BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION (EIN 36-3606394)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-04-20
IRS object ID
202221109349100507
Schema version
2021v4.2
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)
Return2022-04-20T08:09:20-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363606394EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of North DakotaBusinessNameLine1Txt
Business Name Line2Caring FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone7012821100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCyndee ThormodsonPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7012821100PhoneNum
Signature2022-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCyndeePersonFirstNm
Person LastThormodsonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2022-04-19PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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$19,011,746FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$286,591ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$308,751DividendsRevAndExpnssAmt
Dividends Net Invst Incm$308,751DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,543,475NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,543,475GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,543,475CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$2,138,817TotalRevAndExpnssAmt
Total Net Invst Incm$1,852,226TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$7,777OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$7,777OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$25,621TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$335,712OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$63,678OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$369,110TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$7,777TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$63,678TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$655,163ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$655,163ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,024,273TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$7,777TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$718,841TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,114,544ExcessRevenueOverExpensesAmt
Net Investment Income$1,844,449NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$94,842SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$138,494SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$138,494SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl BOY$1,680AcctRcvblBOYAmt
Other Investments BOY$17,116,671OtherInvestmentsBOYAmt
Other Investments EOY$18,873,251OtherInvestmentsEOYAmt
Other Investments EOYFMV$18,873,251OtherInvestmentsEOYFMVAmt
Other Assets BOY$51OtherAssetsBOYAmt
Other Assets EOY$1OtherAssetsEOYAmt
Other Assets EOYFMV$1OtherAssetsEOYFMVAmt
Total Assets BOY$17,213,244TotalAssetsBOYAmt
Total Assets EOY$19,011,746TotalAssetsEOYAmt
Total Assets EOYFMV$19,011,746TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,206AccountsPayableBOYAmt
Accounts Payable EOY$23,921AccountsPayableEOYAmt
Total Liabilities BOY$1,206TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,921TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$17,212,038NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$18,987,825NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$17,212,038TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$18,987,825TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,213,244TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$19,011,746TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,212,038TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,114,544ExcessRevenueOverExpensesAmt
Other Increases$661,243OtherIncreasesAmt
Subtotal$18,987,825SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$18,987,825TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly Traded InvestmentsPropertyDesc
Gross Sales Price$1,543,475GrossSalesPriceAmt
Gain Or Loss$1,543,475GainOrLossAmt
Gains Minus Excess Or Losses$1,543,475GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,543,475CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$25,638InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$25,638SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$25,638TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,630EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$3,630TotalPaymentsAndCreditsAmt
Es Penalty$16EsPenaltyAmt
Tax Due$22,024TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNDOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website Addresswww.bcbsnd.com/caring-foundation/about-usWebsiteAddressTxt
Individual With BooksAmber BlombergIndividualWithBooksNm
