HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA (EIN 81-1099715)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202133149349100328
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)
Return2021-11-10T08:31:57-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY STE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN811099715EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEADWATERS HEALTH FOUNDATIONBusinessNameLine1Txt
Business Name Line2OF WESTERN MONTANABusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHEADBusinessNameControlTxt
Phone4069266526PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1283 W FRONT STREET NO 301AddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD OPPERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4069266526PhoneNum
Signature2021-10-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastOPPERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2021-11-01PreparationDt

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$106,148,941FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$523,100ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$76InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$76InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$998,570DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,243,106DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$163,764NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$23,410,895GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$941,737CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$3,884,693OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$3,856,883OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$5,570,203TotalRevAndExpnssAmt
Total Net Invst Incm$7,041,802TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$645,422CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$101,094CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$548,068CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$266,452OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$5,581OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$296,761OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$291,891PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$21,889PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$264,445PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$28,580LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$28,766LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$106,325AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$25,103AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$71,904AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$585,509OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,210,843OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$250,914OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$196,364InterestRevAndExpnssAmt
Interest Net Invst Incm$196,364InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$130,029TaxesRevAndExpnssAmt
Taxes Net Invst Incm$115,612TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$27,377DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$108,647OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$108,532OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$48,454TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$48,416TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$38PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$38PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$120,085OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$123,626OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,555,173TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,676,486TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,741,470TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,603,752ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$3,603,752ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$6,158,925TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,676,486TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,345,222TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$588,722ExcessRevenueOverExpensesAmt
Net Investment Income$5,365,316NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$379,219CashBOYAmt
Cash EOY$4,787,407CashEOYAmt
Cash EOYFMV$4,787,407CashEOYFMVAmt
Acct Rcvbl BOY$67,104AcctRcvblBOYAmt
US Government Obligations BOY$3,398,471USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,747,098USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,747,098USGovtObligationsEOYFMVAmt
Corporate Stock BOY$11,708,144CorporateStockBOYAmt
Corporate Stock EOY$8,654,372CorporateStockEOYAmt
Corporate Stock EOYFMV$8,654,372CorporateStockEOYFMVAmt
Corporate Bonds BOY$8,791,857CorporateBondsBOYAmt
Corporate Bonds EOY$7,327,308CorporateBondsEOYAmt
Corporate Bonds EOYFMV$7,327,308CorporateBondsEOYFMVAmt
Other Investments BOY$79,722,072OtherInvestmentsBOYAmt
Other Investments EOY$82,423,176OtherInvestmentsEOYAmt
Other Investments EOYFMV$82,423,176OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$1,257,467LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$47,887LandBldgEquipAccumDeprecAmt
Land BOY$92,824LandBOYAmt
Land EOY$1,209,580LandEOYAmt
Land EOYFMV$1,209,580LandEOYFMVAmt
Total Assets BOY$104,159,691TotalAssetsBOYAmt
Total Assets EOY$106,148,941TotalAssetsEOYAmt
Total Assets EOYFMV$106,148,941TotalAssetsEOYFMVAmt
Accounts Payable BOY$39,433AccountsPayableBOYAmt
Accounts Payable EOY$12,805AccountsPayableEOYAmt
Grants Payable BOY$50GrantsPayableBOYAmt
Other Liabilities BOY$224,206OtherLiabilitiesBOYAmt
Other Liabilities EOY$263,955OtherLiabilitiesEOYAmt
Total Liabilities BOY$263,689TotalLiabilitiesBOYAmt
Total Liabilities EOY$276,760TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$103,896,002NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$105,872,181NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$103,896,002TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$105,872,181TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$104,159,691TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$106,148,941TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$103,896,002TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$588,722ExcessRevenueOverExpensesAmt
Other Increases$2,564,901OtherIncreasesAmt
Subtotal$105,872,181SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$105,872,181TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES$22,149,332$22,469,158-$319,826-$319,826
ALTERNATIVE INVESTMENTS$1,233,279$1,233,279$1,233,279P
CAPITAL GAINS DIVIDENDS$28,284$28,284$28,284P
FieldValueIRS element (for citing)
Capital Gain Net Income$941,737CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$74,578InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$74,578SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$74,578TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$41,546EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$60,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$101,546TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$26,968OverpaymentAmt
Applied To ES Tax$26,968AppliedToESTaxAmt
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 LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMTOrgReportOrRegisterStateCd
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.HEADWATERSMT.ORGWebsiteAddressTxt
Individual With BooksMYNOR VELIZIndividualWithBooksNm
Phone4069266526PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1283 W FRONT STREETAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
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 PrsnYes (1)PayCompDisqualifiedPrsnInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As ExcYes (1)TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
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 (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ROBERT PHILLIPS
283 W FRONT STREETMISSOULAMT59802CHAIR1.30$0$0$0
JAY LOWDER
283 W FRONT STREETMISSOULAMT59802CHAIR1.30$0$0$0
CHRISTINA TWOHIG
283 W FRONT STREETMISSOULAMT59802VICE CHAIR1.30$0$0$0
RICHARD OPPER
283 W FRONT STREETMISSOULAMT59802TREASURER1.30$0$0$0
CARISSA KUHL
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
KELLEY RISCHKE
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
MIKE STEWART
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
JORDAN THOMPSON
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
RACHEL HUFF-DORIA
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
HEATHER CAHOON
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
STEVE MCNEECE
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
BRENDA SOLORZANO-CLAUDLE
283 W FRONT STREETMISSOULAMT59802CHIEF EXECUTIVE OFFICER40.00$271,433$0$5,993
MYNOR VELIZ
283 W FRONT STREETMISSOULAMT59802CHIEF FINANCIAL OFFICER40.00$212,218$12,534$10,950
ERIN SWITALSKI
283 W FRONT STREETMISSOULAMT59802PROGRAM DIRECTOR40.00$115,863$6,612$9,819

