2019-10-29T07:59:28-05:00 2018-12-31 231909723 MCKONLY & ASBURY LLP 415 FALLOWFIELD ROAD CAMP HILL PA 17011 990 2018-01-01 061454250 AHOLD DELHAIZE USA FAMILY FOUNDATION INC AHOL 7179601701 1149 HARRISBURG PIKE CARLISLE PA 17013 LISA KINSEY ASSISTANT TREASURER 7179601701 2019-10-24 1 GARY J DUBAS P00252339 7177617910 X 50.207.109.122 2019-10-24 15:34:24 ED P 435BBDE97F69B3A271D41072029CEF7844F39D38 A21C345E322C9018102DD7A8E33E376FF219E001 2018 2020-03-31 21:24:44Z KATHY RUSSELLO 1149 HARRISBURG PIKE CARLISLE PA 17013 17405403 0 X N/A X 1996 CT TO BUILD HEALTHY COMMUNITIES. 10 0 0 215 0 0 14185829 15823829 0 0 79592 83624 2992699 646160 17258120 16553613 21644003 17580484 0 0 0 0 0 0 238370 249358 287868 21893361 17868352 -4635241 -1314739 15689748 15619203 12353751 13597945 3335997 2021258 TO BUILD HEALTHY COMMUNITIES 0 0 17580484 17580484 TO BUILD HEALTHY COMMUNITIES THROUGH GRANTS TOTALING $17,580,484 TO NONPROFIT ORGANIZATIONS. 17580484 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 PA MD VA WV CT DC NH NJ NY RI DE MA X LISA J KINSEY ASSISTANT TREASURER 7179601701 1149 HARRISBURG PIKE CARLISLE PA 17013 X MARK MCGOWAN DIRECTOR 0.30 X 0 0 0 KATHY RUSSELLO PRESIDENT 0.30 X X 0 0 0 PAUL SCORZA DIRECTOR 0.30 X 0 0 0 GORDON REID DIRECTOR 0.30 X 0 0 0 KEVIN HOLT DIRECTOR 0.30 X 0 0 0 NICHOLAS BERTRAM DIRECTOR 0.30 X 0 0 0 GREG AMOROSO TREASURER 0.30 X X 0 0 0 GERALD LINN EVANS SECRETARY 0.30 X X 0 0 0 JJ FLEEMAN DIRECTOR 0.30 X 0 0 0 CHRISTOPHER LEWIS DIRECTOR 0.30 X 0 0 0 LISA KINSEY ASSISTANT TREASURER 0.30 X 0 0 0 0 0 0 0 0 0 0 HERSHEY ENTERTAINMENT & RESORTS 27 W CHOCOLATE AVE HERSHEY PA 17033 PA GOLF OUTING 195333 CMS PREMIUM PRODUCTS LLC 48 DAIRY HILL ROAD MADISON CT 06443 PA GOLF OUTING, PRIZES & GIVEAWAYS 169384 2 15705872 117957 15823829 83624 83624 1497950 15705872 851790 646160 646160 16553613 0 0 729784 17580484 17580484 194693 194693 36824 36824 OTHER FUNDRAISING 43677 43677 BAD DEBT 6705 6705 MISCELLANEOUS 5136 5136 CASHIER'S CHARGE 400 400 433 433 17868352 17580484 49498 238370 1000 1000 15227646 13178347 456397 2431856 4705 8000 15689748 15619203 25540 6314 12307511 13533631 20700 58000 12353751 13597945 X 3335997 2021258 3335997 2021258 15689748 15619203 -1314739 0 X 0 1 X 1 0 X 6719853 6608389 14128417 14185829 15823829 57466317 6719853 6608389 14128417 14185829 15823829 57466317 3395723 54070594 48092 48829 30039 79592 83624 290176 8527572 8686162 2235783 2992699 646160 23088376 80844869 0.66880 0.56010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 17439450 34047 851790 885837 16553613 0 16553613 18754189 34047 851790 885837 17868352 0 17868352 PART X, LINE 2: THE FOUNDATION ADHERES TO THE PROVISIONS OF FASB ASC 740, INCOME TAXES (ASC 740). ASC 740 ESTABLISHES RULES FOR RECOGNIZING AND MEASURING TAX POSITIONS TAKEN IN AN INCOME TAX RETURN, INCLUDING DISCLOSURES OF UNCERTAIN TAX POSITIONS (UTPS). ASC 740 MANDATES