MIDWESTONE BANK FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MIDWESTONE BANK FOUNDATION (EIN 75-3023674)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-14
- IRS object ID
- 201901349349104050
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T16:21:42-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 FIRST ST SE STE 800 | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 524011512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753023674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDW | BusinessNameControlTxt |
| Phone | 3193565800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O AMY HOSPODARSKY PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY L HOSPODARSKY | PersonNm |
| Person Title | SECRETARY AND TREASURER | PersonTitleTxt |
| Phone | 3193565800 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA HULS | PreparerPersonNm |
| PTIN | P01315330 | PTIN |
| Phone | 3192985333 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.9 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 15:35:02 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CFDCB964B1DF4C9A9DAAC3B1488004CEFEDD9B1E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,726,113 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $150,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $688 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $688 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $81,431 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $81,431 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $27,239 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $390,193 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $27,239 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $259,358 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $109,358 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,370 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $685 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $685 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $2,479 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $34 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,849 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $719 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $685 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $139,753 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $139,753 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $143,602 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $719 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $140,438 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $115,756 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $108,639 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $51,440 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $178,949 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $178,949 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $502,405 | CorporateStockBOYAmt |
| Corporate Stock EOY | $524,963 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $779,761 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $1,864,031 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,829,069 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,767,403 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,417,876 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,532,981 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,726,113 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $750,000 | CapitalStockBOYAmt |
| Capital Stock EOY | $750,000 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,667,876 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,782,981 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,417,876 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,532,981 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,417,876 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,532,981 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,417,876 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $115,756 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,533,632 | SubtotalAmt |
| Other Decreases | $651 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,532,981 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $32,447 | $37,936 | -$5,489 | -$5,489 |
| PUBLICLY TRADED SECURITIES | P | $346,520 | $325,018 | $21,502 | $21,502 |
| LONG TERM CAPITAL GAINS | P | $11,226 | $11,226 | $11,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $27,239 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $128,903 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,570,583 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.050145 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $121,092 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,386,203 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.050747 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $107,963 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,070,308 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.052148 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $70,108 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,459,329 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.048041 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $72,774 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,352,173 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.053820 | DistributionYr5Rt |
| Total Distribution | 0.254901 | TotalDistributionRt |
| Average Distribution | 0.050980 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,694,126 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $137,347 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,086 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $138,433 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $140,438 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,086 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,086 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,086 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,080 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,080 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $994 | OverpaymentAmt |
