HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA (EIN 81-1099715)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-10
IRS object ID
202003159349101620
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)
Return2020-11-10T13:18:25-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2020-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.157.231.154IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-10IPDt
IP Tm13:15:59IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAFD58E387237111C2F00F3E2CF512D7D24AC9BA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$104,159,687FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$3,459InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$3,459InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$784,122DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,729,563DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$171,992NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$21,546,182GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$2,122,741OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$2,908,860OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$3,082,314TotalRevAndExpnssAmt
Total Net Invst Incm$5,641,882TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$585,382CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$96,001CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$464,270CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$295,613OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$11,545OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$265,723OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$221,591PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$23,200PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$195,684PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$21,720LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$22,560LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$112,069AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$24,566AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$84,085AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$679,769OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,232,835OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$278,321OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$124,176InterestRevAndExpnssAmt
Interest Net Invst Incm$124,176InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$124,176InterestDsbrsChrtblAmt
Taxes Rev And Expnss$40,648TaxesRevAndExpnssAmt
Taxes Net Invst Incm$134,920TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$12,667DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$98,879OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$91,116OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$190,272TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$191,941TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$868PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$868PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$132,977OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$11OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$109,998OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,516,631TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,647,254TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,828,742TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,462,358ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$3,462,358ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$5,978,989TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,647,254TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$5,291,100TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,896,675ExcessRevenueOverExpensesAmt