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
ALYSSA C SHOCK
283 WEST FRONT ST SUITE 301MISSOULAMT59802ASSOCIATE40.00$82,759$10,608$0
JENNIFER L SAVAGE
283 WEST FRONT ST SUITE 301MISSOULAMT59802COMMUNICATIONS OFFIC40.00$72,916$4,375$0
ZIA MAUMENEE
283 WEST FRONT ST SUITE 301MISSOULAMT59802GRANTS MANAGER40.00$67,849$7,195$0
ASHLEY N SHAW
283 WEST FRONT ST SUITE 301MISSOULAMT59802PROGRAM ASSOCIATE40.00$69,246$1,408$0
STEPHANIE SCHILLING
283 WEST FRONT ST SUITE 301MISSOULAMT59802EVALUATION AND OPERA40.00$58,520$5,513$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
FSG INC
1411 4TH AVE 12TH FLOORSEATTLEWA98101INVESTMENT MANAGEMENT$183,366
MMW ARCHITECTS PC
125 WEST ALDER STMISSOULAMT59802ARCHITECTURAL$85,081
MCEWEN BIG SKY LLC
2024 218TH PLACE NESAMMAMISHWA98074CONSULTING$82,360
PRINCIPAL GROUP
711 HIGH STDES MOINESIA50392INSURANCE$74,126
MOSS ADAMS LLP
805 SW BROADWAY ST SUITE 1200PORTLANDOR97205AUDIT AND TAX$64,440
FieldValueIRS element (for citing)
Contractor Paid Over50k1ContractorPaidOver50kCnt