| Applied To ES Tax | $994 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | MIDWESTONEBANK.COM/AFOUNDATION.PHP | WebsiteAddressTxt |
| Individual With Books | AMY HOSPODARSKY | IndividualWithBooksNm |
| Phone | 3193565800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| KEVIN W MONSON | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| CHARLES N FUNK | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| AMY L HOSPODARSKY | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | SECRETARY AND TREASURER | 1.00 | $0 | $0 | $0 |
| KEVIN E KRAMER | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| LARRY D ALBERT | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| RUTH E STANOCH | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KURT R WEISE | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,687,298 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $47,855 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,735,153 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,735,153 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $41,027 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,694,126 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $134,706 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $134,706 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,086 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,086 | TotalTaxAmt |
| Distributable Before Adj | $133,620 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $133,620 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $133,620 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $140,438 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $140,438 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,086 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $139,352 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $133,620 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $6,109 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr3 | $6,493 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $3,219 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $2,422 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $18,243 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $140,438 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $133,620 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $6,818 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $25,061 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $6,109 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $18,952 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $6,493 | ExcessFromYear3Amt |
| Excess From Year2 | $3,219 | ExcessFromYear2Amt |
| Excess From Year1 | $2,422 | ExcessFromYear1Amt |
| Excess From Current Year | $6,818 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BUR OAK LAND TRUST | |||||||
| 6 STURGIS CORNER DRIVE STE 1250 | IOWA CITY | IA | 52246 | N/A | PC | GENERAL OPERATING FUND | $5,835 |
| CENTRAL COLLEGE | |||||||
| 812 UNIVERSITY STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CHISAGO LAKES SCHOOL DISTRICT | |||||||
| 13750 LAKE BLVD | LINDSTROM | MN | 55045 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| CITY OF SIGOURNEY | |||||||
| 100 NORTH MAIN STREET | SIGOURNEY | IA | 52591 | N/A | GOV | GENERAL OPERATING FUND | $2,000 |
| COMMUNITY THREAD | |||||||
| 2300 ORLEANS STREET W | STILLWATER | MN | 55082 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| EAGLES HEALING NEST | |||||||
| 310 US 71 N | SAUK CENTRE | MN | 56378 | N/A | PC | GENERAL OPERATING FUND | $3,333 |
| EDEN PRAIRIE HOCKEY ASSOCIATION | |||||||
| 7900 W 78TH ST 450 | MINNEAPOLIS | MN | 55439 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| EELS SWIM CLUB | |||||||
| PO BOX 2353 | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| FAIRFIELD HIGH SCHOOL | |||||||
| 605 E BROADWAY | FAIRFIELD | IA | 52556 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FAIRFIELD PARK AND REC | |||||||
| 1000 W BURLINGTON AVENUE | FAIRFIELD | IA | 52556 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| FRIENDS IN NEED FOOD SHELF | |||||||
| PO BOX 6 | COTTAGE GROVE | MN | 55016 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| GREATER BURLINGTON AREA SPORTS FACILITIES | |||||||
| 610 N 4TH STREET SUITE 200 | BURLINGTON | IA | 52601 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| HISTORIC PELLA TRUST | |||||||
| 615 MAIN STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| IOWA VALLEY RESOURCE CONSERVATION & DEVELOPMENT | |||||||
| 920 48TH AVE | AMANA | IA | 52403 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| MILL POND LEARNING FOUNDATION | |||||||
| PO BOX 791 | OSCEOLA | WI | 54020 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| NEWPORT ELEMENTARY SCHOOL | |||||||
| 851 6TH AVE | NEWPORT | MN | 55055 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| PRISM | |||||||
| 730 FLORIDA AVENUE SOUTH | GOLDEN VALLEY | MN | 55246 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| PURPLE AND GRAY FOUNDATION | |||||||
| 520 WASHINGTON STREET | BURLINGTON | IA | 52601 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| REGINA CATHOLIC EDUCATION CENTER | |||||||
| 2140 ROCHESTER AVE | IOWA CITY | IA | 52245 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| RHODES LITTLE LEAGUE | |||||||
| 1309 295TH STREET | RHODES | IA | 50234 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| RIVERS OF HOPE | |||||||
| 207 WALNUT STREET | MONTICELLO | MN | 55362 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| SOUTHEASTERN COMMUNITY COLLEGE FOUNDATION | |||||||
