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Richard and Helen Devos Foundation 20 Return of Private Foundation OMB No 1545-0052 Form 990-PF or Section 4947(a)(1) Nonexempt Charitable Trust Depahment of the Treasury Treated as a Private Foundation internal Revenue Service Note. The foundation may be able to use a copy of this return to satisfy state reporting n wrements. I 2011 For calendar year 2011 or tax year beginning , and ending Name of foundation Employer identification number RICHARD & HELEN DEVOS FOUNDATION 23-7066873 Number and street (or P O box number if mail is not delivered to street address) Room/sude B Telephone number 126 OTTAWA AVENUE, N.W., SUITE 500 (616) 643-4700 City or town, state, and ZIP code C If exemption application is pending , check here ► GRAND RAPIDS, MI 49503 G Check all that apply. L_J Initial return Initial return of a former public charity D 1. Foreign organizations, check here Final return Amended return eeting 95% test, Address change Name change 2. =here aa,mcommputatio H X Check type of organization: Section 501(c)(3) exempt private foundation E If private foundation status was terminated = Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation under section 507(b)(1)(A), check here Fair market value of all end I assets at of year J Accounting method: Cash Accrual F If the foundation is in a 60-month termination (from Part 1l, col. (c), line 16) = Other (specify) under section 507(b)(1)(B), check here _ ► $ 9 6 , 0 2 9 , 4 2 2 . (Part 1, column (d) must be on cash basis.) Part I Analysis of Revenue and Expenses (a) Revenue and (b ) Net investment (c) Adjusted net (d) Disbursements (The total of amounts in columns (b) , (c), and (d) may not for chant ble purposes necessari ly equa l the amounts in col umn (a)) expenses per books income income (rash basis only) 1 Contributions, gifts, grants, etc., received 41,618,255. N/A 2 Check ► Q dthe foundation is not required to attach Sch B Interest on savin and temporary 3 cash nvestmentss ,185. ,185. - TATEMENT 1 4 Dividends and interest from securities _ 3,981,974. 4,475. S TATEMENT 2 5a Gross rents b Net rental income or (loss) 6a from CD Net gain or (loss) sale of assets not on line 10 Gross sales price for all b assets on line 6a q= (( _ 7 Capital gain net income (from Part N, line 2) cc 8 Net short-term capital gain 9 Income modifications Nov 2 1 ► ; Gross sales less returns - I 10a andallowances b Less Cost of goods sold c Gross profit or (loss) &_ U G 11 Other income _ 9,172,411. 6,041. S TATEMENT 3 12 Total. Add lines 1 through 11 54,774,825. 14,135. 13 Compensation of officers, directors , trustees , etc 0. 0. 0. 14 Other employee salaries and wages 15 Pension plans, employee benefits a, y 16a Legal fees w b Accounting fees STMT 4 5,635. 564. CIL 5,071. X c Other professional fees STMT 5 499,853. 30,953. 468,900. 17 Interest 91 18 Taxes STMT 6 3,436,749. 0. 0. 19 Depreciation and depletion E 20 Occupancy a 21 Travel, conferences, and meetings 44,215. 0 . 44,215. C r- 22 Printing and publications cue w 23 Other expenses STMT 7 2, 060, 607. 0. 2, 060, 607. W 24 Total operating and administrative a expenses . Add lines 13 through 23 6,047,059. 31,517. 2,578,793. 0 0 25 Contributions, gifts, grants paid 50,118,777. 50,118,777. 26 Total expenses and disbursements. Add lines 24 and 25 56,165,836. 31,517. 52,697,570. L,D 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements -1 ,391,011. b Net investment income (d negative, enter -o-) _ 0. c Adjusted net income (B negative, enter -0-) N/A 23501 12-02-11 LHA For Paperwork Reduction Act Notice , see instructions . Form 990-PF (2011),14 1Ig 14311024 137752 23-7066873 2011.04020 RICHARD & HELEN DEVOS FOUND 23-70662 Form 990-PF 2011 RICHARD & HELEN DEVOS FOUNDATION 2 3- 7 U b b 8 7 3 Page 2 Altalhedschedules and amounts in the descnpbon Beginning of year End of year Balance Sheets Part lI column should be for end-of-year amounts only (a ) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing - - - 2 Savings and temporary cash investments 7,978,034. 6,853,049. 6,853,049. 3 Accounts receivable ► 3. 7,193. 3. Less: allowance for doubtful accounts ► 3. 4 Pledges receivable ► Less: allowance for doubtful accounts ► 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons 7 Other notes and loans receivable ► Less: allowance for doubtful accounts ► 8 Inventories for sale or use 9 Prepaid expenses and deferred charges y - - a 10a Investments - U.S. and state government obligations b Investments - corporate stock STMT 9 1,790,344. 1,790,344. 84,269,846. c Investments - corporate bonds 11 Investments -land,buldings, and equipment basis - - ► Less accumulated depreciation ► 12 Investments - mortgage loans 13 Investments - other STMT 10 2, 081, 768. 1, 822, 932. 4, 906, 524. 14 Land, buildings, and equipment basis ► 12,250. Less accumulated depreciation STMT 111o. 12,250. 15 Other assets (describe ► 16 Total assets to be completed by all filers) 11,857,339. 10,466,328. 96,029,422. 17 Accounts payable and accrued expenses 18 Grants payable w 19 Deferred revenue - 20 Loans from officers, directors , trustees , and other disqualified persons 2 21 Mortgages and other notes payable 22 Other liabilities (describe ► 23 Total liabilities (add lines 17 through 22 ) 0. 0. Foundations that follow SFAS 117, check here ► and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted m 25 Temporarily restricted co 26 Permanently restricted , Foundations that do not follow SFAS 117, check here r_ ► LL 0 and complete lines 27 through 31. ° 27 Capital stock, trust principal, or current funds - - 0. 0 28 Paid-in or capital surplus, or land, bldg., and equipment fund 0. 0 a 29 Retained earnings, accumulated income, endowment, or other funds 11,857,339. 10,466,328 . Z 30 Total net assets or fund balances - - 11,857,339. 10,466,328. 31 Total liabilities and net assets/fund balances 11,857,339. 10,466,328. 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 -of-year figure reported on prior year' s return ) 1 11,857 ,339 . 2 Enter amount from Part I, line 27a 2 -1 , 391 , 011 . 3 Other increases not included in line 2 (itemize) ► 3 0 . 4 Add lines 1 , 2, and3 - 4 10 ,466 ,328. 5 Decreases not included in line 2 ( itemize) ► 5 0 . 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b ), line 30 6 10, 4 66,328 . Form 990-PF (2011) 123511 12-02-11 2 14311024 137752 23-7066873 2011.04020 RICHARD & HELEN DEVOS FOUND 23-70662 Form 990-PF (2011) RICHARD & HELEN DEVOS FOUNDATION 23-7066873 Page 3 Part IV Capital Gains and Losses for Tax on Investment I ncome (a) List and describe the kind(s) of property sold (e.g., real estate, How acgwre (c) Date acquired (d) Date sold - Purchase 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D - Donation (mo., day, yr.) (mo., day, yr.)- la FROM PARTNERSHIPS - SEE STATEMENT 13 P VARIOUS VARIOUS b c d e (h) Gain or (loss) (e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale (e) plus (f) minus (g) a 1,434. b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col. (h) gain minus col. (k), (j) Adjusted basis (k) Excess of col. (i) but not less than -0-) or Losses (from col. (h)) (i) F.M.V. as of 12/31/69 as of 12/31/69 over col. (j), if any a 1,434. b c d e It gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 7 2 1,434. 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c). If (loss ), enter -0- in Part I, line 8 3 N/A Part V Qualification Unde-r-S-e-ction 494( (e) for Reuced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part blank. Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? 0 Yes © No If 'Yes, the foundation does not qualify 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 entries. a Base period years Distribution ratio Calendar year (or tax year beginning in) Adjusted qualifying(distributions Net value of noncharitable-use assets (col. (b) divided by col. (c)) 2010 55,263,094. 89,154,353. .619859 2009 48,406,668.
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