BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION (EIN 36-3606394)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-04-14
IRS object ID
202101049349100810
Schema version
2020v4.1
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)
Return2021-04-14T12:14:03-05:00ReturnTs
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 Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363606394EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of North DakotaBusinessNameLine1Txt
Business Name Line2Caring FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone7012821100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid BreuerPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7012821100PhoneNum
Signature2021-03-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDavidPersonFirstNm
Person LastBreuerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2021-03-30PreparationDt

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$17,213,244FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$5,343,703ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$204,338DividendsRevAndExpnssAmt
Dividends Net Invst Incm$204,338DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$147,328NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$751,694GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$147,328CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$5,695,369TotalRevAndExpnssAmt
Total Net Invst Incm$351,666TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$4,708OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$4,708OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$8,388TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$399,836OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$63,462OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$412,932TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$4,708TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$63,462TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$472,426ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$472,426ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$885,358TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$4,708TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$535,888TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$4,810,011ExcessRevenueOverExpensesAmt
Net Investment Income$346,958NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$34,962SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$94,842SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$94,842SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$1,731AcctRcvblAmt
Acct Rcvbl EOY$1,731AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$1,731AcctRcvblEOYFMVAmt
Other Investments BOY$11,089,967OtherInvestmentsBOYAmt
Other Investments EOY$17,116,671OtherInvestmentsEOYAmt
Other Investments EOYFMV$17,116,671OtherInvestmentsEOYFMVAmt
Other Assets BOY$1OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$11,124,930TotalAssetsBOYAmt
Total Assets EOY$17,213,244TotalAssetsEOYAmt
Total Assets EOYFMV$17,213,244TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,498AccountsPayableBOYAmt
Accounts Payable EOY$1,206AccountsPayableEOYAmt
Total Liabilities BOY$1,498TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,206TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$11,123,432NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$17,212,038NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$11,123,432TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,212,038TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$11,124,930TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,213,244TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,123,432TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$4,810,011ExcessRevenueOverExpensesAmt
Other Increases$1,278,595OtherIncreasesAmt
Subtotal$17,212,038SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,212,038TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly Traded SecuritiesPropertyDesc
Gross Sales Price$751,694GrossSalesPriceAmt
Cost Or Other Basis$604,366CostOrOtherBasisAmt
Gain Or Loss$147,328GainOrLossAmt
Gains Minus Excess Or Losses$147,328GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$147,328CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,823InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,823SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,823TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$6,520EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$6,520TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,697OverpaymentAmt