Net Investment Income$3,994,628NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$975,329CashBOYAmt
Cash EOY$379,219CashEOYAmt
Cash EOYFMV$379,215CashEOYFMVAmt
Sav And Temp Cash Invst BOY$888,000SavAndTempCashInvstBOYAmt
Acct Rcvbl$67,104AcctRcvblAmt
Acct Rcvbl EOY$67,104AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$67,104AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$8,927PrepaidExpensesBOYAmt
US Government Obligations BOY$3,751,248USGovernmentObligationsBOYAmt
US Government Obligations EOY$3,398,471USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$3,398,471USGovtObligationsEOYFMVAmt
Corporate Stock BOY$10,745,333CorporateStockBOYAmt
Corporate Stock EOY$11,708,144CorporateStockEOYAmt
Corporate Stock EOYFMV$11,708,144CorporateStockEOYFMVAmt
Corporate Bonds BOY$10,170,506CorporateBondsBOYAmt
Corporate Bonds EOY$8,791,857CorporateBondsEOYAmt
Corporate Bonds EOYFMV$8,791,857CorporateBondsEOYFMVAmt
Other Investments BOY$68,777,405OtherInvestmentsBOYAmt
Other Investments EOY$79,722,072OtherInvestmentsEOYAmt
Other Investments EOYFMV$79,722,072OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$113,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,510LandBldgEquipAccumDeprecAmt
Land BOY$55,491LandBOYAmt
Land EOY$92,824LandEOYAmt
Land EOYFMV$92,824LandEOYFMVAmt
Total Assets BOY$95,372,239TotalAssetsBOYAmt
Total Assets EOY$104,159,691TotalAssetsEOYAmt
Total Assets EOYFMV$104,159,687TotalAssetsEOYFMVAmt
Accounts Payable BOY$13,244AccountsPayableBOYAmt
Accounts Payable EOY$39,433AccountsPayableEOYAmt
Grants Payable BOY$341,200GrantsPayableBOYAmt
Grants Payable EOY$50GrantsPayableEOYAmt
Other Liabilities BOY$210,323OtherLiabilitiesBOYAmt
Other Liabilities EOY$224,206OtherLiabilitiesEOYAmt
Total Liabilities BOY$564,767TotalLiabilitiesBOYAmt
Total Liabilities EOY$263,689TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$94,807,472NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$103,896,002NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$94,807,472TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$103,896,002TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$95,372,239TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$104,159,691TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$94,807,472TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,896,675ExcessRevenueOverExpensesAmt
Other Increases$11,985,205OtherIncreasesAmt
Subtotal$103,896,002SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$103,896,002TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES$21,450,285$21,374,190$76,095$76,095
ALTERNATIVE INVESTMENTS$95,897$587,332-$491,435-$491,435P
FieldValueIRS element (for citing)
Capital Gain Net Income-$415,340CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$6,555,195AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$110,983,314NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.059065DistributionYr1Rt
Adjusted Qlfy Distri Yr2$990,647AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$77,661,511NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.012756DistributionYr2Rt
Adjusted Qlfy Distri Yr3$48,448AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$17,220NetVlNoncharitableAssetsYr3Amt
