FOUNDATION FOR HOSPICE NORTHERN UT: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR HOSPICE NORTHERN UT (EIN 87-0541883)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-10
IRS object ID
202211309349102876
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-10T12:00:31-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN134008324PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 GRANT STREET 45TH FLOORAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN870541883EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR HOSPICE NORTHERN UTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone6025620883PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10316AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50306ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Person-PersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6025620883PhoneNum
Signature2022-04-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH J CASTRIANOPreparerPersonNm
PTINP01251603PTIN
Phone4123556000PhoneNum
Preparation2022-04-26PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,992,722FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$42,729DividendsRevAndExpnssAmt
Dividends Net Invst Incm$42,729DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$125,476NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$307,528GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$125,476CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$5,337OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$5,337OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$173,542TotalRevAndExpnssAmt
Total Net Invst Incm$173,542TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$12,339CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$9,254CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,085CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$6,588TaxesRevAndExpnssAmt
Taxes Net Invst Incm$514TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$18,927TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$9,768TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,085TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$40,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$40,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$58,927TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$9,768TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$43,085TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$114,615ExcessRevenueOverExpensesAmt
Net Investment Income$163,774NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$55,873SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$57,467SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$57,467SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock EOY$1,451,799CorporateStockEOYAmt
Corporate Stock EOYFMV$1,935,255CorporateStockEOYFMVAmt
Other Investments BOY$1,338,416OtherInvestmentsBOYAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,394,289TotalAssetsBOYAmt
Total Assets EOY$1,509,266TotalAssetsEOYAmt
Total Assets EOYFMV$1,992,722TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,394,289CapitalStockBOYAmt
Capital Stock EOY$1,509,266CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$1,394,289TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,509,266TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,394,289TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,509,266TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,394,289TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$114,615ExcessRevenueOverExpensesAmt
Other Increases$392OtherIncreasesAmt
Subtotal$1,509,296SubtotalAmt
Other Decreases$30OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,509,266TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (156 entries)

PropertyPropertyDescSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDtHow AcquiredHowAcquiredCd
74.615 INVESCO SMALL CAP GROWTH FD-R5 47642021-01-20$4,674$4,086$588$588
6.391 INVESCO SMALL CAP GROWTH FD-R5 47642021-01-20$400$264$136$1362013-10-04
2.241 INV OPP DEVELOP MRKTS-R6 70382021-01-20$128$118$10$102020-12-11
50.547 INV OPP DEVELOP MRKTS-R6 70382021-01-20$2,876$1,688$1,188$1,1882016-09-19
20.112 ACADIAN EMG MRKTS PORT-I #19602021-01-20$500$454$46$462020-12-30
75.031 ACADIAN EMG MRKTS PORT-I #19602021-01-20$1,866$1,382$484$484
3.033 AMER FNDS EUROPAC GROW-F37162021-01-20$219$208$11$112020-12-17
16.991 AMER FNDS EUROPAC GROW-F37162021-01-20$1,228$988$240$2402018-03-16
28.656 JPMORGAN SMALL CAP EQTY-I 3672021-01-20$2,096$1,845$251$251
261.867 NORTHERN MID CAP INDEX #6292021-01-20$5,874$5,460$414$4142020-12-17
15.124 GOLDMAN SACHS SMALL CAP VALUE I 6512021-02-17$933$860$73$73
5.77 T ROWE PRICE LARGE/CAP GRW-I 1392021-02-17$382$345$37$372020-12-15
51.826 T ROWE PRICE LARGE/CAP GRW-I 1392021-02-17$3,435$1,270$2,165$2,1652013-10-04
7.3 NORTHERN MID CAP INDEX #6292021-02-17$168$120$48$482013-10-04
124.542 NORTHERN MID CAP INDEX #6292021-02-17$2,859$2,597$262$2622020-12-17
3.116 VANGUARD 500 INDEX FD- ADM #5402021-02-17$1,133$1,062$71$712020-12-21
2.893 VANGUARD 500 INDEX FD- ADM #5402021-02-17$1,052$451$601$6012013-10-04
30.981 VOYA LARGE-CAP GROWTH FND-I2021-02-17$1,815$1,706$109$1092020-12-16
40.936 WF GROWTH FUND - I 31052021-02-17$2,606$2,279$327$3272020-12-09
1.246 WF GROWTH FUND - I 31052021-02-17$79$56$23$232015-12-11
18.575 DODGE & COX STOCK FUND #1452021-03-16$4,175$3,933$242$2422017-12-18
53.617 GOLDMAN SACHS SMALL CAP VALUE I 6512021-03-16$3,618$3,025$593$5932013-10-04
46.089 MFS VALUE FUND-R6 48102021-03-16$2,227$1,822$405$405
418.062 NORTHERN MID CAP INDEX #6292021-03-16$10,071$6,856$3,215$3,2152013-10-04
168.416 T ROWE PRICE EQUITY INCOME #712021-03-16$5,974$5,341$633$633
5.753 VANGUARD 500 INDEX FD- ADM #5402021-03-16$2,111$897$1,214$1,2142013-10-04
39.723 T ROWE PRICE LARGE/CAP GRW-I 1392021-04-16$2,694$2,558$136$1362021-03-16
2.649 VANGUARD 500 INDEX FD- ADM #5402021-04-16$1,024$956$68$682021-03-25
17.993 VANGUARD 500 INDEX FD- ADM #5402021-04-16$6,955$2,805$4,150$4,1502013-10-04
57.381 VOYA LARGE-CAP GROWTH FND-I2021-04-16$3,426$3,223$203$2032021-03-16
7.443 DODGE & COX STOCK FUND #1452021-05-18$1,773$1,576$197$1972017-12-18
1.975 DODGE & COX STOCK FUND #1452021-05-18$470$441$29$292021-03-26
7.015 MFS VALUE FUND-R6 48102021-05-18$360$337$23$232021-03-25
81.358 MFS VALUE FUND-R6 48102021-05-18$4,179$2,710$1,469$1,469
83.062 NORTHERN MID CAP INDEX #6292021-05-18$2,037$2,058-$21-$212021-04-16
84.721 T ROWE PRICE EQUITY INCOME #712021-05-18$3,170$2,653$517$5172013-10-04
8.076 T ROWE PRICE EQUITY INCOME #712021-05-18$302$285$17$172021-03-29
119.445 CAUSEWAY INTL VALUE FD-I 12712021-06-16$2,205$1,886$319$319
72.767 FIDELITY INTL INDX-INST PRM #23632021-06-16$3,697$3,270$427$427
34.531 T ROWE PRICE LARGE/CAP GRW-I 1392021-06-16$2,343$2,239$104$1042021-05-18
53.898 VOYA LARGE-CAP GROWTH FND-I2021-06-16$3,219$3,044$175$1752021-05-18
44.45 WF GROWTH FUND - I 31052021-06-16$2,701$2,635$66$662021-03-16
20.694 T ROWE PRICE LARGE/CAP GRW-I 1392021-07-19$1,465$1,340$125$125
51.029 T ROWE PRICE LARGE/CAP GRW-I 1392021-07-19$3,612$1,250$2,362$2,3622013-10-04
2.489 VANGUARD 500 INDEX FD- ADM #5402021-07-19$979$986-$7-$72021-06-28
18.805 VANGUARD 500 INDEX FD- ADM #5402021-07-19$7,396$2,931$4,465$4,4652013-10-04
67.242 VOYA LARGE-CAP GROWTH FND-I2021-07-19$4,162$3,743$419$419
110.435 WF CORE BD FD-I 9442021-07-19$1,468$1,619-$151-$151
10.594 WF CORE BD FD-I 9442021-07-19$141$156-$15-$15
29.279 WF GROWTH FUND - I 31052021-07-19$1,833$1,684$149$149
154.747 NORTHERN MID CAP INDEX #6292021-08-17$3,808$3,846-$38-$38
9.192 VANGUARD 500 INDEX FD- ADM #5402021-08-17$3,780$1,433$2,347$2,3472013-10-04
35.24 INVESCO SMALL CAP GROWTH FD-R5 47642021-09-17$2,248$1,994$254$2542021-05-18
39.481 VOYA LARGE-CAP GROWTH FND-I2021-09-17$2,584$2,175$409$4092020-12-16
1.362 MFS VALUE FUND-R6 48102021-10-18$72$722021-09-23
180.043 NORTHERN MID CAP INDEX #6292021-10-18$4,542$4,349$193$193
48.423 GOLDMAN SACHS SMALL CAP VALUE I 6512021-11-16$3,528$2,987$541$5412021-07-19
76.907 T ROWE PRICE LARGE/CAP GRW-I 1392021-11-16$6,161$1,884$4,277$4,2772013-10-04
18.35 MFS VALUE FUND-R6 48102021-11-16$1,004$564$440$4402013-10-04
50.732 MFS VALUE FUND-R6 48102021-11-16$2,777$2,602$175$175
202.05 NORTHERN MID CAP INDEX #6292021-11-16$5,391$4,752$639$639
200.97 NORTHERN MID CAP INDEX #6292021-11-16$5,362$3,296$2,066$2,0662013-10-04
104.998 T ROWE PRICE EQUITY INCOME #712021-11-16$4,042$3,744$298$298
28.559 VANGUARD 500 INDEX FD- ADM #5402021-11-16$12,412$4,452$7,960$7,9602013-10-04
2.315 VANGUARD 500 INDEX FD- ADM #5402021-11-16$1,006$930$76$762021-09-28
37.767 VOYA LARGE-CAP GROWTH FND-I2021-11-16$2,596$2,080$516$5162020-12-16
29.776 WF GROWTH FUND - I 31052021-11-16$2,036$1,677$359$3592021-05-18
105.47188 DODGE & COX INCOME FD COM #1472021-12-16$1,500$1,556-$56-$56
64.05112 DODGE & COX INCOME FD COM #1472021-12-16$911$951-$40-$402020-11-17
295.735 FED HERM TTL RTRN BND-INST 3282021-12-16$3,336$3,446-$110-$110
2523.85 LAZARD INTL EQTY PORT-INSTL 6322021-12-16$52,269$41,473$10,796$10,796
34.819 LAZARD INTL EQTY PORT-INSTL 6322021-12-16$721$706$15$15
43.284 MFS VALUE FUND-R6 48102021-12-16$2,327$1,330$997$9972013-10-04
230.91722 MET WEST TOTAL RETURN BOND CL I #5122021-12-16$2,524$2,690-$166-$166
31.20078 MET WEST TOTAL RETURN BOND CL I #5122021-12-16$341$376-$35-$35
22.12 VANGUARD 500 INDEX FD- ADM #5402021-12-16$9,561$3,448$6,113$6,1132013-10-04
14.484 VOYA LARGE-CAP GROWTH FND-I2021-12-16$817$798$19$192020-12-16
190.917 WF CORE BD FD-I 9442021-12-16$2,478$2,790-$312-$312
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
CAPITAL GAIN DIVIDENDS$58,393P
FieldValueIRS element (for citing)
Capital Gain Net Income$125,476CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,276InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,276SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,276TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,436EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,436TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$840TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateUTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1PRINCIPAL FINANCIAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6025620883PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10316AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50306ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonPRINCIPAL FINANCIAL GROUPPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10316AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50306ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$12,339CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,874,393AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$58,529AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,932,922TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,932,922AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$28,994CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,903,928NetVlNoncharitableAssetsAmt
Minimum Investment Return$95,196MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$95,196MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,276TaxBasedOnInvestmentIncomeAmt
Total Tax$2,276TotalTaxAmt
Distributable Before Adj$92,920DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$92,920DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$92,920DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$43,085ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$43,085QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$92,920DistributableAsAdjustedAmt
Undistributed Income PY$37,551UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$43,085QualifyingDistributionsAmt
Applied To Year1$37,551AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$5,534AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$87,386UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
INTERMOUNTAIN FOUNDATION
11520 S REDWOOD RDSOUTH JORDANUT84095NONEPCGENERAL OPERATING$20,000
COMMUNITY NURSING SERVICES INC
2830 SOUTH REDWOOD RDWEST VALLEY CITYUT84119NONEPCGENERAL OPERATING$20,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$40,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$42,729ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$125,476ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Unrelated Business Taxbl Incm$5,337UnrelatedBusinessTaxblIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$5,337UnrelatedBusinessTaxblIncmAmt
Exclusion$168,205ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$173,542TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionTHE FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEARS UNDISTRIBUTED INCOME AS BEING MADE OUT OF UNDISTRIBUTED INCOME FROM THE TAX YEAR ENDING 2018 IN THE AMOUNT OF $14,313.ElectionDesc

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (20 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
38142V209 GOLDMAN SACHS SMALL$28,100$33,104
4812A1373 JPMORGAN SMALL CAP E$42,186$57,007
949915714 WF GROWTH FUND - I 3$34,132$44,246
31428Q101 FED HERM TTL RTRN BN$129,700$131,170
256210105 DODGE & COX INCOME F$131,669$132,521
592905509 MET WEST TOTAL RETUR$131,018$132,345
00769G188 ACADIAN EMG MRKTS PO$24,618$33,410
665130100 NORTHERN MID CAP IND$137,508$197,557
00141M622 INVESCO SMALL CAP GR$23,249$27,090
94975J581 WF CORE BD FD-I 944$132,412$133,570
779547108 T ROWE PRICE EQUITY$74,698$90,540
298706110 AMER FNDS EUROPAC GR$75,737$84,442
92913K504 VOYA LARGE-CAP GROWT$63,167$88,048
55273H353 MFS VALUE FUND-R6 48$51,453$89,383
256219106 DODGE & COX STOCK FU$34,384$45,070
315911727 FIDELITY INTL INDX-I$101,345$112,908
00143W859 INV OPP DEVELOP MRKT$28,757$36,492
14949P208 CAUSEWAY INTL VALUE$69,787$84,573
45775L408 T ROWE PRICE LARGE/C$33,857$90,080
922908710 VANGUARD 500 INDEX F$104,022$291,699

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (21 entries)

Category Or ItemCategoryOrItemTxt
45775L408 T ROWE PRICE LARGE/C
31428Q101 FEDERATED TOTAL RET
00769G188 ACADIAN EMG MRKTS PO
92913K504 VOYA LARGE-CAP GROWT
592905509 MET WEST TOTAL RETUR
00141M622 INVESCO SMALL CAP GR
14949P208 CAUSEWAY INTL VALUE
4812A1373 JPMORGAN SMALL CAP E
922908710 VANGUARD 500 INDEX F
38142V209 GOLDMAN SACHS SMALL
949915714 WF GROWTH FUND - I 3
55273H353 MFS VALUE FUND-R6 48
256210105 DODGE & COX INCOME F
665130100 NORTHERN MID CAP IND
94975J581 WF CORE BD FD-I 944
779547108 T ROWE PRICE EQUITY
52106N400 LAZARD INTL EQTY POR
256219106 DODGE & COX STOCK FU
298706110 AMER FNDS EUROPAC GR
00143W859 INV OPP DEVELOP MRKT
315911727 FIDELITY INTL INDX-I

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescCOST BASIS ADJUSTMENTDesc
Amt$30Amt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$5,337RevenueAndExpensesPerBooksAmt
Net Investment Income$5,337NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescMUTUAL FUND TIMING ADJDesc
Amt$392Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX WITHHELD$514$514$0
PY EXCISE TAX DUE$4,638$0$0
ESTIMATED EXCISE PAYMENTS$1,436$0$0

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