OMB NO 75150052 Form 990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Depenmmt N the Treaary Treated as a Private Foundation Mtmhel Rmmue Ssv¢e NOSE The be able to use a copy of this return to satisfy state orting requirements 2001 For calendar year 2001, or uz yeu h lddress change ~ Name change c~yS Use the IRS Name of organization Employer identification number cy label .q otherwise, DICK AND BETSY DEVOS FOUNDATION 38-2902412 p. print NumCS we rnen IQ P O Eoa numDr i1 hail u not eaiInsaE to Noel adOm) Rovn/aorta Telephone number orqpe 126 OTTAWA AVENUE NW SUITE 500 (=See Specific (616)454-4114 u .=.maom n M: Instructions CM or town, sole, and ZIP code rooec,hm Pertain, made her. 1 foreign organizations, check here 2 Faeipi apenuslims meeting the 85% teat , 1U ~I Check type of organization LXJ Section 501(c)(3) exempt private foundation chxw nss ena alum wmputaem Section 49471a)(1 ) nonexempt charitable host E] Other taxable private foundation 7 II private foundation status was terminated ~~~,,,uuu5- Fair market value of all assets at end of year J Accountingncounting method ~ Cash 0 Accrual under section 501(b)(1)(A), check here F (from Part fl, col (c), line 16) (specify) If the foundation is in a 60-month termination 5 7 6 8 0 14 9 . (Part l, column (d) must be on cash bass ) under section 507 b 1 B , check here Part I Analysis of Revenue end Expenses (~) (d) Disbursements (Me total oramounts in columns (b)J, Revenue and (b) Net investment (c) Adjusted net expenses per log charitable (c), and (dJ may not necessarily equal income income books purposes the amounts m column (a) J N / A (cash basis only) 7 Contributions, gifts, grants, etc, received 12 345 . Cnerx~~ ANefiunaYaonbnotitpuneaW~TOCnSCn B 2 Distributions from split-interest trusts ene ~enaasr ~( 9~~tme~u 1,877 . STATEMENT 2 4 Dividends andinterest from securities 450 576 . STATEMENT .3 5a Gross rents O b (Nat rmmi mmme a (Iass) 1 - Net Qain a pov) tram sere al men nor on ~ / !1 8~ W. 10 -1 035 , 012 . ._ STATEMENT 1 7 6 Gioa saia onoo for an , , _ d ovals m the 6a 1 0 ,3 10 , 776 . jn Q ] Capital pain nn mCOme (hom Part IV Iinee2) yo SIS~_6_i 8B Net short-termshoe-term capital gainpain _- 9 Income modifications 10ec~os,wo~.:sMUr~s Rrfs " andauowanrm
t1f~ c M~ U 1 me N 18 , 385 . STATEMENT 4 Total Ad in h 9-551 , 829 . _ , ion o ottims oven pees nc 0 .
a b Accounting fees STMT 5 1 1 , 057 . w c Other professional tees STMT 6 67 50 , 634 . i 17 Interest y to Taxes STMT 7 -21 0 . 19 Deprecation and depletion E 20 Occupancy 21 Travel, conferences, and meetings v q 22 Printing and publications ~ 23 Other expenses STMT 8 13 40 . n 24 Total operating and administrative c expenses Add lines 13 through 23 6 0 51 , 731 . 0 25 Contributions, gifts, grants paid 3 , 351 3 , 351 , 775 . 26 Total expenses and disbursements Add lines 24 and 25 3 , 412 3 , 403 , 506 ._ 27 Subtract line 26 from line 12 f . Uciese, a1 r.vcn~~. . ,~pansao, and d,alota.esh.tto -3 964 h Net investment income (n ne,atrve a,ie -0 I a Adjusted net income ta -.wt- mt=-0-i 61r4-62 LHA For Paperwork Reduction Act Notice, see the instructions Farm 990-PF (2007)'
13251112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318_1 Nf- Form 99o-PF(2001) DICK AND BETSY DEVOS F 2 Chad else anaamaunuinineaeudouon Part jl Balance Sheets """ columnWait Delaien0allonmounsonly (a) Book Value (6) Book Value (c) Fair Market Value 1 Cash - non-interest hearing 2 Savings and temporary cash investments 172 768 . 107 , 586o 107 , 586 . Accounts - i 3 receivable 11 256,869 ---- Less allowance for doubtful accounts 254 062 . --256 869 .Y 237 716 . 1 Pledges receivable lll~ Less allowance for doubtful accounts 5 Grants receivable fi Receivahles due from officers, dicectom, trustees, and other disqualified persons 7 other notes and loans ocatnabee Less allowance for doubtful accounts 0, 8 Inventories for sale or use H 9 Prepaid expenses and deferred charges toe Investments- U S and state government obligations STMT 11 3 , 936 , 692 . 1 , 001 . 528 . 1 , 015 , 160 . b Investments -corporate stock STMT 12 1 , 398 , 973 . 695 004 . 501 650 . c Investments-corporate bonds STMT 1 3 5 , 357 , 016 . 3 , 833 , 324 . 3 , 841 , 692 . 11 onveslmenbland buildings ln0epulomentoub 1 ------a Less o¢umulleOEepraption 1 12 Investments- mortgage loans 13 Investments-other STMT 14 668 048 . 2 , 083 , 992 . 1 , 976 , 343 . 14 Land, buildings, and equipment basis Lessauumuhuedepreciation 15 Other assets (describe III I
17 Accounts payable and accrued extpenses 18 Grants payable A
W 19 Deferred revenue 20 Loins 6om afllcve Crtxiwa vvsiees ena orbs diaar,an(IpE Pa .. n 21 Mortgages and other notes payable 22 Other liabilities (describe " STATEMENT 151
.i Organizations that follow SFAS 117, cheek here y and complete lines 24 through 26 end lines 30 end 31 u°' 24 Unrestricted A 25 Temporarily restricted 26 Permanently restricted c Organizations that do not follow SFAS 117, check here and complete lines 21 through 31 m' 21 Capital stock, trust principal, or current funds Paid-in land, bldg and equipment N 28 or capital surplus, or . fund 29 Retained earnings, accumulated income, endowment, or other funds Z0 30 Total not assets or fund balances
Part III Analysis of Changes in Net Assets or Fund Balances 1 total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-ol-year figure reported on prior year s return) 2 Enter amount from Part I, line 27a 3 Other increases not includes in line 2 (itemize) " SEE STATEMENT 9 Add lines 7, 2, and 3 5 Decreases not included in line 2 (itemize) " SEE STATEMENT 10 6 Total net assets or fund balances at end 0l veer (line 4 minus line 51 - Pan II . column (hl. line 30 F,.~ 990-PF Ceoo»
123511 01 24 02 Form 99o-PF(20o1DICK AND BETSY DEVOS FOUNDATION Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e p ,real estate, (c 1 Date acquired (d) Date sold 2-story brick warehouse, or common stock, 200 shs MLC Co ) (mo,day,yr) I (mo,Oay,yr) to SEE ATTACHED STATEMENT 19 b CAPITAL GAINS DIVIDENDS c d e (e) Gross sales price (0 Depreciation allowed (p) Cost or other basis (h) Gam or (loss) (or allowable) plus expense of sale (e) plus (I) minus (p)
for assets in column (h) and owned by the foundation on 72/37/69 (I) Gains (Col (h) pain minus (I) Adjusted bass (k) Excess of cot (q Cot (k), but not less than -0-) or I i) F M V as of 17131/69 as of 72/31/69 over cot (1), d any Losses (from cot (h))
l II pain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) 1 II (loss), enter -0- in Pan I, line 7 3 Net shoe-term capital pain or (loss) as defined in sections 1222(5) and (6) If pain, also enter in Pan I, line 8, column (c) If (loss), enter -0 in Pan I, line 8 I Part V I Qualification Under Section 4940(e) for Reduced Tax on Net Inve (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
If section 4940(0)(2) applies, leave this part blank.
Was the organization liable for the section 4942 tax on the disiributa6le amount of any year in the base periods ED Yes [XI No If Yes; the organization does not quality under section 4940(e) Do not complete this part 1 Enter the appropriate amount in each column for each year, see instructions before making any envies
Base Oenod years (~) Distribution ratio Calendar year for tax year beoinnino in) Adjusted qualifying~ distributions Net value of noncharitable-use assets (cot (b1 divided by cot (c))
2 Toul of line i, column (d) 3 Average distribution ratio log the 5-year base period - divide the total on fine 2 by 5, or by the number of years the foundation has been in existence it less than 5 years
4 Enter the net value of noncharitable-use assets for 2001 from Part X, line 5
5 Multiply line a by line 3
6 Enter 1% of net investment income (1% of Pan I, line 27b)
7 Add lines 5 and 6
B Enter qualifying distributions from Part XII, line 4 II line 8 is equal to or greater than line 7, check the box in Part VI, line 1h, and complete that part using a 1 % tax rate See the Part VI instructions Fm 990-PF (2ooi) 773571 O7 T"-02 3 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 Form 990-PF on Or 4946 - see to Exempt operating foundations described in section 4940(d)(2), check here " U and enter *N/A* on line 1 Date of ruling letter (attach copy of ruling letter it necessary-see instructions ) 6 Domestic organizations than meet the section 4940(e) requirements m Part V, check here " CKI and enter 1 %. _ -k of Pan I, line 21b o All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4 % of Part I, line 72, cot (b) 2 Tax under section 511 (domestic section 4997(a)(1) trusts and taxable foundations only Others enter -D-) 2 0 . 3 Add lines 1 and 2 3 4 , 368 . 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 0 . 5 Tax based on investment income Subtract line 4 from line 3 If zero or less, enter -0- s 4 , 368 . 6 Credits/Payments a 2001 estimated tax payments and 2000 overpayment credited to 2001 68 16 , 342 b Exempt foreign organizations - tax withheld at source 6b c Tax paid with application for extension of time to file (Form 8868) 6c ` I " - - E d Backup withholding erroneously withheld 6d t 7 Total credits and payments Add lines 6a through 6d J 16 , 342 . B Enter any penalty for underpayment of estimated tax. Check here 0 (Form 2220 is attached 9 Tax due If the total of lines 5 and B is more than line 7, enter amount owed 11111~ 9 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter tie amount overpaid I-io-' 11 , 974 . 11 0 .
