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RACCOON VALLEY BANK CHARITABLE FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RACCOON VALLEY BANK CHARITABLE FOUNDATION (EIN 42-1347634)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-02-22
IRS object ID
202100539349100410
Schema version
2020v4.0
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)
Return2021-02-22T14:15:55-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Line1666 WALNUT ST STE 1900AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503093912ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421347634EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RACCOON VALLEY BANKBusinessNameLine1Txt
Business Name Line2CHARITABLE FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRACCBusinessNameControlTxt
Phone5154653521PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 2ND STAddressLine1Txt
CityPERRYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502200129ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY NIELSENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5154653521PhoneNum
Signature2021-02-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRYPersonFirstNm
Person LastNIELSENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY MERFELD CPAPreparerPersonNm
PTINP00454267PTIN
Phone5152440266PhoneNum
Preparation2021-02-09PreparationDt

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$102,334FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$75,000ContriRcvdRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$75,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$0TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$37,711ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$37,711ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$37,711TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$37,711TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$37,289ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$60,045CashBOYAmt
Cash EOY$96,834CashEOYAmt
Cash EOYFMV$96,834CashEOYFMVAmt
Acct Rcvbl$500AcctRcvblAmt
Acct Rcvbl EOY$500AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$500AcctRcvblEOYFMVAmt
Other Investments BOY$5,000OtherInvestmentsBOYAmt
Other Investments EOY$5,000OtherInvestmentsEOYAmt
Other Investments EOYFMV$5,000OtherInvestmentsEOYFMVAmt
Total Assets BOY$65,045TotalAssetsBOYAmt
Total Assets EOY$102,334TotalAssetsEOYAmt
Total Assets EOYFMV$102,334TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$65,045RetainedEarningBOYAmt
Retained Earning EOY$102,334RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$65,045TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$102,334TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$65,045TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$102,334TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$65,045TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$37,289ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$102,334SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$102,334TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$0TaxDueAmt

