BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION (EIN 36-3606394)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-05
IRS object ID
202041269349101209
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-05T09:16:27-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363606394EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of North Dakota CBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone7012821100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid BreuerPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7012821100PhoneNum
Signature2020-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2020-05-05PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$11,124,930FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$241,739ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$265,230DividendsRevAndExpnssAmt
Dividends Net Invst Incm$265,230DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$64,963NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$554,208GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$64,963CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$571,932TotalRevAndExpnssAmt
Total Net Invst Incm$330,193TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$5,311OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$5,311OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$340TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$296,579OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$61,759OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$302,230TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,311TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$61,759TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$467,465ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$467,465ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$769,695TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,311TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$529,224TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$197,763ExcessRevenueOverExpensesAmt
Net Investment Income$324,882NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$14,180SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$34,962SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$34,962SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$9,628,982OtherInvestmentsBOYAmt
Other Investments EOY$11,089,967OtherInvestmentsEOYAmt
Other Investments EOYFMV$11,089,967OtherInvestmentsEOYFMVAmt
Other Assets BOY$7OtherAssetsBOYAmt
Other Assets EOY$1OtherAssetsEOYAmt
Other Assets EOYFMV$1OtherAssetsEOYFMVAmt
Total Assets BOY$9,643,169TotalAssetsBOYAmt
Total Assets EOY$11,124,930TotalAssetsEOYAmt
Total Assets EOYFMV$11,124,930TotalAssetsEOYFMVAmt
Accounts Payable BOY$2,823AccountsPayableBOYAmt
Accounts Payable EOY$1,498AccountsPayableEOYAmt
Total Liabilities BOY$2,823TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,498TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$9,640,346NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$11,123,432NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$9,640,346TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,123,432TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,643,169TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$11,124,930TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$9,640,346TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$197,763ExcessRevenueOverExpensesAmt
Other Increases$1,680,849OtherIncreasesAmt
Subtotal$11,123,432SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$11,123,432TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPublicly Traded SecurtiesPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$554,208GrossSalesPriceAmt
Cost Or Other Basis$489,245CostOrOtherBasisAmt
Gain Or Loss$64,963GainOrLossAmt
Gains Minus Excess Or Losses$64,963GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$64,963CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$490,905AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$8,863,884NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.055383DistributionYr1Rt
Adjusted Qlfy Distri Yr2$272,283AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,267,275NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.051693DistributionYr2Rt
Total Distribution0.107076TotalDistributionRt
Average Distribution0.053538AverageDistributionRt