to During the tax year, did the organization attempt to influence any national, state, or local legislation or aid it participate or intervene in any political campaign? b Did A spend more than $100 during the year (ether directly or indirectly) for political purposes (see instructions for definition)? 11 the answer is 'Yes' to 1a or 1b, attach a decoded descnphon of the activities and copes of any materials published or distributed by the organ¢anon m connection with the activities r e Did the organization file Form 1120-POL for this year d Enter the amount (d any) of tax on political expenditures (section 4955) imposed during the year (1) On the organization 0~ $ 0 . (2) On organization managers " 8 0 . e Enter the reimbursement (d any) paid by the organization during the year for political expenditure tax imposed on organization i managers " $ 0 . -- - -X 2 Has the organization engaged in any activities that have not previously been reported to the IRS 11 'Yes,' attach a detailed description of the activities 3 Has the organization made any changes, not previously reported to the IRS, in ds governing instrument articles of incorporation, or bylaws, or other similar instruments If 'Yes,' attach a conformed copy of the changes 4a did the organization have unrelated business gross income of $1,000 or more during the year b 11 Yes; has n filed a sax return on Foam 990-T for this year 5 Was there a liquidation, termination, dissolution, or substantial contraction during the year 11 'Yes,' attach the statement required by General Instruction T 6 Are the requirements of section 508(e) (relating to sections 4947 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 organization have at least $5,000 in assets at any time during the year 11 'Yes,* complete Part 11, cot (c), and Part XV Ba Enter the stales to which tie foundation reports or with which it is registered (see instructions) i
b II the answer is 'Yes' to line 7, has the organization furnished a copy of form 990-PF to the Attorney General (or designate) of each state as required by General Instruction G7 11 'NO,' attach explanation Bh X 9 Is the organization claiming status as a private operating foundation within the meaning of section ag42(p(3) or 4942(1)(5) for calendar _ year 2001 or the taxable year beginning in 2001 (see instructions for Part XIV)? 11 'Yes,' complete Part XIV ` 9 X 10 Did any persons become substantial contributors during the tax year? 10 X It 'Yes,' attach a schedule lacing their names and addresses 11 Did the organization comply with the public inspection requirements for it annual returns and exemption application? 11 X web site address " N/A 12 The books are in care of " JERRY L . TUBERGEN Telephone no " ( 616 ) 454-4114 Locatedai " 126 OTTAWA NW, SUITE 500, GRAND RAPIDS, MI ZAP+4 X49503 13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here and enter the amount of tax-exempt interest reserved or accrued during the year 10-1 13 1 N/A 123531 01 z"-ox c,.m 990-PF aooii 4 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 Form 990-PF 12 Page 5
File Form 4720 if any item is checked in the "Yes" column, unless an exception apples Yes No 1e During the year did the organization (either directly or indirectly) (1) Engage in the sale or exchange, or leasing of property with a disqualified persons 0 Yes [f] No f (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) i a disqualified person? Yes [XI No - f (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? 0 Yes EE No . y (4) Pay compensation to, or pay or reimburse tie expenses of, a disqualified persons 0 Yes FZ17 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 FX I No (6) Agree to pay money or property to a government off icial? (Exception Check *No' d the or panizanon 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 EENo b If any answer is Yes' to 7a(1)-(6), did any of the acts fail to quaky under the exceptions described in Regulations section 53 4941(d)-3 or in a current notice regarding disaster assistance (see gape 79 of the instructions)? N/A Ib Organizations relying on a current notice regarding disaster assistance check here e Did the organization engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected before tie first day of the tax year beginning in 2001 Ic X 2 Taxes an failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942(j)(3) or 4942(j)(5)) i a A1 the end of tax year 2001, did the organization have any undistributed income (lines 6d and 6e, Pan XIII) for tax year(s) beginning before 2001 Yes ~ No If 'Yes,' list the years 1 , b Are there any years listed in 2a for which tie organization is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed incomes (II applying section 49a2(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 organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the years ~ Yes [::] No 6 II Yes; did n have excess business holdings in 2001 as a result of (1) any purchase by the organization or disqualified persons otter May 26, 1969,(2) the lapse of tie 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by pitl or bequest; or (3) the lapse of the 10 , 15-, or 20-year first phase holding periods (Use Schedule C, Form 4720, to determine i/ the organ¢ahon had excess business holdings in 2007 ) 4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes b Did the organization make any investment in a prior year (but after December 31, 7969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2001 X-46 5a During the year did the organization pay or incur any amount to r (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))'~ ~ Yes Y No r (2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration drive? Yes M No (3) Provide a grant to an individual for travel, study, or other similar purposes 0 yet FM-1 No (I) Provide a grant to an organization other than a charitable, etc , organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? =Yes EKI 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 0 Yes EY] No b II any answer is 'Yes'to Sa(1)-(5), did any of the transactions tail to quality under the exceptions described in Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)? N/A Sb Organizations relying on a current notice regarding disaster assistance check here " 0 c If the answer is Yes' to question Sa(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grants N/A 0 Yes = No It 'Yes,' attach the statement required by Regulations section 53 4945-5(d) 1 6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on I a personal benefit contracts ~ Yes ~ Na -_f b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract 6h ~ X 11 you answered 'Yes' to 66, also file Form 8870 F«m 99D-PF pool)
,zssn ois.az 5 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOLTNDA 037316 1 Form 990-PF(2001) DICK AND BETSY DEVOS FOUNDATION 38-2902412 Pages Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, Part VIII - and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation (b) TAle,and (e) Expense (a) Name and address hours per wee account, other allowances
2 Compensation of five highest-paid employees other than those included on line 1) If no (b' Title and average (a) Name and address of each employee paid more than $SO,ODO hours per week (c) Compensation devoted to oosiuon
Total number of other employees paid over $50,000 3 Five highest-paid independent contractors for professional services H none, enter "NONE ° (a) Name and address of each person paid more than $50,000 of service
List the foundation's lour largest direct charitable activities during the tax year Include relevant statistical information such as the number al organizations and other beneficiaries sewed, conferences convened, research pape rs produced, etc Expenses 7 N/A
2
3
4
of ze.oz F~ 99D-PF (xooi) 6 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 Form 990-PF(2001) DICK AND BETSY DEVOS FOUNDATION 38-2902412 Page 7 Part IX-B Summary of Program-Related Investments
Describe the two investments made by the foundation during the tax year on lines 1 and 2 Amount
2
All other program-related investments See instructions 3
Add lines 1
Pa1t X Minimum Investment Return (All domestic foundations must complete this pan 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 marker value al securities 6 Average of monthly cash balances c Fair market value of all other assets d Total (add lines 7a, h, and c) e Reduction claimed for blockage or other factors reposed on lines 1a and 1C (attach detailed explanation) is 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line 1d 4 Cash deemed held for charitable activities Enter 7 112% of line 3 (for greater amount, see instructions) 5 Net value of nonehaiitable-use assets Subtract line 4 from line 3 Enter here and on Part V, line 4 6 Minimum investment return Enter 5°/. of line 5 DistnbUtable Amount (see instructions) (Section 4942(j)(3) and (p(5) private operating foundations and certain Part XI foreign organizations check here 1 0 and do not complete this pan) 7 Minimum investment return from Part %, line 6 1 2a Tax on investment income for 2001 from Part VI, dine 5 2a 4 , 368 . D Income tax for 2001 (This does not include the tax from Part VI 2b c Add tines 2a and 2D 2c 3 Disiributable amount before adjustments Subtract line 2c from line 1 3 4a Recoveries of amounts treated as qualifying distributions 4, 0 . h Income distributions from section 4947(a)(2) trusts 4b 0 . c Add lines 4a and 4b Ic Add lines 3 and 4c 5 5 Deduction from disVibuuble amount (see instructions) 7 Disui6uhble amount as adjusted Subtract line 61rom line 5 Enter here and on Pan XIII, line 1 47 XII Qualifying Distributions see instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 1a 3 , 403 , 506 . b Program-related investments -Total from Part IX B 1b 0 . 2 Amounts paid assets used (or for in carrying to acquire held use) directly out charitable, etc , purposes -2 3 Amounts set aside for specific charitable projects that satisfy the - & Suitability test (Prior IRS approval required) 32 b Cash distribution test (attach the required schedule) 36 4 Qualifying distributions Add lines 1a through 36 Enter here and on Part V, line 8, and Part X111, line 4 4 3 4 0 3 5 0 6 . 5 Organizations that quality under section 4940(e) for the reduced rate of tax on net investment income Enter 1% of Part I, line 27b 5 4 , 368 . 6 Adjusted qualifying distributions Subtract line S from line 4 6 3 , 3 9 9 , 138 . Note The amount on line 6 will be used m Part V, column (b), in subsequent years when calculating whether the foundation qualifies !or the section 4940/e) reduction of tax in those years Fmn 990-PF (zoo,)
1735E1 Ot 2a-OT
7 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOLTNDA 037316 1 Form 990-PF(2001) DICK AND BETSY DEVOS FOUNDATION 38-2902412 Page e Part XIII Undistnbuted Income see instructions)
(a) (6) (e) (d) Corpus Years prior to 2000 2000 2007 t Distributable amount for 2001 from Pan XI, line 1 - - - 438 , 569 . 2 Unaisme,nee Income a my as m m, spa of soon _ -- _O . _ a Enter amount for 2000 only bTotal w.p.iaymrs 19-,19-,19 0 . - h Each disVlbvlions vryws, if my, to 2007 eFrom 1s96 909 , 752 . , lo From 1997 1 , 293 , 598 . _ cFrom 1998 1 , 593 , 313 . ` ~ _ r dFrom isss 1 , 679 , 656 . eFrom 2000 2 , 375 , 306 . _ ~ t Total of lines 3a through e 7 , 851,625 . 4 Qualifying distributions for 2001 from Part xn,line a " 8 3 , 403 , 506 .--- _O_ ' a Applied to 2000, but not more than line 2a b Applied to undistributed income of prior years (Election required -see instructions) -- 0 . ~ - e Treated as distributions out of corpus (Election required - see instructions) 0 . - - d Applied to 2007 distributable amount 438 569 . e Remaining amount distributed out of corpus 2 , .964 , 937 . 5 Fix- distributions v.ywa applied! to zoo, t 0 . (n en amount mPme m column fill we sons amount must De shown in wWmn ~aJ) 6 Enter the net total of each column as indicated below a cams Add finds 31, 4C end 40 Subtract line 5 10 816' 562 . b Prior years' undistributed income Subtract . _ .. I n line 4b from line 26 t e Enter the amount of prior years' undistributed income for which a hoots of _ deficiency has been issued, or on which the section 4942(a) tar has been previously assessed r 0 . D Subtract line 6c from line 6b Taxable . . amount see instructions ' 0 . _ e Undistributed income for 2000 Subtract line 4a from line 2a Taxable amount - see insV f Undistributed income for 2007 Subtract lines 4d and 5 from line 7 This amount must be distributed m 2002 0 . 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by 0 . - section 770(6)(7)(E) Or 4942(8)(3) 8 Excess distributions carryover from 7996 not applied on line 5 or line 7 909 , 752 . 9 Excess distributions carryover to 2002 Subtiacl lines i and 8 from line Ga 9, 906 , 810 . - 10 Analysis of line 9 sExcess from i997 1 , 293 , 598 . " E bExcess from 1998 1 593 313 . cExcess from t999 1 679 656 . . dExcess from 2000 2 .375,306 .
