CLOVERFIELDS FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLOVERFIELDS FOUNDATION (EIN 20-1919362)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349106209
- 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
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:28:09-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331197384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSEN TAX LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 SOUTH WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | 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 | 201919362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLOVERFIELDS FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLOV | BusinessNameControlTxt |
| Phone | 9522088623 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 THIRD STREET NORTH 400 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN J HEMSLEY | PersonNm |
| Person Title | DIR, PRESIDENT & TREAS | PersonTitleTxt |
| Phone | 9522088623 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHEN | PersonFirstNm |
| Person Last | HEMSLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHERINE MCCUE | PreparerPersonNm |
| PTIN | P01807357 | PTIN |
| Phone | 3123573950 | PhoneNum |
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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $113,766,907 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $23,302,080 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $976,671 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $976,671 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $3,574,714 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $22,620,285 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $3,574,714 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $27,853,465 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $4,551,385 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $4,868 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $4,868 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $58,087 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $57,656 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $431 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $229,703 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $229,703 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $292,658 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $292,227 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $431 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,710,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,710,700 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,003,358 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $292,227 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $431 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,710,700 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $24,850,107 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $4,259,158 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,195,704 | CashBOYAmt |
| Cash EOY | $4,242,803 | CashEOYAmt |
| Cash EOYFMV | $4,242,803 | CashEOYFMVAmt |
| Corporate Stock BOY | $32,587,299 | CorporateStockBOYAmt |
| Corporate Stock EOY | $31,433,425 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $101,868,680 | CorporateStockEOYFMVAmt |
| Invst Land Cost Or Other Basis | $4,607,141 | InvstLandCostOrOtherBasisAmt |
| Land Bldg Investments BOY | $4,607,141 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOY | $4,607,141 | LandBldgInvestmentsEOYAmt |
| Land Bldg Investments EOYFMV | $3,697,000 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $7,700,357 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $5,116,349 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,958,424 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $46,090,501 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,399,718 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $113,766,907 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $1,000,000 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $800,000 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $1,000,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $800,000 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $45,090,501 | RetainedEarningBOYAmt |
| Retained Earning EOY | $44,599,718 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $45,090,501 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $44,599,718 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $46,090,501 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $45,399,718 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $45,090,501 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $24,850,107 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $69,940,608 | SubtotalAmt |