Net Vl Noncharitable Assets$10,372,313NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$555,313AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$3,249NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$558,562AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$529,224QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$6,498InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$6,498SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$6,498TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,760EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,760TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$3,738TaxDueAmt

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 Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNDOrgReportOrRegisterStateCd
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.bcbsnd.com/caring-foundation/about-usWebsiteAddressTxt
Individual With BooksAmber BlombergIndividualWithBooksNm
Phone7012772160PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SouthAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
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 Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
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 (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Daniel R Conrad
4510 13th Ave SouthFargoND58121Chair0.50$0$0$0
Dave J Breuer
4510 13th Ave SouthFargoND58121Treasurer0.50$0$0$0
Stacie Heiden
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Jodi L Atkinson
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Dave A Sprynczynatyk
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Lynette Dickson
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Greg C Glasner MD
4510 13th Ave SouthFargoND58121Director0.50$0$0$0
Pam Gulleson
4510 13th Ave SouthFargoND58121Secretary/Executive Director15.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1CaringForKidsSupport evidenced based initiatives aimed at preventing childhood obesity and supporting healthy minds and bodies at an early age.Description1Txt
Expenses1$54,000Expenses1Amt
Description2CaringForCommunitiesSupport sustainable initiatives that encourage health and well-being within our communities.Description2Txt
Expenses2$7,664Expenses2Amt

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$10,459,706AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$70,561AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$10,530,267TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$10,530,267AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$157,954CashDeemedCharitableAmt
Net Vl Noncharitable Assets$10,372,313NetVlNoncharitableAssetsAmt
Minimum Investment Return$518,616MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$518,616MinimumInvestmentReturnAmt
Tax Based On Investment Income$6,498TaxBasedOnInvestmentIncomeAmt
Total Tax$6,498TotalTaxAmt
Distributable Before Adj$512,118DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$512,118DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$512,118DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$529,224ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$529,224QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$529,224AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$512,118DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$11,746ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$53,161ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$64,907TotalExcessDistributionCyovAmt
Qualifying Distributions$529,224QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$512,118AppliedToCurrentYearAmt
Remaining Distri From Corpus$17,106RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$82,013TotalCorpusAmt
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$82,013ExcessDistriCyovToNextYrAmt
Excess From Year2$11,746ExcessFromYear2Amt
Excess From Year1$53,161ExcessFromYear1Amt
Excess From Current Year$17,106ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCaring FoundationRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7012821100RecipientPhoneNum
Recipient Email Addresscaringfoundation@bcbsnd.comRecipientEmailAddressTxt
Form And Info And MaterialsCaring Foundation applications located on our websiteFormAndInfoAndMaterialsTxt
Submission DeadlinesVaries based on grant typeSubmissionDeadlinesTxt
Restrictions On AwardsIn general must impact North Dakotans and tie back to our mission of bettering health and well-being.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (176 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
