2019-11-14T08:13:18-06:00 2018-12-31 450250958 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2018-01-01 456013464 Children's Village Family Service Foundation CHIL 7014514900 PO Box 9859 Fargo ND 581069859 Jeff Pederson President/CEO 7014514900 2019-11-12 1 Lisa Chaffee CPA P00193453 7012398500 2019-11-12 216.147.181.45 2019-11-12 08:22:45 CS P 66CC91E6B7F11C4783FFFA5645E675327CB67316 3F1B4C4A1C1F32CA3CD03C05270CE62742EA9E6E 2018 2020-04-17 16:48:07Z Jeff Pederson PO Box 9859 Fargo ND 581069859 716316 0 X www.thevillagefamily.org X 1957 ND To provide permanent support for the activities and programs of the Village Family Service Center. 8 8 0 8 -2207 -2207 3003955 12515 0 0 211225 177887 934 6410 3216114 196812 438187 190064 0 0 0 0 0 0 0 32370 574393 470557 764457 2745557 -567645 8229282 7357559 740472 642080 7488810 6715479 The Children's Village Family Service Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 0 0 190064 190064 The Children's Village Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 190064 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X Jeff Pederson 7014514870 PO Box 9859 Fargo ND 58106 Greg Hammes Chairperson 2.00 X X 0 0 0 Matt Leiseth Vice Chairperson 2.00 X X 0 0 0 Carrie Bjorge Board Member 2.00 2.00 X 0 0 0 Al Erickson Board Member 2.00 2.00 X 0 0 0 Roger Reierson Board Member 2.00 X 0 0 0 Lyman Edds Board Member 2.00 2.00 X 0 0 0 Richard Henderson Board Member 2.00 2.00 X 0 0 0 Jeff Pederson President/CEO (May-Dec) 2.00 40.00 X 0 111786 5937 Sandra Skallerud Interim CEO (Jan-May) 2.00 40.00 X 0 0 0 Nicole Andersen Secretary/Treasurer 2.00 40.00 X 0 76292 26670 0 188078 32607 0 0 0 0 0 12515 12515 105438 -2207 107645 6410 6410 591953 519504 72449 72449 72449 196812 0 -2207 186504 X 190064 190064 7555 7555 19324 19324 68124 68124 4325 4325 Impairment loss on land 475000 475000 Dues 65 65 764457 190064 574393 0 117150 89846 2256575 2731575 2256575 2340601 1940241 824138 857999 2215818 2212898 8229282 7357559 740472 642080 740472 642080 X 5645080 4859234 1551925 1554440 291805 301805 7488810 6715479 8229282 7357559 X -567645 -213055 7369 X 0 1 X 1 0 X X X 1 Village Family Service Center 450226423 7 1 190064 0 1 190064 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Part IV, Section C, Line 1: The board of the Children's Village Foundation consists of eight members. Of those eight members a total of 4 members also serve on the board of the Village Family Service Center. In addition to the board overlap the CEO and the Secretary/Treasurer of the Children's Village Foundation also serve as the CEO and the CFO of the Village Family Service Center. Other key individuals from the Village Family Service Center also regularly attend board meetings. The Children's Village Foundation has quarterly board meetings which include an update on the Village Family Service Center and presentation of the financial statements by the CFO. The Village Family Service Center has monthly board meetings which include an update on the status of the Children's Village Foundation which includes discussion on the performance of the investments held by the Children's Village Foundation, this information is presented by the CEO. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 291805 10000 -14792 -14792 301805 271804 20001 28262 28262 291805 215897 55907 12843 12843 271804 155547 60350 7030 7030 215897 100266 55281 10261 10261 155547 0.00000 1.00000 0.00000 0 0 2256575 2256575 2256575 Dakota REIT 618779 F Mineral Rights 25220 F REIT Investment 214000 C 857999 Accrued Interest & Dividends Receivable 9765 Related Party Receivable 2203133 2212898 Annuities Payable 26122 Due to Village Family Service Center 410288 Water Lease Termination Payable 205670 642080 X -28198 -225010 -225010 196812 0 196812 764457 0 764457 0 764457 Part V, Line 4: The Foundation's endowment consists of approximately 18 individual funds established by donors to provide annual funding for specific activities and general operations. Part X, Line 2: The Foundation is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Foundation has determined it is subject to unrelated business income tax and has filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 Village Family Service Center 1201 25th St So Fargo ND 58103 450226423 501(c)(3) 190064 Support Programs 1 0 Part I, Line 2: The Organization monitors the use of funds through members of the Board of Directors that also serve on the Board of Directors of the Village Family Service Center. Additionally the CEO and Secretary/Treasurer of the Childrens Village Family Service Foundation serve as the CEO and CFO of the Village Family Service Center. Form 990, Part VI, Section A, line 2 Jeff Pederson, Nicole Andersen, and Sandra Skallerud each have a business relationship with each other, and the following individuals: Carrie Bjorge, Lyman Edds, Tom Nelson, Richard Henderson, and Al Erickson. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the Board. Form 990, Part VI, Section B, line 11b The CFO, CEO, and staff accountant of the Village Family Service Center, a related organization, will review the Form 990 prior to it being distributed to the board members prior to it being filed. Form 990, Part VI, Section B, line 12c Individuals with a conflict, or potential conflict, will make this known to the appropriate Foundation individual at the earliest possible date. Board member conflicts are to be reported to the Chairperson of the Board of Directors of the Children's Village Family Service Foundation. Board members are asked to abstain from voting on any issues in which they have a conflict. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, LIne 24a Based on the Accounting for the Impairment of Assets (FAS 144 or codification topic 360-10), " an impairment loss shall be recognized only if the carrying amount of a long-lived asset is not recoverable and exceeds its fair value. The carrying amount of a long-lived asset is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset." In order to determine the FMV of the land, CVFS projected the purchase price for one portion of the land over the entire parcel. This is a reasonable approach as CVFS does not believe the remaining parcels of land would be sold for a higher price. Although the unsold portion of land includes a water system that has a separate value, the Board does not believe the location of the land is desirable enough to draw interest from multiple parties that would drive prices up. Form 990, Part XI, line 9: Change in Value of Split Interest Agreements 7,369. Village Family Service Center PO Box 9859 Fargo ND 58106 450226423 Human Services ND 501(c)(3) Line 7 N/A 0 0 1 1 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0