MIDWESTONE BANK FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MIDWESTONE BANK FOUNDATION (EIN 75-3023674)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-05-10
- IRS object ID
- 202131309349101943
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-10T16:54:17-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 FIRST ST SE STE 800 | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 524011512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753023674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDW | BusinessNameControlTxt |
| Phone | 3193565800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO MATT WALTER PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT WALTER | PersonNm |
| Person Title | SECRETARY AND TREASURER | PersonTitleTxt |
| Phone | 3193565800 | PhoneNum |
| Signature | 2021-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MATT | PersonFirstNm |
| Person Last | WALTER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA HULS | PreparerPersonNm |
| PTIN | P01315330 | PTIN |
| Phone | 3192985333 | PhoneNum |
| Preparation | 2021-05-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $4,182,421 | 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 | $100,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $436 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $436 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $102,766 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $102,766 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $20,808 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $560,643 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $20,808 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $224,010 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $124,010 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,520 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $760 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $760 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $2,544 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $95 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,064 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $855 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $760 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $178,840 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $178,840 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $182,904 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $855 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $179,600 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $41,106 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $123,155 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $108,567 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $50,225 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $50,225 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $761,111 | CorporateStockBOYAmt |
| Corporate Stock EOY | $774,262 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,426,121 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $2,494,443 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,582,027 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,706,075 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $3,364,121 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,406,514 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,182,421 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $750,000 | CapitalStockBOYAmt |
| Capital Stock EOY | $750,000 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $2,614,121 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,656,514 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,364,121 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,406,514 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,364,121 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,406,514 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,364,121 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $41,106 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,287 | OtherIncreasesAmt |
| Subtotal | $3,406,514 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,406,514 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITES | P | $15,098 | $19,331 | -$4,233 | -$4,233 |
| PUBLICLY TRADED SECURITES | P | $529,455 | $520,504 | $8,951 | $8,951 |
| LONG TERM CAPITAL GAINS | P | $16,090 | $16,090 | $16,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $20,808 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,712 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,712 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,712 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,800 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,800 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $88 | OverpaymentAmt |