4 Luv of Dog
PO Box 9283FargoND58106NonePCGeneral Operations$600
Abused Persons Outreach Center
160 2nd St NWValley CityND58072NonePCGeneral Operations$200
AFSP ND Chapter
PO Box 11295FargoND58106NonePCOut of Darkness Sponsor$500
AFSP ND Chapter
PO Box 11295FargoND58106NonePCGeneral Operations$182
ALS Association MNNDSD Chapter
1919 University Ave W Suite 175St PaulMN55104NonePCGeneral Operations$302
Altru Health Foundation - TEARS Program
PO Box 6002Grand ForksND58201NonePCMental Health first aid certification program$10,000
Alzheimer's Association MN-ND Chapter
7900 W 78th St Suite 100MinneapolisMN55439NonePCGrateful Giving Donation$300
American Cancer Society North Dakota
4646 Amber Valley PkwyFargoND58104NonePCGeneral Operations$305
American Diabetes Association
4302 13th Ave S Suite 4-109FargoND58103NonePCGeneral Operations$259
American Indian Public Health Resource Center
1805 Research Park Dr NFargoND58102NonePCSymposium on maternal infant and child health$3,000
American Red Cross ND Chapter
2602 12th St NFargoND58102NonePCGeneral Operations$305
Anne Carlsen Center
4152 30th Ave S 102FargoND58104NonePCGeneral Operations$200
Anne Carlsen Center
PO Box 168BottineauND58318NonePCAdaptive rec program scholarships$6,000
Bethany Retirement Living
4255 30th Ave SFargoND58104NonePCGeneral Operations$200
Bethel Church
2702 30th Ave SFargoND58103NonePCSpecial Needs program$2,127
BIO Girls
556 Lizzie Pl EWest FargoND58078NonePCEmpowerment and self esteem program$2,500
BIO Girls
556 Lizzie Pl EWest FargoND58078NonePCGeneral Operations$200
Bismarck Cancer Center Foundation
500 N 8th StBismarckND58501NonePCGeneral Operations$90
Bismarck State College Foundation
PO Box 5587BismarckND58506NonePCScholarships$10,000
Bleeding Disorders Alliance of ND
PO Box 548FargoND58107NonePCGeneral Operations$200
Boys and Girls Club of RRV
2500 18th St SFargoND58103NonePCGeneral Operations$200
Brady Oberg Legacy Foundation
4141 28th Ave SFargoND58104NonePCGeneral Operations$200
Brave the Shave
1950 Far West DrBismarckND58504NonePCGeneral Operations$239
Brave the Shave
1950 Far West DrBismarckND58504NonePCGeneral Operations$5,000
Brave the Shave
1950 Far West DrBismarckND58504NonePCGeneral Operations$1,415
Cats Cradle
9 9th St SFargoND58103NonePCGeneral Operations$1,000
CCRI
2903 15th St SMoorheadMN56560NonePCGrateful Giving Donation$300
Central Cass Public School District
802 5th StCasseltonND58012NoneGOVFund new STEM Curriculum$10,000
Churches United for the Homeless
1901 1st Ave NMoorheadMN56560NonePCGeneral Operations$200
Circle of Friends Humane Society
4375 N Washington StGrand ForksND58203NonePCGrateful Giving Donation$300
Circle of Nations School
832 8th St NWahpetonND58075NonePCSuicide prevention Sources of Strength$5,000
Clara Barton Hawthorne School
1417 6th St SFargoND58103NoneGOVAdaptive health ed equipment, walkathon support$750
Colfax Park Board
PO Box 15ColfaxND58018NoneGOVSupport ice skating rink$1,500
Community of Care
PO Box 187ArthurND58006NonePCOne stop service center support$5,000
Creative Plains Foundation
PO Box 1285FargoND58107NonePCGeneral Operations$200
Cullen Children's Foundation
PO Box 594West FargoND58078NonePCGeneral Operations$200
Dakota Boys and Girls Ranch Foundation
PO Box 5007MinotND58702NonePCGeneral Operations$200
Dakota Center for Independent Living
3111 E BroadwayBismarckND58501NonePCHealthy activities programming$2,500
Dakota College at Bottineau
105 Simrall BlvdBottineauND58318NoneGOVHealth Professionals Scholarships$2,500
Dakota Medical Foundation - Recovery Reinvented
4141 28th Ave SFargoND58104NonePCEvent sponsorship$15,000
Dakota Medical Foundation
4141 28th Ave SFargoND58104NonePCGiving Hearts Day donation$3,500
Dakota Montessori School
1134 Westrac DrFargoND58103NonePCGeneral Operations$200
Dakota Prairie High School
518 4th AvePetersburgND58272NonePCSuicide prevention Sources of Strength$5,000
Eagles Elementary School
3502 University DrFargoND58104NoneGOVWalkathon$300
Emerado Elementary School
PO Box 69EmeradoND58228NoneGOVWeekend food bags for students$500
Emergency Food Pantry
1101 4th Ave NFargoND58102NonePCGeneral Operations$200
Epilepsy Foundation
1600 University Ave W Ste 300St PaulMN55104NonePCGeneral Operations$200
Eventide Senior Living Centers Foundation
801 Main Ave Suite AMoorheadMN56560NonePCGeneral Operations$200
F5 Project