Forrm 990-PF (2001)
133571 O t-2~-OZ B 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 990-PF instructions and Pan 7 a If the foundation has received a ruling or determination letter that rt is a private operating foundation, and the ruling is effective for 2001, enter the date of the ruling 1111. b Check box to indicate whether the organization is a rivate opera tin foundation described in 2 a Enter the lesser at the adjusted net Tax year Prior 3 years income from Pan I or the minimum 2000 (e11999 (d) 1998 (a) Total investment return from Pan 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 3 Complete 3a, D, or c for the alternative test relied upon a 'Assets' alternative test - enter (1) Value o1 all assets (2) Value of assets qualifying under section 4942(j)(3)(B)(i) h 'EndowmenYalternative lest - Enter 2!d of minimum investment return shown in Part X line 6 for each year listed e 'Support' alternative lest enter (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) (2) Support from general public and 5 or more exempt organizations as provided in section 4942(p(3)(B)(u) (3) Largest amount of support from an exempt organization
Supplementary Information (Complete this part only if the organization had $5,000 or more m assets at any time during the year-see page 26 of the instructions .) 7 Information Regarding Foundation Managers a List any managers of the foundation who have contributed more than 2% of the foul contributions received by the foundation before the close of any tax year (but only d they have contributed more than $5,000) (See section 507(d)(2) )
b 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 o1 a partnership or other entity) of which the foundation has a 10% or greater interest -
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs Check here " = d the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds If the organization makes gifts, grants, etc (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d a The name, address, and telephone number of the person to whom applications should be addressed RICHARD AND ELISABETH DEVOS, 126 OTTAWA NW STE 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
d Any resuicuons or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors NONE
123581M1 2+-02 9 F~ 990-PF (200 1) 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 0373181 Form 990-PF
,zam,A,-za-0x c~ 990-PF (:oo,~ 10 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOiTNDA 037318 1 Form 990-PF(2001) DICK AND BETSY DEVOS FOUNDATION 38-2902412 Paae71 Part XVI-A Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated "(b) V' ~d YU ~1~d), Related or e,empl 1 Program service revenue Amount ~d Amount function income e b c 0 e
p Fees and contracts from government agencies 2 Membership dues and assessments 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate a Debt-financed property b Not debl-financed property 6 Net rental income or (loss) from personal property 7 Other investment income 8 Gain or (loss) ham sales of assets other than inventory 9 Net income or (loss) from special events 10 Grass profit or (loss) hom sales of inventory 11 Other revenue
6 c d e 12 Subtotal Addcolumns (n),(d),and(e) ~ - ~ 3 .385 . ~ -567,559 . 0 . 73 Total Add line 12, columns (b), (0), and (e) 10- 13 -564, 174 . (See worksheet in line 13 instructions to verily calculations Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes
,tse of-z4-0s 11 Fdm990-PF (zoo,) 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 Form 990-FF(2001) DICK AND BETSY DEVOS FOUNDATION 38-2902412 Pace 12 Part XVII Information Regarding Transfers To and Transactions and Relationships With Nonchantable
Did the organization directly or indirectly engage in any of the following with any other organization described in section 507(c) of Yes No the Code (other than section 501(c)(3) organizations) or in section 527, relating to polffical organizations'? a Transfers from the reporting organization to a noncharilable exempt organization of (1) Cash 101) 'X (2) Other assets la(2) X ,+ b Other Transactions 4 (7) Sales of assets to a noncharitable exempt organization Ul f ) (2) Purchases of assets from a noncharitable exempt organization 1b 2 (3) Rental of facilities, equipment or other assets 16 3 (4) Reimbursement arrangements 7b 4 (5) Loans or loan guarantees 1b 5 (6) Performance of services or membership or fundraising solicitations 1b 6 Sharing of facilities, equipment mailing lists, other assets, or paid employees 1a If tie answer to any of the above is Yes; complete the following schedule Column (6) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fart market value in any transaction or sharing arrangement, show in
2a Is the organization directly or indirectly aNiliated with, or related to, one or mare tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527 Yes [XI No
Name of of
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c N Preparer's ' y 9 do signature a a tirmsmmelo~yours DMAN, LLP al nsen ,saez, of 24 oz 11421112 758719 037318 2001 .0600 Schedule B Schedule of Contributors OMB Na 751}OW7 (Form 990, 990-EZ, a 990-PF) Supplementary Information for Depertmnt of the Treawy line 1 01 Form 990, 990-EZ and 990-PF (see instructions) Internet qevsiue Seam 2001 Name of organization Employer identification number Organization type check one) Filers of Section Form 990 or 990 Q D 501(c)( ) (enter numbed organization 0 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Forth 990.PF [21 501(c)(3) exempt private foundation 0 4947(a)(1) nonexempt charitable trust treated as a pnvate foundation 0 501(c)(3) taxable private foundation Check A 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 box(es) for both the General rule and a Special rule-see instructions ) General Rule- For organizations filing Form 990 990 Q, or 990 PF that received, during the year, $5,000 or more (in money or property) from any one contributor (Complete Parts I and 11 ) Special Rules- For a section 501(c)(3) organization filing Form 990, or Form 990EZ that met the 33 1/3% support test o1 the regulations under sections 509(a)(1)/170(b)(1)(A)(v) and received from any one contributor during the year, a contribution o1 the greater of $5,000 or 2% of the amount on line t o1 these forms (Complete Parts I and II ) 0 For a section 501(c)(7), (B), or (10) organization filing Form 990, or Form 990 Q, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention o1 cruelly to children or animals (Complete Parts I, II, and 111 ) For a section 501(cl(7), (B), or (10) organization fling Form 990, or Forth 990.Q, that received from anyone contributor, during the year, some contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did not aggregate to 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 Do not complete any of the Pans unless the General rule applies to this organization because it received nonexclusrvely religious, charitable etc , contributions of $5,000 or more during the year ) 1 $ Caution Organizations that are not covered by the General rule and/or the Special rules do not file Schedule B (Form 990, 990-EZ, or 990-PF), but they must check the box m the heading of their Form 990, Form 990-EZ, or on line 7 0l their Form 990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-Pf) Schedule B (Form 990, 990-EZ, or 990-PF) (2001) 137451 72 20-01 13 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 Schedule B (Fmn YGO 9W-EZa Y70-PF) (2W7) P.pp y to 1 0l Pn I Name of organization Employee identification number DICK AND BETSY DEVOS FOUNDATION 38-2902412 LPart I-' Contributors (see Specific Instructions ) (a) (b) (c) (d) No Name, address and ZIP t 4 Aggregate contributions Type of contribution 1 RICHARD M . JR AND ELISABETH DEVOS Person Payroll 126 OTTAWA AVENUE N . W ., SUITE 500 $ 12,345 . Nonwsh (Complete Pan II if there GRAND RAPIDS, MI 4 9 503 is a noncash contribution (a) (6) (c) (d) No Name, address and ZIP +4 Aggregate contributions Type of contribution Person Payroll 0 g Nonwsh 0 (Complete Part II A there is a noncash contribution (a) (b) (c) (d) No Name, address and ZIP +4 Aggregate contributions Type of contribution Person Payroll g Noncash (Complete Part II d there is a noricash contribution (a) (b) (c) (d) No Name, adchress and ZIP + 4 Aggregate contributions Type of contribution Person Payroll g Noncash (Complete Part II A there is a noncash contribution (a) (b) (c) (d) No Name, address and ZIP + 4 Aggregate contributions Type of contribution Person Payroll g Noncash 0 (Complete Part II d there is a noncash contribution ) (a) (b) (c) No Name, address and ZIP +4 Aggregate contributions Type of contribution Person Payroll 0 g Nonwsh (Complete Part II if there is a noncash contribution ) iza+sz r-zu o, 14 Schedule B (Form 990, 990-EZ, or 990-PF) (2001) 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF GAIN OR (LOSS) FROM SALE OF ASSETS STATEMENT 1 (A) MANNER DATE DESCRIPTION OF PROPERTY ACQUIRED ACQUIRED DATE SOLD SEE ATTACHED STATEMENT 19 VARIOUS VARIOUS (H) (C) (D) (E) (F) GROSS COST OR EXPENSE OF SALES PRICE OTHER BASIS SALE DEPREC . GAIN OR LOSS 10,307,949 . 11,345,788 . 0 . 0 . -1,037,839 . CAPITAL GAINS DIVIDENDS FROM PART IV 2,827 . TOTAL TO FORM 990-PF, PART I, LINE 6A -1,035,012 . FORM 990-PF INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS STATEMENT 2 SOURCE AMOUNT GRAND BANK 1,877 . TOTAL TO FORM 990-PF, PART I, LINE 3, COLUMN A 1,877 . FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 3 CAPITAL GAINS COLUMN (A) SOURCE GROSS AMOUNT DIVIDENDS AMOUNT ATLAS PIPELINE PARTNERS LP K-1 34 . 0 . 34 . INNER CITY CHRISTIAN FEDERATION 800 . 0 . 800 . MCDONALD DIVIDENDS 15,435 . 2,827 . 12,608 . MCDONALD INTEREST 13,203 . 0 . 13,203 . NORTH HAY TECHNOLOGIES 2,069 . 0 . 2,069 . RDV PACKAGING LLC 29,167 . 0 . 29,167 . THE NORTHERN TRUST DIVIDENDS 5,156 . 0 . 5,156 . THE NORTHERN TRUST INTEREST 387,539 . 0 . 387,539 . TOTAL TO FM 990-PF, PART I, LN 4 453,403 . 2,827 . 450,576 . 15 STATEMENT S) 1, 2, 3 11421112 758719 X37318 20D1 .0600D DICK AND ARTSY DEVOS FOiJNDA 03731 8 1 DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF OTHER INCOME STATEMENT 4 DESCRIPTION AMOUNT ATLAS PIPELINE PARTNERS LP K-1 - ORDINARY INCOME 3,435 . NORTH SAY TECHNOLOGIES - K-1 ORDINARY INCOME -50 . NORTH BAY TECHNOLOGIES - K-1 OTHER PORTFOLIO INCOME 15,000 . TOTAL TO FORM 990-PF, PART I, LINE 11, COLUMN A 18,385 . 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 FEES 1,410 . 353 . 1,057 . TO FORM 990-PF, PG 1, LN 16B 1,410 . 353 . 1,057 . FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 6 (a) (s) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES MANAGEMENT FEES 67,512 . 16,878 . 50,634 . TO FORM 990-PF, PG 1, LN 16C 67,512 . 16,878 . 50,634 . FORM 990-PF TAXES STATEMENT 7 (A) (s) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES FEDERAL TAX REFUND - 1999 -22,469 . 0 . 0 . FOREIGN TAX 45 . 45 . 0 . FEDERAL TAX EXPENSE soo . o . o . TO FORM 990-PF, PG 1, IN 18 -21,624 . 45 . 0 . STATEMENT S) 4, 5, 6, 7 15481113 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 0373181 DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF OTHER EXPENSES STATEMENT 8 (A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES CUSTODIAL FEES 11,028 . 11,028 . 0 . BANK FEES 475 . 475 . 0 . FILING FEES 10 . 0 . 10 . MISCELLANEOUS 30 . 0 . 30 . PORTFOLIO DEDUCTIONS 1,846 . 1,846 . 0 . TO FORM 990-PF, PG 1, LN 23 13,389 . 13,349 . 40 . FORM 990-PF OTHER INCREASES IN NET ASSETS OR FUND BALANCES STATEMENT 9 DESCRIPTION AMOUNT PRIOR PERIOD ADJUSTMENT 20,810 . INTEREST AND DIVIDENDS BOOK/TAX DIFFERENCE 14,417 . BOOK/TAX DIFFERENCE ON BASIS OF ASSETS SOLD 37,261 . TOTAL TO FORM 990-PF, PART III, LINE 3 72,488 . FORM 990-PF OTHER DECREASES IN NET ASSETS OR FUND BALANCES STATEMENT 10 DESCRIPTION AMOUNT FLOW-THROUGH INCOME BOOK/TAX DIFFERENCE 47,809 . TOTAL TO FORM 990-PF, PART III, LINE 5 47,809 . 