Distribution Yr32.813473DistributionYr3Rt
Total Distribution2.885294TotalDistributionRt
Average Distribution0.961765AverageDistributionRt
Net Vl Noncharitable Assets$103,056,436NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$99,116,073AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$39,946NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$99,156,019AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$6,341,100QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$79,893InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$79,893SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$79,893TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$121,439EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$121,439TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$41,546OverpaymentAmt
Applied To ES Tax$41,546AppliedToESTaxAmt
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 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 (13 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
HEATHER CAHOON
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
CARISSA KUHL
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
STEVE MCNEECE
283 W FRONT STREETMISSOULAMT59802TRUSTEE1.30$0$0$0
RICHARD OPPER
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
BRENDA SOLORZANO-CLAUDLE
283 W FRONT STREETMISSOULAMT59802CHIEF EXECUTIVE OFFICER40.00$277,108$24,191$0
MYNOR VELIZ
283 W FRONT STREETMISSOULAMT59802CHIEF FINANCIAL OFFICER40.00$196,682$25,705$0
ERIN SWITALSKI
283 W FRONT STREETMISSOULAMT59802PROGRAM DIRECTOR40.00$97,909$22,433$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
JENNIFER L SAVAGE
283 WEST FRONT ST SUITE 301MISSOULAMT59802COMMUNICATIONS OFFIC40.00$70,318$4,488$0
ASHLEY N SHAW
283 WEST FRONT ST SUITE 301MISSOULAMT59802PROGRAM ASSOCIATE40.00$64,815$1,356$0
ZIA MAUMENEE
283 WEST FRONT ST SUITE 301MISSOULAMT59802GRANTS MANAGER40.00$60,920$4,088$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 FLOORSEATTLEWA98101CONSULTING$83,750
MCEWEN BIG SKY LLC
2024 218TH PLACE NESAMMAMISHWA98074CONSULTING$81,042
MOSS ADAMS LLP
805 SW BROADWAY ST SUITE 1200PORTLANDOR97205AUDIT AND TAX$66,550
FUND EVALUATION GROUP LLC
201 EAST FIFTH ST SUITE 1600CINCINNATIOH45202INVESTMENT$61,626
WIPFLI LLP
11 SCOTT STWAUSAUWI54402ACCOUNTING$50,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

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$24,217,746AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$686,005AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$79,722,072FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$104,625,823TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$104,625,823AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,569,387CashDeemedCharitableAmt
Net Vl Noncharitable Assets$103,056,436NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,152,822MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,152,822MinimumInvestmentReturnAmt
Tax Based On Investment Income$79,893TaxBasedOnInvestmentIncomeAmt
Total Tax$79,893TotalTaxAmt
Distributable Before Adj$5,072,929DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$5,072,929DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$5,072,929DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,291,100ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$50,000CharitableAssetsAcquisPaidAmt
Set Aside Cash Distri Test$1,000,000SetAsideCashDistriTestAmt
