2020-11-10T13:18:25-06:00 2019-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990PF 2019-01-01 811099715 HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA HEAD 4069266526 283 W FRONT STREET NO 301 MISSOULA MT 59802 RICHARD OPPER TREASURER 4069266526 2020-11-10 1 WENDY CAMPOS P00448102 5032421447 2020-11-10 73.157.231.154 2020-11-10 13:15:59 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AFD58E387237111C2F00F3E2CF512D7D24AC9BA3 2019 2021-04-22 16:20:28Z X 104159687 X 0 X 3459 3459 784122 2729563 171992 21546182 0 2122741 2908860 3082314 5641882 585382 96001 464270 295613 11545 265723 221591 23200 195684 21720 0 22560 112069 24566 84085 679769 1232835 278321 124176 124176 124176 40648 134920 0 12667 0 98879 0 91116 190272 0 191941 868 0 868 132977 11 109998 2516631 1647254 1828742 3462358 3462358 5978989 1647254 5291100 -2896675 3994628 975329 379219 379215 888000 67104 67104 67104 8927 3751248 3398471 3398471 10745333 11708144 11708144 10170506 8791857 8791857 68777405 79722072 79722072 113334 20510 55491 92824 92824 95372239 104159691 104159687 13244 39433 341200 50 210323 224206 564767 263689 X 94807472 103896002 94807472 103896002 95372239 104159691 94807472 -2896675 11985205 103896002 0 103896002 PUBLICLY TRADED SECURITIES 21450285 21374190 76095 76095 ALTERNATIVE INVESTMENTS P 95897 587332 -491435 -491435 -415340 0 6555195 110983314 0.059065 990647 77661511 0.012756 48448 17220 2.813473 2.885294 0.961765 103056436 99116073 39946 99156019 6341100 79893 0 79893 0 79893 121439 0 0 121439 0 41546 41546 0 0 0 0 0 0 0 0 0 1 1 0 1 1 MT 1 0 0 0 0 1 WWW.HEADWATERSMT.ORG MYNOR VELIZ 4069266526 283 W FRONT STREET MISSOULA MT 59802 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROBERT PHILLIPS 283 W FRONT STREET MISSOULA MT 59802 CHAIR 1.30 0 0 0 JAY LOWDER 283 W FRONT STREET MISSOULA MT 59802 CHAIR 1.30 0 0 0 CHRISTINA TWOHIG 283 W FRONT STREET MISSOULA MT 59802 VICE CHAIR 1.30 0 0 0 HEATHER CAHOON 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 CARISSA KUHL 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 STEVE MCNEECE 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 RICHARD OPPER 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 KELLEY RISCHKE 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 MIKE STEWART 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 JORDAN THOMPSON 283 W FRONT STREET MISSOULA MT 59802 TRUSTEE 1.30 0 0 0 BRENDA SOLORZANO-CLAUDLE 283 W FRONT STREET MISSOULA MT 59802 CHIEF EXECUTIVE OFFICER 40.00 277108 24191 0 MYNOR VELIZ 283 W FRONT STREET MISSOULA MT 59802 CHIEF FINANCIAL OFFICER 40.00 196682 25705 0 ERIN SWITALSKI 283 W FRONT STREET MISSOULA MT 59802 PROGRAM