MIDWESTONE BANK FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MIDWESTONE BANK FOUNDATION (EIN 75-3023674)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-05-19
- IRS object ID
- 202011409349100856
- Schema version
- 2019v5.1
- 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 Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-19T10:49:24-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 2019-01-01 | 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 | 2020-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA HULS | PreparerPersonNm |
| PTIN | P01315330 | PTIN |
| Phone | 3192985333 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $3,883,616 | 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 | $850,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $2,304 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,304 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $108,543 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $108,543 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $66,846 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,080,018 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $66,846 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $1,027,693 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $177,693 | 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 | $1,450 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $725 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $725 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $163 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $37 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,613 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $762 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $725 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $193,336 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $193,336 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $194,949 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $762 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $194,061 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $832,744 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $176,931 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $178,949 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $108,567 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $108,567 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $524,963 | CorporateStockBOYAmt |
| Corporate Stock EOY | $761,111 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,243,545 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $1,829,069 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,494,443 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,531,504 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,532,981 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,364,121 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,883,616 | 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 | $1,782,981 | RetainedEarningBOYAmt |
| Retained Earning EOY | $2,614,121 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,532,981 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,364,121 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,532,981 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,364,121 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,532,981 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $832,744 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $3,365,725 | SubtotalAmt |
| Other Decreases | $1,604 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,364,121 | 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 SECURITIES | P | $201,863 | $197,141 | $4,722 | $4,722 |
| PUBLICLY TRADED SECURITIES | P | $866,747 | $816,031 | $50,716 | $50,716 |
| LONG TERM CAPITAL GAINS | P | $11,408 | $11,408 | $11,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $66,846 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $139,352 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,694,126 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051724 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $128,903 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,570,583 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.050145 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $121,092 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,386,203 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050747 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $107,963 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,070,308 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.052148 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $70,108 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,459,329 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.048041 | DistributionYr5Rt |
| Total Distribution | 0.252805 | TotalDistributionRt |
| Average Distribution | 0.050561 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $3,440,298 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $173,945 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,769 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $175,714 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $194,061 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,769 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,769 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,769 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,120 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,120 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $649 | TaxDueAmt |
