-
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
07-01-2019
, and ending
06-30-2020
Name of foundation
POTTSTOWN AREA HEALTH AND WELLNESS
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
152 EAST HIGH STREET SUITE 500
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
POTTSTOWN
,
PA
19464
A Employer identification number
23-2344729
B
Telephone number (see instructions)
(610) 323-2006
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)
$
76,820,539
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)
65,121
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
1,889,192
1,889,192
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
2,275,099
b
Gross sales price for all assets on line 6a
10,711,745
7
Capital gain net income (from Part IV, line 2)
...
2,275,099
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)
.......
91
0
12
Total.
Add lines 1 through 11
........
4,229,503
4,164,291
13
Compensation of officers, directors, trustees, etc.
240,649
96,260
144,389
14
Other employee salaries and wages
......
601,795
129,655
472,140
15
Pension plans, employee benefits
.......
175,700
36,377
126,368
16a
Legal fees (attach schedule)
.........
20,053
20,053
0
b
Accounting fees (attach schedule)
.......
22,500
4,500
17,600
c
Other professional fees (attach schedule)
....
355,436
116,571
93,576
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
138,854
23,428
84,041
19
Depreciation (attach schedule) and depletion
...
26,262
26,262
20
Occupancy
..............
93,698
18,740
74,959
21
Travel, conferences, and meetings
.......
40,077
8,015
35,365
22
Printing and publications
..........
8,757
1,751
0
23
Other expenses (attach schedule)
.......
404,090
44,694
266,660
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
2,127,871
526,306
1,315,098
25
Contributions, gifts, grants paid
.......
2,835,798
2,476,051
26
Total expenses and disbursements.
Add lines 24 and 25
4,963,669
526,306
3,791,149
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-734,166
b
Net investment income
(if negative, enter -0-)
3,637,985
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
.............
140,281
19,251
19,251
2
Savings and temporary cash investments
.........
42,562
109,536
109,536
3
Accounts receivable
Less: allowance for doubtful accounts
40,000
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
..........
92,723
44,015
44,015
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
77,589,007
75,643,798
75,643,798
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
1,537,929
947,067
947,067
14
Land, buildings, and equipment: basis
390,269
Less: accumulated depreciation (attach schedule)
333,397
62,640
56,872
56,872
15
Other assets (describe
)
85,598
0
0
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
79,590,740
76,820,539
76,820,539
17
Accounts payable and accrued expenses
..........
362,101
418,655
18
Grants payable
.................
75,000
434,747
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
)
23,480,293
29,735,747
23
Total liabilities
(add lines 17 through 22)
.........
23,917,394
30,589,149
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
55,673,346
46,231,390
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
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
55,673,346
46,231,390
30
Total liabilities and net assets/fund balances
(see instructions)
.
79,590,740
76,820,539
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
55,673,346
2
Enter amount from Part I, line 27a
.....................
2
-734,166
3
Other increases not included in line 2 (itemize)
3
16,335
4
Add lines 1, 2, and 3
..........................
4
54,955,515
5
Decreases not included in line 2 (itemize)
5
8,724,125
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
46,231,390
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
TOO VOLUMINOUS TO LIST - DETAILS AVAILABLE AT TAXPAYER'S OFFICE
P
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
10,711,745
8,436,646
2,275,099
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
2,275,099
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
2,275,099
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
4,232,666
77,189,949
0.054834
2017
4,129,739
80,212,290
0.051485
2016
4,326,460
78,157,377
0.055356
2015
4,599,469
77,310,316
0.059494
2014
4,063,803
82,159,403
0.049462
2
Total
of line 1, column (d)
.....................
2
0.270631
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
0.054126
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
76,118,988
5
Multiply line 4 by line 3
......................
5
4,120,016
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
36,380
7
Add lines 5 and 6
........................
7
4,156,396
8
Enter qualifying distributions from Part XII, line 4
,.............
8
3,791,149
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
72,760
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
72,760
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
72,760
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
46,007
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
46,007
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
527
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
27,280
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
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)
PA
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.POTTSTOWNFOUNDATION.ORG
14
The books are in care of
DAVID KRAYBILL EXECUTIVE DIRECTOR
Telephone no.
(610) 323-2006
Located at
152 E HIGH STREET SUITE 500
POTTSTOWN
PA
ZIP+4
19464
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
DAVID KRAYBILL
PRESIDENT
40.00
240,649
42,403
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
KEITH HARRISON DO FAAFP
SECRETARY
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
MYRA GEHRET FORREST ED D
CHAIR
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
TODD ALDERFER
MEMBER-AT-LARGE
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
PHILIP COOK
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
LINDA FLEDERBACH
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
PETER GLENNON
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
MATTHEW CAPPELLETTI
TREASURER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
B DOUGLAS TRAINER
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
DEBORAH LEE
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
ADAM CONISH
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
JOHN FOSTER
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
SONIA FRECON
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
LORI REINHART MUSSON
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
JEFFREY SPARAGANA
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
ARTHUR GREEN
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
FRANCES HEFFNER
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
MATTHEW HOWALD
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
CARL LANDIS
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
NANCY MILLER
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
JUSTIN VALENTINE
MEMBER
5.00
0
0
0
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
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
HOWARD BROWN
PROGRAM OFFICER
40.00
119,845
21,934
0
152 E HIGH ST STE 500
POTTSTOWN
,
PA
19464
CRAIG COLISTRA
PROGRAM OFFICER
40.00
89,815
22,929
0
152 E HIGH ST STE 500
POTTSTOWN
,
PA
19464
ASHIA COOPER
PROGRAM OFFICER
40.00
78,371
26,148
0
152 E HIGH ST STE 500
POTTSTOWN
,
PA
19464
ROSEMARIE WALTERS
OFFICE MANAGER
40.00
79,101
22,475
0
152 E HIGH ST STE 500
POTTSTOWN
,
PA
19464
MICHAEL JAMGOCHIAN
CONTROLLER
40.00
88,355
10,466
0
152 E HIGH ST STE 500
POTTSTOWN
,
PA
19464
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
THE ANDERSON GROUP
COMMUNICATIONS CONSULTING
85,427
879 FRITZTOWN ROAD
SINKING SPRING
,
PA
19608
VERALON
HEALTHCARE CONSULTING
74,836
1628 JOHN F KENNEDY BLVD 500
PHILADELPHIA
,
PA
19103
URBAN LAND INSTITUTE
CONSULTING
70,000
1818 MARKET STREET SUITE 3300
PHILADELPHIA
,
PA
19103
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
77,007,142
b
Average of monthly cash balances
.......................
1b
220,407
c
Fair market value of all other assets (see instructions)
................
1c
50,611
d
Total
(add lines 1a, b, and c)
.........................
1d
77,278,160
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
77,278,160
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,159,172
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
76,118,988
6
Minimum investment return.
Enter 5% of line 5
..................
6
3,805,949
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
3,805,949
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
72,760
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
72,760
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,733,189
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
3,733,189
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
3,733,189
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
3,791,149
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
3,791,149
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
3,791,149
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
3,733,189
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
......
36,667
b
From 2015
......
797,761
c
From 2016
......
501,389
d
From 2017
......
201,012
e
From 2018
......
472,545
f
Total
of lines 3a through e
........
2,009,374
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
3,791,149
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
.....
3,733,189
e
Remaining amount distributed out of corpus
57,960
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
2,067,334
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)
...
36,667
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
2,030,667
10
Analysis of line 9:
a
Excess from 2015
....
797,761
b
Excess from 2016
....
501,389
c
Excess from 2017
....
201,012
d
Excess from 2018
....
472,545
e
Excess from 2019
....
57,960
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:
HOWARD BROWN CRAIG COLISTRA PROGRAM
152 EAST HIGH STREET SUITE 500
POTTSTOWN
,
PA
19464
(610) 323-2006
b
The form in which applications should be submitted and information and materials they should include:
GRANT APPLICATIONS ARE TO BE COMPLETED AND POTENTIAL GRANTEES NEED TO PROVIDE AN ORGANIZATION BUDGET, A PROGRAM BUDGET, AN IRS DETERMINATION LETTER, MOST RECENT AUDIT REPORT AND/OR FORM 990.
c
Any submission deadlines:
SUBMISSION DEADLINES VARY BASED ON EACH FALL AND SPRING GRANT ROUND.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
A POTENTIAL GRANTEE ORGANIZATION MUST BE A NON-PROFIT ORGANIZATION LOCATED WITHIN 10 MILES OF THE BOROUGH OF POTTSTOWN. THE GRANT MUST FALL WITHIN ONE OF THE ORGANIZATION'S THREE CORE PRIORITIES OF: (1) FUNDING PROGRAMS AND SOLUTIONS FOR LONG-TERM IMPROVEMENT IN HEALTHY BEHAVIORS; (2) FUNDING PROGRAMS FOR PHYSICAL HEALTH AND EMOTIONAL WELL-BEING; (3) FUNDING LEARNING OPPORTUNITIES AND STRATEGIC PLANNING TO STRENGTHEN NON-PROFITS.
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
ACLAMO
512 W MARSHALL STREET
NORRISTOWN
,
PA
19401
PUBLIC CHARITY
ACLAMO'S POTTSTOWN COMMUNITY HEALTH CONNECTIONS PROGRAM, ACLAMO - POTTSTOWN SI NOS CUENTAN, SI CONTAMOS CAMPAIGN
65,448
BIG BROTHERS BIG SISTERS INDEPENDENCE
123 S BROAD STREET 1050
PHILADELPHIA
,
PA
19109
PUBLIC CHARITY
BIG BROTHERS BIG SISTERS BEYOND SCHOOL WALLS PROGRAM
15,000
BOROUGH OF POTTSTOWN
100 E HIGH STREET
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
ICE SKATING FOR EVERYONE, MEMORIAL PARK BRIDGE AND STREAMBANK STABILIZATION PROJECT, PARRC STRATEGIC PLAN, FOUNTAIN OF YOUTH SPRAY PARK SPARE PUMPS
64,300
BOYERTOWN AREA MULTI-SERVICE INC
200 WEST SPRING STREET
BOYERTOWN
,
PA
19512
PUBLIC CHARITY
RICKETTS CENTER PROGRAMMING, FOOD ACCESS AND HEALTH AND WELLNESS PROGRAMS
197,000
BOYERTOWN LIONS COMMUNITY AMBULANCE SERVICE INC
2 EAST SECOND STREET
BOYERTOWN
,
PA
19512
PUBLIC CHARITY
FIRST RESPONDERS FITNESS PROGRAM
2,500
CAMPHILL VILLAGE KIMBERTON HILLS
PO BOX 1045
KIMBERTON
,
PA
19442
PUBLIC CHARITY
EAST AUXILIARY GRANT RECIPIENT, VILLAGER SUPPORT FUND
13,750
CAROUSEL AT POTTSTOWN
30 W KING STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
IMPROVEMENTS AT THE CAROUSEL AT POTTSTOWN AND MANATAWNY MINI-GOLF TO ENRICH THE ACTIVITY OF OUR COMMUNITY MOST IMPORTANTLY THE CHILDREN OF OUR COMMUNITY.
25,000
CARSON VALLEY CHILDREN'S AID
1314 DEKALB STREET
NORRISTOWN
,
PA
19401
PUBLIC CHARITY
WOMEN'S VOICES, HEALTHY CHOICES
22,000
CENTRO CULTURAL LATINO UNIDOS INC
BOX 613 19 S KEIM STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
"FIGHTING OBESITY THROUGH FUN 2"
19,000
CHILD ADVOCACY CENTER OF MONTGOMERY COUNTY
PO BOX 706
NORRISTOWN
,
PA
19404
PUBLIC CHARITY
FOSTERING RESILIENCY THROUGH ON-SITE THERAPAY AND ADVOCACY
25,000
COMMUNITY HEALTH AND DENTAL CARE
351 W SCHUYLKILL RD SUITE G-15A
POTTSTOWN
,
PA
19465
PUBLIC CHARITY
SEALANT PROJECT
2,000
CRADLE OF LIBERTY COUNCIL BOY SCOUTS OF AMERICA
1485 VALLEY FORGE ROAD
WAYNE
,
PA
19087
GOVERNMENT ENTITY
SCOUTING: WELLNESS, CITIZENSHIP, CHARACTER AND LEADERSHIP DEVELOPMENT FOR YOUTH IN POTTSTOWN. RESCINDED GRANT
-4,225
CREATIVE HEALTH SERVICES
11 ROBINSON STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
MEDICALLY INTEGRATED FITNESS CENTER
25,000
DEVELOPMENTAL ENTERPRISES CORP
333 E AIRY STREET
NORRISTOWN
,
PA
19401
PUBLIC CHARITY
HEALTHY EATING, HEALTHY LIVING
19,000
EAST COVENTRY TOWNSHIP PARKS AND RECREATION
855 ELLIS WOODS ROAD
POTTSTOWN
,
PA
19465
GOVERNMENT ENTITY
DIBONO PROPERTY TRAILS, TOW PATH PARK MASTER PLAN/FEASIBILITY STUDY
26,000
EXPRESSIVE THERAPY CONCEPTS INC
125 PROSPECT STREET
PHOENIXVILLE
,
PA
19460
PUBLIC CHARITY
SMASHVILLE BADMINTON: KIDS AND ADULT FITNESS PROGRAMMING
15,000
FAMILY SERVICES OF MONTGOMERY COUNTY
3125 RIDGE PIKE
EAGLEVILLE
,
PA
19403
PUBLIC CHARITY
PROJECT HEARTH - HELPING ELDERLY ADULTS REMAIN IN THEIR HOME AND STRENGTHENING POTTSTOWN'S FAMILIES PROJECT
35,750
FIRST BAPTIST CHURCH
301 KING STREET
POTTSTOWN
,
PA
19464
CHURCH
FBC 2020! A STRATEGIC FUTURE
4,400
FOUNDATION FOR BOYERTOWN EDUCATION
911 MONTGOMERY AVENUE
BOYERTOWN
,
PA
19512
PUBLIC CHARITY
FOUNDATION FOR BOYERTOWN OGANIZATIONAL SUSTAINABILITY AND GROWTH
26,400
FOUNDATION FOR POTTSTOWN EDUCATION
230 BEECH STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
CHROMEBOOK CAMPAIGN FOR POTTSTOWN SCHOOL DISTRICT
136,632
FREDERICK MENNONITE COMMUNITY
PO BOX 498
FREDERICK
,
PA
19435
PUBLIC CHARITY
IT'S NEVER TOO LATE SYSTEM FOR DEMENTIA CARE
5,000
GREATER POTTSTOWN TENNIS ASSOCIATION
PO BOX 935
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
GAME, SET, ADVANTAGE
75,000
GREEN VALLEYS ASSOCIATION
1368 PRIZER ROAD
POTTSTOWN
,
PA
19465
PUBLIC CHARITY
OUTDOOR EDUCATION PROGRAMS AT POTTSTOWN ELEMENTARY SCHOOLS
1,500
HABITAT FOR HUMANITY
533 FOUNDRY ROAD
NORRISTOWN
,
PA
19403
PUBLIC CHARITY
POTTSTOWN RESIDENT LEADERSHIP TRAINING AND NEIGHBORHOOD REVITALIZATION
2,000
HEALTH CARE ACCESS
723 WHEATLAND STREET
PHOENIXVILLE
,
PA
19460
PRIVATE FOUNDATION
HEALTH CARE ACCESS PROGRAMS
10,000
JOULE 4 JESUS MINISTRIES
755 LINCOLN AVENUE
POTTSTOWN
,
PA
194644851
PUBLIC CHARITY
GENERAL OPERATING SUPPORT
2,000
JULIAN DORSEY FOUNDATION
1014 CHERRINGTON DRIVE
HARRISBURG
,
PA
17110
PUBLIC CHARITY
STRENGTHENING THE INFRASTRUCTURE OF THE JT DORSEY FOUNDATION
16,250
KELLY ANNE DOLAN MEMORIAL FUND
580 VIRGINIA DRIVE 110
FORT WASHINGTON
,
PA
19034
PUBLIC CHARITY
GENERAL OPERATING SUPPORT
2,000
KINGDOM LIFE CHURCH
380 WALNUT STREET
POTTSTOWN
,
PA
19464
CHURCH
PROVIDING MEALS TO POTTSTOWN AREA RESIDENTS IN RESPONSE TO THE COVID-19 PANDEMIC
10,000
LAUREL HOUSE
605 SWEDE STREET
NORRISTOWN
,
PA
19401
PUBLIC CHARITY
POTTSTOWN AREA SERVICES
2,000
MATERNAL AND CHILD HEALTH CONSORTIUM OF CHESTER COUNTY
30 W BARNARD ST STE 1
WEST CHESTER
,
PA
19382
PUBLIC CHARITY
HEALTHY START AND ACCESS TO BENEFITS FOR VULNERABLE FAMILIES IN POTTSTOWN
43,425
MATERNITY CARE COALITION
200 HAMILTON STREET SUITE 205
PHILADELPHIA
,
PA
19130
PUBLIC CHARITY
POTTSTOWN EARLY HEAD START AND PARENTING INITIATIVE
52,500
MEALS ON WHEELS OF CHESTER COUNTY INC
3 EAST STOW ROAD
MARLTON
,
NJ
08053
PUBLIC CHARITY
FEEDING HOMEBOUND RESIDENTS OF SPRING CITY
2,000
MITZVAH CIRCLE FOUNDATION
2562 BOULEVARD OF THE GENERALS 100
NORRISTOWN
,
PA
19403
PUBLIC CHARITY
CRITICAL NEEDS - CREATING HEALTHY FAMILIES, DIAPER BANK AND PERIOD SUPPLIES
6,400
MONTGOMERY COUNTY COMMUNITY COLLEGE FOUNDATION
101 COLLEGE DRIVE
POTTSTOWN
,
PA
19464
COLLEGE
MONTCOPA COVID-19 RESPONSE FUND
27,500
NEW HANOVER EVANGELICAL LUTHERAN CHURCH
2941 LUTHERAN RD
GILBERTSVILLE
,
PA
19525
CHURCH
PEER RECOVERY SUPPORT PROGRAM
14,500
NORTH COVENTRY TOWNSHIP
845 S HANOVER ST
POTTSTOWN
,
PA
19465
GOVERNMENT ENTITY
COVENTRY TRAIL
22,500
OLIVET BOYS AND GIRLS CLUB
1161 PERSHING BLVD
READING
,
PA
19611
PUBLIC CHARITY
TRIPLE PLAY/WEEKEND HOURS
21,250
PENNSYLVANIA PHILHARMONIC
PO BOX 162
ARDMORE
,
PA
19003
PUBLIC CHARITY
GENERAL OPERATING SUPPORT
39,000
PHILANTHROPY NETWORK GREATER PHILADELPHIA
230 S BROAD ST STE 402
PHILADELPHIA
,
PA
19102
PUBLIC CHARITY
MONTCO PA CENSUS ACTION FUND
8,000
POTTSTOWN AREA CHILDREN'S FOUNDATION
2076 SILO LANE
EAST GREENVILLE
,
PA
180412342
PUBLIC CHARITY
GENERAL OPERATING SUPPORT
2,500
POTTSTOWN AREA INDUSTRIAL DEVELOPMENT INC
152 E HIGH STREET SUITE 360
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
GENERAL OPERATING SUPPORT AND COVID-19 RELIEF AND RECOVERY FUND AT PAHWF.
200,000
POTTSTOWN AREA POLICE ATHLETIC LEAGUE
PO BOX 176
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
REJUVENATING YOUTH SPORTS IN THE GREATER POTTSTOWN AREA
56,250
POTTSTOWN ATHLETIC CLUB
21 N HANOVER STREET
POTTSTOWN
,
PA
19464
AAU ORGANIZATION
FITNESSTOWN USA III & PADDLE POOL
75,000
POTTSTOWN BRANCH - PHILADELPHIA FREEDOM VALLEY YMCA
724 N ADAMS STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
STRENGTH THROUGH SPORTS (STS) PROGRAM
7,500
POTTSTOWN CLUSTER OF RELIGIOUS COMMUNITIES
137 WALNUT STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
BUILDING A HEALTHY COMMUNITY
72,000
POTTSTOWN FARM
17 N HANOVER STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
GENERAL OPERATING SUPPORT
1,250
POTTSTOWN PARKS & RECREATION FOUNDATION INC
100 E HIGH STREET
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
SENSING THE PARK USER....EVEN MORE
2,000
POTTSTOWN PUBLIC LIBRARY
550 E HIGH STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
EAST AUXILIARY GRANT RECIPIENT
3,423
POTTSTOWN SCHOOL DISTRICT
230 BEECH STREET
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
PEAK WHOLE CHILD WELLNESS
79,200
PRESERVATION POTTSTOWN
1304 HIGH STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
MOSAIC COMMUNITY GARDEN 2020, POTTSTOWN FARM
90,000
PROJECT PURPOSE
699 NORTH PLEASANTVIEW ROAD
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
PROJECT PURPOSE: GENERAL OPERATING
63,800
ROYERSFORD OUTREACH
350 MAIN STREET
ROYERSFORD
,
PA
19468
PUBLIC CHARITY
GENERAL OPERATING FUNDS FOR BUILDING AND PROGRAMS
22,000
SALVATION ARMY
137 KING STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
POTTSTOWN WORKS: START-UP TO SUSTAINABILITY
40,000
SAVE ALLIANCE FOUNDATION
35 KING ROAD
GREEN LANE
,
PA
18054
PUBLIC CHARITY
YOUTH GROW, POTTSTOWN AREA FOOD COLLABORATIVE DESIGN PROCESS
7,250
SAVE OUR LANDS SAVE OUR TOWNS ENTERPRISES INC
222 CHESTNUT STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
GROWING AND CONSERVING POTTSTOWN'S STREET TREES
35,000
SCHUYLKILL RIVER GREENWAY ASSOCIATION
140 COLLEGE DRIVE
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
2020 BIKE POTTSTOWN PROGRAM AND CIRCUIT RIDER
76,439
SHARE FOOD PROGRAM INC
2901 W HUNTING PARK AVENUE
PHILADELPHIA
,
PA
19129
PUBLIC CHARITY
MONTCO ANTI-HUNGER NETWORK REQUEST FOR GENERAL OPERATING FUNDS
5,000
ST ALOYSIUS PARISH SCHOOL
220 N HANOVER STREET
POTTSTOWN
,
PA
19464
CATHOLIC SCHOOL
HEALTH IN MIND, BODY, AND SPIRIT
6,000
STRIVE INITIATIVE INC
PO BOX 1511
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
PIVOT TO SUSTAINABILITY PROGRAM
52,000
THE PENNSLYVANIA STATE UNIVERSITY
110 TECHNOLOGY CENTER BLDG
UNIVERSITY PAKR
,
PA
16802
COLLEGE
4-H AFTERSCHOOL PROGRAM AT PARK SPRINGS APARTMENTS
4,526
TOWNSHIP OF UPPER POTTSGROVE
1409 FARMINGTON AVENUE
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
PARK TRAIL RENOVATIONS
25,000
TRELLIS FOR TOMORROW
707 EAGLEVIEW BLVD SUITE 105
EXTON
,
PA
19341
PUBLIC CHARITY
YOUTH SEED ENTERPRISE PROGRAM AND EXPANSION
60,000
TRICOUNTY ACTIVE ADULT CENTER
288 MOSER ROAD
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
PRIME TIME HEALTH - MAKING HEALTHIER LIVES POSSIBLE FOR OLDER ADULTS
66,250
TRICOUNTY COMMUNITY NETWORK
260 HIGH STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
COMMUNITY CAMP, POTTSTOWN CHILDREN'S DISCOVERY CENTER AND COMMUNITY COLLABORATIVE AND CAPACITY BUILDING
236,600
UNITED WAY OF BOYERTOWN
PO BOX 213
BOYERTOWN
,
PA
19512
PUBLIC CHARITY
MATCHING GRANT FOR ANNUAL CAMPAIGN
15,000
VISITING NURSE ASSOCIATION
1963 E HIGH STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
PERSONAL NAVIGATOR PROGRAM OF VNA-COMMUNITY SERVICES, INC. - IMPROVED HEALTH OUTCOMES THROUGH BENEFIT ACCESS
27,000
WELLNESS COUNCIL OF BOYERTOWN
PO BOX 87
GILBERTSVILLE
,
PA
19525
PUBLIC CHARITY
CONTINUING TO CREATE A CULTURE OF WELLNESS & PROFESSIONAL DEVELOPMENT SOFTWARE FOR NON-PROFIT FUNDRAISING
-10,000
YWCA TRI-COUNTY AREA
315 KING STREET
POTTSTOWN
,
PA
19464
PUBLIC CHARITY
PHASE 2 STRATEGIC PLAN IMPLEMENTATION & YW HEALTHY PATHWAYS PROJECT
107,250
Total
.................................
3a
2,526,018
b
Approved for future payment
BOYERTOWN AREA SCHOOL DISTRICT
911 MONTGOMERY AVENUE
BOYERTOWN
,
PA
19512
GOVERNMENT ENTITY
BRAIN BODY CONNECTION
181,650
POTTSGROVE SCHOOL DISTRICT
1301 KAUFFMAN RD
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
2020-2022 HEALTH AND WELLNESS
140,000
POTTSTOWN SCHOOL DISTRICT
230 BEECH STREET
POTTSTOWN
,
PA
19464
GOVERNMENT ENTITY
HEALTHY SCHOOL COMMUNITIES
204,500
SPRING-FORD AREA SCHOOL DISTRICT
857 S LEWIS ROAD
ROYERSFORD
,
PA
19468
GOVERNMENT ENTITY
WELLNESS MATTERS!
45,000
Total
.................................
3b
571,150
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
1,889,192
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
2,275,099
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
DONOR ADVISED FUND FEE INCOME
91
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
4,164,291
91
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
4,164,382
(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.)
11A
THESE FEES HELP TO ACCOMPLISH THE ORGANIZATION'S EXEMPT PURPOSE.
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