PO Box 509FargoND58107NonePCTransportation costs$2,500
F5 Project
PO Box 509FargoND58107NonePCGeneral Operations$200
Family Healthcare Center
301 NP AveFargoND58102NonePCGeneral Operations$200
Family Healthcare
301 NP AveFargoND58102NonePCPreventative in school dental services$8,333
Fargo Public Schools - District #1
415 4th St NFargoND58102NoneGOVYoga program$3,000
Fargo Public Schools Foundation
1305 9th Ave SFargoND58103NonePC192 stop the bleed kits$7,500
Fargo Public Schools Foundation
1305 9th Ave SFargoND58103NonePCGeneral Operations$200
Fargo Public Schools
801 50th Ave SMoorheadMN56560NoneGOVGrateful Giving Donation$300
Fargo Youth Baseball
1804 17th Ave SFargoND58103NonePCGeneral Operations$200
Fargo Youth Hockey Association
831 17th Ave NFargoND58102NonePCGeneral Operations$200
Fargo Youth Hockey
831 17th Ave NFargoND58102NonePCGrateful Giving Donation$300
FirstLink
4537 13th Ave S Suite 107LFargoND58103NonePCGeneral Operations$176
Fraser Ltd
2902 S University DrFargoND58103NonePCGeneral Operations$200
Freedom Elementary Flyers PTA
401 26th Ave EWest FargoND58078NonePCFun Run$250
Furry Friends Rockin Rescue
PO Box 7364BismarckND58507NonePCGrateful Giving Donation$300
Furry Friends Rockin Rescue
PO Box 7364BismarckND58507NonePCGeneral Operations$200
Girls on the Run Cass County
4302 13th Ave S Suite 4-305FargoND58103NonePCGeneral Operations$200
Goetz Mental Wellness Initiative - Imagine Thriving
PO Box 10083FargoND58106NonePCGeneral Operations$200
Good Samaritan Health Services Foundation
800 S Main AveRugbyND58368NonePCAmbulance fundraiser support$1,000
Grand Forks Senior Center
620 4th Ave SGrand ForksND58201NonePCTransportation assist program$3,500
Great Plains Food Bank
1720 3rd Ave NFargoND58102NonePCGeneral Operations$400
Greater FM Economic Development Corp (STEM Alliance)
51 Broadway N Ste 500FargoND58102NonePCGeneral Operations$200
Happy Seniors Club Inc
PO Box 44LaMoureND58458NonePCGeneral Operations$200
Heavens Helpers Soup Kitchen
220 N 23rd StBismarckND58501NonePCCoolers for food program$5,000
HERO
5012 53rd St S Suite CFargoND58104NonePCGrateful Giving Donation$300
HERO
5012 53rd St S Suite CFargoND58104NonePCGeneral Operations$200
Hillsboro Backpack Program
PO Box 44HillsboroND58045NoneGOVBackpack nutrition program$5,000
HIPP Kids Therapy
2497 Mustang Dr SMandanND58554NonePCSpecial needs kids programming$250
Homeward Animal Shelter
1201 28th Ave NFargoND58102NonePCGeneral Operations$1,000
Hope Blooms
PO Box 9705FargoND58106NonePCGeneral Operations$200
Hope Inc
803 22nd Ave EMoorheadMN56560NonePCGeneral Operations$200
Hospice of the Red River Valley
1701 38th St S Suite 101FargoND58103NonePCHog roast sponsor$1,000
Hospice of the Red River Valley
1701 38th St S Suite 101FargoND58103NonePCGeneral Operations$1,000
Impact Foundation
4141 28th Ave SFargoND58104NonePCVeterans Affairs task force$3,000
Independence Inc
2000 E Burdick Expressway Suite CMinotND58701NonePCDomestic violence crisis center support$5,000
Issa Foundation-Cleaning for a Reason
2540 King Arthur Blvd Ste 230LewisvilleTX75056NonePCGeneral Operations$200
JDRF Dakotas Council
1305 W 18th St Route 5192Sioux FallsSD57117NonePCOne walk event sponsor$2,500
Junior Achievement of the Upper Midwest
PO Box 388BismarckND58502NonePCClassroom program support$3,000
Kamp KACE
PO Box 6462FargoND58109NonePCGeneral Operations$200
KAT Marketing
1025 N 3rd StBismarckND58501NonePCHealth education programming at Watford City Public Health$1,800
Lake Region State College
1801 College Dr NDevils LakeND58301NoneGOVHealth Professionals Scholarships$2,500
Legacy Children's Foundation
725 28th St NFargoND58102NonePCGrateful Giving Donation$300
Lend A Hand Up
4141 28th Ave SFargoND58104NonePCGeneral Operations$200
Lincoln Elementary
2120 9th St SFargoND58103NoneGOVGeneral Operations$290
Lisbon Public School
502 Ash St PO Box 593LisbonND58054NoneGOVSuicide prevention Sources of Strength$5,000
Lutheran Social Services
3911 20th Ave SFargoND58103NonePCCompanion Program support$10,000
Make a Wish ND
4143 26th Ave S 104FargoND58104NonePCGeneral Operations$400
March of Dimes
PO Box 18819AtlantaGA31126NonePCGeneral Operations$175
Max Public School
2855 Hwy 83 NW PO Box 297MaxND58759NoneGOVSuicide prevention Sources of Strength$5,000
Mental Health America of North Dakota
PO Box 4106BismarckND58502NonePCSupport and promote mental health$1,000
Minn-Kota Paaws
PO Box 45MoorheadMN56560NonePCGeneral Operations$200