Phone7012821100PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Daniel R Conrad
4510 13th Ave SouthFargoND58121Chair0.50$0$0$0
Dave J Breuer
4510 13th Ave SouthFargoND58121Treasurer0.50$0$0$0
Stacie Heiden
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Dennis Hill
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Dave A Sprynczynatyk
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Lynette Dickson
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Greg C Glasner MD
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Pam Gulleson
4510 13th Ave SouthFargoND58121Executive Director15.00$0$0$0
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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1CaringForKidsSupport evidenced based initiatives aimed at preventing childhood obesity and supporting healthy minds and bodies at an early age.Description1Txt
Expenses1$57,663Expenses1Amt
Description2CaringForCommunitiesSupport sustainable initiatives that encourage health and well-being within our communities.Description2Txt
Expenses2$6,012Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$18,050,917AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$91,239AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$18,142,156TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$18,142,156AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$272,132CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,870,024NetVlNoncharitableAssetsAmt
Minimum Investment Return$893,501MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$893,501MinimumInvestmentReturnAmt
Tax Based On Investment Income$25,638TaxBasedOnInvestmentIncomeAmt
Total Tax$25,638TotalTaxAmt
Distributable Before Adj$867,863DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$867,863DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$867,863DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$718,841ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$718,841QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$867,863DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$4,270ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$53,161ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$17,106ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$74,537TotalExcessDistributionCyovAmt
Qualifying Distributions$718,841QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$718,841AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$74,537ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$74,537ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$74,485UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCaring FoundationRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7012821100RecipientPhoneNum
Recipient Email Addresscaringfoundation@bcbsnd.comRecipientEmailAddressTxt
Form And Info And MaterialsCaring Foundation applications located on our websiteFormAndInfoAndMaterialsTxt
Submission DeadlinesVaries based on grant typeSubmissionDeadlinesTxt
Restrictions On AwardsIn general must impact North Dakotans and tie back to our mission of bettering health and well-being.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (159 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
4 Luv of Dog
PO Box 9283FargoND581069283NonePCGeneral support$1,200
American Diabetes Association ND Chapter
PO Box 7023MerrifieldVA22116NonePCGeneral support$200
American Diabetes Association ND Chapter
PO Box 7023MerrifieldVA22116NonePCADA Camps for kids with diabetes$2,500
American Foundation of Suicide Prevention ND Chapter
1015 S Broadway Ste 21AMinotND58701NonePCOut of darkness walk support$500
American Foundation of Suicide Prevention ND Chapter
199 Water St 11th FloorNew YorkNY10038NonePCOut of darkness walk support$1,500
American Foundation of Suicide Prevention ND Chapter
PO Box 11295FargoND58106NonePCCasual Day Charitable Giving$447
American Gold Gymnastics
2001 17th Ave SFargoND58103NonePCGeneral support$200
American Heart Association
7272 Greenville AveDallasTX75231NonePCGeneral support$200
American Red Cross
431 18th St NWWashingtonDC20006NonePCGeneral support$200
Anne Carlsen Center
PO Box 168BottineauND58318NonePCCamp for disabled individuals$5,000
Anne Carlsen Center
PO Box 168BottineauND58318NonePCBoard member honorarium$3,000
Arthur W Jones Post No 7564 VFW
444 Sheyenne StWest FargoND58078NonePCGeneral support$200
Barnes County Historical Society
315 Central Ave NValley CityND58072NonePCGeneral support$200
Bethany Auxilliary
4255 30th Ave SFargoND58104NonePCGeneral support$200
Bethany Retirement Living
4255 30th Ave SFargoND58104NonePCGeneral support$200
BIO Girls
4151 38th Ave S Ste AFargoND58104NonePCLower income and new American program expansion$2,500
Bismarck Burleigh Public Health
500 E Front AveBismarckND58504NonePCFarm to school program$15,000
Bismarck Cancer Center Foundation