| Other Decreases | $25,340,890 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $44,599,718 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| FIDELITY BROKERAGE SERVICES LLC #6683 | P | $8,064,944 | $7,071,236 | $993,708 | $993,708 |
| FIDELITY BROKERAGE SERVICES LLC #6684 | P | $1,592,651 | $1,551,329 | $41,322 | $41,322 |
| FIDELITY BROKERAGE SERVICES LLC #7887 | P | $153,171 | $158,327 | -$5,156 | -$5,156 |
| RBC CAPITAL MARKETS, LLC #8801 | P | $5,378,310 | $4,355,130 | $1,023,180 | $1,023,180 |
| FIDELITY BROKERAGE SERVICES LLC #6683 | P | $4,484,635 | $3,041,039 | $1,443,596 | $1,443,596 |
| FIDELITY BROKERAGE SERVICES LLC #6684 | P | $2,946,574 | $2,868,510 | $78,064 | $78,064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $3,574,714 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $2,053,054 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $59,202 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $59,202 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $59,202 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $6,240 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $120,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $126,240 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $67,038 | OverpaymentAmt |
| Applied To ES Tax | $10,000 | AppliedToESTaxAmt |
| Refund | $57,038 | RefundAmt |
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 | MN | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | KARA WALTER | IndividualWithBooksNm |
| Phone | 9522088623 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 THIRD STREET NORTH SUITE 400 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55401 | 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 | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| STEPHEN J HEMSLEY | ||||||||
| 622 FERNDALE ROAD WEST | WAYZATA | MN | 55391 | DIR, PRESIDENT & TREAS | 1.00 | $0 | $0 | $0 |
| BARBARA K HEMSLEY | ||||||||
| 622 FERNDALE ROAD WEST | WAYZATA | MN | 55391 | DIRECTOR, SECRETARY | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| 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 | $74,119,853 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,938,905 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $20,935,819 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $96,994,577 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $96,994,577 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,454,919 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $95,539,658 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $4,776,983 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $4,776,983 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $59,202 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $59,202 | TotalTaxAmt |
| Distributable Before Adj | $4,717,781 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $4,717,781 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $4,717,781 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,710,700 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,710,700 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $4,717,781 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $1,225,578 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,391,217 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $850,742 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $886,025 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,254,161 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $5,607,723 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,710,700 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,710,700 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $2,007,081 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $2,007,081 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $3,600,642 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $3,600,642 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $609,714 | ExcessFromYear4Amt |
| Excess From Year3 | $850,742 | ExcessFromYear3Amt |
| Excess From Year2 | $886,025 | ExcessFromYear2Amt |
| Excess From Year1 | $1,254,161 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | STEPHEN J HEMSLEY | ContributingManagerNm |
| Contributing Manager | BARBARA K HEMSLEY | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (27 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ALLIANCE FRANCAISE | |||||||
| 810 N DEARBORN ST | CHICAGO | IL | 60610 | NONE | PC | GENERAL OPERATING FUND | $75,000 |
| ALZHEIMER'S ASSOCIATION | |||||||
| 225 N MICHIGAN AVE FLOOR 17 | CHICAGO | IL | 60601 | NONE | PC | GENERAL OPERATING FUND | $5,000 |
| ASCENSION CATHOLIC SCHOOL | |||||||
| 808 SOUTH EAST AVENUE | OAK PARK | IL | 60304 | NONE | PC | GENERAL OPERATING FUND | $10,000 |