Applied To ES Tax$1,697AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNDOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website Addresswww.bcbsnd.com/caring-foundation/about-usWebsiteAddressTxt
Individual With BooksAmber BlombergIndividualWithBooksNm
Phone7012821100PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
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 (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Daniel R Conrad
4510 13th Ave SouthFargoND58121Chair0.50$0$0$0
Dave J Breuer
4510 13th Ave SouthFargoND58121Treasurer0.50$0$0$0
Stacie Heiden
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Jodi L Atkinson
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Dave A Sprynczynatyk
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Lynette Dickson
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Greg C Glasner MD
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Pam Gulleson
4510 13th Ave SouthFargoND58121Executive Director15.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1CaringForKidsSupport evidenced based initiatives aimed at preventing childhood obesity and supporting healthy minds and bodies at an early age.Description1Txt
Expenses1$63,462Expenses1Amt

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$11,026,056AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$104,637AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$11,130,693TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$11,130,693AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$166,960CashDeemedCharitableAmt
Net Vl Noncharitable Assets$10,963,733NetVlNoncharitableAssetsAmt
Minimum Investment Return$548,187MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$548,187MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,823TaxBasedOnInvestmentIncomeAmt
Total Tax$4,823TotalTaxAmt
Distributable Before Adj$543,364DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$543,364DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$543,364DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$535,888ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$535,888QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$535,888AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$543,364DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr3$11,746ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$53,161ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$17,106ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$82,013TotalExcessDistributionCyovAmt
Qualifying Distributions$535,888QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$535,888AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$7,476ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$7,476ExcessDistributionCyovAppCYAmt
Total Corpus$74,537TotalCorpusAmt
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$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$74,537ExcessDistriCyovToNextYrAmt
Excess From Year3$4,270ExcessFromYear3Amt
Excess From Year2$53,161ExcessFromYear2Amt
Excess From Year1$17,106ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCaring FoundationRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7012821100RecipientPhoneNum
Recipient Email Addresscaringfoundation@bcbsnd.comRecipientEmailAddressTxt
Form And Info And MaterialsCaring Foundation applications located on our websiteFormAndInfoAndMaterialsTxt
Submission DeadlinesVaries based on grant typeSubmissionDeadlinesTxt
Restrictions On AwardsIn general must impact North Dakotans and tie back to our mission of bettering health and well-being.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (158 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ABATE of ND
1001 S 22nd StBismarckND58504NonePCGrateful giving$300
Abused Person Outreach Center
160 2nd st NWValley CityND58072NonePCDollarsforDoers$400
Abused Persons Outreach Center
160 2nd st NWValley CityND58072NonePCGrateful giving$300
American Cancer Society
4646 Amber Valley PkwyFargoND58104NonePCGeneral support$39
American Foundation for Suicide Prevention - North Dakota
PO Box 11295FargoND58106NonePCDollarsforDoers$200
Anne Carlsen Center
PO Box 168BottineauND58318NonePCAdaptive rec program scholarships$6,000
Anne Carlsen Center
PO Box 168BottineauND58318NonePCDollarsforDoers$200
Autism Speaks
1237 W Divide Ave Suite 1ABismarckND58501NonePCGrateful giving$300
Baptist Health Care Center
3400 Nebraska DriveBismarckND58503NonePCCoronavirus impact$2,000
Bethany Homes INC
201 S University DrFargoND58103NonePCDollarsforDoers$200
Bismarck State College Foundation
