2022-11-15T23:06:27-06:00 2021-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2021-01-01 255100130 Adams Family Foundation of Nora Springs Iowa % Foundation Source ADAM 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Angie Pippert President 8008391754 2022-11-15 true Angie Pippert 999009999 Jeffrey D Haskell P01345770 8008391754 2021 2022-09-23 18:48:47Z X 23079743 X 8333 772 772 309846 309846 181321 181321 144802 3768180 23349795 3765760 28900 25400 4297352 4283099 52500 52500 2869 2869 450 0 0 450 80 0 0 80 119948 106250 13698 55950 19660 1247 1247 449 449 77335 28394 48933 310828 155551 0 118979 1338020 1338020 1648848 155551 0 1456999 2648504 4127548 1210281 630217 630217 10397672 14007707 14258383 1462657 8638657 9024908 8638657 6064807 516701 2006726 2126336 22612219 25283307 23079743 2119 0 2119 X 22612219 25281188 22612219 25281188 22612219 25283307 22612219 2648504 25000 25285723 4535 25281188 Publicly-traded Securities 23349795 19587828 3761967 Passthrough K1 Capital Gain/(Loss) 15263 LAND IMPROV - FARMLAND - SEC 31 - 146.13 ACRES - ROCK TOWNSHIP P 2015-12-22 2021-12-31 9708 -9708 LAND IMPROV - FARMLAND - SEC 31- 146.13 ACRES - ROCK P 2015-06-22 2021-12-31 1762 -1762 -1762 3765760 57373 57373 57373 36305 0 23200 59505 X 0 2132 2132 false false false false false true true false true true IA true false false false false true N/A Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false true false false false false false false false false false false false false false false false false false Lori M Jost Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Sec 3.0 5500 0 0 Kenneth Kirk Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir 3.0 3000 0 0 Michael Marth Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, VP 3.0 3000 0 0 Debra O'Banion Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas, Dir 10.0 18000 0 0 Angie L Pippert Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres 10.0 23000 0 0 Charles Schwab & Co 211 Main Street SAN FRANCISCO CA 94105 INVESTMENT MGMT 65405 13975680 1699239 7934879 23609798 0 23609798 354147 23255651 1162783 1162783 57373 917 58290 1104493 25000 1129493 1129493 1456999 0 0 0 0 1456999 1129493 956765 2019 2018 2017 1456999 956765 500234 0 0 629259 0 0 NONE Angie Peppert PO BOX 236 Nora Springs IA 504580236 APIPPERT@HOTMAIL.COM FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS CENTRAL SPRINGS COMMUNITY SCHOOL DISTRICT PO BOX 190 MANLY IA 50456 N/A GOV Wee Soar Preschool, Central Springs CSD 21-22 46956 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Old Mill Pond Park Improvements Project #131-3 Boat Ramp Project 5625 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec #131-4 for Old Mill Pond Park Improvements 75000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Old Mill Pond East Parking Lot Improvement Project 360000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec Project #133 for Little Free Libraries 2500 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec Project #115-4 for Trail Construction 70000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Aquatic Center storage shed Project 7200 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec Project #132 for purchase of picnic tables, benches & pads at Shell Rock River City Park and Old Mill Pond Park 15000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV General & Unrestricted (See General Explanation attachment) 369000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Nora Springs Public Library Eco Auto-Smart Disc Repair Machine 3995 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Nora Springs Holiday Display 11266 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Aquatic Center LED Stop Sign 5180 CITY OF PLYMOUTH PO BOX 278 PLYMOUTH IA 50464 N/A GOV General & Unrestricted 