Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SunSystem Development Corporation
 
Employer identification number
59-2219301
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) Adventist Health SystemSunbelt Inc dba Florida Hospital
601 E Rollins Street
Orlando,FL32803
59-1479658 501(c)(3) 4,771,275       General Hospital Support
(2) Adventist University of Health Sciences Inc
671 Winyah Drive
Orlando,FL32803
59-3069793 501(c)(3) 475,457       General Support
(3) American Osteopathic Foundation
142 E Ontario St Ste 1450
Chicago,IL60611
36-2170786 501(c)(3) 20,000       General Support
(4) Creation Development Foundation Inc
52 Riley Road Ste 404
Celebration,FL34747
45-3411581 501(c)(3) 116,000       Construction
(5) Florida Hospital Medical Group Inc
2600 Westhall Lane
Maitland,FL32751
59-3214635 501(c)(3) 7,279       General Support
(6) Florida Hospital Medical Group Inc dba Radiology Specialists of Florida
235 E Princeton Street Ste 100
Orlando,FL32804
59-3214635 501(c)(3) 162,321       General Support
(7) Florida Resurrection House Inc
800 11th St North
St Petersburg,FL33705
59-2837168 501(c)(3) 10,000       General Support
(8) GiveWell Community Foundation Inc
1501 S Florida Avenue
Lakeland,FL33803
59-3649871 501(c)(3) 120,000       General Support
(9) Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
4200 Sun N Lake Blvd
Sebring,FL33870
59-1479658 501(c)(3) 21,051       Landscaping
(10) Adventist Health SystemSunbelt Inc dba Florida Hospital Heartland
4200 Sun N Lake Blvd
Sebring,FL33870
59-1479658 501(c)(3) 225,080       Renovations
(11) Flagler County Free Clinic Inc
703 E Moody Blvd
Bunnell,FL32110
20-5036975 501(c)(3) 57,643       Medical Care
(12) Memorial Hospital - Flagler Inc
60 Memorial Medical Parkway
Palm Coast,FL32164
59-2951990 501(c)(3) 28,966       General Hospital Support
(13) Adventist Health System Georgia Inc
1035 Red Bud Road
Calhoun,GA30701
58-1425000 501(c)(3) 167,847       Construction
(14) Adventist Health System Georgia Inc
1035 Red Bud Road
Calhoun,GA30701
58-1425000 501(c)(3) 12,304       Music System for Radiation Therapy Center
(15) Memorial Hospital Inc
210 Marie Langdon Drive
Manchester,KY40962
61-0594620 501(c)(3) 420,449       General Hospital Support
(16) Metroplex Adventist Hospital Inc
2201 S Clear Creek Rd
Killeen,TX76549
74-2225672 501(c)(3) 265,038       Equipment purchase
(17) City of Killeen
101 N College Street
Killeen,TX76541
74-6001504 City of Killeen 14,545       Fire Department Equipment
(18) Fletcher Hospital Inc
50 Hospital Dr
Hendersonville,NC28792
56-0543426 501(c)(3) 1,309,025       General Hospital Support
(19) Henderson County United Way
PO Box 487
Hendersonville,NC28793
56-0890133 501(c)(3) 28,616       General Support
(20) Free Clinics
841 Case Street
Hendersonville,NC28792
56-2212024 501(c)(3) 175,000       General Support
(21) American Cancer Society
120 Executive Park Bld 1
Asheville,NC28801
58-0659875 501(c)(3) 11,888       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015
Page 2

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
(1) Nursing Scholarships 8 10,000      
(2) Other Scholarships 2 2,000      
(3) Medical Expenses for Patients in Need 682 265,058      
(4) Good Samaritan Program 1 75      
(5) Mother's Touch Program, Car Seat & Baby Supplies 1 134      
(6) Mammogram Screenings 30 13,538      
(7) Food, clothing & shelter 102 59,739      
(8) Employee Assistance - housing and medical expenses 56 33,029      
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2: Grants are generally made only to related supported hospital organizations that are exempt from Federal Income Tax under 501(c)(3), other 501(c)(3) organizations that are a part of the group exemption ruling issued to the General Conference of Seventh-Day Adventists, or to other 501(c)(3) community organizations involved in health-related causes. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures.
Schedule I (Form 990) 2015



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