17 STATEMENT S) 8, 9, 10 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF U .S . AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 11 U .S . OTHER FAIR MARKET DESCRIPTION GOVT GOV T BOOK VALUE VALUE U .S . GOVERNMENT OBLIGATIONS - SEE X STATEMENT 18 501,528 . 515,160 . STATE AND MUNICIPAL OBLIGATIONS - X SEE STATEMENT 18 500,000 . 500,000 . TOTAL U .S . GOVERNMENT OBLIGATIONS 501,528 . 515,160 . TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS 500,000 . 500,000 . TOTAL TO FORM 990-PF, PART II, LINE 10A 1,001,528 . 1,015,160 . FORM 990-PF CORPORATE STOCK STATEMENT 12 FAIR MARKET DESCRIPTION BOOK VALUE VALUE CORPORATE STOCK - SEE STATEMENT 18 695,004 . 501,650 . TOTAL TO FORM 990-PF, PART II, LINE lOB 695,004 . 501,650 . FORM 990-PF CORPORATE BONDS STATEMENT 13 FAIR MARKET DESCRIPTION BOOK VALUE VALUE CORPORATE BONDS - SEE STATEMENT 18 3,833,324 . 3,841,692 . TOTAL TO FORM 990-PF, PART II, LINE lOC 3,833,324 . 3,841,692 . 18 STATEMENT S) 11, 12, 13 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNUA 0373181 DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF OTHER INVESTMENTS STATEMENT 14 FAIR MARKET DESCRIPTION BOOK VALUE VALUE OTHER INVESTMENTS - SEE STATEMENT 18 2,083,992 . 1,976,343 . TOTAL TO FORM 990-PF, PART II, LINE 13 2,083,992 . 1,976,343 . FORM 990-PF OTHER LIABILITIES STATEMENT 15 DESCRIPTION AMOUNT CHECKS ISSUED AGAINST FUTURE DEPOSITS 130,356 . TOTAL TO FORM 990-PF, PART II, LINE 22, COLUMN B 130,356 . FORM 990-PF PART VIII - LIST OF OFFICERS, DIRECTORS STATEMENT 16 TRUSTEES AND FOUNDATION MANAGERS EMPLOYEE TITLE AND COMPEN- BEN PLAN EXPENSE NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT RICHARD M .DEVOS JR PRESIDENT 126 OTTAWA AVENUE NW, SUITE 500 NOMINAL 0 . 0 . 0 . GRAND RAPIDS, MI 49503 ELISABETH DEVOS VICE PRESIDENT 126 OTTAWA AVENUE NW, SUITE 500 NOMINAL 0 . 0 . 0 . GRAND RAPIDS, MI 49503 JERRY L . TUBERGEN COO/VP/SECT . 126 OTTAWA AVENUE NW, SUITE 500 NOMINAL 0 . 0 . 0 . GRAND RAPIDS, MI 49503 WILLIAM J . BOER VP/ASST SECT . 126 OTTAWA AVENUE NW, SUITE 500 NOMINAL 0 . 0 . 0 . GRAND RAPIDS, MI 49503 ROBERT H . SCHIERBEEK TREASURER 126 OTTAWA AVENUE NW, SUITE 500 NOMINAL 0 . 0 . 0 . GRAND RAPIDS, MI 49503 TOTALS INCLUDED ON 990-PF, PAGE 6, PART VIII 0 . 0 . 0 . STATEMENT S) 14, 15, 16 1v1111 '+11,w1 r n 7 ^I 7 1 e DICK AND BETSY DEVOS FOUNDATION 38-2902412 FORM 990-PF PART XV - LINE 1A STATEMENT 17 LIST OF FOUNDATION MANAGERS NAME OF MANAGER RICHARD M .DEVOS JR ELISABETH DEVOS 20 STATEMENT S) 17 11421112 758719 037318 2001 .06000 DICK AND BETSY DEVOS FOUNDA 037318 1 DICK and BETSY DEVOS FOUNDATION EIN 383035978 YEAR ENDED 12/31/01 FORM 990PF - PART II INVESTMENTS Book Value Market US AND STATE OBLIGATIONS US TREAS NTS DUE 12/31/2002 501,527 86 515,160 00 GENESEE CNTY MICH DUE 3/1/2004 200,000 00 200,000 00 HARRIS CNTY-HSTN TEX SPORTS DUE 11/1512030 100,000 00 100,000 00 LA CNN FAIR ASSN DUE 11/1/2016 200,000 00 200,000 00 1,001,527 86 1,015,160 00 CORPORATE STOCK ALTERRA HEALTHCARE CORP 195,003 50 1,65000 UNION ACCEPTANCE CORP 500,000 00 500,000 00 695,003 50 501,650 00 CORPORATE BONDS BNK BSTN CORP 6 875% DUE 7/15/2003 208,524 00 210,226 00 CAP 1 FOG CORP OPT DUE 10/01/2014 100,000 00 100,000 00 CIT GROUP INC DUE 10/1!2002 301,002 52 299,949 00 DAIMLER CHRYSLER 7 125% DUE 31112002 149,937 00 150,862 50 FORD MTR CR CO DUE 1/14/2003 498,300 00 506,475 00 HELLER FINL INC 6 4% DUE 1/15/2003 519,155 00 518,545 00 HSEHD FIN CORP 6 875% DUE 3/1/2003 315,399 00 310,227 00 SALOMON INC 7 3%DUE 5/15/2002 435,263 21 438,582 80 PREMIER AUTO TR DUE 418/2003 357,116 94 357,349 98 ATLANTIS 2 FDG CORP DUE 1/412002 249,668 75 249,949 58 CONAGRA INC DUE 1/10/2002 199,704 83 199,847 43 GRAND FDG CORP DUE 1/7/2002 249,624 48 249,891 62 SEARS ROEBUCK ACCEP CORP DUE 1/8/2002 249,628 13 249,785 95 3,833,323 86 3,841,691 86 OTHER ASSETS MUTUAL FUNDS SELIGMAN NEW TECHNOLOGIES FUND 333,992 44 151,505 34 333,992 44 151,505 34 OTHER RDV PACKAGING, LLC 750,000 00 794,147 55 NORTHBAY I LP 1,000,000 00 1,030,690 00 1,750,000 00 1,824,837 55 TOTAL OTHER ASSETS 2,083,992 44 1,976,342 89 T IPi Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 1213110'i Form 990PF - Part IV Capital Gains & Losses McDonald Investment Account Sales Gain Proceeds Cost T (Loss) McDonald Investments Statement 1,557,282 28 2,528,999 89 (971,717 61) The Northern Trust Statement - Short Term 6,403,814 77 6,405,243 53 (1,42876) The Northern Trust Statement - Long Term _ 2,346,852 09 2,411,544 44 (64,692 35) 000 10.301,949 14 11,345,787 86 (1,03'1,8.30.'l a The Northern Trust Company 73510-02043 50 South I.eSalle Street, Chicago, Illinois 6 675 (312) 630 6000 PAGE to ACCOUNT NO 26-OII95 RE DICK AND BETSY UEVOS FOUNDATION - EMPLOYER I/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD OI " OI-OI THROUGH 12-31-01 DATE SOLD/ SALES COST 28% RATE DESCRIPTION OF PROPERTY ACQUIRED PROCEEDS BASIS GAIN/LOSS GAIN/LOSS PAR VALUE- 60,000 00 SOLD 06 " 5-01 60,000 00 60,000 00 a 00 0 00 ACQUIRED 04-18-00 RESOLUTION FOG CORP FED BOOK ENTRY PRIM .-] STRIPS GENERIC PRIM PMT 04 .15-250 --I PAR VALUE : 6,250,000 00 SOLD 06-19-01 1,066,937 50 1,131,629 85 64,692 35- 0 00 M ACQUIRED 05-21-99 C77 CONTINENTAL CABLEVISION INC 8 5% DUE 7 09 .15-2001 REG PAR VALUE : 100,000 00 MATURED 09-17-01 100,000 00 100,000 00 0 00 0 00 ACQUIRED 06-22-00 CANADIAN IMPERIAL BK COMM N Y BOOK ENTRY DTO 10-10-2U00 6 .72% CTF OF UEP DUE 10-10 .2001 PAR VALUE 300,000 00 MATURED 10-10-01 299 .914 59 299,914 59 0 00 0 00 ACQUIRED IO-06-00 VIRGINIA ST MSG DEV AUTH COMWLTH MTG AUJ-TAXABLE-SER B VAR RT DUE 01-01-2047/08-16-2001 BED TAXABLE PUT PAR VALUE 250,000 00 SOLO 11-02-01 250,000 00 250,000 00 0 00 0 00 ACQUIRED IO-D4-OD SUB-TOTAL 2 .346,852 09 2,411 .544 .44 64,692 35- 0 00 TOTAL LONG TERM CAPITAL GAIN/LOSS- 2 .346,852 09 2 .411 .584 .44 64,692 35- 0 00 The Northern Trust Company 73509-02041 50 South LaSalle Street, Chicago, Illinois 6 675 (311) 630-6000 PAGE 9 ACCOUNT NO 26-0I195 RED DICK AND BETSY UEVOS FOUNDATION - EMPLOYER I/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DARING THE PERIOD 01-01-01 THROUGH 12-31-01 DATE SOLD/ SALES COST 28X RATE DESCRIPTION OF PROPERTY ACQUIRED PROCEEDS BASIS GAIN/LOSS GAIN/LOSS CALIFORNIA POLLUTN CTL FING AUTH ENVIRON BED 5 .12% INTEREST BEARING NOTE DUE 04-06-2001 NOTE DUE 04-06-2001 PAR VALUE 400,000 00 MATURED 04-06-01 400,000 00 400 .000 00 0 00 0 00 "-] ACQUIRED 04-05-0 ~yi7 VIRGINIA ST HSG DEV AUTH COMWLTH MTG R7 ADJ-TAXABLE-SEN B VAR RT DUE a 01-O1-2047/08-16-2001 BED TAXABLE PUT PAR VALUE 100,000 00 SOLD 04-16-01 100,000 00 100,000 00 0 00 0 00 ACQUIRED 04-OS-00 VIRGINIA ST HSG DEV AUTH COMWLTH MTG ADJ-TAXABLE-SER B VAR Ri DUE 01 .01-2047/08-16-2001 BED TAXABLE PUT PAR VALUE 50,00 00 SOLD 04-16-01 50,000 00 50,000 .00 0 00~ 0,00 ACQUIRED 04-03 .00 CALIFORNIA HSG FIN AGV REV VAR-TAXABLE-HOME MTG-S[R H VAR RT DUE 02-01-2017 BED PAR VALUE 20,000 00 SOLD 06-05-01 20,000,00 20,000 00 0 00 0 00 ACQUIRED 04-18-00 CALIFORNIA MSG FIN AGY REV VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED The Northern Trust Company 73508-02043 50 South LaSallc Street, Chicago, Illinois 6 675 (712) 630-6000 PAGE 8 ACCOUNT NO 26-01195 RE DICK AND BETSY DEVOS FOUNDATION - EMPLOYER I/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD O1-OI-OI THROUGH 12-31-01 DATE SOLD/ SALES COST DESCRIPTION OF PROPERTY ACQUIRED PROCEEDS BASIS GAIN/LOSS PAR VALUE 100,000 00 SOLO 12-04-01 100,000 .00 100,000 00 0 00 ACQUIRED 11-13-Di NEW YORK Si MSG FIN AGY REV .-J VAR-TAXABLE-66 WEST 38TH STR-B VAR RT D DUE 11-d1-2013/12-12-2001 BEG l DAY PUT M PAR VALUE 100 .000 00 SOLO 12 .04-01 100,000 00 100,000 00 0 00 ACQUIRED 10-31-01 M z PREMIER AUTO TR I99B-4 ASSET BKO NT CL A-4 5 78X DUE 04 " 8-2003 BED PAR VALUE 47,815 65 SOLO 12-11-01 47,815 65 48,232 21 416 56- ACQUIRED 09 .18-O1 VIRGINIA ST MSG OED AUTN COMWLTH MTG ADJ-TAXABLE-SER A VAR KT DUE DI-O1-2047/08-16-2001 BEG TAXABLE PUT PAR VALUE 300,000 00 SOLD 12-19-01 300,000 00 300,000 00 0 Do ACQUIRED 11-14-01 ,5_JJ, B-TOTAL 6,403,814 77 6,405,243 53 1,428 76- TOTAL SHORT TERM CQeIS9L GAIN/LOSS- 6,403,814 77 6,405,243 53 1 .428 76- DATE SOLO/ SALES COST 28% RATE lD1-S CRIPTION OF PROPERTY ACQUIRED PROCEEDS 6A5[ S GAIN/LOSS GAI N/LOSS LONG TERM CAPITAL GAINS AND LOSSES The Northern Trust Company 73507-02043 SO Sough ISalle Street, Chicago, Ilbnois 6 675 (3 12) 610-6000 PAGE 7 ACCOUNT NO 26-01175 RE DICK AND BETSY DEVOS FOUNDATION - EMPLOYER I/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD 01-01-01 THROUGH 12-31-01 DATE SOLD/ SALES COST DESCRIPTION OF PROPERTY ACQUIRED PROCEEDS O ASIS GAIN/LOSS PAR VALUE 100,000 00 SOLD 11-02-01 100000 00 100,000 00 0 00 ACQUIRED 12-20-00 Vl CALIFORNIA FISG FIN AGY REV --i VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED ^j PAR VALUEi 80,000 00 SOLO 11-02-01 80 .000 00 80,000,00 0 00 ACQUIRED 12-20-00 M PAR VALUE . 100,000 00 SOLD 11-02-01 100,000 00 100,00 00 0 oa ACQUIRED 08-13-01 PREMIER AUTO TR I998-4 ASSET BKO NT CL A-4 5 78 ;C DUE 04-08-2003 BED PAR VALUE 44,149 75 SOLD 11-13-01 44,149 75 44,605 05 455 .30- ACQUIRED 09-18-01 PREMIER AUTO TR 1998 .4 ASSET BKD NT LL A-4 5 78% DUE 04-08-2003 BED PAR VALUE 54,001 90 SOLD 11-13-01 54,001 90 54 .558 .96 556 .90- ACQUIRED 09-18-01 CALIFORNIA HSG FIN AGY REV VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED The Northern Trust Company 73506-02043 50 South LaSelle Street, Chicago, Illinois 6 675 (312) 630-6000 PAGE 6 ACCOUNT NO 26-01195 RE DICK AND BETSY DEMOS FOUNDATION - EMPLOYER 1/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD O1-Ol-O1 THROUGH 12-31-01 DATE SOLO/ SALES COST DESCRIPTION OF PROPERTY ACOUIRE_0 PROCEEDS BASIS GAIN/LOS, 11-15-2030 BED TAXABLE PAR VALUE 200,000 00 SOLD 09-27-01 200,000 00 200,000 00 0,00 ACQUIRED 08-31-01 CALIFORNIA FISG FIN AGY REV D VAR-TAXABLE-HOME MTG-SER H VAR RT DUE ..j 02-01-2017 BED M PAR VALUE 300,000 00 SOLD 10-02-01 300,000 00 300,000 00 0 00 ACQUIRED 12-20-00 z ^J DALLAS-FORT WORTH TEX INTL ARPT FAC IMPiCORP REV VAR-TAXABLE-LEARJET INC PJ-B-1 VAR RT DUE 01-01-2016 BED TAXABLE PAR VALUE 200,000 00 SOLD 10-16-01 200,000 as 200,000 ao 0 00 ACQUIRED OB-O1-O1 BOTSFORD GEN HOSP MICH REV VAR RT DUE 02-15-2027/09-26-2001 BED TAXABLE PUT SINKING FUND 02-15 .2002 PAR VALUE 100,000 00 SOLO 10-10-01 100,000 00 100,000 Do 0 00 ACQUIRED IO-09-D1 CALIFORNIA MSG FIN AGY REV VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED The Northern Trust Company 73505-02043 SO South LaSalle Street, Chicago, Illinois 6 675 (3 12) 630-6000 PAGE 5 ACCOUNT NO 26-01195 RE DICK AND BETSY UEVOS FOUNDATION - EMPLOYER I/D NO 3B-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD 01-01-OI THROUGH 12-31-01 DATE SOLD/ SALES COST DESCRIPTION OF PROPERTY ACQUIRED PROCEEDS BASIS GAIN/LOSS PAR VALUE : 100 .000 00 SOLD 09-20-01 IOO,U00 00 100,000 00 0 00 ACQUIRED 08-16-01 VIRGINIA ST MSG OEV AUTH COMWLTH MTG ADJ-TAXABLE-SER A VAR RT DUE D OI-O1-2047/08-16-2001 BED TAXABLE PUT M PAR VALUE' 100 .000 00 SOLO 09-20-01 I00,000 00 100,000 00 0 00 ACQUIRED 10-04-00 m Z VIRGINIA ST HSG DEV AUTH COMWLTH MTC `"3 ADJ-TAXABLE-SER A VAR RT DUE 01-01-2047/08-16-2001 BED TAXABLE PUT PAR VALUE 200,400 00 SOLD 09-20-01 200,000 00 200,000 00 0 00 ACQUIRED 01-17-01 LOS ANGELES CNTY FAIR ASSN VAR RATE DEMAND BD5 OTD VAR RT DUE 11-01-2016 NEGTAxABLE PAR VALUE 500,000 00 SOLD 09-24-01 500,000 00 500 .000 00 0 00 ACQUIRED 11-07-00 0 F C CORP VAR RATE TAXABLE DEMAND REV BD DUE 01-01-2026 BED PAR VALUE 700,000 00 SOLD 09-24-01 700,000 00 700,000 00 0 00 ACQUIRED 05-10-01 HARRIS CNTY-HOUSTON TEX SPORTS AUTH SPL VAR-TAXABLE-JR LIEN-SER D VAR Ri DUE The Northern Trust Company 73504-02043 50 South LaSalle Street, Chicago, Illinois 6 675 (312) 610-6000 PAGE 4 ACCOUNT NO 26 .01195 RE DICK AND BETSY OEVOS FOUNDATION EMPLOYER I/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DARING THE PERIOD D1-O1-01 THROUGH 12-31-01 DATE SOLD/ SALES COST DESCRIPTION OF PROPERTY ACQUIRED QROCEEDS BASIS GAIN/LOSS PAR VALUE 69,000 00 SOLD 06-45-01 60,000 00 60,000 00 0 00 ACQUIRED 11-07-00 PAR VALUE 20 ,000 00 SOLD 06-15-01 20,000 00 20 .000 00 0 00 ACQUIRED 12-20 .00 .