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$17,913,865AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,413,816AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$82,423,174FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$101,750,855TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$101,750,855AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,526,263CashDeemedCharitableAmt
Net Vl Noncharitable Assets$100,224,592NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,011,230MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,011,230MinimumInvestmentReturnAmt
Tax Based On Investment Income$74,578TaxBasedOnInvestmentIncomeAmt
Total Tax$74,578TotalTaxAmt
Distributable Before Adj$4,936,652DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$4,936,652DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$4,936,652DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,345,222ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$1,144,133CharitableAssetsAcquisPaidAmt
Set Aside Cash Distri Test$1,000,000SetAsideCashDistriTestAmt
Qualifying Distributions$7,489,355QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$7,489,355AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$4,936,652DistributableAsAdjustedAmt
Undistributed Income PY$444,594UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$7,489,355QualifyingDistributionsAmt
Applied To Year1$444,594AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,936,652AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,108,109RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,108,109TotalCorpusAmt
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$2,108,109ExcessDistriCyovToNextYrAmt
Excess From Current Year$2,108,109ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonVISIT WEBSITE FOR MOST CURRENT INFORecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1283 W FRONT STAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4069266526RecipientPhoneNum
Form And Info And MaterialsVISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORGFormAndInfoAndMaterialsTxt
Submission DeadlinesVISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORGSubmissionDeadlinesTxt
Restrictions On AwardsVISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORGRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (156 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
A VOICE
PO BOX 832PABLOMT59855PCGENERAL OPERATING$5,000
ALBERTON COMMUNITY FOOD BANK
PO BOX 8ALBERTONMT59820PCGENERAL OPERATING$2,500
ALL NATIONS HEALTH CENTER
830 W CENTRALMISSOULAMT59801PCGENERAL OPERATING$195,000
ANACONDA JR HIGH SCHOOL
1410 WEST PARK AVEANACONDAMT59711GOVGENERAL OPERATING$5,000
ANACONDA MINISTERIAL PROJECT CARE
PO BOX 1280ANACONDAMT59711PCGENERAL OPERATING$1,750
ANACONDA PCA FAMILY RESORCE CENTER
307 E PARK STANACONDAMT59711PCGENERAL OPERATING$5,000
ARLEE COMMUNITY DEVELOPMENT CORPORATION
PO BOX 452ARLEEMT59821PCGENERAL OPERATING$8,000
AWARE INC
205 E PARK AVEANACONDAMT59711PCGENERAL OPERATING$5,000
BE THE CHANGE 406 COALITION
PO BOX 733DILLONMT59725PCGENERAL OPERATING$50,000
BEAVERHEAD COMMUNITY FOOD PANTRY
PO BOX 1356DILLONMT59725PCGENERAL OPERATING$2,000
BEAVERHEAD COUNTY MENTAL HEALTH LOCAL ADVISORY COUNCIL
2 SOUTH PACIFIC STDILLONMT59725PCGENERAL OPERATING$5,000
BIGFORK ACES INC
439 GRAND DRBIGFORKMT59911PCGENERAL OPERATING$5,000
BIGFORK FOOD BANK INC
PO BOX 850BIGFORKMT59911PCGENERAL OPERATING$1,500
BITTERROOT BUCS AMERICAN LEGION BASEBALL TEAM
PO BOX 1111FLORENCEMT59833PCHEARTISM COMMUNITY CENTER$5,000
BITTERROOT CASA INC
217 NORTH 3RD ST SUITE H-1HAMILTONMT59840PCGENERAL OPERATING$2,752
BITTERROOT ECOLOGICAL AWARENESS RESOURCES INC
1105 W MAIN STHAMILTONMT59840PCGENERAL OPERATING$7,500
BOYS & GIRLS CLUB OF MISSOULA COUNTY
1515 FAIRVIEW AVE SUITE 243MISSOULAMT59801PCOUT OF SCHOOL TIME CLUB$5,000
BOYS & GIRLS CLUB OF THE FLATHEAD RESERVATION
PO BOX 334RONANMT59864PCGENERAL OPERATING$80,000
BREAD BASKET INCORPORATED
PO BOX 346RONANMT59864PCGENERAL OPERATING$8,000
BUTTE EMERGENCY FOOD BANK
1019 E SECOND STBUTTEMT59701PCGENERAL OPERATING$9,450
CASA OF LAKE COUNTY
PO BOX 511POLSONMT59860PCGENERAL OPERATING$5,000
CHILD AND FAMILY RESOURCE COUNCIL INC DBA THE PARENTING PLACE