THAT ENTITIES EVALUATE ALL MATERIAL INCOME TAX POSITIONS FOR PERIODS THAT REMAIN OPEN UNDER APPLICABLE STATUTES OF LIMITATION, AS WELL AS POSITIONS EXPECTED TO BE TAKEN IN FUTURE RETURNS. THE UTP RULES THEN IMPOSE A RECOGNITION THRESHOLD ON EACH TAX POSITION. AN ENTITY CAN RECOGNIZE AN INCOME TAX BENEFIT ONLY IF THE POSITION HAS A "MORE LIKELY THAN NOT" (I.E., MORE THAN 50 PERCENT) CHANCE OF BEING SUSTAINED ON THE TECHNICAL MERITS. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE FOUNDATION HAS TAKEN NO MATERIAL TAX POSITIONS ON ITS APPLICABLE TAX FILINGS THAT DO NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD. AS A RESULT, NO AMOUNT FOR UTPS HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES SHOWN GROSS ON FINANCIAL STATEMENTS 851,790. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSES SHOWN GROSS ON FINANCIAL STATEMENTS 851,790. GOLF OUTINGS 10809145 9311195 1497950 119563 266742 166833 23764 CUSTOMER EVENTS 6394677 6394677 106039 89729 79120 17203822 15705872 1497950 225602 356471 166833 102884 851790 646160 1 CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVE WASHINGTON DC 20010 521640403 501(C)(3) 202896 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. JANET WEIS CHILDREN'S HOSPITAL 100 N ACADEMY AVE DANVILLE PA 17822 231995911 501(C)(3) 228695 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. PENN STATE CHILDREN'S HOSPITAL AT HERSHEY MEDICAL CENTER 500 UNIVERSITY DRIVE HERSHEY PA 17033 246000376 501(C)(3) 533092 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. JOHN HOPKINS CHILDREN'S HOSPITAL 600 NORTH WOLFE ST BALTIMORE MD 21287 520595110 501(C)(3) 1576809 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. PITTSBURGH CHILDREN'S HOSPITAL 4401 PENN AVENUE PITTSBURGH PA 15224 250402510 501(C)(3) 19190 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. UNIVERSITY OF VIRGINIA CHILDREN'S HOSPITAL PO BOX 800776 CHARLOTTESVILLE VA 22908 540485595 501(C)(3) 28194 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. CHILDREN'S CANCER CENTER FOUNDATION 6 PARK CENTER COURT SUITE 201 OWING MILLS MD 21117 521319756 501(C)(3) 550000 CHILDREN'S CANCER RESEARCH MEMORIAL SLOAN KETTERING CANCER CENTER 1275 YORK AVENUE NEW YORK NY 10065 131924236 501(C)(3) 1750000 CHILDREN'S CANCER RESEARCH GITTLEN 4331 S VICTORIA WAY HARRISBURG PA 17112 232149559 501(C)(3) 100000 CANCER RESEARCH GREATER BOSTON FOOD BANK 70 SOUTH BAY AVE BOSTON MA 02118 042717782 501(C)(3) 508832 FOOD BANK FINANCIAL ASSISTANCE FOODSHARE INC 450 WOODLAND AVENUE BLOOMFIELD CT 06002 222474772 501(C)(3) 175000 FOOD BANK FINANCIAL ASSISTANCE FOOD BANK OF WESTERN MA PO BOX 160 HATFIELD MA 01038 042751023 501(C)(3) 157637 FOOD BANK FINANCIAL ASSISTANCE CONNECTICUT FOOD BANK 150 BRADLEY STREET EAST HAVEN CT 06512 061063025 501(C)(3) 200000 FOOD BANK FINANCIAL ASSISTANCE COMMUNITY FOOD BANK OF NJ 31 EVANS TERMINAL HILLSIDE NJ 07205 