PO Box 5587BismarckND58506NoneGOVScholarships$10,000
Bismarck State College
1500 Edwards Ave PO Box 5587BismarckND58506NoneGOVScholarships$5,000
Bottineau Food Pantry
122 5th St WBottineauND58318NonePCCovid response for hunger$2,000
Brady Oberg Legacy Foundation
512 13th Street NEDilworthMN56529NonePCDollarsforDoers$200
Brave the Shave
1950 Far West DriveBismarckND58504NonePCGeneral support$5,000
Brave the Shave
1950 Far West DriveBismarckND58504NonePCCasual Day Charitable Giving$218
Brave the Shave
1950 Far West DriveBismarckND58504NonePCDollarsforDoers$200
Cats Cradle
9 9th St SFargoND58103NonePCDollarsforDoers$600
Central Cass Public School District
802 5th Street NCasseltonND58012NoneGOVSTEM Curriculum$10,000
CHI St Alexius Health Foundation
1301 15th Ave WWillistonND58801NonePCCoronavirus impact$2,500
Churches UnitedDorothy Day West Food Pantry
1901 1st Ave NMoorheadMN56560NonePCDollarsforDoers$200
Cleaning for a Reason
2540 King Arthur Blvd Suite 230LewisvilleTX75056NonePCDollarsforDoers$200
Community of Care
PO Box 187ArthurND58006NonePCOne Stop Service Center$5,000
Cullen Children's Foundation
PO Box 594West FargoND58078NonePCDollarsforDoers$200
Dakota College at Bottineau
105 Simrall BlvdBottineauND58318NoneGOVScholarships$2,500
Dakota Dibetes Coalition
1801 Heritage AveBismarckND58501NonePCDollarsforDoers$200
Dakota Medical Foundation
4141 28th Ave SFargoND58104NonePCGiving Hearts Day$4,375
Deer Creek Elementary School
6400 54th Avenue SFargoND58104NoneGOVRock Wall$1,000
Elks Association
3435 Broadway NFargoND58102NonePCGrateful giving$300
Elks Camp Grassick
PO Box FDawsonND58428NonePCDollarsforDoers$200
Emergency Food Pantry
1101 4th Avenue NorthFargoND58102NonePCFundraiser donations$936
Emergncy Food Pantry
1101 4th Avenue NorthFargoND58102NonePCDollarsforDoers$200
Epilipsy Foundation of MN
1600 University Ave WSt PaulMN55104NonePCDollarsforDoers$200
Eventide Foundation
801 Main AvenueMoorheadMN56560NonePCCoronavirus impact$5,000
Eventide Foundation
801 Main AvenueMoorheadMN56560NonePCDollarsforDoers$200
F5 Project
1425 4th Avenue NFargoND58102NonePCHousing assistance$2,000
F5 Project
1425 4th Avenue NFargoND58102NonePCDollarsforDoers$200
Faith Lutheran Church of Valley City Endowment Foundation
309 4th st NEValley CityND58072NonePCDollarsforDoers$200
Fargo Moorhead Community Theatre
333 4th St SFargoND58103NonePCDollarsforDoers$200
Fargo Moorhead Community Theatre
333 4th St SFargoND58103NonePCGrateful giving$300
Fargo Moorhead Gay Mens Choir
1104 2nd Ave S Ste 319FargoND58103NonePCDollarsforDoers$200
Fargo Public Schools Development Foundation
415 4th Street NFargoND58102NoneGOVDollarsforDoers$200
Fargo Public Schools
415 4th Street NFargoND58102NoneGOVYoga calm program$1,500
First Link
357 13th Ave S 107LFargoND58103NonePCDollarsforDoers$200
Fix it Forward Ministry
2620 2nd Ave NMoorheadMN56560NonePCDollarsforDoers$200
Foster County Public Health
881 Main StCarringtonND58421NonePCMental/physical health program$1,000
Fraser Ltd Stepping Stones
2902 University Drive SFargoND58103NonePCDollarsforDoers$200
Furry Friends Rockin Rescue
1201 N 11th stBismarckND58501NonePCDollarsforDoers$400
Garrison Area Resource Center & Food Pantry
PO Box 1002GarrisonND58540NonePCCoronavirus impact$1,500
Global Friends
600 DemersGrand ForksND58201NonePCNew American adult learners curriculum$1,000
Global Neighbors
418 N 2nd StBismarckND58501NonePCNew American adult learners curriculum$1,000
Grand Forks Public School
2400 47th Ave SGrand ForksND58201NoneGOVYouth mental health first aid$8,820
Great North Pole
675 13th Ave E Ste 101West FargoND58078NonePCDollarsforDoers$200
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCGeneral support$249
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCGeneral support$70
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCCoronavirus impact$25,000
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCDollarsforDoers$400
Haley's Hope
925 10th Ave E Suite 2West FargoND58078NonePCGrateful giving$300
Hankinson Cares for Cancer
604 2ND AVE SWHankinsonND58041NonePCGrateful giving$300
Healthcare Equipment Recycling Organization
5012 53rd St SFargoND58104NonePCDollarsforDoers$200
Healthcare Equipment Recycling Organization
5012 53rd St SFargoND58104NonePCSafety improvements$5,000
Heavens Helper Soup Caf
220 N 23rd StreetBismarckND58501NonePCCoronavirus impact$2,000
Hillsboro Backpack Program
PO Box 44HillsboroND58045NoneGOVStudent food bank program$5,000
HIPP Kid's Therapy
2497 Mustang Dr SMandanND58554NonePCGrateful giving$50
Homeward Animal Shelter
