2021-11-15T16:43:16-06:00 2020-12-31 450250958 EIDE BAILLY LLP 666 WALNUT ST STE 1900 DES MOINES IA 503093912 990PF 2020-01-01 426521745 THE JOHN R AND ZELDA Z GRUBB CHARITABLE FOUNDATION JOHN 5152599293 4454 128TH ST URBANDALE IA 503231728 JOHN W GRUBB PRESIDENT 5152599293 2021-11-15 1 JOHN GRUBB XXX-XX-XXXX ALEXANDER RADIG CPA P01937466 5152440266 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 14037263 X 640606 19650 19650 19650 192937 192937 192937 -243704 2803517 0 0 5676734 10909 5676734 6286223 223496 5889321 0 0 0 0 2773114 0 2773114 0 196018 0 196018 0 1563 0 1563 0 107001 0 100676 6325 339193 0 339193 0 279626 0 279626 0 181706 0 181706 1491350 22262 1469088 0 5369571 22262 5340984 6325 385019 385019 5754590 22262 5340984 391344 531633 201234 548337 610487 920492 920492 599263 1751893 1751893 445073 465036 445073 445073 9805 16540 16540 0 329327 328244 0 136200 166320 0 246019 252148 8652713 7545529 7463412 6658670 4012409 2800311 2646261 2646261 32041 46880 46880 13169656 14084214 14037263 410119 393675 65332 546001 475451 939676 X 12694205 13144538 12694205 13144538 13169656 14084214 12694205 531633 111930 13337768 193230 13144538 PUBLICLY TRADED SECURITIES 2020-01-01 2020-12-31 1066464 1096268 -29804 -29804 PUBLICLY TRADED SECURITIES 2019-12-31 2020-12-31 1737051 1950953 -213902 -213902 PUBLICLY TRADED SECURITIES 2019-12-31 2020-12-31 2 2 2 -243704 -29804 2797 0 2797 0 2797 4000 0 2000 0 6000 23 3180 3180 0 0 0 0 0 0 0 0 0 1 1 0 1 1 IA 1 1 0 0 0 1 N/A JOHN W GRUBB 5152599293 4454 128TH ST URBANDALE IA 503231728 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN W GRUBB 4454 128TH ST URBANDALE IA 503231728 PRESIDENT, SECRETARY 1.00 0 0 0 GAYLE MOORE 116 REIMER ST ELKADER IA 52043 RN 40.00 84188 2526 0 KATLYN POOTS 1400 W MAIN ST MCGREGOR IA 52157 RN 40.00 78972 2369 0 KARA WINKOWITSCH 116 REIMER ST ELKADER IA 52043 RN 40.00 76344 0 0 ALANNA MCSHANE 1400 W MAIN ST MCGREGOR IA 52157 RN 40.00 69678 2090 0 LISA BOLSINGER 116 REIMER ST ELKADER IA 52043 RN 40.00 62684 1881 0 9 HEALTHCARE OF IOWA 5925 DRY CREEK LN NE CEDAR RAPIDS IA 52402 ACCOUNTING FEES/CONSULTING FEES 414391 MARTIN BROS PO BOX 69 CEDAR FALLS IA 50613 FOOD 243876 MILLENNIUM REHAB & CONSULTING 4725 MERLE HAY RD DES MOINES IA 50322 SKILLED THERAPIES 238091 DIVERSACARE 5925 DRY CREEK LN NE CEDAR RAPIDS IA 52402 CONSULTING 160165 WELLMARK PO BOX 14456 DES MOINES IA 50306 INSURANCE PREMIUMS 136309 9 OPERATES TWO NURSING HOMES FOR THE ELDERLY WITH APPROXIMATELY 124 BEDS 5342632 0 7633408 0 0 7633408 0 0 7633408 114501 7518907 375945 X 391344 0 391344 0 391344 1997-01-29 X 375945 395408 393317 288074 1452744 319553 336097 334319 244863 1234832 391344 422620 409941 415569 1639474 0 0 0 0 0 391344 422620 409941 415569 1639474 0 0 0 5812629 5244297 4515334 5136922 20709182 5812629 5244297 4515334 5135530 20707790 0 14260 174446 360618 352624 901948 X AHIENZ 57 PET RESCUE & TRANSPORT PO BOX 188 DE SOTO IA 500690188 PC ANIMAL PROTECTION AND WELFARE - 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RAISES FUNDS FOR DISEASES, DISORDERS, MEDICAL DISCIPLINES 20000 VARIETY CLUB 506 - 5TH AVENUE SUITE 310 DES MOINES IA 503092323 PC DONATION TO GENERAL FUND TO PROVIDE AID/SERVICES TO THE HANDICAP 102750 WEST DES MOINES CHRISTIAN CHURCH 4501 MILLS CIVIC PKWY WEST DES MOINES IA 50265 PC DONATION TO GENERAL FUND - PROVIDES GENERAL HEALTH AND REHABILITATIVE SERVICES 50000 385019 0 NURSING HOMES 4996257 ASSISTED LIVING 663435 14 19650 14 192937 14 16857 18 -243704 OTHER 185 0 -14260 5659877 5645617 1A THE FOUNDATION OPERATES TWO NURSING HOMES FOR THE ELDERLY WITH 1A APPROXIMATELY 124 BEDS. 1B THE FOUNDATION OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY. 11A OTHER MISCELLANEOUS INCOME 0 0 0 0 0 0 0 0 0 0 X X 1 DEPARTMENT OF HEALTH AND HUMAN SERVICES 200 INDEPENDENCE AVE SW WASHINGTON DC 20201 640606 X ACCOUNTING FEES 100676 0 100676 0 TAX PREPARATION 6325 0 0 6325 BANK OF AMER COP B/E 73969 78188 MORGAN STANLEY B/E 74250 74460 CITIGROUP INC B/E 97800 99500 PERSHING SQUARE TONTINE CL A 136200 166320 329327 328244 0 0 AVISTA ONSHORE FEEDER FUND, LP AT COST 154509 154509 PIMCO BRAVO FUND II OFFSHORE FEEDER AIV I, LP AT COST 168571 168571 PIMCO BRAVO FUND II SPECIAL ONSHORE FEEDER (TE), LP AT COST 165013 165013 PE PREMIER BLACKSTONE ENERGY PARTNERS II OFFSHORE AT COST 438167 438167 PIMCO ENERGY & TACTICAL CREDIT OPPORTUNITIES FUND AT COST 417082 161600 FEDERATED HERMES KAUFMAN SMALL CAP FUND IS AT COST 200000 207315 JOHN HANCOCK INTL GROWTH FUND CL I AT COST 258542 333824 MATTHEW ASIA DIVIDEND AT COST 418180 472223 PRINCIPAL MIDCAP FUND CLASS I AT COST 202198 205123 T. ROWE PRICE GLOBAL STK FD AT COST 211042 206021 VICTORY SOPHUS EMERGING MARKETS FUND CLASS Y AT COST 211223 225132 BLACKROCK MULTI SECTOR INCOME TR AT COST 233996 245560 COLUMBIA STRATEGIC INCOME FUND CLASS INSTITUTIONAL AT COST 718172 742760 DOUBLELINE LOW DURATION BOND FUND I AT COST 819354 812884 FPA NEW INCOME INC AT COST 273306 274240 PIMCO INCOME FUND CLASS 12 AT COST 1245657 1246129 PIMCO MORTGAGE OPPORTUNITIES AND BOND FUND 1-2 AT COST 598501 595830 T. ROWE PRICE GLOBAL MUTI-SECTOR BOND FUND CLASS NL AT COST 500000 500000 BANK OF AMERICA CORPORATIONS 6.200% PREFERRED CLBL AT COST 50720 49980 BERKLEY (WR) CORP AT COST 36548 38295 CITIGROUP INC (C) 6.300% PREFERRED CLBL AT COST 103852 102240 US CELLULAR CORP AT COST 53500 50600 MORGAN STANLEY MONEY MARKET MUTUAL FUNDS AT COST 67396 67396 LEGAL FEES 1563 0 1563 0 CSV LIFE INSURANCE 32041 46880 46880 ADDITIONAL BOOK DEPRECIATION IN EXCESS OF TAX DEPRECIATION 21485 BOOK TAX DIFFERENCE PIMCO BRAVO FUND II OFFSHORE FEEDER AIV I, LP K-1 7066 NON-DEDUCTIBLE DONATIONS 50 NON-DEDUCTIBLE DUES 1583 BOOK TAX DIFFERENCE PE PREMIER BLACKSTONE ENERGY PARTNERS II OFFSHORE K-1 16183 BOOK TAX DIFFERENCE UBS FINANCIAL SERVICES INC. 1099 146863 ADVERTISING 18789 0 18789 0 BUSINESS EXPENSE 1817 0 1817 0 BUSINESS TRAVEL 9332 0 9332 0 DIETARY 227201 0 227201 0 DUES & LICENSES 20021 0 20021 0 EMPLOYEE RECRUITMENT 12842 0 12842 0 INCONTINENT CARE 743 0 743 0 INSURANCE 50764 0 50764 0 INVESTMENT FEES 15395 15395 0 0 LINEN AND BEDDING 1466 0 1466 0 LIFE INSURANCE 42155 0 42155 0 MANAGEMENT FEE 13733 6867 6866 0 MISCELLANEOUS 58810 0 58810 0 OFFICE EXPENSE 73492 0 73492 0 PURCHASED SERVICES 54096 0 54096 0 REPAIRS & MAINTENANCE 91238 0 91238 0 SNF SUPPLIES & THERAPIES 270185 0 270185 0 STAFF EDUCATION 22816 0 22816 0 SUPPLIES 246034 0 246034 0 TELEPHONE 15178 0 15178 0 UTILITIES 195333 0 195333 0 WORKMENS COMPENSATION 49910 0 49910 0 NET INVESTMENT INCOME FROM K-1 ACTIVITIES 8962 3014 8962 UBS FINANCIAL SERVICES, INC. - CAPITAL GAIN DIVIDENDS 7895 7895 7895 NURSING HOMES 4996257 4996257 ASSISTED LIVING 663435 663435 OTHER 185 185 BOOK TAX DIFFERENCE AVISTA ONSHORE FEEDER FUND, LP K-1 163 BOOK TAX DIFFERENCE PIMCO BRAVO FUND II SPECIAL ONSHORE FEEDER (TE), LP K-1 25025 ACCRUED VACATION 86742 DEPOSITS 63720 52940 INCOME TAX PAYABLE 1612 2761 PPP LOAN 0 490300 NURSING HOME MANAGEMENT & OTHER 339193 0 339193 0 EXCISE TAX ON INVESTMENT 2797 0 2797 0 PAYROLL 189507 0 189507 0 PROPERTY 87322 0 87322 0