Minot Family YMCA
PO Box 69MinotND58702NonePCFamily night support$2,000
Minot Head Start
2815 Burdick Expy EMinotND58701NonePCGeneral Operations$200
Minot State University
500 University Ave WMinotND58707NoneGOVHealth Professionals Scholarships$2,500
Missouri Valley Family YMCA
1608 N Washington StBismarckND58501NonePCSafety around the pool program$9,500
MLS Mohall District 1
101 3rd St NW PO Box 187MohallND58761NoneGOVSuicide prevention Sources of Strength$5,000
Muscular Dystrophy Association-MNDakotas Chapter
7401 Metro Blvd Suite 325EdinaMN55439NonePCGeneral Operations$139
National Fire Safety Council
25 2nd Ave WDickinsonND58601NonePCFire safety program$150
National Multiple Sclerosis Society-ND Chapter
2829 University Ave SE Ste 900MinneapolisMN55414NonePCGeneral Operations$600
Native Community Development Inc
205 N 24th StBismarckND58501NonePCTransportation assist program$7,500
ND Adult & Teen Challenge
1406 2nd St NWMandanND58554NonePCEvent sponsorship$1,500
ND Autism Center Inc
647 13th Ave E Suite AWest FargoND58078NonePCWalk for autism sponsor$500
NDSCS Financial Aid
800 6th St NWahpetonND58076NoneGOVHealth Professionals Scholarships$2,500
NDSU One Stop
PO Box 6050 Dept 2836FargoND58108NoneGOVHealth Professionals Scholarships$10,000
NDSU School of Pharmacy
1401 Albrecht BlvdFargoND58102NoneGOVOpioid prevention toolkit project$9,500
New Life Center Foundation
1902 3rd Ave NFargoND58102NonePCGeneral Operations$200
New Life Center
1902 3rd Ave NFargoND58102NonePCGrateful Giving Donation$300
Newburg United School
PO Box 427NewburgND58762NoneGOVSuicide prevention Sources of Strength$5,000
North Dakota Counseling Association
402 E Brandon DrBismarckND58503NonePCConference sponsor$500
Northern Prairie Performing Arts
333 4th St SFargoND58103NonePCGeneral Operations$200
Northwood Public School and Hatton Eielson Public School
420 Trojan RdNorthwoodND58267NoneGOVSuicide prevention Sources of Strength$5,000
Oakes Public Schools Parent Teacher Organization
804 Main AveOakesND58474NoneGOVPlayground turf$2,500
Orphan Grain Train
PO Box 1546JamestownND58402NonePCGeneral Operations$200
Pembina County Public Health
301 Dakota St W 2CavalierND58220NoneGOVWalking path improvements$5,000
Prairie Grit Adaptive Sports
PO Box 969MinotND58702NonePCGrateful Giving Donation$300
Prairie Grit Adaptive Sports
PO Box 969MinotND58702NonePCGeneral Operations$200
Project Linus-ND Chapter
62 Fremont Dr SFargoND58103NonePCGeneral Operations$200
Rape and Abuse Crisis Center
317 8th St N PO Box 2984FargoND58108NonePCGrateful Giving Donation$300
Rape and Abuse Crisis Center
317 8th St N PO Box 2984FargoND58108NonePCGeneral Operations$400
Red River Area Sportsmen Club
PO Box 1WahpetonND58075NonePCGeneral Operations$200
Red River Childrens Advocacy Center
100 S 4th St Suite 302FargoND58103NonePCGeneral Operations$200
Red River Childrens Advocacy Center
100 S 4th St Suite 302FargoND58103NonePCEvent sponsorship$500
Red River Valley Asperger Autism Network
PO Box 2932FargoND58108NonePCGeneral Operations$200
Red River Zoological Society
4255 23rd Ave SFargoND58104NonePCGeneral Operations$200
Robert Asp Elementary
910 11th St NMoorheadMN56560NoneGOVWalkathon$300
Ronald McDonald House Charities of the Red River Valley
4757 Agassiz Crossing SFargoND58104NonePCGolf tournament sponsor$500
Ronald McDonald House Charities of the Red River Valley
4757 Agassiz Crossing SFargoND58104NonePCGeneral Operations$198
Ronald McDonald House Charities of the Red River Valley
4757 Agassiz Crossing SFargoND58104NonePCGrateful Giving Donation$300
Ronald McDonald House Charities of the Red River Valley
4757 Agassiz Crossing SFargoND58104NonePCGeneral Operations$800
Sanford Health Foundation
PO Box 5525BismarckND58506NonePCSupport for children and adults with cerebral palsy$250
Sargent County Food Pantry
PO Box 101FormanND58067NonePCGeneral Operations$200
School of Medicine and Health Sciences
1301 N Columbia Rd Stop 9037Grand ForksND58202NoneGOVHealth Professionals Scholarships$15,000
ShareHouse
4227 9th Ave SFargoND58103NonePCRecovery living program support$10,000
South Central High School
406 S Anderson StBismarckND58504NoneGOVSuicide prevention Sources of Strength$5,000
Special Olympics
2616 S 26th StGrand ForksND58201NonePCGeneral Operations$316
Special Olympics
2616 S 26th StGrand ForksND58201NonePCGeneral Operations$200
Spectra Health
212 4th St 200Grand ForksND58201NonePCSupport school dental sealant program$18,000