Qualifying Distributions$6,341,100QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$6,341,100AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$5,072,929DistributableAsAdjustedAmt
Undistributed Income PY$1,712,765UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$6,341,100QualifyingDistributionsAmt
Applied To Year1$1,712,765AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,628,335AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$444,594UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (133 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
A CAROUSEL FOR MISSOULA FOUNDATION INC
PO BOX 3345MISSOULAMT59806PCSPONSORSHIP FOR ACTIVITIES THAT DIRECTLY SERVICE CHILDREN AND FAMILIES$2,500
A VOICE
PO BOX 832PABLOMT59855PCGENERAL OPERATING$5,000
ANACONDA COMMUNITY INTERVENTION INC
PO BOX 1273ANACONDAMT59711PCSPONSORSHIP GRANT$2,500
ANACONDA PCA FAMILY RESORCE CENTER
520 OAK STREETANACONDAMT59711PCGENERAL OPERATING$2,500
ANACONDA SCHOOL DISTRICT 10
1410 W PARK STREETANACONDAMT59711GOVGENERAL OPERATING$15,000
ANACONDA-DEER LODGE COUNTY PUBLIC HEALTH
115 W COMMERCIAL AVENUEANACONDAMT59711GOVGENERAL OPERATING$5,000
ANACONDA-DEER LODGE COUNTY PUBLIC HEALTH
115 W COMMERCIAL AVENUEANACONDAMT59711GOVSPONSORSHIP GRANT$2,500
ARLEE COMMUNITY DEVELOPMENT CORPORATION
PO BOX 452ARLEEMT59821PCGENERAL OPERATING$15,000
AWARE INC
205 E PARK AVENUEANACONDAMT59711PCGENERAL OPERATING$5,000
BEAVERHEAD COUNTY MENTAL HEALTH LOCAL ADVISORY COUNCIL
2 SOUTH PACIFIC STREETDILLONMT50972GOVGENERAL OPERATING$5,000
BIG SKY AACAP
2620 COLONIAL DRIVEHELENAMT59601PCGENERAL OPERATING$2,500
BITTER ROOT RC&D
1709 N 1ST STREETHAMILTONMT59840PCGENERAL OPERATING$5,000
BITTERROOT CASA INC
PO BOX 661HAMILTONMT59828PCGENERAL OPERATING$5,000
BITTERROOT VALLEY CHILDRENS ADVOCACY CENTER INC
PO BOX 2034HAMILTONMT59840PCGENERAL OPERATING$2,500
BOYS & GIRLS CLUB OF GLACIER COUNTRY
PO BOX 961COLUMBIA FALLSMT59912PCGENERAL OPERATING$5,000
BOYS & GIRLS CLUB OF GLACIER COUNTRY
PO BOX 961COLUMBIA FALLSMT59912PCEVENT SPONSORSHIP$2,500
BOYS AND GIRLS CLUB OF MISSOULA COUNTY
1515 FAIRVIEW AVENUEMISSOULAMT59801PCGENERAL OPERATING$2,500
BOYS AND GIRLS CLUB OF MISSOULA COUNTY
1515 FAIRVIEW AVENUEMISSOULAMT59801PCOUT OF SCHOOL TIME CLUB$5,000
BOYS AND GIRLS CLUB OF THE FLATHEAD RESERVATION
62579 US-93RONANMT59864PCGENERAL OPERATING$2,500
BOYS AND GIRLS CLUB OF THE FLATHEAD RESERVATION
62579 US-93RONANMT59864PCEVENT SPONSORSHIP$5,000
BRIGHTWAYS LEARNING
3700 S RUSSELL STREET SUITE 114MISSOULAMT59801PCGENERAL OPERATING$2,500
BUTTE 4-C'S
101 N MAIN STREETBUTTEMT59701PCGENERAL OPERATING$7,500
BUTTE RESCUE MISSION
610 E PLATINUM STREETBUTTEMT59701PCGENERAL OPERATING$5,000
CASA OF LAKE COUNTY
PO BOX 511POLSONMT59860PCGENERAL OPERATING$5,000
CHARLO COMMUNITY OUTDOOR COMPLEX INC
39752 MORRIS ROADCHARLOMT59824PCGENERAL OPERATING$5,000
CHARLO SCHOOL DISTRICT 7J
404 1ST AVENUE WCHARLOMT59824GOVGENERAL OPERATING$10,000
CHILD BRIDGE INC
836 HOLT DRIVEBIGFORKMT59911PCGENERAL OPERATING$5,000
CHILD CARE CONNECTIONS
901 N BENTON AVENUEHELENAMT59601PCEVENT SPONSORSHIP$2,000
COMMUNITY FOOD AND AGRICULTURE COALITION
PO BOX 7025MISSOULAMT59807PCEVENT SPONSORSHIP$5,000
CONFEDERATED SALISH AND KOOTENAI TRIBES
42487 COMPLEX BOULEVARDPABLOMT59855GOVEVENT SPONSORSHIP$2,500
CONFEDERATED SALISH AND KOOTENAI TRIBES
42487 COMPLEX BOULEVARDPABLOMT59855GOVTRIBAL HEALTH DEPARTMENT$9,000
DAYTON ELEMENTARY PARENT TEACHER ORGANIZATION