DIRECTOR 40.00 97909 22433 0 JENNIFER L SAVAGE 283 WEST FRONT ST SUITE 301 MISSOULA MT 59802 COMMUNICATIONS OFFIC 40.00 70318 4488 0 ASHLEY N SHAW 283 WEST FRONT ST SUITE 301 MISSOULA MT 59802 PROGRAM ASSOCIATE 40.00 64815 1356 0 ZIA MAUMENEE 283 WEST FRONT ST SUITE 301 MISSOULA MT 59802 GRANTS MANAGER 40.00 60920 4088 0 0 FSG INC 1411 4TH AVE 12TH FLOOR SEATTLE WA 98101 CONSULTING 83750 MCEWEN BIG SKY LLC 2024 218TH PLACE NE SAMMAMISH WA 98074 CONSULTING 81042 MOSS ADAMS LLP 805 SW BROADWAY ST SUITE 1200 PORTLAND OR 97205 AUDIT AND TAX 66550 FUND EVALUATION GROUP LLC 201 EAST FIFTH ST SUITE 1600 CINCINNATI OH 45202 INVESTMENT 61626 WIPFLI LLP 11 SCOTT ST WAUSAU WI 54402 ACCOUNTING 50000 0 0 24217746 686005 79722072 104625823 0 0 104625823 1569387 103056436 5152822 5152822 79893 79893 5072929 0 5072929 0 5072929 5291100 0 50000 1000000 6341100 0 6341100 5072929 1712765 0 0 6341100 1712765 0 0 4628335 0 0 0 0 0 0 0 0 444594 0 0 0 X A CAROUSEL FOR MISSOULA FOUNDATION INC PO BOX 3345 MISSOULA MT 59806 PC SPONSORSHIP FOR ACTIVITIES THAT DIRECTLY SERVICE CHILDREN AND FAMILIES 2500 A VOICE PO BOX 832 PABLO MT 59855 PC GENERAL OPERATING 5000 ANACONDA COMMUNITY INTERVENTION INC PO BOX 1273 ANACONDA MT 59711 PC SPONSORSHIP GRANT 2500 ANACONDA PCA FAMILY RESORCE CENTER 520 OAK STREET ANACONDA MT 59711 PC GENERAL OPERATING 2500 ANACONDA SCHOOL DISTRICT 10 1410 W PARK STREET ANACONDA MT 59711 GOV GENERAL OPERATING 15000 ANACONDA-DEER LODGE COUNTY PUBLIC HEALTH 115 W COMMERCIAL AVENUE ANACONDA MT 59711 GOV GENERAL OPERATING 5000 ANACONDA-DEER LODGE COUNTY PUBLIC HEALTH 115 W COMMERCIAL AVENUE ANACONDA MT 59711 GOV SPONSORSHIP GRANT 2500 ARLEE COMMUNITY DEVELOPMENT CORPORATION PO BOX 452 ARLEE MT 59821 PC GENERAL OPERATING 15000 AWARE INC 205 E PARK AVENUE ANACONDA MT 59711 PC GENERAL OPERATING 5000 BEAVERHEAD COUNTY MENTAL HEALTH LOCAL ADVISORY COUNCIL 2 SOUTH PACIFIC STREET DILLON MT 50972 GOV GENERAL OPERATING 5000 BIG SKY AACAP 2620 COLONIAL DRIVE HELENA MT 59601 PC GENERAL OPERATING 2500 BITTER ROOT RC&D 1709 N 1ST STREET HAMILTON MT 59840 PC GENERAL OPERATING 5000 BITTERROOT CASA INC PO BOX 661 HAMILTON MT 59828 PC GENERAL OPERATING 5000 BITTERROOT VALLEY CHILDRENS ADVOCACY CENTER INC PO BOX 2034 HAMILTON MT 59840 PC GENERAL OPERATING 2500 BOYS & GIRLS CLUB OF GLACIER COUNTRY PO BOX 961 COLUMBIA FALLS MT 59912 PC GENERAL OPERATING 5000 BOYS & GIRLS CLUB OF GLACIER COUNTRY PO BOX 961 COLUMBIA FALLS MT 59912 PC EVENT SPONSORSHIP 2500 BOYS AND GIRLS CLUB OF MISSOULA COUNTY 1515 FAIRVIEW AVENUE MISSOULA MT 59801 PC GENERAL OPERATING 2500 BOYS AND GIRLS CLUB OF MISSOULA COUNTY 1515 FAIRVIEW AVENUE MISSOULA MT 59801 PC OUT OF SCHOOL