BERTHA STEBENS CHARITABLE FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BERTHA STEBENS CHARITABLE FOUNDATION (EIN 42-1280907)
- Tax period
- 2020-08-01 to 2021-07-31
- Filed
- 2022-01-10
- IRS object ID
- 202220109349100522
- Schema version
- 2020v4.1
- 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
- Form 990-PF
- Compensation Explanation
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-01-10T13:17:52-06:00 | ReturnTs |
| Tax Period End | 2021-07-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION SOURCE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOLLOW LN STE 212 | AddressLine1Txt |
| City | LAKE SUCCESS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-08-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421280907 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bertha Stebens Charitable Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | BERT | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Brown | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2022-01-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Scott | PersonFirstNm |
| Person Last | Brown | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,994,379 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $434 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $434 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $99,799 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $99,799 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $82,281 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,396,216 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $82,281 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $14 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $14 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $182,528 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $182,528 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $7,678 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $7,678 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $2,469 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $669 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $28,012 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $34 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $27,978 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $38,159 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $8,381 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $27,978 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $128,053 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $128,053 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $166,212 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $8,381 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $156,031 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $16,316 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $174,147 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $400,850 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $405,378 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $405,378 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $3 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $1 | USGovernmentObligationsEOYAmt |
| Corporate Stock BOY | $2,253,480 | CorporateStockBOYAmt |
| Corporate Stock EOY | $3,015,274 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $3,411,077 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $922,971 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $172,967 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $177,924 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $3,577,304 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,593,620 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,994,379 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $3,577,304 | RetainedEarningBOYAmt |
| Retained Earning EOY | $3,593,620 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,577,304 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,593,620 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,577,304 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,593,620 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,577,304 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $16,316 | ExcessRevenueOverExpensesAmt |
| Subtotal | $3,593,620 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $3,593,620 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $1,396,216 | GrossSalesPriceAmt |
| Cost Or Other Basis | $1,313,935 | CostOrOtherBasisAmt |
| Gain Or Loss | $82,281 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $82,281 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $82,281 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,421 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,421 | SubtotalAmt |
| Tax Based On Investment Income | $2,421 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,326 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $100 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $2,426 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $5 | OverpaymentAmt |
| Applied To ES Tax | $5 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| Todd Blodgett | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Sec | 1.0 | $0 | $0 | $0 |
| Scott Brown | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Sec*, Pres | 1.0 | $0 | $0 | $0 |
| Gregory C Nicholas | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Dir, Pres*, Treas, VP | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,369,309 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $493,272 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,862,581 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,862,581 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $57,939 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,804,642 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $190,232 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $190,232 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,421 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,421 | TotalTaxAmt |
| Distributable Before Adj | $187,811 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $187,811 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $187,811 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $156,031 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $156,031 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $156,031 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $187,811 | DistributableAsAdjustedAmt |
| Prior Year1 | 2018 | PriorYear1Yr |
| Prior Year2 | 2017 | PriorYear2Yr |
| Prior Year3 | 2016 | PriorYear3Yr |
| Excess Distribution Cyov Yr3 | $42,782 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $42,782 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $156,031 | QualifyingDistributionsAmt |
| Applied To Current Year | $156,031 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $31,780 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $31,780 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $11,002 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $11,002 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $11,002 | ExcessFromYear3Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | GRANT APPLICATIONS TO GREG NICHOLAS | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1105 NORTH ShORE DRIVE | AddressLine1Txt |
| City | CLEAR LAKE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Email Address | GREGNICH@CLTEL.NET | RecipientEmailAddressTxt |
| Form And Info And Materials | www.fsrequests.com/berthastebens | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | www.fsrequests.com/berthastebens | SubmissionDeadlinesTxt |
| Restrictions On Awards | www.fsrequests.com/berthastebens | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BEST BUDDIES INTERNATIONAL INC | |||||||
| 8450 HICKMAN ROAD STE 6 | DES MONIES | IA | 50325 | N/A | PC | Mason City High School Friendship & Social Inclusion program | $3,000 |
| CENTRAL GARDENS OF NORTH IOWA INC | |||||||
| PO BOX 735 | CLEAR LAKE | IA | 50428 | N/A | PC | Sixth Annual Picnics and Performances fund | $4,500 |
| CENTRAL SPRINGS COMMUNITY SCHOOL DISTRICT | |||||||
| PO BOX 190 | MANLY | IA | 50456 | N/A | GOV | College Scholarship fund | $2,500 |
| CERRO GORDO COUNTY IOWA STATE UNIVERSITY EXTENSION | |||||||
| 601 S ILLINOIS AVE | MASON CITY | IA | 50401 | N/A | GOV | general & unrestricted | $1,800 |
| CHARLIE BROWN COMMUNITY DAY CARE CENTER | |||||||
| 1780 S MONROE AVE | MASON CITY | IA | 50401 | N/A | PC | Transportation fund for Summer Programs | $3,000 |
| CHILDRENS CANCER CONNECTION | |||||||
| 2708 GRAND AVE | DES MOINES | IA | 50312 | N/A | PC | Camp Heart Connection Summer Camperships program for Children in cerro gordo county | $2,000 |
| CITY OF MASON CITY | |||||||
| 10 FIRST STREET NW | MASON CITY | IA | 50401 | N/A | GOV | Mason City Civil War Battle and Encampment fund | $500 |
| CLEAR LAKE ARTS COUNCIL | |||||||
| 17 S 4TH ST | CLEAR LAKE | IA | 50428 | N/A | PC | Youth Sculpture Project | $2,500 |
| CLEAR LAKE CLASSICAL INCORPORATED | |||||||
| 5324 LAKEVIEW DR | CLEAR LAKE | IA | 50428 | N/A | PC | Mars Hill Expansion fund | $8,000 |
| COMMUNITY HEALTH CENTER OF FORT DODGE INC | |||||||
| 126 N 10TH ST | FORT DODGE | IA | 50501 | N/A | PC | Bus Shelter Advertising fund to Increase Awareness of the availability of healthcare services for vulnerable populations | $2,448 |
| COMMUNITY KITCHEN OF NORTH IOWA | |||||||
| 606 N MONROE AVE | MASON CITY | IA | 50401 | N/A | PC | to Purchase Food | $3,000 |
| COMMUNITY POLICING ADVISORY BOARD | |||||||
| 78 S GEORGIA AVE | MASON CITY | IA | 50401 | N/A | PC | National Night Out project | $500 |
| ELDERBRIDGE AGENCY ON AGING | |||||||
| 1190 BRIARSTONE DR | MASON CITY | IA | 50401 | N/A | PC | Client Assistance fund | $5,000 |
| FRIENDS OF IOWA CASA AND ICFCRB | |||||||
| 321 E 12TH ST | DES MOINES | IA | 50319 | N/A | PC | CASA Volunteer Training, Recruitment & Retention fund | $3,000 |
| GIRL SCOUTS OF GREATER IOWA | |||||||
| 10715 HICKMAN RD | URBANDALE | IA | 50322 | N/A | PC | Camp Tanglefoot Lodge Window Replacement fund | $5,000 |
| HABITAT FOR HUMANITY INTERNATIONAL INC | |||||||
| 517 1ST ST NW | MASON CITY | IA | 50401 | N/A | PC | Homeowner Readiness Support fund | $4,055 |
| HANDICAP VILLAGE - ONE VISION | |||||||
| PO BOX 622 | CLEAR LAKE | IA | 50428 | N/A | PC | Toilet Training Bathroom fund for the Children's Autism center | $1,750 |
| HEALTHY HARVEST OF NORTH IOWA | |||||||
| PO BOX 52 | HAMPTON | IA | 50441 | N/A | PC | Farm to School Efforts fund at Cerro Gordo School Districts | $4,000 |
| MACNIDER ART MUSEUM FOUNDATION | |||||||
| 303 2ND ST SE | MASON CITY | IA | 50401 | N/A | PC | Spring and Fall Puppet Shows fund | $4,000 |
| NIAD CENTER FOR HUMAN DEVELOPMENT | |||||||
| PO BOX 656 | MASON CITY | IA | 50402 | N/A | PC | Technology Update fund | $2,400 |
| NORTH CENTRAL IOWA AG IN THE CLASSROOM | |||||||
| 65 STATE ST | GARNER | IA | 50438 | N/A | PC | Agriculture Education fund for Cerro Gordo County Schools: prechool - 8th grade | $3,000 |
| NORTH IOWA AREA COMMUNITY COLLEGE FOUNDATION | |||||||
| 500 COLLEGE DR | MASON CITY | IA | 50401 | N/A | SO I | Capital Campaign | $12,500 |
| NORTH IOWA AREA COMMUNITY COLLEGE FOUNDATION | |||||||
| 500 COLLEGE DR | MASON CITY | IA | 50401 | N/A | SO I | Bertha Stebens Fine Arts Scholarship fund | $5,000 |
| NORTH IOWA AREA COMMUNITY COLLEGE FOUNDATION | |||||||
| 500 COLLEGE DR | MASON CITY | IA | 50401 | N/A | SO I | Advancing Arts Education fund for North Iowa Young people | $5,000 |
| NORTH IOWA BAND FESTIVAL FOUNDATION | |||||||
| 9 N FEDERAL AVE | MASON CITY | IA | 50401 | N/A | PC | Band Festival Expenses fund & to purchase Projection Screens for Pavilion | $5,000 |
| NORTH IOWA COMMUNITY ACTION ORGANIZATION | |||||||
| PO BOX 1627 | MASON CITY | IA | 50402 | N/A | PC | Central Park Parking Lot fund | $6,000 |
| NORTH IOWA VOCATIONAL CENTER INC | |||||||
| 1225 S HARRISON AVE | MASON CITY | IA | 50401 | N/A | PC | JobLink Activities Group fund | $1,000 |
| RIVER CITY SCULPTURES ON PARADE INC | |||||||
| 9 N FEDERAL AVE | MASON CITY | IA | 50401 | N/A | PC | Railroad Underpass Beautification Project | $5,000 |
| RIVER CITY SOCIETY FOR HISTORIC PRESERVATION | |||||||
| PO BOX 565 | MASON CITY | IA | 50402 | N/A | PC | Exploring Frank LLoyd Wright's American Systems-Build homes project | $600 |
| SENIOR CITIZENS CENTER | |||||||
| 326 4TH ST NE | MASON CITY | IA | 50401 | N/A | PC | Fire Alarm Control Panel fund | $2,000 |
| SWALEDALE FIRE DEPARTMENT | |||||||
| PO BOX 81 | SWALEDALE | IA | 50477 | N/A | GOV | Fire Truck Skid Unit fund | $3,000 |
| WRIGHT ON THE PARK INC | |||||||
| PO BOX 792 | MASON CITY | IA | 50402 | N/A | PC | Historic Park Inn Hotel HVAC Component Retrofit fund | $5,000 |
| YOUNG MENS CHRISTIAN ASSOCIATION | |||||||
| 1840 S MONROE AVE | MASON CITY | IA | 50401 | N/A | PC | Mason City Family YMCA fund | $12,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $128,053 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $434 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $99,799 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $82,281 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLASS ACTION LAWSUIT PROCEEDS | Desc |
| Exclusion | 01 | ExclusionCd |
| Exclusion | $14 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $182,528 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $182,528 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (2 entries)
| Short ExplanationShortExplanationTxt |
|---|
| Scott Brown |
| * removed from the position in FYE 2021 |
| Gregory C Nicholas |
| * removed from the position in FYE 2021 |
Depreciation Schedule DepreciationSchedule
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BANK OF AMERICA CORP - 6.050% | $10,000 | $13,411 |
| CITIGROUP GLOBAL MKTS HLDGS IN | $150,000 | $151,080 |
| GEORGIA PACIFIC - 7.250% - 06/ | $9,950 | $13,395 |
| LEHMAN BROTHERS - 0.000% - 04/ | $3,017 | $38 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (30 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBVIE INC | $23,941 | $36,635 |
| AMERICAN ELECTRIC POWER INC | $18,509 | $30,842 |
| BERKSHIRE HATHAWAY INC. CLASS | $164,370 | $222,632 |
| COHEN & STEERS PREFRRD SECS & | $390,500 | $397,081 |
| ENBRIDGE INC | $24,795 | $27,545 |
| FEDERATED TOTAL RETURN BOND FU | $375,000 | $381,316 |
| ISHARE DJ FIN SC INX | $22,703 | $29,924 |
| ISHARES DJ US BASIC MTLS SCTR | $8,541 | $11,313 |
| ISHARES DJ US ENERGY | $10,012 | $6,517 |
| ISHARES DJ US INDUSTRIAL SECTO | $13,103 | $19,145 |
| ISHARES DJ US TECH ETF | $23,430 | $49,531 |
| ISHARES DJ US UTILITIES | $3,410 | $4,075 |
| ISHARES DOW JONES US CONSUMER | $8,174 | $12,861 |
| ISHARES DOW JONES US CON (IYC) | $16,046 | $23,745 |
| ISHARES DOW JONES US HEALTHCAR | $14,376 | $20,876 |
| ISHARES DOW JONES US REAL ESTA | $187,530 | $240,120 |
| ISHARES DOW JONES US TELECOM | $3,932 | $4,499 |
| ISHARES S&P MIDCAP 400 BARRA V | $78,519 | $101,966 |
| ISHARES S&P MIDCAP 400 GROWTH | $74,046 | $106,962 |
| ISHARES TRUST MSCI EAFE INDEX | $254,363 | $292,126 |
| KIMBERLY CLARK CORP | $26,248 | $27,144 |
| LORD ABBETT INVESTMENT TRUST S | $79,500 | $79,500 |
| PIMCO INCOME FUND | $417,001 | $419,667 |
| PRUDENTIAL TOTAL RETURN BD FD | $417,001 | $429,656 |
| REGIONS FINANCIAL CORP | $26,341 | $35,613 |
| SOUTHERN CO | $13,276 | $30,338 |
| T. ROWE PRICE BLUE CHIP GROWTH | $101,750 | $115,058 |
| VANGUARD EQUITY INCOME - ADMIR | $101,750 | $108,947 |
| VANGUARD FTSE EMERGING MARKETS | $101,396 | $117,553 |
| VERIZON COMMUNICATIONS | $15,711 | $27,890 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $1 | USGovtObligationsBookVlEOYAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $25,573 | $25,573 | |
| Bank Charges | $34 | $34 | |
| Foundation Dues & Memberships | $1,560 | $1,560 | |
| Indemnification Insurance | $822 | $822 | |
| State or Local Filing Fees | $23 | $23 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Class Action Lawsuit Proceeds | Desc |
| Revenue And Expenses Per Books | $14 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $14 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $7,678 | Amt |
| Net Investment Income | $7,678 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2021 | $1,800 | |
| Foreign Tax Paid | $669 | $669 |
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