BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CROSS BLUE SHIELD OF NORTH DAKOTA CARING FOUNDATION (EIN 36-3606394)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-04-17
- IRS object ID
- 201911079349100816
- 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
- Investments Other Schedule2
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-17T17:19:05-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | 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 | 363606394 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue Cross Blue Shield of North Dakota C | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 7012821100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 13th Ave South | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58121 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Breuer | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 7012821100 | PhoneNum |
| Signature | 2019-04-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2019-04-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.203.45.82 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-09 | IPDt |
| IP Tm | 16:28:29 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC | 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 | $9,643,169 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $5,275,553 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $197,071 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $197,071 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $77,997 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $450,000 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $77,997 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $5,550,621 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $275,068 | 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 |
| Other Prof Fees Rev And Expnss | $2,572 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $2,572 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $5,737 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $321,438 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $52,622 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $329,747 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $2,572 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $52,622 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $441,008 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $441,008 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $770,755 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $2,572 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $493,630 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $4,779,866 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $272,496 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $59,502 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $14,180 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $14,180 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $5,487,451 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $9,628,982 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $9,628,982 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $5,577 | OtherAssetsBOYAmt |
| Other Assets EOY | $7 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $7 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $5,552,530 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,643,169 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,643,169 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $3,382 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $2,823 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $3,382 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,823 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $5,549,148 | UnrestrictedBOYAmt |
| Unrestricted EOY | $9,640,346 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,549,148 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,640,346 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,552,530 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $9,643,169 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,549,148 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $4,779,866 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $10,329,014 | SubtotalAmt |
| Other Decreases | $688,668 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $9,640,346 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly Traded Securities | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Gross Sales Price | $450,000 | GrossSalesPriceAmt |
| Cost Or Other Basis | $372,003 | CostOrOtherBasisAmt |
| Gain Or Loss | $77,997 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $77,997 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $77,997 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $272,283 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $5,267,275 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051693 | DistributionYr1Rt |
| Total Distribution | 0.051693 | TotalDistributionRt |
| Average Distribution | 0.051693 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $8,863,884 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $458,201 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $2,725 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $460,926 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $493,630 | 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 | $2,725 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,725 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,725 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,823 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,823 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $16 | EsPenaltyAmt |
| Overpayment | $82 | OverpaymentAmt |
| Applied To ES Tax | $82 | 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 | ND | 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 | www.bcbsnd.com/caring-foundation/about-us | WebsiteAddressTxt |
| Individual With Books | Blue Cross Blue Shield of North Dak | IndividualWithBooksNm |
| Phone | 7012821100 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 13th Ave South | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58121 | 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 | Yes (1) | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|
| Timothy J Huckle | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Chair | 0.50 | $0 | $0 | $0 |
| Dave J Breuer | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Treasurer | 0.50 | $0 | $0 | $0 |
| Daniel R Conrad | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Director | 0.50 | $0 | $0 | $0 |
| Elizabeth A Faust | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Director | 0.50 | $0 | $0 | $0 |
| Jodi L Atkinson | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Director | 0.50 | $0 | $0 | $0 |
| Dave A Sprynczynatyk | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Director | 0.50 | $0 | $0 | $0 |
| Greg C Glasner MD | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Director | 0.50 | $0 | $0 | $0 |
| Pam Gulleson | ||||||||
| 4510 13th Ave South | Fargo | ND | 58121 | Executive Director | 15.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | CaringForKidsSupport evidenced based initiatives aimed at preventing childhood obesity and supporting healthy minds and bodies at an early age. | Description1Txt |
| Expenses1 | $37,447 | Expenses1Amt |
| Description2 | Colorectal Cancer AwarenessColorectal cancer can be detected and detected at an early stage when it is most treatable. BCBSND Caring Foundation produced two videos featuring North Dakota colorectal cancer survivors through a collaboration with the KAT Marketing, the American Cancer Society North Dakota chapter and the North Dakota Colorectal Cancer Roundtable. The videos were created with a few goals in mind:- To educate North Dakotans about colorectal cancer prevention, detection and treatment- To encourage them to discuss colorectal cancer screening with their providers- To reduce fear and instill hope for recoveryIn the videos Elliott Rhodes of Fort Yates, N.D., and Amanda Houston of Fargo share their personal colorectal cancer stories in the videos and urge you to talk to your doctor about your screening options. | Description2Txt |
| Expenses2 | $9,900 | Expenses2Amt |
| Description3 | Opioid EventsMisuse and overdose of opioids have become a serious public health problem in North Dakota and throughout the United States. Blue Cross Blue Shield of North Dakota Caring Foundation has partnered with Prairie Public Broadcast, Bell Banks and Dakota Medical Foundation to produce a 30-minute North Dakota state-based documentary. The documentary spotlights some of the most important things North Dakota opioid users, affected families, health care professionals, educators, businesses and community members need to know upfront about the opioid epidemic but most importantly how they can drive action in helping to solve the problem. Our vision of hope identifies solutions from multiple facets with focuses on promotion and prevention, early intervention, and treatment and recovery. We all have a role. Together we will make a difference. | Description3Txt |
| Expenses3 | $4,184 | Expenses3Amt |
| Description4 | Suicide PreventionIn an effort to prevent suicide and help those struggling with depression and other mental illnesses, the BCBSND Caring Foundation supports various initiatives across the state to reduce the stigma and provide important resources and assistance. | Description4Txt |
| Expenses4 | $977 | Expenses4Amt |
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 | $8,941,406 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $57,461 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $8,998,867 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $8,998,867 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $134,983 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $8,863,884 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $443,194 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $443,194 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,725 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,725 | TotalTaxAmt |
| Distributable Before Adj | $440,469 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $440,469 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $440,469 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $493,630 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $493,630 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $2,725 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $490,905 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $440,469 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr1 | $11,746 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $11,746 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $493,630 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $440,469 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $53,161 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $64,907 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $64,907 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $11,746 | ExcessFromYear1Amt |
| Excess From Current Year | $53,161 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Caring Foundation | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 13th Ave S | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 7012821100 | RecipientPhoneNum |
| Recipient Email Address | caringfoundation@bcbsnd.com | RecipientEmailAddressTxt |
| Form And Info And Materials | Caring Foundation applications located on our website | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | Varies based on grant type | SubmissionDeadlinesTxt |
| Restrictions On Awards | In general must impact North Dakotans and tie back to our mission of bettering health and well-being. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (138 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| Altru Health Foundation | |||||||
| 2501 Demers Avenue | Grand Forks | ND | 58201 | None | PC | Support disease prevention screenings | $4,000 |
| Altru Health Foundation-TEARS Program | |||||||
| PO Box 6002 | Grand Forks | ND | 58201 | None | PC | mental health first aid for adults trainer certification | $10,000 |
| Anne Carlson Center | |||||||
| PO Box 8000 | Jamestown | ND | 58402 | None | PC | Bike camp sponsor | $2,700 |
| Anne Carlson Center | |||||||
| PO Box 168 | Bottineau | ND | 58318 | None | PC | Annie's House Adaptive Recreation program scholarships | $6,000 |
| Ashley Swimming Pool | |||||||
| PO Box 382 | Ashley | ND | 58413 | None | GOV | Funds for community to put on a 5k/ pool night event for families in partnership with their Park District | $1,500 |
| Alzheimer's Association of MN-ND | |||||||
| 7900 West 78th Street | Minneapolis | MN | 55439 | None | PC | Casual Day Dollars Donation | $480 |
| Fraser | |||||||
| 2902 S University Drive | Fargo | ND | 58103 | None | PC | Purchased baby blankets for low income families & decorations for festival of trees to benefit Fraser, Ltd. | $417 |
| American Diabetes Association | |||||||
| 8000 W 78th Street Suite 175 | Edina | MN | 55439 | None | PC | Camp Sioux fundraiser | $1,200 |
| American Foundation of Suicide Prevention ND Chapter | |||||||
| PO Box 11295 | Fargo | ND | 58106 | None | PC | Casual Day Dollars donation | $417 |
| American Gold Gymnastics | |||||||
| 2001 17th Ave S | Fargo | ND | 58103 | None | PC | scholarship program | $2,500 |
| American Red Cross ND Chapter | |||||||
| 2602 12th Street N | Fargo | ND | 58102 | None | PC | Casual Day Dollars Donation | $740 |
| Bakken BBQ Charities | |||||||
| PO Box 122 | Dickinson | ND | 58602 | None | PC | Listed as Unincorporated Association; Proceeds from this charitable event benefitted North Dakota Make-A-Wish | $500 |
| Barnes County North School District | |||||||
| 2192 101 Ave SE | Wimbledon | ND | 58492 | None | GOV | fitness equipment | $2,500 |
| Ben Franklin Middle School | |||||||
| 1420 8th Street N | Fargo | ND | 58102 | None | GOV | pedometers for students | $560 |
| Bethany Auxiliary | |||||||
| 4255 30th Ave S | Fargo | ND | 58104 | None | PC | Dollars for Doers/Charitable Giving | $400 |
| Big 987 Christmas Wish | |||||||
| 2720 7th Ave S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Bismarck Cancer Center | |||||||
| 500 N 8th Street | Bismarck | ND | 58501 | None | PC | matching BCBSND employee funds | $180 |
| Boys and Girls Club of the Red River Valley | |||||||
| 2500 18th St S | Fargo | ND | 58103 | None | PC | Triple Play project | $10,000 |
| Brave the Shave | |||||||
| 1950 Far West Drive | Bismarck | ND | 58504 | None | PC | Fundraiser and Casual Day Dollars Donation | $6,487 |
| Camp Courage | |||||||
| 5001 Amber Valley Pkwy | Fargo | ND | 58104 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Cats Cradle Shelter | |||||||
| 9 9th St S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $600 |
| Central Cass Public School District | |||||||
| 802 5th Street N | Casselton | ND | 58102 | None | GOV | STEM | $10,000 |
| Century High School Sources of Strength | |||||||
| 1000 East Century Avenue | Bismarck | ND | 58103 | None | GOV | Sources of Strength Program | $350 |
| Children's Miracle Network | |||||||
| PO Box 2010 | Fargo | ND | 58122 | None | PC | Fundraiser and Dollars for Doers/Charitable Giving | $1,444 |
| Christian Adoption Services | |||||||
| PO Box 850 | West Fargo | ND | 58078 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Circle of Friends Humane Society | |||||||
| 4375 N Washington St | Grand Forks | ND | 58203 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Clara Barton Hawthorne | |||||||
| 1417 6th Street S | Fargo | ND | 58103 | None | GOV | walkathon support | $500 |
| Crohns and Colitis Foundation of America | |||||||
| 22865 Hunters Ridge Rd | Lakeville | MN | 55044 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Cullen Childrens Foundation | |||||||
| PO Box 594 | West Fargo | ND | 58078 | None | PC | Dollars for Doers/Charitable Giving | $400 |
| Dreams in Motion Inc | |||||||
| PO Box 625 | Mandan ND | ND | 58554 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Elgin New Leipzig Public Schools | |||||||
| PO Box 70 | Elgin | ND | 58533 | None | GOV | Sources of Strength Program | $5,000 |
| Elks Camp Grassick | |||||||
| 833 Grassick Ln | Dawson | ND | 58428 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Emergency Food Pantry | |||||||
| PO Box 2821 | Fargo | ND | 58108 | None | PC | Dollars for Doers/Charitable Giving | $800 |
| Essentia Health Regional Foundation | |||||||
| 3000 32nd Avenue South | Fargo | ND | 58103 | None | PC | NICU family resource support | $2,500 |
| Eventide Foundation | |||||||
| 801 Main Avenue | Moorhead | MN | 58560 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Family HealthCare | |||||||
| 301 NP Avenue | Fargo | ND | 58102 | None | PC | FHCs preventive in school dental services, yr 2 of 3, and Dollars for Doers | $8,533 |
| Fargo Park District Foundation | |||||||
| 701 Main Avenue | Fargo | ND | 58103 | None | PC | fitness equipment | $22,750 |
| FirstLink | |||||||
| 4357 13th Ave S | Fargo | ND | 58103 | None | PC | Text 211 program, and Dollars for Doers | $6,485 |
| Fraser | |||||||
| 2902 S University Drive | Fargo | ND | 58103 | None | PC | festival of trees sponsorship, help fund services, and Casual Day Dollars | $953 |
| Furry Friends Rockin Rescue | |||||||
| 2500 14th Ave SE | Mandan | ND | 58554 | None | PC | Dollars for Doers/Charitable Giving | $600 |
| Gateway to Science Center Inc | |||||||
| 1810 Schafer St | Bismarck | ND | 58501 | None | PC | support Stem programs | $4,000 |
| Gigi's Playhouse | |||||||
| 3224 20th Street S | Fargo | ND | 58104 | None | PC | support programming | $500 |
| Grand Forks Senior Center | |||||||
| 620 4th Ave S | Grand Forks | ND | 58201 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Great North Pole | |||||||
| 675 13th Avenue E | West Fargo | ND | 58078 | None | PC | Dollars for Doers/Charitable Giving | $800 |
| Lincoln Elementary | |||||||
| 2120 9th St S | Fargo | ND | 58103 | None | GOV | Bikes for kids in need Lincoln Elementary | $3,220 |
| Great Plains Food Bank | |||||||
| 1720 3rd Avenue N | Fargo | ND | 58102 | None | PC | Casual Day Dollars | $997 |
| Greater FM Economic Development Center (STEM Alliance) | |||||||
| 51 Broadway N | Fargo | ND | 58102 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| HERO | |||||||