TIME CLUB 5000 BOYS AND GIRLS CLUB OF THE FLATHEAD RESERVATION 62579 US-93 RONAN MT 59864 PC GENERAL OPERATING 2500 BOYS AND GIRLS CLUB OF THE FLATHEAD RESERVATION 62579 US-93 RONAN MT 59864 PC EVENT SPONSORSHIP 5000 BRIGHTWAYS LEARNING 3700 S RUSSELL STREET SUITE 114 MISSOULA MT 59801 PC GENERAL OPERATING 2500 BUTTE 4-C'S 101 N MAIN STREET BUTTE MT 59701 PC GENERAL OPERATING 7500 BUTTE RESCUE MISSION 610 E PLATINUM STREET BUTTE MT 59701 PC GENERAL OPERATING 5000 CASA OF LAKE COUNTY PO BOX 511 POLSON MT 59860 PC GENERAL OPERATING 5000 CHARLO COMMUNITY OUTDOOR COMPLEX INC 39752 MORRIS ROAD CHARLO MT 59824 PC GENERAL OPERATING 5000 CHARLO SCHOOL DISTRICT 7J 404 1ST AVENUE W CHARLO MT 59824 GOV GENERAL OPERATING 10000 CHILD BRIDGE INC 836 HOLT DRIVE BIGFORK MT 59911 PC GENERAL OPERATING 5000 CHILD CARE CONNECTIONS 901 N BENTON AVENUE HELENA MT 59601 PC EVENT SPONSORSHIP 2000 COMMUNITY FOOD AND AGRICULTURE COALITION PO BOX 7025 MISSOULA MT 59807 PC EVENT SPONSORSHIP 5000 CONFEDERATED SALISH AND KOOTENAI TRIBES 42487 COMPLEX BOULEVARD PABLO MT 59855 GOV EVENT SPONSORSHIP 2500 CONFEDERATED SALISH AND KOOTENAI TRIBES 42487 COMPLEX BOULEVARD PABLO MT 59855 GOV TRIBAL HEALTH DEPARTMENT 9000 DAYTON ELEMENTARY PARENT TEACHER ORGANIZATION PO BOX 195 DAYTON MT 59914 PC GENERAL OPERATING 5000 DESMET SCHOOL 6355 PADRE LANE MISSOULA MT 59808 GOV EVENT SPONSORSHIP 2500 DIXON SCHOOL DISTRICT 9 411 B STREET DIXON MT 59831 GOV AI CULTURAL PRESERVATION 10000 DRUMMOND SCHOOL DISTRICT 11 108 W EDWARDS STREET DRUMMOND MT 59832 GOV GENERAL OPERATING 10000 DRUMMOND SCHOOL DISTRICT 2 108 W EDWARDS STREET DRUMMOND MT 59832 GOV GENERAL OPERATING 10000 EAT RIGHT MONTANA INC PO BOX 1631 HELENA MT 59624 PC GENERAL OPERATING 500 EMPOWERMT 2300 REGENT STREET MISSOULA MT 59801 PC GENERAL OPERATING 5000 EUREKA SCHOOL DISTRICT 340 9TH STREET EUREKA MT 59917 GOV GENERAL OPERATING 20000 FAMILIES IN PARTNERSHIP INC PO BOX 762 LIBBY MT 59923 PC GENERAL OPERATING 5000 FAMILIES IN PARTNERSHIP INC PO BOX 762 LIBBY MT 59923 PC SPONSORSHIP GRANT 5000 FARM HANDS-NOURISH THE FLATHEAD PO BOX 4404 WHITEFISH MT 59937 PC GENERAL OPERATING 5000 FLORENCE CARLTON PARENT ORGANIZATION PO BOX 433 FLORENCE MT 59833 PC GENERAL OPERATING 5000 FLORENCE COMMUNITY CENTER PO BOX 98 FLORENCE MT 59833 PC GENERAL OPERATING 5000 FLORENCE CRITTENTON HOME & SERVICES 901 N HARRIS STREET HELENA MT 59601 PC GENERAL OPERATING 5000 FLORENCE-CARLTON SCHOOL DISTRICT 15-6 5602 OLD HIGHWAY 93 FLORENCE MT 59833 GOV GENERAL OPERATING 5000 FORTINE SCHOOL DISTRICT 358 MEADOWCREEK ROAD FORTINE MT 59918 GOV GENERAL OPERATING 5000 FOURTH D INC 1500 W BROADWAY STREET SUITE B MISSOULA MT 59802 PC GENERAL OPERATING 2500 FRIENDS FOREVER MENTORING 49518 US HIGHWAY 93 POLSON MT 59860 PC GENERAL OPERATING 5000 FRIENDS OF THE PHILIPSBURG LIBRARY 110 RUMSEY ROAD PHILIPSBURG MT 59858 PC GENERAL OPERATING 5000 GLACIER LAKE SCHOOL 62551 WILD ROSE LANE ST IGNATIUS MT 59865 GOV GENERAL OPERATING 2000 GREAT BEAR FOUNDATION 117 WEST BROADWAY STREET MISSOULA MT 59807 PC GENERAL OPERATING 5000 GREATER MISSOULA FAMILY YMCA 3000 S RUSSELL STREET MISSOULA MT 59801 PC SPONSORSHIP GRANT 2500 HABITAT FOR HUMANITY INTERNATIONAL INC PO BOX 7181 MISSOULA MT 59807 PC SPONSORSHIP GRANT 2500 HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC 318-20 N LAST CHANCE GULCH SUITE 2C HELENA MT 59601 PC GENERAL OPERATING 5000 HELPING HANDS FUND PO BOX 1094 POLSON MT 59860 PC GENERAL OPERATING 5000 INTERMOUNTAIN PLANNED PARENTHOOD INC 1500 CANNON STREET HELENA MT 59601 PC GENERAL OPERATING 2500 INTERMOUNTAIN 3240 DREDGE DRIVE HELENA MT 59602 PC ZERO TO FIVE PROGRAM 802500 INTERMOUNTAIN 3240 DREDGE DRIVE HELENA MT 59602 PC CHILD CARE SOLUTIONS TO SUPPORT YOUR WORKFORCE 180000 KIWANIS FOUNDATION OF MONTANA PO BOX 1171 TROY MT 59935 PC GENERAL OPERATING 5000 KIWANIS FOUNDATION OF MONTANA PO BOX 1171 TROY MT 59935 PC SPONSORSHIP GRANT 2500 KOOTENAI VALLEY HEAD START INC 263 INDIAN HEAD ROAD LIBBY MT 59923 PC SPONSORSHIP GRANT 5000 LAKE COUNTY PUBLIC HEALTH 802 MAIN STREET POLSON MT 59860 GOV GENERAL OPERATING 5000 LEARN INC 1345 DAKOTA STREET MISSOULA MT 59802 PC SPONSORSHIP GRANT 2500 LINCOLN COUNTY PUBLIC HEALTH 933 FARM TO MARKET ROAD SUITE D LIBBY MT 59923 GOV ZERO TO FIVE COLLABORATIVE 177200 LITERACY VOLUNTEERS OF AMERICA BITTERROOT INC 121 3RD AVENUE NW SIDNEY MT 59270 PC SPONSORSHIP GRANT 5000 MA HOPE INSTITUTE PO BOX 3603 MISSOULA MT 59806 PC SPONSORSHIP GRANT 5000 MAKE-A-WISH FOUNDATION OF MONTANA INC 1015 MOUNT AVENUE SUITE C MISSOULA MT 59801 PC SPONSORSHIP GRANT 2500 MINERAL COUNTY COMMUNITY FOUNDATION 33 S LAST CHANCE GULCH SUITE 2A HELENA MT 59601 PC GENERAL OPERATING 5000 MINERAL COUNTY HEALTH DEPARTMENT PO BOX 488 SUPERIOR MT 59872 GOV STRATEGIC INITIATIVE 150000 MISSION RIDGE CHURCH INC 800 KENSINGTON AVENUE LL2 MISSOULA MT 59801 PC SPONSORSHIP GRANT 2500 MISSION VALLEY AQUATICS 309 RIDGEWATER DRIVE POLSON MT 59860 PC SPONSORSHIP GRANT 5000 MISSION VALLEY JUNIOR GOLF INC 111 BAYVIEW DRIVE POLSON MT 59860 PC GENERAL OPERATING 5000 MISSOULA CHILDREN'S THEATRE 200 N ADAMS STREET MISSOULA MT 59802 PC SPONSORSHIP GRANT 2500 MISSOULA CITY-COUNTY HEALTH DEPARTMENT 301 WEST ALDER STREET MISSOULA MT 59802 GOV SPONSORSHIP GRANT 2500 MISSOULA INTERFAITH COLLABORATIVE 202 BROOKS STREET MISSOULA MT 59801 PC POLICY GRANT 175000 MISSOULA URBAN INDIAN HEALTH CENTER