THE FOUNTAIN CHARITABLE FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
THE FOUNTAIN CHARITABLE FOUNDATION (EIN 47-2554837)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-07-14
IRS object ID
202041969349101039
Schema version
2019v5.0
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)
Return2020-07-14T11:09:40-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN822826945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AllenMitchell LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1123 E 2nd StAddressLine1Txt
CityWashingtonCityNm
State AbbreviationIAStateAbbreviationCd
ZIP523532201ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472554837EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNTAIN CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone3196564122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15195 FARMERS AVEAddressLine1Txt
CityKALONACityNm
State AbbreviationIAStateAbbreviationCd
ZIP52247ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM E EVANSPersonNm
Person TitlePresidentPersonTitleTxt
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMITCHELL D BILLUPSPreparerPersonNm
PTINP00950559PTIN
Phone3195918770PhoneNum
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$567,370FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$80,026ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$62InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$62InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$62InterestOnSavingsAdjNetIncmAmt
Other Income Rev And Expnss$78,436OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$46,906OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$158,524TotalRevAndExpnssAmt
Total Net Invst Incm$62TotalNetInvstIncmAmt
Total Adj Net Incm$46,968TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$17,093CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Adj Net Incm$5,698CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$11,395CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$21,006OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Adj Net Incm$7,002OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$14,004OthEmplSlrsWgsDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,503LegalFeesRevAndExpnssAmt
Legal Fees Adj Net Incm$501LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$1,002LegalFeesDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$10,715OtherProfFeesRevAndExpnssAmt
Other Prof Fees Adj Net Incm$3,572OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$7,143OtherProfFeesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$13,180DeprecAndDpltnRevAndExpnssAmt
Occupancy Rev And Expnss$14,281OccupancyRevAndExpnssAmt
Occupancy Adj Net Incm$4,760OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$9,521OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$8,913TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Adj Net Incm$4,456TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$4,457TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$59,710OtherExpensesRevAndExpnssAmt
Other Expenses Adj Net Incm$12,660OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$29,081OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$146,401TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$38,649TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$76,603TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$32,630ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$32,630ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$179,031TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$38,649TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$109,233TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$20,507ExcessRevenueOverExpensesAmt
Net Investment Income$62NetInvestmentIncomeAmt
Adjusted Net Income$8,319AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$60,891CashBOYAmt
Cash EOY$31,437CashEOYAmt
Cash EOYFMV$31,437CashEOYFMVAmt
Acct Rcvbl$5,933AcctRcvblAmt
Acct Rcvbl EOY$5,933AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$5,933AcctRcvblEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$526,454LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,546LandBldgEquipAccumDeprecAmt