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 (9 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 AS OF 9.19.2019 | 1.00 | $0 | $0 | $0 |
| PEGGY HUDSON | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR AS OF 6.14.2019 | 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 |
| KEVIN KRAMER | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR UNTIL 6.14.2019 | 0.00 | $0 | $0 | $0 |
| AMY HOSPODARSKY | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | SECRETARY/TREASURER UNTIL 9.19.2019 | 0.00 | $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 | $3,327,576 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $165,112 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,492,688 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,492,688 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $52,390 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,440,298 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $172,015 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $172,015 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,769 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,769 | TotalTaxAmt |
| Distributable Before Adj | $170,246 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $170,246 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $170,246 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $194,061 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $194,061 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,769 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $192,292 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $170,246 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $6,493 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $3,219 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $2,422 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $6,818 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $18,952 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $194,061 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $170,246 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $23,815 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $42,767 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $42,767 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $6,493 | ExcessFromYear4Amt |
| Excess From Year3 | $3,219 | ExcessFromYear3Amt |
| Excess From Year2 | $2,422 | ExcessFromYear2Amt |
| Excess From Year1 | $6,818 | ExcessFromYear1Amt |
| Excess From Current Year | $23,815 | ExcessFromCurrentYearAmt |
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 |
| BCLUW ELEMENTARY ART DEPARTMENT | |||||||
| 414 LILLIAN AVE | CONRAD | IA | 50621 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| 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 |
| 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 LKES SCHOOL DISTRICT | |||||||
| 13750 LAKE BLVD | LINDSTROM | MN | 55045 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CITY OF LANCASTER | |||||||
| 206 S MADISON STREET | LANCASTER | WI | 53813 | N/A | PC | GENERAL OPERATING FUND | $3,334 |
| DUBUQUE MUSEUM OF ART | |||||||
| 701 LOCUST STREET | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| EAGLES HEALING NEST | |||||||
| 310 US 71 N | SAUK CENTRE | MN | 56378 | N/A | PC | GENERAL OPERATING FUND | $3,334 |
| EDEN PRAIRIE HOCKEY ASSOCIATION | |||||||
| 7900 W 78TH ST 450 | MINNEAPOLIS | MN | 55439 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| EELS SWIM CLUB | |||||||
| PO BOX 2353 | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| FAIRFIELD PARK AND REC | |||||||
| 1000 W BURLINGTON AVENUE | FAIRFIELD | IA | 52556 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| FRANCONIA SCULPTURE PARK | |||||||
| 29836 ST CROIX TRAIL | SHAFER | MN | 55074 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS IN NEED FOOD SHELF | |||||||
| PO BOX 6 | COTTAGE GROVE | MN | 55016 | 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 |
| HISTORIC PELLA TRUST | |||||||
| 615 MAIN STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| INSPIRING COMMUNITY INC | |||||||
| PO BOX 503 | PLATTEVILLE | WI | 53818 | N/A | PC | GENERAL OPERATING FUND | $3,334 |
| 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 |
| MILL POND LEARNING FOUNDATION | |||||||
| PO BOX 791 | OSCEOLA | WI | 54020 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| 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 | $3,334 |
| 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 |
| SHELTER HOUSE | |||||||
| PO BOX 3146 | IOWA CITY | IA | 522443146 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| SOUTHEASTERN COMMUNITY COLLEGE FOUNDATION | |||||||
| 1500 WEST AGENCY ROAD | WEST BURLINGTON | IA | 52655 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| ST CROIX FALLS SCHOOL DISTRICT | |||||||
| 740 MAPLE DRIVE | ST CROIX FALLS | WI | 54024 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| ST MICHAEL BMX | |||||||
| 3150 LANDER AVE NE | ST MICHAEL | MN | 55376 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| STEPHEN ANIMAL SHELTER FOUNDATION | |||||||
| 100 FIRST AVE W | OSKALOOSA | IA | 52577 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| STMA YOUTH HOCKEY ASSOCIATION INC | |||||||
| PO BOX 134 | ST MICHAEL | MN | 55376 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| STONEHILL FRANCISCAN SERVICES | |||||||
