TY 2021 Form 990PF

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)	1,200,000
2	Check .............
3	Interest on savings and temporary cash investments	0	0	0
4	Dividends and interest from securities...	15,697	15,697	0
5a	Gross rents............	0	0	0
b	Net rental income or (loss) 0
6a	Net gain or (loss) from sale of assets not on line 10		94,216
b	Gross sales price for all assets on line 6a 124,833
7	Capital gain net income (from Part IV, line 2)...		94,216
8	Net short-term capital gain.........
9	Income modifications...........			0
10a	Gross sales less returns and allowances	0
b	Less: Cost of goods sold....	0
c	Gross profit or (loss) (attach schedule).....		0		0
11	Other income (attach schedule).......		0	0	0
12	Total. Add lines 1 through 11........	1,309,913	109,913	0
	13	Compensation of officers, directors, trustees, etc.	0	0	0	0
14	Other employee salaries and wages......	0	0	0	0
15	Pension plans, employee benefits.......	0	0	0	0
16a	Legal fees (attach schedule).........		0	0	0	0
b	Accounting fees (attach schedule).......		0	0	0	0
c	Other professional fees (attach schedule)....		16,267	0	0	16,267
17	Interest...............	0	0	0	0
18	Taxes (attach schedule) (see instructions)...		3,111	0	0	3,111
19	Depreciation (attach schedule) and depletion...		0	0	0
20	Occupancy..............	0	0	0	0
21	Travel, conferences, and meetings.......	0	0	0	0
22	Printing and publications..........	4,774	0	0	4,774
23	Other expenses (attach schedule).......		3,179	0	0	3,179
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	27,331	0	0	27,331
25	Contributions, gifts, grants paid.......	1,328,600			1,267,800
26	Total expenses and disbursements. Add lines 24 and 25	1,355,931	0	0	1,295,131
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-46,018
b	Net investment income (if negative, enter -0-)		109,913
c	Adjusted net income (if negative, enter -0-)...			0

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	11,710	41,413	41,413
	2	Savings and temporary cash investments.........	0
	3	Accounts receivable
		Less: allowance for doubtful accounts	0
	4	Pledges receivable
		Less: allowance for doubtful accounts	0
	5	Grants receivable.................	0
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....	0	0
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts	0	0
	8	Inventories for sale or use..............	0
	9	Prepaid expenses and deferred charges..........	0
	10a	Investments—U.S. and state government obligations (attach schedule)		0
	b	Investments—corporate stock (attach schedule).......		0
	c	Investments—corporate bonds (attach schedule).......		0
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)		0
	12	Investments—mortgage loans.............	0
	13	Investments—other (attach schedule)..........	466,648	451,727	1,209,939
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)		0
	15	Other assets (describe )	0	0	0
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	478,358	493,140	1,251,352
	17	Accounts payable and accrued expenses..........	645,000	705,800
	18	Grants payable.................	0	0
	19	Deferred revenue.................	0	0
	20	Loans from officers, directors, trustees, and other disqualified persons	0	0
	21	Mortgages and other notes payable (attach schedule)......		0
	22	Other liabilities (describe )	0	0
	23	Total liabilities (add lines 17 through 22).........	645,000	705,800
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	-166,642	-212,660
	25	Net assets with donor restrictions............	0
		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).....	-166,642	-212,660
	30	Total liabilities and net assets/fund balances (see instructions).	478,358	493,140

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

-166,642

Enter amount from Part I, line 27a .....................