1644 S 8TH ST WMISSOULAMT59801PCFRANKLIN TO FORT STUDY TECH HUB$5,000
CHILD BRIDGE INC
PO BOX 310BIGFORKMT59911PCGENERAL OPERATING$5,000
CHILD DEVELOPMENT CENTER INC
3335 LT MOSS RDMISSOULAMT59804PCGENERAL OPERATING$5,000
CHILDWISE INSTITUTE
500 S LAMBORN STHELENAMT59601PCGENERAL OPERATING$3,500
COLUMBIA FALLS FOOD BANK
PO BOX 1081COLUMBIA FALLSMT59912PCGENERAL OPERATING$2,000
COMMUNITY FOOD AND AGRICULTURE COALITION
PO BOX 7025MISSOULAMT59807PCGENERAL OPERATING$75,000
COMMUNITY FOOD BANK OF MINERAL COUNTY
308 PINE STSUPERIORMT59872PCGENERAL OPERATING$4,000
COMMUNITY HARVEST INC
PO BOX 314THOMPSON FALLSMT59873PCGENERAL OPERATING$3,000
COMMUNITY SERVICES FELLOWSHIP
PO BOX 161NOXONMT59853PCGENERAL OPERATING$2,000
COMMUNITY SUPPORT CENTER
236 E REEDER STDILLONMT59725PCGENERAL OPERATING$10,000
CONFEDERATED SALISH AND KOOTENAI TRIBES
35401 MISSION DRST IGNATIUSMT59808GOVTRIBAL HEALTH DEPARTMENT$50,000
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVGENERAL OPERATING$48,500
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVDEPARTMENT OF EDUCATION$5,000
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVDEPARTMENT OF EDUCATION$2,500
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVDEPARTMENT OF HUMAN RESOURCE DEVELOMENT$25,000
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVDEPARTMENT OF HUMAN RESOURCE DEVELOMENT$2,500
CONFEDERATED SALISH AND KOOTENAI TRIBES
PO BOX 278PABLOMT59855GOVTRIBAL DEFENDERS OFFICE$25,000
COURT APPOINTED SPECIAL ADVOCATES OF MISSOULA INC
PO BOX 7433MISSOULAMT59807PCGENERAL OPERATING$2,500
DARBY BREAD BOX
PO BOX 207DARBYMT59829PCGENERAL OPERATING$2,000
DAYTON ELEMENTARY PARENT TEACHER ORGANIZATION
PO BOX 195DAYTONMT59914PCSCIENCE / SOCIAL STUDIES CURRICULUM$5,000
DEER LODGE FOOD PANTRY
PO BOX 285DEER LODGEMT59722PCGENERAL OPERATING$1,500
DIXON SENIOR CITIZEN CENTER
PO BOX 85DIXONMT59831PCGENERAL OPERATING$2,500
DPHHS NO KID HUNGRY MONTANA
1625 11TH AVEHELENAMT59601GOVGENERAL OPERATING$84,000
DREAM ADAPTIVE RECREATION INC
PO BOX 4084WHITEFISHMT59937PCGENERAL OPERATING$5,000
DRUMMOND ELEMENTARY SCHOOL
PO BOX 349DRUMMONDMT59832GOVFOR THE ELEMENTARY SCHOOL$5,000
DRUMMOND HIGH SCHOOL
PO BOX 349DRUMMONDMT59832GOVFOR THE HIGH SCHOOL$5,000
DRUMMOND SCHOOL DISTRICT 11
PO BOX 349DRUMMONDMT59832GOVFOR THE ELEMENTARY SCHOOL$5,000
DRUMMOND SCHOOL DISTRICT 2
PO BOX 349DRUMMONDMT59832GOVFOR THE HIGH SCHOOL$5,000
EMMAS HOUSE - BITTERROOT VALLEYCHILDRENS ADVOCACY CENTER INC
PO BOX 2034HAMILTONMT59840PCTRAUMA TREATMENT PROGRAMS$5,000
EMPOWER MT
2300 REGENT ST SUITE 101MISSOULAMT59801PCGENERAL OPERATING$5,000
FAMILIES FIRST LEARNING LAB
PO BOX 5626MISSOULAMT59806PCGENERAL OPERATING$5,000
FAMILIES IN PARTNERSHIP INCORPORATED
PO BOX 762LIBBYMT59923PCGENERAL OPERATING$10,000
FARM HANDS-NOURISH THE FLATHEAD
PO BOX 4404WHITEFISHMT59937PCFOOD FOR ALL$10,000
FIFTH JUDICAL DISTRICT VOICE FOR CHILDREN INC
PO BOX 1464DILLONMT59725PCGENERAL OPERATING$5,000
FLATHEAD COUNTY LIBRARY FOUNDATION INC
44 2ND AVE WEST SUITE 104KALISPELLMT59901PCGENERAL OPERATING$5,000
FLATHEAD FOOD BANK INC
1203 US HIGHWAY 2 WEST SUITE 2KALISPELLMT59901PCGENERAL OPERATING$14,350
FLATHEAD RESERVATION COMMUNITY ACTION
53116 MARSH CREEK RDCHALROMT59864PCGENERAL OPERATING$33,000
FLORENCE COMMUNITY CENTER
PO BOX 98FLORENCEMT59833PCFLORENCE RECREATION CENTER$5,000
FLORENCE CRITTENTON HOME & SERVICES
901 N HARRIS STHELENAMT59601PCGENERAL OPERATING$10,000
FLORENCE-CARLTON MIDDLE SCHOOL PARENT ASSOCIATION
PO BOX 433FLORENCEMT59833PCK-8 HEALTH & WELLNESS$5,000
FOR THE BENEFIT OF CULTIVATING CONNECTIONS
175 SKALKAHO HWYHAMILTONMT59840PCGENERAL OPERATING$5,000
FRED MOODRY INTERMEDIATE SCHOOL
219 E 3RD STANACONDAMT59711GOVGENERAL OPERATING$5,000
FREEDOM GARDENS
319 S 5TH ST WMISSOULAMT59801PCGENERAL OPERATING$5,000
GARDEN CITY HARVEST INC
PO BOX 205MISSOULAMT59806PCGENERAL OPERATING$2,500
GLACIER TWINS AMERICAN LEGION BASEBALL INC
PO BOX 2007WHITEFISHMT59937PCGENERAL OPERATING$5,000
GRACE LUTHERAN CHURCH
275 HATTIE LNHAMILTONMT59840PCSANITATION PROJECT$5,000
GRANITE COUNTY FOOD PANTRY
12 MAXVILLE RDPHILIPSBURGMT59858PCGENERAL OPERATING$1,500
GREATER BUTTE COMMUNITY CO-ORDINATED CHILD CHILD CARE SERV
101 N MAIN STBUTTEMT59701PCGENERAL OPERATING$207,500
