GENERATIONS HEALTH CARE INITIATIVES INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GENERATIONS HEALTH CARE INITIATIVES INC (EIN 41-2000473)
Tax period
2020-09-01 to 2021-08-31
Filed
2022-03-29
IRS object ID
202240889349100704
Schema version
2020v4.2
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)
Return2022-03-29T11:13:47-05:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST FIRST STREET SUITE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55802ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412000473EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENERATIONS HEALTH CARE INITIATIVES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone2183365700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 W SUPERIOR STREET NO 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY RAPPSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2183365700PhoneNum
Signature2022-03-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARYPersonFirstNm
Person LastRAPPSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE BOYERPreparerPersonNm
PTINP01278549PTIN
Phone2187275025PhoneNum
Preparation2022-03-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$13,465,100FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$322,614ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$208,912DividendsRevAndExpnssAmt
Dividends Net Invst Incm$208,912DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$10,734GrossRentsRevAndExpnssAmt
Net Rental Income Or Loss$10,734NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$638,907NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,094,940GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$638,907CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$5,833OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,187,000TotalRevAndExpnssAmt
Total Net Invst Incm$847,819TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$188,368CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$5,420CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$182,948CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$3,402LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$3,402LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$17,767AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$888AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$16,092AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$46,543OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$46,543OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$16,133TaxesRevAndExpnssAmt
Taxes Net Invst Incm$229TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$4,677DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$40,070OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$39,869OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$929TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$569TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$585,271OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,084OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$591,169OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$903,160TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$54,164TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$834,049TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$274,730ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$279,585ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,177,890TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$54,164TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,113,634TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$9,110ExcessRevenueOverExpensesAmt
Net Investment Income$793,655NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$105,744CashBOYAmt
Cash EOY$56,219CashEOYAmt
Cash EOYFMV$56,219CashEOYFMVAmt
Acct Rcvbl$37,324AcctRcvblAmt
Acct Rcvbl BOY$27,373AcctRcvblBOYAmt
Acct Rcvbl EOY$37,324AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$37,324AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$8,627PrepaidExpensesBOYAmt
Prepaid Expenses EOY$17,713PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$17,713PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$861,288USGovernmentObligationsBOYAmt
US Government Obligations EOY$973,663USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$973,663USGovtObligationsEOYFMVAmt
Corporate Stock BOY$8,990,686CorporateStockBOYAmt
Corporate Stock EOY$10,547,229CorporateStockEOYAmt
Corporate Stock EOYFMV$10,547,229CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,269,665CorporateBondsBOYAmt
Corporate Bonds EOY$1,128,471CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,128,471CorporateBondsEOYFMVAmt
Other Investments BOY$472,609OtherInvestmentsBOYAmt
Other Investments EOY$696,414OtherInvestmentsEOYAmt
Other Investments EOYFMV$696,414OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$107,246LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$99,179LandBldgEquipAccumDeprecAmt
Land BOY$11,749LandBOYAmt
Land EOY$8,067LandEOYAmt
Land EOYFMV$8,067LandEOYFMVAmt
Total Assets BOY$11,747,741TotalAssetsBOYAmt
Total Assets EOY$13,465,100TotalAssetsEOYAmt
Total Assets EOYFMV$13,465,100TotalAssetsEOYFMVAmt
Accounts Payable BOY$108,671AccountsPayableBOYAmt
Accounts Payable EOY$105,975AccountsPayableEOYAmt
Other Liabilities BOY$22,233OtherLiabilitiesBOYAmt
Other Liabilities EOY$32,650OtherLiabilitiesEOYAmt
Total Liabilities BOY$130,904TotalLiabilitiesBOYAmt
Total Liabilities EOY$138,625TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$11,616,837NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$13,326,475NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$11,616,837TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$13,326,475TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$11,747,741TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$13,465,100TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,616,837TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$9,110ExcessRevenueOverExpensesAmt
Other Increases$1,700,528OtherIncreasesAmt
Subtotal$13,326,475SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$13,326,475TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$2,008,019$1,456,033$551,986$551,986
CAPITAL GAINS DIVIDENDSP$86,921$86,921$86,921
FieldValueIRS element (for citing)
Capital Gain Net Income$638,907CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$11,032InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$11,032SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$11,032TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$13,080EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$5,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$18,080TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$1EsPenaltyAmt
Overpayment$7,047OverpaymentAmt
Applied To ES Tax$7,047AppliedToESTaxAmt
Refund$0RefundAmt