1201 28th Ave NFargoND58102NonePCGrateful giving$300
Homeward Animal Shelter
1201 28th Ave NFargoND58102NonePCDollarsforDoers$1,200
Honor Flight
9701 W Higgins Rd Ste 310RosemountIL60018NonePCGrateful giving$300
Hoofbeats for Healing
1966 180th AveWolvertonMN56594NonePCDollarsforDoers$200
Hoofbeats for Healing
1966 180th AveWolvertonMN56594NonePCGrateful giving$300
Hope Blooms
PO Box 9705FargoND58106NonePCDollarsforDoers$200
Hope Inc
810 4th Ave S 140MoorheadMN56560NonePCGrateful giving$300
Hospice of the Red River Valley
1701 38th St SFargoND58103NonePCDollarsforDoers$400
Hospice of the Red River Valley
1701 38th St SFargoND58103NonePCGrateful giving$300
Husky Hutch Food Pantry
1417 6th St SFargoND58103NoneGOVGrateful giving$300
Jessy's Toy Box
418 4th StWyndmereND58081NonePCGrateful giving$300
JRMC Foundation
2422 20th Street SWJamestownND58401NonePCCoronavirus impact$2,500
Juniar Achievement of the Upper Midwest
PO Box 388BismarckND58502NonePCClassroom program$5,000
Junior Acheivement
PO Box 2061FargoND58107NonePCGrateful giving$300
Kamp KACE
PO BOX 6462FargoND58109NonePCDollarsforDoers$200
Kamp KACE
PO BOX 6462FargoND58109NonePCGrateful giving$300
KLTA Christmas Wish- Big 97
PO Box 9919FargoND58106NonePCDollarsforDoers$200
Lake Region Rescue
PO Box 61Devils LakeND58301NonePCDollarsforDoers$200
Lake Region State College
1801 College Drive NDevils LakeND58301NoneGOVScholarships$5,000
Leukemia & Lymphoma Society
1711 Broadway Street NEMinneapolisMN55413NonePCGeneral support$1,000
Lutheran Home of the Good Shepherd
1226 1st Ave NNew RockfordND58356NonePCMedication cart$1,000
Lutheran Social Services
3911 20th Ave SFargoND58103NonePCCompanion program support$10,000
Make a Wish of ND
4143 26th Ave SFargoND58104NonePCDollarsforDoers$800
Mayville State University
330 3rd Street NEMayvilleND58257NoneGOVScholarships$5,000
Milnor Public School
PO Box 369MilnorND58060NoneGOVeCare School health program$2,500
Ministry on the Margins
PO Box 3065BismarckND58502NonePCCoronavirus impact$1,500
Minot Head Start
2815 Burdick Expy EMinotND58701NonePCDollarsforDoers$200
Minot Symphony Association
500 University Ave WestMinotND58707NonePCDollarsforDoers$200
Missouri Slope Areawide United Way
515 N 4th StreetBismarckND58501NonePCBackpack program$1,000
Missouri Slope Areawide United Way
515 N 4th StreetBismarckND58501NonePCEmergency homeless shelter$1,000
Missouri Slope Areawide United Way
515 N 4th StreetBismarckND58501NonePCCoronavirus impact$18,750
Missouri Valley Family YMCA
1608 North Washington StreetBismarckND58501NonePCWater safety program$9,500
My Ally Health
4700 S Washington StGrand ForksND58201NonePCDollarsforDoers$200
National Suicide Prevention
199 Water Street 11th FloorNew YorkNY10038NonePCDollarsforDoers$200
ND Autism Center
647 13th Ave EWest FargoND58078NonePCCasual Day Charitable Giving$302
ND Dental Foundation
4141 28th Ave SFargoND58104NonePCMission of Mercy support$5,000
ND National Guard Foundation Attn ND Cares
PO Box 5511FargoND58506NonePCDonation in honor of Spry$650
ND National Guard Foundation Attn ND Cares
PO Box 5511FargoND58506NonePCDonation in honor of Spry$650
NDSCS Financial Aid
800 6th Street NWahpetonND58076NoneGOVScholarships$2,500
NDSCS Foundation
800 6th Street NWahpetonND58076NoneGOVDollarsforDoers$200
NDSU One Stop
PO Box 6050 Dept 2836FargoND58108NoneGOVScholarships$20,000
North Sargent School
PO Box 289GwinnerND58040NoneGOVMental health program$2,500
Northeast Education Services Cooperative
810 10th Street SEDevils LakeND58301NonePCPlayworks Pro Staff Training$11,700
Northern Lights Council Boy Scouts of America
4200 19th Ave SFargoND58103NonePCDollarsforDoers$400
Opportunity Foundation
PO Box 1627WillistonND58802NonePCDollarsforDoers$200
PATH North Dakota
1202 Westrac DriveFargoND58103NonePCGeneral support$87
Pekin Park Board
PO Box 87PekinND58361NoneGOVPlayground equipment$1,000
Plains Art Museum
704 1st Ave NFargoND58102NonePCDollarsforDoers$200
Prairie Public
PO Box 3240FargoND58108NonePCCoronavirus impact$2,000
Rape and Abuse Crisis Center
PO Box 2984FargoND58108NonePCDollarsforDoers$1,000
Red River Valley Community Action
1015 5th st NGrand ForksND58203NonePCDollarsforDoers$200
Richland Wilkin Community Foundation
PO Box 905WahpetonND58075NonePCGeneral support$94
Richland Wilkin Food Pantry
699 8th Avenue SouthWahpetonND58075NonePCGrateful giving$300
Ronald McDonald House RRV
4757 Agassiz Crossing SFargoND58104NonePCDollarsforDoers$400
Salvation Army
304 Roberts St NFargoND58102NonePCDollarsforDoers$200
Salvation Army
304 Roberts St NFargoND58102NonePCGrateful giving$300
SENDCAA
3233 S University DrFargoND58104NonePCGrateful giving$300
SENDCAA
3233 S University DrFargoND58104NonePCCoronavirus impact$2,500
Sharehouse
4227 9th Avenue SFargoND58103NonePCDollarsforDoers$200
ShareHouse
4227 9th Avenue SFargoND58103NonePCRural clinic training$5,000
Sources of Strength
PO Box 27032LakewoodCO80227NonePCSuicide prevention training for ND Elementary school staff$25,000
Souris Valley United Way
1941 4th Street SWMinotND58701NonePCCoronavirus impact$12,750
South Central Adult Services
139 2nd Ave SE PO Box 298Valley CityND58072NonePCGrateful giving$300
South Central Adult Services
139 2nd Ave SE PO Box 298Valley CityND58072NonePCDollarsforDoers$200
The Village Family Service Center
1201 25th St SFargoND58103NonePCCoronavirus impact$5,000
The Village Family Service Center
1201 25th St SFargoND58103NonePCDollarsforDoers$200
Three Rivers Gymnastics
815 4th Avenue SWahpetonND58075NonePCSupport$100
Tolley Fire Department
PO Box 104TolleyND58787NoneGOVCoronavirus impact$2,500
Toothbrush Ministries
4393 53RD ST SFargoND58104NonePCGrateful giving$300
Toothbrush Ministries
4393 53RD ST SFargoND58104NonePCDollarsforDoers$200
UND Grants & Contracts Administration
264 Centennial Dr Mail Stop 7306Grand ForksND58202NoneGOVRural Health Grant$39,893
Underwood Public Schools
PO Box 100UnderwoodND58576NoneGOVSchool ecare health program$2,500
United Way of Barnes County
PO Box 29Valley CityND58072NonePCDollarsforDoers$400
United Way of Barnes County
PO Box 29Valley CityND58072NonePCGeneral support$94
United Way of Cass Clay
PO Box 1609FargoND58107NonePCBlueSquad fundraiser auction$3,622
United Way of Cass Clay
PO Box 1609FargoND58107NonePCCoronavirus impact$18,750
United Way of Cass Clay
PO Box 1609FargoND58107NonePCSupport$50,000
United Way of Cass-Clay
PO Box 1609FargoND58107NonePCDollarsforDoers$400
United Way of Dickinson
PO Box 501DickinsonND58602NonePCGeneral support$94
United Way of Dickinson
PO Box 501DickinsonND58602NonePCCoronavirus impact$5,500
United Way of Grand Forks East Grand Forks and Area
1407 24th Avenue SouthGrand ForksND58201NonePCGeneral support$94
United Way of Grand Forks East Grand Forks and Area
1407 24th Avenue SouthGrand ForksND58201NonePCCoronavirus impact$10,000
United Way of Jamestown
PO Box 85JamestownND58402NonePCGeneral support$94
United Way of Jamestown
PO Box 85JamestownND58402NonePCCoronavirus impact$2,250
University of Mary Financial Aid
7500 University DriveBismarckND58504NoneGOVScholarships$2,500
University of North Dakota
264 Centennial Drive Stop 8371Grand ForksND58202NoneGOVScholarships$20,000
Valley City State University
101 College Street SWValley CityND58072NoneGOVScholarships$5,000
Valley Senior Services
2801 32nd Ave SFargoND58103NonePCDollarsforDoers$400
Westhope Public School
395 Main StreetWesthopeND58793NoneGOVSuicide prevention community guest speaker$2,500
Williston Basin United Way
PO Box 176WillistonND58802NonePCGeneral support$95
Williston Basin United Way
PO Box 176WillistonND58802NonePCCoronavirus impact$5,500
YWCA Cass Clay
3100 12th Avenue NFargoND58102NonePCDollarsforDoers$400
YWCA Cass Clay
3100 12th Avenue NFargoND58102NonePCCoronavirus impact$1,500
YWCA Minot
205 3rd Ave SEMinotND58701NonePCCoronavirus impact$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$472,426TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$204,338ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$147,328ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$351,666ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$351,666TotalIncomeProducingActyAmt

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 Line1Blue Cross Blue Shield of North DakotaBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Total Contributions$5,336,574TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
Baird Aggregate Bond FundFMV$6,039,984$6,039,984
Transamerica International Equty FundFMV$1,497,122$1,497,122
Vanguard Total Stock MarketFMV$9,579,565$9,579,565

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescInvestment Income ReceivableDesc
BOY Book Value$1BOYBookValueAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Administrative Expenses$336,374$0$0
CaringForKids$63,462$0$63,462

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUnrealized LossDesc
Amt$1,278,595Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management FeesCategoryTxt
Amt$4,708Amt
Net Investment Income$4,708NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryExcise TaxesCategoryTxt
Amt$8,388Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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