MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-11
- IRS object ID
- 202221319349100617
- 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
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T09:44:02-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421046003 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Corwin Reichter & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2894 106th Street Ste 120 | AddressLine1Txt |
| City | Urbandale | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503223781 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421235348 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid-Iowa Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MID- | BusinessNameControlTxt |
| Phone | 5152776411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nalo Johnson | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5152776411 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Nalo | PersonFirstNm |
| Person Last | Johnson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lyle D Reichter CPA CMA | PreparerPersonNm |
| PTIN | P00065165 | PTIN |
| Phone | 5153090215 | PhoneNum |
| Preparation | 2022-05-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | 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 | $19,806,260 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $2,000 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $25 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $25 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $493,082 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $493,082 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,773,069 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $8,473,444 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,773,069 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $2,268,176 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,266,176 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $145,125 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $11,610 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $133,515 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $96,030 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $96,030 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $47,145 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,731 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $45,414 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $16,600 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $16,600 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $123,994 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $85,484 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $38,510 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $31,449 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $538 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $115 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $16,658 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $16,658 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $13,247 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $13,144 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $15,983 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $13,687 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $46,822 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $40,621 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $553,168 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $99,363 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $414,179 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $657,844 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $489,475 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,211,012 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $99,363 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $903,654 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,057,164 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,166,813 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $40,076 | CashBOYAmt |
| Cash EOY | $1 | CashEOYAmt |
| Cash EOYFMV | $1 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $430,990 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $275,020 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $275,020 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl BOY | $1,158 | AcctRcvblBOYAmt |
| Prepaid Expenses BOY | $2,400 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $1,395 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $1,395 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $12,847,997 | CorporateStockBOYAmt |
| Corporate Stock EOY | $11,185,894 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $11,185,894 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $4,832,144 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $8,330,393 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $8,330,393 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $13,795 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $238 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $0 | LandBOYAmt |