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 StateMNOrgReportOrRegisterStateCd
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.GHCI.USWebsiteAddressTxt
Individual With BooksTERRY LEONIDASIndividualWithBooksNm
Phone2183365702PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1130 W SUPERIOR STREET SUITE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55802ZIPCd
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 PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
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 (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ELIZABETH HENDEERSON
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.50$0$0$0
ANGIE MILLER
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
KIM DAUNER
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
MICHAEL SLAG MD
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
THOMAS ALBRIGHT
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
JIM SPREITZER
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
YVONNE MICHAUD NOVAK
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
JULIE PIERCE
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802DIRECTOR0.30$0$0$0
JO ANN HOAG
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802CHAIR0.50$0$0$0
CARL CRAWFORD
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802VICE CHAIR0.50$0$0$0
STEVE PATRONIS
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802SECRETARY/TREASURER0.50$0$0$0
TERRY LEONIDAS
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802CFO20.00$34,032$2,382$0
MARY RAPPS
130 WEST SUPERIOR STREET SUITE 700DULUTHMN55802EXECUTIVE DIRECTOR40.00$116,127$35,827$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
MEGAN HALENA
130 W SUPERIOR STREET SUITE 700DULUTHMN55802PROGRAM DIRECTOR40.00$64,727$13,269$0
SONIA KJOS
130 W SUPERIOR STREET SUITE 700DULUTHMN55802MANAGEMENT INFORMATI24.00$61,344$4,294$0
SARAH NELSON
130 W SUPERIOR STREET SUITE 700DULUTHMN55802PROGRAM DIRECTOR24.00$58,384$4,033$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMHERST H WILDER FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1451 LEXINGTON PARKWAY NORTHAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55104ZIPCd
FieldValueIRS element (for citing)
Service TypePROJECT MGMT/ PLANNING/DATA ANALYSISServiceTypeTxt
Compensation$221,021CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1IMPROVING ACCESS TO CARE - GENERATIONS LEADS THE INSURE DULUTH COALITION, 17 ORGANIZATIONS PROVIDING A COORDINATED COMMUNITY APPROACH TO 1) INFORMING RESIDENTS OF DULUTH AND THE SURROUNDING AREA ABOUT COVERAGE OPPORTUNITIES AVAILABLE THROUGH MNSURE, 2) CONDUCTING OUTREACH TO TARGETED POPULATIONS TO ENCOURAGE ENROLLMENT, AND 3) PROVIDING INDIVIDUAL ENROLLMENT ASSISTANCE. GENERATIONS COORDINATES PROJECT ACTIVITIES AND PROVIDES MANAGEMENT FOR GRANTS PROVIDED BY MNSURE AND BLUE CROSS BLUE SHIELD. ADDITIONALLY, GENERATIONS FUNDS THE LAKE SUPERIOR COMM. HLTH. CTR. TO OPERATE ITS HEALTH CARE ACCESS OFFICE. THE OFFICE HELPS TO INCREASE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDER-INSURED BY ENROLLING THEM IN HEALTH COVERAGE AND PHARMACEUTICAL ASSISTANCE PROGRAMS. THE STAFF SCREENS INDIVIDUALS, ASSISTS IN COMPLETING THE APPLICATIONS, AND PROVIDES ADVOCACY THROUGHOUT THE ENROLLMENT PROCESS. INDIVIDUALS ARE REFERRED TO COMMUNITY RESOURCES IF OTHER SERVICES ARE NEEDED.Description1Txt
Expenses1$369,626Expenses1Amt
Description2LEVERAGING AND SUPPORTING STRATEGIC ALLIANCES - GENERATIONS PROVIDES LEADERSHIP AND/OR FINANCIAL SUPPORT TO INITIATIVES IN THE REGION INCLUDING: 1) BRIDGE TO HEALTH SURVEY - A REGIONAL ADULT HEALTH STATUS SURVEY. GENERATIONS SERVES AS THE BACKBONE ORGANIZATION OF THIS EFFORT, RESPONSIBLE FOR FUNDRAISING, COORDINATING, AND COMMUNICATING THE SURVEY RESULTS. 2) BRIDGING HEALTH DULUTH (BHD) - A COLLABORATIVE THAT DEVELOPS A COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN. GENERATIONS PROVIDES FINANCIAL SUPPORT AND LEADERSHIP ON THE BHD STEERING COMMITTEE AND IMPLEMENTATION TEAMS. 3) NORTHLAND HEALTHY MINDS - A COALTION FOCUSED ON REDUCING THE STIGMA ASSOCIATED WITH MENTAL ILLNESS.Description2Txt
Expenses2$342,387Expenses2Amt
Description3ADVANCING HEALTH EQUITY - GENERATIONS PROVIDES FUNDS AND SUPPORT TO THE FOLLOWING ORGANIZATIONS AND INITIATIVES AIMED AT IMPROVING HEALTH EQUITY IN THE COMMUNITY: 1) DULUTH COMMUNITY SCHOOL COLLABORATIVE TO EMPLOY A COMMUNITY HEALTH WORKER (CHW) TO SERVE STUDENTS AND FAMILIES IN MYERS-WILKENS ELEMENTARY SCHOOL, LINCOLN PARK MIDDLE SCHOOL AND DENFELD HIGH SCHOOL THAT ARE EXPERIENCING BARRIERS TO HEALTH. 2) HEALTH EQUITY NORTHLAND AND OTHER PARTNERS ON AN AFRICAN HERITAGE COVID-19 OUTREACH PROJECT WITH FOCUS ON SYSTEMIC CAUSES OF HEALTH INEQUITIES. 3) BRIDGING HEALTH DULUTH (BHD) ON FOCUSING EQUITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN PROCESS. 4) BHD RESOURCEFUL PROJECT ON RECRUITING AND SUPPORTING A COMMUNITY ADVISORY TEAM IN A COMMUNITY PARTICIPATORY BASED EVALUATION PROCESS.Description3Txt
Expenses3$155,429Expenses3Amt
Description4PROGRAM DEVELOPMENT - GENERAL PROGRAM DEVELOPMENT INCLUDES ACTIVITIES SUCH AS FORMATIVE RESEARCH, PROGRAM PLANNING, AND TRAINING RELATED TO PROGRAM DEVELOPMENT.Description4Txt
Expenses4$5,498Expenses4Amt