Land BOY$506,088LandBOYAmt
Land EOY$492,908LandEOYAmt
Land EOYFMV$530,000LandEOYFMVAmt
Total Assets BOY$566,979TotalAssetsBOYAmt
Total Assets EOY$530,278TotalAssetsEOYAmt
Total Assets EOYFMV$567,370TotalAssetsEOYFMVAmt
Accounts Payable BOY$1,209AccountsPayableBOYAmt
Accounts Payable EOY$2,075AccountsPayableEOYAmt
Mortgages And Notes Payable BOY$342,439MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$324,813MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$6,787OtherLiabilitiesBOYAmt
Other Liabilities EOY$7,353OtherLiabilitiesEOYAmt
Total Liabilities BOY$350,435TotalLiabilitiesBOYAmt
Total Liabilities EOY$334,241TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$46,544NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$170,000NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets EOY$170,000DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$216,544TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$196,037TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$566,979TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$530,278TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$216,544TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$20,507ExcessRevenueOverExpensesAmt
Subtotal$196,037SubtotalAmt
Tot Net Ast Or Fund Balances EOY$196,037TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1InvestmentIncomeExciseTaxAmt
Subtotal$1SubtotalAmt
Tax Based On Investment Income$1TaxBasedOnInvestmentIncomeAmt
Tax Due$1TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedfalseSection508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateIAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenfalseForm990PFFiledWithAttyGenInd
Private Operating FoundationYes (true)PrivateOperatingFoundationInd
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 Line1WILLIAM EVANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3196562350PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11125 ORANGE AVEAddressLine1Txt
CityKALONACityNm
State AbbreviationIAStateAbbreviationCd
ZIP52247ZIPCd
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
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
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 (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
WILLIAM E EVANS
1125 ORANGE AVEKALONAIA52247President5.00$0
REBEKAH WARD
507 D AVEKALONAIA52247Director5.00$0
MICHAEL EVANS
507 3RD STKALONAIA52247Director40.00$17,093
JULIA KRAMMER
502 E AVEKALONAIA52247Director5.00$0
ELLA WALKER
304 S 6TH STKALONAIA52247Director5.00$0
RACHEL C RICHIED
2712 DORCHESTER PLACECHARLOTTENC28209Director5.00$0
LONNIE JORDAN
507 3RD STKALONAIA52247Director5.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1IMPROVING THE LIVES OF AT-RISK YOUTH AND YOUNG ADULTS AND THEIR FAMILIES IN EASTERN IOWA BY PROVIDING COMMUNITY SUPPORT, GROWTH AND DEVELOPMENT, SAFE ENVIRONMENTS FOR INDIVIDUALS TO LIVE AND LEARN AND POSITIVE OPPORTUNITIES FOR GROWTH AND ADVANCEMENTDescription1Txt
Expenses1$109,233Expenses1Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$39,473AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$39,473TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$39,473AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$592CashDeemedCharitableAmt
Net Vl Noncharitable Assets$38,881NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,944MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$109,233ExpensesAndContributionsAmt
Qualifying Distributions$109,233QualifyingDistributionsAmt
Adjusted Qualifying Distri$109,233AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling2016-03-11PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$1,944CurrentYearAmt
Year1$1,275Year1Amt
Year3$13Year3Amt
Total$3,232TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$1,652CurrentYearAmt
Year1$1,084Year1Amt
Year3$11Year3Amt
Total$2,747TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$109,233CurrentYearAmt
Year1$99,240Year1Amt
Year2$96,467Year2Amt
Year3$110,754Year3Amt
Total$415,694TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$109,233CurrentYearAmt
Year1$99,240Year1Amt
Year2$96,467Year2Amt
Year3$110,754Year3Amt
Total$415,694TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Current Year$567,370CurrentYearAmt