| Land EOY | $13,557 | LandEOYAmt |
| Land EOYFMV | $13,557 | LandEOYFMVAmt |
| Total Assets BOY | $18,154,765 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,806,260 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $19,806,260 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $21,211 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $21,378 | AccountsPayableEOYAmt |
| Grants Payable BOY | $77,996 | GrantsPayableBOYAmt |
| Grants Payable EOY | $231,365 | GrantsPayableEOYAmt |
| Other Liabilities BOY | $32,000 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $38,200 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $131,207 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $290,943 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $18,023,558 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $19,515,317 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $18,023,558 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $19,515,317 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $18,154,765 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $19,806,260 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $18,023,558 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,057,164 | ExcessRevenueOverExpensesAmt |
| Other Increases | $434,718 | OtherIncreasesAmt |
| Subtotal | $19,515,440 | SubtotalAmt |
| Other Decreases | $123 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $19,515,317 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Mutual Funds | PropertyDesc |
| Gross Sales Price | $8,473,444 | GrossSalesPriceAmt |
| Cost Or Other Basis | $6,700,375 | CostOrOtherBasisAmt |
| Gain Or Loss | $1,773,069 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $1,773,069 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,773,069 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $30,119 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $30,119 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $30,119 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $18,084 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $18,084 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $278 | EsPenaltyAmt |
| Tax Due | $12,313 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | www.midiowahealth.org | WebsiteAddressTxt |
| Individual With Books | Dr Nalo Johnson | IndividualWithBooksNm |
| Phone | 5152776411 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave Suite 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|
| Kelly Grossman | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Rob Barron | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Hayley L Harvey | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Joseph Jones | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Vice Chair | 1.00 | $0 | $0 | $0 |
| Buck Olsen | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Tammy Gentry | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Judith Vogel | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Dr Nalo Johnson | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | President | 40.00 | $18,000 | $0 | $0 |
| Izaah Knox | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Chris Cook | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Chair | 1.00 | $0 | $0 | $0 |
| Carrie Clogg | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Secretary-Treasurer | 1.00 | $0 | $0 | $0 |
| Ana Coppola | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Suzanne Mineck | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | President (retired) | 40.00 | $131,600 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Denise Swartz | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Avenue Ste 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50312 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Program Officer | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $99,630 | CompensationAmt |
| Employee Benefits | $0 | EmployeeBenefitsAmt |
| Expense Account | $0 | ExpenseAccountAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $18,619,477 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $316,939 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $18,936,416 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $18,936,416 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $284,046 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $18,652,370 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $932,619 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $932,619 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $30,119 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $30,119 | TotalTaxAmt |