| 1500 WEST AGENCY ROAD | WEST BURLINGTON | IA | 52655 | N/A | PC | HALL OF SCIENCES | $3,000 |
| ST CROIX FALLS SCHOOL DISTRICT | |||||||
| 740 MAPLE DRIVE | ST CROIX FALLS | WI | 54024 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| ST MICHAEL BMX | |||||||
| 3312 LANDER AVE NE | ST MICHAEL | MN | 55376 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| STEPHEN ANIMAL SHELTER FOUNDATION | |||||||
| 100 FIRST AVE W | OSKALOOSA | IA | 52577 | N/A | PC | GENERAL OPERATING FUND | $3,750 |
| STEPPING STONE EMERGENCY HOUSING | |||||||
| 3300 4TH AVE NORTH BUILDING 14 | ANOKA | MN | 55303 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| STMA YOUTH HOCKEY ASSOCIATION INC | |||||||
| PO BOX 1345 | ST MICHAEL | MN | 55376 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| STRENGTHEN GROW EVOLVE CAMPAIGN | |||||||
| 221 E WASHINGTON STREET | IOWA CITY | IA | 52240 | N/A | PC | GENERAL OPERATING FUND | $6,000 |
| SUMMIT ACADEMY OIC | |||||||
| 935 OLSON MEMORIAL HIGHWAY | MINNEAPOLIS | MN | 55405 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| TANAGER PLACE | |||||||
| 2309 C STREET SW | CEDAR RAPIDS | IA | 52404 | N/A | PC | GENERAL OPERATING FUND | $3,335 |
| UI CENTER FOR ADVANCEMENT | |||||||
| ONE WEST PARK ROAD | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| UNITYPOINT HEALTH - ALLEN FOUNDATION | |||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| UNIVERSITY OF IOWA FOUNDATION | |||||||
| ONE WEST PARK ROAD | IOWA CITY | IA | 52244 | N/A | PC | GENERAL OPERATING FUND | $13,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $139,753 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $688 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $81,431 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $27,239 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $109,358 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $109,358 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $150,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $1,370 | Amt |
| Net Investment Income | $685 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $685 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (55 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AT&T INC | $6,036 | $5,651 |
| ABBOTT LABS | $6,181 | $18,372 |
| ABBVIE INC | $4,576 | $15,949 |
| ALLSTATE CORP | $10,442 | $15,948 |
| ALPHABET INC - CL C | $8,976 | $19,677 |
| ALPHABET INC - CL A | $1,729 | $6,270 |
| AMERICAN TOWER CORP NEW COM | $14,316 | $23,412 |
| APPLE INC | $12,311 | $23,819 |
| BALL CORP | $4,973 | $9,656 |
| BECTON DICKINSON AND CO | $14,672 | $22,983 |
| BLACKROCK INC COMMON | $8,794 | $9,035 |
| BOEING COMPANY | $7,464 | $29,992 |
| BROADCOM LTD | $5,917 | $10,425 |
| CVS HEALTH CORPORATION COM | $13,288 | $16,576 |
| CHEVRON CORP | $8,368 | $10,988 |
| CISCO SYSTEMS INC | $8,004 | $17,202 |
| CUMMINS INC | $13,429 | $17,373 |
| DANAHER CORP | $7,544 | $17,324 |
| DOLLAR GENERAL CORP NEW | $16,297 | $20,751 |
| DOMINION RES INC | $8,822 | $9,647 |
| DUKE ENERGY HOLDING | $8,518 | $10,529 |
| EXXON MOBIL CORP | $7,914 | $6,819 |
| FACEBOOK INC CL A | $10,149 | $10,094 |
| FORTIVE CORP COM | $2,456 | $5,683 |
| HOME DEPOT INC COM | $11,864 | $15,807 |
| ILLINOIS TOOLWORKS | $8,863 | $18,877 |
| JP MORGAN CHASE | $10,247 | $23,526 |
| JOHNSON & JOHNSON | $10,803 | $17,809 |
| LINCOLN NATL CORP IND COM | $11,792 | $11,288 |
| MICROSOFT CORP COM | $10,627 | $19,908 |
| MONDELEZ INTL INC | $6,683 | $9,807 |
| O'REILLY AUTOMOTIVE | $6,484 | $22,726 |
| ORACLE SYSTEMS CORP | $9,050 | $16,028 |
| PEPSICO INCORPORATED | $8,132 | $12,926 |
| PIONEER NAT RES CO COM | $6,612 | $4,998 |
| PROCTER & GAMBLE | $10,588 | $16,362 |
| PRUDENTIAL FINL INC | $13,133 | $13,456 |
| SALESFORCE COM INC COM | $9,362 | $14,108 |
| SYNCHRONY FINANCIAL | $8,267 | $6,616 |
| 3M CO | $4,193 | $7,431 |
| UNITEDHEALTH GROUP INC COM | $12,131 | $19,680 |
| VALERO ENERGY CORP | $9,928 | $15,294 |
| VERIZON COMM | $9,799 | $13,436 |
| VISA INC COM CL A | $12,329 | $19,395 |
| WELLS FARGO COMPANY | $11,001 | $13,455 |
| WHIRLPOOL CORP COM | $7,231 | $4,595 |
| MIDWESTONE FINL GROUP INC | $23,963 | $24,830 |
| APPLIES MATLS INC | $7,639 | $4,976 |
| COSTCO WHSL CORP | $17,796 | $16,908 |
| DOWDUPONT INC | $6,797 | $6,311 |
| EXPEDIA INC | $12,981 | $13,180 |
| NETFLIX INC | $12,208 | $12,580 |
| UNION PAC CORP | $9,354 | $9,538 |
| WALMART INC | $10,098 | $10,992 |
| ACCENTURE PLC IRELAND SHS CLASS A | $3,832 | $8,743 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (15 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DREYFUS GLOBAL REAL RETURN FUND CLASS 1 | AT COST | $14,272 | $13,927 |
| HARTFORD MID CAP GROWTH FUND | AT COST | $51,830 | $57,112 |
| JANUS TRITON FD CL 1 | AT COST | $66,457 | $67,517 |
| OPPENHEIMER INTERNATIONAL GROWTH FUND | AT COST | $34,816 | $35,603 |
| OPPENHEIMER DEV MKTS | AT COST | $33,848 | $36,276 |
| VANGUARD REIT INDEX FUND ADMIRAL | AT COST | $28,534 | $25,902 |
| EATON VANCE FLOATING RATE ADVANTAGE FUND | AT COST | $145,816 | $137,417 |
| FEDERATED INSTL TR HI YIELD BD | AT COST | $98,173 | $89,669 |
| PIMCO GNMA INST CL | AT COST | $84,681 | $80,701 |
| PIMCO INVESTMENT GRADE CORP BD | AT COST | $248,978 | $231,646 |
| PIMCO INCOME FUND | AT COST | $265,845 | $254,205 |
| PIONEER BOND FUND - Y | AT COST | $65,225 | $62,785 |
| PIONEER MULTI-ASSET ULTRA SHORT INC FUND | AT COST | $32,080 | $31,722 |
| VANGUARD FIXED INCOME SECS FGNMA FD ADMRL | AT COST | $333,404 | $323,471 |
| VANGUARD SHORT TERM INVESTMENT GRADE FD | AT COST | $325,110 | $319,450 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJ TO DECREASE COST BASIS | Desc |
| Amt | $651 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $2,445 | $0 | $0 |
| FOREIGN TAX | $34 | $34 | $0 |
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