| BASILICA OF ST MARY'S | |||||||
| PO BOX 50010 | MINNEAPOLIS | MN | 55405 | NONE | PC | GENERAL OPERATING FUND | $8,000 |
| BRECK SCHOOL | |||||||
| 123 OTTAWA AVE N | GOLDEN VALLEY | MN | 55422 | NONE | PC | GENERAL OPERATING FUND | $20,000 |
| CHILDREN'S HEARTLINK | |||||||
| 5075 ARCADIA AVE | EDINA | MN | 55436 | NONE | PC | GENERAL OPERATING FUND | $10,000 |
| CHILDREN'S THEATRE | |||||||
| 2400 3RD AVE SOUTH | MINNEAPOLIS | MN | 55404 | NONE | PC | GENERAL OPERATING FUND | $10,000 |
| FRENCH AMERICAN INTERNATIONAL SCHOOL | |||||||
| 150 OAK STREET | SAN FRANCISCO | CA | 94102 | NONE | PC | GENERAL OPERATING FUND | $400,000 |
| GEORGETOWN UNIVERSITY | |||||||
| 2115 WISCONSIN AVE NW STE 500 | WASHINGTON | DC | 20007 | NONE | PC | GENERAL OPERATING FUND | $1,100,000 |
| GREAT MN SCHOOLS | |||||||
| 1330 LAGOON AVE 4TH FLOOR | MINNEAPOLIS | MN | 55408 | NONE | PC | GENERAL OPERATING FUND | $450,000 |
| HUMANE SOCIETY | |||||||
| 1255 23RD STNW SUITE 450 | WASHINGTON | DC | 20037 | NONE | PC | GENERAL OPERATING FUND | $500 |
| INTERFAITH OUTREACH & COMMUNITY PARTNERS | |||||||
| 1605 COUNTY ROAD 101 | PLYMOUTH | MN | 55447 | NONE | PC | GENERAL OPERATING FUND | $250,000 |
| JDRF FOUNDATION | |||||||
| 1 E WACKER DR SUITE 1400 | CHICAGO | IL | 60601 | NONE | PC | GENERAL OPERATING FUND | $40,000 |
| MIDTOWN GLOBAL MARKET | |||||||
| 920 E LAKE ST | MINNEAPOLIS | MN | 55407 | NONE | PC | GENERAL OPERATING FUND | $50,000 |
| MINNEAPOLIS INSTITUTE OF ARTS | |||||||
| 2400 3RD AVE S | MINNEAPOLIS | MN | 55404 | NONE | PC | GENERAL OPERATING FUND | $25,000 |
| MINNEAPOLIS REGION CHAMBER DEVELOPMENT FOUNDATION (CHARTER FOR CHANGE) | |||||||
| 81 SOUTH 9TH STREET SUITE 200 | MINNEAPOLIS | MN | 55402 | NONE | PC | GENERAL OPERATING FUND | $15,000 |
| NATIONAL ALOPECIA FOUNDATION | |||||||
| 65 MITCHELL BOULEVARD STE 200-B | SAN RAFAEL | CA | 94903 | NONE | PC | GENERAL OPERATING FUND | $2,500 |
| NORTHERN STAR SCOUTING | |||||||
| 6202 BLOOMINGTON RD | ST PAUL | MN | 55111 | NONE | PC | GENERAL OPERATING FUND | $60,000 |
| PATHWAYS TO CHILDREN FOUNDATION | |||||||
| 100 2ND ST SE | MINNEAPOLIS | MN | 55414 | NONE | PC | GENERAL OPERATING FUND | $5,000 |
| QUELL FOUNDATION | |||||||
| 28 HIGHWOOD LN | EAST FALMOUTH | MA | 025367914 | NONE | PC | GENERAL OPERATING FUND | $2,500 |
| SECOND HARVEST | |||||||
| 7101 WINNETKA AVE N | BROOKLYN PARK | MN | 55428 | NONE | PC | GENERAL OPERATING FUND | $17,200 |
| ST AMBROSE CATHOLIC CHURCH | |||||||
| 1012 E 47TH ST | CHICAGO | IL | 60653 | NONE | PC | GENERAL OPERATING FUND | $5,000 |
| ST OLAF CATHOLIC CHURCH | |||||||
| 215 S 8TH STREET | MINNEAPOLIS | MN | 55402 | NONE | PC | GENERAL OPERATING FUND | $50,000 |
| THE GREAT NORTHERN | |||||||
| 310 BOLES STREET | WEED | CA | 96094 | NONE | PC | GENERAL OPERATING FUND | $10,000 |
| UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL | |||||||
| 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | NONE | PC | GENERAL OPERATING FUND | $50,000 |
| UNIVERSITY OF MINNESOTA | |||||||
| 200 OAK STREET SE | MINNEAPOLIS | MN | 55455 | NONE | PC | GENERAL OPERATING FUND | $30,000 |
| WAYZATA CONSERVANCY | |||||||
| 294 GROVE LN E 100 | WAYZATA | MN | 55391 | NONE | PC | GENERAL OPERATING FUND | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,710,700 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $976,671 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $3,574,714 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $4,551,385 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $4,551,385 | 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 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | INVESTMENTS - CORPORATE STOCK | StockNm |
| EOY Book Value | $31,433,425 | EOYBookValueAmt |
| EOYFMV | $101,868,680 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENTS - OTHER | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $5,116,349 | BookValueAmt |
| EOYFMV | $3,958,424 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (2 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| LEGAL FEES | $4,868 | $4,868 | $0 | $0 |
| $0 | $0 | $0 | $0 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| TIMING DIFFERENCES | $25,336,963 |
| OTHER DIFFERENCES | $3,927 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT EXPENSES | Desc |
| Revenue And Expenses Per Books | $229,703 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $229,703 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAXES PAID | CategoryTxt |
| Amt | $58,087 | Amt |
| Net Investment Income | $57,656 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $431 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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