PO BOX 195DAYTONMT59914PCGENERAL OPERATING$5,000
DESMET SCHOOL
6355 PADRE LANEMISSOULAMT59808GOVEVENT SPONSORSHIP$2,500
DIXON SCHOOL DISTRICT 9
411 B STREETDIXONMT59831GOVAI CULTURAL PRESERVATION$10,000
DRUMMOND SCHOOL DISTRICT 11
108 W EDWARDS STREETDRUMMONDMT59832GOVGENERAL OPERATING$10,000
DRUMMOND SCHOOL DISTRICT 2
108 W EDWARDS STREETDRUMMONDMT59832GOVGENERAL OPERATING$10,000
EAT RIGHT MONTANA INC
PO BOX 1631HELENAMT59624PCGENERAL OPERATING$500
EMPOWERMT
2300 REGENT STREETMISSOULAMT59801PCGENERAL OPERATING$5,000
EUREKA SCHOOL DISTRICT
340 9TH STREETEUREKAMT59917GOVGENERAL OPERATING$20,000
FAMILIES IN PARTNERSHIP INC
PO BOX 762LIBBYMT59923PCGENERAL OPERATING$5,000
FAMILIES IN PARTNERSHIP INC
PO BOX 762LIBBYMT59923PCSPONSORSHIP GRANT$5,000
FARM HANDS-NOURISH THE FLATHEAD
PO BOX 4404WHITEFISHMT59937PCGENERAL OPERATING$5,000
FLORENCE CARLTON PARENT ORGANIZATION
PO BOX 433FLORENCEMT59833PCGENERAL OPERATING$5,000
FLORENCE COMMUNITY CENTER
PO BOX 98FLORENCEMT59833PCGENERAL OPERATING$5,000
FLORENCE CRITTENTON HOME & SERVICES
901 N HARRIS STREETHELENAMT59601PCGENERAL OPERATING$5,000
FLORENCE-CARLTON SCHOOL DISTRICT 15-6
5602 OLD HIGHWAY 93FLORENCEMT59833GOVGENERAL OPERATING$5,000
FORTINE SCHOOL DISTRICT
358 MEADOWCREEK ROADFORTINEMT59918GOVGENERAL OPERATING$5,000
FOURTH D INC
1500 W BROADWAY STREET SUITE BMISSOULAMT59802PCGENERAL OPERATING$2,500
FRIENDS FOREVER MENTORING
49518 US HIGHWAY 93POLSONMT59860PCGENERAL OPERATING$5,000
FRIENDS OF THE PHILIPSBURG LIBRARY
110 RUMSEY ROADPHILIPSBURGMT59858PCGENERAL OPERATING$5,000
GLACIER LAKE SCHOOL
62551 WILD ROSE LANEST IGNATIUSMT59865GOVGENERAL OPERATING$2,000
GREAT BEAR FOUNDATION
117 WEST BROADWAY STREETMISSOULAMT59807PCGENERAL OPERATING$5,000
GREATER MISSOULA FAMILY YMCA
3000 S RUSSELL STREETMISSOULAMT59801PCSPONSORSHIP GRANT$2,500
HABITAT FOR HUMANITY INTERNATIONAL INC
PO BOX 7181MISSOULAMT59807PCSPONSORSHIP GRANT$2,500
HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC
318-20 N LAST CHANCE GULCH SUITE 2CHELENAMT59601PCGENERAL OPERATING$5,000
HELPING HANDS FUND
PO BOX 1094POLSONMT59860PCGENERAL OPERATING$5,000
INTERMOUNTAIN PLANNED PARENTHOOD INC
1500 CANNON STREETHELENAMT59601PCGENERAL OPERATING$2,500
INTERMOUNTAIN
3240 DREDGE DRIVEHELENAMT59602PCZERO TO FIVE PROGRAM$802,500
INTERMOUNTAIN
3240 DREDGE DRIVEHELENAMT59602PCCHILD CARE SOLUTIONS TO SUPPORT YOUR WORKFORCE$180,000
KIWANIS FOUNDATION OF MONTANA
PO BOX 1171TROYMT59935PCGENERAL OPERATING$5,000
KIWANIS FOUNDATION OF MONTANA
PO BOX 1171TROYMT59935PCSPONSORSHIP GRANT$2,500
KOOTENAI VALLEY HEAD START INC
263 INDIAN HEAD ROADLIBBYMT59923PCSPONSORSHIP GRANT$5,000
LAKE COUNTY PUBLIC HEALTH
802 MAIN STREETPOLSONMT59860GOVGENERAL OPERATING$5,000
LEARN INC
1345 DAKOTA STREETMISSOULAMT59802PCSPONSORSHIP GRANT$2,500
LINCOLN COUNTY PUBLIC HEALTH
933 FARM TO MARKET ROAD SUITE DLIBBYMT59923GOVZERO TO FIVE COLLABORATIVE$177,200
LITERACY VOLUNTEERS OF AMERICA BITTERROOT INC
121 3RD AVENUE NWSIDNEYMT59270PCSPONSORSHIP GRANT$5,000
MA HOPE INSTITUTE
PO BOX 3603MISSOULAMT59806PCSPONSORSHIP GRANT$5,000
MAKE-A-WISH FOUNDATION OF MONTANA INC
1015 MOUNT AVENUE SUITE CMISSOULAMT59801PCSPONSORSHIP GRANT$2,500
MINERAL COUNTY COMMUNITY FOUNDATION
33 S LAST CHANCE GULCH SUITE 2AHELENAMT59601PCGENERAL OPERATING$5,000
MINERAL COUNTY HEALTH DEPARTMENT
PO BOX 488SUPERIORMT59872GOVSTRATEGIC INITIATIVE$150,000
MISSION RIDGE CHURCH INC
800 KENSINGTON AVENUE LL2MISSOULAMT59801PCSPONSORSHIP GRANT$2,500
MISSION VALLEY AQUATICS