Year1$590,891Year1Amt
Year2$217,984Year2Amt
Year3$225,635Year3Amt
Total$1,601,880TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Current Year$567,370CurrentYearAmt
Year1$590,891Year1Amt
Year2$217,984Year2Amt
Year3$225,635Year3Amt
Total$1,601,880TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerWILLIAM E EVANSContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (40 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHILD HOPE
1225 COAST VILLAGE RDSANTA BARBARACA93108PCCARE FOR ORPHANED CHILDREN IN HAITI$1,500
FAMILY CARE FOUNDATION
1373 MARRON VALLEY RDDULZURACA91917PCHUMANITARIAN SERVICES IN DEVELOPING COUNTRIES$2,040
FIRE INTERNATIONAL
6509 HUDSPETH RDHARRISBURGNC28075PCSUPPORT OF MISSIONARY WORK ALL OVER THE WORLD$3,000
RADIUS INTERNATIONAL
PO BOX 530279SAN DIEGOCA92153PCMISSIONARY TRAINING AND CROSS-CULTURAL TRAINING TO ESTABLISH CHURCHES AMONG UNREACHED PEOPLE$3,250
UPPER DEER CREEK CHURCH
3369 320TH STWELLMANIA52356PCSUPPORT CHURCH MISSION TRIP$6,000
MID PRAIRIE FOUNDATION
PO BOX 175WELLMANIA52356PCSUPPORT OF THE FEED THE KIDS BACKPACK TO SCHOOL PROGRAM PROVIDING FOOD TO NEEDY CHILDREN$300
INFORMED CHOICE OF IOWA
821 S GILBERT STIOWA CITYIA52240PCSUPPORT THE WALK FOR LIFE TO END ABORTION$200
IOWA BICYCLE COALITION
PO BOX 5562CORALVILLEIA52241PCDONATION OF BICYCLE SAFETY EQUIPMENT$250
KALONA BLUEGRASS FESTIVAL
KALONAKALONAIA52247PCSUPPORT LOCAL BLUEGRASS FESTIVAL$100
KENDAL SCHLABACH
KALONAKALONAIA52247IOUTREACH MISSIONS$1,200
MARIANNE BLASSINGAME
KALONAKALONAIA52247ISUPPORT WITH FUNERAL COSTS$100
MID PRAIRIE SCHOOL DISTR
WELLMANWELLMANIA52356GOVBAND UNIFORMS$450
MYEP
IOWA CITYIOWA CITYIA52240PCSUPPORT YOUTH EMPOWERMENT SUMMER FEST$100
PAWS AND MORE
WASHINGTONWASHINGTONIA52353PCHELP ANIMAL SHELTER IN WASHINGTON CO$200
PATHWAY CHRISTIAN SCHOOL
KALONAKALONAIA52247PCDONATION TO ASSIST WITH SCHOOL YEARBOOK$420
AGARTS
KALONAKALONAIA52247NCSUPPORT OF LOCAL THEATER IN KALONA$200
ALYXZANDRIA LAPOLE
KALONAKALONAIA52247ISUPPORT OF WIDOW AFTER TRAGIC ACCIDENT$800
BOYS GIRLS CLUB OF CEDAR RAPIDS
420 6TH ST SECEDAR RAPIDSIA52401PCFISH O RAMA FUNDRAISER$1,000
BRANDON MURPHY
KALONAKALONAIA52247ISUPPORT OF MEDICAL BILLS$1,000
BUR OAK LAND TRUST
5 STURGIS CORNER DRIOWA CITYIA52246PCLAND PRESERVATION IN IOWA$250
ELDER SERVICES INC
2210 9TH STCORALVILLEIA52241PCSUPPORT PROGRAMMING FOR OLDER ADULTS IN IOWA$500
GROW JOHNSON CO
4811 MELROSE AVEIOWA CITYIA52246PCSUPPORT PUBLIC GARDENING$500
HILCREST GBB
1421 540TH ST SWKALONAIA52247NCSUPPORT OF GIRLS BASKETBALL PROGRAM$100
IOWA VALLEY RCD
IOWA CITYIOWA CITYIA52240PCSUPPORT OF YOUNG FARMERS$200
IOWA STATE UNIVERSITY
AMESAMESIA50011NCDAIRY FARMERS CLUB SPONSORSHIP$250
NINA FOGLE
KALONAKALONAIA52247IASSISTANCE WITH MEDICAL BILLS$750
PARKVIEW MANOR
516 13TH STWELLMANIA52356NCSUPPORT CHAPLIN PAY$100
RONALD MCDONALD HOUSE
730 HAWKINS DRIOWA CITYIA52246PCSUPPORT OF HOUSING OF PEDIATRIC PATIENTS AND FAMILIES$500
SHAWN HEIDI GRABER
KALONAKALONAIA52247IASSIST WITH MEDICAL EXPENSES$500
SHELTER HOUSE
429 SOUTHGATE AVEIOWA CITYIA52240PCSUPPORT OF HOMELESS SHELTER$250
SPORTABILITY OF IOWA
527 PARK LANEWATERLOOIA50702PCSUPPORT SPORTS LEAGUES FOR HANDICAPPED CHILDREN AND ADULTS$250
STEVEN AND MARY EBERSOLE
KALONAKALONAIA52247IHELP TOWARDS MEDICAL BILLS$750
THE ARC OF SE IOWA
2620 MUSCATINE AVEIOWA CITYIA52240PCSUPPORT OF AFTER SCHOOL CARE AND DAY CAMPS$500
THE DREAM CENTER
1600 WHITE STDUBUQUEIA52001PCMOBILIZE YOUTH AND FAMILIES TO BUILD ON DR KINGS DREAM$500
THE IOWA CHILDRENS MUSEUM
1451 CORAL RIDGE AVECORALVILLEIA52241PCSUPPORT OF FAMILY FREE NIGHT AT THE CHILDRENS MUSEUM$100
TITUS NEUSHWANDER
KALONAKALONAIA52247ISUPPORT OF EXPENSES TO ATTEND FUTURE PROBLEM SOLVERS$100
WASHINGTON ECONOMIC DEVL GROUP
205 W MAIN STWASHINGTONIA52353PCSUPPORT OF ECONOMIC GROWTH IN WASHINGTON COUNTY$1,500
WATER FOR LIFE
126 A AVEKALONAIA52247PCSUPPORT OF WELL DRILLING IN HAITI$250
RAPE VICTIM ADVOCACY PROGRAM
108 RIVER STIOWA CITYIA52246PCSUPPORT ADVOCACY FOR RAPE VICTIMS IN IOWA$450
NEW LIFE CHURCH
525 13TH STWELLMANIA52356PCSUPPORT OF PASTOR SERVICES FOR LOCAL CHURCH$2,220
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$32,630TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)

DescDescRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
REHAB PROGRAM FEES$5,732
WORKFORCE REHABILITATION$40,928

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion$62ExclusionAmt

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$4,819RelatedOrExemptFunctionIncmAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Related Or Exempt Function Incm$246RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$62ExclusionAmt
Related Or Exempt Function Incm$51,725RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$51,787TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
1AREHABILITATION PROGRAMS REQUIRE HOUSING, THERAPY AND SUPPLIES FOR THE STAY OF THE PROGRAM, THIS REHABILITATION PROGRAM FEE COVERS THE COST OF THE FULL IN-HOUSE REHABILITATION PROCESS.
1BIN ORDER FOR OUR PROGRAM PARTICIPANTS TO RE-ENTER THE WORLD, THEY NEED TO BE ABLE TO ENTER THE WORKFORCE. COMPANIES PARTER WITH US AND PAY A FEE IN EXCHANGE FOR EACH PARTICIPANTS LABOR. THE LABOR PROVIDES WORK SKILLS AND GIVES OUR PARTICIPANTS A MEANS OF STAYING BUSY AS WELL AS SKILLS TO ASSIST THEM WITH ENTERING THE WORKFORCE ONCE THEY ARE FINISHED WITH REHABILITATION.
5ALOW INCOME APARTMENTS WERE PURCHASED IN ORDER TO PROVIDE LIVING QUARTERS FOR PATIENTS WHO HAVE GRADUATED FROM THE FIRST PART OF THE REHABILITATION PROCESS. THE MAJORITY OF THESE APARTMENTS ARE PROVIDED AT LOW COST (BASED ON THE TENANTS INCOME) TO THE TENANT, TO PROVIDE LIVING SPACE WHILE THE PATIENT RE-ENTERS THE WORKFORCE.

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

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (4 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmt
507 3RD STREET, KALONA IA2014-12-31$150,400$15,040SL40.0000$3,760
VAN2016-06-04$1,750$452SL10.0000$175
LAWNMOWER2018-01-01$5,029$503SL10.0000$503
APARTMENT BUILDING2018-07-02$349,675$4,371SL40.0000$8,742

Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt

FieldValueIRS element (for citing)
ExplanationNOT REQUIRED TO FILE WITH THE STATEExplanationTxt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtEOYFMVEOYFMVAmtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
Auto./Transportation Equip.$530,000
Machinery and Equipment$6,779$1,633$5,146
Buildings$519,675$31,913$487,762

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$1,503LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$501AdjustedNetIncomeAmt
Disbursements Charitable Prps$1,002DisbursementsCharitablePrpsAmt

Mortgages And Notes Payable Sch MortgagesAndNotesPayableSch

FieldValueIRS element (for citing)
Mortgage$324,813MortgageAmt

Note Payable NotePayableGrp (2 entries)

Insider RelationshipInsiderRelationshipTxtLoan OriginalLoanOriginalAmtNoteNoteDtLoan MaturityLoanMaturityDtRepayment TermsRepaymentTermsTxtInterestInterestRtSecurity Provided BorrowerSecurityProvidedBorrowerTxtLoan PurposeLoanPurposeTxtLender ConsiderationLenderConsiderationDesc
MYRON ROPP
NON RELATED$250,0002018-072033-07180 MONTHS4.0000REAL ESTATEREAL ESTATE PURCHASECASH & NOTE PAYABLE
ECIHTF
NON RELATED$100,0002018-072038-08240 MONTHSREAL ESTATEPURCHASE REAL ESTATECASH & NOTE PAYABLE

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (9 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FUEL$321$107$214
INSURANCE$13,774$4,591$9,183
MISCELLANEOUS$674$225$449
OTHER PROGRAM EXPENSES$3,764$3,764
POSTAGE$38$13$25
Rental Expenses$17,969
REPAIRS & MAINTENANCE$6,038$2,013$4,025
SUPPLIES$16,913$5,638$11,275
TELEPHONE$219$73$146

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
OTHER REVENUE$246$246
REHAB PROGRAM FEES$5,732$5,732
Rental Income - Noninvestment Property$31,530
WORKFORCE REHABILITATION$40,928$40,928

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DEFERRED TAX$3,837$165
SECURITY DEPOSITS$2,950$4,353
PAYROLL LIABILITIES$2,835

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryOutside ServicesCategoryTxt
Amt$10,715Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$3,572AdjustedNetIncomeAmt
Disbursements Charitable Prps$7,143DisbursementsCharitablePrpsAmt

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