10000 FIRST CHURCH OF CHRIST SCIENTIST 210 MASSACHUSETTS AVE P02-02 BOSTON MA 02115 N/A PC General & Unrestricted 1000 FLOYD COUNTY CONSERVATION PO BOX 495 ROCKFORD IA 50468 N/A GOV Fossil & Prairie Center Foundation - Fossil & Prairie Park Trail Bridge Project 4000 FLOYD COUNTY CONSERVATION PO BOX 495 ROCKFORD IA 50468 N/A GOV Floyd County Conservation Board 3940 NORA SPRINGS FARM FIRE SERVICE COMPANY 30 N HAWKEYE AVE NORA SPRINGS IA 50458 N/A PC to purchase Self Contained Breathing Apparatus (SCBA) Replacement 62848 NORA SPRINGS HISTORICAL SOCIETY WEST CONGRESS PO BOX 722 NORA SPRINGS IA 50458 N/A PC Old Wagon Shop Replacement 37010 NORA SPRINGS HISTORICAL SOCIETY WEST CONGRESS PO BOX 722 NORA SPRINGS IA 50458 N/A PC General & Unrestricted 5000 NORTH IOWA AREA COMMUNITY COLLEGE FOUNDATION 500 COLLEGE DR MASON CITY IA 50401 N/A SO I Adams Family Foundation of Nora Springs, Iowa Scholarship Fund 240000 UNITED WAY OF NORTH CENTRAL IOWA PO BOX 1465 MASON CITY IA 50402 N/A PC Dolly Parton Imagination Library 2500 1338020 14 772 14 309846 16 144802 525990 2420 18 3765760 K-1 Inc/Loss 525990 3431 14 25433 CLASS ACTION LAWSUIT PROCEEDS 01 36 5851 4246649 4252500 false false false false false false false false false false X X 1 SBA 409 3rd St SW Washington DC 20416 8333 X Bookkeeping 80 80 FARMLAND - SEC 31 1951625 L 0 FARMLAND - SEC 4 R 533797 L 0 FARMLAND - SEC 9 R 3677567 L 0 LAND IMPROVEMENTS 2015-06-22 3109 1140 SL 15 207 207 207 LAND IMPROVEMENTS 2015-12-22 9238 3080 SL 15 616 616 616 LAND IMPROV-SEC 31 2016-10-13 6355 1766 SL 15 424 424 424 TIMBERLAND - SEC 8 245535 L FARMLAND - SEC 8 R 128000 L FARMLAND - SEC 8 R 2475668 L 0 PARK CEMETERY ASSOCIATION 1055 135TH STREET NORA SPRINGS IA 50458 2013-12-18 21840 TO FUND THE PRESERVATION OF HISTORICAL INFORMATION AND SUBSIDIZE BURIALS OF LOW INCOME INDIVIDUALS NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY PARK CEMETERY ASSOCIATION 1055 135TH STREET NORA SPRINGS IA 50458 2013-10-07 5000 TO FUND THE PRESERVATION OF HISTORICAL INFORMATION AND SUBSIDIZE BURIALS OF LOW INCOME INDIVIDUALS NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY NORA SPRINGS VOLUNTEER AMBULANCE SERVICE PO BOX 625 NORA SPRINGS IA 50458 2013-10-03 42500 PROMOTE HEALTH OF COMMUNITY BY FUNDING CONSTRUCTION OF HOUSING FOR ON CALL AMBULANCE CREW 42500 NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY Form 990-PF, Part VI-B, Line 5D Expenditure Responsibility GRANTEE'S NAME: PARK CEMETERY ASSOCIATION GRANT DATE: 12/18/2013 DATES OF ANNUAL REPORTS: 10/22/2014, 4/15/2015, 4/7/2016, 4/4/2017, 4/4/2018, 3/27/2019, 4/1/2020, AND 4/12/2021 FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY Form 990-PF, Part VI-B, Line 5D Expenditure Responsibility GRANTEE'S NAME: PARK CEMETERY ASSOCIATION GRANT DATE: 10/07/2013 DATES OF ANNUAL REPORTS: 10/22/2014, 4/15/2015, 4/7/2016, 4/4/2017, 4/4/2018, 3/27/19, 4/1/2020, AND 4/12/2021 FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY Form 990-PF, Part VI-B, Line 5D Expenditure Responsibility GRANTEE'S NAME: NORA SPRINGS VOLUNTEER AMBULANCE SERVICE GRANT DATE: 10/03/2013 DATES OF ANNUAL REPORTS: 3/4/2014, 6/7/2014, 11/21/2014, 4/20/2015, 4/7/2016, 4/3/2017, 4/4/2018, 3/27/2019, 4/3/2020, AND 4/12/2021 Form 926 Form 926 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information. In-Kind Grants PART I LINE 25 AND PART XIV LINE 3A PART I LINE 25 AND PART XIV LINE 3A DISTRIBUTIONS OF PROPERTY VALUE AT FAIR MARKET VALUE AT DATE OF DISTRIBUTION METHOD FOR DETERMINING VALUE OF LAND: APPRAISAL VALUE TOTAL FAIR MARKET VALUE OF PROPERTY: $369,000 TOTAL BOOK VALUE OF PROPERTY: $373,535 TOTAL AMOUNT OF GRANTS: $369,000 FORM 990-PF, PART III, LINE 3 - OTHER INCREASES/DECREASES: $(4,535) DETAILS OF ITEMS GRANTED: DESCRIPTION OF PROPERTY: Timberland UNITS: 32.54 acres DATE OF DISTRIBUTION: 