INC 2100 STEPHENS AVENUE SUITE 105 MISSOULA MT 59801 PC STRATEGIC INITIATIVE 90000 MISSOULA URBAN INDIAN HEALTH CENTER INC 2100 STEPHENS AVENUE SUITE 105 MISSOULA MT 59801 PC GENERAL OPERATING 2500 MONTANA ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN PO BOX 11568 BOZEMAN MT 59719 PC FLATHEAD CHAPTER 5000 MONTANA BUDGET AND POLICY CENTER 101 N LAST CHANCE GULCH SUITE 220 HELENA MT 59601 PC POLICY GRANT 125000 MONTANA CASA GAL ASSOCIATION 2409 ARNOLD LANE BILLINGS MT 59102 PC SPONSORSHIP GRANT 2500 MONTANA FOOD BANK NETWORK INC 5625 EXPRESSWAY MISSOULA MT 59808 PC GENERAL OPERATING 5000 MONTANA FOOD BANK NETWORK INC 5625 EXPRESSWAY MISSOULA MT 59808 PC SPONSORSHIP GRANT 2500 MONTANA HEALTH PLUS 1085 EUCLID AVENUE HELENA MT 59601 PC SPONSORSHIP GRANT 2500 MONTANA HOMEOWNERSHIP NETWORK 509 1ST AVENUE S GREAT FALLS MT 59401 PC SPONSORSHIP GRANT 2500 MONTANA HUMAN RIGHTS NETWORK INC PO BOX 1509 HELENA MT 59624 PC POLICY MEETING HONORARIUM 140000 MONTANA LEGAL SERVICES ASSOCIATION 616 HELENA AVENUE SUITE 100 HELENA MT 59601 PC GENERAL OPERATING 100000 MONTANA NONPROFIT ASSOCIATION INC PO BOX 1744 HELENA MT 59624 PC STRATEGIC INITIATIVE 205000 MONTANA PUBLIC HEALTH ASSOCIATION 1400 E BROADWAY STREET HELENA MT 59601 GOV GENERAL OPERATING 2500 MONTANA TWO SPIRIT SOCIETY PO BOX 7514 MISSOULA MT 59807 PC GENERAL OPERATING 5000 NEVER ALONE RECOVERY SUPPORT SERVICES PO BOX 406 RONAN MT 59864 PC GENERAL OPERATING 5000 NKWUSM SALISH LANGUAGE SCHOOL PO BOX 5 ARLEE MT 59821 PC STRATEGIC INITIATIVE 5000 NKWUSM SALISH LANGUAGE SCHOOL PO BOX 5 ARLEE MT 59821 PC GENERAL OPERATING 5000 NORTH LAKE COUNTY PUBLIC LIBRARY 2 1ST AVENUE E POLSON MT 59860 PC GENERAL OPERATING 5000 NORTH VALLEY FOOD BANK INC 251 FLATHEAD AVENUE FLATHEAD MT 59937 PC GENERAL OPERATING 5000 NORTHWEST MONTANA UNITED WAY 1203 US-2 KALISPELL MT 59901 PC GENERAL OPERATING 5000 NORTHWOOD COMMUNITY INC 41652 US-93 RONAN MT 59864 PC GENERAL OPERATING 5000 PEAK FOUNDATION PO BOX 36 ALBERTON MT 59820 PC GENERAL OPERATING 5000 PEAK FOUNDATION PO BOX 36 ALBERTON MT 59820 PC SPONSORSHIP GRANT 2500 PHILIPSBURG K-12 SCHOOL DISTRICT 407 SCHNEPEL STREET PHILIPSBURG MT 59858 GOV GENERAL OPERATING 15000 POLSON SCHOOL DISTRICT 23 111 4TH AVENUE E POLSON MT 59860 GOV GENERAL OPERATING 20000 RAVALLI HEAD START INC 81 KURTZ LANE HAMILTON MT 59840 PC GENERAL OPERATING 5000 RONAN SCHOOL DISTRICT 30 421 ANDREW STREET NW RONAN MT 59864 GOV SCHOOL COMMUNITY POWWOW 2500 RONAN SCHOOL DISTRICT 421 ANDREW STREET NW RONAN MT 59864 GOV K WILLIAM HARVEY 30000 RURAL DYNAMICS INC 410 CENTRAL AVENUE SUITE 401 GREAT FALLS MT 59401 PC SPONSORSHIP GRANT 2500 S A F E HARBOUR INC 63506 US-93 RONAN MT 59864 