CHILDRENS VILLAGE-FAMILY SERVICE FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS VILLAGE-FAMILY SERVICE FOUNDATION INC (EIN 45-6013464)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202203149349301830
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)
Return2022-11-10T15:08:38-06:00ReturnTs
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 Line11730 Burnt Boat Loop Ste 100AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585030886ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN456013464EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Village Family ServiceBusinessNameLine1Txt
Business Name Line2FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone7014514900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9859AddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP581069859ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKelly OlsonPersonNm
Person TitleCEOPersonTitleTxt
Phone7014514900PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKellyPersonFirstNm
Person LastOlsonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2022-11-10PreparationDt

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 IRS990

FieldValueIRS element (for citing)
Principal OfficerKelly OlsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9859AddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP581069859ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$551,846GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thevillagefamily.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionTo provide permanent support for the activities and programs of the Village Family Service Center.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$14,856TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$127,664PYContributionsGrantsAmt
CY Contributions Grants$174,953CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$42,549PYInvestmentIncomeAmt
CY Investment Income$187,899CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$170,213PYTotalRevenueAmt
CY Total Revenue$362,852CYTotalRevenueAmt
PY Grants And Similar Paid$250,003PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$250,004CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$51,987PYOtherExpensesAmt
CY Other Expenses$85,733CYOtherExpensesAmt
PY Total Expenses$301,990PYTotalExpensesAmt
CY Total Expenses$335,737CYTotalExpensesAmt
PY Revenues Less Expenses-$131,777PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,115CYRevenuesLessExpensesAmt
Total Assets BOY$7,209,148TotalAssetsBOYAmt
Total Assets EOY$7,487,765TotalAssetsEOYAmt
Total Liabilities BOY$622,074TotalLiabilitiesBOYAmt
Total Liabilities EOY$671,747TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,587,074NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,816,018NetAssetsOrFundBalancesEOYAmt
MissionThe Children's Village Family Service Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$250,004ExpenseAmt
Grant$250,004GrantAmt
DescThe Children's Village Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center.Desc
Total Program Service Expenses$250,004TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kelly OlsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7014514870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9859AddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58106ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Matthew Leiseth
Chairman2.000.00Yes (X)Yes (X)$0$0$0
Laura Ness Owens
Vice Chairman2.000.00Yes (X)Yes (X)$0$0$0
Eric Hatch
Board Member2.000.00Yes (X)$0$0$0
Michelle Kommer
Board Member2.000.00Yes (X)$0$0$0
Thomas Rohleder
Board Member2.002.00Yes (X)$0$0$0
Sandra Skallerud
Board Member2.002.00Yes (X)$0$0$0
Jeanne Narum
Board Member2.002.00Yes (X)$0$0$0
Timothy Sayler
Board Member2.002.00Yes (X)$0$0$0
Jayne Gust
Board Member2.000.00Yes (X)$0$0$0
Toni Sandin
Board Member (Though Jan 2021)2.000.00Yes (X)$0$0$0
Jeff Pederson
President/CEO2.0040.00Yes (X)$179,180$0$14,693
Shelley Treib
Secretary/Treasurer2.0040.00Yes (X)$97,277$0$4,281
FieldValueIRS element (for citing)
Total Reportable Comp From Org$276,457TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,974TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$174,953AllOtherContributionsAmt
Total Contributions$174,953TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,126TotalRevenueColumnAmt
Unrelated Business Revenue$14,856UnrelatedBusinessRevenueAmt
Exclusion$81,270ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$280,767SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$188,994SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$91,773SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,773TotalRevenueColumnAmt
Exclusion$91,773ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$362,852TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,856UnrelatedBusinessRevenueAmt
Exclusion$173,043ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$250,004TotalAmt
Program Services$250,004ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,971TotalAmt
Management And General$54,971ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30,762TotalAmt
Management And General$30,762ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$335,737TotalAmt
Program Services$250,004ProgramServicesAmt
Management And General$85,733ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$186,137BOYAmt
EOY$129,393EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$716,436LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$716,436BOYAmt
EOY$716,436EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,043,072BOYAmt
EOY$3,425,657EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$933,213BOYAmt
EOY$997,493EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,330,290BOYAmt
EOY$2,218,786EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,209,148BOYAmt
EOY$7,487,765EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$622,074BOYAmt
EOY$671,747EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$622,074BOYAmt
EOY$671,747EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,474,573BOYAmt
EOY$4,528,564EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,112,501BOYAmt
EOY$2,287,454EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,587,074BOYAmt
EOY$6,816,018EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,209,148BOYAmt
EOY$7,487,765EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,115ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$196,531NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,298OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Village Family Service CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN450226423EIN
Organization Type7OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$250,004SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$250,004SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Section C, Line 1FormAndLineReferenceDesc
