Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
SPARTANNASH FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)850 76TH ST SW
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BYRON CENTER, MI49315
A Employer identification number

20-8767495
B Telephone number (see instructions)

(616) 878-2000
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,531,230J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 998,168
2 Check bullet.............
3 Interest on savings and temporary cash investments 5,452 5,452  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,003,620 5,452  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 16,250 0   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 486 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 1,767 1,767   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 18,503 1,767   0
25 Contributions, gifts, grants paid....... 1,184,401 859,401
26 Total expenses and disbursements. Add lines 24 and 25 1,202,904 1,767   859,401
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -199,284
b Net investment income (if negative, enter -0-) 3,685
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 2,171,749 2,489,231 2,489,231
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet41,999
Less: allowance for doubtful accounts bullet   233,736 41,999 41,999
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,405,485 2,531,230 2,531,230
Liabilities 17 Accounts payable and accrued expenses.......... 1,010 4,750
18 Grants payable................. 194 325,000
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 1,204 329,750
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 2,252,791 2,051,443
25 Net assets with donor restrictions............ 151,490 150,037
Foundations that do not follow FASB ASC 958, check here bullet
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)..... 2,404,281 2,201,480
30 Total liabilities and net assets/fund balances (see instructions). 2,405,485 2,531,230
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
2,404,281
2
Enter amount from Part I, line 27a .....................
2
-199,284
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,204,997
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
3,517
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,201,480
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
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 0
3 Add lines 1 and 2........................... 3 51
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 51
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 542
b Exempt foreign organizations—tax withheld at source...... 6b 0
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.............. 7 542
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 491
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet491 RefundedBullet 11 0
Part VI-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 the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMI
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletLAURA GIBSON Telephone no.bullet (616) 878-2000

    Located atbullet850 76TH ST SWBYRON CENTERMI ZIP+4bullet49315
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
    Yes
     
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    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)? ......................
    1a(5)
     
    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.) ...............
    1a(6)
     
    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
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    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? .............
    5a(5)
     
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    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?
    7a
     
    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? .........................
    8
     
    No
    Part VII
    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
    ADRIENNE CHANCE EXECUTIVE DIRECTOR EFF 4/19/21
    5.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    DAWN BREDEWEG SECRETARY EFF 9/11/21
    2.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    RENE HUNTER TREASURER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    KATHY MAHONEY ACTING CHAIR THRU 11/15/21
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    YVONNE TRUPIANO BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    AMY MCCLELLAN BOARD MEMBER
    1.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    LAURA GIBSON FOUNDATION ACCOUNTING MGR EFF 6/27/21
    2.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    MEREDITH GREMEL EXECUTIVE DIRECTOR THRU 4/9/21
    5.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    HILARY MAYES SECRETARY THRU 9/10/21
    2.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    CHANDLER KILLEEN ACCOUNTING MANAGER THRU 5/1/21
    2.00     		0 0 0
    850 76TH ST PO BOX 8700
    GRAND RAPIDS,MI49518
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 THE FOUNDATION MAKES DIRECT CASH CONTRIBUTIONS TO VARIOUS 501 (C) (3) ORGANIZATIONS. 1,184,401
    2 ALL OTHER EXPENSES ARE INCIDENTAL AND DO NOT RELATE TO ANY PARTICULAR 501 (C) (3) ORGANIZATION. 0
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    2,266,849
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,266,849
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,266,849
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    34,003
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,232,846
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    111,642
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    111,642
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    51
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    51
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    111,591
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    111,591
    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 XII, line 1 ...
    7
    111,591
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 111,591
    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 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 1,466,354
    b From 2017...... 1,456,538
    c From 2018...... 1,403,966
    d From 2019...... 1,266,593
    e From 2020...... 1,360,868
    f Total of lines 3a through e ........ 6,954,319
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 859,401
    a Applied to 2020, 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 2021 distributable amount..... 111,591
    e Remaining amount distributed out of corpus 747,810
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 7,702,129
    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 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) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		1,466,354
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		6,235,775
    10 Analysis of line 9:
    a Excess from 2017.... 1,456,538
    b Excess from 2018.... 1,403,966
    c Excess from 2019.... 1,266,593
    d Excess from 2020.... 1,360,868
    e Excess from 2021.... 747,810
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    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          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BLACK HILLS AREA HABITAT FOR HUMANITY
    610 E OMAHA ST
    RAPID CITY,SD57701     		  PC DIVERSITY & INCLUSION 4,800
    BRIDGE FOR YOUTH
    1111 W 22ND ST
    MINNEAPOLIS,MN55405     		  PC LEGACY GRATN 15,000
    CATHOLIC CHARITIES OF ST PAUL & MINNEAPOLIS
    1200 SECOND AVE SOUTH
    MINNEAPOLIS,MN55403     		  CHURCH FIGHTING HUNGER 20,000
    CHIPPEWA VALLEY HABITAT FOR HUMANITY
    1005 OXFORD AVE
    EAU CLAIRE,WI54703     		  PC DIVERSITY & INCLUSION 4,900
    FREMONT AREA HABITAT FOR HUMANITY
    PO BOX 932
    FREMONT,NE68026     		  PC DIVERSITY & INCLUSION 1,250
    GLEANERS FOOD BANK OF INDIANA INC
    3737 WALDEMERE AVE
    INDIANAPOLIS,IN46241     		  PC FIGHTING HUNGER 10,000
    GOODHUE COUNTY HABITAT FOR HUMANITY
    1407 W 4TH ST
    RED WING,MN55066     		  PC DIVERSITY & INCLUSION 4,800
    HABITAT FOR HUMANITY OF COUNCIL BLUFFS
    1228 S MAIN
    COUNCIL BLUFFS,IA51503     		  PC DIVERSITY & INCLUSION 1,400
    HABITAT FOR HUMANITY OF GREATER CINCINNATI
    4910 PARA DR
    CINCINNATI,OH45237     		  PC DIVERSITY & INCLUSION 2,300
    HABITAT FOR HUMANITY OF KENT COUNTY INC
    425 PLEASANT ST SW
    GRAND RAPIDS,MI49503     		  PC DIVERSITY & INCLUSION 36,101
    HABITAT FOR HUMANITY OF MICHIGAN
    618 S CREYTS ROAD
    LANSING,MI48917     		  PC DIVERSITY & INCLUSION 88,000
    HABITAT FOR HUMANITY OF OMAHA
    1701 N 24TH ST
    OMAHA,NE68110     		  PC DIVERSITY & INCLUSION 11,750
    HABITAT FOR HUMANITY OF SARPY
    1001 FORT CROOK RD N SUITE 207
    BELLEVUE,NE68005     		  PC DIVERSITY & INCLUSION 3,250
    HABITAT FOR HUMANITY OF SOUTH CENTRAL MI
    1571 BASSETT DR
    MANKATO,MN56001     		  PC DIVERSITY & INCLUSION 1,500
    HABITAT FOR HUMANITY OF WEST CENTRAL MI
    PO BOX 1171
    WILMAR,MN56201     		  PC DIVERSITY & INCLUSION 2,300
    HONOR AND REMEMBER INC
    PO BOX 16834
    CHESAPEAKE,VA23328     		  PC MILITARY 110,000
    JEREMIAH PROGRAM
    3104 FIECHTNER DR
    FARGO,SD58103     		  PC FIGHTING HUNGER 10,000
    KEARNEY AREA HABITAT FOR HUMANITY
    PO BOX 1452
    KEARNEY,NE69103     		  PC DIVERSITY & INCLUSION 3,400
    LAKE AGASSIZ HABITAT FOR HUMANITY
    210 1TH ST N
    MOORHEAD,MN55404     		  PC DIVERSITY & INCLUSION 5,800
    LINCOLN LANCASTER COUNTRY HABITAT
    144 N ANTELOPE VALLEY PKWY
    LINCOLN,NE68503     		  PC DIVERSITY & INCLUSION 1,500
    LOGAN COMMUNITY RESOURCES INC
    2505 E JEFFERSON BLVD
    SOUTH BEND,IN46615     		  PC FIGHTING HUNGER 10,000
    OPERATION HOMEFRONT INC
    1355 CENTRAL PARKWAY SOUTH STE 100
    SAN ANTONIO,TX78232     		  PC MILITARY 110,000
    RICE COUNTY HABITAT FOR HUMANITY
    204 7TH ST W PMB 128
    NORTHFIELD,MN55057     		  PC DIVERSITY & INCLUSION 2,300
    SOJOURNER PROJECT INC
    PO BOX 272
    HOPKINS,MN55343     		  PC DIVERSITY & INCLUSION 10,000
    SPECIAL OLYMPICS IOWA
    PO BOX 620
    GRIMES,IA50111     		  PC DIVERSITY & INCLUSION 1,850
    SPECIAL OLYMPICS MICHIGAN
    1120 SOUTH MISSON STREET
    MT PLEASANT,MI48858     		  PC DIVERSITY & INCLUSION 150,000
    SPECIAL OLYMPICS MINNESOTA
    900 2ND AVE S STE 300
    MINNEAPOLIS,MN55402     		  PC DIVERSITY & INCLUSION 12,650
    SPECIAL OLYMPICS NORTH DAKOTA
    2616 SOUTH 26TH ST
    GRAND FORKS,ND58201     		  PC DIVERSITY & INCLUSION 27,500
    SPECIAL OLYMPICS OHIO INC
    3303 WINCHESTER PIKE
    COLUMBUS,OH43232     		  PC DIVERSITY & INCLUSION 2,250
    SPECIAL OLYMPICS NEBRASKA
    9427 F ST
    OMAHA,NE68127     		  PC DIVERSITY & INCLUSION 31,000
    SPECIAL OLYMPICS SOUTH DAKOTA
    800 E I-90 LN
    SIOUX FALLS,SD57104     		  PC DIVERSITY & INCLUSION 6,000
    SPECIAL OLYMPICS WISCONSIN
    2310 CROSSROADS DR STE 1000
    MADISON,WI53718     		  PC DIVERSITY & INCLUSION 12,500
    ST CROIX VALLEY HABITAT FOR HUMANITY
    116 E ELM ST
    RIVER FALLS,WI54022     		  PC DIVERSITY & INCLUSION 5,300
    TEAM RED WHITE AND BLUE INC
    5428 EISENHOWER AVE
    ALEXANDRIA,VA22304     		  PC MILITARY 110,000
    VETSHOUSE INCORPORATE
    1005 BENNINGTON RD
    VIRGINIA BEACH,VA23464     		  PC HEALTH & WELL-BEING 30,000
    Total .................................bullet 3a 859,401
    bApproved for future payment
    ACTION MINISTRIES
    310 MAIN ST
    DOWAGIAC,MI49047     		  PC FIGHTING HUNGER 1,485
    ALBION INTERFAITH MINISTRIES
    118 W PORTER
    ALBION,MI49224     		  PC FIGHTING HUNGER 1,572
    ALGER COMMUNITY FOOD PANTRY
    312 LYNN STREET
    MUNISING,MI49862     		  PC FIGHTING HUNGER 810
    ASHLAND FOOD PANTRY
    102 S 24TH
    ASHLAND,NE68003     		  PC FIGHTING HUNGER 2,117
    BELFIELD MEDORA FOOD PANTRY
    506 2ND AVE NE
    BELFIELD,ND58622     		  PC FIGHTING HUNGER 6,698
    BELLAIRE COMMUNITY FOOD PANTRY
    PO BOX 343
    BELLAIRE,MI49615     		  PC FIGHTING HUNGER 1,981
    BELLEVUE FOOD PANTRY
    1908 HANCOCK ST
    BELLEVUE,NE68005     		  PC FIGHTING HUNGER 1,610
    BENZIE AREA CHRISTIAN NEIGHBORS
    2804 BENZIE HWY
    BENZONIZA,MI49616     		  PC FIGHTING HUNGER 1,597
    BUIST COMMUNITY ASSISTANCE CENTER
    8306 BYRON CENTER AVE
    BYRON CENTER,MI49315     		  PC FIGHTING HUNGER 1,651
    CANNON FALLS FOOD SHELF
    511 W BELLE ST
    CANNON FALLS,MN55009     		  PC FIGHTING HUNGER 3,190
    CARO UNITED METHODIST GOOD SAMARITAN
    1053 GLENWOOD DR
    CARO,MI48723     		  PC FIGHTING HUNGER 1,191
    CEDAR RIVER CHAPEL FOOD PANTRY
    PO BOX 513
    BEAVERTON,MI48612     		  PC FIGHTING HUNGER 1,473
    CENTER FOR THE HOMELESS INC
    813 S MICHIGAN ST
    SOUTH BEND,IN46601     		  PC FIGHTING HUNGER 8,669
    CHARLEVOIX COMMUNITY FOOD PANTRY
    100 W HURLBUT AVE
    CHARLEVOIX,MI49720     		  PC FIGHTING HUNGER 3,079
    CHRISTIAN OUTREACH PROGRAM ELKHORN
    3434 N 294TH ST
    ELKHORN,NE68022     		  PC FIGHTING HUNGER 2,869
    COMBINED COMMUNITY SERVICES
    1195 MARINERS DR
    WARSAW,IN46582     		  PC FIGHTING HUNGER 520
    COMMUNITY ACTION CENTER OF NORTHFIELD
    1651 JEFFERSON PKWY 200
    NORTHFIELD,MN55057     		  PC FIGHTING HUNGER 2,802
    COMMUNITY ACTION HOUSE
    345 WEST 14TH STREET
    HOLLAND,MI49423     		  PC FIGHTING HUNGER 5,535
    COMMUNITY FOOD PANTRY AND EMERGENCY SERVICE
    701 N 6TH STREET
    BEATRICE,NE68310     		  PC FIGHTING HUNGER 3,109
    COMMUNITY LIGHT HOUSE
    430 W STATE ST
    MANCELONA,MI49659     		  PC FIGHTING HUNGER 992
    COMMUNITY SHARING OF LEWISTON
    4615 MONTMORENCY ST
    LEWISTON,MI49756     		  PC FIGHTING HUNGER 2,166
    COOPERSVILLE CARES
    180 68TH AVE
    COOPERSVILLE,MI49404     		  PC FIGHTING HUNGER 2,066
    CRAWFORD COUNTY CHRISTIAN HELP CENTER
    300 HURON ST
    GRAYLING,MI49738     		  PC FIGHTING HUNGER 2,726
    DIVINE MERCY PARISH
    254 6TH ST
    MANISTEE,MI49660     		  PC FIGHTING HUNGER 1,719
    DOWNRIVER HELPING HANDS INC
    310 S PARKER ST
    MARINE CITY,MI48039     		  PC FIGHTING HUNGER 1,475
    ELEANORS PANTRY
    221 DREW ST
    PAW PAW,MI49079     		  PC FIGHTING HUNGER 3,222
    FAITH MISSION OF ELKHART INC
    801 BENHAM AVE
    ELKHART,IN46516     		  PC GENERAL SUPPORT 4,488
    FAMILY CHRISTIAN DEVELOPMENT CENTER INC
    107 E MARION ST
    NAPPANEE,IN46550     		  PC FIGHTING HUNGER 1,966
    FAMILY NETWORK OF WYOMING
    1029 44TH STREET SW
    WYOMING,MI49519     		  PC FIGHTING HUNGER 4,414
    FATHER FRED FOUNDATON
    826 HASTINGS
    TRAVERSE CITY,MI49685     		  PC FIGHTING HUNGER 5,236
    FEEDING SOUTH DAKOTA
    1111 N CREEK DR
    RAPID CITY,MI57703     		  PC FIGHTING HUNGER 7,353
    FIRST BAPTIST KINGS STOREHOUSE FOOD PANTRY
    125 STIMSON ST
    CADILLAC,MI49601     		  PC FIGHTING HUNGER 1,795
    FIRST CONG CHURCH FOOD PANTRY
    109 S MAIN
    ROSCOMMON,MI48653     		  PC FIGHTING HUNGER 2,076
    FISHERS OF MEN MINISTRIES
    210 W MAIN
    ZEELAND,MI49464     		  PC FIGHTING HUNGER 6,780
    FLAT RIVER OUTREACH MINISTRIES INC
    11535 FULTON ST E
    LOWELL,MI49331     		  CHURCH FIGHTING HUNGER 2,466
    FOOD BANK OF EASTERN MICHIGAN
    2312 LAPEER RD
    FLINT,MI48503     		  PC FIGHTING HUNGER 7,595
    GENESEE METHODIST CHURCH
    7190 N GENESEE RD
    GENESEE,MI48437     		  CHURCH FIGHTING HUNGER 1,417
    GLEANERS FOOD BANK
    5924 STERLING DR
    HOWELL,MI48843     		  PC FIGHTING HUNGER 2,521
    GODS KITCHEN
    303 SOUTH DIVISION
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 17,320
    GOOD NEIGHBORS FOOD PANTRY OF BOYNE
    624 STATE ST
    BOYNE CITY,MI49712     		  PC FIGHTING HUNGER 1,915
    GOOD SAMARITAN
    9746 MAIN ST
    ELLSWORTH,MI49729     		  PC FIGHTING HUNGER 1,284
    GREAT PLAINS FOOD BANK
    1720 3RD AVE N
    FARGO,ND58102     		  PC FIGHTING HUNGER 9,828
    HASTINGS FOOD PANTRY
    209 W GREEN ST
    HASTINGS,MI49058     		  PC FIGHTING HUNGER 1,733
    HEART AND HAND
    9220 KINNEVILLE RD
    EATON RAPIDS,MI48827     		  PC FIGHTING HUNGER 2,502
    HEARTLAND HOPE MISSION
    5210 SOUTH 21ST ST
    OMAHA,NE68102     		  PC FIGHTING HUNGER 1,561
    HOLY FAMILY ACCESS-6 FOOD PANTRY
    9669 KRAFT AVE
    CALEDONIA,MI49316     		  PC FIGHTING HUNGER 2,627
    HOLY FAMILY CHURCH - OMAHA
    1715 IZARD ST
    OMAHA,NE68102     		  CHURCH FIGHTING HUNGER 784
    INTERCULTURAL SENIOR CENTER
    3010 R ST
    OMAHA,NE68107     		  PC FIGHTING HUNGER 2,102
    JOSEPHS COAT WASHINGTON COUNTY FOOD
    1737 WASHINGTON ST
    BLAIR,NE68008     		  PC FIGHTING HUNGER 1,599
    KAIR
    PO BOX 766
    KALKASKA,MI49646     		  PC FIGHTING HUNGER 2,027
    KOUNTZE FOOD PANTRY
    2650 FARNAM ST
    OMAHA,NE68131     		  PC FIGHTING HUNGER 778
    LAKESIDE FAMILY CHURCH
    6999 RED ARROW HWY
    STEVENSVILLE,MI49127     		  CHURCH FIGHTING HUNGER 1,854
    LEGACY COMMUNITY CENTER LLC
    26 WEST GRAND AVE
    CHIPPEWA FALLS,WI54729     		  PC GENERAL SUPPORT 8,965
    LOVE INC
    326 N FERRY ST
    GRAND HAVEN,MI49417     		  PC FIGHTING HUNGER 3,652
    LOVE INC OF ALLENDALE
    11620 - 60TH AVE
    ALLENDALE,MI49401     		  PC FIGHTING HUNGER 2,256
    MAMRELUND FOOD PANTRY
    4085 LUTHERAN CHURCH RD
    KENT CITY,MI49330     		  PC FIGHTING HUNGER 2,318
    MANNA FOOD PROJECT
    8791 MCBRIDE PARK COURT
    HARBOR SPRINGS,MI49740     		  PC FIGHTING HUNGER 2,525
    MARSHAL COUNTY NEIGHBORHOOD COUNCIL
    402 W GARRO ST
    PLYMOUTH,IN46563     		  PC FIGHTING HUNGER 368
    MEEKER COUNTY EMERGENCY FOOD SHELF
    118 N SIBLEY AVE
    LITCHFIELD,MN55355     		  PC FIGHTING HUNGER 2,818
    MID MICHIGAN COMMUNITY ACTION AGENCY
    1574 E WASHINGTON RD PO BOX 768
    FARWELL,MI48622     		  PC FIGHTING HUNGER 1,900
    MID NEBRASKA FOOD BANK
    114 E 11TH ST
    KEARNEY,NE68847     		  PC FIGHTING HUNGER 4,181
    MIDLAND COUNTY EMERGENCY FOOD NETWORK
    PO BOX 2521
    MIDLAND,MI48641     		  PC FIGHTING HUNGER 2,025
    MILLS COUNTY STOREHOUSE
    PO BOX 289
    GLENWOOD,IA51534     		  PC FIGHTING HUNGER 1,426
    MOHMS PLACE
    1435 N 15TH ST
    COUNCIL BLUFFS,IA51501     		  PC FIGHTING HUNGER 1,223
    NEIGHBORHOOD FOOD PANTRY MINISTRIES
    189 WOODLAWN AVE
    BATTLE CREEK,MI49307     		  PC FIGHTING HUNGER 1,641
    NORTH END COMMUNITY MINISTRY
    214 SPENCER NE
    GRAND RAPIDS,MI49505     		  PC FIGHTING HUNGER 1,462
    NORTH KENT CONNECT
    10075 NORTHLAND DR NE
    ROCKFORD,MI49341     		    FIGHTING HUNGER 3,303
    NORTHWEST FOOD PANTRY
    1224 DAVIS NW
    GRAND RAPIDS,MI49504     		  PC FIGHTING HUNGER 3,359
    OAKWOOD NEIGHBORHOOD
    3320 LAIRD AVENUE
    KALAMAZOO,MI490085403     		  PC FIGHTING HUNGER 4,012
    OGEMAW COUNTY CLERGY FELLOWSHIP FOOD
    100 E HOUGHTON AVE
    WEST BRANCH,MI48661     		  PC FIGHTING HUNGER 1,376
    OTSEGO COUNTY COMMUNITY FOOD PANTRY
    PO BOX 1976
    GAYLORD,MI49734     		  PC FIGHTING HUNGER 2,980
    OUTREACH EAST
    PO BOX 61
    DAVISON,MI48423     		  PC FIGHTING HUNGER 2,029
    PHELPS COMMUNITY PANTRY
    202 W AVE
    HOLDERGE,NE68949     		  PC FIGHTING HUNGER 1,600
    PROJECT HOPE INC
    PO BOX 464
    PRUDENVILLE,MI48651     		  PC FIGHTING HUNGER 1,526
    PROJECT RESPONSE INC
    745 S APOLLO BLVD
    MELBOURNE,FL32901     		  PC FIGHTING HUNGER 2,480
    RED WINGS AREA FOOD SHELF
    1755 OLD W MAIN ST
    RED WING,MN55066     		  PC FIGHTING HUNGER 4,874
    RESURRECTION LIFE CHURCH ROCKFORD
    3233 TEN MILE RD NE
    ROCKFORD,MI49341     		  PC FIGHTING HUNGER 2,681
    RESURRECTION OF THE LORD CHRISTIAN SERVICES
    423 CEDAR ST
    STANDISH,MI48658     		  CHURCH FIGHTING HUNGER 1,794
    RIVER FALLS FOOD PANTRY
    222 N MAIN ST
    RIVER FALLS,WI54022     		  PC FIGHTNIG HUNGER 4,054
    SACRED HEART CATHOLIC CHURCH
    5300 N US 23
    OSCODA,MI48750     		  CHURCH FIGHTING HUNGER 2,126
    SALVATION ARMY
    601 S WASHINGTON ST
    BISMARCK,ND58504     		  PC FIGHTING HUNGER 19,401
    SALVATION ARMY OF GRAND HAVEN
    310 N DESPELDER ST
    GRAND HAVEN,MI49417     		  PC FIGHTING HUNGER 3,698
    SALVATION ARMY OF OWOSSO CITADEL
    302 E EXCHANGE ST
    OWOSSO,MI48867     		  PC FIGHTING HUNGER 1,554
    SAUNDERS COUNTY FOOD PANTRY
    PO BOX 11
    WAHOO,NE68066     		  PC FIGHTING HUNGER 2,666
    SENCA
    1700 STONE 103
    FALLS CITY,NE68102     		  PC FIGHTING HUNGER 1,477
    SIENA FRANCIS HOUSE OF HOMELESS SHELTER
    1702 NICHOLAS ST
    OMAHA,NE68102     		  PC FIGHTING HUNGER 1,471
    SOUTH COUNTY COMMUNITY SERVICES
    105 S KALAMAZOO
    VICKSBURG,MI49097     		  PC FIGHTING HUNGER 3,405
    SOUTH MICHIGAN FOOD BANK
    5451 WAYNE RD
    BATTLE CREEK,MI49037     		  PC FIGHTING HUNGER 9,046
    ST BARTHOLOMEW COMMUNITY FOOD PANTRY
    789 RYNO ROAD
    MIO,MI48647     		  PC FIGHTING HUNGER 1,928
    ST CHARLES IN HELENA
    230 E VIENNA ST
    CLIO,MI48420     		  PC FIGHTING HUNGER 2,224
    ST IGNACE AREA HOPE
    PO BOX 170
    SAINT IGNACE,MI49781     		  PC FIGHTING HUNGER 3,779
    ST MARY'S FOOD PANTRY
    423 FIRST STREEET
    GRAND RAPIDS,MI49504     		  PC FIGHTING HUNGER 2,443
    ST PETER AREA FOOD SHELF
    35615 398TH LANE
    ST PETER,MN56082     		  PC FIGHTING HUNGER 2,219
    ST PIUS C CHURCH
    3937 WILSON AVE
    GRANDVILLE,MI49418     		  CHURCH FIGHTING HUNGER 1,662
    ST SAVIOURS FOOD PANTRY
    4136 MYRTLE AVE
    CINCINNATI,OH45236     		  PC FIGHTING HUNGER 3,091
    ST THOMAS LUTHERAN CHURCH
    332 S WESTERN AVE
    CHEBOYGAN,MI49721     		  CHURCH FIGHTING HUNGER 2,605
    STREAMS OF HOPE FOOD CENTER
    280 60TH ST SE
    GRAND RAPIDS,MI49548     		  PC FIGHTING HUNGER 1,926
    THE SALVATION ARMY
    424 N 15TH ST
    NILES,MI49120     		  PC FIGHTING HUNGER 464
    THE SOUP KITCHEN INC
    233 MICHIGAN ST
    BENTON HARBOR,MI49022     		  PC FIGHTING HUNGER 1,469
    TOGETHER INC OF METROPOLITAN OMAHA
    812 SOUTH 24TH ST
    OMAHA,ME68108     		  PC FIGHTING HUNGER 7,206
    TRI-CITIES FOOD PANTRY
    302 AMERICAN PKWY
    PAPILLION,NE68046     		  PC FIGHTING HUNGER 1,888
    TRINITY EPISCOPAL CHURCH
    319 7TH ST
    LOGANSPORT,MI46947     		  CHURCH FIGHTING HUNGER 1,413
    WESTMINSTER PRESBYTERIAN CHURCH
    47 JEFFERSON AVE SE
    GRAND RAPIDS,MI49503     		  CHURCH FIGHTING HUNGER 4,279
    WESTSIDE APOSTOLATE
    1232 BRIDGE ST NW
    GRAND RAPIDS,MI49503     		  PC FIGHTING HUNGER 2,879
    WILLIAMSTON FOOD BANK
    439 E CHURCH ST
    WILLIAMSTON,MI48895     		  PC FIGHTING HUNGER 3,508
    Total .................................bullet 3b 325,000
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 5,452  
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 5,452 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    5,452
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 16,250 0   0

    TY 2021 OtherDecreasesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Description Amount
    UNREALIZED GAIN/LOSS 3,517


    TY 2021 OtherExpensesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 1,767 1,767   0


    TY 2021 TaxesSchedule
    Name:
    SPARTANNASH FOUNDATION
    EIN:
    20-8767495
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL INCOME TAXES 486 0   0