222423882 501(C)(3) 175000 FOOD BANK FINANCIAL ASSISTANCE LONG ISLAND CARES 10 DAVIDS DRIVE HAUPPAUGE NY 11788 112524512 501(C)(3) 100000 FOOD BANK FINANCIAL ASSISTANCE ISLAND HARVEST 199 SECOND STREET MINEOLA NY 11501 113136350 501(C)(3) 175000 FOOD BANK FINANCIAL ASSISTANCE FOOD BANK OF NY CITY 39 BROADWAY 10TH FLOOR NEW YORK NY 10004 133179546 501(C)(3) 75000 FOOD BANK FINANCIAL ASSISTANCE FOOD BANK OF HUDSON VALLEY 195 HUDSON STREET CORNWALLONHUDSON NY 12520 222470885 501(C)(3) 75000 FOOD BANK FINANCIAL ASSISTANCE CAPITAL AREA FOOD BANK 4900 PUERTO RICO AVE NE WASHINGTON DC 20017 521167581 501(C)(3) 3850000 FOOD BANK FINANCIAL ASSISTANCE MARYLAND FOOD BANK 2200 HALETHORPE FARMS ROAD BALTIMORE MD 21227 521135690 501(C)(3) 900000 FOOD BANK FINANCIAL ASSISTANCE BLUE RIDGE AREA FOOD BANK PO BOX 937 VERONA VA 24482 521202644 501(C)(3) 180000 FOOD BANK FINANCIAL ASSISTANCE FOOD BANK OF DELAWARE 14 GARFIELD WAY NEWARK DE 19713 510258984 501(C)(3) 150000 FOOD BANK FINANCIAL ASSISTANCE RHODE ISLAND FOOD BANK 200 NIATICA AVENUE PROVIDENCE RI 02907 050395601 501(C)(3) 175000 FOOD BANK FINANCIAL ASSISTANCE GREATER BERKS FOOD BANK 117 MORGAN DRIVE READING PA 19608 222456238 501(C)(3) 50000 FOOD BANK FINANCIAL ASSISTANCE CENTRAL PA FOOD BANK 3908 COREY RD HARRISBURG PA 17109 232202250 501(C)(3) 40000 FOOD BANK FINANCIAL ASSISTANCE PHILABUNDANCE 3616 S GALLOWAY ST PHILADELPHIA PA 19148 232290505 501(C)(3) 65000 FOOD BANK FINANCIAL ASSISTANCE SECOND HARVEST FOOD BANK OF LEHIGH VALLEY 6969 SILVER CREST ROAD NAZARETH PA 18064 231669589 501(C)(3) 50000 FOOD BANK FINANCIAL ASSISTANCE DANA - FARBER (JIMMY FUND) 10 BROOKLINE PLACE 6TH FLOOR BROOKLINE MA 02445 042263040 501(C)(3) 3050000 FOOD BANK FINANCIAL ASSISTANCE TRAGEDY ASSISTANCE PROGRAM FOR SURVIVIORS 3033 WILSON BOULVARD SUITE 630 ARLINGTON VA 22201 920152268 501(C)(3) 100000 FOOD BANK FINANCIAL ASSISTANCE CHOP 34TH STREET AND CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 501(C)(3) 1081911 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. YMCA OF METROPOLITAN WASHINGTON 1112 16TH ST NE 720 WASHINGTON DC 20036 530207403 501(C)(3) 200000 NUTRITION EDUCATION BOYS & GIRLS CLUB OF PAWTUCKET 1 MOELLER PL PAWTUCKET RI 02860 050258924 501(C)(3) 75000 NUTRITION EDUCATION COUNCIL OF SOCIAL CONCERN 2 MERRIMAC STREET WOBURN MA 01801 042494773 501(C)(3) 6405 FOOD BANK FINANCIAL ASSISTANCE EAST GATE CHRISTIAN FELLOWSHIP 207 HIGHLAND AVENUE SALEM MA 01970 043425135 501(C)(3) 5084 FOOD BANK FINANCIAL ASSISTANCE FIRST CONGRETIONAL CHURCH 1 CHURCH STREET STONEHAM MA 02180 042157045 501(C)(3) 6403 FOOD BANK FINANCIAL ASSISTANCE GRAFTON FOOD BANK PO BOX 324 GRAFTON MA 01519 043214054 501(C)(3) 6371 FOOD BANK FINANCIAL ASSISTANCE HINGHAM INTERFAITH FOOD PANTRY 685 MAIN STREET HINGHAM MA 02043 042103733 501(C)(3) 12179 FOOD BANK FINANCIAL ASSISTANCE QUINCY COMMUNITY ACTION PROGRAMS 1509 HANCOCK STREET QUINCY MA 