ExplanationThe board of the Children's Village Foundation consists of nine members. Of those nine members a total of 2 members also serve on the board of the Village Family Service Center. In addition to the board overlap the CEO and the Secretary/Treasurer of the Children's Village Foundation also serve as the CEO and the CFO of the Village Family Service Center. Other key individuals from the Village Family Service Center also regularly attend board meetings. The Children's Village Foundation has quarterly board meetings which include an update on the Village Family Service Center and presentation of the financial statements by the CFO. The Village Family Service Center has monthly board meetings which include an update on the status of the Children's Village Foundation which includes discussion on the performance of the investments held by the Children's Village Foundation, this information is presented by the CEO.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$341,703BeginningYearBalanceAmt
Contributions$51,100ContributionsAmt
Investment Earnings Or Losses$30,084InvestmentEarningsOrLossesAmt
Other Expenditures$30,084OtherExpendituresAmt
End Year Balance$392,803EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$326,703BeginningYearBalanceAmt
Contributions$15,000ContributionsAmt
Investment Earnings Or Losses$35,897InvestmentEarningsOrLossesAmt
Other Expenditures$35,897OtherExpendituresAmt
End Year Balance$341,703EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$301,805BeginningYearBalanceAmt
Contributions$24,898ContributionsAmt
Investment Earnings Or Losses$31,834InvestmentEarningsOrLossesAmt
Other Expenditures$31,834OtherExpendituresAmt
End Year Balance$326,703EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$291,805BeginningYearBalanceAmt
Contributions$10,000ContributionsAmt
Investment Earnings Or Losses-$14,792InvestmentEarningsOrLossesAmt
Other Expenditures-$14,792OtherExpendituresAmt
End Year Balance$301,805EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$271,804BeginningYearBalanceAmt
Contributions$20,001ContributionsAmt
Investment Earnings Or Losses$28,262InvestmentEarningsOrLossesAmt
Other Expenditures$28,262OtherExpendituresAmt
End Year Balance$291,805EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$716,436OtherCostOrOtherBasisAmt
Book Value$716,436BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$716,436TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Dakota REIT$997,490F
Mineral Rights$3F
FieldValueIRS element (for citing)
Total Book Value Securities$997,493TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Village$2,203,133
Interest and Dividends receivable$10,653
Nokomis Forever Fund$5,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,218,786TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Related Party$522,692
Annuities Payable$29,726
Water Lease Termination Payable$119,329
FieldValueIRS element (for citing)
Total Liability$671,747TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$533,919TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$196,531NetUnrealizedGainsInvstAmt
Other Revenue$5,298OtherRevenueAmt
Revenue Not Reported$201,829RevenueNotReportedAmt
Revenue Subtotal$332,090RevenueSubtotalAmt
Investment Expenses Not Incld$30,762InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$30,762RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$362,852TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$304,975TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$304,975ExpensesSubtotalAmt
Investment Expenses Not Incld2$30,762InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$30,762ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$335,737TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Foundation's endowment consists of approximately 21 individual funds established by donors to provide annual funding for specific activities and general operations.
Part X, Line 2:The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:Change in Value of Split-Interest Agreements 5,298.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Village Family Service CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 25th St SoAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58103ZIPCd
FieldValueIRS element (for citing)
Recipient EIN450226423RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$250,004CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantOperating SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization monitors the use of funds through members of the Board of Directors that also serve on the Board of Directors of the Village Family Service Center. Additionally the CEO and Secretary/Treasurer of the Childrens Village Family Service Foundation serve as the CEO and CFO of the Village Family Service Center.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJeff PedersonPersonNm
TitlePresident/CEOTitleTxt
Base Compensation Filing Org$177,680BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$1,500BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$7,214DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$8,162NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$194,556TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe President/CEO is compensated by the Village Family Service Center, a related organization. In establishing the compensation of the President/CEO the Village Family Service Center use the following methods: compensation survey and approval by the board or compensation committee. The Village uses a survey every three years and annually the board approves compensation.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Jeff Pederson, Shelley Treib, and Elizabeth Mohan each have a business relationship with each other, and the following individuals: Thomas Rohlender, Sandra Skallerud, Jeanne Narum, TIm Sayler, Steve Connelly, and Al Erickson.
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the Board.
Form 990, Part VI, Section B, line 11bThe CFO, CEO, and staff accountant of the Village Family Service Center, a related organization, will review the Form 990 prior to it being distributed to the board members prior to it being filed.
Form 990, Part VI, Section B, line 12cIndividuals with a conflict, or potential conflict, will make this known to the appropriate Foundation individual at the earliest possible date. Board member conflicts are to be reported to the Chairperson of the Board of Directors of the Children's Village Family Service Foundation. Board members are asked to abstain from voting on any issues in which they have a conflict.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part XI, line 9:Change in Value of Split Interest Agreements 5,298.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Village Family Service CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9859AddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58106ZIPCd
FieldValueIRS element (for citing)
EIN450226423EIN
Primary ActivitiesHuman ServicesPrimaryActivitiesTxt
Legal Domicile StateNDLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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