500 N 8th StreetBismarckND58501NonePCTransportation for cancer patients$5,000
Bismarck Recreation Council
400 E Front AveBismarckND58503NonePCSustainable bike share system$25,000
Bismarck State College Foundation
PO Box 5587BismarckND58506NoneGOVScholarships$10,000
Bottineau Food Pantry
122 5th St WBottineauND58318NonePCFunding to feed the hungry$2,500
Boys and Girls Club of the Red River Valley
2500 18th St SFargoND58103NonePCGeneral support$200
Brady Oberg Legacy Foundation
512 13th Street NEDilworthMN56529NonePCGeneral support$400
Cares for Cancer Inc
PO Box 5020HankinsonND58041NonePCGeneral support$300
Cats Cradle Shelter Inc
9 9th St SFargoND58103NonePCGeneral support$300
Cats Cradle Shelter Inc
9 9th St SFargoND58103NonePCGeneral support$1,000
Century High School
1000 E Century AveBismarckND58503NoneGOVVirtual assembly on mental health$2,500
Chahinkapa Zoo Sustaining Fund
PO Box 1325WahpetonND58074NonePCGeneral support$200
Chandeska Cikana Community College
214 1st AveFort TottenND58335NoneGOVScholarships$2,500
Children's Museum of Minot Inc DBA Magic Discovery Center
PO Box 751MinotND58702NonePCGeneral support$200
City of Beach
PO Box 278BeachND58621NonePCMulti Use trail$2,500
Community Healthcare Association of the Dakotas
196 E 6th St Suite 200Sioux FallsSD57104NonePCHealth equity project$40,000
Community of Care
PO Box 187ArthurND58006NonePCOne Stop Service Center$5,000
Custer Health
403 Burlington St SEMandanND58554NonePCBreastfeeding mothers POD$600
Dakota Center for Independent Living
3111 E BroadwayBismarckND58501NonePCEmbrace your disability conference$2,500
Dakota College at Bottineau
105 Simrall BlvdBottineauND58318NoneGOVScholarships$2,500
Dakota Family Services
6301 19th Ave NWMinotND58703NonePCMental health first aid$10,000
Dakota Medical Foundation
4141 28th Ave SFargoND58104NonePCGiving Hearts Day$4,625
De Sour Valley Economic Dev Corp
PO Box 2061BurlingtonND58722NonePCSplash pad community project$5,000
Deer Creek Elementary School
6400 54th Avenue SFargoND58104NoneGOVSesory and active areas for students and staff$2,500
Emergency Food Pantry
1101 4th Avenue NorthFargoND58102NonePCGeneral support$200
Emmons County Public Health
118 E Spruce AveLintonND58552NonePCPrediabetic/chronic disease program$2,500
Epilipsy Foundation of MN
1600 University Ave WSt PaulMN55104NonePCGeneral support$200
F5 Project
1425 4th Avenue NFargoND58102NonePCGeneral support$400
Fargo Moorhead Community Theatre
333 4th St SFargoND58103NonePCGeneral support$300
Fargo Public Schools Development Foundation
415 4th Street NFargoND58102NoneGOVGeneral support$200
Fargo Youth Baseball
1892 17th Ave SFargoND58103NonePCGeneral support$200
First Link
357 13th Ave S 107LFargoND58103NonePCGeneral support$300
Fix it Forward Ministry
2620 2nd Ave NMoorheadMN56560NonePCGeneral support$200
Foster County Public Health
881 Main StCarringtonND58421NonePCQuit resources for youth vaping/tobacco addiction$5,000
Fraser Ltd Stepping Stones
2902 University Drive SFargoND58103NonePCGrateful giving$300
Freedom Elementary PTA
401 26th Ave EWest FargoND58078NoneGOVFun Run sponsor$250
Friends of the Children
200 45th St S Ste 200FargoND58103NonePCSupport mission to support children with ACEs$1,000
Fundraising for Ransom Area and Community
PO Box 868LisbonND58054NonePCLisbon Pool Preservers pool restoration$2,500
Furry Friends Rockin Rescue
1201 N 11th stBismarckND58501NonePCGeneral support$200
Garrison Area Resource Center & Food Pantry
PO Box 1002GarrisonND58540NonePCFood pantry supplies$2,500
Gigi's Playhouse Fargo
3224 20th St SFargoND58104NonePCEquipment$10,000
Gigi's Playhouse Fargo
3224 20th St SFargoND58104NonePCGeneral support$200
Grand Connect FM
2855 Longfellow Rd NFargoND58102NonePCTechnology to connect seniors with social distancing$1,400
Great North Pole
675 13th Ave E Ste 101West FargoND58078NonePCSupport winter clothing drive for those in need$600
Great North Pole
675 13th Ave E Ste 101West FargoND58078NonePCGeneral support$300
Great North Pole
675 13th Ave E Ste 101West FargoND58078NonePCGeneral support$1,200
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCGeneral support$300
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCCasual Day Charitable Giving$48
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCGeneral support$400
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCHMHS donation in honor of BCBSND$2,500
Grimsrud Elementary
716 W Saint Benedict DrBismarckND58501NoneGOVPlayground renovation$5,000
Guardian and Protective Services Inc
3801 Lockport St Ste 4BismarckND58503NonePCSupport services for Homelessness, addiction, mental health$5,000
Handi Wheels Transportation Inc
2525 Broadway N ste 2 002FargoND58102NonePCGeneral support$200
Healthcare Equipment Recycling Organization
5012 53rd St SFargoND58104NonePCSupport for waived fee program for health equipment and supplies$7,000