GREATER MISSOULA FAMILY YOUNG MENS CHRISTIAN ASSOCIATION
3000 S RUSSELL STMISSOULAMT59801PCGENERAL OPERATING$27,500
HAVEN HOUSE INC
316 N THIRD STHAMILTONMT59840PCGENERAL OPERATING$3,000
HEARTISM COMMUNITY CENTER
PO BOX 14CORVALLISMT59828PCGENERAL OPERATING$5,000
HELENA AREA HABITAT FOR HUMANITY
PO BOX 459HELENAMT59624PCGENERAL OPERATING$5,000
HELENA FOOD SHARE INC
PO BOX 943HELENAMT59624PCGENERAL OPERATING$11,950
HELPING HANDS FUND
PO BOX 1094POLSONMT59860PCCOMMUNITY CRADLES$15,000
HOT SPRINGS FOOD PANTRY
100 MAIN STHOT SPRINGSMT59845PCGENERAL OPERATING$6,000
INNER ROADS INC
734 S 1ST ST WMISSOULAMT59801PCGENERAL OPERATING$5,000
INTERMOUNTAIN DEACONESS CHILDRENS SERVICES
500 S LAMBORN STHELENAMT59601PCGENERAL OPERATING$2,500
KIDS CO-OP
34224 S FINLEY PT RDPOLSONMT59860PCGENERAL OPERATING$5,000
KIWANIS FOUNDATION OF MONTANA
PO BOX 1171TROYMT59935PCKOATS FOR KIDS$5,000
LAKE COUNTY COMMUNITY DEVELOPMENT CORPORATION
PO BOX 128RONANMT59864PCFARMERS TO FAMILIES FOOD BOX PROGRAM$25,000
LAKE COUNTY HEALTH DEPARTMENT
802 MAIN STPOLSONMT59860GOVMATERNAL CHILD HEALTH OPERATING SUPPORT$10,000
LIBBY AMERICAN LEGION BASEBALL INC
PO BOX 1528LIBBYMT59923PCGENERAL OPERATING$5,000
LIBBY COMMUNITY GARDEN INC
286 EDGEWATER DRLIBBYMT59923PCGENERAL OPERATING$5,000
LIBBY FOOD PANTRY INC
PO BOX 311LIBBYMT59923PCGENERAL OPERATING$3,000
LIBBY HIGH SCHOOL
724 LOUISIANA AVELIBBYMT59923PCGENERAL OPERATING$5,000
LINCOLN COUNTY HEALTH DEPARTMENT
418 MINERAL AVELIBBYMT59923GOVGENERAL OPERATING$200,000
LINCOLN PRIMARY PRESCHOOL
506 CHESTNUT STANACONDAMT59711GOVGENERAL OPERATING$5,000
LITERACY VOLUNTEERS OF AMERICA - BITTERROOT INC
303 N THIRD ST SUITE A 156HAMILTONMT59840PCGENERAL OPERATING$5,000
LITTLE LEAGUE BASEBALL INC- DILLON
420 SWEETWATER ESTATES DRDILLONMT59725PCGENERAL OPERATING$5,000
MADISON VALLEY CARING AND SHARING INC
PO BOX 171ENNISMT59729PCGENERAL OPERATING$1,500
MINERAL COUNTY COMMUNITY FOUNDATION
PO BOX 93SUPERIORMT59872PCGENERAL OPERATING$5,000
MINERAL COUNTY HEALTH DEPARTMENT
PO BOX 488SUPERIORMT59872GOVGENERAL OPERATING$200,000
MINERAL COUNTY HELP INC
PO BOX 142SUPERIORMT59872PCGENERAL OPERATING$5,000
MISSION FALLS FARMERS MARKET
33699 LEMERY RDST IGNATIUSMT59865NCGENERAL OPERATING$7,500
MISSION VALLEY FOOD PANTRY INC
PO BOX 644ST IGNATIUSMT59865PCGENERAL OPERATING$8,000
MISSION VALLEY SENIOR CITIZENS INC
528 MAIN ST SWRONANMT59864PCGENERAL OPERATING$6,000
MISSOULA FOOD BANK & COMMUNITY CENTER INCORPORATED
1720 WYOMING STMISSOULAMT59801PCGENERAL OPERATING$10,000
MISSOULA INTERFAITH COLLABORATIVE
202 BROOKS STMISSOULAMT59801PCGENERAL OPERATING$175,000
MONTANA ACADEMY OF PEDIATRIC PHYSICIANS INC
3031 GRAND AVE SUITE 157BILLINGSMT59102PCGENERAL OPERATING$2,500
MONTANA BUDGET AND POLICY CENTER
15 W 6TH AVEHELENAMT59601PCGENERAL OPERATING$125,000
MONTANA CHILD CARE RESOURCE & REFERRAL NETWORK INC
PO BOX 808LOLOMT59847PCGENERAL OPERATING$50,000
MONTANA FOOD BANK NETWORK INC
5625 EXPRESSWAYMISSOULAMT59808PCGENERAL OPERATING$130,000
MONTANA HUMAN RIGHTS NETWORK INC
PO BOX 1509HELENAMT59624PCGENERAL OPERATING$50,000
MONTANA LEGAL SERVICES ASSOCIATION
616 HELENA AVE SUITE 100HELENAMT59601PCGENERAL OPERATING$50,000
MONTANA NONPROFIT ASSOCIATION INC
PO BOX 1744HELENAMT59624PCGENERAL OPERATING$225,000
MONTANA WOMEN VOTE
725 W ALDER ST SUITE 21MISSOULAMT59802PCGENERAL OPERATING$75,000
MOUNTAIN HOME MONTANA INC
2606 SOUTH AVE WMISSOULAMT59804PCGENERAL OPERATING$2,500
NEVER ALONE RECOVERY SUPPORT SERVICES
PO BOX 383RONANMT59864PCGENERAL OPERATING$25,000
NORTH VALLEY FOOD BANK INC
251 FLATHEAD AVEWHITEFISHMT59937PCFUNDS TO SERVE INCREASED CUSTOMERS DURING COVID$8,000
NURTURING CENTER INC
146 3RD AVE WKALISPELLMT59901PCGENERAL OPERATING$7,500
ORPHAN GIRL CHILDRENS THEATRE
PO BOX 885BUTTEMT59703PCGENERAL OPERATING$2,500
PANTRY PARTNERS FOOD BANK
PO BOX 806STEVENSVILLEMT59870PCGENERAL OPERATING$3,000
PEAK FOUNDATION
PO BOX 36ALBERTONMT59820PCPROMOTING EXCELLENCE IN ALBERTON-AREA$5,000
PLAINS COMMUNITY FOOD BANK
PO BOX 767PLAINSMT59859PCGENERAL OPERATING$1,500
POLSON LOAVES AND FISH PANTRY INC
904 1ST ST EPOLSONMT59860PCGENERAL OPERATING$10,000
POLSON SCHOOL DISTRICT 23
111 4TH AVE EPOLSONMT59860GOVCHERRY VALLEY ELEMENTARY$5,000
RAVALLI HEAD START INC