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$12,410,703AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$97,550AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$12,508,253TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$12,508,253AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$187,624CashDeemedCharitableAmt
Net Vl Noncharitable Assets$12,320,629NetVlNoncharitableAssetsAmt
Minimum Investment Return$616,031MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$616,031MinimumInvestmentReturnAmt
Tax Based On Investment Income$11,032TaxBasedOnInvestmentIncomeAmt
Total Tax$11,032TotalTaxAmt
Distributable Before Adj$604,999DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$604,999DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$604,999DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,113,634ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,113,634QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,113,634AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$604,999DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$837,998ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$537,219ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$490,429ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$297,901ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$302,475ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,466,022TotalExcessDistributionCyovAmt
Qualifying Distributions$1,113,634QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$604,999AppliedToCurrentYearAmt
Remaining Distri From Corpus$508,635RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,974,657TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$2,500CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$835,498ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,136,659ExcessDistriCyovToNextYrAmt
Excess From Year4$537,219ExcessFromYear4Amt
Excess From Year3$490,429ExcessFromYear3Amt
Excess From Year2$297,901ExcessFromYear2Amt
Excess From Year1$302,475ExcessFromYear1Amt
Excess From Current Year$508,635ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (6 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
COMMUNITY ACTION DULUTH INC
2424 W 1ST ST SUITE 102DULUTHMN55805N/APCINFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE$50,984
DULUTH COMMUNITY SCHOOL COLLABORATIVE
1027 N 8TH AVE EDULUTHMN55805N/APCEDUCATE FAMILIES ON ACCESS TO HEALTH CARE$38,746
LAKE SUPERIOR COMMUNITY HEALTH CENTER
4325 GRAND AVEDULUTHMN55807N/APCINFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE$139,208
WE HEALTH CLINIC
32 EAST 1ST ST SUITE 300DULUTHMN55802N/APCINFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE$10,845
WILDERNESS HEALTH
25 11TH AVETWO HARBORSMN55616N/APCADDRESSING SYSTEMIC INEQUALITIES THAT WERE IDENTIFIED IN THE COVID19 ASSESSMENT$500
YMCA AT THE ESSENTIA WELLNESS CENTER
PO BOX 3678DULUTHMN55803N/APCINFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE$39,302
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$279,585TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$208,912ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$10,734ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$638,907ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Related Or Exempt Function Incm$5,833RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$858,553ExclusionAmt
Related Or Exempt Function Incm$5,833RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$864,386TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship StatementOTHER INCOMERelationshipStatementTxt