02169 042391348 501(C)(3) 5042 FOOD BANK FINANCIAL ASSISTANCE SANDWICH FOOD PANTRY 331 COTUIT ROAD SANDWICH MA 02563 223451604 501(C)(3) 6790 FOOD BANK FINANCIAL ASSISTANCE ST JOHNS CHURCH FOOD FOR THE POOR 44 TEMPLE STREET WORCESTER MA 01604 042106729 501(C)(3) 6790 FOOD BANK FINANCIAL ASSISTANCE ST JOHNS FOOD PANTRY 21 GAY STREET QUINCY MA 02169 042106294 501(C)(3) 12725 FOOD BANK FINANCIAL ASSISTANCE ST MARYS CHURCH 158 WASHINGTON STREET WINCHESTER MA 01852 042154439 501(C)(3) 8710 FOOD BANK FINANCIAL ASSISTANCE THE HARWICH FAMILY PANTRY OF CAPE COD 133 QUEEN ANNE ROAD HARWICH MA 02645 223079904 501(C)(3) 8317 FOOD BANK FINANCIAL ASSISTANCE WORCESTER FOOD BANK 474 BOSTON TURNPIKE SHREWSBURY MA 01545 043071457 501(C)(3) 26109 FOOD BANK FINANCIAL ASSISTANCE MARTHA'S TABLE 2114-14TH STREET NW WASHINGTON DC 20009 521186071 501(C)(3) 150000 FOOD BANK FINANCIAL ASSISTANCE FEEDING WEST CHESTER 200 CLEARBROOK ROAD ELMSFORD NY 10523 133507988 501(C)(3) 75000 FOOD BANK FINANCIAL ASSISTANCE FULFILL FOOD BANK 3300 ROUTE 66 NEPTUNE NJ 07753 222622522 501(C)(3) 150000 FOOD BANK FINANCIAL ASSISTANCE S&S SCHOOL FOOD PANTRY 360 ELSBREE ST FALL RIVER MA 02720 999999999 501(C)(3) 150000 FOOD BANK FINANCIAL ASSISTANCE LANCASTER GENERAL HOSPITAL PEDIATRIC IN PATIENT FACILITY 555 N DUKE ST LANCASTER PA 17602 205767147 501(C)(3) 500000 GRANTS ARE TO BE USED BY RECOGNIZED NON-PROFIT ORGANIZATIONS THAT SPECIALIZE IN CHILDREN'S DISEASE. THE PURPOSE OF THE GRANTS IS FOR USE IN RESEARCH, PURCHASE OF EQUIPMENT, BUILDING EXPANSIONS OR SUPPORT OF CHILDREN/FAMILIES IN NEED OF CARE. 57 PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR THE USE OF GRANT FUNDS BY THE GRANTEE BUT ALL FUNDS ARE DISBURSED TO ORGANIZATIONS THAT HELP TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN. THE ORGANIZATION MAINTAINS RECORDS OF THE AMOUNT OF EACH GRANT. FORM 990, PART VI, SECTION A, LINE 2 ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WORK FOR AHOLD USA AND THEREFORE, HAVE OTHER BUSINESS INTEREST IN COMMON. FORM 990, PART VI, SECTION B, LINE 11B THE CUSTODIAN OF THE FINANCIAL RECORDS MEETS WITH A REPRESENTATIVE OF THE ACCOUNTING FIRM THAT PREPARES THE FORM 990 AND RELATED SCHEDULES TO DISCUSS THE CONTENT AND ANSWER ANY QUESTIONS OF THE ACCOUNTING FIRM. FINAL CHANGES, IF ANY, ARE THEN MADE TO THE FORM 990 AND RELATED SCHEDULES. A COPY OF THE COMPLETED 990 AND RELATED SCHEDULES IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 12C EACH ASSOCIATE MUST SIGN AN ANNUAL ETHICS DISCLOSURE (WHICH INCLUDES THE CONFLICT OF INTEREST POLICY) AND DISCLOSE ANY CONFLICTS OF INTEREST. FAILURE TO DO SO CAN RESULT IN DISCIPLINARY ACTION, INCLUDING BUT NOT LIMITED TO TERMINATION. ADDITIONALLY, TRAINING IS GIVEN THROUGHOUT THE YEAR TO MAKE SURE THAT ALL ASSOCIATES UNDERSTAND MANAGEMENT'S EXPECTATIONS WITH REGARDS TO ETHICS/CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST.