RIVERSIDE HEALTH FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
RIVERSIDE HEALTH FOUNDATION (EIN 48-1142989)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-01-27
IRS object ID
202030279349100513
Schema version
2018v3.1
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)
Return2020-01-27T15:32:53-06:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481142989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONNIE TROYInCareOfNm
Business Name ControlRIVEBusinessNameControlTxt
Phone3169428430PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONNIE TROYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3169428430PhoneNum
Signature2020-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNELL LINOTPreparerPersonNm
PTINP01663908PTIN
Phone3162652811PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id48010220200275000013FederalOriginalSubmissionId
Federal Original Submission Id2020-01-27FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1157E25169E16EC48DDF7BDC3DD0E85B2314EDD1AtSubmissionCreationDeviceId
At Submission Filing Device Id38AECA02CC33E1DCE2D4B3D84B4A0F9ADDEF1708AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$17,541,534FMVAssetsEOYAmt
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
Dividends Rev And Expnss$401,197DividendsRevAndExpnssAmt
Dividends Net Invst Incm$401,197DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$893,443NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$16,782,319GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$893,443CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$400OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$1,295,040TotalRevAndExpnssAmt
Total Net Invst Incm$1,294,640TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$13,974LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$13,974LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$19,401AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,940AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$17,461AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$62,247OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$62,247OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$25,410TaxesRevAndExpnssAmt
Occupancy Rev And Expnss$204OccupancyRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$8,433TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$8,433TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$63,981OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$614OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,745OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$193,650TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$64,801TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$99,613TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$657,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$657,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$851,150TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$64,801TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$757,113TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$443,890ExcessRevenueOverExpensesAmt
Net Investment Income$1,229,839NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$420,335SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$46,224SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$46,224SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$2,369PrepaidExpensesBOYAmt
Prepaid Expenses EOY$0PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$0PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$733,745USGovernmentObligationsBOYAmt
US Government Obligations EOY$930,249USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$930,249USGovtObligationsEOYFMVAmt
Corporate Stock BOY$10,585,647CorporateStockBOYAmt
Corporate Stock EOY$11,184,227CorporateStockEOYAmt
Corporate Stock EOYFMV$11,184,227CorporateStockEOYFMVAmt
Corporate Bonds BOY$5,782,020CorporateBondsBOYAmt
Corporate Bonds EOY$5,380,834CorporateBondsEOYAmt
Corporate Bonds EOYFMV$5,380,834CorporateBondsEOYFMVAmt
Total Assets BOY$17,524,116TotalAssetsBOYAmt
Total Assets EOY$17,541,534TotalAssetsEOYAmt
Total Assets EOYFMV$17,541,534TotalAssetsEOYFMVAmt
Accounts Payable BOY$712AccountsPayableBOYAmt
Accounts Payable EOY$8,841AccountsPayableEOYAmt
Total Liabilities BOY$712TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,841TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$17,523,404UnrestrictedBOYAmt
Unrestricted EOY$17,532,693UnrestrictedEOYAmt
Temporarily Restricted BOY$0TemporarilyRestrictedBOYAmt
Temporarily Restricted EOY$0TemporarilyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$17,523,404TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$17,532,693TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$17,524,116TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,541,534TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$17,523,404TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$443,890ExcessRevenueOverExpensesAmt
Subtotal$17,967,294SubtotalAmt
Other Decreases$434,601OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$17,532,693TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
COMMERCE 69-4$5,761,032$5,800,056-$39,024-$39,024
COMMERCE 69-2$2,002,260$2,020,614-$18,354-$18,354
COMMERCE 69-3$7,788,860$6,802,324$986,536$986,536
COMMERCE 69-8$1,230,167$1,265,882-$35,715-$35,715
FieldValueIRS element (for citing)
Capital Gain Net Income$893,443CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$961,689AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$17,665,500NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.054439DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,008,852AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$17,284,619NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.058367DistributionYr2Rt
Adjusted Qlfy Distri Yr3$857,822AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$16,949,599NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.05061DistributionYr3Rt
Adjusted Qlfy Distri Yr4$895,334AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$18,165,228NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.049288DistributionYr4Rt
Adjusted Qlfy Distri Yr5$867,966AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$18,285,591NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047467DistributionYr5Rt
Total Distribution0.260171TotalDistributionRt
Average Distribution0.052034AverageDistributionRt
Net Vl Noncharitable Assets$17,104,317NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$890,006AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$12,298NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$902,304AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$757,113QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$24,597InvestmentIncomeExciseTaxAmt
Subtotal$24,597SubtotalAmt
Tax Based On Investment Income$24,597TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$15,769EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$15,769TotalPaymentsAndCreditsAmt
Tax Due$8,828TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateKSOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RONNIE TROYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3169428430PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9527AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672770527ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
RANDY COONROD
PO BOX 9527WICHITAKS672770527CHAIRMAN/DIRECTOR1.0$0$0$0
DR JERRY GASTON
PO BOX 9527WICHITAKS672770527VICE CHAIRMAN/DIRECTOR0.5$0$0$0
RONNIE TROY
PO BOX 9527WICHITAKS672770527SECRETARY/TREASURER/DIRECTOR1.0$0$0$0
TERRY FRY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR CAROLINE SORIA
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
SENATOR LES DONOVAN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR DAN MCCARTY
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
DR JON KIRKPATRICK
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0
JAMES ERNSTMANN
PO BOX 9527WICHITAKS672770527DIRECTOR0.5$0$0$0

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$17,156,305AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$208,484AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,364,789TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$17,364,789AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$260,472CashDeemedCharitableAmt
Net Vl Noncharitable Assets$17,104,317NetVlNoncharitableAssetsAmt
Minimum Investment Return$855,216MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$855,216MinimumInvestmentReturnAmt
Tax Based On Investment Income$24,597TaxBasedOnInvestmentIncomeAmt
Total Tax$24,597TotalTaxAmt
Distributable Before Adj$830,619DistributableBeforeAdjAmt
Distributable Before Ded$830,619DistributableBeforeDedAmt
Distributable As Adjusted$830,619DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$757,113ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$757,113QualifyingDistributionsAmt
Adjusted Qualifying Distri$757,113AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$830,619DistributableAsAdjustedAmt
Undistributed Income PY$276,864UndistributedIncomePYAmt
Prior Year12016PriorYear1Yr
Prior Year22015PriorYear2Yr
Prior Year32014PriorYear3Yr
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$757,113QualifyingDistributionsAmt
Applied To Year1$276,864AppliedToYear1Amt
Applied To Current Year$480,249AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Undistributed Income CY$350,370UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Current Year$0ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS
555 N WOODLAWN SUITE 3105WICHITAKS67208NONEPCSERVICES FOR SENIORS$50,000
GUADALUPE CLINIC INC
940 S FRANCISWICHITAKS67211NONESO IGENERAL HEALTH AND WELFARE$50,000
GRACEMED HEALTH CLINIC
1122 N TOPEKAWICHITAKS67214NONEPCGENERAL HEALTH AND WELFARE$25,000
HUNTER HEALTH CLINIC
2318 EAST CENTRALWICHITAKS67214NONEPCGENERAL HEALTH AND WELFARE$15,000
LIVE GREATER FOUNDATION
10764 S CARBONDALE STOLATHEKS66061NONEPCGENERAL HEALTH AND WELFARE$15,000
KANSAS HEALTH SCIENCE CENTER INC
105 S BROADWAY STWICHITAKS67202NONEPCGENERAL HEALTH AND WELFARE$500,000SUITE 1040
WSU FOUNDATION
1845 FAIRMOUNTWICHITAKS67260NONEPCGENERAL HEALTH AND WELFARE$2,500CAMPUS BOX 2
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$657,500TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$401,197ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$893,443ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Exclusion01ExclusionCd
Exclusion$400ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$1,295,040ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,295,040TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING/TAX PREP FEESCategoryTxt
Amt$19,401Amt
Net Investment Income$1,940NetInvestmentIncomeAmt
Disbursements Charitable Prps$17,461DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCOMMERCE 69-4 - SEE STMT 1BondNm
EOY Book Value$5,380,834EOYBookValueAmt
EOYFMV$5,380,834EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMERCE 69-2 - SEE STMT 2$2,590,444$2,590,444
COMMERCE 69-3 - SEE STMT 3$7,715,558$7,715,558
COMMERCE 69-8 - SEE STMT 4$878,225$878,225

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$930,249USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$930,249USGovtObligationsEOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$13,974LegalFeesAmt
Disbursements Charitable Prps$13,974DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSESDesc
Amt$434,601Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
PHYSICIAN AWARENESS$24,402$24,402
MARKETING$715
BANK SERVICE CHARGES$614$614
INSURANCE$2,367
LICENSES & PERMITS$40
FEASIBILITY STUDY$35,343$35,343
MISCELLANEOUS$500

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Revenue And Expenses Per Books$400RevenueAndExpensesPerBooksAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT EXPENSECategoryTxt
Amt$62,247Amt
Net Investment Income$62,247NetInvestmentIncomeAmt

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