Healthcare Equipment Recycling Organization
5012 53rd St SFargoND58104NonePCGeneral support$300
Healthcare Equipment Recycling Organization
5012 53rd St SFargoND58104NonePCGeneral support$200
Healthy Communities Coalition
881 Main StCarringtonND58421NonePCPlayground renovation$4,950
Hillsboro Elementary School
PO Box 44HillsboroND58045NoneGOVBackpack program$5,000
HIPP Kid's Therapy
2497 Mustang Dr SMandanND58554NonePCGeneral support$300
Homeward Animal Shelter
1201 28th Ave NFargoND58102NonePCGeneral support$1,200
Hooligan Foundation
1400 32nd Av NFargoND58102NonePCSponsor golf tournament to help members with services and financial support$100
Hope Blooms
PO Box 9705FargoND58106NonePCGeneral support$600
Hopeful Heart Project
19 18th St S Unit 110FargoND58103NonePCSupport mission$500
Hospice of the Red River Valley
1701 38th St SFargoND58103NonePCGeneral support$800
Impact Foundation Badges of Unity Fund
4141 28th Ave SFargoND58104NonePCSuicide prevention video project$5,000
Impact Foundation Red River Market
4141 28th Ave SFargoND58104NonePCSNAP Double Bucks program at Farmers Market$2,000
Independence Inc
2000 E Burdick ExpresswayMinotND58701NonePCSupport services for individuals with disabilities$2,500
Inspiring Minds Center for Dyslexia & Literacy
1431 Interstate Loop Ste CBismarckND58503NonePCSensory therapy equipment$2,500
Jamestown Parks and Recreation Foundation
PO Box 2014JamestownND58401NonePCCommunity splash pad$10,000
Juniar Achievement North Dakota Chapter
1745 University Ave WSt PaulMN55104NonePCGeneral support$200
Juniar Achievement of the Upper Midwest
PO Box 388BismarckND58502NonePCClassroom program$5,000
Junior Acheivement
PO Box 2061FargoND58107NonePCFinancial literacy program$10,000
Kamp KACE
PO BOX 6462FargoND58109NonePCGeneral support$200
Lakota Elementary School
PO Box 388LakotaND58344NoneGOVResurface playground for safe play$250
Landons Light
2809 Pyle Lane EWest FargoND58078NonePCGeneral support$200
Lend a Hand Up
4141 28th Ave SFargoND58104NonePCGeneral support$300
Lend a Hand Up
4141 28th Ave SFargoND58104NonePCBCBSND Board member honorarium$3,000
Lutheran Social Services of MN
2485 Como AveSt PaulMN55108NonePCCompanion services and support$10,000
Make a Wish of ND
4143 26th Ave SFargoND58104NonePCGeneral support$600
Minot State University
500 University Ave WMinotND58707NoneGOVScholarships$2,500
Missouri Valley Family YMCA
1608 North Washington StreetBismarckND58501NonePCSafety around water program funding$9,500
MLS School District #1
PO Box 187MohallND58761NoneGOVSources of strength programming$2,500
Mondak Animal Rescue
6207 1st Ave WWillistonND58801NonePCGeneral support$200
Muscular Dystrophy Association of MNDakotas
7401 Metro BlvdEdinaMN55439NonePCWalking event sponsor$300
Native Community Development Inc dba Native Inc
2403 E Thayer AveBismarckND58501NonePCHealth equity project$35,000
ND Autism Center
647 13th Ave EWest FargoND58078NonePCProgramming for individuals with Autism$15,000
ND Center for Nursing
PO Box 117NorthwoodND58267NonePCDevelop system to enhance workplace culture$7,500
ND Farmers Union Education Foundation
1415 12th Ave SEJamestownND58401NonePCCamp water and sport equipment$10,000
ND Rough Rider Health Promotion Assoc Inc
302 12th Ave NCasseltonND58012NonePCPromote health lifestyle concepts to ND students$2,500
ND Rural Electric Cooperative Foundation
3201 Nygren Dr NWMandanND58554NonePCAccess to healthy foods in rural areas$10,000
ND Special Olympics
2616 S 26th StGrand ForksND58201NonePCGeneral support$200
NDSCS Financial Aid
800 6th Street NWahpetonND58076NoneGOVScholarships$2,500
NDSU One Stop
NDSU Dept 2605 PO Box 6050FargoND58108NoneGOVSTEM Event$250
NDSU One Stop
PO Box 6050 Dept 2836FargoND58108NoneGOVScholarships$30,000
New Life Center Foundation
1902 3rd Avenue NFargoND58102NonePCBCBSND Board member honorarium$3,000
Nexus Family Healing
505 Highway 169 N Ste 500PlymouthMN55441NonePCGeneral support$200
North Sargent School
PO Box 289GwinnerND58040NoneGOVMental health program$2,500
Northern Lights Council Boy Scouts of America
4200 19th Ave SFargoND58103NonePCGeneral support$200
Northern Prairie Performing Arts - FMCT
PO Box 1349FargoND58107NonePCGeneral support$200
Northland Rescue Mission
420 Division AveGrand ForksND58201NonePCSupport Backpack for kids program$200
Our Squad
6 NP AveTurtle LakeND58575NonePCMental Health awareness$250
Pride Collective & Community Center
PO Box 941FargoND58107NonePCGeneral support$200
Project Bee
400 E Central Ave Ste 302MinotND58701NonePCLow income diaper pantry support$1,000
Rape and Abuse Crisis Center
PO Box 2984FargoND58108NonePCGeneral support$1,200
Red River Childrens Advocacy Center
100 4th St S Suite 302FargoND58103NonePCGeneral support$300
Red River Human Services Foundation
2506 35th Ave SFargoND58104NonePCGeneral support$200
Red River Valley Asperger Network
PO Box 2932FargoND58108NonePCGeneral support$200
Red River Valley Asperger Network
PO Box 2932FargoND58108NonePCGeneral support$300
Ronald McDonald House RRV
4757 Agassiz Crossing SFargoND58104NonePCGeneral support$800
SAVE Suicide Awareness Voices of Education
7900 Xerxes Ave S Ste 180BloomingtonMN55431NonePCGeneral support$200
Sheyenne Valley Friends of Animals
PO Box 432Valley CityND58072NonePCGeneral support$200
Soul Solutions
3235 23rd Ave SFargoND58103NonePCSoberlink treatment program equipment$5,000
Souris Valley United Way
1941 4th Street SWMinotND58701NonePCGeneral support$200
South Central Adult Services LaMoure
PO Box 298Valley CityND58072NonePCGeneral support$200
Spectra Health
212 S 4th St Ste 200Grand ForksND58201NonePCOral health pilot project$50,000
St Lukes Hospital
702 1st St SWCrosbyND58730NonePCHome care services equipment$5,000
St Marys Catholic School
210 N 4th StBreckenridgeMN56520NonePCGeneral support$200
Stutsman County Wildlife
PO Box 796JamestownND58402NonePCGeneral support$200
Sunshine Kids Foundation
1815 38th St SFargoND58103NonePCGolf tournament sponsor to support kids with cancer$400
TNT Kids Fitness
2800 Main AveFargoND58103NonePCVirtual sonic curriculum$10,000
Toothbrush Ministries
4393 53RD ST SFargoND58104NonePCGeneral support$200
Tri City Storm Soccer Club
2761 12th Ave SFargoND58103NonePCGeneral support$200
Turtle Mountain Animal Rescue
PO Box 896RollaND58367NonePCGeneral support$300
Turtle Mountain Cancer Support Inc
PO Box 91BottineauND58318NonePCCancer prevention event sponsor$1,500
UND Grants & Contracts Administration
264 Centennial Dr Mail Stop 7306Grand ForksND58202NoneGOVRural Health Grant$43,319
United Way of Cass Clay
PO Box 1609FargoND58107NonePCSupport$50,000
United Way of Cass Clay
PO Box 1609FargoND58107NonePCBlueSquad fundraiser auction$2,774
United Way of Cass-Clay
PO Box 1609FargoND58107NonePCGeneral support$800
United Way of Grand Forks East Grand Forks and Area
1407 24th Avenue SouthGrand ForksND58201NonePCBackpack food program$2,500
University of Jamestown
6000 College LnJamestownND58405NoneGOVScholarships$5,000
University of Mary Financial Aid
7500 University DriveBismarckND58504NoneGOVScholarships$10,000
University of North Dakota
264 Centennial Drive Stop 8371Grand ForksND58202NoneGOVScholarships$12,500
Valley Senior Services
2801 32nd Ave SFargoND58103NonePCGeneral support$400
Vision West ND
2493 4th Ave W Suite GDickinsonND58601NonePChelp establish a regional behavioral health network$10,000
Wahpeton Eagles
PO Box 875WahpetonND56074NonePCGeneral support$200
Ward County Historical Society
PO Box 994MinotND58702NonePCGeneral support$200
Western Wellness Foundation Inc
PO Box 542DickinsonND58601NonePCMental Health assessment screening tools for children$20,000
Westhope Public School
395 Main StreetWesthopeND58793NoneGOVSuicide prevention community guest speaker$2,500
Williston State College
1410 University AvenueWillistonND58801NoneGOVScholarships$2,500
Willow Park Elementary
4901 15th Avenue SouthFargoND58103NoneGOVSupport onsite food pantry for kids in need$1,000
Women's Care Center
103 N UniversityFargoND58102NonePCGeneral support$400
YWCA Cass Clay
3100 12th Avenue NFargoND58102NonePCGeneral support$1,400
YWCA Cass Clay
3100 12th Avenue NFargoND58102NonePCLantern Light residential housing support$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$655,163TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$308,751ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,543,475ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,852,226ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,852,226TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of North DakotaBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Total Contributions$279,534TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
Baird Aggregate Bond FundFMV$7,652,900$7,652,900
Transamerica International Equity FundFMV$2,120,800$2,120,800
Vanguard Total Stock MarketFMV$9,099,551$9,099,551

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescInvestment Income ReceivableDesc
BOY Book Value$51BOYBookValueAmt
EOY Book Value$1EOYBookValueAmt
EOYFMV$1EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Administrative Expenses$272,034$0$0
CaringForKids$57,663$0$57,663
CaringForCommunities$6,012$0$6,012
Miscellaneous$3$0$3

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUnrealized GainDesc
Amt$661,243Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management FeesCategoryTxt
Amt$7,777Amt
Net Investment Income$7,777NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryExcise TaxesCategoryTxt
Amt$25,621Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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