-J WASHINGTON ST HSG FIN COMMN MULTIFAMILY [i7 REV TAXABLE-GRANITE FALLS PJ-B VAR RT ,~ DUE 10-01-2027 REG rn Z PAR VALUE 300 ,000 0o SOLD 07-10-01 300,000 00 300 .000 00 0 00 ^1 ACQUIRED 04-16-01 NEW YORK N Y TAXABLE-SEN F 5 3% DUE OB-O1-2001 BED TAXABLE N/C PAR VALUE 400,000 .00 MATURED OB-01-01 400,000 00 400,000 00 o ao ACQUIRED 02-21-01 RIVERSIDE CN1Y CALIF CTFS PARTN AOJ-BANKRUPTCY COURTHOUSE 5 6% DUE 11-01-2027/05-03-2001 BED TAXABLE PAR VALUE 200,000 00 SOLD 08-06-01 200,000 00 200,000 .00 a no ACQUIRED 06 .21 .01 GAITHERSBURG MD ECONOMIC DEV REV VAR RT DUE OI-Ol-2D02/12-01-2001 BED TAXABLE PUT The Northern Trust Company 7ssos -02043 50 Sough LaSalle Strcet, Chicago, Illinois 6 675 (312) 630 6000 PAGE 3 ACCOUNT NO 26-01195 RE DICK AND BETSY DEVOS FOUNDATION EMPLOYER 7/D NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD O1-01-01 THROUGH 12-31 .01 DATE SOLO/ SALES COST DESCRIPTION OF PROPERTY AC Q UI R ED PROCEEDS BASIS GAIN/LOSS PAR VALUES 50,000 00 SOLO 04-16-01 50 .000,00 50,000 00 0 00 ACQUIRED 10-D4-DO CALIFORNIA HSG FIN AGY REV --J VAR-TAXABLE-HOME MTG-SEH H VAk RT DUE D 02-O1-2017 BED PAR VALUE 20,000 00 SOLD 06-05-01 20,000 00 20,000 00 a,00 ACQUIRED 11-07-00 M z UBS AG STAMFORD BRH INSTL CTF DEP PROGRAM 800K ENTRY DTI) 12-12-2000 6 35X CTF OF OEP DUE 06-12-2001 PAR VALUE 600,000 00 MATURED 06-12-01 600 .014 69 600,014 69 0 00 ACQUIRED 12-08-00 CALIFORNIA IISG FIN AGV REV VAR-TAXABLE-HONE MTG-SER H VAR RT DUE 02-01-2017 BED ' PAR VALUE 20 .000 00 SOLD 06-15-01 20,000 00 20 .000 00 0 oa ACQUIRED 11-07-00 CALIFORNIA HSG FIN AGV REV VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED The Northern Trust Company 73502-a2043 50 South LeSallc Street . Chicago, Illinois 6 675 (712) 630-6000 PAGE 2 ACCOUNT NO 26-OII95 RED DICK AND BETSY DEVOS FOUNDATION EMPLOYER I/O N0 . 38-292412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD 01-01-01 THROUGH 12-31-OI DATE SOLD/ SALES COST DESCRIPTION OF PROPERTY Af,U R _ PROCEEDS BASIS GAIN/LOSS 09-01-2011 BED TAXABLE PAR VALUES 100,000 00 SOLO 02-22-01 100,000 00 100,000 00 a 00 ACQUIRED 11-D9-DO N '-1 BOTSFORD GEN HOSP MiCN REV VAR RT DUE 02-15-2027/D9-26-2001 BED TAXABLE PUT "1 SINKING FUND 02-15-2002 m PAR VALUE . 100,000 oa SOLD o4-oz-o1 100,000 oa 100,000 00 0 00 ACQUIRED 03 .22-01 UNITED STATES TREAS BILLS DUE 04-05-2001REG PAR VALUE- 400,000 00 MATURED 04-05-01 387,832 7e 387,832 78 a o0 ACQUIRED 10-06-00 BOTSFORO GEN HOSP MICR REV VAR RT DUE 02-15-2027/09-26-2001 BED TAXABLE PUT SINKING FUND 02-IS-2002 PAR VALUE 200,000 00 SOLD 04-09-01 200,000 00 200,000 00 0 00 ACQUIRED 03-22-01 VIRGINIA ST HSG DEV AUTH COMWLTH MTG AUJ-TAXABLE-SER B VAR RT DUE OI-O1-2047/DB-16-2001 BED TAXABLE PUT The Northern Trust Company 73501-02043 50 South LaSalle Street, Chicago, Illinois 6 675 (312) 610-6000 PAGE 1 ACCOUNT NO 26-01195 RE DICK AND BETSY DEVOS FOUNDATION - EMPLOYER 1/0 NO 38-2902412 NORTHERN ADVANTAGE FEDERAL SCHEDULE OF GAINS AND LOSSES ACCOUNT TRANSACTIONS TAXABLE DURING THE PERIOD 01 .01-OI THROUGH 12-31 .01 GATE SOLO/ SALES COST DESCRIPTION OF PROPERTY AC a1$Ep PROCEEDS BASIS GAIN/LOSS SHORT TERM CAPITAL GAINS AND LOSSES VIRGINIA ST IISG DEV AUTH COMWLTH MTG AUJ-TAXABLE-SER A VAR RT DUE N O1-O1-2047/08-16-2D01 BED TAXABLE PUT q PAR VALUE 100 .000 00 SOLD 01 .04-O1 100,000 00 100,009 no 0 00 ACQUIRED 10-04-00 m ILLINOIS HEALTH FACS AUTH REV z VAR-TAXABLE-LOYOLA U FILTH-C VAR RT DUE 07-OI-2024/Ul-13-2001 BED TAXABLE PAR VALUE 200,000 00 SOLO 01-09 .01 200,000 00 200,000 00 0 Go ACQUIRED 12-27-00 LOS ANGELES CNTY FAIR ASSN VAR RATE DEMAND BUS DTO VAR RT DUE lI-OI-2016 REGTAXABLE PAR VALUES 300,000 00 SOLD 01-16-01 300,000 00 300,000 00 0 00 ACQUIRED 11-07-00 CALIFORNIA HSG FIN AGV NEV VAR-TAXABLE-HOME MTG-SER H VAR RT DUE 02-01-2017 BED PAR VALUE 20,000 00 CALLED 02-01-01 20,000 00 20,000 00 0 00 ACQUIRED 04 .18-00 DENVER COLD URBAN RENEWAL AUTH TAR INCREMENT REV TAXABLE-RICE-B-RMKT-6/2/94VAR RT DUE i McDonald Investments, Inc . 28245499 Mr. & Mrs . Richard DeVos Jr . SSM . 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 16 01/01/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED FANG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAfN/1,055 SHRT 700 Oak Hill Fineneisi OAICF 05/16/01 10.65820 10,779 63 121 43 S 10/OS/01 9,714 MtDonald Select Fquiq Trust IZ/07/00 97,764 51 71,980 52 15,387 99- S Senes 2001 30165X716 10/05/01 50,000 CONSECOfNC 07/16/01 70,13830 47,17000 8,01830. 5 NOTES 10/09/01 m 40 000 Ffm,nuuan Enterprise Sub Nut 12/I9/94 42,108 70 37,293 00 4,813 70- L m 9 75% 6/I/05 44248BAD4 10/09/01 z 45,000 Lamak Petroleum 6% 2/I/07 1120P98 30 .92950 30,393 00 333 SO. L 541309AF1 10/10/01 2000 Physinm Computer Net PCNI I1/OSN6 17,590 75 1 89 17,588 36 L 1inoro1 30000 ManeIPUemHoldings SrDix 07/17N6 38,931 00 000 ]8,97100. L 0°6 <11 SN8 573645AA7 H120101 a.s2a,9vseg 1.ss>,2. ap.a S- TOTAL SHORT TERM OAINrtA55 779,574 la TOTAL LONG TERM GAfN/LOSS 39],i4317- TOTAL OAIN/I,OSS 971,71761- McDonald Investments, Inc. 28245499 Mr. & Mrs. Richard DeVos Jr . SStJ X82-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 15 Ol/O1/2001 - 12/31/2001 SHAPES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DA TE COST PROCEED S GAfNf1.OS5 SHRT 200 Oak Hill Financial OAICF 05/16/01 3,04520 3,12989 9469 S 10105101 100 Oak11iIIFinennalOAKF 05/16/01 1,52160 1,57994 1774 S 10/05101 -71 10203 ~~77 500 Union Acceptance Cory UACA 01/14/00 3.1)9991 2,69665 1,307 16- 1. 10/OS/01 m 400 Union AccepianteCorp UACA 01124/00 3,19984 1,18817 1,01167- 1. '-] 10/OS/01 900 Union Acceptance Corp UACA 01/24/00 7,19965 4,84791 1,37174 L 10/05101 1 100 Union Acceptance Corp UACA 01/29/00 9,93206 5,925 21 300684- 1, IOi03/DI 2,100 Union Acceptance Corp UACA 01114/00 17,052 11 11,369 31 5,68260- 1. 10/03101 2 300 Union AcccpinnLe Corp UACA 08/1601 20,31075 0,575 14 6,77561 S 10/05101 20,131 62- 100 OakI1iIIFinennalOAKF 05/1601 1,57360 1,51999 1734 S 10/OS/01 2,000 National Auto Credit IncNAKD 04/16/96 78,41900 ]6099 18,13801- L 10/05/01 11 506 First Trust Imurmre Gow1h 07/1498 12301274 97,908 94 17,103 80 L Set 1 10264Q11B 10/05/01 McDonald Investments, Inc 28245499 Mr. & Mrs Richard DeVns Jr. SS4:382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 14 01/01/2001 - 12/31/2001 SHARES PURCHASE OR SALE TOTAL REALIZED LONG FACE VALUE, SECURITY NAME DA FE COST PROCEEDS GAIN/LOS S SHRT 7,26039 100 Semilool Ins Sb1TL 08102/00 1,39089 97997 51092- L 10/OS/01 200 Semivrol Inc SMTL 08/02/00 1,781 78 1,76394 1,017 84 L 10/OSi01 m 1.529 76- m z 1,000 WorldcamWCOAf 05101100 44,33809 13,24730 31,29079 L 10/OS/01 b 500 R'orldcom 0.'COM 01/04/01 9,45290 6,62365 2.82925- S IOi05/01 715 \Voddcom U'COM 0387/01 11,946 57 9,471 81 2,434 76 S 10/05/01 76,574 80 100 Choice On< Comm C\40N 03126/01 64847 12574 312 73- S 10/0S/01 1,000 Choice One Comm CWON 07/16/01 12,969 40 2,48566 10,483 74 S IOi05/01 100 Chose One Conun C\40N 03/16101 64847 12924 51917- S I Oi05/U 1 7,900 Choice One Conun CWON 03/26/01 15,190 73 4,80883 20,481 50 S IOi05/UI 31,007 20- 11icDonald Investments, inc. 28245499 Mr. & Mrs. Richard DeVos Jr SSH 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 13 01101/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/LOSS SHRT 7,000 Range Resources Cam RRC 06/27198 32,347 70 12,087 36 20,159 94- L 1005/01 5,000 Range Resources Corp RRC 10/16/98 31,766 10 20 .139 94 11,627 16 L 10/OS/01 59,66829 500 SenuICwIIncSMTL 08/02100 695445 4,41635 1,53810. L m ioiosioi m z 200 Standard & Poors Dep Rec SPY 01/I8/0I 27,173 25 21,30131 5,871 94 5 ioiosio1 200 Terra I'ech Inc ITEF: 10/0700 5,778 80 4,62684 I,I51 96 L 10/OS/01 100 Tetra Tech Inc TI'EK 10/03/00 2,887 95 2.31592 571 53- L 10/OS/01 100 Tetra Tech Inc 7TEK I0/03/00 5 808 65 4,631 84 1,17681 L 10/OS/01 150 Tetra Tech Inc i7EK 11/14/00 9,23795 5,789 81 7,448 14 S IOi03/01 5,748 44- 200 SemitoollncSMTL 08i02/00 7,78178 1,76794 1,01799- L 10/OS/01 720 TEXAS INSTRUMENTS MC 03R7/01 17,62460 8,74921 3,87519-5 10/OS/01 710 TE\.aSINSTRUMENTS INC 04/18/01 12,134 20 8,74930 3,38500. S !0/OS/O1 McDonald Investments, Inc 28245499 Mr. & Mrs. Richard DeVos Jr. SStf: 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 12 0 1/01/2001 - 12/31/2001 SHARES PURCHASE OR SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/L OSS SHRT 100 Nobel International NOBL Ol/Il/00 1,61691 52498 1,091 93- L 10/OS/01 215 Qualcomm Inc 03/23/01 12 .61926 8,50467 4,11459- S QCOA1 10/05/01 200 Quelconvnlnc 04/18/01 12,060 15 7,91133 4,14887 S a QCOA1 10/05/01 m 8,267 41 rn 100 NoFel Iniemational NOF3L 03/1 3/00 1,61691 53223 1,084 68- L -jz 10105/01 550 Peoples Bancorp Inc PESO 01/16/01 8,54000 10,7 89 65 1,84965 5 10/OS/01 100 Nobel International NOBL 03/13/00 1.61691 51998 1,09693- L 10/05/0 1 300 Nobel International NOBL Ol/IJ/00 4,85073 1.54794 3302 79 L 10/OS/01 600 Nobel Inlemeiional NOEL Oilll/00 9,701 46 3,09739 6,604 07- L 10/05/01 100 Nobel International NOEL Ol/1300 1,61691 51673 1,10018- L 10/05101 100 Nobel International NOEIL 03113100 7,181 25 1,037 96 7,149 79- L 10/OS/01 14,35376- 1,000 Range Resources Corp RRC 06110/97 35,836 75 8,053 57 27 .781 18- L 10/0501 McDonald Investments, Inc 28245499 111r & Mrs Richard DeVos Jr . SSN J82-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 11 01101/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SE CURIT Y NAME DATE COST PROC EEDS GAIN/LOSS SHRT 100 OaAHill FinannalOAKF 05/16/01 1,33260 1,56594 4174 S 1005/01 100 NohellmemationaINOHL 07/13/00 161691 37848 1,07847- L 10/OS/01 100 Nobel lntemationelNOBL 03/13/00 1,61691 53477 1,08218- L 10/OS/01 ' M 700 Nobel Imemaeonel NOBL 03/13/00 3,233 82 1,038 21 217561 . L M 10/05101 z 4,336 72- 100 Oak Hill Financial OAhF 05/16/01 1,32260 1,56494 42 34 5 10/OS/01 100 PARMIETRIC TECHNOLOGY CORP 0]/22/00 2.45505 545 98 1,909 07- L 10/OSi01 700 PARAAfETRIC TECHNOLOGY CORD 01R2/00 17,185 35 3 856 86 13 718 49 L 10/05/01 15 277 56 500 Nobel imemationel NOBL 03/13/00 8,084 55 2 675 16 544939. L 10/OS/01 700 P.4RAAfETRIC TECHNOLOGY CORD 02/72/00 17,183 73 7,863 87 17,771 48 L IOi05/01 500 P.UtM1ETRIC TECHNOLOGI' CORD 02124/00 14,197 75 2,75990 11,49785 L ioiosioi 24,80933. McDonald Investments, Inc 28245499 Mr & Mrs Richard DeVos Jr SS9. 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page in 01101/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/LOSS SIiRT 64,35369- 670 Nonel Network NT O3/73/01 17,773 30 3,51908 8,854 22 S 10/05/01 N 800 Nobel International NOBL O3/10/00 1l 100 25 4 375 61 887464- L 10/OS/01 m 200 Nobel lmemanonaINOBL 03/10100 7,37400 1,08110 2 252 60- L py iorosroi 7 11,127 24- 200 Oak Hill Financial OAKF O5/16101 3,043 2O 3,03489 1031 s ioiosioi 750 Oracle SystemCorp ORCL DI/04/01 8,04650 1,517 38 4 514 12- 5 10/O5/01 100 Nobel Intemnianal NOOL OJ/U/00 1,61020 SSl 48 1 .03672- L ID/OS/01 500 OaA FIiII Financial OAKF OS/16/01 7,61300 7,84473 731 77 5 10/03/01 900 Nobel International NOBL 03/IJ/00 6,99080 ],15470 478610- L IOlOSi01 900 Nobel lntemationeINOBL 0317/00 14,552 18 4,84806 9,704 12- L 10/OS/01 200 Nobel International NOBL Ol/I7/00 7,717 82 1 .093 46 2,150 J6- L 10/OS/01 16,14058 . McDonald Investments, Inc. 28245399 Mr & Mrs Richard DeVos Jr. SSN 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 9 01/01/2001 - 12/31/2001 SHAPES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAINII.OSS SHRT 10,116 Manner Post Accule Net AIPANQ 05/27N4 79,749 19 34225 79,406 94 L ID/OS/01 3,519 Manner Posh Accuse Net AfPANQ 10/1095 29,889 73 11905 2977068. L , 10/05/01 109,177 62- a 350 NASDAQ- 100 Shares QQQ 10127/00 28,425 85 11,06147 17,761 43- S ' m 10105/01 m 150 NASD4Q 100 ShuesQQQ 11/16/00 11,42700 4,74104 6,68596 5 'jz 10/O5/01 500 NASDAQ -IOOShuesQQQ 01/04/01 71,17775 15,803 47 15,374 28- 5 10105101 500 NASDAQ- 100 Share QQQ 04/18/01 73,682 1S 15,907 47 7,879 68- S t0/OS/01 500 NASDAQ -IOOShnruQQQ 09/26101 72,91760 13,803 47 7,11417- 5 10/OS/01 500 NASDAQ - 100 Slues QQQ 05/22/01 25,854 00 15,807 47 10,050 53- 5 10/OS/01 64,467 00- 1 500 Aloiorole Inc MOT 03/10/00 87,766 30 25,181 66 62,584 84 L 10/OS/01 500 Motorola lncAfOT 01/04/01 11,66825 8,19189 7,27416- S 10/OS/01 1,000 Motorola Inc h10T 04/26/01 15,282 25 16,787 76 1,505 51 S 10/OS/01 McDonald Investments, Inc 28245499 Mr. & Mrs. Richard DeVos Jr. 55t! 382-9n-2412 Dick & Bets) DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 8 01/01/2001 - 12/31/2001 SHARES PURCHASE OR SALE TOTAL REALIZED LONG FACE VALUE SECURITt NM1E DATE COST PROCEEDS GAIN/LOSS SFIRT 980 Global Crossing Lid G\ 03/23101 13,28140 67997 12,60153 S i o,ns,o i 100 Choice One CommCWON 07/26/01 1,29694 75799 1,03895- S 10/0501 "~ 1 000 COLD METAL PRODUCTS INC 0285/00 3,90075 337 98 3,54777. L 10/OS/01 785 I.EVELJCOMMUNICATIONS INC 03/23/01 12,77970 1,68269 11,09601- S ioiosioi M -] 900 COLD METAL PRODUCTS INC 02/25/00 3 42505 243 44 3,181 61- L 10/OS/01 600 COLD METAL PRODUCTS INC 02/25/00 1,296 1S 16229 2,133 86- L IO/05101 5,315 47 1,100 Lucent Technologies LU 03/2701 12,801 00 6,891 76 5,909 24 S 10/OS/01 500 Choice OneConmuCIVON 07/2601 3,]4715 64197 2,60038 S 10/05101 700 A1,LeodUSAIncMCLD 01/03/01 3,29962 8809 7,21157- S 10/05101 2,800 A1cLeodUSA Inc AfCLD 02/05/01 46,194 68 1,300 49 -04,899 19 5 10/0501 2,000 A1cLeodUSA Inc MOLD 04/26/01 17,705 95 92893 16,37702 . 