| Distributable Before Adj | $902,500 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $902,500 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $902,500 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $903,654 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $903,654 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $902,500 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $115,461 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $257,589 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $132,787 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $413,257 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $277,359 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,196,453 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $903,654 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $902,500 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,154 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,197,607 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $115,461 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,082,146 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $257,589 | ExcessFromYear4Amt |
| Excess From Year3 | $132,787 | ExcessFromYear3Amt |
| Excess From Year2 | $413,257 | ExcessFromYear2Amt |
| Excess From Year1 | $277,359 | ExcessFromYear1Amt |
| Excess From Current Year | $1,154 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Dr Nalo Johnson | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave Suite 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5152776411 | RecipientPhoneNum |
| Form And Info And Materials | Please contact Denise Swartz or Dr. Nalo Johnson at 515-277-6411 or go to the Mid-Iowa Health Foundation website at www.midiowahealth.org to learn more about the grant process and how to apply. Non-profit organziations may apply for a grant through the competitive application process. Contact Denise or Nalo to discuss your ideas for addressing the HealthConnect Innovation Grants priority. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | See the website for application deadlines. | SubmissionDeadlinesTxt |
| Restrictions On Awards | Proposals are not considered for: for-profit entities, individuals, scholarships, conference registration fees, programs supporting religious activities, general operations or special camps, capital campaigns, endowment campaigns, debt reduction, or fundraising events. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (39 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| AMOS Institute of Public Life | ||||||
| 3829 Grand Ave | Des Moines | IA | 50312 | PC | Organizing for childrens' mental health | $20,000 |
| ArtForce Iowa | ||||||
| 900 Mulberry St | Des Moines | IA | 50309 | PC | #Knowjustice: Know History | $2,000 |
| Blank Children's Hospital | ||||||
| 1200 Pleasant Street | Des Moines | IA | 50309 | PC | Improve children's mental health and well being in Iowa | $2,000 |
| Child and Family Policy Center | ||||||
| 505 Fifth Ave Ste 404 | Des Moines | IA | 50309 | PC | Improving access to & quality of care for low-income children | $2,000 |
| Coalition for Family & Children's Services of Iowa | ||||||
| 1111 Ninth St Ste 235 | Des Moines | IA | 50314 | PC | Engage thought leaders & leadership teams to prepare for Family First | $40,000 |
| Community Youth Concepts | ||||||
| 1446 Martin Luther King Jr Pkwy | Des Moines | IA | 50314 | PC | uVoice | $28,000 |
| Des Moines University | ||||||
| 3200 Grand Ave | Des Moines | IA | 50312 | PC | Enhance culturally, socially responsive health care | $31,459 |
| Drake University | ||||||
| 2507 University Ave | Des Moines | IA | 50311 | PC | Harkin Nutrition Security Symposium | $2,500 |
| Eat Greater Des Moines | ||||||
| 501 SW 7th St Ste G2 | Des Moines | IA | 50309 | PC | Expand access to healthy food through systemic collaboration & innovation | $2,000 |
| EveryStep | ||||||
| 1111 Ninth St Ste 320 | Des Moines | IA | 50314 | PC | Prenatal family engagement project, Nine2Thrive | $2,000 |
| Foundations Inc | ||||||
| 701 East Gate Drive Suite 300 | Mt Laurel | NJ | 08054 | PC | Leveraging Medicaid to support a key social determinant of health, children's asthma, by funding home assessment and housing remediation | $2,000 |
| Genesis Youth Foundation | ||||||
| 4801 Franklin Ave | Des Moines | IA | 50310 | PC | Ubuntu Leadership Program | $20,000 |
| Healthy Birth Day Inc | ||||||
| PO Box 71093 | Clive | IA | 50325 | PC | Reducing racial disparities that persist in birth outcomes | $2,000 |
| Homes of Oakridge Human Services | ||||||
| 1401 Center St | Des Moines | IA | 50309 | pc | unevictIA Eviction Mapping Exhibit - Building for stability | $7,500 |
| Homes of Oakridge Human Services | ||||||
| 1401 Center St | Des Moines | IA | 50309 | pc | Improving access to safe, stable and strong housing and support networks | $2,000 |
| Iowa ACEs 360 | ||||||
| PO Box 8301 | Des Moines | IA | 50301 | PC | ACEs movement sustainability initiative | $35,000 |
| Iowa ACEs 360 | ||||||
| PO Box 8301 | Des Moines | IA | 50301 | PC | Healing-Centered Engagement Cohort | $10,000 |
| Iowa ACEs 360 | ||||||
| PO Box 8301 | Des Moines | IA | 50301 | PC | Sesame Street In Communities Project | $2,000 |
| Iowa ACEs 360 | ||||||
| PO Box 8301 | Des Moines | IA | 50301 | PC | Prenatal to Childrens Service Systems | $2,000 |
| Iowa ACEs 360 | ||||||
| PO Box 8301 | Des Moines | IA | 50301 | PC | Prevent youth from aging out of foster care and to prevent homelessness | $2,500 |
| Iowa Coalition Against Domestic Violence | ||||||