309 RIDGEWATER DRIVEPOLSONMT59860PCSPONSORSHIP GRANT$5,000
MISSION VALLEY JUNIOR GOLF INC
111 BAYVIEW DRIVEPOLSONMT59860PCGENERAL OPERATING$5,000
MISSOULA CHILDREN'S THEATRE
200 N ADAMS STREETMISSOULAMT59802PCSPONSORSHIP GRANT$2,500
MISSOULA CITY-COUNTY HEALTH DEPARTMENT
301 WEST ALDER STREETMISSOULAMT59802GOVSPONSORSHIP GRANT$2,500
MISSOULA INTERFAITH COLLABORATIVE
202 BROOKS STREETMISSOULAMT59801PCPOLICY GRANT$175,000
MISSOULA URBAN INDIAN HEALTH CENTER INC
2100 STEPHENS AVENUE SUITE 105MISSOULAMT59801PCSTRATEGIC INITIATIVE$90,000
MISSOULA URBAN INDIAN HEALTH CENTER INC
2100 STEPHENS AVENUE SUITE 105MISSOULAMT59801PCGENERAL OPERATING$2,500
MONTANA ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN
PO BOX 11568BOZEMANMT59719PCFLATHEAD CHAPTER$5,000
MONTANA BUDGET AND POLICY CENTER
101 N LAST CHANCE GULCH SUITE 220HELENAMT59601PCPOLICY GRANT$125,000
MONTANA CASA GAL ASSOCIATION
2409 ARNOLD LANEBILLINGSMT59102PCSPONSORSHIP GRANT$2,500
MONTANA FOOD BANK NETWORK INC
5625 EXPRESSWAYMISSOULAMT59808PCGENERAL OPERATING$5,000
MONTANA FOOD BANK NETWORK INC
5625 EXPRESSWAYMISSOULAMT59808PCSPONSORSHIP GRANT$2,500
MONTANA HEALTH PLUS
1085 EUCLID AVENUEHELENAMT59601PCSPONSORSHIP GRANT$2,500
MONTANA HOMEOWNERSHIP NETWORK
509 1ST AVENUE SGREAT FALLSMT59401PCSPONSORSHIP GRANT$2,500
MONTANA HUMAN RIGHTS NETWORK INC
PO BOX 1509HELENAMT59624PCPOLICY MEETING HONORARIUM$140,000
MONTANA LEGAL SERVICES ASSOCIATION
616 HELENA AVENUE SUITE 100HELENAMT59601PCGENERAL OPERATING$100,000
MONTANA NONPROFIT ASSOCIATION INC
PO BOX 1744HELENAMT59624PCSTRATEGIC INITIATIVE$205,000
MONTANA PUBLIC HEALTH ASSOCIATION
1400 E BROADWAY STREETHELENAMT59601GOVGENERAL OPERATING$2,500
MONTANA TWO SPIRIT SOCIETY
PO BOX 7514MISSOULAMT59807PCGENERAL OPERATING$5,000
NEVER ALONE RECOVERY SUPPORT SERVICES
PO BOX 406RONANMT59864PCGENERAL OPERATING$5,000
NKWUSM SALISH LANGUAGE SCHOOL
PO BOX 5ARLEEMT59821PCSTRATEGIC INITIATIVE$5,000
NKWUSM SALISH LANGUAGE SCHOOL
PO BOX 5ARLEEMT59821PCGENERAL OPERATING$5,000
NORTH LAKE COUNTY PUBLIC LIBRARY
2 1ST AVENUE EPOLSONMT59860PCGENERAL OPERATING$5,000
NORTH VALLEY FOOD BANK INC
251 FLATHEAD AVENUEFLATHEADMT59937PCGENERAL OPERATING$5,000
NORTHWEST MONTANA UNITED WAY
1203 US-2KALISPELLMT59901PCGENERAL OPERATING$5,000
NORTHWOOD COMMUNITY INC
41652 US-93RONANMT59864PCGENERAL OPERATING$5,000
PEAK FOUNDATION
PO BOX 36ALBERTONMT59820PCGENERAL OPERATING$5,000
PEAK FOUNDATION
PO BOX 36ALBERTONMT59820PCSPONSORSHIP GRANT$2,500
PHILIPSBURG K-12 SCHOOL DISTRICT
407 SCHNEPEL STREETPHILIPSBURGMT59858GOVGENERAL OPERATING$15,000
POLSON SCHOOL DISTRICT 23
111 4TH AVENUE EPOLSONMT59860GOVGENERAL OPERATING$20,000
RAVALLI HEAD START INC
81 KURTZ LANEHAMILTONMT59840PCGENERAL OPERATING$5,000
RONAN SCHOOL DISTRICT 30
421 ANDREW STREET NWRONANMT59864GOVSCHOOL COMMUNITY POWWOW$2,500
RONAN SCHOOL DISTRICT
421 ANDREW STREET NWRONANMT59864GOVK WILLIAM HARVEY$30,000
RURAL DYNAMICS INC
410 CENTRAL AVENUE SUITE 401GREAT FALLSMT59401PCSPONSORSHIP GRANT$2,500
S A F E HARBOUR INC
63506 US-93RONANMT59864PCGENERAL OPERATING$7,500
SALISH & KOOTENAI HOUSING AUTHORITY
56243 US-93PABLOMT59855PCGENERAL OPERATING$5,000
SALISH KOOTENAI COLLEGE INC
PO BOX 70PABLOMT59855PCCENTER FOR PREVENTION AND WELLNESS$25,000
SALISH KOOTENAI COLLEGE INC
PO BOX 70PABLOMT59855PCSTATEGIC INITIATIVE$227,000
SALISH KOOTENAI COLLEGE INC
PO BOX 70PABLOMT59855PCGENERAL OPERATING$5,000
SOMERS LAKESIDE SCHOOL DISTRICT 29
315 SCHOOL ADDITION ROADSOMERSMT59932PCGENERAL OPERATING$5,000