5 10/OS/01 6448274- McDonald Investments, Inc 28245499 Mr. & Mrs. Richard DeVos Jr. SSH 382-90-2412 Dick d Betsr DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 7 01/01/2001 - 12/31/2001 SHARES PURCHASE OR SALE TOTAL REALIZED LONG SHRT FACE VALUE SECURITS NAME DATE COST PROCEEDS GAINf1,055 1 000 Choice One Comm CWON O)r!0/01 6,203 90 1,29493 4,91095- 5 1005/01 900 Choke One Comm CWON O)RO/01 5,585 31 1,]09 70 4,37561- S 10/O3101 9,286 56 O)103/00 50,49825 Z 851 SS 47,64670- L M 1,500 Infonet Senices IN l0/05/01 m 1 000 Infonet Services IN 09/26101 8.12465 1,901 0] 6,22362- S z 10/OS/01 53,870 31 26,36750- L 500 Intel Corp TNTC OBR 1 100 37,167 80 10,796 30 1010301 250 Lnel Corp INTC 01/04/01 8,66263 5,798 13 3,26448 S 10105101 2963198 300 Choice One Convn CWON 0720/01 1,861 77 40499 1.45679- 5 1010501 300 Chore One ConmiCWON Ol/ZO/01 1,861 77 791 48 1,47029 5 10/05101 2,92709- 980 JDS Ufupliase JDSU Ol/Z7/01 12,220 70 3,30208 8,91862- S 10/OS/01 700 Choice One Comm C WON 07/76/01 4,53929 99846 7,640 87- S 10/OS/01 McDonald Investments, inc 28245499 Mr & Mrs. Richard DeVos Jr. SSH . X82-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 6 O1/01/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAfNlLOSS SHRT 500 AT & T Corp T 0302/00 21,259 04 9.21761 12,041 43 L IOi03/01 100 Unit Corp IINT O5R9/01 2,16900 945 86 1 723 14- S 10/OS/01 350 Unn Corp UNT OS/14i01 7,515 38 3.31049 4 2O4 89 5 10/OS/01 C77 5 42903 m 160 AT&T l4'veless Group AWE 07/07'00 6,081 25 2,30604 3,37521 L z 10/05/0 1 588 AT&T Wireless Group AWE O6/O8/01 77,774 38 9,209 7I 18,164 86- S 10/OS/01 21 .74007 . 50 Unit Corp IJNT OV24/01 1,07362 46999 60364- 5 10/O5/01 550 Unit Corp UNT 05/14101 11,783 25 5,16982 6,61343- 5 10/OS/01 400 Unit Carp UNT O5/24101 8,570 71 1,759 88 4,77083 S 10/OS/01 11 98790 775 OROADCOM CORPORATION CLASS A 03123/01 12,745 13 8,33097 3 914 16 S IOi05/01 300 Unit Corp LJNT O5/24/01 6,39804 2,81990 3 578 14 5 10/OS/01 McDonald Investments, Inc 28245499 Mr & Mrs Richard DeVos Jr SS# " 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 5 01/01/2001 - 12/31/2001 SHARES PURCHASE OR SALE TOTAL REALIZED LONG FACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/LOSS SHRT 567 Franklin Boo Tech Disc FBDL\ 07/17/00 50,00450 27,991 41 71,027 09- L (Spec - Health) 10/O5/01 1 Franklin Boo Tech Disc FBDIX 12/I5/00 10686 7266 74 ZO- S (Spec - Health) 10/OS/01 H a 22,05729- M 500 Agilenl Technologies A 01/04/01 2988900 10,714 65 19,57435 S to/a5iol m 79 ti'orldcom Inc MCI Group A1CIT OS/01/00 1,77562 534 83 1,220 77 L z 10/05/01 ZO \Vorldcom Inc MCI Group h1CIT 01/04/01 38260 281 65 10095. S 10/O5/01 29 Worldcom Inc MCI Group A1CIT 03RJ/01 49272 40277 7993 S 10/OS/01 1 .40167 740 BaymschHvpo-UndVernnsaben Ol/ISNB 1409645 9,90793 14,188 62 L H \R.iGS 10/05/01 160 Oa~ensch Hypo Und Veransvban 04/16/98 19,828 ZS 7,576 58 1],35167- L HVTiG1' 10/05/01 2644029- 250 Aiedicis Phamiaceulical MR.\ 10/IJ/00 17,696 83 17,984 54 421229 S 10/OS/01 1 500 Nnencan Retirement Corp ACR 04/01/99 72,831 80 4,94483 17,88697- L 10/OS/01 McDonald Investments, inc 28245499 Mr & Mrs Richard DeVos Jr SSH 382-90-2412 Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AND LOSSES Page 4 01/01/2001 - 12131/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED TANG FACE VALUE SECURITY NMfE DATE COST PROCEEDS GAfNfl,OSS SIIRT 4,247 SS 700 Aletns Companies Inc MTRS 03/09!01 5,65703 6.70877 1,05172 S 08/06101 800 Melns Companies Inc MTRS OS/09/01 12,648 ZO 77,044 83 4,41663 S 08106/01 R7 5 469 JS m '7 300 I3ancfirsiCorp OFIBFOH 01/16101 5,01060 6,55302 1,541 az s '-] 09/06/01 100 BanufimCorpOHBFOH 01/16/01 1,67020 2,18291 517 77 5 09/06/01 100 Dancfirst Cory OH BFOH 0111601 167020 2,18045 51015 5 09/06101 200 Bencfuzt Corp OH BFOII 05109101 3.79050 4,36090 57040 S 09/06/01 700 Banc6rst Corp OH BFOH 05/09101 13,204 27 15,263 16 2.05893 S 09/06/01 200 f3anc6rst Corp OH BFOH 05/09/01 3,772 64 4,438 BS 68621 S 09/06/01 200 Dancfirst Corp OH BFOH 03/09/01 3,77264 4,787 85 611 21 5 09/06/01 6,491 14 25,000 Beverly Enterpnses 19 Mfg Bd 07/15/97 25,003 SO 75,00000 J 50- L 8 625°.b Due 10/01 /08 08785 1 AF8 1004/01 McDonald Investments, Inc SSk 382-90-2412 28245499 Mr & Mrs Richard DeVosJr. Dick & Betsy DeVos Foundation SCHEDULE OF CAPITAL GAINS AN D LOSS ES Page 3 O1/0l/2001 - 12/31/2001 SHARES PURCHASE LONG OR /SALE TOTAL REALIZED SHIRT FACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN fLOSS 1,000 Wabash National Corp WNC 06/04N9 19,103 50 12,41082 6 794 68 L 05/14/01 1,000 Wabash National Corp WNC 06104/99 ' 19,103 50 12,47682 6,72868- L OS/74/01 n -] 15,736 95 D L 1 \l'orlJcom Inc AfCI Group N1CIT OS/01/00 2704 1084 1620- 06/1 5701 i7 1 23,15230- L 7' 7,000 ll'orldpages com lnc WP2 02P24/00 19,152 30 600000 -] 07/O1/01 50- L 50,000 CMS Fnerg) 8°e 12/15/03 17/16199 50,003 50 5000000 7 1 Z 589Q V78 07/16/01 1941- L 1 AT&T Wireless Group AWE O7/OZ/00 34 21 1480 07/18101 1 000 Republic Bnncorp Inc RONC 10/21198 14,035 36 14,869 99 04463 L 08106/01 95763 L 1,000 Republic Bancorp Inc RBNC 10/23198 14,075 36 19,981 99 08/06/01 100 Republic Ranxory Inc RBNC 10R3198 1,40254 1,50794 10540 L 08/06/01 100 Republic Oencorp Inc RI3NC 10R3N8 1,402 54 1,49795 85 41 L 08106/01 83264 I 000 Republic Bancorp Inc RDNC 10113/98 14,075 76 14,878 00 I. OB/06/01 1 401 8-0 L 1,640 Republic Bancorp Inc RBNC I0f13198 17,001 59 24,40343 08/06/01 McDonald Investments, Inc 28245499 ht r. & Mrs Richard DcVos Jr. SSN 382-90-2412 Dick & Betsy DeVos Foundation SC HEDULE OF CAPITAL GA INS AND LOSSES Page 2 01/01/2001 - 12/31/2001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG FA CE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/LOSS SHRT 5,888 90 300 IlJ'S WHOLESALE INCORPORATED 01!1Z/01 11,487 75 13,085 80 1,59805 S 03102/01 500 FcJcraied Investors I'll 10/03/00 13,211 50 17,074 80 17670- 5 Ol/I1i01 71 300 Targd Corp TOT OIR2i01 10,359 25 10,978 68 36943 S Ol/12101 .-J 500 Centennial Comm CYCL 09/25100 9,891 50 8,42546 1,46604- S 03/16101 1 500 Allas Pipeline: Pennen LP APL 01R8/00 19,501 35 50,68930 71,187 95 L 04125101 100 Allsc 1'iprline Partners LP APL 01/28100 1,30009 3,347 88 2,04779 L 04/75101 900 Atlas PipeIinePann 1,900 Allas Pipeline Parhners LP APL 01/28100 18,201 26 47,710 41 29 109 1S I. 09/15101 100 Nlu 1'ipelme PaMers LP APL 01/78100 1,30009 3.39088 209079 L 04/25101 1,000 All. Pipeline Partners LP APL 01/28100 1300090 73,786 61 20 785 71 L 04/25101 107,780 56 500 Webuh National Corp \1'NC IOf20/98 8,02462 6,21103 1,817 59- L 05/24/01 411 McDonald Investments, Inc 28245499 Mr & Mrs Richard DeVos Jr SS# 382-90-2412 Dick & Bets3 DcVos Foundation SCHEDULE OF CAPITAL CAWS AND LOSSES Page I 01/01/2001-1213112001 SHARES PURCHASE OR /SALE TOTAL REALIZED LONG I'ACE VALUE SECURITY NAME DATE COST PROCEEDS GAIN/LOSS SHRT 500 Gent 730 Nortel Network NT 01/04/01 9,010 13 9,65092 64079 S 01/19/01 N 300 Abbon Laboratories AHT 10/16100 ]5,743 10 21,371 83 4377'27- S oinaioi 750 Phaminna Corp PHA 17/06/00 44,09160 40,11060 3,98100 5 ny 01/09101 z --{ 600 ITT INDUSTRIES INC 01/23/01 24,17400 75,11974 1,045]4 S 02116/01 500 Emerson Elean, Co EA1R 12/01100 37,641 SO 74 23070 7,410 86 S 07/16/01 500 Emerson Electric Co EMR 1106/00 38,678 83 74,730 70 4,798 15- S 0216/01 7,808 93- 250 MeAronic Inc MDT 01104101 14,816 75 1248391 2,34284- 5 03/20/01 500 Afedlro`uclncAfDT 12127/00 70,66800 74,96781 3,70018- 5 03/20/01 8,04302- 100 Pharmaceutical Prod De . PPDI 10/Z7/00 290731 5 759 57 2,357 26 S 01/16/01 150 Pharmaceutical Prod Dev PPDI 10/23/00 4,36097 7,89761 3,53664 S 02/I6/01 Dick and Betsy DeVos Foundation EIN 383035978 Year Ended 12/31/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor Recipient of Grant ~ Amount The Acton Institute None 501(c)(3) Unrestricted 50,000 For the Study of Religion and Liberty Grant to 161 Ottawa Avenue NW, Suite 301 The Waters Building General Fund Grand Rapids, MI 49503 Ada Christian School None 501(c)(3) Unrestricted 205,000 7192 Bradfeld Street SE Grant to Ada, MI 49301 General Fund American Center of Oriental Research None 501(c)(3) Unrestricted 20,000 656 Beacon St 5th Floor Grant to Boston, MA 02215 General Fund The American Council of Young Political Leaders None 501(c)(3) Unrestricted 10,000 1612 K Street NW Suite 300 Grant to Washington, DC 20006 General Fund American Education Reform Council None 501(c)(3) Unrestricted 5,000 2025 North Summit Ave Suite 103 Grant to Milwaukee, WI 53202 General Fund American Heart Association, Michigan Affiliate, Inc None 501(c)(3) Unrestricted 25,000 Lakeview Building 3940 Peninsular Dr SE Suite 180 Grant to Grand Rapids, MI 49546-6107 General Fund Aquinas College None 501(c)(3) Unrestricted 3,500 1607 Robinson Road SE Grant to Grand Rapids, MI 49506-1799 General Fund Arts Council of Greater Grand Rapids, Inc None 501(c)(3) Unrestricted 1,500 The Waters Building 161 Ottawa NW Suite 300 Grant to Grand Rapids, MI 49503 General Fund Baptists for Life, Incorporated None 501(c)(3) Unrestricted 1,000 P O Box 3158 Grant to Grand Rapids, MI 49501 General Fund Best Friends Foundation None 501(c)(3) Unrestricted 5,000 4455 Connecticut Avnue, N W Suite 310 Grant to Washington, DC 20008 General Fund Bethany Christian Services None 501(c)(3) Unrestricted 11,000 901 Eastern Avenue NE P O Box 294 Grant to Grand Rapids, MI 49501-0294 General Fund Black Educational Excellence Program None 501(c)(3) Unrestricted 1,200 143 Bostwick NE Grant to Grand Rapids, MI 49503-3201 General Fund Blodgett Butterworth Health Care Foundation None 501(c)(3) Unrestricted 117,500 100 Michigan NE - MC 4 Grant to Grand Rapids, MI 49503 General Fund Boy Scouts of America, Gerald R Ford Council None 501(c)(3) Unrestricted 5,000 3213 Walker NW Grant to Grand Rapids, MI 49544 General Fund Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12131/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation TRelationshi p Status of Purpose Recipient Name and Address to Donor I Recipient I of Grant f Amount Boys 8 Girls Club of Holland None 501(c)(3) Unrestricted 3,500 435 Van Raalte Avenue Grant to Holland, MI 49423 General Fund Bright Horizons None 501(c)(3) Unrestricted 1,000 PO Box 781 Grant to Jenison, MI 49428 General Fund Broadway Theatre Guild None 501(c)(3) Unrestricted 10,000 Waters Building 161 Ottawa NW Suite 603 Grant to Grand Rapids, MI 49503 General Fund Byron Center Christian School None 501(c)(3) Unrestricted 10,000 8840 Byron Center Ave S W Grant to Byron Center, MI 49315 General Fund Calvin College None 501(c)(3) Unrestricted 10,100 3201 Burton St SE Grant to Grand Rapids, MI 49546 General Fund Campus Crusade for Christ None 501(c)(3) Unrestricted 1,750 International Headquarters 100 Lake Hart Drive Grant to Orlando, FL 32832 General Fund Catholic Secondary Schools None 501(c)(3) Unrestricted 1,000 359 S Division St Grant to Grand Rapids, MI 49503 General Fund Catholic Social Services None 501(c)(3) Unrestricted 1,000 1152 Schribner NW Grant to Grand Rapids, MI 49504-4264 General Fund Celebration on the Grand None 501(c)(3) Unrestricted 1,000 P O Box 230914 Grant to Grand Rapids, MI 49504 General Fund Center for Individual Rights None 501(c)(3) Unrestricted 35,000 1233 Twentieth Street NW Suite 300 Grant to Washington, DC 20036 General Fund Children First America None 501(c)(3) Unrestricted 25,000 PO Box 330 Grant to Bentonville, AR 72712- General Fund Choices for Children None 501(c)(3) Unrestricted 280,000 201 