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 07-01-2021 , and ending 06-30-2022
Name of foundation
PERRIGO COMPANY CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)515 EASTERN AVENUE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ALLEGAN, MI49010
A Employer identification number

38-3553518
B Telephone number (see instructions)

(269) 673-8451
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$573,498J 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) 1,600,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
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........ 1,600,000 0 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 98,665 0 0 98,665
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 7,419 0 0 7,419
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 25,581 0 0 25,581
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 131,665 0 0 131,665
25 Contributions, gifts, grants paid....... 1,198,322 988,831
26 Total expenses and disbursements. Add lines 24 and 25 1,329,987 0 0 1,120,496
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 270,013
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)... 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............. 221,251 573,498 573,498
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
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) 221,251 573,498 573,498
Liabilities 17 Accounts payable and accrued expenses.......... -8,796 -7,899
18 Grants payable................. 125,576 179,057
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)......... 116,780 171,158
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...........    
25 Net assets with donor restrictions............    
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 104,471 402,340
29 Total net assets or fund balances (see instructions)..... 104,471 402,340
30 Total liabilities and net assets/fund balances (see instructions). 221,251 573,498
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
104,471
2
Enter amount from Part I, line 27a .....................
2
270,013
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
27,856
4
Add lines 1, 2, and 3 ..........................
4
402,340
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
402,340
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 0
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 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 105
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.............. 7 105
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 10 105
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet105 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 addressbulletWWW.PERRIGO.COM/ABOUT/PERRIGO-FOUNDATION.ASPX
    14
    The books are in care ofbulletSONIA HOLLIES Telephone no.bullet (269) 673-8451

    Located atbullet515 EASTERN AVEALLEGANMI ZIP+4bullet49010
    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)
     
    No
    (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
     
     
    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
    THOMAS FARRINGTON PRESIDENT, DIRECTOR
    0.00     		0 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    TODD KINGMA SECRETARY, DIRECTOR
    0.00     		0 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    MURRAY KESSLER DIRECTOR
    0.00     		0 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    SONIA HOLLIES TREASURER
    0.00     		0 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    RONALD JANISH VICE PRESIDENT, DIRECTOR
    0.00     		0 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    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
    PENNY BURSMA PROGRAM OFFICER
    40.00     		98,665 0 0
    515 EASTERN AVE
    ALLEGAN,MI49010
    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 NONE 0
    2 NONE 0
    3 NONE 0
    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 NONE 0
    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
    272,318
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    272,318
    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
    272,318
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    4,085
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    268,233
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    13,412
    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
    13,412
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    13,412
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    27,856
    5
    Add lines 3 and 4............................
    5
    41,268
    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
    41,268
    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 41,268
    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...... 2,807,941
    b From 2017...... 2,554,831
    c From 2018...... 1,929,643
    d From 2019...... 2,936,715
    e From 2020...... 2,521,422
    f Total of lines 3a through e ........ 12,750,552
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,120,496
    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..... 41,268
    e Remaining amount distributed out of corpus 1,079,228
    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 13,829,780
    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) ...     		2,807,941
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		11,021,839
    10 Analysis of line 9:
    a Excess from 2017.... 2,554,831
    b Excess from 2018.... 1,929,643
    c Excess from 2019.... 2,936,715
    d Excess from 2020.... 2,521,422
    e Excess from 2021.... 1,079,228
    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 e-mail address of the person to whom applications should be addressed:
    PERRIGOFOUNDATIONPERRIGOCOM
    515 EASTERN AVENUE
    ALLEGAN,MI49010
    (269) 673-8451
    bThe form in which applications should be submitted and information and materials they should include:
    MUST BE SUBMITTED ONLINE- SEE WEBSITE FOR FORMS AND INSTRUCTIONS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    MUST SUPPORT EDUCATIONAL OR HEALTH RELATED CHARITABLE ACTIVITIES LOCATED WITHIN THE PERRIGO COMPANY
    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
    ALLEGAN UGLY SWEATER 5K
    223 CUTLER ST
    ALLEGAN,MI490101254     		  PUBLIC CHARITY GENERAL SUPPORT 500
    ALS ASSOCIATION
    200 FRIBERG PARKWAY SUITE 1000
    WESTBOROUGH,MA01581     		  PUBLIC CHARITY GENERAL SUPPORT 100
    AMERICAN DIABETES ASSC
    PO BOX 7023
    MERRIFIELD,VA221167023     		  PUBLIC CHARITY GENERAL SUPPORT 100
    BETHANY CHRISTIAN SERVICES
    901 EASTERN AVE NE PO BOX 294
    GRAND RAPIDS,MI495010294     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    BOYS & GIRLS CLUB OF CENTRAL VA
    195 LAMBS LANE
    CHARLOTTESVILLE,VA22901     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    BURLINGTON DISMAS HOUSE
    96 BUELL STREET
    ALLEGAN,VT05401     		  PUBLIC CHARITY GENERAL SUPPORT 1,500
    CHRIST COMMUNITY CHURCH
    3370 113TH AVE
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 7,500
    CHRISTIAN NEIGHBORS
    282 12TH STREET PO BOX 53
    PLAINWELL,MI49080     		  PUBLIC CHARITY GENERAL SUPPORT 1,600
    COMMUNITY ACTION HOUSE
    739 PAW PAW DRIVE
    HOLLAND,MI49423     		  PUBLIC CHARITY GENERAL SUPPORT 25,000
    COMMUNITY HEALING CENTERS
    1910 SHAFFER ST
    KALAMAZOO,MI49048     		  PUBLIC CHARITY GENERAL SUPPORT 3,000
    DAVENPORT UNIVERSITY
    6191 KRAFT AVE SE
    GRAND RAPIDS,MI49512     		  PUBLIC CHARITY GENERAL SUPPORT 20,000
    EMERGENCY ASSISTANCE FOUNDATION
    4700 MILLENIA BLVD SUITE 410
    ORLANDO,FL32839     		  PUBLIC CHARITY GENERAL SUPPORT 50,000
    ERIKA'S LIGHTHOUSE
    897 1/2 GREEN BAY ROAD
    WINNETKA,IL60093     		  PUBLIC CHARITY GENERAL SUPPORT 100
    FAMILY PROMISE OF GRAND RAPIDS
    516 CHERRY STREET SE
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    FRANKLIN COUNTY HOME HEALTH
    3 HOME HEALTH CIRCLE ST
    ALBANS,VT05478     		  PUBLIC CHARITY GENERAL SUPPORT 2,000
    GLENN PUBLIC SCHOOLS
    PO BOX 69
    GLENN,MI49416     		  PUBLIC CHARITY GENERAL SUPPORT 2,000
    GRAND RAPIDS AFRICAN
    87 MONROE CENTER ST NW
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 15,000
    GREAT LAKES BURN CAMP
    PO BOX 6189
    JACKSON,MI49204     		  PUBLIC CHARITY GENERAL SUPPORT 500
    HABITAT FOR HUMANITY
    12727 RILEY STREET
    HOLLAND,MI49424     		  PUBLIC CHARITY GENERAL SUPPORT 7,500
    HABITAT FOR HUMANITY - CHARLOTTESVILLE
    967 2ND ST SE
    CHARLOTTESVILLE,VA22902     		  PUBLIC CHARITY GENERAL SUPPORT 2,500
    HOSPICE OF NORTH COUNTRY
    358 TOM MILLER ROAD
    PLATTSBURGH,NY12901     		  PUBLIC CHARITY GENERAL SUPPORT 100
    HUNGER FREE VERMONT
    38 EASTWOOD DR STE 100
    BURLINGTON,VT05403     		  PUBLIC CHARITY GENERAL SUPPORT 1,500
    INTERNATIONAL SCHOLARSHIP & TUITION SERVICES INC
    1321 MURFREESBORO PK STE 800
    NASHVILLE,TN37217     		  PUBLIC CHARITY GENERAL SUPPORT 122,500
    KIDS FOOD BASKET
    1300 PLYMOUTH NE
    GRAND RAPIDS,MI49505     		  PUBLIC CHARITY GENERAL SUPPORT 30,000
    KIDS HOPE USA
    201 W WASHINGTON AVE SUITE 20
    ZEELAND,MI49464     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    MENTAL HEALTH SERVICES
    720 NORTH SAINT ASAPH STREET
    ALEXANDRIA,VA22314     		  PUBLIC CHARITY GENERAL SUPPORT 7,450
    NACDS FOUNDATION
    1776 WILSON BLVD SUITE 200
    ARLINGTON,VA22209     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    PEOPLE HELPING PEOPLE OF PULLMAN
    925 56TH ST
    PULLMAN,MI49450     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    ROCK CITY FALLS FOOD PANTRY
    39 BATH STREET
    BALLSTONE SPA,NY12020     		  PUBLIC CHARITY GENERAL SUPPORT 100
    RONALD MCDONALD HOUSE OF GRAND RAPIDS MI
    1323 CEDAR ST NE
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    SALVADORI CENTER LTD
    475 RIVERSIDE DRIVE SUITE 239
    NEW YORK,NY10115     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    ST ALBAN'S MUSEUM
    9 CHURCH ST ST
    ALBANS,VT05478     		  PUBLIC CHARITY GENERAL SUPPORT 100
    THE BOTTOM LINE INC
    44 COURT ST STE 300
    BROOKLYN,NY11201     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    VERMONT CHILDREN'S
    111 COLCHESTER AVENUE
    BURLINGTON,VT054011473     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    WINGS HOME INC
    530 LINN ST
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 20,000
    ALLEGAN COUNTY FIRE CHIEF'S ASSOCIATION
    3342 BLUE STAR HWY
    SAUGATUCK,MI49453     		  PUBLIC CHARITY GENERAL SUPPORT 2,500
    ALLEGAN HOMELESS SOLUTIONS
    409 OAKS XING
    PLAINWELL,MI49080     		  PUBLIC CHARITY GENERAL SUPPORT 750
    AMERICAN DREAM CHARTER SCHOOL
    510 EAST 141 STREET
    BRONX,NY10454     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    ARBOR CIRCLE
    1115 BALL AVE NE
    GRAND RAPIDS,MI49505     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    CAT NAP LODGE ADOPTIONS
    10418 N 32ND ST
    RICHLAND,MI49083     		  PUBLIC CHARITY GENERAL SUPPORT 500
    CHRISTIAN NEIGHBORS
    282 12TH STREET PO BOX 53
    PLAINWELL,MI49080     		  PUBLIC CHARITY GENERAL SUPPORT 400
    COMMUNITY ACTION ALLEGAN COUNTY
    739 PAW PAW DRIVE
    HOLLAND,MI49423     		  PUBLIC CHARITY GENERAL SUPPORT 500
    CONGREGATIONAL KITCHEN
    805 AIRWAY DR
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 17,000
    CORNERSTONE CHURCH
    1675 84TH ST SE
    CALDONIA,MI49316     		  PUBLIC CHARITY GENERAL SUPPORT 100
    COVINGTON COMMUNITY CHEST
    PO BOX 1
    COVINGTON,OH45318     		  PUBLIC CHARITY GENERAL SUPPORT 4,500
    DELTON KELLOGG EDUCATION FOUNDATION
    6325 DELTON ROAD
    DELTON,MI49046     		  PUBLIC CHARITY GENERAL SUPPORT 1,000
    EPILEPSY FOUNDATION OF VIRGINIA
    PO BOX 800754 UVA HEALTH SERVICES
    CENTER
    CHARLOTTESVILLE,VA22908     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    EXTENDED GRACE DBA MOMENTUM CENTER
    714 COLUMBUS AVENUE
    GRAND HAVEN,MI49417     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    FELLINLOVE FARM
    6364 144TH AVE
    HOLLAND,MI49423     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    FIRST PRESBYTERIAN CHURCH OF ALLEGAN
    200 CUTLER STREET
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    GIRLS ON THE RUN GREATER KALAMAZOO
    3901 EMERALD DRIVE SUITE E
    KALAMAZOO,MI49001     		  PUBLIC CHARITY GENERAL SUPPORT 1,000
    GIRLS SCOUTS HEART OF MICHIGAN
    601 W MAPLE ST
    KALAMAZOO,MI49008     		  PUBLIC CHARITY GENERAL SUPPORT 3,000
    GOODWILL INDUSTRIES OF SW MI
    420 E ALCOTT STREET
    KALAMAZOO,MI49001     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    HEB TOURNAMENT OF CHAMPIONS
    646 S FLORES STREET
    SAN ANTONIO,TX78204     		  PUBLIC CHARITY GENERAL SUPPORT 15,000
    KALAMAZOO ANIMAL RESCUE
    4669 EXECUTIVE DR
    PORTAGE,MI49002     		  PUBLIC CHARITY GENERAL SUPPORT 500
    KALAMAZOO AVIATION HISTORY MUSEUM (AKA AIR ZOO)
    6151 PORTAGE ROAD
    PORTAGE,MI49002     		  PUBLIC CHARITY GENERAL SUPPORT 4,000
    LOUISA COUNTY RESOURCE COUNCIL
    P O BOX 52 147 RESOURCE LANE
    LOUISA,VA23093     		  PUBLIC CHARITY GENERAL SUPPORT 7,500
    MATER CHRISTI SCHOOL
    35 HURST AVE
    ALBANY,NY122081523     		  PUBLIC CHARITY GENERAL SUPPORT 500
    MEALS ON WHEELS WEST MI
    235 WEALTHY ST SE
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 43,000
    OPPORTUNITIES UNLIMITED FOR THE BLIND
    4175 WESTBROOK ROAD
    IONIA,MI48846     		  PUBLIC CHARITY GENERAL SUPPORT 500
    ORANGE COUNTY FREE CLINIC
    PO BOX 441
    ORANGE,VA22960     		  PUBLIC CHARITY GENERAL SUPPORT 8,000
    PART OF THE SOLUTION (POTS)
    2759 WEBSTER AVENUE
    BRONX,NY10458     		  PUBLIC CHARITY GENERAL SUPPORT 20,000
    REHABILITATION CENTER FOR NEUROLOGICAL DEVELOPMENT
    1306 GARBRY ROAD
    PIQUA,OH45356     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    RESILIENCE (AKA CENTER FOR WOMEN IN TRANSITION)
    151 BRADY ST
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 15,000
    SAUGATUCK CENTER FOR THE ARTS
    400 CULVER ST
    SAGUATUCK,MI49453     		  PUBLIC CHARITY GENERAL SUPPORT 30,000
    SENIOR SERIVCES OF SOUTHWEST MI
    918 JASPER STREET
    KALAMAZOO,MI49453     		  PUBLIC CHARITY GENERAL SUPPORT 500
    SLEEP IN HEAVENLY PEACE
    PO BOX 85304
    WESTLAND,MI48185     		  PUBLIC CHARITY GENERAL SUPPORT 2,750
    SOCIETY OF WOMEN ENGINEERS
    130 EAST RANDOLPH ST SUITE 3500
    CHICAGO,IL60601     		  PUBLIC CHARITY GENERAL SUPPORT 2,000
    TAHQUAMENON FALLS STATE PARK
    41382 W M-123
    PARADISE,MI49768     		  PUBLIC CHARITY GENERAL SUPPORT 300
    THE FOODBANK
    56 ARMOR PLACE
    DAYTON,OH45417     		  PUBLIC CHARITY GENERAL SUPPORT 12,000
    VANBUREN YOUTH FAIR ASSOCIATION
    55670 CO RD 681
    LAWRENCE,MI49064     		  PUBLIC CHARITY GENERAL SUPPORT 500
    WEDGWOOD CHRISTIAN SERVICES
    3300 36TH ST SE
    GRAND RAPIDS,MI49512     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    WILD WHISKERS
    7021 W MAIN ST
    KALAMAZOO,MI49009     		  PUBLIC CHARITY GENERAL SUPPORT 1,000
    WILDLIFE REHAB CENTER LTD
    1504 UNION AVE NE
    GRAND RAPIDS,MI49009     		  PUBLIC CHARITY GENERAL SUPPORT 200
    WINGS OF HOPE HOSPICE
    530 LINN ST
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 28,000
    FAYETTEVILLE ANIMAL SERVICES
    113 WEST MOUNTAIN STREET
    FAYATTEVILLE,AZ72701     		  PUBLIC CHARITY GENERAL SUPPORT 500
    ASPCA HEADQUARTERS
    520 8TH AVE 7TH FLOOR
    NEW YORK,NY10018     		  PUBLIC CHARITY GENERAL SUPPORT 100
    ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED
    456 CHERRY SE
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 8,000
    BIG BROTHERS BIG SISTERS
    4265 GRAND HAVEN RD STE 201
    MUSKEGON,MI49411     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    BLUE RIDGE AREA FOOD BANK
    96 LAUREL HILL ROAD PO BOX 937
    VERONA,VA24482     		  PUBLIC CHARITY GENERAL SUPPORT 4,000
    BRANDEN'S CLOSET
    110 NORTH FARMER ST
    OTSEGO,MI49078     		  PUBLIC CHARITY GENERAL SUPPORT 500
    CENTER FOR EXCELLENCE IN EDUCATION
    7918 JONES BRANCH DRIVE SUITE 700
    MCLEAN,VA22102     		  PUBLIC CHARITY GENERAL SUPPORT 1,500
    CHILDREN'S HEALING CENTER
    1530 FULTON STREET EAST
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    CHPA FOUNDATION
    1625 EYE STREET NW SUITE 600
    WASHINGTON,DC20006     		  PUBLIC CHARITY GENERAL SUPPORT 25,000
    DEAF INC
    3680 44TH ST SE STE 201
    KENTWOOD,MI49512     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    EMERGENCY ASSISTANCE FOUNDATION
    4700 MILLENIA BLVD SUITE 410
    ORLANDO,FL32839     		  PUBLIC CHARITY GENERAL SUPPORT 75,000
    EXODUS PLACE
    322 FRONT AVE SW
    GRAND RAPIDS,MI49504     		  PUBLIC CHARITY GENERAL SUPPORT 7,500
    FAIRFIELD COMMUNITY CENTER ASSOCIATION
    124 SCHOOL STREET
    EAST FAIRFIELD,VT05448     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    FEEDING AMERICAN WEST MI
    864 WEST RIVER CENTER DRIVE
    COMSTOCK PARK,MI49321     		  PUBLIC CHARITY GENERAL SUPPORT 16,000
    FRANKLIN COUNTY ANIMAL RESCUE
    30 SUNSET MEADOWSST
    ALBANS,VT05478     		  PUBLIC CHARITY GENERAL SUPPORT 100
    FRANKLIN COUNTY HOME HEALTH
    3 HOME HEALTH CIRCLE ST
    ALBANS,VT05478     		  PUBLIC CHARITY GENERAL SUPPORT 100
    FRIENDS OF COSTCO GUILD
    PO BOX 19755
    SEATTLE,WA98109     		  PUBLIC CHARITY GENERAL SUPPORT 23,000
    GRANDVILLE AVE ARTS
    644 CESAR E CHAVEZ AVE SW
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 1,000
    INTERNATIONAL SCHOLARSHIP & TUITION SERVICES INC
    1321 MURFREESBORO PK STE 800
    NASHVILLE,TN37217     		  PUBLIC CHARITY GENERAL SUPPORT 400
    JC WHEELER PUBLIC LIBRARY
    1576 S MAIN
    MARTIN,MI49070     		  PUBLIC CHARITY GENERAL SUPPORT 800
    JUNIOR ACHIEVEMENT
    4090 LAKE DR SE
    GRAND RAPIDS,MI49546     		  PUBLIC CHARITY GENERAL SUPPORT 15,000
    MACATAWA RESOURCE CENTER
    665 136TH AVENUE 70
    HOLLAND,MI49424     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    MEL TROTTER MINISTRIES
    225 COMMERCE AVE SW
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    MIAMI COUNTY DENTAL CLINIC
    70 TROY TOWN DR
    TROY,MI45373     		  PUBLIC CHARITY GENERAL SUPPORT 2,000
    OPPORTUNITIES FOR THE BLIND
    4175 WESTBROOK ROAD
    IONIA,MI48846     		  PUBLIC CHARITY GENERAL SUPPORT 1,550
    OTSEGO PUBLIC SCHOOLS FOUNDATION
    400 SHERWOOD STREET
    OTSEGO,MI49078     		  PUBLIC CHARITY GENERAL SUPPORT 7,000
    PARKINSON'S UNITY WALK IC
    PO BOX 275
    KINGSTON,NJ08528     		  PUBLIC CHARITY GENERAL SUPPORT 5,000
    RX OUTREACH INC
    3171 RIVERPORT TECH CENTER DRIVE
    MARYLAND HEIGHTS,MT63043     		  PUBLIC CHARITY GENERAL SUPPORT 2,500
    SAE INTERNATIONAL
    400 COMMONWEALTH DR
    WARRENDALE,PA15086     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    SPECTRUM YOUTH & FAMILY SERVICE
    31 ELMWOOD AVE
    BURLINGTON,VT05401     		  PUBLIC CHARITY GENERAL SUPPORT 1,500
    SUBMITTABLE HOLDINGS INC
    101 E FRONT ST SUITE 501
    MISSOULA,MT59802     		  PUBLIC CHARITY GENERAL SUPPORT 14,731
    SYLVIA'S PLACE
    151 BRADY ST PO BOX 13
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 20,000
    THE ARC ALLEGAN COUNTY
    219 HUBBARD ST
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 19,900
    VERMONT ASSOC FOR THE BLIND
    60 KIMBALL AVENUE
    SOUTH BURLINGTON,VT05403     		  PUBLIC CHARITY GENERAL SUPPORT 1,000
    VIRGINIA INSTITUTE OF AUTISM
    491 HILLSDALE DRIVE
    CHARLOTTESVILLE,VA22901     		  PUBLIC CHARITY GENERAL SUPPORT 2,000
    YMCA OF GREATER GRAND RAPIDS
    475 LAKE MICHIGAN DRIVE NW
    GRAND RAPIDS,MI49504     		  PUBLIC CHARITY GENERAL SUPPORT 10,000
    Total .................................bullet 3a 988,831
    bApproved for future payment
    UNITED WAY - ALLEGAN
    650 GRAND ST
    ALLEGAN,MI49010     		  PUBLIC CHARITY GENERAL SUPPORT 173,817
    UNITED WAY - OTTAWA
    363 COVENTRY RD OTTAWA
    OTTAWA,AA49010     		  PUBLIC CHARITY GENERAL SUPPORT 11,470
    UNITED WAY - VERMONT
    412 FARRELL ST 200
    SOUTH BURLINGTON,VT05403     		  PUBLIC CHARITY GENERAL SUPPORT 11,032
    UNITED WAY - HEART OF WEST MICHIGAN
    118 COMMERCE AVE SW
    GRAND RAPIDS,MI49503     		  PUBLIC CHARITY GENERAL SUPPORT 13,172
    Total .................................bullet 3b 209,491
    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 ...........     		         
    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 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    PERRIGO COMPANY CHARITABLE FOUNDATION
     
    Employer identification number

    38-3553518
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    PERRIGO COMPANY CHARITABLE FOUNDATION
          		Employer identification number
    38-3553518
    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
    PERRIGO COMPANY
     
    515 EASTERN AVE
     
    ALLEGAN, MI49010

    		$ 1,600,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    PERRIGO COMPANY CHARITABLE FOUNDATION
          		Employer identification number

    38-3553518
    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)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    PERRIGO COMPANY CHARITABLE FOUNDATION
          		Employer identification number

    38-3553518
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 OtherExpensesSchedule
    Name:
    PERRIGO COMPANY CHARITABLE FOUNDATION
    EIN:
    38-3553518
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER EXPENSES - ADMINISTRATIVE 25,581 0 0 25,581


    TY 2021 OtherIncreasesSchedule
    Name:
    PERRIGO COMPANY CHARITABLE FOUNDATION
    EIN:
    38-3553518
    Description Amount
    CONTRIBUTION PAID: NEVER CASHED 27,856


    TY 2021 TaxesSchedule
    Name:
    PERRIGO COMPANY CHARITABLE FOUNDATION
    EIN:
    38-3553518
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 7,419 0 0 7,419