| 4725 Merle Hay Road Ste 107 | Des Moines | IA | 50322 | pc | Impact of Immigration Policies on the Health and Well-being of Latinx Families in Iowa | $2,000 |
| Iowa Coalition for Collective Change | ||||||
| 950 Office Park Road 127 | West Des Moines | IA | 50266 | PC | Building a coalition of providers who are committed to improving access and quality for the most at-risk pregnant and parenting families. | $2,000 |
| Iowa Department of Human Rights | ||||||
| 321 E 12th St | Des Moines | IA | 50319 | GOV | Youth Opportunity Pathway | $44,516 |
| Iowa Department of Public Health | ||||||
| 321 E 12th St | Des Moines | IA | 50319 | GOV | IDPH Title V Community-Based Doula Project for African American/Black Women | $35,000 |
| Iowa Healthiest State Initiative | ||||||
| 301 Grand Ave | Des Moines | IA | 50309 | PC | Polk County Produce Prescription Program | $15,000 |
| Iowa Public Health Association | ||||||
| 501 SW 7th St Ste G | Des Moines | IA | 50309 | PC | IPHA Conference | $2,000 |
| Iowa Public Health Association | ||||||
| 501 SW 7th St Ste G | Des Moines | IA | 50309 | PC | Vaccination Partners Advocacy Network | $2,000 |
| Iowa Public Radio | ||||||
| 2111 Grand Ave Ste 100 | Des Moines | IA | 50312 | PC | Health Reporting | $50,000 |
| Latinas Latinos Al Exito Inc | ||||||
| PO Box 93531 | Des Moines | IA | 50393 | PC | Improving lives of Latino youth | $2,000 |
| Orchard Place | ||||||
| 2116 Grand Avenue | Des Moines | IA | 50312 | PC | Children's Mental Health Crisis Response | $10,000 |
| Planned Parenthood of the Heartland | ||||||
| 818 5th Ave | Des Moines | IA | 50309 | pc | Peer Education in Iowa: Empowering a Vital Generation | $25,000 |
| Please Pass the Love | ||||||
| PO Box 93873 | Des Moines | IA | 50393 | PC | School mental health groups | $20,000 |
| Polk County Health Department | ||||||
| 1907 Carpenter Ave | Des Moines | IA | 50314 | GOV | Addressing health and Mental Health Concerns in Refugee and Immigrant Communities | $15,000 |
| Polk County Health Department | ||||||
| 1907 Carpenter Ave | Des Moines | IA | 50314 | GOV | Refugee & Immigrant Voices to inform our Community's Health Needs Assessment | $5,000 |
| Proteus Inc | ||||||
| 1221 Center St Ste 16 | Des Moines | IA | 50309 | PC | Care coordination for farmworker families | $2,000 |
| Street Collective | ||||||
| 506 E 6th St | Des Moines | IA | 50309 | PC | Increase physical activity & safer streets - encourage walking, biking | $2,000 |
| United Way of Central Iowa | ||||||
| 1111 Ninth St Ste 100 | Des Moines | IA | 50314 | PC | A comprehensive, sustainable structure and framework for obesity prevention and promotion of healthy habits for ALL kids and families in Iowa. | $2,000 |
| United Way of Story County | ||||||
| 315 Clark Ave | Ames | IA | 50010 | PC | Impact of the climat of school & out of school programs on chronic absenteeism & engagement | $2,000 |
| Youth Homes of Mid-America | ||||||
| 7225 NW 58th | Johnston | IA | 50131 | PC | YHMA and YESS: Stronger Together | $35,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $489,475 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (5 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Des Moines University | ||||||
| 3200 Grand Ave | Des Moines | IA | 50312 | PC | Enhance culturally, socially responsive health care | $31,849 |
| Iowa ACEs 360 | ||||||
| 501 SW 7th St Ste G | Des Moines | IA | 50309 | PC | ACEs Movement Sustainability Initiative | $70,000 |
| Iowa Department of Human Rights | ||||||
| 321 E 12th St | Des Moines | IA | 50319 | GOV | Youth Opportunity Pathway | $44,516 |
| Iowa Department of Public Health | ||||||
| 321 E 12th St | Des Moines | IA | 50319 | GOV | IDPH Title V Community-Based Doula Project for African American/Black Women | $35,000 |
| Iowa Public Radio | ||||||
| 2111 Grand Ave Ste 100 | Des Moines | IA | 50312 | PC | Health Reporting | $50,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $231,365 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $25 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $493,082 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,773,069 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $2,266,176 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,266,176 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Accounting and tax services | CategoryTxt |
| Amt | $16,600 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $16,600 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Leasehold Improvements | PropertyDesc |
| Acquired | 2021-12-13 | AcquiredDt |
| Cost Or Other Basis | $13,795 | CostOrOtherBasisAmt |
| Computation Method | SL | ComputationMethodTxt |
| Life | 15.000000000000 | LifeRt |
| Current Year Expense | $115 | CurrentYearExpenseAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (79 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| Adobe Systems Inc | $46,499 | $46,499 |
| Aercap Hldgs NV | $80,728 | $80,728 |
| Airbus SE | $34,495 | $34,495 |
| Alleghany Corp New | $64,756 | $64,756 |
| Allison Transmission Holdings Inc | $43,402 | $43,402 |
| Alnylam Pharmaceuticals Inc | $36,290 | $36,290 |