Monroe Suite 300 Grant to Grand Rapids, MI 49503 General Fund Christ Centered Homes, Inc None 501(c)(3) Unrestricted 1,000 327 W Monroe St Grant to Jackson, MI 49202 General Fund Christian Camps for Inner-City Youth, Inc None 501(c)(3) Unrestricted 2,500 935 Baxter SE Grant to Grand Rapids, MI 49506 General Fund Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12131/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor I Recipient of Grant Amount Christian Counseling Center None 501(c)(3) Unrestricted 5,000 3355 Eagle Park Drive NE, Suite 106 Grant to Grand Rapids, MI 49525-7004 General Fund Christian Learning Center None 501(c)(3) Unrestricted 5,000 2520 Eastern Avenue S E Grant to Grand Rapids, MI 49507 General Fund Christian Reformed World Relief Committee None 501(c)(3) Unrestricted 5,000 2850 Kalamazoo Avenue SE Grant to Grand Rapids, MI 49560-0900 General Fund City Vision, Inc None 501(c)(3) Unrestricted 2,500 1413 Madison SE Grant to Grand Rapids, MI 49507 General Fund Close Up Foundation None 501(c)(3) Unrestricted 1,000 44 Canal Center Plaza Grant to Alexandria, VA 22314-1592 General Fund Compass Arts None 501(c)(3) Unrestricted 250 44 Grandville Ave SW Grant to Grand Rapids, MI 49503 General Fund Competitive Enterprise Institute None 501(c)(3) Unrestricted 1,000 1001 Connecticut Ave NW Suite 1250 Grant to Washington, D C 20036 General Fund Corn Heritage Village Center None 501(c)(3) Unrestricted 1,000 102 W Adams Grant to Corn, OK 73024 General Fund Cornerstone University None 501(c)(3) Unrestricted 20,000 1001 East Beltline Avenue N E Grant to Grand Rapids, MI 49525-5897 General Fund Council for National Policy None 501(c)(3) Unrestricted 1,750 10329-A Democracy Lane Grant to Fairfax, VA 22030 General Fund Council of Michigan Foundations None 501(c)(3) Unrestricted 1,400 One South Harbor Avenue PO Box 599, Suite 3 Grant to Grand Haven, MI 49417 General Fund Covenant Life Church None 501(c)(3) Unrestricted 1,000 101 Columbus Avenue Grant to Grand Haven . MI 49417 General Fund Criminal Justice Chaplaincy None 501(c)(3) Unrestricted 2,000 Park Professional Building 345 State Street SE Grant to Grand Rapids, MI 49503-4349 General Fund Davenport University Foundation None 501(c)(3) Unrestricted 30,000 415 East Fulton Grant to Grand Rapids, MI 49503 General Fund Dick and Betsy DeVos Foundation EIN 383035978 Year Ended 12131/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Relationship Status of I Purpose Name and Address to Donor Recipient of Grant Deaf Opportunity Out Reach None 501(c)(3) Unrestricted 20,000 United World Mission PO Box 250 Grant to Union Mills, NC 28167 General Fund Degage Ministries None 501(c)(3) Unrestricted 2,500 144 S Division Grant to Grand Rapids, MI 49503-4216 General Fund DeVos Children's Hospital Foundation None 501(c)(3) Unrestricted 1,500 100 Michigan NE - MC 4 Grant to Grand Rapids, MI 49503 General Fund Dove Foundation None 501(c)(3) Unrestricted 5,000 4521 Broadmoor SE Grant to Grand Rapids, MI 49512 General Fund East Grand Rapids Aquatics None 501(c)(3) Unrestricted 0 750 Lakeside Dr Grant to East Grand Rapids, MI 49506 General Fund Education Freedom Fund None 501(c)(3) Unrestricted 120,000 201 Monroe NW Suite 350 Grant to Grand Rapids, MI 49503 General Fund English Language Institute/ China None 501(c)(3) Unrestricted 10,000 P O Box 265 Grant to San Dimas, CA 91773-9864 General Fund Faith Temple Word of Faith Outreach None 501(c)(3) Unrestricted 2,500 1020 N Blackstone St Grant to Jackson, MI 49202 General Fund Faith, Inc None 501(c)(3) Unrestricted 2,500 48 South Division Street Grant to Grand Rapids, MI 49503 General Fund The Federalist Society for Law & Public Policy Studie None 501(c)(3) Unrestricted 5,000 1015 18th Street NW Suite 425 Grant to Washington, DC 20036 General Fund Focus on the Family None 501(c)(3) Unrestricted 75,000 8605 Explorer Dr Grant to Colorado Springs, CO 80920 General Fund Foundation for Traditional Values None 501(c)(3) Unrestricted 20,000 P O Box 26095 Grant to Lansing, MI 48909-6095 General Fund Friends of the Americas None 501(c)(3) Unrestricted 1,000 1024 North Foster Drive Grant to Baton Rouge, LA 70806 General Fund The Gathering None 501(c)(3) Unrestricted 5,000 601 Shelley Dr Suite 201 Grant to Tyler, TX 75701 General Fund .1 n Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12/31/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor Recipient of Grant Amount Good Samaritan Ministries None 501(c)(3) Unrestricted 1,000 513 E 8th Street Suite 25 Grant to Holland, MI 49423 General Fund Goodwill Industries of Greater Grand Rapids, Inc None 501(c)(3) Unrestricted 1,000 3035 Prairie Street, SW Grant to Grandville, MI 49418 General Fund Gospel Communications International None 501(c)(3) Unrestricted 40,000 PO Box 455 Grant to Muskegon, MI 49443-0455 General Fund Grand Rapids Art Museum None 501(c)(3) Unrestricted 1,000 155 Division North Grant to Grand Rapids, MI 49503-3154 General Fund Grand Rapids Ballet None 501(c)(3) Unrestricted 5,000 341 Ellsworth Ave SW Grant to Grand Rapids, MI 49503 General Fund Grand Rapids Children's Museum None 501(c)(3) Unrestricted 1,000 22 Sheldon Avenue N E Grant to Grand Rapids, MI 49503-3218 General Fund Grand Rapids Christian School Association None 501(c)(3) Unrestricted 60,000 1812 Sylvan SE Grant to Grand Rapids, MI 49506 General Fund Grand Rapids Griffins Youth Foundation None 501(c)(3) Unrestricted 2,500 200 Ottawa NW Suite 500 Grant to Grand Rapids, MI 49503 General Fund Grand Rapids Student Advancement Foundation None 501(c)(3) Unrestricted 1,000 1331 Franklin SE P O Box 117 Grant to Grand Rapids, MI 49501-0117 General Fund Grand Rapids Youth Commonwealth, Inc None 501(c)(3) Unrestricted 1,000 235 Straight N W Grant to Grand Rapids, MI 49504 General Fund Grand Valley University Foundation None Govt/Pub Ed Unrestricted 5,000 401 W Fulton St Grant to Grand Rapids, MI x9504-6431 General Fund Greater Educational Opportunities Foundation None 501(c)(3) Unrestricted 1,000 3802 Springfield Overlook Grant to Indianapolis, IN 46234 General Fund Habitat for Humanity - Lakeshore None 501(c)(3) Unrestricted 10,000 341 West 16th St Grant to Holland, MI 49423 General Fund Habitat for Humanity of Michigan None 501(c)(3) Unrestricted 25,000 4301 South Waverly Road Grant to Lansing, MI 48911 General Fund Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12131/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship States of Purpose Reci pient Name and Address to Donor Recipient of Grant Amount Haggai Institute None 501(c)(3) Unrestricted 125,000 PO Box 13 Grant to Atlanta, GA 30370 General Fund Haven Christian Reformed Church None 501(c)(3) Unrestricted 5,000 541 Alice St Grant to Zeeland, MI 49464 General Fund Health Intervention Services None 501(c)(3) Unrestricted 10,000 PO Box 3313 Grant to Grand Rapids, MI 49501 General Fund The Heritage Foundation None 501(c)(3) Unrestricted 10,000 214 Massachuesetts Avenue NE Grant to Washington, DC 20002-4999 General Fund HiIIsdaleConservative Alliance None 501(c)(3) Unrestricted 1,000 P O Box 323 Grant to Hillsdale, MI 49242 General Fund Holland Community Hospital Foundation None 501(c)(3) Unrestricted 2,500 602 Michigan Avenu South Washington Suite 100 Grant to Holland, MI 49423 General Fund Holland Rescue Mission None 501(c)(3) Unrestricted 5,000 166 S River Ave Grant to Holland, MI 49423 General Fund Holy Redeemer Roman Catholic Church None 501(c)(3) Unrestricted 500 5671 W Verner Highway Grant to Detroit, Ml 48209 General Fund Home Repair Services None 501(c)(3) Unrestricted 20,000 1100S Division Grant to Grand Rapids, MI 49507 General Fund Hospice of Holland, Inc None 501(c)(3) Unrestricted 2,500 270 Hoover Blvd Grant to Holland, MI 49423 General Fund Hospice of Michigan in Grand Rapids None 501(c)(3) Unrestricted 2,500 1260 Ekhart NE Grant to Grand Rapids, MI 49503-1268 General Fund Immaculate Heart of Mary None 501(c)(3) Unrestricted 200 1953 Plymouth SE Grant to Grand Rapids, MI 49506 General Fund Indian River Hospital Foundation, Inc. None 501(c)(3) Unrestricted 1,000 1000 36th St Grant to Vero Beach, FL 32960 General Fund Indian Trails Camp None 501(c)(3) Unrestricted 1,000 4335 Lake Michigan Drive Suite #110 Grant to Grand Rapids, MI 49544 General Fund Dick and Betsy DeVos Foundation EIN 383035978 Year Ended 12131101 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment rounaacion Relationship I Status of Purpose to Donor Recipient of Grant Institute for Excellence in Public Education, Inc None 501(c)(3) Unrestricted 50,000 172 West State St Grant to Trenton, NJ 08608 General Fund Interdev None 501(c)(3) Unrestricted 2,500 P O Box 3883 Grant to Seattle, WA 98124-3883 General Fund International Aid None 501(c)(3) Unrestricted 10,200 17011 Hickory Grant to Spring Lake, MI 49456 General Fund InterVarsity Christian Fellowship None 501(c)(3) Unrestricted 5,000 2247 Glen Echo Dr SE Grant to Grand Rapids, MI 49546 General Fund Joy of Jesus, Inc None 501(c)(3) Unrestricted 55,000 12255 Camden Grant to Detroit, MI 48213 General Fund Juvenile Diabetes Foundation-West Michigan None 501(c)(3) Unrestricted 1,000 4362 Cascade Rd Grant to Grand Rapids, MI 49546 General Fund Inner City Christian Federation None 501(c)(3) Unrestricted 10,000 816 Madison SE Grant to Grand Rapids, MI 49507 General Fund Kalamazoo Christian School Association None 501(c)(3) Unrestricted 10,000 2121 Stadium Drive Grant to Kalamazoo, MI 49008-1692 General Fund Kent County Literacy Council None 501(c)(3) Unrestricted 500 60 Library Plaza NE Grant to Grand Rapids, MI 49503 General Fund Kent County Medical Society Alliance None 501(c)(3) Unrestricted 3,000 1400 Michigan Street NE Grant to Grand Rapids, MI 49503 General Fund Keystone Community Church None 501 (c)(3) Unrestricted 1,000 3366 Kraft Ave SE Grant to Grand Rapids, MI 49512 General Fund Kids Hope USA None 501(c)(3) Unrestricted 300,000 17011 Hickory Grant to Spring Lake, MI 49456 General Fund Law and Organizational Economics Center None 501(c)(3) Unrestricted 5,000 Summertield Hall Grant to Lawrence, KS 66045 General Fund Leadership Grand Rapids None 501(c)(3) Unrestricted 250 111 Pearl Street NW Grant to Grand Rapids, MI 49502-3395 General Fund Dick and Betsy DeVos Foundation EIN 383035978 Year Ended 12/31/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor Recipient of Grant Amount Little Traverse Conservancy None 501(c)(3) Unrestricted 1,000 3264 Powell Road Grant to Harbor Springs, MI 49740 General Fund Macatawa Bay Juniors Association None 501(c)(3) Unrestricted 1,000 P O Box 54 Grant to Macatawa, MI 49434 General Fund Mackinac Center for Public Policy None 501(c)(3) Unrestricted 25,000 140 W Main St P O Box 568 Grant to Midland, MI 48640 General Fund Maple Avenue Ministries None 501(c)(3) Unrestricted 10,000 427 South Maple Ave Grant to Holland, MI 49423 General Fund Mars Hill Bible Church None 501(c)(3) Unrestricted 100,000 3501 Fairtanes Ave SW Grant to Grandville, MI 49418 General Fund McKee Botanical Garden None 501(c)(3) Unrestricted 5,000 350 U S Highway 1 Grant to Vero Beach, FL 32962 General Fund Meet Grand Rapids None 501(c)(3) Unrestricted 1,000 140 Monroe Center Suite 300 Grant to Grand Rapids, MI 49503 General Fund Mel Trotter Ministries None 501(c)(3) Unrestricted 5,000 225 Commerce Avenue SW Grant to Grand Rapids, MI 49503 General Fund Michigan Association of Public School Academies None 501(c)(3) Unrestricted 25,000 215 S Washington Square Suite 210 Grant to Lansing, MI 48933-1888 General Fund Michigan Family Forum None 501(c)(3) Unrestricted 10,000 611 S Walnut St P O Box 15216 Grant to Lansing, Mi 48901-5216 General Fund Michigan School Board Leaders Association None 501(c)(3) Unrestricted 12,500 3122 Rivershyre Parkway PO Box 608 Grant to Davison, MI 48423 General Fund Milton 8 Rose D Freedman Foundation None 501(c)(3) Unrestricted 2,500 One American Square Suite 1750 Grant to P O Box 82078 General Fund Indianapolis, IN 46282 Muscular Dystrophy Association None 501(c)(3) Unrestricted 500 161 Ottawa Street, N W Suite 305-A Grant to Grand Rapids, MI 49503 General Fund National Center for Policy Analysis None 501(c)(3) Unrestricted 1,000 12655 N Central Expessway Suite 720 Grant to Dallas, TX 75243-1739 General Fund Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12131/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor Recipient of Grant Amount National Center on Addiction and Substance Abuse None 501(c)(3) Unrestricted 1,000 at Columbia University Grant to 633 Third Ave General Fund New York. NY 10017-6706 National Day of Prayer Task Force None 501(c)(3) Unrestricted 5,000 P O Box 15616 Grant to Colorado Springs, CO 80935-5616 General Fund National Fatherhood Initiative None 501 (c)(3) Unrestricted 10,000 101 Lake Forest Blvd Suite 360 Grant to Gaithersburg, MD 20877 General Fund National Relief Network None 501(c)(3) Unrestricted 2,500 P O Box 150023 Grant to Grand Rapids, MI 49515 General Fund New Focus None 501(c)(3) Unrestricted 5,000 6837 Lake Michigan Drive P O Box 351 Grant to Allendale, MI 49401 General Fund Northern Michigan Christian School Association None 501(c)(3) Unrestricted 500 128 Martin Street Grant to McBain, Ml 49657 General Fund Oakdale Neighbors None 501(c)(3) Unrestricted 1,000 1260 Kalamazoo SE Grant to Grand Rapids, MI 49507 General Fund Opera Grand Rapids None 501(c)(3) Unrestricted 10,000 161 Ottawa Avenue NW Grant to Grand Rapids, MI 49503 General Fund Operation Smile None 501(c)(3) Unrestricted 5,000 220 Lyon St NW Ste 700 Grant to Grand Rapids, MI 49503 General Fund Orlando Magic Youth Foundation None 501(c)(3) Unrestricted 10,000 One Magic Place P O Box 76 Grant to Orlando, FL 32802 General Fund Pathfinder Resources None 501(c)(3) Unrestricted 5,000 2303 Kalamazoo Ave SE Grant to Grand Rapids, MI 49507 General Fund Pepperdine University None 501(c)(3) Unrestricted 1,000 24255 Pacific Coast Highway Grant to Malibu, CA 90263-x280 General Fund The Philanthropy Roundtable None 501(c)(3) Unrestricted 1,000 1150 17th Street NW Suite 503 Grant to Washington, DC 20036 General Fund Pine Rest Christian Mental Health Services None 501(c)(3) Unrestricted 7,500 300 68th Street, S E PO BOX 165 Grant to Grand Rapids, MI 49501-0165 General Fund Dick and Betsy DeVos Foundation EIN 383035978 Year Ended 12/31/01 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation Relationship Status of Purpose Recipient Name and Address to Donor Recipient I of Grant Amount Pine Rest Foundation None 501(c)(3) Unrestricted 2,500 300 68th Street SE P O Box 165 Grant to Grand Rapids, MI 49501-0165 General Fund The Potter's House None 501(c)(3) Unrestricted 125,000 810 VanRaalte SW Grant to Grand Rapids, MI 49509 General Fund Pregnancy Resource Center None 501(c)(3) Unrestricted 20,750 415 Cherry SE Grant to Grand Rapids, MI 49503 General Fund Prison Fellowship None 501(c)(3) Unrestricted 50,425 P O Box 17500 Grant to Washington, DC 20041-0500 General Fund Rehoboth Christian School None 501(c)(3) Unrestricted 50,000 P O Box 41 Grant to Rehoboth, NM 87322-0041 General Fund RidgePoint Community Church None 501(c)(3) Unrestricted 320,000 340 104th Ave Grant to Holland, Mi 49423 General Fund Roosevelt Park Ministries None 501(c)(3) Unrestricted 2,000 1530 Grandville Ave Grant to Grand Rapids, MI 49509 General Fund Safe Haven Ministries None 501(c)(3) Unrestricted 1,000 3501 Lake Eastbrook SE Suite 335 Grant to Grand Rapids, MI 49546 General Fund Silent Observer None 501(c)(3) Unrestricted 2,000 PO Box 230321 Grant to Grand Rapids, MI 49523 General Fund Spring Hill Youth Camp None 501(c)(3) Unrestricted 25,000 P O Box 42 Grant to Evart, Mi 49631 General Fund That the World May Know Ministries None 501(c)(3) Unrestricted 10,000 36 West Eighth Street Suite 250 Grant to Holland, MI 49423 General Fund Thomas More Center for Law & Justice None 501(c)(3) Unrestricted 10,000 3475 Plymouth Road Suite 100 Grant to Ann Arbor, MI 48105-2550 General Fund Toward Tradition None 501(c)(3) Unrestricted 10,000 9311 S E 36th Street Suite 100 PO Box 58 Grant to Mercer Island, WA 98040 General Fund Dick and Betsy DeVos Foundation EIN 38-3035978 Year Ended 12/31101 Form 990PF - Part XV Supplementary Information Line 3 - Grants and Contributions Paid during the Year or Approved for Future Payment Foundation - Relationship States of ~ Purpose lReci pient Name and Address to Donor Reci p ient of Grant Amount Trinity Christian School None 501(c)(3) Unrestricted 1,000 10520 Main St Grant to Fairfax, VA 22030 General Fund Truth for Life None 501(c)(3) Unrestricted 1,000 P O Box 398000 Grant to Cleveland, OH 44139 General Fund United Negro College Fund None 501(c)(3) Unrestricted 500 8260 Willow Oaks Corporate Drive P O Box 10444 Grant to Fairfax, VA 22031-4511 General Fund United Way - Heart of West Michigan None 501(c)(3) Unrestricted 25,000 118 Commerce SW Grant to Grand Rapids, MI 49503 General Fund University of Michigan Depression Center None 501(c)(3) Unrestricted 1,000 Office of Development 3003 S State St Grant to Ann Arbor, MI 48109 General Fund Volunteers In Service None 501(c)(3) Unrestricted 1,000 1725 South Division Avenue Suite 2 Grant to Grand Rapids, MI 49507-1603 General Fund Wedgwood Christian Youth 8 Family Services None 501(c)(3) Unrestricted 10,000 3300 36th Street SE PO Box 88007 Grant to Grand Rapids, MI 49518-0007 General Fund Willow Creek Association None 501(c)(3) Unrestricted 150,000 PO Box 3188 Grant to Barrington, IL 60011-3188 General Fund Worldwide Christian Schools None 501(c)(3) Unrestricted 5,000 1009 44th St SW Suite A Grant to Grand Rapids, MI 49509-4417 General Fund YMCA, Grand Rapids Metropolitan None 501(c)(3) Unrestricted 10,000 40 Monroe Center Suite 201 Grant to Grand Rapids, MI 49503 General Fund Young Life - National Office None 501(c)(3) Unrestricted 255,000 P O Box 520 Grant to Colorado Springs, CO 80901 General Fund Young Life Greater Grand Rapids None 501(c)(3) Unrestricted 15,000 5989 Tahoe Dr SE Suite 240 Grant to Grand Rapids, MI 49546 General Fund Total 3,351,775 0,,n' 8868 Application for Extension of Time To File an P ember 2000) Exempt Organization Return OMB No 1545 1709 D~o+~+~~~ of tn. 7neu,ny InICnal Revanue Sb'nce File a for each return If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box Oil " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form) Note Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 9868 Part I Automatic 3-Month Extension of Time - only submit onqinal (no copes needed) Note Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part 1 only All other corporations (including Form 990-C tilers) must use Form 7004 to request an extension of time to file income tax returns Partnerships, REMICs and trusts must use Form 8 736 to request an extension of time to file Form 1065 1066 a 1047 Type a Name of Exempt Organization Employer identification number print DICK AND BETSY DEVOS FOUNDATION 38-2902412 Fill Or ms e , d Number street and room or suite no 1f a ? O box, see instructions ration"""°r°"' s. . 126 OTTAWA AVENUE NW SUITE 500 City, town or post office, state, and ZIP code For a foreign address, see instructions GRAND RAPIDS MI 49503 Check type of return to be filed(file a separate application for each return) 0 Form 990 0 Form 990 T(corporauon) 0 Form 4720 Farm 990 Bl ~ Form 990 T (sec 401(a) or 408(a) trust) ~ Form 5227 Form 990 EZ ~ Form 990 T (trust other than above) ~ Form 6069 Form 990 PF ~ Form 7041 A ~ Form 8870 " It the organization does not have an office or place of business in the United States, check this box " If this is for a Group Return, enter the organization s four digit Group Exemption Number (GEM If this is (or the whole group, check this box 10- 0 If it is for part of the group, check this box 1 = and attach a list with the names and EINS of all members the extension will cover 7 I request an automatic 3 month (6 month, for 990-T corporation) extension of time until AUGUST 15, 2 002 to ale the exempt organization return for the organization named above The extension is for the organization s return for " EE calendar year 2 0 O 1 or 111,- =1 tax year beginning and ending 2 If this tax year is for less than 12 months check reason ~ Initial return ~ Final return 0 Change in accounting period 3a It this application is for Form 990 BL, 990 PF 990 T 4720, or 6069 enter the tentative tax, less any nonrefundable credits See instructions $ 16,342 . b II this application is for Form 990 PF or 990 T enter any refundable credits and estimated tax payments made Include any poor year overpayment allowed as a credit 5 1 6,342 . c Balance Due Subtract line 3b from line 3a Include your payment with this torte or if required deposit with FTD coupon or, it required, by using EFTPS (Electronic Federal Tax Payment System) See Instructions S 0 . Signature and Verification Under penalties of perNry, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form Signature " Title " CPA Date " ~/ i!rzo Y LHA For Pape k Reduction Act Notice see instruction Form 8868 (12-2000) ,zoeo, 07 16-0 1 F 8868 12-2000 Page 2 " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box Note Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868 " II you are fling for an Automatic 3-Month Extension, complete only Part I (on page 1) Part II Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy Name of Exempt Organization ' Employer identification number Type a pant r ...... ,.*,...... ,..n t.~.*....,.~.~ .... 10 nnnnA,n File the or Number street, and room or suite no If a P O box, see instructions ~ For IRS use onl y due aetei. fil~np the 126 OTTAWA AVENUE NW, SUITE 500 _ ."w~n s.. City, town or post office state, and ZIP code For a foreign address see instructions '.r inswcnms . . ~ ~~ .. ~ _ .. _ ...... , . .. ~ . . . Check type of return to be filed (File a separate application for each return) 0 Form 990 0 Form 990 EZ 0 Form 990 T (sec 401(a) or 408(a) trust) 0 Form 704 A ~ Form 5227 0 Form 8870 Form 990 BL ~ Form 990 PF ~ Form 990 T (trust other than above) 0 Form 4720 ~ Form 6069 STOP Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868 It the organization does not have an office or place of business m the United States, checF this box 10- = I( this is for a Group Return, enter the organization s four digit Group Exemption Number (GEN) If this is for the whole group check this box DO- = If rt is for part of the group, check [his box 1 0 and attach a list with the names and EINS of all members the extension is for 4 I request an additional 3 month extension of time until NOVEMBER 15, 2002 5 For calendar year 2 0 0 1 , or other tax year beginning and ending 6 If this tax year is for less than 12 months, check reason 0 Initial return Final return Change in accounting period 7 State in detail why you need the extension INFORMATION REQUIRED TO FILE A COMPLETE AND ACCURATE RETURN IS NOT YET AVAILABLE FROM THIRD PARTY SOURCES . Ba If this application is for Form 990 BL 990 PF 990 T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions $ 16,342 . b If this application is for Form 990 PF 990 T 4720, or 6069, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $ 16 , 342 . c Balance Due Subtract line Sb from line Be Include your payment with this forth, or, it required deposit with FrO coupon or if required by using EFTPS (Electronic Federal Tax Payment System) See instructions Signature and Verification Under penalties of penury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form ~,, Notice to Applicant - To Be Completed by the IRS /~-- "We have approved this application Please attach this form to the organization s return ~ ~~~g ~ppOVED 0 We have not approved this application However, we have granted a 10 day grace penod from the later of the da s" e ue date of the organization's return Qncluding any prior extensions) This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return Please attach this form to the organizations return AUG 2 9 2002 0 We have not approved this application After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file We are not granting the 10 day grace penod LINDAWEISKOPF FIELD DIRECTOR OGDEN We cannot consider this application because rt was fled after the due date of the return for which an extension w$l}Z~IW&6PROCESSING 0 Other By Dale Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3 month extension returned to an address different than the one entered above Name Type I Number and street (include suite room or apt no ) Or a P O box number or print pp Mn"ronz' ncrc rnu er,TmV anti City or town, province or state and country Including postal or ZIP code) Form 8868 (12-2000) n11o, 0 1