Spectra Health
212 S 4th St Suite 200Grand ForksND58201NonePCWrap on Spectra Health mobile dental trailer$1,296
Star Legacy Foundation
7820 Terrey Pine Ct 80Eden PrairieMN55347NonePCGeneral Operations$200
Tate Topa Tribal School
PO Box 199Fort TottenND58335NoneGOVSuicide prevention Sources of Strength$5,000
The Great North Pole
675 13th Ave E Ste 101West FargoND58078NonePCGeneral Operations$600
Theodore Roosevelt Medora Foundation
PO Box 198MedoraND58645NonePCGeneral Operations$200
Three Rivers Gymnastics
815 4th Ave SWahpetonND58075NonePCGeneral Operations$200
TNT Kids Fitness
2800 Main AveFargoND58103NonePCGrateful Giving Donation$300
Toothbrush Ministries
PO Box 3125FargoND58108NonePCGeneral Operations$200
Tri-City Storm Soccer Club
2761 12th Ave SFargoND58104NonePCGeneral Operations$200
Trinity Health Foundation
PO Box 5020MinotND58702NonePCTransportation assist program$1,000
Turtle Mountain Animal Rescue
PO Box 94HoraceND58047NonePCGrateful Giving Donation$300
UCodeGirl
325 5th St NFargoND58102NonePCGeneral Operations$200
uCodeGirl
325 5th St NFargoND58102NonePCSTEM mentorship program$5,000
UND Grants & Contracts Administration
264 Centennial Dr Mail Stop 7306Grand ForksND58202NoneGOVFunds to support 2019 Rural Health Provider Partnership Grant recipients$49,013
United Way of Cass Clay
219 7th St SFargoND58103NonePCGeneral Operations$50,000
United Way of Cass Clay
219 7th St SFargoND58103NonePCGeneral Operations$245
United Way of Cass Clay
219 7th St SFargoND58103NonePCGeneral Operations$248
United Way of Cass Clay
219 7th St SFargoND58103NonePCGeneral Operations$600
University of Mary Financial Aid
7500 University DrBismarckND58504NonePCHealth Professionals Scholarships$7,500
University of North Dakota
264 Centennial Dr Stop 8371Grand ForksND58202NoneGOVHealth Professionals Scholarships$17,500
US Department of Veterans Affairs Fargo VA Health Care
2101 Elm St NFargoND58102NoneGOVReimbursement VA Veterans move in baskets$297
Veterans Honor Flight of ND MN
PO Box 644West FargoND58078NonePCGeneral Operations$400
Village Family Service Center
1201 25th St SFargoND58103NonePCRecovery awareness$2,500
Village Family Service Center
PO Box 9859FargoND58106NonePCGrateful Giving Donation$300
Western Wellness Foundation Inc
PO Box 542DickinsonND58601NonePCHealthy Family Day sponsor$1,000
Westhope Public School
395 Main St PO Box 406WesthopeND58793NoneGOVSuicide prevention Sources of Strength$4,500
Williston State College
1410 University AveWillistonND58801NoneGOVHealth Professionals Scholarships$5,000
Willow Park Elementary
4901 15th Ave SFargoND58103NoneGOVGeneral Operations$165
Womens Pregnancy Center
1726 Washington St Suite 70Grand ForksND58201NonePCGeneral Operations$200
YWCA Cass-Clay
3100 12th Ave NFargoND58102NonePCGeneral Operations$800
YWCA
3100 12th Ave NFargoND58102NonePCGrace garden housing playground$4,300
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$467,465TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$265,230ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$64,963ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$330,193ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$330,193TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of North DakotaBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line14510 13th Ave SAddressLine1Txt
CityFargoCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58121ZIPCd
FieldValueIRS element (for citing)
Total Contributions$234,820TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
Baird Aggregate Bond FundFMV$3,945,519$3,945,519
Transamerica International Equty FundFMV$1,000,258$1,000,258
Vanguard Total Stock MarketFMV$6,144,190$6,144,190

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescInvestment Income ReceivableDesc
BOY Book Value$7BOYBookValueAmt
EOY Book Value$1EOYBookValueAmt
EOYFMV$1EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Miscellaneous Expenses$95$0$95
Administrative Expenses$234,820$0$0
CaringForKids$54,000$0$54,000
CaringForCommunities$7,664$0$7,664

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUnrealized LossDesc
Amt$1,680,849Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Management FeesCategoryTxt
Amt$5,311Amt
Net Investment Income$5,311NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryExcise TaxesCategoryTxt
Amt$340Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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