PC GENERAL OPERATING 7500 SALISH & KOOTENAI HOUSING AUTHORITY 56243 US-93 PABLO MT 59855 PC GENERAL OPERATING 5000 SALISH KOOTENAI COLLEGE INC PO BOX 70 PABLO MT 59855 PC CENTER FOR PREVENTION AND WELLNESS 25000 SALISH KOOTENAI COLLEGE INC PO BOX 70 PABLO MT 59855 PC STATEGIC INITIATIVE 227000 SALISH KOOTENAI COLLEGE INC PO BOX 70 PABLO MT 59855 PC GENERAL OPERATING 5000 SOMERS LAKESIDE SCHOOL DISTRICT 29 315 SCHOOL ADDITION ROAD SOMERS MT 59932 PC GENERAL OPERATING 5000 SPARROWS NEST OF NORTHWEST MONTANA PO BOX 8384 KALISPELL MT 59904 PC GENERAL OPERATING 5000 SPECIAL OLYMPICS MONTANA INC PO BOX 3507 GREAT FALLS MT 59403 PC GENERAL OPERATING 5000 ST IGNATIUS PUBLIC SCHOOLS 76 3RD AVENUE ST IGNATIUS MT 59865 GOV GENERAL OPERATING 20000 ST LUKE COMMUNITY HEALTHCARE FOUNDATION 107 6TH AVENUE SW RONAN MT 59864 PC GENERAL OPERATING 2500 ST PETERS HEALTH 2475 BROADWAY STREET HELENA MT 59601 PC SPONSORSHIP GRANT 2500 ST REGIS FRIENDS AND NEIGHBORS CLUB 6 TIGER STREET SAINT REGIS MT 59866 PC SPONSORSHIP GRANT 2500 ST REGIS SCHOOL DISTRICT 1 90 TIGER STREET SAINT REGIS MT 59866 GOV GENERAL OPERATING 5000 THE COMMUNITY SUPPORT CENTER 236 E REEDER STREET DILLON MT 59725 PC GENERAL OPERATING 5000 TWO EAGLE RIVER SCHOOL 58020 US-93 PABLO MT 59855 GOV CULTURAL PRESERVATION 10000 UNIVERSITY OF MONTANA FOUNDATION 950 ARTHUR AVENUE MISSOULA MT 59812 GOV GENERAL OPERATING 5000 UNIVERSITY OF MONTANA FOUNDATION 950 ARTHUR AVENUE MISSOULA MT 59812 GOV SPONSORSHIP GRANT 2500 UNIVERSITY OF MONTANA 32 CAMPUS DRIVE ORSP UH 116 MISSOULA MT 59812 GOV BIG SKY POLL 114658 UNIVERSITY OF MONTANA 32 CAMPUS DRIVE ORSP UH 116 MISSOULA MT 59812 GOV GENERAL OPERATING 5000 UNIVERSITY OF MONTANA 32 CAMPUS DRIVE ORSP UH 116 MISSOULA MT 59812 GOV POLICY GRANT 210000 UPPER WEST SHORE ELEMENTARY SCHOOL DISTRICT 506 B STREET DAYTON MT 59914 GOV DAYTON ELEMENTARY 5000 VALLEY VIEW ELEMENTARY SCHOOL DISTRICT 35 42448 VALLEY VIEW ROAD POLSON MT 59860 GOV AI CULTURAL PRESERVATION 5000 WESTERN NATIVE VOICE 310 N 27TH STREET BILLINGS MT 59103 PC GENERAL OPERATING 125000 WORD 2405 MCINTOSH LOOP MISSOULA MT 59801 PC SPONSORSHIP GRANT 2500 YES YOUTH EMPOWERMENT SERVICES PO BOX 686 ANACONDA MT 59711 PC GENERAL OPERATING 5000 YOUNG WOMENS CHRISTIAN ASSO OF MISSOULA 1130 W BROADWAY STREET MISSOULA MT 59802 PC SPONSORSHIP GRANT 2500 YOUTH HOMES INC PO BOX 7616 MISSOULA MT 59807 PC GENERAL OPERATING 2500 YWCA HELENA 1200 N LAST CHANCE GULCH HELENA MT 59601 PC SPONSORSHIP GRANT 2500 3462358 0 14 3459 14 784122 14 1721922 204 18 171788 ORDINARY INCOME FROM PASSTHROUGH -27236 01 428055 -27032 3109346 0 3082314 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 112069 24566 84085 