| 5012 53rd St S | Fargo | ND | 58104 | None | PC | Medical equipment cleaning | $5,000 |
| Higher Power Automotive Ministries Inc | |||||||
| 5302 River Dr | Fargo | ND | 58102 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Hillsboro Backpack Program | |||||||
| PO Box 44 | Hillsboro | ND | 58045 | None | GOV | backpack program | $5,000 |
| HIPP Kids Therapy | |||||||
| 2497 Mustang Drive South | Mandan | ND | 58554 | None | PC | Occupational Services for children | $300 |
| Homeward Animal Shelter | |||||||
| 1201 28th Ave N | Fargo | ND | 58102 | None | PC | Dollars for Doers/Charitable Giving | $800 |
| Hope Center | |||||||
| 313 3rd Street NE | Devils Lake | ND | 58301 | None | PC | Dollars for Doers/Charitable Giving | $400 |
| Hopes Landing WEM | |||||||
| Box 3645 | Dickinson | ND | 58601 | None | PC | support sober living | $2,500 |
| Hospice of the Red River Valley | |||||||
| 1701 38th Street S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Humane Society of Richland Wilkin County | |||||||
| 1809 79 1/2 St SE | Wahpeton | ND | 58075 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Independence Inc | |||||||
| 2000 E Burdick Expressway | Minot | ND | 58701 | None | PC | chili bowl sponsorship | $750 |
| Jamestown United Way | |||||||
| PO Box 85 | Jamestown | ND | 58402 | None | PC | Fundraiser Donations | $73 |
| JDRF Dakotas | |||||||
| 1305 W 18th St Route 5192 | Sioux Falls | SD | 57117 | None | PC | support type 1 diabetes research | $2,500 |
| Jeremiah Project | |||||||
| 3104 Fiechtner Dr S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Kamp Kace | |||||||
| PO Box 6462 | Fargo | ND | 58109 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Lake Agassiz Habitat for Humanity | |||||||
| PO Box 1022 | Moorhead | MN | 56561 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Langdon Area High School | |||||||
| 715 14th Avenue | Langdon | ND | 58249 | None | GOV | Sources of Strength Program | $5,000 |
| Lend a Hand Dakota Medical Foundation | |||||||
| 4141 28th Ave S | Fargo | ND | 58104 | None | PC | Dollars for Doers/Charitable Giving | $400 |
| Little Missouri Arc | |||||||
| 403 2nd Ave SE | Bowman | ND | 58623 | None | PC | Casual Day Dollars | $179 |
| Lutheran Social Services | |||||||
| 3911 20th Avenue S | Fargo | ND | 58103 | None | PC | support companion program | $10,000 |
| Make-A-Wish ND Chapter | |||||||
| 4143 26th Ave S | Fargo | ND | 58104 | None | PC | Casual Day Dollars | $301 |
| March of Dimes Foundation | |||||||
| PO Box 673667 | Marietta | GA | 30006 | None | PC | Dollars for Doers/Charitable Giving | $2,973 |
| Memory Cafe of the RRV | |||||||
| PO Box 883 | Fargo | ND | 58107 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Mental Health America of ND | |||||||
| PO Box 4106 | Bismarck | ND | 58502 | None | PC | Support mental illness | $750 |
| Midkota Public School | |||||||
| PO Box 98 | Glenfield | ND | 58421 | None | GOV | Sources of Strength Program | $5,000 |
| Minot Family YMCA | |||||||
| PO Box 69 | Minot | ND | 58702 | None | PC | Family Fun night sponsor | $2,000 |
| Minot Head Start | |||||||
| 2815 Burdick Expy E | Minot | ND | 58701 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Missouri Slope Areawide United Way | |||||||
| PO Box 2111 | Bismarck | ND | 58502 | None | PC | Emergency homeless shelter | $8,500 |
| Missouri Valley Family YMCA | |||||||
| 1608 North Washington Street | Bismarck | ND | 58501 | None | PC | Safety around water program funding | $9,500 |
| National Kidney Foundation | |||||||
| 2601 S Minnesota Ave St 105-196 | Sioux Falls | SD | 57105 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Native American Development Center | |||||||
| 205 North 24th Street | Bismarck | ND | 58501 | None | PC | transportation services and peer support program | $7,500 |
| ND Autism Center | |||||||
| 647 13th Ave E | West Fargo | ND | 58078 | None | PC | support for walk for autism event | $700 |
| ND Center for Nursing | |||||||
| 3523 45th Street South | Fargo | ND | 58103 | None | PC | Workplace culture | $5,000 |
| ND Child Care Providers Inc | |||||||
| 2731 10th Ave SE | Mandan | ND | 58554 | None | PC | support for first aid, CPR, and SIDS trainers | $500 |
| ND Dental Foundation Mission of Mercy | |||||||
| 4141 28th Ave S | Fargo | ND | 58104 | None | PC | free dental care | $8,000 |
| ND Federation of Families for Children's Mental Health | |||||||
| PO Box 3061 | Bismarck | ND | 58502 | None | PC | youth mental health | $1,000 |
| NDANO | |||||||
| PO Box 1091 | Bismarck | ND | 58502 | None | PC | Nonprofit Leadership conference sponsor | $500 |
| NDSU School of Pharmacy | |||||||