SPARROWS NEST OF NORTHWEST MONTANA
PO BOX 8384KALISPELLMT59904PCGENERAL OPERATING$5,000
SPECIAL OLYMPICS MONTANA INC
PO BOX 3507GREAT FALLSMT59403PCGENERAL OPERATING$5,000
ST IGNATIUS PUBLIC SCHOOLS
76 3RD AVENUEST IGNATIUSMT59865GOVGENERAL OPERATING$20,000
ST LUKE COMMUNITY HEALTHCARE FOUNDATION
107 6TH AVENUE SWRONANMT59864PCGENERAL OPERATING$2,500
ST PETERS HEALTH
2475 BROADWAY STREETHELENAMT59601PCSPONSORSHIP GRANT$2,500
ST REGIS FRIENDS AND NEIGHBORS CLUB
6 TIGER STREETSAINT REGISMT59866PCSPONSORSHIP GRANT$2,500
ST REGIS SCHOOL DISTRICT 1
90 TIGER STREETSAINT REGISMT59866GOVGENERAL OPERATING$5,000
THE COMMUNITY SUPPORT CENTER
236 E REEDER STREETDILLONMT59725PCGENERAL OPERATING$5,000
TWO EAGLE RIVER SCHOOL
58020 US-93PABLOMT59855GOVCULTURAL PRESERVATION$10,000
UNIVERSITY OF MONTANA FOUNDATION
950 ARTHUR AVENUEMISSOULAMT59812GOVGENERAL OPERATING$5,000
UNIVERSITY OF MONTANA FOUNDATION
950 ARTHUR AVENUEMISSOULAMT59812GOVSPONSORSHIP GRANT$2,500
UNIVERSITY OF MONTANA
32 CAMPUS DRIVE ORSP UH 116MISSOULAMT59812GOVBIG SKY POLL$114,658
UNIVERSITY OF MONTANA
32 CAMPUS DRIVE ORSP UH 116MISSOULAMT59812GOVGENERAL OPERATING$5,000
UNIVERSITY OF MONTANA
32 CAMPUS DRIVE ORSP UH 116MISSOULAMT59812GOVPOLICY GRANT$210,000
UPPER WEST SHORE ELEMENTARY SCHOOL DISTRICT
506 B STREETDAYTONMT59914GOVDAYTON ELEMENTARY$5,000
VALLEY VIEW ELEMENTARY SCHOOL DISTRICT 35
42448 VALLEY VIEW ROADPOLSONMT59860GOVAI CULTURAL PRESERVATION$5,000
WESTERN NATIVE VOICE
310 N 27TH STREETBILLINGSMT59103PCGENERAL OPERATING$125,000
WORD
2405 MCINTOSH LOOPMISSOULAMT59801PCSPONSORSHIP GRANT$2,500
YES YOUTH EMPOWERMENT SERVICES
PO BOX 686ANACONDAMT59711PCGENERAL OPERATING$5,000
YOUNG WOMENS CHRISTIAN ASSO OF MISSOULA
1130 W BROADWAY STREETMISSOULAMT59802PCSPONSORSHIP GRANT$2,500
YOUTH HOMES INC
PO BOX 7616MISSOULAMT59807PCGENERAL OPERATING$2,500
YWCA HELENA
1200 N LAST CHANCE GULCHHELENAMT59601PCSPONSORSHIP GRANT$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$3,462,358TotalGrantOrContriPdDurYrAmt
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$3,459ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$784,122ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,721,922ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$204UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion$171,788ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescORDINARY INCOME FROM PASSTHROUGHDesc
Unrelated Business Taxbl Incm-$27,236UnrelatedBusinessTaxblIncmAmt
Exclusion01ExclusionCd
Exclusion$428,055ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm-$27,032UnrelatedBusinessTaxblIncmAmt
Exclusion$3,109,346ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,082,314TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$112,069Amt
Net Investment Income$24,566NetInvestmentIncomeAmt
Disbursements Charitable Prps$84,085DisbursementsCharitablePrpsAmt

Cash Distribution Expln Stmt CashDistributionExplnStmt

FieldValueIRS element (for citing)
ExplanationORGANIZATION: HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANATIN: 81-1099715TAX YEAR ENDED: DECEMBER 31, 2019FORM 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 - $3,043,7575. 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 - $5,341,100ExplanationTxt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtRtRt
INTERACTIVE DISPLAY SYSTEM2017-02-16$5,661$2,076SL5.000000000000$1,132$0
SMARTSIMPLE SOFTWARE LTD2018-07-05$57,673$5,767SL5.000000000000$11,535$0
BUILDING2019-12-23$50,000NC$0$00.000000000000