| 3485 WINDSOR AVENUE | DUBUQUE | IA | 52001 | N/A | PC | GENERAL OPERATING FUND | $12,000 |
| STRENGTHEN GROW EVOLVE CAMPAIGN | |||||||
| 221 E WASHINGTON STREET | IOWA CITY | IA | 52240 | N/A | PC | GENERAL OPERATING FUND | $6,000 |
| SUMMIT ACADEMY OIC | |||||||
| 935 OLSON MEMORIAL HIGHWAY | MINNEAPOLIS | MN | 55405 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| THE UNIVERSITY OF IOWA FOUNDATION | |||||||
| PO BOX 4550 | IOWA CITY | IA | 522444550 | N/A | PC | GENERAL OPERATING FUND | $10,000 |
| 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 |
| WASHINGTON COUNTY HISTORICAL SOCIETY | |||||||
| 602 N MAIN STREET | STILLWATER | MN | 55082 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| WEST LIBERTY PARKS AND RECREATION | |||||||
| 409 N CALHOUN ST | WEST LIBERTY | IA | 52776 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $193,336 | 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 | $2,304 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $108,543 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $66,846 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $177,693 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $177,693 | 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 (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| MIDWESTONE BANK | ||||||
| 1 | PO BOX 1700 | IOWA CITY | IA | 52244 | $50,000 | Yes (X) |
| AMERICAN TRUST | ||||||
| 2 | 895 MAIN STREET | DUBUQUE | IA | 52001 | $800,000 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $1,450 | Amt |
| Net Investment Income | $725 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $725 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (57 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AT&T INC | $11,050 | $14,069 |
| ABBOTT LABS | $6,181 | $22,062 |
| ALLSTATE CORP | $16,016 | $28,000 |
| ALPHABET INC - CL C | $11,296 | $28,077 |
| ALPHABET INC - CL A | $2,893 | $9,376 |
| AMERICAN TOWER CORP NEW COM | $14,316 | $34,013 |
| APPLE INC | $17,238 | $52,857 |
| APPLIED MATLS INC COM | $15,305 | $19,899 |
| BALL CORP | $6,514 | $15,262 |
| BECTON DICKINSON AND CO | $17,739 | $31,277 |
| BLACKROCK INC COMMON | $16,012 | $19,605 |
| BOEING COMPANY | $7,464 | $30,296 |
| BP AMOCO PLC SPONSORED ADR | $15,617 | $13,473 |
| BROADCOM LTD | $12,023 | $18,961 |
| CVS HEALTH CORPORATION COM | $26,746 | $35,733 |
| CHEVRON CORP | $13,333 | $17,233 |
| CIGNA CORP COMMON | $13,349 | $17,382 |
| CISCO SYSTEMS INC | $11,017 | $21,630 |
| CORTEVA INC | $2,356 | $2,335 |
| COSTCO WHSL CORP | $17,796 | $24,395 |
| DANAHER CORP | $7,544 | $25,785 |
| DOLLAR GENERAL CORP NEW | $19,785 | $34,316 |
| DOMINION RES INC | $17,636 | $20,539 |
| DOW INC | $6,862 | $6,841 |
| DUKE ENERGY HOLDING | $11,316 | $13,955 |
| DUPONT DE NEMOURS INC | $6,495 | $5,072 |
| EXPEDIA INC | $16,951 | $16,005 |
| FACEBOOK INC CL A | $17,079 | $23,604 |
| FED EX CORP | $24,614 | $22,833 |
| FORTIVE CORP COM | $2,456 | $6,417 |
| HOME DEPOT INC COM | $17,883 | $26,642 |
| ILLINOIS TOOLWORKS | $10,867 | $29,100 |
| JP MORGAN CHASE | $15,214 | $39,590 |
| JOHNSON & JOHNSON | $13,773 | $23,193 |
| LINCOLN NATL CORP IND COM | $19,425 | $19,709 |
| MICROSOFT CORP COM | $18,177 | $40,844 |
| MONDELEZ INTL INC | $10,712 | $17,791 |
| NETFLIX INC COM | $22,125 | $23,944 |
| NIKE INC CL B | $6,921 | $7,700 |
| O'REILLY AUTOMOTIVE | $9,900 | $32,870 |
| ORACLE SYSTEMS CORP | $14,061 | $23,629 |
| PEPSICO INCORPORATED | $9,377 | $15,854 |
| PIONEER NAT RES CO COM | $6,612 | $5,752 |
| PROCTER & GAMBLE | $8,924 | $18,860 |
| PRUDENTIAL FINL INC | $16,722 | $18,748 |
| SALESFORCE COM INC COM | $17,768 | $25,372 |
| SYNCHRONY FINANCIAL | $13,288 | $15,412 |
| 3M CO | $4,193 | $6,880 |
| UNION PAC CORP COM | $11,814 | $15,006 |
| UNITEDHEALTH GROUP INC COM | $21,794 | $34,984 |
| VALERO ENERGY CORP | $14,924 | $24,349 |
| VERIZON COMM | $9,799 | $14,675 |
| VISA INC COM CL A | $20,405 | $37,768 |
| WALMART INC COM | $12,627 | $16,994 |
| WELLS FARGO COMPANY | $11,001 | $15,710 |
| ACCENTURE PLC IRELAND SHS CLASS A | $13,843 | $24,637 |
| MIDWESTONE FINL GROUP INC | $23,963 | $36,230 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (15 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| INVESCO OPPENHEIMER DEVELOPING MARKETS CLASS R6 | AT COST | $48,148 | $59,027 |
| COHEN & STEERS GLOBAL REALTY SHARES, INC CLASS I | AT COST | $30,000 | $29,927 |
| JANUS TRITON FD CL 1 | AT COST | $71,817 | $82,335 |
| MFS NEW DISCOVERY VALUE FUND CLASS I | AT COST | $37,000 | $38,623 |
| MFS INSTL INTL EQUITY FUND | AT COST | $50,940 | $59,858 |
| T ROWE PRICE MID-CAP GROWTH FUND CLASS I | AT COST | $74,500 | $73,688 |
| VICTORY SYCAMORE ESTABLISHED VALUE FUND CLASS I | AT COST | $37,000 | $36,880 |
| EATON VANCE FLOATING RATE ADVANTAGE FUND | AT COST | $44,949 | $44,410 |
| FEDERATED INSTL TR HI YIELD BD | AT COST | $133,673 | $133,318 |
| LORD ABBETT SHORT DURATION INCOME FUND CLASS F | AT COST | $457,201 | $457,201 |
| PIMCO INVESTMENT GRADE CORP BD | AT COST | $405,000 | $417,985 |
| PIMCO INCOME FUND | AT COST | $488,845 | $481,672 |
| PIONEER MULTI-ASSET ULTRA SHORT INC FUND | AT COST | $46,066 | $45,792 |
| TCW EMERGING MARKET INCOME FUND CLASS I | AT COST | $112,000 | $111,510 |
| VANGUARD FIXED INCOME SECS GNMA FD ADMRL | AT COST | $457,304 | $459,278 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJ TO DECREASE COST BASIS | Desc |
| Amt | $1,604 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $126 | $0 | $0 |
| FOREIGN TAX | $37 | $37 | $0 |
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