ORGANIZATION: 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 - $5,341,100 INTERACTIVE DISPLAY SYSTEM 2017-02-16 5661 2076 SL 5.000000000000 1132 0 SMARTSIMPLE SOFTWARE LTD 2018-07-05 57673 5767 SL 5.000000000000 11535 0 BUILDING 2019-12-23 50000 NC 0.000000000000 0 0 AMERICAN INTERN 307418 307418 AMGEN 464184 464184 AMPHENOL CORP 413586 413586 APPLE INC 423058 423058 AT&T INC 407542 407542 BANK OF AMERICA CORP 425211 425211 CONSTELLATION BRANDS 404956 404956 CONSUMERS ENERGY 415372 415372 EXPEDIA 102266 102266 GOLDMAN SACHS 478288 478288 JP MORGAN CHASE 475837 475837 MEAD JOHNSON NUTRITIONAL 284409 284409 PNC FINANCIAL SERVICES GROUP 420363 420363 ROYAL CARIBBEAN 431500 431500 SYNCHRONY FINANCIAL 350023 350023 VANGUARD INFLATION 621149 621149 VANGUARD TOTAL BOND 2366695 2366695 DFA EMERGING MKTS VALUE 4303711 4303711 PIMCO RAE FUNDAMENTAL 6587624 6587624 SPDR S&P GLOBAL NATURAL 816809 816809 2682573 2682573 715898 715898 ABS GLOBAL FMV 5876653 5876653 ACCOLADE PARTNERS VII LP FMV 98177 98177 ACCRUED INTEREST FMV 79290 79290 AMBERBROOK VIII LP FMV 135614 135614 AUDAX DIRECT LENDING SOLUTIONS FUND-C LP FMV 588304 588304 COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LP FMV 1666310 1666310 EDGE PRINCIPAL INVESTMENTS IV LP FMV 278376 278376 FALCON PRIVATE CREDIT OPPORTUNITIES VI LP FMV 8209 8209 FEG SELECT LLC FMV 39699492 39699492 HARVEST MLP INCOME FUND II LLC FMV 3436534 3436534 IRONWOOD INTERNATIONAL LTD FMV 8569526 8569526 MAP RE 2018 LP FMV 799596 799596 RCP ADVISORS FMV 143162 143162 SEAPORT GLOBAL PROPERTY SECURITIES FUND LLC FMV 2193836 2193836 THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUND FMV 4793286 4793286 WCP NEWCOLD LP FMV 2496438 2496438 WEATHERLOW OFFSHORE FUND I LTD FMV 8859269 8859269 INTERACTIVE DISPLAY SYSTEM 5661 3208 2453 SMARTSIMPLE SOFTWARE LTD 57673 17302 40371 BUILDING 50000 0 50000 LEGAL FEES 21720 0 22560 INSURANCE 38057 0 14877 COMPUTER AND SOFTWARE 39990 0 40352 ADVERTISING AND PROMOTIONS 12896 0 12896 FEES AND SUBSCRIPTIONS 18103 0 18103 OFFICE EXPENSE 5936 0 5936 REPAIRS AND MAINTENANCE 1032 0 1032 EQUIPMENT RENT 4458 0 4458 SMALL EQUIPMENT 10843 0 10843 MISCELLANEOUS 1621 0 1471 BOND PREMIUM AMORTIZATION 11 11 0 STATE FILING FEES 30 0 30 ALTERNATIVE INVESTMENTS 1721922 1721922 1721922 ORDINARY INCOME FROM PASSTHROUGH 400819 1186938 400819 UNREALIZED GAIN ON INVESTMENTS 11985205 PAYROLL LIABILITIES 83173 109354 DEFERRED EXCISE TAX 111603 114852 EXCISE TAX PAYABLE 15547 0 INVESTMENT MANAGEMENT 181005 203897 0 CONSULTING 400314 125100 276913 RECRUITING 1408 0 1408 ALTERNATIVE INVESTMENTS 97042 903838 0 FOREIGN TAX 0 134920 0 EXCISE TAX 40598 0 0 STATE INCOME TAX 50 0 0