| Applied To ES Tax | $88 | AppliedToESTaxAmt |
| Refund | $0 | 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 | IA | 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 | MIDWESTONEBANK.COM/AFOUNDATION.PHP | WebsiteAddressTxt |
| Individual With Books | MATT WALTER | IndividualWithBooksNm |
| Phone | 3193565800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | 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 (8 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 |
|---|---|---|---|---|---|---|---|---|
| KEVIN W MONSON | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| CHARLES N FUNK | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| MATT WALTER | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | SECRETARY/TREASURER | 1.00 | $0 | $0 | $0 |
| PEGGY HUDSON | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| LARRY D ALBERT | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| RUTH E STANOCH | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KURT R WEISE | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| LEN DEVAISHER | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR AS OF 9/25/20 | 1.00 | $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 | $3,706,080 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $78,688 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,784,768 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,784,768 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $56,772 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,727,996 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $186,400 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $186,400 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,712 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,712 | TotalTaxAmt |
| Distributable Before Adj | $184,688 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $184,688 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $184,688 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $179,600 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $179,600 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $179,600 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $184,688 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $6,493 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $3,219 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $2,422 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $6,818 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $23,815 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $42,767 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $179,600 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $179,600 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $5,088 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $5,088 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $37,679 | 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 | $1,405 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $36,274 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $3,219 | ExcessFromYear4Amt |
| Excess From Year3 | $2,422 | ExcessFromYear3Amt |
| Excess From Year2 | $6,818 | ExcessFromYear2Amt |
| Excess From Year1 | $23,815 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (47 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AARON'S PLAYGROUND | |||||||
| 897 LEDGESTONE DRIVE | MAHTOMEDI | MN | 55115 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| ARENACO CVB | |||||||
| 1512 7TH STREET | CORALVILLE | IA | 52241 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| BCLUW ACES | |||||||
| 704 COMMERCIAL ST | UNION | IA | 50258 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| BOYS AND GIRLS CLUB OF THE NORTH STAR | |||||||
| 905 6TH STREET NW | ELK RIVER | MN | 55330 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| BOYS AND GIRLS CLUBS OF METRO DENVER | |||||||
| 2017 W 9TH AVE | DENVER | CO | 802043845 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| BUTLER COUNTY FAIR | |||||||
| 101 S MAIN STREET | ALLISON | IA | 50602 | N/A | PC | GENERAL OPERATING FUND | $3,333 |
| CAER FOOD SHELF | |||||||
| 12621 ELK LAKE ROAD | ELK RIVER | MN | 55330 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| CENTRAL COLLEGE | |||||||
| 812 UNIVERSITY STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CHISAGO LAKES SCHOOL DISTRICT | |||||||
| 13750 LAKE BLVD | LINDSTROM | MN | 55045 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CITY OF FARLEY | |||||||
| PO BOX 246 | FARLEY | IA | 52046 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CITY OF LANCASTER | |||||||
| 206 S MADISON STREET | LANCASTER | WI | 53813 | N/A | PC | GENERAL OPERATING FUND | $3,333 |
| CITY OF NORTH ENGLISH | |||||||
| PO BOX 220 | NORTH ENGLISH | IA | 52316 | N/A | PC | GENERAL OPERATING FUND | $1,758 |
| CITY OF PARKERSBURG | |||||||
| 804 LINCOLN ST | PARKERSBURG | IA | 506650489 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| DUBUQUE MUSEUM OF ART | |||||||
| 701 LOCUST STREET | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| EDEN PRAIRIE HOCKEY ASSOCIATION | |||||||
| 7900 W 78TH ST 450 | MINNEAPOLIS | MN | 55439 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| FAITH ACADEMY | |||||||
| 1030 CROSS PARK AVENUE | IOWA CITY | IA | 52240 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| FRANCONIA SCULPTURE PARK | |||||||
| 29836 ST CROIX TRAIL | SHAFER | MN | 55074 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS OF THE MELBOURNE PUBLIC LIBRARY | |||||||
| 1433 295TH STREET | RHODES | IA | 50162 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS OF THE WILLOW RIVER AND KINNICKKINNIC STATE PARK | |||||||
| 1034 COUNTY ROAD A | HUDSON | WI | 54016 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| GREATER BURLINGTON AREA SPORTS FACILITIES | |||||||
| 610 N 4TH STREET SUITE 200 | BURLINGTON | IA | 52601 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| HILLS AND DALES | |||||||
| 1011 DAVIS STREET | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| HISTORIC PELLA TRUST | |||||||
| 615 MAIN STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| HUDSON HOSPITAL FOUNDATION | |||||||
| 405 STAGELINE ROAD | HUDSON | WI | 54016 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| INSPIRING COMMUNITY INC | |||||||
| PO BOX 503 | PLATTEVILLE | WI | 53818 | N/A | PC | GENERAL OPERATING FUND | $3,333 |
| JEFFERSON COUNTY KIDS | |||||||
| 101 N COURT ST | FAIRFIELD | IA | 52556 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| LAKES INTERNATIONAL LANGUAGE ACADEMY | |||||||
| 246 11TH AVENUE SE | FOREST LAKE | MN | 55025 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| LEE COUNTY HOUSING DEVELOPMENT | |||||||
| 3677 CENTRAL AVE | FORT MYERS | FL | 33901 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| LETS GO FISHING ST CROIX CHAPTER | |||||||
| 200 5TH AVE S | BAYPORT | MN | 55003 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| MAHASKA YMCA AND EARLY CHILDHOOD DEVELOPMENT CENTER | |||||||
| 124 1ST AVENUE EAST | OSKALOOSA | IA | 52577 | N/A | PC | GENERAL OPERATING FUND | $6,000 |
| NATL MISSISSIPPI RIVER MUSEUM & AQUARIUM | |||||||
| 350 EAST 3RD STREET | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| NEIGHBORS INC | |||||||
| 222 GRAND AVE W | SOUTH SAINT PAUL | MN | 55075 | N/A | PC | GENERAL OPERATING FUND | $3,333 |
| OSCEOLA MEDICAL CENTER | |||||||
| PO BOX 218 | OSCEOLA | WI | 54020 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| PRISM | |||||||
| 1220 ZANE AVE N | GOLDEN VALLEY | MN | 55422 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| RHODES FIRE STATION | |||||||
| PO BOX 97 | RHODES | IA | 50234 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| RISE SCHOOL OF DENVER | |||||||
| 4901 E EASTMAN AVE | DENVER | CO | 80222 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| RIVER VALLEY RIDERS | |||||||
| 8362 TAMARACK VILLAGE SUITE 119-440 | WOODBURY | MN | 55125 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| RONALD MCDONALD HOUSE CHARITIES | |||||||
| 730 HAWKINS DRIVE | IOWA CITY | IA | 52246 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| SHELTER HOUSE | |||||||
| PO BOX 3146 | IOWA CITY | IA | 522443146 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| STEPHEN ANIMAL SHELTER FOUNDATION | |||||||
| 100 FIRST AVE W | OSKALOOSA | IA | 52577 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| STEPPING STONE EMERGENCY HOUSING | |||||||
| 3300 4TH AVE | ANOKA | MN | 55303 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| STONEHILL FRANCISCAN SERVICES | |||||||
| 3485 WINDSOR AVENUE | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $12,000 |
| STRENGTH GROW EVOLVE CAMPAIGN | |||||||
| 221 E WASHINGTON STREET | IOWA CITY | IA | 52240 | N/A | PC | GENERAL OPERATING FUND | $6,000 |
| UI CENTER FOR ADVANCEMENT | |||||||
| ONE WEST PARK ROAD | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| UNITYPOINT HEALTH - ALLEN FOUNDATION | |||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| UNIVERSITY OF IOWA FOUNDATION | |||||||
| ONE WEST PARK ROAD | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| VETERANS MEMORIAL PROJECT - CORALVILLE IOWA | |||||||
| 501 12TH AVE SUITE 102 | CORALVILLE | IA | 52241 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| WASHINGTON COUNTY HISTORICAL SOCIETY | |||||||
| 602 N MAIN STREET | STILLWATER | MN | 55082 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $178,840 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $436 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $102,766 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $20,808 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $124,010 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $124,010 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $100,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $1,520 | Amt |
| Net Investment Income | $760 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $760 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (58 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 3M CO | $4,193 | $6,817 |
| ABBOTT LABS | $6,181 | $27,810 |
| ACCENTURE PLC IRELAND SHS CLASS A | $13,843 | $30,562 |
| ALLSTATE CORP | $16,016 | $27,373 |
| ALPHABET INC - CL A | $2,893 | $12,268 |
| ALPHABET INC - CL C | $11,296 | $36,789 |
| AMERICAN TOWER CORP NEW COM | $12,205 | $28,282 |
| APPLE INC | $15,156 | $75,501 |
| APPLIED MATLS INC COM | $15,305 | $28,134 |
| AT&T INC | $11,050 | $10,354 |
| BALL CORP | $6,514 | $21,990 |
| BECTON DICKINSON AND CO | $17,739 | $28,775 |
| BLACKROCK INC COMMON | $16,012 | $28,140 |
| BOEING COMPANY | $7,464 | $19,908 |
| BOSTON SCIENFTIFIC CORP COM | $11,155 | $11,287 |
| BROADCOM LTD | $19,293 | $35,028 |
| CAPITAL ONE FINL CORP | $11,897 | $19,078 |
| CHEVRON CORP | $13,333 | $12,076 |
| CIGNA CORP COMMON | $13,349 | $17,695 |
| CISCO SYSTEMS INC | $11,017 | $20,182 |
| CITIGROUP INC COM NEW | $7,438 | $10,051 |
| CORTEVA INC | $2,356 | $3,059 |
| COSTCO WHSL CORP | $15,223 | $26,751 |
| CVS HEALTH CORPORATION COM | $26,746 | $32,852 |
| DANAHER CORP | $4,781 | $20,659 |
| DOLLAR GENERAL CORP NEW | $16,984 | $39,326 |
| DOMINION RES INC | $17,636 | $18,650 |
| DUKE ENERGY HOLDING | $19,470 | $22,890 |
| DUPONT DE NEMOURS INC | $6,495 | $5,618 |
| FACEBOOK INC CL A | $17,079 | $31,413 |
| FED EX CORP | $20,865 | $33,231 |
| FORTIVE CORP COM | $2,094 | $5,949 |
| GOLDMAN SACHS GROUP INC COM | $13,768 | $18,460 |
| HOME DEPOT INC COM | $17,883 | $32,406 |
| ILLINOIS TOOLWORKS | $10,867 | $33,029 |
| JOHNSON & JOHNSON | $19,477 | $31,004 |
| JP MORGAN CHASE | $15,214 | $36,088 |
| MICRON TECHNOLOGY INC | $15,927 | $24,960 |
| MICROSOFT CORP COM | $18,177 | $57,607 |
| MIDWESTONE FINL GROUP INC | $23,963 | $24,500 |
| MONDELEZ INTL INC | $9,215 | $15,085 |
| NETFLIX INC COM | $18,229 | $31,903 |
| NIKE INC CL B | $6,921 | $10,752 |
| ORACLE SYSTEMS CORP | $14,061 | $28,852 |
| O'REILLY AUTOMOTIVE | $9,900 | $33,943 |
| PEPSICO INCORPORATED | $9,377 | $17,203 |
| PIONEER NAT RES CO COM | $6,612 | $4,328 |
| PROCTER & GAMBLE | $8,924 | $21,010 |
| SALESFORCE COM INC COM | $20,365 | $36,940 |
| SYNCHRONY FINANCIAL | $13,288 | $14,856 |
| TARGET CORP COM | $16,520 | $20,301 |
| UNION PAC CORP COM | $18,417 | $24,154 |
| UNITEDHEALTH GROUP INC COM | $21,794 | $41,731 |
| VALERO ENERGY CORP | $14,924 | $14,708 |
| VERIZON COMM | $9,799 | $14,041 |
| VISA INC COM CL A | $20,405 | $43,965 |
| WALMART INC COM | $12,627 | $20,613 |
| WALT DISNEY COMMON | $14,530 | $25,184 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (15 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| COHEN & STEERS GLOBAL REALTY SHARES, INC CLASS I | AT COST | $35,000 | $33,932 |
| FEDERATED INSTL TR HI YIELD BD | AT COST | $162,173 | $163,624 |
| INVESCO OPPENHEIMER DEVELOPING MARKETS CLASS R6 | AT COST | $46,399 | $66,306 |
| JANUS TRITON FD CL 1 | AT COST | $71,012 | $99,355 |
| LORD ABBETT SHORT DURATION INCOME FUND CLASS F | AT COST | $413,668 | $413,755 |
| MFS INSTL INTL EQUITY FUND | AT COST | $50,940 | $65,831 |
| MFS NEW DISCOVERY VALUE FUND CLASS I | AT COST | $43,000 | $46,305 |
| PIMCO INCOME FUND | AT COST | $431,575 | $429,738 |
| PIMCO INVESTMENT GRADE CORP BD | AT COST | $440,500 | $468,310 |
| PIONEER MULTI-ASSET ULTRA SHORT INC FUND | AT COST | $47,566 | $46,189 |
| T ROWE PRICE MID-CAP GROWTH FUND CLASS I | AT COST | $70,574 | $82,915 |
| TCW EMERGING MARKET INCOME FUND CLASS I | AT COST | $138,740 | $141,165 |
| VANGUARD FIXED INCOME SECS GNMA FD ADMRL | AT COST | $239,120 | $250,147 |
| VICTORY SYCAMORE ESTABLISHED VALUE FUND CLASS I | AT COST | $41,000 | $42,009 |
| WESTERN ASSET CORE PLUS BOND | AT COST | $350,760 | $356,494 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ADJUSTMENT | Desc |
| Amt | $1,287 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $2,449 | $0 | $0 |
| FOREIGN TAX | $95 | $95 | $0 |
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