EXTENDED TO NOVEMBER 15, 2017 990 Return of Private...

• EXTENDED TO NOVEMBER 15, 2017Return of Private Foundation Dive No 1545-DD52

Form 990-PF or Section 4947(aXl) Trust Treated as Private Foundation 2016

Department of the Treasury Pip- Do not enter social security numbers on this form as it may be made public.Internal Revenue service ► Information about Form 990-PF and its separate instructions is at WWW.1rs.gov/f0mt990pf.

For calendar year 2016 or tax year beginning , and ending

Name of foundation A Employer identification number

DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972

5^7

U-1

U

Number and street (or P O box number if mail is not delivered to street address) Room/swte B Telephone number

126 OTTAWA AVE NW, SUITE 500 (616)643-4700City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending , check here ►

GRAND RAPIDS, MI 49503G Check all that apply: Initial return L-J Initial return of a former public charity D 1. Foreign organizations, check here

Q Final return El Amended return

aAddress chang 0 Name change2. Foreign organizations meeting the 85% test,

check here and attach computation ►

H Check type of organization: LXJ Section 501(c)(3) exempt private foundation E If private foundation status was terminatedEl Section 4947(a)(1) nonexempt charitable trust El Other taxable private foundation under section 507(b)(1)(A), check here

I Fair market value of all assets at end of year J Accounting method: LXJ Cash Accrual F If the foundation is in a 60-month termination(from Part ll, col. (c), line 16) El Other (specify) under section 507(b)(1)(B), check here -

► $ 10 7 , 0 61, 4 6 0 . (Part 1, column (a) must be on cash basis)

Part i Analysis of Revenue and Expenses (a) Revenue andeve

(b) Net investment (c) Adjusted net (d ) Disbursements(The total of amounts in columns (b), (o), and (d) may notnecessarily equal the amounts in column (a)) expenses per books income Income for charitable purposes

(cash basis only)

1 Contributions, gifts, grants, etc., received 14,000,000 . - N/A -2 Check if the foundation is not required to attachSch e - - -

3Interest

testa ntss and temporary673. 673. STATEMENT 1

4 Dividends and interest from securities 125 . 133. STATEMENT 2

5a Gross rents -

b Net rental income or (loss)

6a Net gam or (loss) from sale of assets not on line 10 - 2 3 , 7 7 3 , 494.c

Gross sales price for allb assets on brie 6a r I et o

m 7 Capital gain net income (from Part IV, line 2) 24 , 485 , 7 4 0 . _ Q L V L U ICr 8 Net short-term capital gain Z

-9 Income modifications -- - 77DEN,- Q 1Gross sales less returns

10a and allowances- -

--

- = -

b Less Cost of goods sold - -- - - - -' - - - _ - -

c Gross profit or (loss)

11 other income 7,697,028. 1,762,495. STATEMENT 3-12 Total. Add lines 1 through 11 45,471,320. 26,249,041.13 Compensation of officers , directors, trustees , etc 0 • 0 . 0

14 Other employee salaries and wages

15 Pension plans, employee benefits

y 16a Legal fees - STMT 4 4,865. 0. 4,865.a b Accounting fees STMT -5- - 2,255. 226. 1,803.

c Other professional fees STMT 6 2,693,403. 193, 397. 2,498,294.17 Interest

18 Taxes - - STMT 7 -408,584. 0. 0.19 Depreciation and depletion

20 Occupancy

a 21 Travel, conferences, and meetings - 144, 2 8 3. 0. 144, 28T-.r- 22 Printing and publications - 2, 174 . 0. 2,174.

23 Other expenses - STMT 8 1,794,487. 0. 1,794,487oW 24 Total operating and administrative

C, expenses . Add lines 13 through 23 4,232,883. 193,623. 4,445,906.0 25 Contributions, gifts, grants paid . 21, 3 5 ,115 . -- - - - 21, 0 35,1197

26 Total expenses and disbursements.

Add lines 24 and 25 25,267,998. 193,623. 25,481,021.27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements 2 0, 2 0 3, 322.

b Net investment income cii negative, enter -0-) - 26 , 055 , 418.c Adjusted net income of negative, enter-o-) N/A

623501 11 -23-16 LHA For Paperwork Reduction Act Notice , see instructions . Form 99U-Fl(2016)

112021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311

4

Form 990-PF (20161 DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Paae2

rt II Balance Sheets Attached schedules and amounts in the descriptionPBeginning of year End of year

a column should beforend-el-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value

1 Cash - non-interest-bearing

2 Savings and temporary cash investments 111,492. - 5 6 6 , 7 41 . - 5 6 6 , 7 41.

3 Accounts receivable ►= - - ----- -- -- - --

Less: allowance for doubtful accounts ►-- - - -- - -- - - - - -- --- -- -

4 Pledges receivable ►Less: allowance for doubtful accounts ►

5 Grants receivable

6 Receivables due from officers, directors, trustees, and other

disqualified persons

7 other notes and loans receivable - - ► ____ _ __ ___ ___ _ __^_ _ -__ ___ _ _ ________Less: allowance for doubtful accounts ►

, 8 Inventories for sale or use

9 Prepaid expenses and deferred charges

a 10a Investments - U.S. and state government obligations

b Investments - corporate stock STMT 9 2,175,000. 2,175,000. 2,520,583.c Investments - corporate bonds -

11 Investments- land, buildings , and equipment basis ►

-- `-- - - - - --- -Y - ------ -- - _ -- -- - - ^ --- ^--^- _Less accumulated depreciation ►

12 Investments - mortgage loans

13 Investments - other STMT.10 79,724,976. 1 0 0,869,543. 104,819,587.14 Land, buildings, and equipment basis ►

Less accumulated depreciation

15 Other assets (describe ► STATEMENT 11 ) 560,000. 288,031. 288,031.16 Total assets (to be completed by all filers - see the

instructions. Also, see page 1, item I 82,571,468. 102,765,833. 107 , 061 , 460 .17 Accounts payable and accrued expenses • _ _,

18 Grants payable - -

m 19 Deferred revenue =

- 20 Loans from officers, directors, trustees, and other disqualified persons

21 Mortgages and other notes payable - - - - - -

-' 22 Other liabilities (describe ► MI SC . PAYABLES ) 8,957. 0.

23 Total liabilities ( add lines 17 through 22 ) 8 ,957 . 0.

Foundations that follow SFAS 117, check here ► - • -

and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted - - -

m 25 Temporarily restricted -• = -

m 26 Permanently restricted - - -

3 Foundations that do not follow SFAS 117, check here ► ® -

'L

-

and complete lines 27 through 31. = - -

° 27 Capital stock, trust principal, or current funds 0. 0

28 Paid-in or capital surplus, or land, bldg., and equipment fund - - 0. 0 . -• - _

a 29 Retained earnings, accumulated income, endowment, or other funds 8 2 , 5 6 2 , 511. 1 2 , 7 6 5 , 3 3 .

Z 30 Total net assets or fund balances 82,562,511. 102,765,833. ----

Total liabilities and net assets/fund balances1 31 82,571,468. 102,765,833.

Part 111 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 30

(must agree with end -of-year figure reported on prior year' s return ) - - - 1 82,562,5112 Enter amount from Part I, line 27a 2 20,2U3,322.

3 Other increases not included in line 2 ( itemize) ► 3 0 .

4 Add lines 1 , 2, and 3 4 102,765,833 .5 Decreases not included in line 2 ( itemize) ► 5 0 .

6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 1 02 ,765,833 .

Form 990-PF (2016)623511 11-23-16

2


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Part IV Capita l 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.)

ow acquire

D - Donation

(c) Date acquired(mo., day, yr.)

(d) Date sold(mo., day, yr.)

is PARTNERSHIPS - SEE STATEMENT 14 VARIOUS VARIOUSb

cd

e

(e) Gross sales price (f) Depreciation allowed(or allowable )

( g) Cost or other basisplus expense of sale

( h) Gain or (loss)( e) plus (f) minus (g)

a 24,485,740.b

cd

eComplete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69 (I) Gains (Col. (h) gain minus

(I) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31 /69

(k) Excess of col. (i)over col. (I), if any

col. ( k), but not less than -0-) orLosses (from cot. (h))

a 24,485,740.b

Cd

e

2 Capital gain net income or ( net capital loss)( If gain, also enter in Part 1, line 7

If (loss ), enter -0- in Part I, line 7 2 24,485,740.

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).If loss enter -0- in Part I line 8 - 3 N/A

I rare v ( wuauncanvn unuer oecrtun '+ +uteJ tor iieaucea r ax on rvet mvesiment income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? - - - - -- - , D Yes ® No

If "Yet"the foundation does not mialifv under section 4940(e)_ Do not comnlete this part-

1 Enter the appropriate amount in each column for each year see the instructions before making any entries.

Base period yearsCalendar year ( or tax year beginning in) (bnAdjusted qualifying distributions ( c)Net value of noncharitable -use assets

Distribution ratio( cot. (b) divided by cot. (c))

2015 22,651,812. 93,294, 96. .2428002014 20,765, 34. 93,706,090. .2215992013 19,45 ,677. 96,224,921. .202 1792012 23,765,711. 97,175,008. .2445662011 16,775,496. 88,604,176. .189331

2 Total of line 1, column (d) - - - - - - 2 1.1004753 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5,

the foundation has been in existence if less than 5 years -

or by the number of years

3 . 2 2 0 0 9 5

4 Enter the net value of noncharitable -use assets for 2016 from Part X, line 5 - - . . . . . . 4 100, 269,036.

5 Multiply line 4 by line 3 5 22, 0 68,713.

6 Enter 1% of net investment income (1% of Part I, line 27b ) 6 260,554*

7 Addlines5and6 7 22, 329, 267.

8 Enter qualifying distributions from Part XII, line 4 8 25, 481,021.

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.

623521 11 -23-16 Form 990-PF (2016)3


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Part VI Excise Tax Based on Investment Income (Section 4940(a) , 4940(b) , 4940(e) , or 4948 - see instruction

la Exempt operating foundations described in section 4940(d)(2), check here ► and enter "N/A' on line 1. - _ - "

Date of ruling or determination letter. ( attach copy of letter if necessary -see instructions )'___b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ► and enter 1% 1 260 554.

of Part I, line 27b

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b).

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0

3 Add lines 1 and 2 3 260 , 554 .

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- 5-260 , 554 .

6 Credits/Payments: = - -

.a 2016 estimated tax payments and 2015 overpayment credited to 2016 Ba 287, 861 -

b Exempt foreign organizations - tax withheld at source 6b

_

-

.c Tax paid with application for extension of time to file (Form 8868) 6c TO , 000 -

d Backup withholding erroneously withheld " . . 6d

7 Total credits and payments. Add lines 6a through 6d . . 7 317, 861.

8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached " . 8

9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid , ► 10 57,307.

11 Enter the amount of line 10 to be: Credited to 2017 estimated tax ► 5 7 , 3 0 7 . Refunded► 11 0.

Part VII-A Statements Regarding Activitiesla During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No

any political campaign? la X

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for the definition)? 1b X

If the answer is 'Yes ' to la or fb, 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? is X

d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year,

(1) On the foundation. ► $ 0. (2) On foundation $ 0.

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation - -

managers. ► $ 0.

2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 X

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 X

4a Did the foundation have unrelated business gross income of $1,000 or more during the year? 4a X

b If 'Yes,' has it filed a tax return on Form 990-T for this year'? . . ".. 4b X

5 Was there a liquidation, termination, dissolution, or substantial contraction during the yeah 5 X

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?

7 Did the foundation have at least $5,000 in assets at any time during the year? If 'Yes," complete Part II, col (c), and Part XV 7 X

8a Enter the states to which the foundation reports or with which it is registered (see instructions) ► -

MIb 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 X

9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(1)(5) for calendar

year 2016 or the taxable year beginning in 2016 (see instructions for Part XIV)? If 'Yes,' complete Part XIV " 9 X

10 Did any persons become substantial contributors during the tax year? if -Yes,' attach a schedule listing their names and addresses 10 X

Form 990-PF (2016)

623531 11-23-16


Form 990-PF 2016 DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Part VII -A Statements Regarding Activities (continued)

11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of

section 512(b)(13)? If "Yes," attach schedule (see instructions) . . . . . - 11 X

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 X

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X

Website address ► N/A

14 The books are in care of ► ROBERT H. SCHIERBEEK Telephone no.► 16 6 4 3 - 4 00 0

Located at ► 12 6 OTTAWA AVENUE, N. W. , SUITE 5 0 0, GRAND RAPIDS , ZIP+4 9 5 U3

15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here _ ► L_J

and enter the amount of tax-exempt interest received or accrued during the year . . ► 15 N/A

16 At any time during calendar year 2016, did the foundation have an interest in or a signature or other authority over a bank, ]Yes No

securities, or other financial account in a foreign country? _ . _ 16 X

See the instructions for exceptions and filing requirements for FinCEN Form 114. If 'Yes,' enter the name of the

foreign country ►s--'LAIL. : _L ^..-- A7A9% 11111 .... C2- M......:....A

File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. = Yes No

la During the year did the foundation ( either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? Yes ® No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? Yes ® No =

(3) Furnish goods , services, or facilities to (or accept them from ) a disqual ified person? Yes No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person ? Yes ® No - °

(5) Transfer any income or assets to a disqualified person (or make any of either available -

for the benefit or use of a disqualified person )? Yes ® No -

(6) Agree to pay money or property to a government official? ( Exception. Check "No'

if the foundation agreed to make a grant to or to employ the official for a period after

termination of government service , if terminating within 90 days.) Yes ® No -

b If any answer is "Yes" to 1a ( 1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance ( see instructions)? lb X

Organizations relying on a current notice regarding disaster assistance check here ►c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected

before the first day of the tax year beginning in 2016? 1c X

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 (l)(3) or 4942(j)(5)):

a At the end of tax year 2016, did the foundation have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year ( s) beginning -

before 2016? Yes ® No

If "Yes," list the years ►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 .) N/A 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. - -

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time

during the year? E] Yes ® No - -

b If "Yes; did it have excess business holdings in 2016 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 2016 ) _ _ _ N/A . 3b

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X

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 20169 ... 4b X

Form 990-PF (2016)

623541 11-23-16


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Pa

5a During the year did the foundation pay or incur any amount to: -

(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 (e))?. Yes ® No

(2) Influence the outcome of any specific public election ( see section 4955 ); or to carry on , directly or indirectly,

any voter registration drive? . . . - . . . . - - 0 Yes No

(3) Provide a grant to an individual for travel , study, or other similar purposes? - Q Yes ® No

(4) Provide a grant to an organization other than a charitable , etc., organization described in section

4945(d)(4)(A)" ( see instructions ) D Yes ® No

(5) Provide for any purpose other than religious , charitable , scientific , literary, or educational purposes, or for

the prevention of cruelty to children or animals'? , -. - - • , D Yes ® No -

b If any answer is 'Yes' to 5a(1)-(5 ), did any of the transactions fail to quality under the exceptions described in Regulations

section 53 .4945 or in a current notice regarding disaster assistance ( see instructions )? - _ , N/A 5b

Organizations relying on a current notice regarding disaster assistance check here , - - 0

c If the answer is "Yes" to question 5a ( 4), does the foundation claim exemption from the tax because it maintained

expenditure responsibility for the grant? _ N/A - Q Yes 0 No •

If 'Yes,' attach the statement required by Regulations section 53 4945-5(d).

6a Did the foundation , during the year, receive any funds, directly or indirectly , to pay premiums on

a personal benefit contract? - Q Yes ® No

b Did the foundation, during the year , pay premiums , directly or indirectly, on a personal benefit contract? 6b

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? - - Q Yes ®Na

b If 'Yes,' did the foundation receive any proceeds or have any net income attributable to the transaction? N/A 7b

Part VIII - Information About Officers , Directors , Trustees, Foundation Managers , HighlyPaid Employees, and Contractors

1 List all officers, directors . trustees. foundation managers and their compensation.

(a) Name and address(b) Title, and average

hours per week devotedto position

(C) Compensation( If not paid ,enter -0-)

ContrnbuOons to

emp anedd^enedplans_____sabon

(e)Expenseaccount, otherallowances

SEE STATEMENT 12 0. 0. 0.

2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."

(a) Name and address of each employee paid more than $50,000(b) Title, and average

hours per weekdevoted to position

(c) Compensationconmbutonsio

emplanddeferedplans

compensation

(e) Ex enseaccount otherallowances

NONE

Total number of other employees paid over $50,000 ► 1 y

Form 990-PF (2016)

623551 11-23-16


Form 990-PF 2016 DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 _ Part VIII Information About Officers, Directors, Trustees, Foundation Managers , Highly

Paid Employees, and Contractors (continueci)3 Five hiahest-said indeoendent contractors for orofessional services. If none . enter "NONE."

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

RDV CORPORATION - 126 OTTAWA AVE STE 50 0,GRAND RAPIDS, MI 49503 4ANAGEMENT FEE 2,192,470.

CREATIVE CHANGE MISSION - 25 IONIA AVE SW STE VIANAGEMENT300, GRAND RAPIDS, MI 49503 ONSULTING SERVICES 454,256.CENTER FOR SOCIAL RESEARCH RESEARCH CONSULTING3201 BURTON STREET SE, GRAND RAPIDS, MI 49546 ERVICES 274,000.OTTAWA AVENUE PRIVATE CAPITAL, - 126 OTTAWAAVE STE 500, GRAND RAPIDS, IN 49503 4ANAGEMENT FEE 194,964.RDV STAFFING, INC - 126 OTTAWA AVE STE 500,GRAND RAPIDS, MI 49503 ROGRAM CONSULTANT 161,242.

Total number of others receiving over $50,000 for professional services 9

Part Ix-A summary of uirect e..nantauie P►cuvizies

List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as thenumber of organizations and other beneficiaries served, conferences convened, researc h papers produced, etc.

i BELIEVE 2 BECOME_ 0117V ammar'u!n emam>»?.c 'TTm I rz

2 uA

3 t;1J

4A1"1

marv

Expenses

1,209,112.

680,797.

284,535.

65,451.

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount

1 N/A

2

All other program-related investments. See instructions.

3

Total . Add lines 1 through 3 ► 0 .

Form 990-PF (2016)

623561 11-23-16


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972

Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:

a Average monthly fair market value of securities Is 2,333,090 .

b Average of monthly cash balances lb 111,274 .

c Fair market value of all other assets is 99, 351 , 612 .

d Total (add lines la, b, and c) id 101,795,976.

e Reduction claimed for blockage or other factors reported on lines la and

1c (attach detailed explanation) . . _ _ le 0. -

2 Acquisition indebtedness applicable to line 1 assets 2 0

3 Subtract line 2 from line ld 3 101,795,976 .

4 Cash deemed held for charitable activities. Enter 11/2% of line 3 (for greater amount, see instructions) 4 1,526,940 .

5 Net value of noncharitable -use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 100,269,036 .

6 Minimum investment return . Enter 5% of line 5 6 5,013,452 .

Part XI Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certainforeign organizations check here lo. Q and do not complete this part)

1 Minimum investment return from PartX, line 6 1 5,013,452.

-2a Tax on investment income for 2016 from Part VI, line 5 2a 260,554.

b Income tax for 2016. (This does not include the tax from Part VI.) 2b

c Add lines 2a and 2b 2c 260,554 .

3 Distributable amount before adjustments. Subtract line 2c from line 1 3 4, 7 5 2 , 8 9 8 .

4 Recoveries of amounts treated as qualifying distributions 4 2TO , 0 00 0 .

5 Addlines3and4 5 5,032,898.

6 Deduction from distributable amount (see instructions ) 6 0

7 Distributable amount as ad justed. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 7 5, 0 3 2 , 8 9 8 .

Part 1- 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 la 25,481,021.

b Program-related investments - total from Part IX-B lb 0.

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes .. . 2

3 Amounts set aside for specific charitable projects that satisfy the:

a Suitability test (prior IRS approval required) 3a

b Cash distribution test (attach the required schedule) 3b

4 Qualifying distributions . Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 25,491,021.

5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b 5 260,554.

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 25, 220,467.

Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section

4940(e) reduction of tax in those years.

Form 990-PF (2016)

623571 11-23-16


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972

Part XIII Undistributed Income (see instructions)

(a) (b) (c) (d)

Corpus Years prior to 2015 2015 2016

1 Distributable amount for 2016 from Part XI, -

line7 - 5,032,898.2 Undistributed income, if any , as of the end of 2016 - _- _ - ' - - - -

a Enter amount for 2015 only - V 0.

b Total for prior years:

0.3 Excess distributions carryover, if any, to 2016: - -

aFrom 2011 6,775,496. --bFrom 2012 19, 05 , 685. ' _ -cFrom 2013 1 4,6 6 3 , 3 9'5-.dFrom 2014 16,227,34f-.eFrom 2015 [1 7,915,4 8 6. -f Total of lines 3a through e 84, 635,403.

4 Qualifying distributions for 2016 from - - - -

PartXll, line 4: ► $ 25,481,021. -a Applied to 2015, 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 2016 distributable amount - - - - 5 , 0 3 2 , 8 98.

e Remaining amount distributed out of corpus 20 , 448,123 . - - -5 Excess distributions carryover applied to 2016 0 . - - - - 0.

(if an amount appears in column ( d), the same amount

must be shown in column (a)) - - --^ - - - - - -

6 Enter the net total of each column asindicated below:

a Corpus Add lines 3f , 4c, and 4e Subtract line 5 105 , 0 8 3 , 5 16 . - = - - -b Prior years' undistributed income. Subtract

.. ` - -

fine 4b from line 2b 0 . -

c Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued, or on which - -the section 4942(a) tax has been previouslyassessed -- 0.

d Subtract line 6c from line 6b. Taxable _

amount - see instructions 0. -e Undistributed income for 2015. Subtract line

4a from line 2a. Taxable amount - see instr. - 0

f Undistributed income for 2016. Subtract

lines 4d and 5 from line 1. This amount must - -

be distributed in 2017 - - - - 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 2011

not applied on line 5 or line 7 - 16,775,496. . -9 Excess distributions carryover to 2017.

Subtract lines 7 and 8 from line 6a 88 ,308, 030. - - -10 Analysis of line 9:

a Excess from 2012 19,053,685. -b Excess from 2013 - 14 , 6 6 3, 3 9'-5.c Excess from 2014 1 6,227,341.d Excess from 2015 7 , 915 , 486.

1e Excess from 2016 2 0,448,123. -

623581 11-23-16 Form 990-PF (2016)


Form 990-PF (20 16) DOUGLAS & MARIA DEVOS FOUNDATION 3 8 - 3 0 3 5 9 7 2 Part XIV Private Operating Foundations (see instructions and Part VI I -A, question 9) N/A1 a If the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2016, enter the date of the ruling ►b Check box to indicate whether the foundation is a private operating foundation described in section 4942(1)(3) or L_J 4942(1)(5)

2 a Enter the lesser of the adjusted net Tax year Prior 3 years

income from Part I or the minimum (a) 2016 (b) 2015 (c 2014 (d) 2013 (e) Total

investment return from Part X for

each year listed . .

b 85% of line 2a

c Qualifying distributions from Part XII,

line 4 for each year listed

d Amounts included in line 2c not

used directly for active conduct of

exempt activities _

e Qualifying distributions made directly

for active conduct of exempt activities.

Subtract line 2d from line 2c _Complete 3a, b, or c for thealternative test relied upon:

a "Assets" alternative test - enter.(1) Value of all assets

(2) Value of assets qualifyingunder section 4942(j)(3)(B)(i)

b "Endowment" alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted _

c "Support' alternative test - enter.

(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(j)(3)(B)(iii)

(3) Largest amount of support from

an exempt organization

Pal5 XV I Supplementary Information (Complete this part only it the tounciation has *b,uuu or more in assetsat any time during the year-see instructions.)

1 Information Regarding Foundation Managers:

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any taxyear (but only if they have contributed more than $5,000). (See section 507(d)(2).)

SEE STATEMENT 13b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or

other entrty) of which the foundation has a 10% or greater interest

NONE

2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship, etc., Programs:

Check here ►0if

the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundat ion makes gifts, grants, etc. (see instructions) to individuals or organizatio n s u nder oth e r conditions, complete items 2a, b, c, and d.

a The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

DOUGLAS & MARIA DEVOS, (616) 643-4700

126 OTTAWA AVE., N.W., SUITE 500, GRAND RAPIDS, MI 49503

b The form in which applications should be submitted and information and materials they should include:LETTER OF REQUEST

c Any submission deadlines:NONE

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:NONE

623601 11-23-16 Form 990-PF (2016)


DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 (continued)

3 Genf -A (_nnfriMuYinnc P^ir1 1'l-inn tho Yt. r nr Annrnvni1 fnr FuYuro Pavmont

Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or

AmountName and address (home or business) any foundation manager

or substantial contributorstatus ofrecipient

contribution

a Paid during the year

SEE ATTACHED STATEMENT 18

21,035,115.

Total - ► 3a 21,035,115.

b Approved for future payment

SEE ATTACHED STATEMENT 17

7,250,000.

Total ► 3b I 7,25 U,uo o.

Form 990-PF (2016)623611 11-23-16


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 3 8 - 3 0 3 5 9 7 2

Part XVI-A Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated . U nre lated b usiness income Excluded by section 512, 513, or 514 (e)

1 Program service revenue: code„IIIV°II` code Pd IIUUIIL IU111.11U111111iV I11G

ab

cd

ef

g Fees and contracts from government agencies

2 Membership dues and assessments

3 Interest on savings and temporary cash

investments 14 673.

4 Dividends and interest from securities 14 5 .

5 Net rental income or (loss) from real estate: - -

a Debt-financed property

b Not debt-financed property

6 Net rental income or (loss) from personal

property

7 Other investment income 14 7,697,028.

8 Gain or (loss) from sales of assets otherthan inventory _ 18 23,773,494.

9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory

11 Other revenue:

a

b

Cd

e12 Subtotal. Add columns (b), (d), and (e) 0 . 31,471,320. 1 0.13 Total. Add line 12, columns (b), (d), and (e) __., 13 31,471,320.(See worksheet in line 13 instructions to verity calculations.)

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

Line No .y

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment ofthe foundation's exempt purposes (other than by providing funds for such purposes).

623621 11 -23-16 Form 990-PF (2016)


Form 990-PF (2016) DOUGLAS & MARIA DEVOS FOUNDATION 38-3035972 Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501( c) of -- Tes no

the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? - : _

a Transfers from the reporting foundation to a noncharitable exempt organization of _

(1) Cash la(1)

(2) Other assets 1a(2) X

b Other transactions:

(1) Sales of assets to a noncharitable exempt organization 1b(1) X

(2) Purchases of assets from a noncharltable exempt organization 1b(2) X

(3) Rental of facilities, equipment, or other assets . . . _ . . . . • • _ 1b(3) X

(4) Reimbursement arrangements lb(4) X

(5) Loans or loan guarantees - - lb(5) X

(6) Performance of services or membership or fundraising solicitations 1b(6) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees is X

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) Name of organization (b) Type of organization (c) Description of relationship

N/A

Under penalit per , I dec that ve m

srciudint

e ie accompanying schedules and statements , and to the best of my knowledge

Signand beliekffl is true ec co tI pr other than taxpayer ) is based on all information of which preparer has any knowledge

May a is-use

-return with the preparer:

h

Hereown below (see mstr )7/ s

_

Signature of officer oi-ftsfff %. Da

Pnnt/fype preparer s name Preparer s signature

Paid TODD P. COOK014-0A.d.f A

623622 11-23-16

12021109 137752 38-3035972 2016.0402

2a Is the foundation directly or indirectly affiliated with , or related to, one or more tax -exempt organizations described

in section 501(c) of the Code (other than section 501(c )( 3)) or in section 527? _ . _ - - _ • • • . • ... 0 Yes ® No

b If'Yes ." complete the followma schedule.

Schedule B Schedule of Contributors OMB No 1545-0047

(Form 990, 990-EZ, ► Attach to Form 990, Form 990-EZ, or Form 990-PF.or 990-PF) 2016Department of the Treasury ► Information about Schedule B (Form 990, 990-EZ , or 990-PF) and

Internal Revenue Service its instructions is at www.1rs.gov1form990

Name of the organization Employer identification number


Organization type (check one):

Filers of: Section:

Form 990 or 990-EZ = 501 (c)( ) (enter number) organization

0 4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF ® 501 (c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

® For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501 (c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under

sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13 , 16a, or 16b, and that received from

any one contributor , during the year , total contributions of the greater of (1) $5 ,000 or (2) 2% of the amount on (i) Form 990, Part VIII , line 1 h,

or (i) Form 990-EZ, line 1 Complete Parts I and II

0 For an organization described in section 501 (c)(7),(8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the

year , total contributions of more than $1,000 exclusively for religious, charitable , scientific , literary , or educational purposes, or for

the prevention of cruelty to children or animals . Complete Parts I, II, and III.

For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor , during the

year, contributions exclusively for religious , charitable , etc., purposes , but no such contributions totaled more than $1 ,000. If this box

is checked , enter here the total contributions that were received during the year for an exclusively religious, charitable, etc.,

purpose . Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusfvely

religious, charitable, etc., contributions totaling $5 ,000 or more during the year . _ . .. _ __ ► $

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 990-PF, Part I, line 2, to

certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990 -EZ, or 990-PF ) ( 2016)

623451 10-18-16

Schedule B (Form 990, 990-EZ, or 990-PF) (2016) Page 2

Name of organization Employer identification number


Part,) 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 DOUGLAS AND MARIA DEVOS Person

126 OTTAWA AVE NW, SUITE 500 $ 14,000,000.Payroll

Noncash

GRAND RAPIDS, MI 4 9 5 0 3(Complete Part II fornoncash contributions.)

(a)No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

$

Payroll

Noncash

(Complete Part II fornoncash contributions.)

(a)

No.

(b)


(c)

Total contributions

(d)


Person

$

Payroll ElNoncash El

(Complete Part II fornoncash contributions)

(a)

No.

(b)

Name , address, and ZIP + 4

(c)

Total contributions

(d)


Person 0

$

Payroll El

Noncash 0

(Complete Part II fornoncash contributions)

(a)No.

(b)


(c)

Total contributions

(d)


Person 0

$

Payroll El

Noncash 0


(a)

No.

(b)Name , address, and ZIP + 4

(c)

Total contributions(d)


Person El

$

Payroll 0

Noncash Q


623452 10- 1 8-16 Schedule B (Form 990 . 990-EZ . or 990-PF) (2016)


Schedule B (Form 990, 990-EZ, or 990-PF) (2016) Page 3

Name of organization Employer identification number


Part If Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.

(a)

Part IDescription of noncash property given

(c)

FMV (oror estimate)

(See instructions)Date received

(a)

fromPart I

Description of noncash property given

(c)

FMV (or estimate)


(a)No.

from


(c)

FMV (or estimate)


(a)No.

from


(c)

FMV (or estimate)


(a)No.from

Part I

(b)Description of noncash property given

(c)

FMV (or estimate)

(See instructions)

(d)Date received

(a)

No.from


(c)FMV (or estimate)


623453 10-1 8-16 Schedule B (Form 990. 990-EZ. or 990-PF) 120161


Schedule B (Form 990.990-FZ. or

DOUGLAS & MARIA DEVOS FOUNDATION

4

38-3035972

the year from any one contributor . Complete columns (a) through ( e) and the following line entry. For orgarnsshons , $completing Part Itr, enter the total of exclusively religious, charitable , etc , contributions of $1,000 or less for the year (Enter this into once JI Inn iii rolls+o rnninc of Pnrt Ill if ^ddH'innnl onone is nnnrtnd

(a) No.fromPart

(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.fromPart




(a) No.fromPart



Transferee's name, address, and ZIP + 4 Relationshi p of transferor to transferee

(a) No.fromPart I




623454 10- 18-16 Schedule B (Form 990, 990 -EZ, or 990-PF) (2018)



FORM 990-PF INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS STATEMENT 1

(A) (B) (C)REVENUE NET INVESTMENT ADJUSTED

SOURCE PER BOOKS INCOME NET INCOME

MACATAWA BANK 673. 673.

TOTAL TO PART I, LINE 3 673. 673.

FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 2

CAPITAL (A) (B) (C)GROSS GAINS REVENUE NET INVEST- ADJUSTED

SOURCE AMOUNT DIVIDENDS PER BOOKS MENT INCOME NET INCOME

THE NORTHERN TRUSTDIVIDENDS 125. 0. 125. 133.

TO PART I, LINE 4 125. 0. 125. 133.

FORM 990-PF OTHER INCOME STATEMENT 3

(A) (B) (C)REVENUE NET INVEST- ADJUSTED

DESCRIPTION PER BOOKS MENT INCOME NET INCOME

FROM PARTNERSHIPS-PER BOOKS 7,697,028. 0.FROM PARTNERSHIPS-SEE STATEMENT 14 0. 1,762,495.

TOTAL TO FORM 990 - PF, PART I , LINE 11 7,697 ,028. 1,762,495.

FORM 990 - PF LEGAL FEES STATEMENT 4

DESCRIPTION

LEGAL FEES

TO FM 990-PF, PG 1, LN 16A

(A) (B)EXPENSES NET INVEST-PER BOOKS MENT INCOME

4,865. 0.

4,865. 0.

(C)ADJUSTED

NET INCOME

(D)CHARITABLEPURPOSES

4,865.

4,865.

18 STATEMENT(S) 1, 2, 3, 412021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311


FORM 990-PF ACCOUNTING FEES STATEMENT 5

(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLE

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

ACCOUNTING 2,255. 226. 1,803.

TO FORM 990-PF, PG 1, LN 16B 2,255. 226. 1,803.

FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 6



MANAGEMENT FEES 2,387,434. 193,397. 2,192,325.CUSTODIAL FEES - TNT 313. 0. 313.BANK FEES 283. 0. 283.CONSULTING FEES 305,373. 0. 305,373.

TO FORM 990-PF, PG 1, LN 16C 2,693,403. 193,397. 2,498,294.

FORM 990-PF TAXES STATEMENT 7



FEDERAL EXCISE TAX 245,000. 0. 0.FEDERAL INCOME TAX -653,584. 0. 0.

TO FORM 990-PF, PG 1, LN 18 -408,584. 0. 0.

19 STATEMENT(S) 5, 6, 712021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311

DOUGLAS & MARIA DEVOS FOUNDATION

(A) (B)EXPENSES NET INVEST-PER BOOKS MENT INCOME

FORM 990-PF OTHER EXPENSES STATEMENT 8

DESCRIPTION

(C) (D)

ADJUSTED CHARITABLE

NET INCOME PURPOSES

POSTAGE & STATIONERY 3,346. 0. 3,346.

SUPPLIES & INCIDENTALS 9524., 0. 9,524.COMPUTER SERVICES & SUPPLIES 40 ,125. 0. 40,125.CONFERENCES & LEARNING 18,583. 0. 18,583.EVENTS 129. 0. 129.PROGRAM SERVICES 1,722,780. 0. 1,722,780.

TO FORM 990-PF, PG 1, LN 23 1,794,487. 0. 1,794,487.

FORM 990-PF CORPORATE STOCK STATEMENT 9

DESCRIPTION

KELE HOLDCO 2,175, 000. 2 , 520,583.

TOTAL TO FORM 990-PF, PART II, LINE 10B 2,175,000. 2,520,583.

FORM 990-PF OTHER INVESTMENTS STATEMENT 10

VALUATION FAIR MARKETDESCRIPTION METHOD BOOK VALUE VALUE

AEA MEZZANINE FUND III LP FMV 2,545,639. 2,665,890.AH CI GROUP INVESTORS, LLC FMV 0. 54,131.COMMONFUND CAP. INTL PTRS IV LP FMV 1,232,061. 564,895.FREEDOM ASSET MANAGEMENT, LP II FMV 0. 395,837.FREEDOM CAPITAL MANAGEMENT, LP FMV 73,892,426. 73,892,426.FTH NCP GROUP INVESTORS, LLC FMV 0. 38,628.HANCOCK CAPITAL PARTNERS V FMV 9,486,448. 9,940,993.INTERNATIONAL PRIVATE EQUITY III LP FMV 282,204. 88,447.LH-AEA GROUP INVESTORS, LLC FMV 0. 71,187.MPH ACQUISITION HOLDCO LP FMV 0. 0.SIH MPH ROLLOVER CO, LP FMV 4,460,241. 5,855,778.BDT CAPITAL PARTNERS ANNEX FUND FMVI-A, LP 8,804,774. 9,644,645.KCC TW INVESTORS LLC FMV 165,750. 1,606,730.

TOTAL TO FORM 990-PF, PART II, LINE 13 100,869,543. 104,819,587.

20 STATEMENT(S) 8, 9, 1012021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311

BOOK VALUE

38-3035972

FAIR MARKETVALUE

DOUGLAS & MARIA DEVOS FOUNDATION 38 -3035972

FORM 990-PF OTHER ASSETS STATEMENT 11

BEGINNING OF END OF YEAR FAIR MARKETDESCRIPTION YR BOOK VALUE BOOK VALUE VALUE

THE NEW COMMON SCHOOL FOUNDATIONNOTE RECEIVABLE 560,000. 280,000. 280,000.MISC. RECEIVABLES 0. 8,031. 8,031.

TO FORM 990-PF, PART II, LINE 15 560,000. 288,031. 288,031.

FORM 990-PF PART VIII - LIST OF OFFICERS, DIRECTORS STATEMENT 12TRUSTEES AND FOUNDATION MANAGERS

EMPLOYEETITLE AND COMPEN- BEN PLAN EXPENSE

NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT

DOUGLAS DEVOS PRESIDENT126 OTTAWA NW, SUITE 500 1.00 0. 0. 0.

GRAND RAPIDS, MI 49503

MARIA DEVOS VICE PRESIDENT126 OTTAWA NW, SUITE 500 1.00 0. 0. 0.GRAND RAPIDS, MI 49503

JERRY L. TUBERGEN EXEC. VICE PRESIDENT126 OTTAWA NW, SUITE 500 1.00 0. 0. 0.GRAND RAPIDS, MI 49503

ROBERT H. SCHIERBEEK EXEC. VP/TREAS/SECRETARY126 OTTAWA NW, SUITE 500 1.00 0. 0. 0.GRAND RAPIDS, MI 49503

JEFFREY K. LAMBERT VP FIN & ADMIN/ASST SECRTY126 OTTAWA NW, SUITE 500 1.00 0. 0. 0.GRAND RAPIDS, MI 49503

TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII 0. 0. 0.

21 STATEMENT(S) 11, 1212021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311


FORM 990-PF PART XV - LINE 1A STATEMENT 13LIST OF FOUNDATION MANAGERS

NAME OF MANAGER

DOUGLAS DEVOSMARIA DEVOS

22 STATEMENT(S) 1312021109 137752 38-3035972 2016.04020 DOUGLAS & MARIA DEVOS FOUND 38-30311

Douglas & Maria DeVos Foundation

EIN: 38-3035972

December 31, 2016

Form 990PF - Part I, Line 11 Column (b)

Income/(Loss) from Partnerships

Partnership Name

EIN

CommonfundBDT Capital

AEA CapitalAH CI Group Partners

Mezzanine InternationalInvestors LLC Annex Fund I-

Fund III LP Partners IVA LP

LP

46-1976633 45-5496921 45-4101702 06-1605324

Passive ordinary business income/lossNonpassive ordinary business income/lossNet rental real estate income/lossOther net rental income/loss

Guaranteed payments

Interest Income

Non-qualified Dividends

Qualified Dividends

Royalties

Net short-term capital gain/lossNet long-term capital gain/lossNet section 1231 gain/lossOther portfolio income/lossSection 1256 contracts & straddlesOther income/loss

Section 179 deduction

Contributions

Investment interest expense

Section 59(e)(2) expenditures

Deductions - portfolio (2% floor)

Deductions - portfolio (other)

Other deductions-SBT/State and LocalOther deductions-Property TaxesOther deductions-MiscellaneousForeign taxes paidForeign taxes accrued

Total Partnership Income/(Loss)

Amount Reported on Form 990-PF, Part IV, Line 1

Amount Reported on Form 990-PF, Part I, Line 11

Amount Reported on Form 990-T as UBTI


(1,189) (13) - -

235,821 167,341 - 2,00163 73 - 17,430

- - 70,402 8,247720- 66 (432) 992

25,085 3,153,976 211,485 145,033

- - (631) 9,688

- - - 49260,500 3,321,443

8

2,733 -

49,394 4,967

280,824 183,440

1 64

66,347 11,567

1,889 -10 - - 89

- 544

54,034 4,967 66,348 12,265

206,466 3,316,476 214,476 171,175

25,085 3,154,042 211,053 146,025181,973 162,434 3,423 25,177

(592) - - (27)

206,466 3,316,476 214,476 171,175

STATEMENT 14


EIN: 38-3035972

December 31, 2016



Partnership Name

EIN


Guaranteed payments

Interest Income


Qualified Dividends

Royalties

Net short-term capital gain/loss

Net long-term capital gain/loss

Net section 1231 gain/loss

Other portfolio income/loss

Section 1256 contracts & straddles

Other income/loss

Section 179 deductionContributionsInvestment interest expenseSection 59(e)(2) expendituresDeductions - portfolio (2% floor)Deductions - portfolio (other)Other deductions-SBT/State and Local

Other deductions-Property Taxes

Other deductions-Miscellaneous

Foreign taxes paid

Foreign taxes accrued


Amount Reported on Form 990-PF, Part IV, Line 1Amount Reported on Form 990-PF, Part 1, Line 11Amount Reported on Form 990-T as UBTI


Freedom FreedomFTH NCP Hancock

Asset CapitalGroup Capital

Management ManagementInvestors LLC Partners V LP

LP II LP

20-4189862 20-0561124 45-3853546 45-4244541

- - - 62,195

- - - 1

1,252 659,748 275 724,9272,646 13,942 6 2,562

491

(1) 4,139 (29) 81715 16,557 14,966 427,974

(1,017)

3,912 694,386 15 ,218 1,217,950

42

378 100,509 4,424 185,1251,113

- - - 652

378 100,509 4,424 186,932

3,534 593,877 10,794 1,031,018

14 20,696 14,937 428,833

3,520 573,181 (4,143) 641,639

- - - (39,454)

3,534 593,877 10,794 1,031,018

STATEMENT 14


EIN: 38-3035972

December 31, 2016



Partnership Name

EIN


Guaranteed payments

Interest Income


Qualified Dividends

Royalties

Net short-term capital gain/loss

Net long-term capital gain/loss

Net section 1231 gain/loss

Other portfolio income/loss

Section 1256 contracts & straddles

Other income/loss


Contributions







Amount Reported on Form 990-PF, Part IV, Line 1Amount Reported on Form 990-PF, Part I, Line 11Amount Reported on Form 990-T as UBTI


InternationalLH-AEA MPH

Private Equity KCC TWGroup Acquisition

Partners III Investors LLCInvestors LLC Holdco, LP

LP

06-1563329 26-2532013 45-2832780 35-2496366

(88) (2) - -

6,352 3,214 169 1654 65 3 -48 7 - -

93616,879 (227) - -

- (27,381) - 20,495,784

87 - - -

196 - - -24,464 (24,324) 172 20,495,800

2 331 - -

1,138 12,486 296 2,426

3 - - -

129 - - -

1,272 12,817 296 2,426

23,192 (37,141) (124) 20,493,374

16,879 (27,608) - 20,495,7846,313 (9,533) (124) (2,410)

23,192 (37,141) (124) 20,493,374

STATEMENT 14


EIN: 38-3035972

December 31, 2016

Form 990PF - Part 1, Line 11 Column (b)


Partnership Name

EIN


Guaranteed payments

Interest Income


Qualified Dividends

Royalties

Net short-term capital gain/lossNet long-term capital gain/lossNet section 1231 gain/lossOther portfolio income/lossSection 1256 contracts & straddlesOther income/loss


Contributions






RoundtablePrudential Healthcare SIH MPHCapital Capital Rollover Co.

Partners V LP Partners III LPTotal

LP

81-2671090 47-4893662 37-1839564

- - - 60,903

114 - - 1,801,230- - - 36,844- - 181,302 260,006

2,147

- - - 22,204

- - - 24,463,494

- - (1,017)

- - 9,144

- - - 245

114 - 181,302 26,655,201

5016 - - 3,147

98 - 257 439,412

- - - 1,113

- - - 1,890

- - - 102

- - - 1,325

114 - 257 447,039

Total Partnership Income/(Loss) - - 181,045 26,208,162

Amount Reported on Form 990-PF, Part IV, Line 1 - - - 24,485,740Amount Reported on Form 990-PF, Part 1, Line 11 - - 181,045 1,762,495Amount Reported on Form 990-T as UBTI - - - (40,073)

Total Partnership Income/(Loss) 18 1,045 26,208,162

STATEMENT 14

DOUGLAS & MARIA DEVOS FOUNDATIONEIN 38-3035972

FORM 990-PF, PART IX-ADECEMBER 31, 2016

SUMMARY OF DIRECT CHARITABLE ACTIVITIES :

Believe 2 Become

Recognizing that all children have unlimited potential, great expectations and real

opportunity, Believe 2 Become (B2B) seeks to support at risk children in greater Grand

Rapids, Michigan, by working with residents, service providers, schools, congregations

and community organizations. The network of support includes summer enrichmentexperiences for students, preschool learning opportunities, workshops and mentoring forparents, and positive recognition for achievement.

Total $ 1,209,112

Gatherings of Hope

Gatherings of Hope (GoH) supports the growth of pastors and congregational leaders by

providing course work and technical assistance to train clergy and church leadership topractically apply methods of engaging community in order to strengthen children andfamilies and leverage the power of community. In addition, GoH equips congregations tosupport the full development and growth of children and families both in their

congregations and their communities.

Total $ 680,797

edNet

The Education Network of Greater Grand Rapids (edNet) provides professional support

for local teachers, principals and other educators with the goal of increasing academic

achievement among lower income and children of color in our urban schools.

Total $ 284,535

STATEMENT 15

DOUGLAS & MARIA DEVOS FOUNDATIONEIN 38-3035972

FORM 990-PF, PART IX-ADECEMBER 31, 2016

SUMMARY OF DIRECT CHARITABLE ACTIVITIES :

Ampli . GR

AmplifyGR is a nonprofit organization in the Boston Square/Cottage Grove/MadisonSquare neighborhood of Grand Rapids that is dedicated to the continued improvement ofthese unique neighborhoods. AmplifyGR helps coordinate and support the efforts of agroup of interconnected organizations and partners whose collective work helps build amore safe, healthy, economically robust community.

Working side-by-side with neighbors and community partners, AmplifyGR seeks to raisehousehold incomes and create greater opportunities for neighbors by facilitating jobcreation and entrepreneurship, expanded mixed-income housing options, and supports forstrengthening education and community well-being.

Total $ 65,451

STATEMENT 16

Douglas & Maria DeVos FoundationEIN 38-3035972

Year Ended 12/31/2016Form 990PF - Part XV Supplementary Information

Line 3b - Grants and Contributions Approved for Future Payments

Recipient Name & AddressRelationship

to Donor

FoundationStatus ofReci pient

Purposeof Grant Amount

Calvin College None PC Unrestricted 250,0003201 Burton Street SE Grant toGrand Rapids, Ml 49546 General Fund

Gerald R . Ford Foundation None PC Unrestricted 910,000303 Pearl Street NW Grant toGrand Rapids, Ml 49504-5353 General Fund

Gilda's Club - Grand Rapids None PC Unrestricted 30,000

1806 Bridge NW Grant toGrand Rapids, MI 49504 General Fund

Great Lakes Center for the Arts None PC Unrestricted 125,000

800 Bay Harbor Drive Grant toBay Harbor, MI 49770 General Fund

Home Repair Services of Kent County Inc. None PC Unrestricted 25,000

1100 S. Division Ave. Grant to

Grand Rapids, MI 49507 General Fund

K-Connect None PC Unrestricted 250,000

1633 East Beltline NE, Suite 211 Grant to


Kent School Services Network None PC Unrestricted 100,000

1633 East Beltline NE, Ste 205 Grant to

Grand Rapids, Ml 49525 General Fund

Michigan State University None PC Unrestricted 500,000

Office of University Development Grant to

535 Chestnut Road, Spartan Way General Fund

East Lansing, MI 48824-1025

Safe Haven Ministries , Inc. None PC Unrestricted 60,000

3501 Lake Eastbrook SE, Suite 335 Grant to


Wake Forest University None PC Unrestricted 4,500,000

1834 Wake Forest University Grant to

Winston Salem, NC 27105 General Fund

West Michigan Center for Arts & Technology None PC Unrestricted 500,000

98 E Fulton Street, Suite 202 Grant to


Total 7,250,000

STATEMENT 17



Line 3a - Grants and Contributions Paid during the Year


to Donor



Acton Institute For The Study of Religion and Liberty None PC Unrestricted 150,00098 E Fulton Street Grant toGrand Rapids, MI 49503 General Fund

Alfa y Omega Jeova Prove None PC Unrestricted 2,500643 - 9th Street Grant toGrand Rapids, MI 49504 General Fund

American Enterprise Institute for Public Policy Research None PC Unrestricted 1,000,0001789 Massachusetts Avenue NW Grant toWashington, DC 20036 General Fund

Amyotrophic Lateral Sclerosis Association None PC Unrestricted 10,000678 Front Street, Suite 177 Grant toGrand Rapids, MI 49504 General-Fund

Arbor Circle Corporation None PC Unrestricted 440,0001115 Ball Avenue NE Grant toGrand Rapids, MI 49505 General Fund

Area Community Service Employment & Training Council None GOV Unrestricted 428,5001550 Leonard NE Grant toGrand Rapids, Ml 49505 General Fund

ArtPrize Grand Rapids None PC Unrestricted 50,000

41 Sheldon Blvd SE Grant toGrand Rapids, MI 49503 General Fund

Asociacion De Pastores De Grand Rapids None PC Unrestricted 2,500

18 La Belle St SE Grant toGrand Rapids, Ml 49507-1775 General Fund

Base Camp Urban Outreach None PC Unrestricted 52,000

730 St. Clair NW Grant toGrand Rapids, MI 49534 General Fund

Baxter Community Center None PC Unrestricted 50,000

935 Baxter SE Grant to


Bethany Christian Services , Inc. None PC Unrestricted 250,000

901 Eastern Ave NE Grant to


Boy Scouts of America None PC Unrestricted 253,500

3213 Walker Ave NW Grant to


Calvin Christian Reformed Church None PC Unrestricted 5,500

700 Ethel Ave. SE Grant to


STATEMENT 18


Year Ended 12131/2016Form 990PF - Part XV Supplementary Information



to Donor

FoundationStatus ofRecipient


Calvin College None PC Unrestricted 125,0003201 Burton Street SE Grant toGrand Rapids, MI 49546 General Fund

Camp Blodgett None PC Unrestricted 1,0001545 Buchanan Ave. SW Grant toGrand Rapids, Ml 49507 General Fund

Camp Fire West Michigan None PC Unrestricted 63,300233 Fulton Street East, Suite 107 Grant toGrand Rapids, MI 49503-3262 General Fund

Child and Family Policy Center None PC Unrestricted 7,000505 Fifth Avenue, Suite 404 Grant toDes Moines, IA 50309 General Fund

Children 's Assessment Center None PC Unrestricted 40,000901 Michigan NE Grant toGrand Rapids, MI 49503 General Fund

Christian Leaders Nfp None PC Unrestricted 5,00017771 West Spring Lake Road Grant toSpring Lake, Ml 49456 General Fund

Christian Learning Center None PC Unrestricted 10,000

4340 Burlingame Ave. SW Grant toWyoming, Ml 49509 General Fund

Christian Reformed Church in North America None PC Unrestricted 2,500

1261 Lee Street SW Grant toWyoming, Ml 49509 General Fund

Conductive Learning Center None PC Unrestricted 5,000

2428 Burton Road SE Grant to


Cord Group None PC Unrestricted 12,000

944 Cherry Street SE Grant to


Cornerstone University None PC Unrestricted 130,000

1001 East Beltline Ave. NE Grant to


Council of Michigan Foundations Inc. None PC Unrestricted 11,000

One S. Harbor Dr., Suite 3 Grant to

Grand Haven, Ml 49417 General Fund

Crohn 's and Colitis Foundation of Michigan None PC Unrestricted 1,000

25882 Orchard Lake Road Grant to

Farmington Hills, Ml 48336 General Fund

STATEMENT 18


Year Ended 1213112016Form 990PF - Part XV Supplementary Information


FoundationRelationship Status of Purpose

Recipient Name & Address to Donor Recipient of Grant Amount

Davenport University None PC Unrestricted 5,000Office of Alumni and Advancement Grant to6191 Kraft SE Ave. General FundGrand Rapids, MI 49512

Degage Ministries None PC Unrestricted 25,000144 S. Division Ave. Grant toGrand Rapids, MI 49503 General Fund

Dissent None PC Unrestricted 1,000824 Cadillac SE Grant toGrand Rapids, MI 49506 General Fund

Dock Ministries None PC Unrestricted 15,0004669 South Division Grant toWyoming, Ml 49548 General Fund

Early Learning Neighborhood Collaborative None PC Unrestricted 220,000PO Box 2956 Grant toGrand Rapids, MI 49501 General Fund

East Tennessee Foundation None PC Unrestricted 500520 W. Summit Hill Drive, Ste 1101 Grant toKnoxville, TN 37902-2006 General Fund

Escape YFGK None PC Unrestricted 10,000202 E. 32nd Street Grant toHolland, MI 49423 General Fund

Faith Hospice None PC Unrestricted 1,0002100 Raybrook St SE, Ste 300 Grant toGrand Rapids, Ml 49546-5783 General Fund

Family Futures None PC Unrestricted 1,000678 Front Ave NW, Suite 210 Grant toGrand Rapids, Ml 49504 General Fund

Family Promise of Grand Rapids None PC Unrestricted 40,000

516 Cherry Street SE Grant to


Ferris State University None PC Unrestricted 37,500

1201 State Street Grant to

Big Rapids, MI 49307 General Fund

Gerald R. Ford Foundation None PC Unrestricted 117,500

303 Pearl Street NW Grant to

Grand Rapids, MI 49504-5353 General Fund

Gilda's Club - Grand Rapids None PC Unrestricted 15,000

1806 Bridge NW Grant to


STATEMENT 18





Reci pient Name & Address to Donor Recipient of Grant Amount

Girl Scouts of Michigan Shore to Shore None PC Unrestricted 1,0003275 Walker Ave NW Grant toGrand Rapids, MI 49544 General Fund

Girls Choral Academy None PC Unrestricted 20,0002920 Fuller Ave NE Suite 104 Grant toGrand Rapids, Ml 49505 General Fund

Girls Growing II Women Inc . None PC Unrestricted 1,000P.O. Box 6782 Grant toGrand Rapids, MI 49516 General Fund

Grace Christian Reformed Church None PC Unrestricted 3,000100 Buckley Street SE Grant toGrand Rapids, MI 49503 General Fund

Grand Rapids Adventist Academy None PC Unrestricted 30,5001151 Oakleigh Rd NW Grant toGrand Rapids, MI 49504 General Fund

Grand Rapids Art Museum None PC Unrestricted 25,000101 Monroe Center Street NW Grant toGrand Rapids, MI 49503 General Fund

Grand Rapids Ballet Co. None PC Unrestricted 25,000341 Ellsworth SW Grant toGrand Rapids, MI 49503 General Fund

Grand Rapids Children 's Museum None PC Unrestricted 10,00011 Sheldon Avenue NE Grant toGrand Rapids, MI 49503 General Fund

Grand Rapids Christian School Association None PC Unrestricted 1,495,000

1508 Alexander St SE Grant toGrand Rapids, MI 49506 General Fund

Grand Rapids City Treasurer None GOV Unrestricted 27,500

300 Monroe Ave. NW Grant to


Grand Rapids Community College Foundation None PC Unrestricted 52,650

143 Bostwick Avenue SE Grant to

Grand Rapids, Ml 49503-3295 General Fund

Grand Rapids Community Foundation None PC Unrestricted 25,000

185 Oakes SW Grant to


Grand Rapids Creative Youth Center None PC Unrestricted 1,000

413 Eastern Ave SE Grant to


STATEMENT 18





to Donor



Grand Rapids Initiative for Leaders None PC Unrestricted 16,000PO Box 7865 Grant toGrand Rapids, MI 49510-7865 General Fund

Grand Rapids Public Schools None GOV Unrestricted 492,5001331 Franklin SE, P.O. Box 117 Grant toGrand Rapids, Ml 49501-0117 General Fund

Grand Rapids Student Advancement Foundation None PC Unrestricted 275,300111 Library NE Grant toGrand Rapids, Ml 49503 General Fund

Grand Rapids Urban League , Inc. None PC Unrestricted 300,000745 Eastern Avenue SE Grant toGrand Rapids, MI 49503 General Fund

Grand Rapids Youth Commonwealth Inc. None PC Unrestricted 86,000235 Straight Ave NW Grant toGrand Rapids, Ml 49504 General Fund

Grand Valley Premier Soccer Club None PC Unrestricted 15,000

3501 Lake Eastbrook Blvd SE, #340 Grant toGrand Rapids, Ml 49546 General Fund

Grandville Avenue Arts & Humanities , Inc. None PC Unrestricted 33,000

644 Grandville Ave. SW Grant toGrand Rapids, Ml 49503 General Fund

Great Lakes Center for the Arts None PC Unrestricted 125,000

800 Bay Harbor Drive Grant to

Bay Harbor, MI 49770 General Fund

Guiding Light Mission , Inc. None PC Unrestricted 10,000



Heart of West Michigan United Way None PC Unrestricted 125,000

118 Commerce SW, Suite 100 Grant to


Hispanic Center of Western Michigan Inc . None PC Unrestricted 101,315

1204 Grandville Ave SW Grant to


Hoap Inc . None PC Unrestricted 1,000

4303 Holyoke Drive SE Grant to


Home Repair Services of Kent County Inc. None PC Unrestricted 25,000



STATEMENT 18




Recipient Name & AddressRelationshipto Donor



Hope Reformed Church of Grand Rapids None PC Unrestricted 2,500

2010 Kalamazoo Ave SE Grant toGrand Rapids, Ml 49507 General Fund

Hosanna - Faith Comes by Hearing None PC Unrestricted 25,0002421 Aztec Rd. NE Grant toAlbuquerque, NM 87107-4200 General Fund

Iglesia Vida Plena None PC Unrestricted 2,5003450 Michael Ave SW Grant toWyoming, Ml 49509 General Fund

Indian Trails Camp Inc . None PC Unrestricted 20,0000-1859 Lake Michigan Dr. NW Grant toGrand Rapids, MI 49534 General Fund

Inner City Christian Federation None PC Unrestricted 32,500920 Cherry St. SE Grant toGrand Rapids, Ml 49506 General Fund

Institute of Church Administration and Management None PC Unrestricted 5,000676 Beckwith St SW Grant toAtlanta, GA 30314-4108 General Fund

Ionia County Treasurer None GOV Unrestricted 500Park Maintenance Fund Grant toCourthouse, 100 W. Main General FundIonia, Ml 48846

Jones -Johnson Family Ministry Foundation None PC Unrestricted 1,000P.O. Box 150020 Grant toGrand Rapids, MI 49515-0020 General Fund

Jubilee Jobs , Inc. None PC Unrestricted 63,000935 Baxter St. SE Grant toGrand Rapids, MI 49506 General Fund

Junior Achievement of Michigan Great Lakes , Inc. None PC Unrestricted 30,000741 Kenmoor Ave SE Grant to


K-Connect None PC Unrestricted 125,000

1633 East Beltline NE, Suite 211 Grant toGrand Rapids, MI 49525 General Fund

Kent County Habitat for Humanity None PC Unrestricted 100,000

425 Pleasant Street SW Grant to


Kent County Parks Foundation None SO II Unrestricted 10,000

P.O. Box 230165 Grant to


STATEMENT 18






Kent School Services Network None PC Unrestricted 57,000

1633 East Beltline NE, Ste 205 Grant toGrand Rapids, MI 49525 General Fund

KeyStone Community Church None PC Unrestricted 120,000

655 Spaulding Ave Grant toAda, Ml 49301 General Fund

Kingdom Life Ministries Inc . None PC Unrestricted 2,500

2317 Kalamazoo Ave. Grant to


Lake Michigan Junior Golf Association Inc. None PC Unrestricted 1,250

2715 Leonard Street NW Grant toGrand Rapids, Ml 49504 General Fund

Lake Region Conference of Seventh Day Adventist Church None PC Unrestricted 2,500

1144 Quarry Ave. SW Grant to


Launch None PC Unrestricted 75,000

302 West 6th Street, Suite 100 Grant to

Chattanooga, TN 37402 General Fund

Leading Educators Inc. None PC Unrestricted 690,000

1824 Oretha Castle Haley Blvd. Grant to

New Orleans, LA 70113 General Fund

Life International Inc. None PC Unrestricted 50,000

72 Ransom Ave. NE Grant to


LINC Community Revitalization Inc. None PC Unrestricted 335,000

1167 Madison Ave. SE Grant to


Literacy Center of West Michigan None PC Unrestricted 52,000

1120 Monroe Ave. NW, Suite 240 Grant to


Living Word Christian Center None PC Unrestricted 40,000

1534 Kalamazoo Ave. SE Grant to


Mackinac Center None PC Unrestricted 50,000

140 West Main Street Grant to

P O. Box 568 General Fund

Midland, Ml 48640-0568

Make-A-Wish Foundation of Michigan None PC Unrestricted 10,000

648 Monroe Ave NW, Suite 104 Grant to


STATEMENT 18






Michigan State University None15 Michigan St NE, Suite 450Grand Rapids, MI 49503

Michigan State University NoneOffice of University Development535 Chestnut Road, Spartan WayEast Lansing, MI 48824-1025

Mision de Fe Church None3242 - 52nd Street SWGrandville, MI 49418

Munson Healthcare Charlevoix Hospital None14700 Lake Shore DriveCharlevoix, MI 49720

NAACP Special Contribution Fund None4805 Mt Hope DriveBaltimore, MD 21215-3206

National Constitution Center None525 Arch Street, Independence MallPhiladelphia, PA 19106

Navy League of the United States None600 Lynnhaven Parkway - Suite 202Virginia Beach, VA 23452

Neighborhood Church Ministries None1940 Pinnacle SWWyoming, MI 49519

New City Kids, Inc. None960 Alpine Ave. NWGrand Rapids, MI 49504

New Hope Missionary Baptist Church None130 Delaware St. SWGrand Rapids, MI 49507

Next Step of West Michigan None906 S DivisionGrand Rapids, MI 49507

Oakdale Neighbors None1260 Kalamazoo SEGrand Rapids, MI 49507

One Church Empowerment Center None

3075 30th St SWGrandville, MI 49418

PC Unrestricted 1,000

Grant toGeneral Fund

PC Unrestricted 500,000Grant to

General Fund


General Fund


General Fund


General Fund

PC Unrestricted 2,018,000Grant to

General Fund


General Fund


General Fund


General Fund


General Fund


General Fund


General Fund


General Fund

STATEMENT 18






One Wyoming Inc. None PC Unrestricted 15,0004500 60th Street SE Grant toGrand Rapids, MI 49512-9685 General Fund

Orlando Magic Youth Foundation None PC Unrestricted 60,0008701 Maitland Summit Blvd. Grant toOrlando, FL 32810 General Fund

Other Way Ministries None PC Unrestricted 45,000839 Sibley Street NW Grant toGrand Rapids, MI 49504-5644 General Fund

Partners Worldwide None PC Unrestricted 14,3006139 Tahoe Drive SE Grant toGrand Rapids, Ml 49546 General Fund

Philanthropy Roundtable None PC Unrestricted 7,5001120 20th St NW, Ste 550 South Grant toWashington, DC 20036 General Fund

Pine Rest Foundation None SO I Unrestricted 10,000300 68th Street SE, P.O. Box 165 Grant toGrand Rapids, Ml 49501-0165 General Fund

Potter's House None PC Unrestricted 590,000810 Van Raalte Drive SW Grant toGrand Rapids, MI 49509 General Fund

Pregnancy Resource Center None PC Unrestricted 60,000

415 Cherry Street SE Grant toGrand Rapids, Ml 49503 General Fund

President and Fellows of Harvard College None PC Unrestricted 99,000

1350 Massachusetts Ave. Grant to

Cambridge, MA 02138 General Fund

Purdue Research Foundation None PC Unrestricted 2,005,000

403 West Wood Street Grant to

West Lafayette, IN 47907 General Fund

Rehoboth Christian School Association None PC Unrestricted 465,000


Rehoboth, NM 87322-0041 General Fund

Restorers , Inc. None PC Unrestricted 54,500

1413 Madison St. Grant to

Grand Rapids, MI 49507-1712 General Fund

Ron Ball - Evangelistic Association Inc. None PC Unrestricted 35,000

381 Maple Avenue Grant to

Prestonsburg, KY 41653 General Fund

STATEMENT 18




Reci pient Name & AddressRelationship

to Donor



Ronald McDonald House of Western Michigan None PC Unrestricted 20,000

1323 Cedar NE Grant toGrand Rapids, MI 49503 General Fund

Roosevelt Park Ministries , Inc. None PC Unrestricted 25,000

1530 Grandville Ave. SW Grant toGrand Rapids, MI 49503 General Fund

Safe Haven Ministries , Inc. None PC Unrestricted 330,000

3501 Lake Eastbrook Blvd. SE, Suite 335 Grant toGrand Rapids, Ml 49546 General Fund

Salvation Army None PC Unrestricted 37,000

1215 Fulton Street E Grant toGrand Rapids, Ml 49503 General Fund

San Juan Diego Academy at Holy Name of Jesus School None PC Unrestricted 5,000

1650 Godfrey SW Grant toWyoming, Ml 49509 General Fund

School to Career Progressions None PC Unrestricted 1,000

2010 Kalamazoo Ave. SE Grant to


Sole Hope Inc . None PC Unrestricted 1,000

605 East Innes St. #3263 Grant to

Salisbury, NC 28145 General Fund

South Christian High School None PC Unrestricted 100,000

160 68th Street SW Grant to


Sparkling Literacy Inc. None PC Unrestricted 5,000

675 16th Ave S Grant to

Naples, FL 34102-7449 General Fund

Special Olympics Michigan Inc. None PC Unrestricted 60,000

Go Central Michigan University Grant to

1120 East Campus Drive General Fund

Mount Pleasant, MI 48859

Spectrum Health Foundation None PC Unrestricted 508,000

100 Michigan NE - MC 4 Grant to


Start Garden Foundation None PC Unrestricted 200,000

40 Pearl St NW, Suite 200 Grant to


Starlight Ministries , Inc. None PC Unrestricted 40,000

3376 Central Blvd Grant to

Hudsonville, MI 49426 General Fund

STATEMENT 18







State University of Iowa Foundation None PC Unrestricted 10,000P O. Box 4550 Grant toIowa City, IA 52244-4550 General Fund

Steepletown Neighborhood Services Inc . None PC Unrestricted 50,000671 Davis Avenue NW Grant toGrand Rapids, MI 49504 General Fund

Strengthen Orlando Inc . None PC Unrestricted 100,000400 South Orange Avenue Grant toOrlando, FL 32801-3360 General Fund

Tabernaculo de Restauracion None PC Unrestricted 3,5001500 Grandville Ave. SW Grant toGrand Rapids, MI 49503 General Fund

Talent 2025 Inc. None PC Unrestricted 10,00048 Logan St SW, Suite 124 Grant toGrand Rapids, MI 49503 General Fund

Tall Turf Ministries None PC Unrestricted 50,000

816 Madison Ave. SE Grant toGrand Rapids, MI 49507 General Fund

Trinity United Methodist Church None PC Unrestricted 15,000

1100 Lake Drive SE Grant to


United Church Outreach Ministry Inc. None PC Unrestricted 8,000

1311 Chicago Dr. SW Grant to

Wyoming, MI 49509 General Fund

United Methodist Community House None PC Unrestricted 55,000

904 Sheldon Ave SE Grant to


Van Andel Research Institute None PC Unrestricted 5,000

333 Bostwick NE Grant to


Vision Incorporated None PC Unrestricted 50,000

3075 30th Street SW Grant to

Grandville, MI 49418 General Fund

Vocal Music Workshop None PC Unrestricted 33,000



Wake Forest University None PC Unrestricted 2,501,000

1834 Wake Forest Road Grant to

Winston Salem, NC 27109 General Fund

STATEMENT 18







Water of Life Ministries None PC Unrestricted 40,000

811 Wealthy Street SE Grant toGrand Rapids, MI 49506 General Fund

Wealth 's Wisdom Ministries , Inc. None PC Unrestricted 2,0001747 Chateau Dr. SW Grant toWyoming, MI 49519 General Fund

Wedgwood Christian Services None PC Unrestricted 30,0003300 36th Street SE Grant toGrand Rapids, Ml 49512 General Fund

Wellspring Church of Grand Rapids None PC Unrestricted 2,500811 Wealthy SE Grant toGrand Rapids, MI 49506 General Fund

West Michigan Aviation Academy None GOV Unrestricted 10,000

5363 44th Street SE Grant toGrand Rapids, Ml 49512 General Fund

West Michigan Center for Arts & Technology None PC Unrestricted 506,000

98 E. Fulton Street, Suite 202 Grant toGrand Rapids, Ml 49503 General Fund

West Michigan Hockey Youth Foundation Inc. None PC Unrestricted 6,500

130 W. Fulton Grant toGrand Rapids, MI 49503 General Fund

West Michigan Horticultural Society Inc . None PC Unrestricted 12,500

1000 East Beltlme Avenue NE Grant to


Western Michigan Christian High School None PC Unrestricted 250,000

455 East Ellis Road Grant to

Muskegon, Ml 49441 General Fund

Whitney Museum of American Art None PC Unrestricted 5,000

99 Gansevoort Street Grant to

New York, NY 10014 General Fund

Willow Creek Association None PC Unrestricted 50,000

67 E. Algonquin Road Grant to

South Barrington, IL 60010 General Fund

YMCA of Greater Grand Rapids None PC Unrestricted 54,500

475 Lake Michigan Drive NW Grant to


Young Life None PC Unrestricted 70,000

3347 East Beltline Ave. Grant to


Total 21,035,115

STATEMENT 18

EXTENDED TO NOVEMBER 15, 2017 990 Return of Private...

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