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (17 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AMERICAN INTERN$307,418$307,418
AMGEN$464,184$464,184
AMPHENOL CORP$413,586$413,586
APPLE INC$423,058$423,058
AT&T INC$407,542$407,542
BANK OF AMERICA CORP$425,211$425,211
CONSTELLATION BRANDS$404,956$404,956
CONSUMERS ENERGY$415,372$415,372
EXPEDIA$102,266$102,266
GOLDMAN SACHS$478,288$478,288
JP MORGAN CHASE$475,837$475,837
MEAD JOHNSON NUTRITIONAL$284,409$284,409
PNC FINANCIAL SERVICES GROUP$420,363$420,363
ROYAL CARIBBEAN$431,500$431,500
SYNCHRONY FINANCIAL$350,023$350,023
VANGUARD INFLATION$621,149$621,149
VANGUARD TOTAL BOND$2,366,695$2,366,695

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DFA EMERGING MKTS VALUE$4,303,711$4,303,711
PIMCO RAE FUNDAMENTAL$6,587,624$6,587,624
SPDR S&P GLOBAL NATURAL$816,809$816,809

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$2,682,573USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$2,682,573USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$715,898StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$715,898StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (17 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
ABS GLOBALFMV$5,876,653$5,876,653
ACCOLADE PARTNERS VII LPFMV$98,177$98,177
ACCRUED INTERESTFMV$79,290$79,290
AMBERBROOK VIII LPFMV$135,614$135,614
AUDAX DIRECT LENDING SOLUTIONS FUND-C LPFMV$588,304$588,304
COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LPFMV$1,666,310$1,666,310
EDGE PRINCIPAL INVESTMENTS IV LPFMV$278,376$278,376
FALCON PRIVATE CREDIT OPPORTUNITIES VI LPFMV$8,209$8,209
FEG SELECT LLCFMV$39,699,492$39,699,492
HARVEST MLP INCOME FUND II LLCFMV$3,436,534$3,436,534
IRONWOOD INTERNATIONAL LTDFMV$8,569,526$8,569,526
MAP RE 2018 LPFMV$799,596$799,596
RCP ADVISORSFMV$143,162$143,162
SEAPORT GLOBAL PROPERTY SECURITIES FUND LLCFMV$2,193,836$2,193,836
THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUNDFMV$4,793,286$4,793,286
WCP NEWCOLD LPFMV$2,496,438$2,496,438
WEATHERLOW OFFSHORE FUND I LTDFMV$8,859,269$8,859,269

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 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$50,000$0$50,000

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$21,720LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$22,560DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$38,057$0$14,877
COMPUTER AND SOFTWARE$39,990$0$40,352
ADVERTISING AND PROMOTIONS$12,896$0$12,896
FEES AND SUBSCRIPTIONS$18,103$0$18,103
OFFICE EXPENSE$5,936$0$5,936
REPAIRS AND MAINTENANCE$1,032$0$1,032
EQUIPMENT RENT$4,458$0$4,458
SMALL EQUIPMENT$10,843$0$10,843
MISCELLANEOUS$1,621$0$1,471
BOND PREMIUM AMORTIZATION$11$11$0
STATE FILING FEES$30$0$30

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
ALTERNATIVE INVESTMENTS$1,721,922$1,721,922$1,721,922
ORDINARY INCOME FROM PASSTHROUGH$400,819$1,186,938$400,819

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$11,985,205Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
PAYROLL LIABILITIES$83,173$109,354
DEFERRED EXCISE TAX$111,603$114,852
EXCISE TAX PAYABLE$15,547$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT$181,005$203,897$0
CONSULTING$400,314$125,100$276,913
RECRUITING$1,408$0$1,408
ALTERNATIVE INVESTMENTS$97,042$903,838$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$0$134,920$0
EXCISE TAX$40,598$0$0
STATE INCOME TAX$50$0$0

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.