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 StateIAOrgReportOrRegisterStateCd
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 AddressN/AWebsiteAddressTxt
Individual With BooksTERRY NIELSENIndividualWithBooksNm
Phone5154653521PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1BOX 129 1202 SECONDAddressLine1Txt
CityPERRYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50220ZIPCd
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 PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TERRY NIELSEN
1202 SECOND AVENUE P O BOX 129PERRYIA50220PRESIDENT & DIRECTOR1.00$0$0$0
KENDALL RATHJE
1202 SECOND AVENUE P O BOX 129PERRYID50220SECRETARY/TREASURER1.00$0$0$0
SALLY HAERR
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
ELIZABETH GARST
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
SARAH GARST
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
H T HOLCOMB
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
JON PETERS
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
DOUG MCDERMOTT
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
DAN WILHELMI
1202 SECOND AVENUE P O BOX 129PERRYIA50220DIRECTOR0.10$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$47,895AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$5,000FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$52,895TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$52,895AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$793CashDeemedCharitableAmt
Net Vl Noncharitable Assets$52,102NetVlNoncharitableAssetsAmt
Minimum Investment Return$2,605MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$2,605MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$2,605DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$2,605DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$2,605DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$37,711ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$37,711QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$37,711AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$2,605DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$52,856ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$56,946ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$63,509ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$86,698ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$74,073ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$334,082TotalExcessDistributionCyovAmt
Qualifying Distributions$37,711QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,605AppliedToCurrentYearAmt
Remaining Distri From Corpus$35,106RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$369,188TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$52,856ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$316,332ExcessDistriCyovToNextYrAmt
Excess From Year4$56,946ExcessFromYear4Amt
Excess From Year3$63,509ExcessFromYear3Amt
Excess From Year2$86,698ExcessFromYear2Amt
Excess From Year1$74,073ExcessFromYear1Amt
Excess From Current Year$35,106ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTERRY NIELSENRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1RACCOON VALLEY BANKAddressLine1Txt
CityPERRYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50220ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5154653521RecipientPhoneNum
Form And Info And MaterialsIN WRITING, WITH A BRIEF EXPLANATION AS TO THE CHARITABLE OR OTHER NEED.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONE.SubmissionDeadlinesTxt
Restrictions On AwardsMUST BE TO CHARITABLE, RELIGIOUS, LITERARY, EDUCATIONAL OR OTHER WORTHY INSTITUTIONS OR ORGANIZATIONS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ART ON THE PRAIRIE
1215 WARFORD STPERRYIA50220NONEPCGENERAL OPERATIONS$1,000
DALLAS COUNTY CONSERVATION FOUNDATION
14581 K AVEPERRYIA50220NONEPCGENERAL OPERATIONS$1,100
DALLAS COUNTY FOUNDATION
PO BOX 46ADELIA50003NONEPCGENERAL OPERATIONS$3,100
DALLAS COUNTY HOSPITAL FOUNDATION
610 10TH STPERRYIA50220NONEPCGENERAL OPERATIONS$2,396
GREATER DALLAS COUNTY DEVELOPMENT ALLIANCE
9325 UNIVERSITY AVE STE 125WEST DES MOINESIA50266NONEPCGENERAL OPERATIONS$5,000
HABITAT FOR HUMANITY
2200 E EUCLIDDES MOINESIA50317NONEPCGENERAL OPERATIONS$500
IOWA LEGAL AID FOUNDATION
1111 9TH ST STE 230DES MOINESIA50314NONEPCGENERAL OPERATIONS$3,000
IOWA PUBLIC TELEVISION
6450 CORPORATE DRJOHNSTONIA50131NONEPCGENERAL OPERATIONS$500
IOWA STATE FAIR BLUE RIBBON FOUNDATION
3000 E GRAND AVEDES MOINESIA50317NONEPCGENERAL OPERATIONS$750
LUTHERAN CHURCH OF HOPE
925 JORDAN CREEK PARKWAYWEST DES MOINESIA50266NONEPCGENERAL OPERATIONS$500
MT OLIVET LUTHERAN CHURCH
920 15TH STPERRYIA50220NONEPCGENERAL OPERATIONS$800
NEW HOPE FOUNDATION - CARROLL
1211 E 18TH STCARROLLIA51401NONEPCGENERAL OPERATIONS$3,500
PERRY ALONA CLUB
1211 LUCINDA STPERRYIA50220NONEPCGENERAL OPERATIONS$300
SCIENCE CENTER OF IOWA
401 MARTIN LUTHER KING JR PKWYDES MOINESIA50309NONEPCGENERAL OPERATIONS$500
ST JOSEPHS CHURCH
503 N CHESTNUT STJEFFERSONIA50129NONEPCGENERAL OPERATIONS$500
ST PATRICK'S CHURCH
1312 3RD STPERRYIA50220NONEPCGENERAL OPERATIONS$840
WHITEROCK CONSERVANCY
1390 HIGHWAY 141COON RAPIDSIA50058NONEPCGENERAL OPERATIONS$275
TRINITY LUTHERAN CHURCH
2174 B AVECOON RAPIDSIA50058NONEPCGENERAL OPERATIONS$500
ADEL FOOD BANK
215 NORTH 11TH STADELIA50003NONEPCGENERAL OPERATIONS$500
GRIMES COMMUNITY FOUNDATION
1051 NE GATEWAY DRGRIMESIA50111NONEPCGENERAL OPERATIONS$5,000
PERRY YOUTH FOOTBALL
1305 2ND STPERRYIA50220NONEPCGENERAL OPERATIONS$2,000
WAUKEE BETTERMENT FOUNDATION
200 NE WESTGATE DRWAUKEEIA50263NONEPCGENERAL OPERATIONS$2,500
LION OF JUDAH PENTECOASTAL CHURCH
1624 RAWSON STPERRYIA50220NONEPCGENERAL OPERATIONS$500
NUDGERS INC
1316 2ND ST SUITE CPERRYIA50220NONEPCGENERAL OPERATIONS$100
HOMETOWN HERITAGE FULLHART CARNEGIE CHARITABLE TRUST
PO BOX 576PERRYIA50220NONEPCGENERAL OPERATIONS$300
MARANATHA BAPTIST CHURCH
877 SE 19TH STGRIMESIA50111NONEPCGENERAL OPERATIONS$500
FREEDOM FOR YOUTH MINISTRIES
2301 HICKMAN ROADDES MOINESIA50310NONEPCGENERAL OPERATIONS$500
CATHOLIC CHARITIES
601 GRAND AVEDES MOINESIA50309NONEPCGENERAL OPERATIONS$500
DES MOINES SWIMMING FEDERATION
1132 39TH STWEST DES MOINESIA50266NONEPCGENERAL OPERATIONS$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$37,711TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$0TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RACCOON VALLEY BANKBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 129AddressLine1Txt
CityPERRYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50220ZIPCd
FieldValueIRS element (for citing)
Total Contributions$75,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSTAMOS TAPESTRYCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$5,000BookValueAmt
EOYFMV$5,000EOYFMVAmt

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