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 (7 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
BLUE CROSS AND BLUE SHIELD OF MN FOUNDATION
1401 HARDING ST NEMINNEAPOLISMN55413$54,000Yes (X)
MNSURE
2355 RANDOLPH AVEST PAULMN55102$232,455Yes (X)
ITASCA COUNTY PUBLIC HEALTH
31209 SE 2ND AVEGRAND RAPIDSMN55744$5,000Yes (X)
AITKIN-ITASCA-KOOCHICHING COMMUNITY HEALTH BOARD
41209 SE 2ND AVEGRAND RAPIDSMN55744$5,000Yes (X)
HEALTH PARTNERS
5PO BOX 9480MINNEAPOLISMN55440$5,000Yes (X)
MEDICA FOUNDATION
6PO BOX 9310MINNEAPOLISMN55440$5,000Yes (X)
UCARE
7PO BOX 52MINNEAPOLISMN55440$10,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$17,767Amt
Net Investment Income$888NetInvestmentIncomeAmt
Disbursements Charitable Prps$16,092DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (2 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
LEASEHOLD IMPROVEMENTS2001-01-01$8,211$6,422SL15.000000000000$795$0
MOVEABLE EQUIPMENT2001-01-01$99,035$88,080SL5.000000000000$3,882$0

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (25 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ABBVIE INC$43,481$43,481
ANTHEM INC$44,768$44,768
AT&T INC$43,520$43,520
BANK OF AMERICA CORP$60,004$60,004
BANK OF MONTREAL$36,810$36,810
CAPITAL ONE FINANCIAL CO$44,722$44,722
CHEVRON CORP$51,280$51,280
CITIGROUP INC$45,154$45,154
COMCAST CORP$52,208$52,208
CVS HEALTH CORP$39,657$39,657
DIGITAL REALTY TRUST LP$44,840$44,840
DOLLAR GENERAL CORP$41,562$41,562
EQUINIX$34,616$34,616
GOLDMAN SACHS GROUP INC$54,478$54,478
HALLIBURTON COMPANY$3,149$3,149
HP ENTERPRISE CO$35,618$35,618
JPMORGAN CHASE & CO$58,239$58,239
METLIFE INC$47,460$47,460
MITSUBISHI UFJ FIN GRP$42,523$42,523
MORGAN STANLEY$44,501$44,501
PNC FINANCIAL SERVICES$47,263$47,263
SUMITOMO MITSUI FINL GRP$56,203$56,203
SUNTRUST BANKS INC$49,875$49,875
WALT DISNEY COMPANY/THE$56,071$56,071
WESTPAC BANKING CORP$50,469$50,469