12/28/2021 GRANT RECIPIENT: CITY OF NORA SPRINGS FMV OF PROPERTY: $241,000 BOOK VALUE OF PROPERTY: $245,535 TOTAL AMOUNT OF GRANT: $241,000 DESCRIPTION OF PROPERTY: Farmland UNITS: 9.87 acres DATE OF DISTRIBUTION: 12/28/2021 GRANT RECIPIENT: CITY OF NORA SPRINGS FMV OF PROPERTY: $128,000 BOOK VALUE OF PROPERTY: $128,000 TOTAL AMOUNT OF GRANT: $128,000 PART I LINE 6A (990-PF) PART I LINE 6A (990-PF) RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $3,765,760 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $2,420 TOTAL PART I, LINE 6A: $3,768,180 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $23,349,795 BOOK BASIS: $19,587,828 NET GAIN/(LOSS): $3,761,967 PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $15,263 SALES OF OTHER ITEMIZED ASSETS - Land Improv NET GAIN/(LOSS): $(11,470) ALPHABET INC CL A 91023 127470 AMAZON COM 86937 116702 AMERICAN CAPITAL AGENCY CORP 154665 133856 ANNALY MTG MGMT INC. COM 149726 132745 APOLLO GLOBAL MANAGEMENT, INC 121568 119510 APPLE INC 81038 148271 ARES CAPITAL CORPORATION - CLO 135084 148330 BLACKROCK STRAT INC OPP PORTFO 650230 637050 BLOCK INC 123654 78332 BOEING CO 116750 117772 BORG WARNER INC 115713 121689 CAMBIUM NETWORKS CORPORATION 171516 114054 DEERE CO 130279 128584 FIDELITY NATIONAL INFORMATION 121775 109150 GOLDMAN SACHS GQG PARTNERS INT 490000 523379 GOLDMAN SACHS GROUP 112215 114765 ISHARES BARCLAYS TIPS BOND FUN 652936 671840 JACKSON SQUARE MID CAP GROWTH 1077000 777698 JANUS FORTY FUND CLASS I SHS 981668 1064519 JEFFERIES GROUP INC 109335 113490 MARQETA ORD SHS CLASS A 164762 108171 MATTHEWS CHINA FD 610000 466056 MEDICAL PROPERTIES TRUST, INC 147913 168364 META PLATFORMS INC 79713 121086 MICROSOFT CORP 72629 134528 NETFLIX INC 101342 117476 PARNASSUS EQUITY INCOME FUND I 796602 877780 PAYPAL HOLDINGS, INC 139678 113148 PIMCO INCOME FUND 650523 647266 PRUDENTIAL TOTAL RETURN BD FD 650293 654816 PULTE GROUP INC 121129 142900 PUTNAM INCOME FUND CLASS Y 650000 620125 QUALCOMM INC 103524 173727 RINGCENTRAL INC 113082 93675 SPDR S&P 500 ETF TRUST 2498691 2985123 STEEL DYNAMICS INC 124740 121037 SUNRUN INC 128815 82320 TWITTER INC 129658 103080 UBER 142347 110066 VANGUARD TOTAL INTERNATIONAL S 663915 667485 VISA INC 130561 140862 VMWARE INC 114678 110086 FARMLAND - SEC 31 1951625 1951625 1340000 FARMLAND - SEC 4 R 533797 533797 350000 FARMLAND - SEC 9 R 3677567 3677567 2570000 LAND IMPROVEMENTS LAND IMPROVEMENTS LAND IMPROV-SEC 31 TIMBERLAND - SEC 8 FARMLAND - SEC 8 R FARMLAND - SEC 8 R 2475668 2475668 1804807 BLACKSTONE REAL ESTATE INCOME 250000 305164 CRYSTAL CAPITAL FUND SER LLC 1008857 1013451 FORTRESS LENDING FUND 2 A 270378 270793 MARCH CAPITAL OPPORTUNITY FUND 108565 110730 MS DIRECT LENDING FUND 182908 188194 OAK STREET RE CAPITAL FD V LP 186018 238004 Document Review/Drafting 200 200 General Consultations 250 250 GRANT OF TIMBERLAND 4535 Administrative Fees 45000 45000 Bank Charges 734 734 Foundation Dues & Memberships 1560 1560 Indemnification Insurance 2250 2250 K-1 Exp CRYSTAL CAPITAL FUND S 19690 19687 K-1 Exp FORTRESS LENDING FUND 56 56 K-1 Exp MARCH CAPITAL OPPORTUN 35 30 K-1 Exp OAK STREET RE CAPITAL 4255 4255 PROPERTY MAINTENANCE 1766 1766 OFFICE SUPPLIES 30 30 Postage/Delivery Service 93 93 Property insurance 1866 1866 K-1 Inc/Loss CRYSTAL CAPITAL FUND SER LLC 13904 10404 K-1 Inc/Loss FORTRESS LENDING FUND 2 A 12261 12261 K-1 Inc/Loss MARCH CAPITAL OPPORTUNITY FUND 4, LP -16400 -16400 K-1 Inc/Loss OAK STREET RE CAPITAL FD V LP 19099 19099 Class Action Lawsuit Proceeds 36 36 RETURNED GRANT 25000 OUTSTANDING OPTIONS 2119 SCHOLARSHIP ADMIN SERVICES 12000 12000 Investment Management Services 94214 94214 PROPERTY MANAGEMENT SERVICES 13734 12036 1698 990-PF Estimated Tax for 2021 36100 990-PF Extension for 2020 190 Foreign Tax Paid 56 56 Property Taxes 19604 19604