| 1401 Albrecht Blvd | Fargo | ND | 58102 | None | GOV | Funding used to develop an Opioid Misuse Risk Prevention Toolkit for community pharmacists | $9,500 |
| New American Consortium for Wellness & Empowerment | |||||||
| 15 21st Street S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Gladys Ray Shelter | |||||||
| 1519 1st Ave S | Fargo | ND | 58103 | None | GOV | Purchased backpacks for homeless female veterans at the Gladys Ray Shelter | $183 |
| Northern Lights Youth Services Inc | |||||||
| 502 West Caledonia Ave | Hillsboro | ND | 58045 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Northern Prairie Performing Arts - FMCT | |||||||
| 333 4th St S | Fargo | ND | 58103 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Parkside Lutheran Home | |||||||
| 501 3rd Avenue W | Lisbon | ND | 58054 | None | PC | recumbent bike | $1,000 |
| Rape and Abuse Crisis Center | |||||||
| PO Box 2984 | Fargo | ND | 58108 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Red River Valley FOP Lodge #1 | |||||||
| 21 18th Street S | Fargo | ND | 58103 | None | PC | support local children with new shoes, clothing, and backpacks | $1,000 |
| Richland Wilkin Emergency Food Pantry Inc | |||||||
| 699 8th Ave S | Wahpeton | ND | 58075 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Robert Asp Elementary | |||||||
| 910 11th Street N | Moorhead | MN | 56560 | None | GOV | walkathon support | $500 |
| Ronald McDonald House of RRV | |||||||
| 1330 18th Avenue S | Fargo | ND | 58103 | None | PC | Casual Day Dollars | $1,016 |
| Ronald McDonald House Charities of Bismarck | |||||||
| PO Box 7323 | Bismarck | ND | 58103 | None | PC | Casual Day Dollars | $216 |
| Safe Kids Grand Forks | |||||||
| PO Box 6002 | Grand Forks | ND | 58206 | None | PC | Safe Kids Day | $100 |
| Salvation Army | |||||||
| PO Box 2124 | Fargo | ND | 58107 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Souris Valley United Way | |||||||
| 1941 4th Street SW | Minot | ND | 58701 | None | PC | backpack buddies program to fight childhood hunger | $7,000 |
| Southern Valley Figure Skating Club | |||||||
| PO Box 1412 | Wahpeton | ND | 58074 | None | PC | promote and encourage skaters of all ages | $200 |
| Southwestern District Health Unit | |||||||
| 227 16th Street West | Dickinson | ND | 58601 | None | PC | Kids Health and Safety Fair | $100 |
| Special Olympics North Dakota | |||||||
| 2616 S 26th St | Grand Forks | ND | 58201 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Star Legacy Foundation | |||||||
| 7820 Terrey Pine Ct 80 | Eden Prairie | MN | 55347 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| The Arc Cass County | |||||||
| 215 North University Drive | Fargo | ND | 58102 | None | PC | Casual Day Dollars | $178 |
| The Arc of Barnes County | |||||||
| 141 2nd Street NE | Valley City | ND | 58072 | None | PC | Casual Day Dollars | $178 |
| The Arc of Bismarck | |||||||
| 1500 E Capitol | Bismarck | ND | 58501 | None | PC | Casual Day Dollars | $178 |
| The Arc of Dickinson | |||||||
| 653 19th Street W | Dickinson | ND | 58601 | None | PC | Casual Day Dollars | $178 |
| The Arc Upper Valley Inc | |||||||
| 2500 Demers Ave | Grand Forks | ND | 58201 | None | PC | Casual Day Dollars | $178 |
| The Village Family Service Center | |||||||
| PO Box 9859 | Fargo | ND | 58106 | None | PC | Support for addiction, awareness and destigmatization | $2,900 |
| Theatre B | |||||||
| 215 10th Street N | Moorhead | MN | 58560 | None | PC | Dollars for Doers/Charitable Giving | $200 |
| Theodore Roosevelt Medora Foundation | |||||||
| PO Box 198 | Medora | ND | 58645 | None | PC | Dollars for Doers/Charitable Giving | $400 |
| Tobacco Free ND | |||||||
| PO Box 3237 | Bismarck | ND | 58502 | None | PC | educational material to educate tobacco dangers, reduce youth initiation | $5,000 |
| Turtle Lake Community Hospital Association | |||||||
| PO Box 280 | Turtle Lake | ND | 58575 | None | PC | support 'crash-cart' equip upgrade | $1,000 |
| UND Dakota Conference | |||||||
| 1301 N Columbia Road Stop 9037 | Grand Forks | ND | 58202 | None | GOV | Opioid Work | $2,000 |
| Underwood Public Schools District #8 | |||||||
| 123 Summit Street | Underwood | ND | 58576 | None | GOV | Sources of Strength Program | $5,000 |
| United Way of Cass Clay | |||||||
| 219 7th Street S | Fargo | ND | 58103 | None | PC | Annual Corporate Donation, and Casual Day Dollars | $50,959 |
| United Way of Barnes County | |||||||
| PO Box 29 | Valley City | ND | 58072 | None | PC | Fundraiser Donations | $73 |
| United Way of Dickinson | |||||||
| PO Box 501 | Dickinson | ND | 58602 | None | PC | Fundraiser Donations | $73 |