81 KURTZ LNHAMILTONMT59840PCGENERAL OPERATING$5,000
REMNANT CHURCH
34 RIVERVIEW DRTROYMT59935PCGENERAL OPERATING$2,000
SAFE HARBOUR INC
PO BOX 497RONANMT59864PCGENERAL OPERATING$10,000
SALISH & KOOTENAI HOUSING AUTHORITY
PO BOX 38PABLOMT59855GOVGENERAL OPERATING$5,000
SALISH KOOTENAI COLLEGE FOUNDATION
PO BOX 70PABLOMT59855PCGENERAL OPERATING$37,500
SALISH KOOTENAI COLLEGE
58138 US HWY 93PABLOMT59855GOVGENERAL OPERATING$2,500
SALISH KOOTENAI COLLEGE
58138 US HWY 93PABLOMT59855GOVCENTER FOR PREVENTION AND WELLNES$102,500
SALISH KOOTENAI COLLEGE
58138 US HWY 93PABLOMT59855GOVSILVER FOX GOLF COURSE$5,000
SALISH KOOTENAI COLLEGE
58138 US HWY 93PABLOMT59855GOVDEPARTMENT OF EDUCATION$5,000
SAMARITAN HOUSE INC
PO BOX 592KALISPELLMT59903PCGENERAL OPERATING$5,000
SANDERS COUNTY COMMUNITY HOUSING ORGANIZATION
303 MAIN STTHOMPSON FALLSMT59873PCGENERAL OPERATING$5,000
SANDERS COUNTY COUNCIL ON AGING INC
PO BOX 339HOT SPRINGSMT59845PCGENERAL OPERATING$2,500
SEELEY SWAN COMMUNITY FOOD BANK
PO BOX 1344SEELEY LAKEMT59868PCGENERAL OPERATING$2,500
SINCERELY PAUL FEEDING HIS SHEEP
8 LEGION STWHITEHALLMT59759PCGENERAL OPERATING$1,500
SMELTER CITY RECREATION COMPLEX
PO BOX 33ANACONDAMT59711PCGENERAL OPERATING$5,000
SNQWELMISTN
533116 MARSH CREEK RDCHARLOMT59824PCGENERAL OPERATING$5,000
SOFT LANDING MISSOULA
939 STEPHENS AVE SUITE CMISSOULAMT59801PCGENERAL OPERATING$2,500
SOMERS LAKESIDE SCHOOL DISTRICT 29
315 SCHOOL ADDITION RDSOMERSMT59932PCAMERICORPS VISTA SERVICE MEMBER$5,000
SPARROWS NEST OF NW MT
PO BOX 8384KALISPELLMT59904PCGENERAL OPERATING$5,000
SPARROWS VINE
PO BOX 864SEELEY LAKEMT59868PCGENERAL OPERATING$5,000
SPECIAL OLYMPICS MONTANA INC
PO BOX 3507GREAT FALLSMT59403PCGENERAL OPERATING$2,500
ST IGNATIUS COMMUNITY SENIOR CITIZENS CENTER
PO BOX 758ST IGNATIUSMT59865PCGENERAL OPERATING$11,000
ST IGNATIUS HIGH SCHOOL
PO BOX 1540ST IGNATIUSMT59865PCMISSION SPECIAL OLYMPICS$5,000
ST REGIS SCHOOL DISTRICT 1
90 TIGER STST REGISMT59866PCGENERAL OPERATING$5,000
THE HENRY J KAISER FAMILY FOUNDATION
185 BERRY ST SUITE 2000SAN FRANCISCOCA94107PCGENERAL OPERATING$50,000
THE IRWIN AND FLORENCE ROSTEN FOUNDATION INC
515 MADISONHAMILTONMT59840PCGENERAL OPERATING$5,000
TOBACCO VALLEY FOOD PANTRY AND THRIFT STORE
PO BOX 714EUREKAMT59917PCGENERAL OPERATING$1,500
UNITED WAY OF BUTTE AND ANACONDA
PO BOX 4447BUTTEMT59702PCHELPING PARTNER AGENCIES$5,000
UNITED WAY OF MISSOULA COUNTY
412 W ALDER STMISSOULAMT59802PCGENERAL OPERATING$250,000
UNITED WAY OF THE LEWIS AND CLARK AREA
PO BOX 862HELENAMT59624PCGENERAL OPERATING$25,000
UNIVERSITY OF MONTANA FOUNDATION
32 CAMPUS DRMISSOULAMT59812GOVRURAL INSTITUTE FOR INCLUSIVE COMMUNITIES$5,000
UNIVERSITY OF MONTANA FOUNDATION
32 CAMPUS DRMISSOULAMT59812GOVSPECTRUM$2,500
UNIVERSITY OF MONTANA
203 B PFNACMISSOULAMT59812GOVNATIVE AMERICAN STUDIES$26,500
UNIVERSITY OF MONTANA
32 CAMPUS DR ORSP UH116MISSOULAMT59812GOVCENTER FOR CHILDREN, FAMILIES AND WORKFORCE DEVELOPMENT$260,000
VALLEY OAK EDUCATION RESOURCE CENTER
PO BOX 870HAMILTONMT59840PCGENERAL OPERATING$5,000
VIOLENCE FREE CRISIS LINE DBA ABBIE SHELTER
PO BOX 1401KALISPELLMT59903PCGENERAL OPERATING$2,500
WESTSHORE COMMUNITY ASSISTANCE PROGRAM
PO BOX 630LAKESIDEMT59922PCGENERAL OPERATING$1,500
YES YOUTH EMPOWERMENT SERVICES
PO BOX 686ANACONDAMT59711PCGENERAL OPERATING$5,000
ZION LUTHERAN CHURCH
PO BOX 942ST IGNATIUSMT59865PCGENERAL OPERATING$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$3,603,752TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$76ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Business901101BusinessCd
Unrelated Business Taxbl Incm$1,910UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$996,660ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business901101BusinessCd
Unrelated Business Taxbl Incm$2,117UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$161,647ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Business901101BusinessCd
Unrelated Business Taxbl Incm-$30,919UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$3,915,612ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm-$26,892UnrelatedBusinessTaxblIncmAmt
Exclusion$5,073,995ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$5,047,103TotalIncomeProducingActyAmt