| Alphabet Inc. | $191,205 | $191,205 |
| Amazon Com Inc | $230,069 | $230,069 |
| American Express Company | $47,280 | $47,280 |
| American Tower Corp REIT | $49,140 | $49,140 |
| Amphenol Corp New | $64,808 | $64,808 |
| Analog Devices Inc | $29,354 | $29,354 |
| Anheuser Busch Inbev | $126,005 | $126,005 |
| Apple Inc | $207,402 | $207,402 |
| Aptargroup Inc | $62,832 | $62,832 |
| Armstrong World Industries | $95,451 | $95,451 |
| Ball Corp | $73,261 | $73,261 |
| Black Knight Inc | $72,280 | $72,280 |
| Bristol Myers Squibb Co | $18,518 | $18,518 |
| Broadcom Inc | $25,951 | $25,951 |
| Brown-Forman Corp | $49,108 | $49,108 |
| CarGurus Inc | $35,793 | $35,793 |
| Carmax Inc | $183,103 | $183,103 |
| Carrier Global Corp | $6,888 | $6,888 |
| Caterpiller Inc | $25,222 | $25,222 |
| Cheniere Energy Inc New | $130,832 | $130,832 |
| Churchill Downs Inc | $71,066 | $71,066 |
| Cincinnati Fincl Corp | $91,372 | $91,372 |
| Citrix Systems Inc | $52,497 | $52,497 |
| Comcast Corp | $23,806 | $23,806 |
| Copart Inc | $122,509 | $122,509 |
| Crown Castle International Corp | $55,525 | $55,525 |
| Danaher Corp | $47,048 | $47,048 |
| Diageo PLC Spons ADR | $18,932 | $18,932 |
| Disney Walt Company | $32,682 | $32,682 |
| Dollar Tree Stores Inc | $86,701 | $86,701 |
| Entergris Inc | $130,820 | $130,820 |
| Meta Platforms Inc | $165,148 | $165,148 |
| Genl Dynamics Corp | $35,023 | $35,023 |
| Goldman Sachs Group Inc | $71,154 | $71,154 |
| Goldman Sachs US Large Cap Equity ETF | $1,237,201 | $1,237,201 |
| Hasbro Inc | $48,956 | $48,956 |
| Ishares Core MSCI Emerging Mkts ETF | $1,450,647 | $1,450,647 |
| Ishares Core MSCI ETF | $755,879 | $755,879 |
| Ishares Core S&P 500 ETF | $2,071,091 | $2,071,091 |
| JPMorgan Chase & Co | $85,509 | $85,509 |
| KLA Corp | $52,473 | $52,473 |
| Lamb Weston Holdings Inc | $79,225 | $79,225 |
| Lennar Corporation | $173,195 | $173,195 |
| Liberty Media Corp | $90,686 | $90,686 |
| Lockheed Martin Corp | $56,155 | $56,155 |
| Lyondellbasell Industries AF SCA | $21,397 | $21,397 |
| M & T Bank Corp | $68,650 | $68,650 |
| Moelis & Co | $78,638 | $78,638 |
| Morgan Stanley & Co | $112,786 | $112,786 |
| Newmarket Corporation | $51,751 | $51,751 |
| Old Dominion Freight | $78,127 | $78,127 |
| Otis Worldwide Corp | $96,212 | $96,212 |
| Perrigo Co PLC | $43,412 | $43,412 |
| Polaris Inc | $33,193 | $33,193 |
| Post Holdings Inc | $96,610 | $96,610 |
| Raytheon Technologies Corp | $11,102 | $11,102 |
| Sensata Technologies Holding PLC EUR | $50,277 | $50,277 |
| Skyworks Solutions Inc | $79,897 | $79,897 |
| State Str Corp | $37,758 | $37,758 |
| Steris PLC | $79,838 | $79,838 |
| Store Capital Corp | $58,274 | $58,274 |
| Synchrony Financial | $24,958 | $24,958 |
| Union Pacific Corp | $54,669 | $54,669 |
| Unitedhealth Group Inc | $89,381 | $89,381 |
| Visa Inc | $27,089 | $27,089 |
| Vulcan Materials Company | $108,772 | $108,772 |
| Workday Inc | $103,808 | $103,808 |
| Haemonetics Corp Mass | $18,988 | $18,988 |
| Ishares Russell 2000 | $387,953 | $387,953 |
| Moderna Inc | $64,257 | $64,257 |
| Unifirst Corp | $67,328 | $67,328 |
| Walmart Inc | $66,557 | $66,557 |
| Wells Fargo & Co New | $38,240 | $38,240 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (8 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Baird Aggregate Bd Fd | FMV | $1,725,720 | $1,725,720 |
| Invesco Developing Markets Fund | FMV | $1,266,764 | $1,266,764 |
| Pimco Fds Pac invt Mgmt Ser Emerging Mkts Bd Fd | FMV | $566,442 | $566,442 |
| T Rowe Pricew Intl Fd Overseas Stk Fd | FMV | $1,364,507 | $1,364,507 |
| American Century Fds Small Cap Value | FMV | $1,622,252 | $1,622,252 |
| Hancock John Cap Ser Classic Value | FMV | $991,906 | $991,906 |
| Mainstay Mackay HY Corp Bond Fund | FMV | $587,426 | $587,426 |
| Pimco Commodity Real Return Strat Fd | FMV | $205,376 | $205,376 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Leasehold Improvements | CategoryOrItemTxt |
| Cost Or Other Basis | $13,795 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $115 | AccumulatedDepreciationAmt |
| Book Value | $13,680 | BookValueAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Depreciation difference book to tax | Desc |
| Amt | $123 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Dues & Subscriptions | $4,868 | $0 | $4,868 |
| Insurance | $4,949 | $0 | $4,949 |
| Office Expense | $12,402 | $0 | $12,401 |
| Telephone | $2,661 | $0 | $2,661 |
| Information Technology | $15,742 | $0 | $15,742 |
| Deferred Excise Taxes | $6,200 | $0 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Unrealized Gains (losses) on Investments | Desc |
| Amt | $434,718 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Federal Excise Tax | Desc |
| BOY Book Value | $32,000 | BOYBookValueAmt |
| EOY Book Value | $38,200 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Consulting | $38,510 | $0 | $38,510 |
| Investment fees | $85,484 | $85,484 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Federal Excise Tax | $30,911 | $0 | $0 |
| Foreign taxes | $538 | $538 | $0 |
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