065
8,526
5,004
5,004
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
111,382,326
111,918,135
137,842,426
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
111,382,326
111,918,135
29
Total net assets or fund balances
(see instructions)
.....
111,382,326
111,918,135
30
Total liabilities and net assets/fund balances
(see instructions)
.
111,382,326
111,918,135
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
111,382,326
2
Enter amount from Part I, line 27a
.....................
2
535,809
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
111,918,135
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
111,918,135
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
PUBLICLY TRADED SECURITIES
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
124,442,150
120,020,980
4,421,170
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
4,421,170
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
4,421,170
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
...................
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?
Yes
No
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))
2018
6,226,018
127,573,893
0.048803
2017
6,059,909
124,162,344
0.048806
2016
5,539,047
116,967,473
0.047355
2015
6,160,268
124,158,456
0.049616
2014
6,297,704
127,727,318
0.049306
2
Total
of line 1, column (d)
.....................
2
0.243886
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
0.048777
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
128,374,917
5
Multiply line 4 by line 3
......................
5
6,261,743
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
70,307
7
Add lines 5 and 6
........................
7
6,332,050
8
Enter qualifying distributions from Part XII, line 4
,.............
8
6,356,410
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
70,307
here
and 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
70,307
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
70,307
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
148,310
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
148,310
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
78,003
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
78,003
Refunded
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
MI
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
WWW.CARLSFDN.ORG
14
The books are in care of
ELIZABETH A STIEG
Telephone no.
(248) 385-5517
Located at
6001 N ADAMS ROAD SUITE 215
BLOOMFIELD HILLS
MI
ZIP+4
48304
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
ELIZABETH A STIEG
EXECUTIVE DIRECTOR/CEO
40.00
134,200
20,130
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
HENRY FLEISCHER
TREASURER
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
ROBERT A SAJDAK
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
DR HOMER E NYE
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
EDWARD C STIEG
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
TERESA KRIEGER-BURKE PHD
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
BRUCE M FLEISCHER PHD
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
DONALD A DELONG ESQ
SECRETARY
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
BRAIN DERISLEY
TRUSTEE
1.00
0
0
0
6001 N ADAMS ROAD NO 215
BLOOMFIELD HILLS
,
MI
48304
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
KATHY A STENMAN
PROGRAM OFFICER
40.00
94,200
14,130
0
6001 N ADAMS ROAD STE 215
BLOOMFIELD HILLS
,
MI
48304
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
125,548,918
b
Average of monthly cash balances
.......................
1b
4,780,947
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
130,329,865
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
130,329,865
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,954,948
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
128,374,917
6
Minimum investment return.
Enter 5% of line 5
..................
6
6,418,746
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
6,418,746
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
70,307
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
70,307
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
6,348,439
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
6,348,439
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
6,348,439
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
6,356,410
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
6,356,410
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
70,307
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
6,286,103
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
6,348,439
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
98,283
c
From 2016
......
d
From 2017
......
71,278
e
From 2018
......
f
Total
of lines 3a through e
........
169,561
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
6,356,410
a
Applied to 2018, 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 2019 distributable amount
.....
6,348,439
e
Remaining amount distributed out of corpus
7,971
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
177,532
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
177,532
10
Analysis of line 9:
a
Excess from 2015
....
98,283
b
Excess from 2016
....
c
Excess from 2017
....
71,278
d
Excess from 2018
....
e
Excess from 2019
....
7,971
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
ELIZABETH A STIEG EXECUTIVE DIRECTO
6001 N ADAMS ROAD STE 215
BLOOMFIELD HILLS
,
MI
48304
(248) 434-5512
EASTIEG@CARLSFDN.ORG
b
The form in which applications should be submitted and information and materials they should include:
NO FORMAL APPLICATION OR REQUEST FORM IS REQUIRED
c
Any submission deadlines:
THERE ARE NO DEADLINES FOR SUBMISSION OF REQUESTS
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE FOUNDATION HAS A BROADLY DEFINED CHARITABLE PURPOSE BUT THE ORGANIZATION'S PRIMARY FOCUS IS CHILDREN'S HEALTH & WELFARE (PRIMARILY IN MI), PRESERVATION OF NATURAL AREAS AND OPEN SPACES, AND HISTORICAL BUILDINGS. THE FOUNDATION DOES NOT PROVIDE GRANTS TO INDIVIDUALS, FOR ENDOWMENTS, PUBLICATIONS, CONFERENCES, SEMINARS, FILM, FELLOWSHIPS, EDUCATION, LOANS, TRAVEL, RESEARCH, PLAYGROUND OR ATHLETIC FACILITIES OR UNDERWRITE RELATED EVENTS.
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
SIX RIVERS LAND CONSERVANCY
PO BOX 80902 4480 ORION ROAD
ROCHESTER
,
MI
48308
NONE
PUBLIC CHARITY
CAPACITY BUILDING TROUGH INCREASED STEWARDSHIP STAFF
120,000
CHILD & FAMILY SERVICES OF NORTHEAST MICHIGAN
1044 US HWY 23 NORTH
ALPENA
,
MI
49707
NONE
PUBLIC CHARITY
HEALTHY START/HEALTHY FAMILIES AMERICA PROGRAM IN ALPENA
100,000
LEGACY LAND CONSERVANCY
6276 JACKSON ROAD STE G
ANN ARBOR
,
MI
48103
NONE
PUBLIC CHARITY
PURCHASE OF EASEMENTS FOR LAND PRESERVATION IN WASHTENAW AND JACKSON COUNTIES, MI
150,000
LITTLE TRAVERSE CONSERVANCY
3264 POWELL ROAD
HARBOR SPRINGS
,
MI
49740
NONE
PUBLIC CHARITY
PURCHASE AND PRESERVATION OF THE ELLINGER ROAD PROPERTY
100,000
MUNSON HEALTHCARE FOUNDATION
1150 MEDICAL CAMPUS DRIVE
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
NICU CAPITAL CAMPAIGN
600,000
SIX RIVERS REGIONAL AND CONSERVANCY
PO BOX 80902
ROCHESTER
,
MI
48308
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF PARCELS FOR THE EXPANSION OF ANCHOR BAY WOODS PRESERVE
150,000
CRISTO REY COMMUNITY CENTER
1717 NORTH HIGH STREET
LANSING
,
MI
48906
NONE
PUBLIC CHARITY
SUPPORT FOR PARENTING EDUCATION FOR HIGH-RISK FAMILIES
35,000
GRAND TRAVERSE REGIONAL LAND CONSERVANCY
3860 N LONG LAKE ROAD STE D
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
LOVE THE LAND CAMPAIGN TO PRESERVE NATURAL AREAS AND FARMLANDS
750,000
UNIVERSITY OF MICHIGAN
3011 STUDENT ACTIVITIES
ANN ARBOR
,
MI
48109
NONE
PUBLIC UNIVERSITY
ANNUAL MERIT & FINANCIAL NEEDS FOR CARLS SCHOLARSHIP STUDENTS
32,104
GRAND TRAVERSE REGIONAL COMMUNITY FOUNDATION
223 LAKE AVENUE SUITE B
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
SUPPORT FOR TWO YEARS OF PROGRAMMING FOR GENERATIONS AHEAD
51,840
GOODWILL OF NORTHERN MICHIGAN
2279 SOUTH AIRPORT ROAD WEST
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
SUPPORT FOR GOODWILL INN SHELTER FAMILY SHELTER PROGRAM
25,000
WALLOON LAKE TRUST AND CONSERVANCY
PO BOX 579
WALLOON LAKE
,
MI
49712
NONE
PUBLIC CHARITY
EXPANSION OF BOYNE SCHOOL FOREST TRAIL AND NATURAL AREA
50,000
ELE'S PLACE
3526 WEST LIBERTY SUITE 200
ANN ARBOR
,
MI
48103
NONE
PUBLIC CHARITY
CONSTRUCTION OF THE ELEMENTARY QUIET ACTIVITY ROOM FOR CHILDREN
100,000
DETROIT INSTITUTE FOR CHILDREN
2075 E WEST MAPLE ROAD SUITE B-203
WALLED LAKE
,
MI
48390
NONE
PUBLIC CHARITY
SUPPORT FOR TRAINING OF EARLY CHILDHOOD PROGRAM STAFF IN TRAUMA BASED INTERVENTIONS
30,000
DETROIT 9090 DBA UNIVERSITY PREP SCHOOLS
485 WEST MILWAUKEE AVENUE 3RD FLOOR
DETROIT
,
MI
48202
NONE
PUBLIC CHARITY
CONSTRUCTION OF SCHOOL BASED CLINIC
60,000
COUNCIL OF MICHIGAN FOUNDATIONS
ONE SOUTH HARBOR DRIVE SUITE 8
GRAND HAVEN
,
MI
49417
NONE
PUBLIC CHARITY
SUPPORT FOR OPERATIONS
11,400
HENRY FORD HEALTH SYSTEM
1 FORD PLACE 5A
DETROIT
,
MI
48202
NONE
PUBLIC CHARITY
PURCHASE OF EQUIPMENT FOR THE NICU
250,000
CORNER HEALTH CENTER
47 NORTH HURON STREET
YPSILANTI
,
MI
48197
NONE
PUBLIC CHARITY
PURCHASE AND INSTALLATION OF GENERATOR
31,705
CONSTANCE BROWN HEARING CENTER
1634 GULL ROAD SUITE 201
KALAMAZOO
,
MI
49048
NONE
PUBLIC CHARITY
PURCHASE OF PEDIATRIC HEARING EQUIPMENT
35,000
COMPREHENSIVE THERAPY CENTER
2505 ARDMORE SE
GRAND RAPIDS
,
MI
49506
NONE
PUBLIC CHARITY
PURCHASE OF HEARING EQUIPMENT FOR HEARING SCREENINGS
10,108
CHILD AND FAMILY SERVICES OF NORTHWESTERN MI
3785 VETERANS DRIVE
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
SUPPORT FOR CHILDREN'S TRAUMA ASSESSMENT AND TREATMENT CENTER
25,000
CHILD AND FAMILY CHARITIES OF LANSING
4287 FIVE OAKS DRIVE
LANSING
,
MI
48911
NONE
PUBLIC CHARITY
RENOVATIONS AT ANGEL HOUSE
50,000
WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM
3031 W GRAND BOULEVARD SUITE 650
DETROIT
,
MI
48202
NONE
PUBLIC CHARITY
SUPPORT FOR THE LENA START PROGRAM
49,069
BRILLIANT DETROIT
5675 LARKINS STREET
DETROIT
,
MI
48210
NONE
PUBLIC CHARITY
RENOVATIONS OF CENTER IN CHANDLER PARK LOCATION
75,000
BOYS HOPE GIRLS HOPE
PO BOX 21085
DETROIT
,
MI
48221
NONE
PUBLIC CHARITY
RENOVATIONS OF HOME FOR GIRLS IN DETROIT
100,000
BETHANY CHRISTIAN SERVICES
901 EASTERN AVENUE NE
GRAND RAPIDS
,
MI
49503
NONE
PUBLIC CHARITY
RENOVATION OF SPACE AND PROGRAM SUPPORT FOR CHILDREN'S COUNSELING SERVICES
100,000
BEAUMONT HEALTH FOUNDATION (FORMERLY OAKWOOD FOUNDATION)
3711 WEST 13 MILE ROAD
ROYAL OAK
,
MI
48073
NONE
PUBLIC CHARITY
RENOVATION OF THE NICU AT BEAUMONT - DEARBORN
250,000
ACTION FOR CHILD CARE
521 RANDOLPH STREET
OWOSSO
,
MI
48867
NONE
PUBLIC CHARITY
DISTRIBUTION OF SAFE SLEEP AND BASIC SAFETY EQUIPMENT TO LOW INCOME FAMILIES
10,000
ACRES LAND TRUST INC
PO BOX 665
HUNTERTOWN
,
IN
46748
NONE
PUBLIC CHARITY
PURCHASE AND PRESERVATION OF PARCEL IN HILLSDALE COUNTY, MI
50,000
GUIDING HARBOR
PO BOX 727
BELLEVILLE
,
MI
48112
NONE
PUBLIC CHARITY
RENOVATIONS ON GIRLSTOWN RESIDENTIAL FACILITY
59,866
KALAMAZOO REGIONAL EDUCATIONAL SERVICE AGENCY
1819 EAST MILHAM AVENUE
PORTAGE
,
MI
49002
NONE
PUBLIC CHARITY
PURCHASE OF SPEECH MAPPING EQUIPMENT
5,730
HIGHER HOPES INC
8898 COMMERCE ROAD SUITE 5C
COMMERCE
,
MI
48382
NONE
PUBLIC CHARITY
EXPANSION OF FOOD DISTRIBUTION TO EARLY HEADSTART FAMILIES
25,000
MICHIGAN HANDS & VOICES
PO BOX 71038
ROCHESTER HILLS
,
MI
48307
NONE
PUBLIC CHARITY
ASTRA TRAINING FOR EDUCATIONAL ADVOCATE PROGRAM FOR DEAF AND HARD OF HEARING STUDENTS
28,765
REACHING HIGHER
508 E GRAND RIVER SUITE 300 B
BRIGHTON
,
MI
48116
NONE
PUBLIC CHARITY
SUPPORT FOR MENTORING PROGRAM IN DETROIT PUBLIC SCHOOLS
26,000
RJ SCHEFFEL MEMORIAL TOY PROJECT
PO BOX 23181
LANSING
,
MI
48909
NONE
PUBLIC CHARITY
PURCHASE OF MATERIALS FOR TOYS FOR HOSPITALIZED CHILDREN
8,000
OZONE HOUSE INC
1705 WASHTENAW
ANN ARBOR
,
MI
48104
NONE
PUBLIC CHARITY
CONSTRUCTION OF FACILITY TO HOUSE YOUTH IN CRISIS
250,000
OAKLAND FAMILY SERVICES
114 ORCHARD LAKE ROAD
PONTIAC
,
MI
48341
NONE
PUBLIC CHARITY
SUPPORT FOR PARENTS AS TEACHERS PROGRAM
47,500
NORTHERN MICHIGAN CHILDREN'S ASSESSMENT CENTER
PO BOX 887
ROSCOMMON
,
MI
48653
NONE
PUBLIC CHARITY
EXPANSION OF MEDICAL AND COUNSELING PROGRAM FOR CHILDREN
7,000
NORTH OAKLAND HEADWATERS LAND CONSERVANCY
PO BOX 285
CLARKSTON
,
MI
48347
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF 21.5-ACRE FEN IN OAKLAND COUNTY
100,000
NATIONAL PARK TRUST
401 E JEFFERSON STREET SUITE 207
ROCKVILLE
,
MD
20850
NONE
PUBLIC CHARITY
PURCHASE OF PROPERTIES FOR THE RIVER RAISIN NATIONAL BATTLEFIELD
206,427
STUDENTS CARE INC
1900 MARKET STREET 8TH FLOOR
PHILADELPHIA
,
PA
19103
NONE
PUBLIC CHARITY
SUPPORT FOR THE HOSPITAL BUDDY PROGRAM AT SPARROW HOSPITAL IN EAST LANSING, MI
25,000
MICHIGAN TECHNOLOGICAL UNIVERSITY
1400 TOWNSEND DRIVE
HOUGHTON
,
MI
49931
NONE
PUBLIC UNIVERSITY
ANNUAL MERIT & FINANCIAL NEEDS FOR CARLS SCHOLARSHIP STUDENTS
10,000
MICHIGAN STATE UNIVERSITY
252 STUDENT SERVICES
EAST LANSING
,
MI
48824
NONE
PUBLIC UNIVERSITY
ANNUAL MERIT & FINANCIAL NEEDS FOR CARLS SCHOLARSHIP STUDENTS
10,000
MICHIGAN COALITION FOR DEAF HARD OF HEARING & DEAF BLIND PEOPLE
PO BOX 16234
LANSING
,
MI
48901
NONE
PUBLIC CHARITY
PURCHASE OF NEWBORN HEARING SCREENING EQUIPMENT
109,950
HURON PINES
4241 OLD US 27 SOUTH SUITE 2
GAYLORD
,
MI
49735
NONE
PUBLIC CHARITY
CAPITAL IMPROVEMENTS AT THE HUBBARD LAKE PRESERVE
18,000
MCREST - MACOMB COUNTY ROTATING EMERGENCY SHELTER TEAM
20415 ERIN
ROSEVILLE
,
MI
48066
NONE
PUBLIC CHARITY
RENOVATION OF HOMELESSS SHELTER IN MOUNT CLEMENS, MI
125,000
MCLAREN CENTRAL MICHIGAN
1221 SOUTH DRIVE
MT PLEASANT
,
MI
48858
NONE
PUBLIC CHARITY
PURCHASE OF NEWBORN HEARING SCREENING EQUIPMENT
20,050
LOWELL AREA SCHOOLS
300 HIGH STREET
LOWELL
,
MI
49331
NONE
PUBLIC CHARITY
PURCHASE OF VISION SCREENING EQUIPMENT OF LOWELL AREA SCHOOLS
7,570
THE NATURE CONSERVANCY
101 EAST GRAND RIVER
LANSING
,
MI
48906
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF MICHIGAMME HIGHLANDS PROPERTY FOR PRESERVATION
1,000,000
LIGHTHOUSE OF OAKLAND COUNTY
46156 WOODWARD AVENUE
PONTIAC
,
MI
48343
NONE
PUBLIC CHARITY
WINDOW REPLACEMENT AT LIGHTHOUSE PATH FACILITY
55,000
LIFE REMODELED INC
2470 COLLINGWOOD
DETROIT
,
MI
48206
NONE
PUBLIC CHARITY
RENOVATIONS AT THE DURFEE INNOVATION SOCIETY
66,000
WHALEY CHILDREN'S CENTER
1201 NORTH GRAND TRAVERSE
FLINT
,
MI
48503
NONE
PUBLIC CHARITY
ROOF REPLACEMENT AT MOTT RESIDENCE HALL
95,000
LEELANAU CHRISTIAN NEIGHBORS
PO BOX 196
LAKE LEELANAU
,
MI
49653
NONE
PUBLIC CHARITY
CONSTRUCTION OF NEW FACILITY
50,000
LEELANAU CHILDREN'S CENTER
PO BOX 317
LELAND
,
MI
49654
NONE
PUBLIC CHARITY
SUPPORT FOR HEALTHY LOCAL FOOD PROGRAM
15,000
LAHC
835 MASON STREET SUITE A-160
DEARBORN
,
MI
48124
NONE
PUBLIC CHARITY
RENOVATION OF LAHC BUILDING
100,000
WOMEN'S RESOURCE CENTER FOR THE GRAND TRAVERSE AREA
720 ELMWOOD SUITE 2
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
SUPPORT FOR OPERATIONS AT EMERGENCY SHELTER
50,000
Total
.................................
3a
5,922,084
b
Approved for future payment
FORGOTTEN HARVEST
21800 GREENFIELD ROAD
OAK PARK
,
MI
48237
NONE
PUBLIC CHARITY
ACQUISITION AND CONSTRUCTION OF A NEW WAREHOUSE
500,000
GRAND TRAVERSE REGIONAL LAND CONSERVANCY
3860 N LONG LAKE ROAD STE D
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
LOVE THE LAND CAMPAIGN TO PRESERVE NATURAL AREAS AND FARMLANDS
1,650,000
KEWEENAW NATURAL AREAS
PO BOX 124
CALUMET
,
MI
49913
NONE
PUBLIC CHARITY
PURCHASE AND PRESERVATION OF PARCEL ON LAKE SUPERIOR IN KEWEENAW COUNTY
252,000
LEELANAU CONSERVANCY
PO BOX 1007
LELAND
,
MI
49654
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF PALMER WOODS 1000-ACRE PROJECT
500,000
MUNSON HEALTHCARE FOUNDATION
1150 MEDICAL CAMPUS DRIVE
TRAVERSE CITY
,
MI
49684
NONE
PUBLIC CHARITY
NICU CAPITAL CAMPAIGN
2,400,000
LEGACY LAND CONSERVANCY
6276 JACKSON ROAD STE G
ANN ARBOR
,
MI
48103
NONE
PUBLIC CHARITY
PURCHASE OF EASEMENTS FOR LAND PRESERVATION IN WASHTENAW AND JACKSON COUNTIES, MI
337,000
SIX RIVERS REGIONAL AND CONSERVANCY
PO BOX 80902
ROCHESTER
,
MI
48308
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF PARCELS FOR THE EXPANSION OF ANCHOR BAY WOODS PRESERVE
300,000
THUMB LAND CONSERVANCY
4975 MAPLE VALLEY ROAD
MARLETTE
,
MI
48453
NONE
PUBLIC CHARITY
PURCHASE AND PRESERVATION OF 42-ACRE PARCEL IN ST. CLAIR COUNTY
150,000
THE NATURE CONSERVANCY
101 EAST GRAND RIVER
LANSING
,
MI
48906
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF MICHIGAMME HIGHLANDS PROPERTY FOR PRESERVATION
500,000
SOUTHWEST MICHIGAN LAND CONSERVANCY
8395 EAST MAIN STREET
GALESBURG
,
MI
49053
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF LAKE MICHIGAN SHORELINE PROPERTY FOR CHERRY BEACH TWP PARK
250,000
THE NATURE CONSERVANCY
101 EAST GRAND RIVER
LANSING
,
MI
48906
NONE
PUBLIC CHARITY
PURCHASE AND PROTECTION OF NORTHPOINT PROPERTY
1,500,000
Total
.................................
3b
8,339,000
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees 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
3,110,298
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
4,421,170
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
7,531,468
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
7,531,468
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description