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 (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
COMMUNITY MEDICAL CENTER
12827 FORT MISSOULA RDMISSOULAMT59804$500,000Yes (X)
ALPS PROPERTY & CASUALTY INSURANCE COMPANY
2111 NORTH HIGGINS AVEMISSOULAMT59802$23,100Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor2ContributorNum
Noncash PropertyCOMMUNICATION SYSTEM COMPONENTSNoncashPropertyDesc
Fair Market Value$23,100FairMarketValueAmt
Received2020-01-27ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$106,325Amt
Net Investment Income$25,103NetInvestmentIncomeAmt
Disbursements Charitable Prps$71,904DisbursementsCharitablePrpsAmt

Cash Distribution Expln Stmt CashDistributionExplnStmt

FieldValueIRS element (for citing)
ExplanationORGANIZATION: HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANATIN: 81-1099715TAX YEAR ENDED: DECEMBER 31, 2020FORM 990-PF, PART XII, LINE 3B - REPORTING SET-ASIDES UNDER THE CASH DISTRIBUTION TEST1. FUNDS WERE SET ASIDE FOR GENERATING FUTURE CASH FLOW TO FULFILL MULTI-INSTALLMENT GRANTS THAT WILL COVER MORE THAN ONE TAXABLE YEAR. THE START-UP PERIOD WILL ALSO ALLOW THE FOUNDATION TO MONTIOR THESE GRANTS AND RECEIVE PROGRESS REPORTS BEFORE MAKING FURTHER DISTRIBUTIONS TO THE RECIPIENTS. 2. THE AMOUNTS SET ASIDE FOR THE PROJECT DESCRIBED IN ITEM 1 WILL ACTUALLY BE PAID WITHIN THE 24 MONTH PERIOD THAT ENDS NO MORE THAN 60 MONTHS AFTER THE DATE OF THE SET-ASIDE. 3. THE PROJECT WAS NOT COMPLETED BEFORE THE END OF THE ABOVE-REFERENCED TAX YEAR. 4. BELOW IS A LIST OF THE DISTRIBUTABLE AMOUNTS DETERMINED UNDER IRC SECTION 4942(D) FOR ALL PAST TAX YEARS IN THE TAXPAYER'S START-UP PERIOD:2017 - $765,4312018 - $2,189,5572019 - $3,043,7572020 - $3,949,4395. BELOW IS A LIST OF ACTUAL PAYMENTS MADE IN CASH OR ITS EQUIVALENT FOR EXEMPT PURPOSES DURING EACH TAX YEAR IN THE TAXPAYER'S START-UP PERIOD:2017 - $990,6472018 - $3,555,1952019 - $5,341,1002020 - $6,489,355ExplanationTxt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (6 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtRtRt
INTERACTIVE DISPLAY SYSTEM2017-02-16$5,661$3,208NC5.000000000000$0$0
SMARTSIMPLE SOFTWARE LTD2018-07-05$57,673$17,302NC5.000000000000$0$0
BUILDING2019-12-23$688,431NC39.000000000000$0$0
LAND2020-01-01$387,243L$0$0
FURNITURE AND EQUIPMENT2020-01-01$23,100NC7.000000000000$0$0
CONSTRUCTION IN PROGRESS2020-01-01$95,359NC$0$00.000000000000

