2021-07-13T11:48:08-05:00 2020-12-31 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2020-01-01 456013464 Children's Village Family Service Foundation CHIL 7014514900 PO Box 9859 Fargo ND 581069859 Jeff Pederson President/CEO 7014514900 2021-07-06 1 Jeff Pederson 999009999 Lisa Chaffee CPA P00193453 7012551091 2021-07-06 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Jeff Pederson PO Box 9859 Fargo ND 581069859 614214 0 X www.thevillagefamily.org X 1957 ND To provide permanent support for the activities and programs of the Village Family Service Center. 9 9 0 11 5103 0 128592 127664 0 0 -307357 42549 111 0 -178654 170213 224432 250003 0 0 0 0 0 0 0 162057 51987 386489 301990 -565143 -131777 7046941 7209148 605465 622074 6441476 6587074 The Children's Village Family Service Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 0 0 250003 250003 The Children's Village Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 250003 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X Jeff Pederson 7014514870 PO Box 9859 Fargo ND 58106 Matthew Leiseth Chairman 2.00 0.00 X X 0 0 0 Laura Ness Owens Vice Chairman 2.00 0.00 X X 0 0 0 Eric Hatch Board Member 2.00 0.00 X 0 0 0 Michelle Kommer Board Member 2.00 0.00 X 0 0 0 Thomas Rohleder Board Member 2.00 2.00 X 0 0 0 Sandra Skallerud Board Member 2.00 2.00 X 0 0 0 Jeanne Narum Board Member 2.00 2.00 X 0 0 0 Tim Sayler Board Member 2.00 2.00 X 0 0 0 Al Erickson Board Member (Through April) 2.00 0.00 X 0 0 0 Steve Connelly Board Member (Through April) 2.00 2.00 X 0 0 0 Toni Sandin Board Member 2.00 0.00 X 0 0 0 Jeff Pederson President/CEO 2.00 40.00 X 0 168689 14913 Shelley Treib Secretary/Treasurer (From Sept) 2.00 40.00 X 0 67121 14794 Elizabeth Moen Secretary/Treasurer (Through June) 2.00 40.00 X 0 63748 0 0 299558 29707 0 0 1 0 0 127664 127664 89773 5103 84670 276777 120000 242475 201526 34302 -81526 -47224 -47224 170213 0 5103 37446 250003 250003 19200 19200 26769 26769 3766 3766 2252 2252 301990 250003 51987 0 322479 186137 5000 716436 917962 716436 2692781 3043072 894933 933213 2213786 2330290 7046941 7209148 605465 622074 605465 622074 X 4456639 4474573 1984837 2112501 6441476 6587074 7046941 7209148 X -131777 282002 -4627 X 0 1 X 1 0 X X X 1 Village Family Service Center 450226423 7 1 250003 0 1 250003 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Part IV, Section C, Line 1: The board of the Children's Village Foundation consists of nine members. Of those nine members a total of 2 members also serve on the board of the Village Family Service Center. In addition to the board overlap the CEO and the Secretary/Treasurer of the Children's Village Foundation also serve as the CEO and the CFO of the Village Family Service Center. Other key individuals from the Village Family Service Center also regularly attend board meetings. The Children's Village Foundation has quarterly board meetings which include an update on the Village Family Service Center and presentation of the financial statements by the CFO. The Village Family Service Center has monthly board meetings which include an update on the status of the Children's Village Foundation which includes discussion on the performance of the investments held by the Children's Village Foundation, this information is presented by the CEO. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 326703 15000 35897 35897 341703 301805 24898 31834 31834 326703 291805 10000 -14792 -14792 301805 271804 20001 28262 28262 291805 215897 55907 12843 12843 271804 0.00000 1.00000 0.00000 0 0 716436 716436 716436 Dakota REIT 719210 F Investment in Dakota REIT 214000 F Mineral Rights 3 F 933213 Due from Village 2203133 Interest and Dividends receivable 10653 Nokomis Forever Fund 5000 Escrow Receivable 111504 2330290 Due to Related Party 467721 Annuities Payable 35024 Water Lease Termination Payable 119329 622074 X 502345 282002 -4627 277375 224970 26769 -81526 -54757 170213 356747 81526 81526 275221 26769 26769 301990 Part V, Line 4: The Foundation's endowment consists of approximately 21 individual funds established by donors to provide annual funding for specific activities and general operations. Part X, Line 2: The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Change in Value of Split-Interest Agreements -4,627. Part XI, Line 4b - Other Adjustments: Impairment Loss on Land Held For Sale -11,696. Loss on Sale of Land -69,830. Part XII, Line 2d - Other Adjustments: Impairment Loss on Land Held For Sale 11,696. Loss on Sale of Land 69,830. 1 Village Family Service Center 1201 25th St So Fargo ND 58103 450226423 501(c)(3) 250003 Operating Support 1 0 Part I, Line 2: The Organization monitors the use of funds through members of the Board of Directors that also serve on the Board of Directors of the Village Family Service Center. Additionally the CEO and Secretary/Treasurer of the Childrens Village Family Service Foundation serve as the CEO and CFO of the Village Family Service Center. 0 0 0 0 0 0 0 0 0 Jeff Pederson President/CEO 0 167376 0 0 0 1313 0 6782 0 8827 0 184298 0 0 Part I, Line 3 The President/CEO is compensated by the Village Family Service Center, a related organization. In establishing the compensation of the President/CEO the Village Family Service Center use the following methods: compensation survey and approval by the board or compensation committee. The Village uses a survey every three years and annually the board approves compensation. Form 990, Part VI, Section A, line 2 Jeff Pederson, Shelley Treib, and Elizabeth Mohan each have a business relationship with each other, and the following individuals: Thomas Rohlender, Sandra Skallerud, Jeanne Narum, TIm Sayler, Steve Connelly, and Al Erickson. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the Board. Form 990, Part VI, Section B, line 11b The CFO, CEO, and staff accountant of the Village Family Service Center, a related organization, will review the Form 990 prior to it being distributed to the board members prior to it being filed. Form 990, Part VI, Section B, line 12c Individuals with a conflict, or potential conflict, will make this known to the appropriate Foundation individual at the earliest possible date. Board member conflicts are to be reported to the Chairperson of the Board of Directors of the Children's Village Family Service Foundation. Board members are asked to abstain from voting on any issues in which they have a conflict. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part XI, line 9: Change in Value of Split Interest Agreements -4,627. Village Family Service Center PO Box 9859 Fargo ND 58106 450226423 Human Services ND 501(c)(3) Line 7 N/A 0 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0