| United Way of Grand Forks East Grand Forks & Area | |||||||
| 1407 24th Avenue South | Grand Forks | ND | 58201 | None | PC | Fundraiser Donations | $73 |
| United Way of Richland-Wilkin | |||||||
| PO Box 746 | Wahpeton | ND | 58074 | None | PC | Fundraiser Donations | $73 |
| Basin United Way of Williston | |||||||
| PO Box 176 | Williston | ND | 58802 | None | PC | Fundraiser Donations | $73 |
| Valley Community Health Center | |||||||
| 212 4th Street 200 | Grand Forks | ND | 58201 | None | PC | School Dental Sealant Program | $18,000 |
| Valley Memorial Foundation | |||||||
| 2900 14th Avenue S | Grand Forks | ND | 58201 | None | PC | Headstart | $100 |
| Wish Fast | |||||||
| 8037 116th Avenue S | Crete | ND | 58040 | None | PC | Benefit for Make a Wish ND | $500 |
| Wishek Public School | |||||||
| PO Box 247 | Wishek | ND | 58495 | None | GOV | Sources of Strength Program | $5,000 |
| YWCA of Cass and Clay Counties | |||||||
| 3100 12th Avenue N | Fargo | ND | 58102 | None | PC | Dollars for Doers/Charitable Giving | $1,200 |
| University of North Dakota | |||||||
| 264 Centennial Dr Mail Stop 7306 | Grand Forks | ND | 58202 | None | GOV | Rural Health Providers Partnership Grants | $50,140 |
| Bismarck State College | |||||||
| 1500 Edwards Ave PO Box 5587 | Bismarck | ND | 58506 | None | GOV | Health Profession Scholarships | $2,500 |
| Cankdeska Cikana Community College | |||||||
| PO Box 269 | Fort Totten | ND | 58335 | None | GOV | Health Profession Scholarships | $2,500 |
| Dakota College at Bottineau | |||||||
| 105 Simrall Blvd | Bottineau | ND | 58318 | None | GOV | Health Profession Scholarships | $2,500 |
| Mayville State University | |||||||
| 330 3rd Street NE | Mayville | ND | 58257 | None | GOV | Health Profession Scholarships | $2,500 |
| Minot State University | |||||||
| 500 University Ave W | Minot | ND | 58707 | None | GOV | Health Profession Scholarships | $2,500 |
| NDSCS Financial Aid | |||||||
| 800 6th Street N | Wahpeton | ND | 58076 | None | GOV | Health Profession Scholarships | $2,500 |
| NDSU One Stop | |||||||
| PO Box 6050 Dept 2836 | Fargo ND | ND | 58108 | None | GOV | Health Profession Scholarships | $17,500 |
| School of Medicine & Health Sciences | |||||||
| 1301 N Columbia Road Stop 9037 | Grand Forks | ND | 58202 | None | GOV | Health Profession Scholarships | $17,500 |
| United Tribes Technical College | |||||||
| 3315 University Drive | Bismarck | ND | 58504 | None | GOV | Health Profession Scholarships | $2,500 |
| University of Mary Financial Aid | |||||||
| 7500 University Drive | Bismarck | ND | 58504 | None | GOV | Health Profession Scholarships | $2,500 |
| University of North Dakota | |||||||
| 264 Centennial Drive Stop 8371 | Grand Forks | ND | 58202 | None | GOV | Health Profession Scholarships | $5,000 |
| Williston State College | |||||||
| 1410 University Avenue | Williston | ND | 58801 | None | GOV | Health Profession Scholarships | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $441,008 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $197,071 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $77,997 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $275,068 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $275,068 | 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 | Noridian Mutual Insurance Company | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 13th Ave S | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $5,268,816 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Baird Aggregate Bond Fund | FMV | $3,813,994 | $3,813,994 |
| Transamerica International Equty Fund | FMV | $876,470 | $876,470 |
| Vanguard Total Stock Market | FMV | $4,938,518 | $4,938,518 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment Income Receivable | Desc |
| BOY Book Value | $5,577 | BOYBookValueAmt |
| EOY Book Value | $7 | EOYBookValueAmt |
| EOYFMV | $7 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Unrealized Loss | Desc |
| Amt | $688,668 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Miscellaneous Expenses | $114 | $0 | $114 |
| Administrative Expenses | $268,816 | $0 | $0 |
| CaringForKids | $37,447 | $0 | $37,447 |
| Opioid Events | $4,184 | $0 | $4,184 |
| Suicide Prevention | $977 | $0 | $977 |
| Colorectal Cancer Awareness | $9,900 | $0 | $9,900 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Fees | CategoryTxt |
| Amt | $2,572 | Amt |
| Net Investment Income | $2,572 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Excise Taxes | CategoryTxt |
| Amt | $5,737 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments