2016-08-29T12:32:54-05:00 2015-12-31 383635706 REHMANN ROBSON LLC 570 SEMINOLE RD STE 200 MUSKEGON MI 49444 990 2015-01-01 386114135 COMMUNITY FOUNDATION FOR MUSKEGON COUNTY MUSK 2317224538 425 WESTERN AVENUE NO 200 MUSKEGON MI 494401101 CHRIS MCGUIGAN PRESIDENT 2317224538 2016-08-19 1 DAVID F GERDES CPA P00185284 2317399441 2016-08-19 2015 2016-12-15 16:53:06Z CHRIS MCGUIGAN 425 W WESTERN AVE SUITE 200 MUSKEGON MI 49440 31189639 0 X WWW.CFFMC.ORG X 501(C)3 1961 MI BETTER THE LIVES OF AREA RESIDENTS THROUGH INVESTING AND ADMINISTERING GIFTS AND BEQUESTS AND ISSUING GRANTS FOR SPECIFIC CHARITABLE AND EDUCATIONAL PROGRAMS. 21 21 57 250 0 0 15165887 18951417 405762 398114 21364966 3727218 275160 143328 37211775 23220077 9418223 7389065 0 0 1408274 1591919 0 0 562307 1120796 2663762 11947293 11644746 25264482 11575331 156575533 164169185 17910946 19353560 138664587 144815625 X THE MISSION OF THE COMMUNITY FOUNDATION FOR MUSKEGON COUNTY IS TO BUILD COMMUNITY ENDOWMENT, EFFECT POSITIVE CHANGE THROUGH GRANTMAKING AND PROVIDE LEADERSHIP ON KEY COMMUNITY ISSUES, ALL TO SERVE DONORS' DESIRES TO ENHANCE THE QUALITY OF LIFE FOR THE PEOPLE OF OUR REGION, NOW AND FOR GENERATIONS TO COME 0 0 3043504 2164087 EDUCATION - PROVIDE SCHOLARSHIP SUPPORT FOR MUSKEGON COUNTY STUDENTS PURSUING POST-SECONDARY EDUCATION; PROVIDE EDUCATION GRANTS TO SUPPORT THE INCREASING NUMBER OF CAREER AND COLLEGE READY HIGH SCHOOL GRADUATES; IMPROVE STUDENT ACCESS TO HIGH QUALITY EXTENDED LEARNING PROGRAMS AFTER SCHOOL AND DURING THE SUMMER. 2735973 1945416 HEALTH AND HUMAN SERVICES - ENCOURAGE PROGRAMS THAT MEET THE BASIC QUALITY OF LIFE NEEDS OF MUSKEGON COUNTY CHILDREN AND YOUTH; PROMOTE HEALTH PROGRAMS AND PROJECTS THAT INCREASE THE QUALITY OF HEALTH CARE AVAILABLE IN MUSKEGON COUNTY WITH EMPHASIS ON THE NEEDS OF LOW-INCOME FAMILIES AND CHILDREN; ENCOURAGE AND PROMOTE PROJECTS AND PROGRAMS THAT EMBRACE RACIAL DIVERSITY AND MULTICULTURALISM; PROMOTE HEALTHY LIFESTYLES THROUGH EDUCATION AND PREVENTION PROGRAMMING; SUPPORT EFFORTS THAT ADDRESS THE NEEDS OF CHILDREN FROM BIRTH THROUGH AGE SIX, INCLUDING QUALITY CHILD CARE; SUPPORT PROGRAMS THAT ENCOURAGE FAMILIES TO SUCCEED AND BECOME SELF-SUFFICIENT. 2216762 1576230 398114 ARTS - PRESERVE AND SUPPORT THE FRAUENTHAL CENTER FOR THE PERFORMING ARTS AS A SIGNIFICANT COMMUNITY RESOURCE; ENCOURAGE QUALITY ARTS PROGRAMMING THAT BENEFITS A DIVERSE AUDIENCE; IMPROVE ACCESS TO YOUTH FOCUSED CULTURAL PROGRAMS; PROMOTE FINANCIAL STABILITY AND ORGANIZATIONAL DEVELOPMENT FOR ART ORGANIZATIONS. 2395514 1703332 248601 COMMUNITY DEVELOPMENT; ENVIRONMENT; EMERGING COMMUNITY NEEDS 2395514 1703332 248601 10391753 1 1 0 0 0 1 0 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 65 0 1 57 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MI X ANN VANTASSEL 2317224538 425 WESTERN AVENUE NO 200 MUSKEGON MI 494401101 RICHARD W PETERS MD CHAIR 1.00 X X 0 0 0 SUSAN MESTON PHD VICE CHAIR 1.00 X X 0 0 0 JAN DEUR TRUSTEE 1.00 X 0 0 0 WES EKLUND TRUSTEE 1.00 X 0 0 0 AMY HEISSER TRUSTEE 1.00 X 0 0 0 CHARLES E JOHNSON III TRUSTEE 1.00 1.00 X 0 0 0 DICK KAMPS MD TRUSTEE 1.00 X 0 0 0 KATHLEEN TORRESEN TRUSTEE 1.00 X 0 0 0 MARVIN NASH TRUSTEE 1.00 X 0 0 0 DALE K NESBARY PHD TRUSTEE 1.00 X 0 0 0 KATRINA OLSON MD TRUSTEE 1.00 X 0 0 0 KAY OLTHOFF TRUSTEE 1.00 X 0 0 0 ASALINE SCOTT TREASURER 1.00 X X 0 0 0 MICHAEL SOIMAR TRUSTEE 1.00 X 0 0 0 ROGER SPOELMAN TRUSTEE 1.00 X 0 0 0 ALAN STEINMAN PHD TRUSTEE 1.00 X 0 0 0 JOHN SYTSEMA TRUSTEE 1.00 X 0 0 0 KATHLEEN TYLER TRUSTEE 1.00 X 0 0 0 JAMES WATERS TRUSTEE 1.00 X 0 0 0 DEANNA R BURT-JOHNSON TRUSTEE 1.00 X 0 0 0 THOMAS G WITT TRUSTEE 1.00 X 0 0 0 CHRIS A MCGUIGAN PRESIDENT/SECRETARY 40.00 1.00 X 169060 0 26670 ANN VAN TASSELL VICE PRESIDENT FINANCE 40.00 X 110837 0 20467 ROBERT CHAPLA VICE PRESIDENT DEVELOPMENT 40.00 1.00 X 107837 0 8315 387734 0 55452 3 0 1 0 HEIRLOOM CONSTRUCTION LLC 407 E LOOMIS STREET LUDINGTON MI 49431 CONSTRUCTION 521540 1 18951417 927949 18951417 FRAUENTHAL CENTER FOR THE PERFORM 711190 398114 398114 398114 3621945 3621945 8074835 7969562 105273 105273 105273 RENTAL REVENUE 531190 96803 96803 OTHER REVENUE 561000 46525 46525 143328 23220077 646715 0 3621945 5810385 5810385 1578680 1578680 443184 443184 859337 362073 314578 182686 46046 20492 14261 11293 147951 37429 85761 24761 95401 27699 53727 13975 9000 9000 3000 3000 45534 16033 12190 17311 26790 9720 17070 9984 9984 135828 97284 38544 1973 1973 14162 1398 12764 298110 285166 12944 21645 21645 DIRECT FUND EXPENSES 1937462 1937462 MISCELLANEOUS 325597 11636 313961 COMMUNITY SERVICE NET E 183192 183192 REPAIRS AND MAINTENANCE 95591 95591 -444106 -107132 -649255 312281 11644746 10391753 690686 562307 1579321 3163663 6086201 6598973 236708 179639 3469072 1742404 14159958 7548519 6807607 6611439 134613664 141524458 3560344 4220262 222616 128347 156575533 164169185 94649 96415 1597107 125107 16219190 19132038 17910946 19353560 X 138441971 144687278 222616 128347 138664587 144815625 156575533 164169185 X 11575331 -3470212 -1954081 X X 0 1 X 1 0 X 4102708 6901678 7660986 12380875 14831346 45877593 4102708 6901678 7660986 12380875 14831346 45877593 45877593 2638156 3081673 3605968 3103995 3621945 16051737 61929330 0.74080 0.71040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 257 128011344 4752978 32870951 1 1 X 0 11909583 1622790 -128606 450417 12953350 9040256 2798770 504177 433620 11909583 8516825 219452 922058 618079 9040256 8146054 75589 894405 599223 8516825 8664671 390535 -381792 527360 8146054 0.09000 0.91000 0 0 1281000 1281000 10916600 5989206 4927394 1962358 1559313 403045 6611439 CHARITABLE GIFT ANNUITIES 1595464 FUNDS HELD AS AGENCY ENDOWMENTS 12953350 LIABILITY FOR FUNDS HELD AS COMMUNITY SERVICE 4583224 19132038 X PART X, LINE 2: THE COMMUNITY FOUNDATION FOR MUSKEGON COUNTY, THE PAUL C. JOHNSON FOUNDATION AND THE PENNIES FROM HEAVEN FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE ALSO EXEMPT FROM SIMILAR STATE AND LOCAL TAXES. ALTHOUGH THE ORGANIZATIONS WERE GRANTED INCOME TAX EXEMPTION BY THE INTERNAL REVENUE SERVICE, SUCH EXEMPTION DOES NOT APPLY TO ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS AND NOT IN FURTHERANCE OF THE PURPOSE FOR WHICH IT WAS GRANTED EXEMPTION. THE ORGANIZATIONS ANALYZED THEIR FILING POSITIONS IN THE FEDERAL AND STATE JURISDICTIONS WHERE THEY ARE REQUIRED TO FILE INCOME TAX RETURNS, AS WELL AS ALL OPEN TAX YEARS IN THESE JURISDICTIONS. THE ORGANIZATIONS HAVE ALSO ELECTED TO RETAIN THEIR EXISTING ACCOUNTING POLICIES WITH RESPECT TO THE TREATMENT OF INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND CONTINUE TO REFLECT ANY CHARGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF THEIR MANAGEMENT AND GENERAL EXPENSES. THE ORGANIZATIONS HAVE EVALUATED THE PROVISIONS OF ASC TOPIC 740 FOR THE YEARS 2011 THROUGH 2015, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS AS OF DECEMBER 31, 2015. THE ORGANIZATIONS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE ORGANIZATIONS' COMBINED FINANCIAL STATEMENTS. THE ORGANIZATIONS DO NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY INCREASE IN THE NEXT 12 MONTHS. THE ORGANIZATIONS DO NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTB AT DECEMBER 31, 2015 AND 2014, AND THEY ARE NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. 1 ALLIANCE FOR ECONOMIC SUCCESS 395 THIRD STREET MANISTEE MI 49660 208656518 501(C)(3) 33000 SUPPORT FOR MANISTEE AREA NONPROFITS AMERICAN CANCER SOCIETY PO BOX 720366 OKLAHOMA CITY OK 73162 131788491 501(C)(3) 8702 RELAY FOR LIFE AND GENERAL OPERATING SUPPORT AMERICAN RED CROSS OF MUSKEGON 1050 FULLER AVE NE GRAND RAPIDS MI 49503 530196605 501(C)(3) 23002 SENIOR TRANSPORTATION AND MUSKEGON COUNTY GENERAL OPERATING SUPPORT ANNIS WATER RESOURCES INSTITUTE GRAND VALLEY STATE UNIVERSITY MUSKEGON MI 49441 381684280 501(C)(3) 10000 EXAMINE THE FEASIBILITY OF ESTABLISHING INTEGRATED WATERSHED COMMISSIONS IN THE STATE OF MICHIGAN ARTS COUNCIL OF WHITE LAKE 106 E COLBY ST WHITEHALL MI 49461 382614596 501(C)(3) 35771 WHITE LAKE AREA ARTS PROGRAMMING BETHANY CHRISTIAN REFORMED CHURCH 1105 TERRACE STREET MUSKEGON MI 49442 381422400 501(C)(3) 7000 FOR THE DAUGHTERS OF IMANI AND YOUNG LIONS PROGRAMS AND CATCH CAMP BIG BROTHERS BIG SISTERS OF THE LAKESHORE 4265 GRAND HAVEN RD MUSKEGON MI 49441 381918631 501(C)(3) 9475 TO SUPPORT ONGOING PROGRAMS BLUE LAKE PUBLIC RADIO C/O BLUE LAKE FINE ARTS CAMP TWIN LAKE MI 49457 381811838 501(C)(3) 6250 CONTRIBUTION FOR GENERAL OPERATIONS, BLUE LAKE PUBLIC RADIO TOWER PROJECT BOY SCOUTS OF AMERICAPRESIDENT FORD FIELD SERVICE COUNCIL 3213 WALKER AVENUE NW GRAND RAPIDS MI 49544 454003240 501(C)(3) 6602 YOUTH DEVELOPMENT AND SCOUTREACH BOYS AND GIRLS CLUB OF THE MUSKEGON LAKESHORE PO BOX 1018 MUSKEGON MI 49443 611736056 501(C)(3) 251499 OPERATING SUPPORT, MUSICMAKERS EDUCATION PROGRAM CALVARY CHRISTIAN SCHOOLS 5873 KENDRA ROAD FRUITPORT MI 49415 300713163 501(C)(3) 90265 BUILDING PURCHASE, GENERAL OPERATING SUPOPRT CARITAS FOOD PANTRY 85 MADISON STREET CUSTER MI 49405 460556363 6400 GENERAL OPERATING SUPPORT CATHOLIC CHARITIES WEST MICHIGAN 1095 THIRD ST STE 125 MUSKEGON MI 49441 383012473 501(C)(3) 10650 FATHERS MATTER!, LOAVES AND FISHES FOOD PANTRY CITY OF HART 407 STATE STREET HART MI 49420 501(C)(3) 10890 HART HISTORIC DISTRICT, SIGNAGE FOR THE TRAIL REBUILD, MAIN STREET PROGRAM CITY OF LUDINGTON 400 S HARRISON STREET LUDINGTON MI 49431 386004706 501(C)(3) 62239 LUDINGTON JAYCEES MINI GOLF RENOVATION, DOG PARK, PICKLEBALL, WATERFRONT SCULPTURE MAINENTANCE CITY OF MANISTEE 70 MAPLE STREET MANISTEE MI 49660 10500 VETERAN'S MEMORIAL PARK, MORTON PARK CITY OF MUSKEGON PO BOX 536 MUSKEGON MI 494430536 386004522 501(C)(3) 27486 LAKESHORE TRAIL, GREAT PROGRAM, POWER OF PRODUCE, ICE RINK, SUMMER PARK PROGRAMMING CITY OF WHITEHALL 405 E COLBY WHITEHALL MI 49461 386004748 501(C)(3) 19960 PAVILION IN GOODRICH PARK, HOWMET PLAYHOUSE COALITION FOR COMMUNITY DEVELOPMENT PO BOX 4618 MUSKEGON MI 49444 753204979 501(C)(3) 13533 OPERATION HEALTHY HEIGHTS COMMUNITY ACCESS LINE OF THE LAKESHORE 560 SEMINOLE ROAD MUSKEGON MI 49444 383171086 501(C)(3) 6960 YOUTH ENGAGEMENT INITIATIVE COMMUNITY ENCOMPASS 1105 TERRACE ST MUSKEGON MI 49442 383279226 501(C)(3) 83753 MCLAUGHLIN GROWS URBAN FARM RELOCATION AND EXPANSION, SACRED SUDS, YEP PROJECT COMMUNITY FOUNDATION FOR MUSKEGON COUNTY 425 W WESTERN AVE STE 200 MUSKEGON MI 49440 386114135 501(C)(3) 60000 CONVERT THE WMSO LOAN TO A GRANT COUNCIL OF MICHIGAN FOUNDATIONS 1 S HARBOR DR SUITE 3 GRAND HAVEN MI 49417 386263347 13000 MUSKEGON HEIGHTS PUBLIC SAFETY FORUM, 2016 MEMBERSHIP COVE (COMMUNITIES OVERCOMING VIOLENT ENCOUNTERS) 906 E LUDINGTON AVENUE LUDINGTON MI 49431 382243550 501(C)(3) 31525 TO ESTABLISH THE "GIFT FROM GOD FUND", GENERAL OPERATING, CHALLENGE MATCH CAMPUS CRUSADE FOR CHRIST 100 LAKE HART DRIVE ORLANDO FL 32832 956006173 501(C)(3) 7254 INTERNSHIP DISABILITY NETWORK WEST MICHIGAN 27 E CLAY AVENUE MUSKEGON MI 49442 383476797 501(C)(3) 7000 BOARDWALK AT PERE MARQUETTE BEACH DOWNTOWN MUSKEGON NOW 380 W WESTERN AVENUE MUSKEGON MI 49440 383603266 501(C)(3) 10000 MUSKEGON AREA FIRST, LOCAL FOOD PROMOTION PROGRAM EARNEST C BROOKS CHAPEL FUND INC 2540 CENTRAL AVE WYOMING MI 49519 306864 BROOKS CHAPEL EXPENDITURES EVERY WOMAN'S PLACE 1221 W LAKETON AVENUE MUSKEGON MI 49441 382072675 501(C)(3) 263985 GENERAL OPERATING, GIRLS ON THE RUN, NEW BABY EQUIPMENT AND SUPPLIES FAIR FOOD NETWORK 205 E WASHINGTON ST ANN ARBOR MI 48104 264143394 501(C)(3) 10000 DOUBLE UP FOOD BUCKS FEEDING AMERICA WEST MICHIGAN FOOD BANK 864 WEST RIVER DR NE COMSTOCK PARK MI 49321 382439659 501(C)(3) 7140 MUSKEGON HEIGHTS HEALTHY FOOD EXPANSION FIRST CHURCH OF CHRIST SCIENTIST 1065 4TH STREET MUSKEGON MI 49440 501(C)(3) 8262 ANNUAL DISTRIBUTION TO BE USED FOR GENERAL OPERATING SUPPORT FIRST CONGREGATIONAL CHURCH 1201 JEFFERSON MUSKEGON MI 494412089 381363563 501(C)(3) 17550 SATURDAY MORNING BREAKFAST PROGRAM, ANNUAL CAMPAIGN FIRST EVANGELICAL LUTHERAN CHURCH 1206 WHITEHALL RD N MUSKEGON MI 49445 10000 GENERAL OPERATING SUPPORT, BUILDING FUND FIRST PRESBYTERIAN CHURCH 2577 WICKHAM DRIVE MUSKEGON MI 49441 501(C)(3) 31497 GENERAL OPERATING SUPPORT, BUILDING MAINTENANCE FIRST WESLEYAN CHURCH 1040 E FOREST AVE MUSKEGON MI 49442 6836 GENERAL OPERATING SUPPORT FOREST PARK COVENANT CHURCH 3815 HENRY STREET MUSKEGON MI 49441 381415399 501(C)(3) 5232 CANTATA MATERIALS, EQUIPMENT, MUSIC, SUPPORT OF COVENANT ENABLING RESIDENCES FRIENDS OF WALKER MEMORIAL LIBRARY INC 1522 RUDDIMAN N MUSKEGON MI 49445 030554541 501(C)(3) 6730 GENERAL OPERATING SUPPORT FRUITPORT LIONSSHORELINE BRANCH PRESIDENT 2349 E COLUMBIA MUSKEGON MI 49444 383300021 501(C)(3) 10000 POWER OF PRODUCE GIRL SCOUTS OF MICHIGAN SHORE TO SHORE COUNCIL 3275 WALKER AVENUE NW GRAND RAPIDS MI 49544 381366924 501(C)(3) 17930 CAMP LITTLE DEER PICNIC TABLES, GENERAL OPERATING, MAINTENANCE OF THE KISKEY SCIENCE CENTER GOLDEN TOWNSHIP PO BOX 26 MEARS MI 49436 381982488 501(C)(3) 10291 GOLDEN TOWNSHIP PARK AND HALL AT SILVER LAKE SAND DUNES GOODWILL INDUSTRIES OF WEST MICHIGAN INC 271 E APPLE AVENUE MUSKEGON MI 49442 381357148 501(C)(3) 8400 VOLUNTEER INCOME TAX ASSISTANCE (VITA) SERVICES, BUS PASSES GRAND HAVEN CHRISTIAN SCHOOL 1102 GRANT AVENUE GRAND HAVEN MI 49417 381467641 501(C)(3) 96000 PAY OFF THE ELEMENTARY SCHOOL DEBT GRAND RAPIDS OPPORTUNITIES FOR WOMEN (GROW) 25 SHELDON BLVD SE SUITE 210 GRAND RAPIDS MI 49503 382886028 501(C)(3) 20000 MICROLENDING PROGRAM GRAND TRAVERSE REGIONAL LAND CONSERVANCY 3860 NORTH LONG LAKE RD SUITE D TRAVERSE CITY MI 49684 382994229 501(C)(3) 16000 PURCHASE OF A 40-ACRE ADDITION TO MISTY ACRES PRESERVE GRAND VALLEY STATE ANNIS WATER RESOURCE INSTITUTE 740 W SHORELINE DRIVE MUSKEGON MI 49441 381684280 501(C)(3) 67255 CAMERA CAPABLE OF MEASURING HARMFUL ALGAE BLOOMS (BLUE GREEN ALGAE) FORMING IN MUSKEGON LAKES, AWRI, DATA COLLECTION HACKLEY PUBLIC LIBRARY 316 W WEBSTER AVENUE MUSKEGON MI 49440 383628257 501(C)(3) 22571 AN OUTDOOR A-FRAME SIGN, GENERAL OPERATING, ROBINSON SCHOLARSHIP AWARDS HANDS EXTENDED LOVING PEOPLE (HELP) PO BOX 97 LUDINGTON MI 49431 383395360 501(C)(3) 2703 VETERAN ASSISTANCE, GENERAL OPERATING, MAD RIDE, BEDS FOR FAMILIES HARBOR HOSPICE1050 W WESTERN AVE 1050 W WESTERN AVE STE 400 MUSKEGON MI 49441 382415247 501(C)(3) 65096 GENERAL OPERATING SUPPORT, OPHTHALMOSCOPE, CAMP COURAGE HARBOR HOUSE OF HART 315 STATE STREET HART MI 49420 455168148 501(C)(3) 22029 EQUIPPING CREATIVE ARTS & LIFE SKILLS INITIATIVE - TEEN GIRLS RESOURCE CENTER HARBOR UNITARIAN UNIVERSALIST CONGREGATION 1296 MONTGOMERY AVE MUSKEGON MI 49441 501(C)(3) 5549 ENDOWMENT FUND COMMITTEE'S 2014-15 GRANT RECOMMENDATIONS HART PUBLIC SCHOOLS 301 W JOHNSON STREET HART MI 49420 386003143 501(C)(3) 9468 MRS. MULLEN'S CLOSET, TEACHER MINI-GRANTS HEALTHWEST 376 APPLE AVENUE MUSKEGON MI 49442 501(C)(3) 8500 REAL VOICES, REAL CHOICES YOUTH SUMMIT HISTORIC VOGUE THEATRE OF MANISTEE PO BOX 291 MANISTEE MI 49660 452281053 501(C)(3) 45353 RESTORATION RELATED EXPENSES HUME HOME 3196 KRAFT AVE SE GRAND RAPIDS MI 49512 381387881 501(C)(3) 40000 REPAYMENT TO BARUCH FOR NEEDED REPAIRS AND EXPENSES KIDS' FOOD BASKET PO BOX 34 MUSKEGON MI 49443 043760991 501(C)(3) 54266 OPERATING SUPPORT, NELSON SCHOOL, FARM TO SACK SUPPER, KIDS HELPING KIDS LADDER COMMUNITY CENTER 266 W M-20 SHELBY MI 49455 472123160 26054 SUPPORT FOR THE NEW LADDER COMMUNITY CENTER LAKE COUNTY COMMUNITY FOUNDATION PO BOX 995 BALDWIN MI 49304 501(C)(3) 7142 TO BE DISTRIBUTED TO PROGRAMS THAT NORMALLY WOULD BE SUPPORTED BY THE UNITED WAY LAKESHORE MUSEUM CENTER 430 W CLAY MUSKEGON MI 49440 381367319 501(C)(3) 120219 HILT'S LANDING, HACKLEY AND HUME HOME LANDSCAPING, IRON FENCE REPAIR LAKESIDE UNITED METHODIST CHURCH 2160 CROZIER MUSKEGON MI 49441 501(C)(3) 12000 QUARTERLY WITHDRAWAL LAND CONSERVANCY OF WEST MICHIGAN 400 ANN STREET NW GRAND RAPIDS MI 49504 382363129 501(C)(3) 24750 SUPPORT ONGOING OPERATIONS, STAIRWAY AT FLOWER CREEK, BARRIER DUNES PROJECT LEADER DOGS FOR THE BLIND FOUNDATION 1039 S ROCHESTER RD ROCHESTER HILLS MI 483073115 381366931 501(C)(3) 7142 GENERAL OPERATING SUPPORT LEBANON LUTHERAN CHURCH 1101 S MEARS AVENUE WHITEHALL MI 49461 386066217 501(C)(3) 14461 SUPPORT OF THE LEBANON LUTHERAN CHURCH FOOD PANTRY, GENERAL OPERATIONS LIFE LEARNING COMMUNITY 806 AIRPORT BLVD ANN ARBOR MI 48108 462461358 501(C)(3) 70000 GENERAL OPERATING EXPENSE LOVE INC OF MANISTEE COUNTY P O BOX 28 MANISTEE MI 49660 383089903 501(C)(3) 5000 PURCHASE OF NEW BUILDING LOVE INC OF MUSKEGON COUNTY 2735 E APPLE AVE MUSKEGON MI 49442 382450507 501(C)(3) 5200 EMERGENCY NEEDS ASSISTANCE LUDINGTON AREA ARTS COUNCIL 107 S HARRISON LUDINGTON MI 494312109 421625326 501(C)(3) 28500 SPECIAL KIDS PROGRAMS, CAPITAL REPAIRS, PERFORMANCE HALL UPGRADE LUDINGTON AREA CATHOLIC EDUCATION FOUNDATION 702 E BRYANT ROAD LUDINGTON MI 49431 382932594 501(C)(3) 16751 ANNUAL DISTRIBUTION TO BE USED FOR GENERAL OPERATING SUPPORT LUDINGTON AREA SCHOOLS 809 E TINKHAM AVENUE LUDINGTON MI 49431 386002612 501(C)(3) 12827 TEACHER MINI-GRANTS, YOUTH RESOURCE CENTER, BPA TRIP LUDINGTON ROTARY CLUB PO BOX 149 LUDINGTON MI 49431 16640 STRIVE PROGRAM LUDINGTON YOUTH SAILING SCHOOL 1472 N WASHINGTON AVE LUDINGTON MI 49431 463594743 501(C)(3) 7500 LUDINGTON YOUTH SAILING SCHOOL (LYSS) MANISTEE AREA PUBLIC SCHOOLS 550 MAPLE STREET MANISTEE MI 49660 501(C)(3) 12930 TEACHER MINI-GRANTS, PAINE AQUATIC CENTER MASON COUNTY HISTORICAL SOCIETY INC 1687 S LAKE SHORE DRIVE LUDINGTON MI 49431 381689000 501(C)(3) 5000 MARITIME MUSEUM PROJECT MASON COUNTY SHERIFF'S DEPARTMENT 302 N DELIA STREET LUDINGTON MI 49431 61410 BOOTS ON THE DOOR FOR MASON COUNTY SCHOOLS MERCY HEALTH MUSKEGON 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 501(C)(3) 386384 WOMEN FOR HEALTH PROGRAM, GENERAL OPERATIONS, BREAST CANCER CENTER MICHIGAN NATURE ASSOCIATION 2310 SCIENCE PARKWAY OKEMOS MI 48864 386093404 501(C)(3) 1031 GENERAL OPERATING SUPPORT MICHIGAN TECHNOLOGICAL UNIVERSITY OFFICE OF FINANCIAL AID HOUGHTON MI 49931 501(C)(3) 6000 GAUTHIER FAMILY SCHOLARSHIP ENDOWMENT - IN LOVING MEMORY OF BARBARA GAUTHIER MISSION FOR AREA PEOPLE 2500 JEFFERSON MUSKEGON MI 49444 383220964 501(C)(3) 11715 MUSIC FOR MEDS PROGRAM, COLOR PRINTERS, HEALTHY FOOD PANTRIES MOKA CORPORATION 715 TERRACE STREET MUSKEGON MI 494401168 382227805 501(C)(3) 6500 APPLIED BEHAVIOR ANALYST (ABA) INFORMED TREATMENT GROUP FOR ADULTS, TOYS FOR YOUTH WITH AUTISM MONTAGUE AREA PUBLIC SCHOOLS 4882 STANTON BLVD MONTAGUE MI 49437 386002940 501(C)(3) 8990 TEACHER MINI-GRANTS, ADVISE MI COLLEGE ADVISING MT ZION CHURCH OF GOD IN CHRIST 188 W MUSKEGON AVENUE MUSKEGON MI 49440 383715411 501(C)(3) 7000 CLUB 188 MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT 630 HARVEY STREET MUSKEGON MI 494422398 381717461 501(C)(3) 6500 MUSKEGON OPPORTUNITY PROGRAM COSTS MUSKEGON AREA INTERMEDIATE SCHOOL DISTRICT 630 HARVEY STREET MUSKEGON MI 494422398 381717461 501(C)(3) 51178 READ EARLY READ OFTEN, WINGS LEGO ROBOTICS MUSKEGON CATHOLIC EDUCATION FOUNDATION 1145 W LAKETON AVE MUSKEGON MI 49441 237019036 501(C)(3) 48981 STUDENT SCHOLARSHIPS, ATHLETIC PROGRAMS MUSKEGON CHARTER TOWNSHIP 1990 APPLE AVENUE MUSKEGON MI 49442 386006915 501(C)(3) 20000 FRED MEIJER BERRY JUNCTION TRAIL - PHASE II MUSKEGON CHRISTIAN SCHOOL 1220 EASTGATE MUSKEGON MI 49442 381515402 501(C)(3) 199658 WHITE FOLDING TABLES, CHROME BOOKS, GENERAL SUPPORT MUSKEGON CIVIC THEATRE 425 W WESTERN SUITE 401 MUSKEGON MI 49440 382335336 501(C)(3) 54295 GENERAL OPERATING SUPPORT, MCT TOURS MUSKEGON COMMUNITY CONCERT ASSOCIATION 711 RUDDIMAN DRIVE N MUSKEGON MI 49445 382812739 501(C)(3) 7358 STUDENT CONCERTS MUSKEGON COMMUNITY HEALTH PROJECT 565 WEST WESTERN AVE MUSKEGON MI 49440 911932918 501(C)(3) 51610 MUSKEGON AREA LIONS CLUB VISION SERVICES PROGRAM, PATHWAYS TO HEALTHY FUTURES, VOLUNTEER FOR DENTAL CARE PROGRAM MUSKEGON CONSERVATION DISTRICT 4735 HOLTON ROAD TWIN LAKE MI 49457 382333068 501(C)(3) 6030 6' ROTARY MOWER FOR MAINTENANCE OF NATIVE WILDFLOWER PLANTINGS, GENERAL OPERATING SUPPORT, IPAD MINI, TOW BEHIND SPRAYER MUSKEGON COUNTY COOPERATING CHURCHES 1095 THIRD ST SUITE 10 MUSKEGON MI 494411976 382746797 501(C)(3) 5300 OUTFITTING MOBILE PANTRY CRIB (TRAILER), FOOD TRUCK MUSKEGON COUNTY HEALTH DEPARTMENT 209 E APPLE AVENUE MUSKEGON MI 49442 386006063 501(C)(3) 6500 EAT HEALTHY, MUSKEGON! MUSKEGON ELKS LODGE #274 513 W PONTALUNA RD MUSKEGON MI 49444 360793011 5000 ANNUAL DISTRIBUTION OF CHRISTMAS BASKETS MUSKEGON ENVIRONMENTAL RESEARCH AND EDUCATION SOCIETY PO BOX 5038 N MUSKEGON MI 49445 383330000 501(C)(3) 36450 TOWARDS REPAIR OF THE WALKWAY AT THE MUSKEGON LAKE NATURE PRESERVE, EDUCATIONAL MATERIALS, GENERAL OPERATIONS MUSKEGON FAMILY YMCA PO BOX 1667 MUSKEGON MI 49443 382000172 501(C)(3) 17300 YOUTH MEMBERSHIPS, ANNUAL SUPPORT MUSKEGON HEIGHTS HOUSING COMMISSION 615 E HOVEY AVE MUSKEGON MI 49444 300206829 501(C)(3) 9500 PLAYGROUND MUSKEGON HERITAGE ASSOCIATION 561 W WESTERN AVENUE MUSKEGON MI 494401042 237350112 501(C)(3) 13882 HARDWOOD FLOORING AND TRIM, OUTBOARD MOTOR, STORAGE RACK, DISPLAY CASES MUSKEGON MUSEUM OF ART 296 W WEBSTER MUSKEGON MI 49440 386002960 501(C)(3) 738311 GENERAL OPERATING SUPPORT, FESTIVAL OF TREES, PURCHASE ARTWORK, AVIAN AVATAR, IMAGINE CAMPAIGN MUSKEGON NORTHSIDE LIONS CHARITIES INC 166 ELM COURT MUSKEGON MI 49445 9675 VETERAN'S MEMORIAL PARK MUSKEGON PUBLIC SCHOOLS 630 HARVEY ST MUSKEGON MI 49442 386002960 501(C)(3) 180759 POPPEN PROGRAM, TEACHER MINI-GRANTS, FIELD TRIPS, GROWING GOODS MUSKEGON RESCUE MISSION 1715 PECK STREET MUSKEGON MI 49441 383525239 501(C)(3) 48190 GENERAL OPERATING SUPPORT, FOOD PROCESSORS, BIBLES, REMODELING FAMILIES CAMPAIGN NELSON NEIGHBORHOOD IMPROVEMENT ASSOCIATION PO BOX 1224 MUSKEGON MI 49443 381969959 501(C)(3) 20150 GARDEN & CAR SHOW EXPENSES NEW ERA CHRISTIAN SCHOOL 1901 S OAK AVENUE NEW ERA MI 49446 381547024 501(C)(3) 59510 TEACHER MINI-GRANTS, CHRISTIAN LEARNING CENTER NETWORK NORTH MUSKEGON PUBLIC SCHOOLS 1600 MILLS AVENUE NORTH MUSKEGON MI 49445 501(C)(3) 17748 HELMETS FOR THE FOOTBALL PROGRAM, MINI-GRANTS NORTON SHORES BRANCH OF THE MUSKEGON AREA DISTRICT LIBRARY 705 SEMINOLE MUSKEGON MI 49441 501(C)(3) 10248 THE PURCHASE OF BOOKS, GENERAL OPERATING SUPPORT NUVEEN COMMUNITY CENTER FOR THE ARTS 106 E COLBY ST WHITEHALL MI 49461 382614596 501(C)(3) 5000 YOUTH THEATER PROGRAM AND THE SUMMER ART CLASSES OAK GROVE LUTHERAN SCHOOL 124 N TERRACE FARGO ND 58102 10000 BERNSTON FUND WHICH IS HELD BY THE OAK GROVE LUTHERAN SCHOOL OAKTREE ACADEMY 6498 W DECKER LUDINGTON MI 49431 465611781 501(C)(3) 4000 GENERAL OPERATING SUPPORT, INDOOR PLAYGROUND OCEANA COUNTY OCEANA COUNTY ADMINISTRATOR HART MI 49420 50000 TRAIL REBUILD EXPENSES OUR LADY OF GRACE CATHOLIC CHURCH 451 S GETTY STREET MUSKEGON MI 49441 501(C)(3) 10738 GENERAL OPERATING SUPPORT: 1/2 TO THE CHURCH AND 1/2 TO THE WOMEN'S GUILD OF OUR LADY OF GRACE (CHARLENE MATTESON PRES OF GUILD) PARTIES IN THE PARK INC PO BOX 1461 MUSKEGON MI 49443 383100908 501(C)(3) 80866 LAKESHORE JAZZ FEST, HACKLEY PARK STAGE PHOENIX CONTINUUM 1274 EAST ISABELLA AVENUE MUSKEGON MI 49442 460560058 501(C)(3) 5000 VICTORIAN GARDEN PIGEON HILL ALLIANCE 3328 WILCOX AVENUE MUSKEGON MI 494411095 471501048 45000 INITIAL FUNDING FOR PIGEON HILL ALLIANCE PIONEER RESOURCES 601 TERRACE ST MUSKEGON MI 494401192 381367329 501(C)(3) 17892 STIMULATING HEALTHY APPETITES AND MINDS, RECREATION FOR INDIVIDUALS WITH DISABILITIES PLEASANT VALLEY COMMUNITY CENTER 3586 GLOVERS LAKE RD ARCADIA MI 49613 830464390 501(C)(3) 5350 DOOR REPAIRS POUND BUDDIES ANIMAL SHELTER & ADOPTION CENTER 1300 E KEATING AVENUE MUSKEGON MI 49442 383590598 501(C)(3) 6500 INDUSTRIAL WASHER AND DRYER, MICROSCOPE READ MUSKEGON PO BOX 1312 MUSKEGON MI 494431312 412176728 501(C)(3) 13200 JOB TRAINING AND TESTING BOOKLETS, COOKING CLASS, EXIT PROGRAM REETHS PUFFER SCHOOL DISTRICT 991 W GILES ROAD N MUSKEGON MI 49445 381816725 501(C)(3) 7246 TEACHER MINI-GRANTS, ADOPT-A-READER RIVERTON FIREFIGHTERS ASSOCIATION INC 4622 S MORTON RD LUDINGTON MI 49431 382679823 8000 BRUSH TRUCK ROTARY CLUB OF LUDINGTON CHARITIES PO BOX 149 LUDINGTON MI 49431 274860991 501(C)(3) 29500 ROTARY CLUB OF LUDINGTON CHARITIES CITY PARK RESTORATION PROJECT SANDCASTLES A LAKE MICHIGAN CHILDREN'S MUSEUM 129 E LUDINGTON AVENUE LUDINGTON MI 49431 352340348 501(C)(3) 13000 BUILDING EXPENSES SENIOR RESOURCES OF WEST MICHIGAN 560 SEMINOLE RD MUSKEGON MI 49444 382048765 501(C)(3) 12560 GENERAL OPERATING SUPPORT, HEARING AIDS SHELBY PUBLIC SCHOOLS 525 N STATE STREET SHELBY MI 49455 386003167 501(C)(3) 13061 TEACHER MINI-GRANTS, ASPIRE PROGRAM SOUTHSIDE VINEYARD CHRISTIAN FELLOWSHIP 1040 26TH STREET SW GRAND RAPIDS MI 49509 382904463 501(C)(3) 12000 GENERAL OPERATING SUPPORT SPECTRUM HEALTH LUDINGTON HOSPITAL ONE ATKINSON DR LUDINGTON MI 49431 381359266 501(C)(3) 11000 WIN WITH WELLNESS FIT CLUB SPECTRUM HEALTH LUDINGTON HOSPITAL FOUNDATION ONE ATKINSON DR LUDINGTON MI 49431 7317 FOUNDER'S SOCEITY ST CATHERINE'S CHURCH 3376 THOMAS STREET RAVENNA MI 49451 501(C)(3) 24349 ST. CATHERINE'S LIGHTING PROJECT, ST CATHERINE SCHOOL ST JAMES CATHOLIC CHURCH 5179 DOWLING MONTAGUE MI 49437 501(C)(3) 289405 MAINTENANCE AND UPKEEP OF ST. JOHNS CEMETERY IN CLAYBANKS TOWNSHIP, EXPANSION OF MULTIPURPOSE ROOM ST MICHAEL THE ARCHANGEL CATHOLIC CHURCH 1716 SIXTH STREET MUSKEGON MI 49441 501(C)(3) 29751 TO BE USED AS THE ST. MICHAEL'S PARISH COUNCIL SEES FIT SUMMIT TOWNSHIP 4560 W ANTHONY RD LUDINGTON MI 49431 382078182 5000 WALKWAY AT SUMMIT PARK AND PICNIC TABLES TEMPLE UNITED METHODIST CHURCH 2500 JEFFERSON MUSKEGON HTS MI 49444 501(C)(3) 7100 PATHFINDER PROGRAM, NEW BOILER, YOUNG EDUCATED AFRICAN AMERICANS REALIZING AND REACHING SUCCESS THE ARC MUSKEGON 601 TERRACE ST MUSKEGON MI 494401192 381586705 501(C)(3) 65193 GENERAL OPERATING SUPPORT, REPRESENTATIVE PAYEE SERVICES, CAMPERSHIPS FOR THE DISABLED THE HENRY FORD 20900 OAKWOOD BLVD DEARBORN MI 48124 381359513 501(C)(3) 7500 GENERAL OPERATING SUPPORT THE LITTLE RED HOUSE INC 311 E EXCHANGE ST SPRING LAKE MI 49456 352119160 501(C)(3) 11350 LAUNDRY CART, BUILDING EXPANSION TRINITY HOME HEALTH SERVICES 17410 COLLEGE PARKWAY LIVONIA MI 48152 383321856 501(C)(3) 22311 USED TO SUPPORT PROGRAMS AND PROJECTS THAT BENEFIT MUSKEGON COUNTY RESIDENTS UNITED WAY OF MASON COUNTY 108 S RATH AVE SUITE 201 LUDINGTON MI 49431 382943115 501(C)(3) 1000 GENERAL OPERATING SUPPORT, LAKESHORE EMPLOYEE RESOURCE NETWORK UNITED WAY OF THE LAKESHORE PO BOX 207 MUSKEGON MI 494430207 381426895 501(C)(3) 98094 BUILDING CAMPAIGN, IMAGINATION LIBRARY, MICHIGAN EDUCATION CORPS PREK PROGRAM VILLAGE OF RAVENNA 12090 CROCKERY CREEK DRIVE RAVENNA MI 49451 501(C)(3) 18367 ICE RINK PROJECT WEST MICHIGAN CONCERT WINDS PO BOX 1317 MUSKEGON MI 49443 382370939 501(C)(3) 6450 MUSICAL MILESTONES, SCHOLARSHIPS, CONCERTS WEST MICHIGAN ENVIRONMENTAL ACTION COUNCIL 1007 LAKE DRIVE SE GRAND RAPIDS MI 49503 237128379 501(C)(3) 6700 MUSKEGON COUNTY RECYCLING PLANNING, ZERO WASTE PROGRAM WEST MICHIGAN SYMPHONY 360 W WESTERN AVE MUSKEGON MI 49440 386092131 501(C)(3) 36766 GENERAL OPERATING SUPPORT, BLOCK SPONSOR, WEST MICHIGAN SYMPHONY CHILDREN'S CHOIR WEST MICHIGAN TEAM PO BOX 68553 GRAND RAPIDS MI 495168553 208873170 501(C)(3) 3000 WORKFORCE SUPPORT AND DEVELOPMENT WEST MICHIGAN VETERANS INC 165 EAST APPLE AVENUE MUSKEGON MI 49442 383036621 501(C)(3) 10982 VETERAN'S MEMORIAL PARK WEST SHORE COMMUNITY COLLEGE FOUNDATION 3000 N STILES ROAD BOX 277 SCOTTVILLE MI 49454 237128810 501(C)(3) 9142 GENERAL OPERATING SUPPORT WESTERN MICHIGAN CHRISTIAN HIGH SCHOOL 455 E ELLIS RD MUSKEGON MI 49441 383488222 501(C)(3) 20774 TEACHER MINI-GRANTS, GENERAL OPERATIONS WHITE LAKE CHAMBER OF COMMERCE 124 W HANSON WHITEHALL MI 49461 381948640 501(C)(3) 6850 RENOVATION TO BUILDING, WHITE LAKE VISIONING WHITE RIVER TOWNSHIP 7386 POST ROAD MONTAGUE MI 49437 382533815 501(C)(3) 43624 LIFE RINGS, BARRIER DUNE SANCTUARY WHITEHALL DISTRICT SCHOOLS 541 SLOCUM STREET WHITEHALL MI 49461 382503241 501(C)(3) 64064 TEACHER MINI-GRANTS, MONTAGUE/WHITEHALL SCHOOL MEALS TRANSFORMATION YMCA CAMP PENDALOUAN 1243 FRUITVALE RD MONTAGUE MI 494379540 382000172 501(C)(3) 91881 ANGEL TREE CAMPERSHIPS, CAPITAL IMPROVEMENTS EDUCATIONAL SCHOLARSHIPS 794 1578680 X X X 0 0 0 0 0 0 0 0 0 CHRIS A MCGUIGAN PRESIDENT/SECRETARY 169060 0 0 0 0 0 10904 0 15766 0 195730 0 0 0 X 42 571149 MKT CLOSE - DATE OF GIFT X 1 341600 DOUBLE ASSESSED VALUE X ENGAGEMENT RNG 1 15200 APPRAISED VALUE 0 1 1 PART I, LINE 32B: INVESTMENT SECURITIES ARE HELD AT AN UNRELATED BROKERAGE FIRM. CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES ARE RECEIVED AND SOLD VIA THIS 3RD PARTY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S STAFF AND CIRCULATED IN DRAFT FORM TO DIRECTORS FOR COMMENT. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND TOP MANAGEMENT ANNUALLY COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES WHICH ARE REVIEWED BY THE CHAIRMAN FOR COMPLIANCE WITH FOUNDATION POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE CONSISTING OF FOUNDATION TRUSTEES ANNUALLY REVIEWS THE WAGES OF ALL EMPLOYEES UTILIZING COMPARABILITY DATA FROM THIRD PARTY SOURCES FOR PURPOSES OF RECOMMENDING TO THE BOARD ANY COMPENSATION ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION REGARDING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE ORGANIZATION IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: FUNDS HELD AS COMMUNITY SERVICE - NET INCREASE IN ASSETS -1,766,652. SMASH WINE BAR NET CHANGE IN ASSETS -100,706. CHANGE IN VALUE OF CHARITABLE LEAD TRUST 12,466. RENTAL EXPENSES - WESTERN AVENUE PROPERTIES -99,189. PART XI, LINE 2C THE AUDIT COMMITTEE OF THE FOUNDATION IS RESPONSIBLE FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND REVIEW OF THE AUDITORS' REPORT, MEETING AS NECESSARY DURING THE YEAR. MORRIS STREET LLC 425 W WESTERN AVENUE SUITE 200 MUSKEGON MI 49440 REAL PROPERTY OWNERSHIP MI 0 2316812 DOWNTOWN MUSKEGON DEVELOPMENT CORPORATION 425 W WESTERN AVENUE SUITE 200 MUSKEGON MI 494401101 364505998 SALE OF DOWNTOWN MUSKEGON, MI PARCELS FOR REDEVELOPMENT OF CITY CORE. MI C 0.34920 0 PKT TWELVE INC 425 W WESTERN AVENUE SUITE 200 MUSKEGON MI 494401101 383272951 RESTAURANT AND WINE BAR MI C 1.00000 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PKT TWELVE INC DBA SMASH WINE BAR AND BISTRO D