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (73 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACCENTURE PLC$53,513$53,513
ACTIVISION BLIZZARD INC$19,769$19,769
AGCO CORP COM$31,515$31,515
ALIGN TECHNOLOGY INC$48,212$48,212
ALPHABET INC CL C$192,010$192,010
AMAZON COM INC COM$156,186$156,186
AMEX ENERGY SELECT SPDR$326,700$326,700
APPLE INC$209,829$209,829
ARISTA NETWORKS INC$45,083$45,083
ARTISAN INTERNATIONAL FUND INSTITUTIONAL CLASS$478,225$478,225
BOOKING HOLDINGS INC$39,094$39,094
BOSTON SCIENTIFIC CORP COM$42,757$42,757
BROADCOM INC$58,671$58,671
CANADIAN PAC RY LTD COM$32,194$32,194
CENTENE CORP DEL COM$34,135$34,135
CHEWY INC$25,290$25,290
CHIPOTLE MEXICAN GRILL INC$28,550$28,550
CONSTELLATION BRANDS INC$25,337$25,337
DANAHER CORP$46,031$46,031
DEXCOM INC$53,471$53,471
DODGE & COX INTERNATIONAL STOCK FUND$574,372$574,372
DODGE & COX STOCK FUND$1,018,782$1,018,782
ECOLAB INC$21,409$21,409
ELI LILLY & CO COM$43,909$43,909
ESTEE LAUDER COMPANIES INC$44,945$44,945
FACEBOOK INC$132,404$132,404
FIDELITY NATL INFORMATION SVCS INC$47,914$47,914
FINANCIAL SELECT SECTOR SPDR FUND$278,400$278,400
FLEETCOR TECHNOLOGIES INC$36,859$36,859
FORTUNE BRANDS HOME & SECURITY$40,019$40,019
GXO LOGISTICS$21,020$21,020
HOME DEPOT INC$27,073$27,073
INTERCONTINENTAL EXCHANGE, INC$38,967$38,967
INVESCO OPPENHEIMER DEVELOPING MARKETS FUND CLASS R6$666,162$666,162
ISHARES CMBS ETF$68,350$68,350
ISHARES MBS ETF$86,872$86,872
ISHARES MSCI EAFE ETF$179,424$179,424
ISHARES MSCI EMERGING MARKETS$217,502$217,502
ISHARES RUSSELL 1000 GROWTH ETF$319,990$319,990
ISHARES RUSSELL 1000 VALUE ETF$130,472$130,472
ISHARES RUSSELL 2000 ETF$146,848$146,848
ISHARES RUSSELL MID-CAP GROWTH$385,991$385,991
ISHARES RUSSELL MID-CAP VALUE$177,225$177,225
JP MORGAN MID CAP VALUE FUND-CLASS R6$394,089$394,089
LULULEMON ATHLETICA INC$29,613$29,613
MICROSOFT CORP$208,599$208,599
MORGAN STANLEY COM$59,212$59,212
NETFLIX INC$35,859$35,859
NORWEGIAN CRUISE LINE HOLDINGS LTD$16,615$16,615
NVIDIA CORP COM$77,900$77,900
PALO ALTO NETWORKS INC$55,786$55,786
PGIM HIGH YIELD FUND$357,683$357,683
PIMCO EMERGING MARKETS LOCAL CURRENCY AND BOND FUND$288,502$288,502
PIMCO INTERNATIONAL BOND FUND$162,915$162,915
POOL CORPORATION COM$48,441$48,441
S&P GLOBAL INC$43,051$43,051
SALESFORCE COM INC COM$69,501$69,501
SERVICENOW INC.$60,502$60,502
SPDR DJ WILSHIRE INTERNATIONAL REAL ESTATE ETF$318,243$318,243
SPDR DOW JONES REIT ETF$462,249$462,249
T ROWE PRICE INSTITUTIONAL EMERGING MARKETS EQUITY FUND$310,070$310,070
TELADOC HEALTH INC.$31,628$31,628
TEMPLETON GLOBAL BOND FUND$187,148$187,148
TRACTOR SUPPLY CO COM$38,073$38,073
TRANSDIGM GROUP INC COM$30,374$30,374
TRIBUTARY SMALL COMPANY FUND CLASS$246,754$246,754
TRIMBLE INC$34,485$34,485
ULTA BEAUTY, INC.$46,865$46,865
VANGUARD REAL ESTATE ETF$135,725$135,725
VERTEX PHARMACEUTICALS INC COM$22,432$22,432
VISA INC-CLASS A SHRS$67,355$67,355
XPO LOGISTICS INC$22,336$22,336
ZENDESK INC$33,743$33,743

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$973,663USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$973,663USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ACC INT REC - SECURITIESFMV$15,244$15,244
MONEY MARKET FUNDSFMV$681,170$681,170

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (2 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LEASEHOLD IMPROVEMENTS$8,211$7,217$994
MOVEABLE EQUIPMENT$99,035$91,962$7,073

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$3,402LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,402DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (13 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSES$6,596$0$6,484
DUES AND MEMBERSHIPS$994$0$994
PARKING$955$0$1,025
INSURANCE$4,234$0$4,268
LEASED EMPLOYEES$38,556$0$27,540
COMPUTER SUPPLIES & SOFTWARE$32,427$0$41,646
PROGRAM DEVELOPMENT$5,498$0$5,574
LEVERAGING AND SUPPORTING STRATEGIC ALLIANCES$284,144$0$295,302
PAYROLL FEES$21,668$1,083$20,584
ADVANCING HEALTH EQUITY$79,272$0$79,120
IMPROVING ACCESS TO CARE$110,771$0$108,477
SPACE EXPENSE$131$0$131
TAX RETURN REGISTRATION$25$1$24

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Revenue And Expenses Per Books$5,833RevenueAndExpensesPerBooksAmt
Adjusted Net Income$5,833AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$1,700,528Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescASSETS HELD FOR OTHERSDesc
BOY Book Value$22,233BOYBookValueAmt
EOY Book Value$32,650EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$46,543Amt
Net Investment Income$46,543NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAXES$15,904$0$0
FOREIGN TAXES$229$229$0

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