-46,018

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

-212,660

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

-212,660

(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	Public 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	124,833	0	30,617	94,216
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			94,216
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	94,216
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

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	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2...........................	3	1,528
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	1,528
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	1,614
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	1,614
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8
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	86
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax0	Refunded	11

(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
Peter Forester	President 0.50	0	0	0
PO Box 1000 Portland,ME04104
Chip Leighton	Treasurer 0.50	0	0	0
PO Box 1000 Portland,ME04104
Nicole Devoe Lewis	Vice President 0.50	0	0	0
PO Box 1000 Portland,ME04104
Tammy Hansen	Secretary 0.50	0	0	0
PO Box 1000 Portland,ME04104
Jim Hamilton	Director 0.50	0	0	0
PO Box 1000 Portland,ME04104
Todd Bullen	Director 0.50	0	0	0
PO Box 1000 Portland,ME04104

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

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

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					67,748
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2021:
a From 2016......	1,258,355
b From 2017......	1,433,517
c From 2018......	2,053,161
d From 2019......	1,196,998
e From 2020......	1,214,275
f Total of lines 3a through e ........		7,156,306
4Qualifying distributions for 2021 from Part
XI, line 4: $ 1,295,131
a Applied to 2020, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2021 distributable amount.....					67,748
e Remaining amount distributed out of corpus		1,227,383
5 Excess distributions carryover applied to 2021.		0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		8,383,689
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......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					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) .......
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		1,258,355
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		7,125,334
10 Analysis of line 9:
a Excess from 2017....	1,433,517
b Excess from 2018....	2,053,161
c Excess from 2019....	1,196,998
d Excess from 2020....	1,214,275
e Excess from 2021....	1,227,383

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) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, 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 IX, 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

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
NAMI NY 99 Pine Street Albany,NY12207	No Relationship	PC	support mental health	100,000
NAMI VT 600 Blair Park Rd Suite 301 Williston,VT05495	No Relationship	PC	support mental health	50,000
Saratoga Hospital Foundation 211 Church St Saratoga Springs,NY12866	No Relationship	PC	support public health	0
Hospice of Southern Maine 180 US ROUTE ONE Ste 1 SCARBOROUGH,ME04074	No Relationship	PC	support public health	0
Scholarship America PO Box 297 Saint Peter,MN56082	No Relationship	PC	support education	124,500
The Center for Grieving Children 555 Forest Ave Portland,ME04101	No Relationship	PC	support education and mental health	2,500
Dempsey Center 29 Lowell St No 5 Lewiston,ME04240	No Relationship	PC	support health	10,000
Salvation Farms Inc PO Box 1174 Morrisville,VT05661	No Relationship	PC	support hunger relief	100,000
Maine Medical Center 22 BRAMHALL STREET PORTLAND,ME04102	No Relationship	PC	support public health	0
United Way of Greater Portland 550 FOREST AVE STE 100 PORTLAND,ME04101	No Relationship	PC	support public health	691,600
Preble 38 Preble St Portland,ME04101	No Relationship	PC	support hunger relief	250,000
Total ................................. 3a				1,328,600

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

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....		0		0	0
3 Interest on savings and temporary cash investments ...........		0		0	0
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......		0		0	0
bNot debt-financed property.....		0		0	0
6 Net rental income or (loss) from personal property		0		0	0
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............		0	18	94,216	0
9 Net income or (loss) from special events:		0		0	0
10 Gross profit or (loss) from sales of inventory		0		0	0
11 Other revenue: a		0		0	0
b		0		0	0
c		0		0	0
d		0		0	0
e		0		0	0
12 Subtotal. Add columns (b), (d), and (e) ..		0		109,913	0

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

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.

Software ID:	21013404
Software Version:	V1.0
Part VI Line 7 - Tax Paid with the Original Return:	0


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances










Total number of other employees paid over $50,000...................

bApproved for future payment

Total ................................. 3b

Name of organization HANNAFORD CHARITABLE FOUNDATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
1	Hannaford Bros Co PO Box 1000 Portland, ME04104	$ 1,200,000	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization HANNAFORD CHARITABLE FOUNDATION		Employer identification number 01-0483892

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)


Name of organization HANNAFORD CHARITABLE FOUNDATION			Employer identification number 01-0483892
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
Vanguard Fund #584		56,193	57,648
Vanguard Fund #585		395,534	1,152,291

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Miscellaneous expense	1,635	0	0	1,635
Bank service fees	1,544	0	0	1,544