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtVerificationVerificationDt
MISSION FALLS FARMERS MARKET
PO BOX 7025MISSOULAMT598072020-03-12$2,5002020 ASPARAGUS FESTIVAL SPONSORSHIP$2,500NO2/1/212021-02-01
MISSION FALLS FARMERS MARKET
PO BOX 7025MISSOULAMT598072020-01-28$5,000MARKET OPERATING EXPENSES$5,000NO4/14/202021-02-01

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (17 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GOLDMAN SACHS$326,670$326,670
MEAD JOHNSON NUTRITIONAL$299,648$299,648
PNC FINANCIAL SERVICES GROUP$442,403$442,403
ARTISAN HIGH INCOME INSTITUTIONAL$1,367,898$1,367,898
DELTA AIRLINES$226,125$226,125
ALLY FINL INC$263,125$263,125
BECTON, DICKINS$352,101$352,101
CVS HEALTH CORP$365,282$365,282
DUKE ENERGY CORP$414,320$414,320
MORGAN STANLEY$457,683$457,683
MIRCOCHIP TECHNOLOGIES$243,432$243,432
L3HARRIS TECHNOLOGIES$269,464$269,464
GILEAD SCIENCES$473,655$473,655
ROPER TECHNOLOGIES$459,933$459,933
VERIZON COMMUNICATIONS$422,076$422,076
FISERV INC$462,962$462,962
AMERICAN TOWER CORP$480,531$480,531

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DFA EMERGING MKTS VALUE$4,440,945$4,440,945
PIMCO RAE FUNDAMENTAL$4,213,427$4,213,427

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$1,747,098USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$1,747,098USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (18 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ABS GLOBALFMV$6,703,273$6,703,273
ACCOLADE PARTNERS VII LPFMV$418,041$418,041
ACCRUED INTERESTFMV$58,343$58,343
AMBERBROOK VIII LPFMV$780,980$780,980
AUDAX DIRECT LENDING SOLUTIONS FUND-C LPFMV$982,955$982,955
COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LPFMV$1,661,835$1,661,835
EDGE PRINCIPAL INVESTMENTS IV LPFMV$415,407$415,407
FALCON PRIVATE CREDIT OPPORTUNITIES VI LPFMV$900,437$900,437
FEG SELECT LLCFMV$39,733,496$39,733,496
HARVEST MLP INCOME FUND II LLCFMV$2,654,637$2,654,637
IRONWOOD INTERNATIONAL LTDFMV$8,858,048$8,858,048
MAP RE 2018 LPFMV$1,299,885$1,299,885
RCP ADVISORSFMV$571,199$571,199
SEAPORT GLOBAL PROPERTY SECURITIES FUND LLCFMV$2,022,958$2,022,958
THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUNDFMV$4,672,106$4,672,106
WCP NEWCOLD LPFMV$39,702$39,702
WEATHERLOW OFFSHORE FUND I LTDFMV$9,902,723$9,902,723
STRATEGIC VALUEFMV$747,151$747,151

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (6 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
INTERACTIVE DISPLAY SYSTEM$5,661$3,208$2,453
SMARTSIMPLE SOFTWARE LTD$57,673$17,302$40,371
BUILDING$688,431$0$688,431
LAND$387,243$0$387,243
FURNITURE AND EQUIPMENT$23,100$0$23,100
CONSTRUCTION IN PROGRESS$95,359$0$95,359

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$28,580LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$28,766DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$22,198$0$22,198
COMPUTER AND SOFTWARE$37,963$0$38,367
ADVERTISING AND PROMOTIONS$203$0$203
FEES AND SUBSCRIPTIONS$19,183$0$19,183
OFFICE EXPENSE$3,657$0$3,657
REPAIRS AND MAINTENANCE$391$0$421
EQUIPMENT RENT$2,933$0$2,933
SMALL EQUIPMENT$7,004$0$7,004
MISCELLANEOUS$5,447$0$5,447
STATE FILING FEES$70$0$70
GRANTEE VISITS$324$0$324
NONPROFIT CENTER$20,712$0$23,819

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Revenue And Expenses Per Books$3,884,693RevenueAndExpensesPerBooksAmt
Net Investment Income$3,856,883NetInvestmentIncomeAmt
Adjusted Net Income$3,884,693AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$2,564,901Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
PAYROLL LIABILITIES$109,354$99,869
DEFERRED EXCISE TAX$114,852$138,800
TAXES PAYABLE$0$25,286

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT$275,867$275,867$0
CONSULTING$251,016$0$249,316
RECRUITING$1,598$0$1,598
ALTERNATIVE INVESTMENTS$57,028$934,976$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$12,877$115,612$0
EXCISE TAX$117,102$0$0
STATE INCOME TAX$50$0$0

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