MIDWESTONE BANK FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MIDWESTONE BANK FOUNDATION (EIN 75-3023674)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-25
- IRS object ID
- 201822989349100712
- Schema version
- 2017v2.2
- 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
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-25T15:36:14-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 SUITE 800 | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 | 2018-06-22 | 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 | 108.171.131.188 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-06-22 | IPDt |
| IP Tm | 09:18:33 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9D3E37C9B3F1900320B932F13258C2DA42220A0F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 011BD63129C2C3C3262605A65B6A2C7C42934B20 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,778,374 | 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 | $100,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $139 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $139 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $72,994 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $72,994 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $29,892 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $236,043 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $29,892 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $18 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $18 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $203,043 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $103,043 | 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 | $1,300 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $650 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $650 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $1,056 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $16 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $2,356 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $666 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $650 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $128,253 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $128,253 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $130,609 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $666 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $128,903 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $72,434 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $102,377 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $91,526 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $51,440 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $51,440 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $483,901 | CorporateStockBOYAmt |
| Corporate Stock EOY | $502,405 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $818,272 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $1,770,110 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,864,031 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,908,662 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,345,537 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,417,876 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,778,374 | 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 | $1,595,537 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,667,876 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,345,537 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,417,876 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,345,537 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,417,876 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,345,537 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $72,434 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,417,971 | SubtotalAmt |
| Other Decreases | $95 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,417,876 | 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 | $21,010 | $21,465 | -$455 | -$455 |
| PUBLICLY TRADED SECURITIES | P | $201,741 | $184,686 | $17,055 | $17,055 |
| LONG TERM CAPITAL GAINS | P | $13,292 | $13,292 | $13,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $29,892 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $121,092 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,386,203 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.050747 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $107,963 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,070,308 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.052148 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $70,108 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,459,329 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.048041 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $72,774 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,352,173 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.053820 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $69,341 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,282,279 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.054076 | DistributionYr5Rt |
| Total Distribution | 0.258832 | TotalDistributionRt |
| Average Distribution | 0.051766 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,570,583 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $133,069 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,024 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $134,093 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $128,903 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,048 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,048 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,048 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,440 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $2,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $3,440 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,392 | OverpaymentAmt |
| Applied To ES Tax | $1,392 | 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 |
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 | $2,585,651 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $24,078 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,609,729 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,609,729 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $39,146 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,570,583 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $128,529 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $128,529 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,048 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,048 | TotalTaxAmt |
| Distributable Before Adj | $126,481 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $126,481 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $126,481 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $128,903 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $128,903 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $128,903 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $126,481 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $6,513 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $6,109 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr2 | $6,493 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $3,219 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $22,334 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $128,903 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $126,481 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,422 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $24,756 | 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 | $6,513 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $18,243 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $6,109 | ExcessFromYear4Amt |
| Excess From Year2 | $6,493 | ExcessFromYear2Amt |
| Excess From Year1 | $3,219 | ExcessFromYear1Amt |
| Excess From Current Year | $2,422 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (32 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 | $3,335 |
| CITY OF FT MADISON | |||||||
| PO BOX 240 | FT MADISON | IA | 52627 | N/A | GOV | GENERAL OPERATING FUND | $5,000 |
| CITY OF NORTH ENGLISH | |||||||
| 200 S MAIN ST | NORTH ENGLISH | IA | 52316 | N/A | GOV | GENERAL OPERATING FUND | $2,500 |
| 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 |
| FAIRFIELD PARK AND REC | |||||||
| 1000 W BURLINGTON AVENUE | FAIRFIELD | IA | 52556 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| FORT MADISON COMMUNITY HIGH SCHOOL | |||||||
| 2001 AVE B | FORT MADISON | IA | 52627 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS IN NEED FOOD SHELF | |||||||
| PO BOX 6 | COTTAGE GROVE | MN | 55016 | N/A | PC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS OF THE HUDSON PUBLIC LIBRARY | |||||||
| 700 FIRST STREET | HUDSON | WI | 54016 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| GIRL SCOUTS OF EASTERN IOWA AND WESTERN ILLINOIS | |||||||
| 940 GOLDEN VALLEY DRIVE | BETTENFORF | IA | 52722 | N/A | PC | CAMP RENOVATIONS | $5,000 |
| HISTORIC PELLA TRUST | |||||||
| 615 MAIN STREET | PELLA | IA | 50219 | N/A | PC | GENERAL OPERATING FUND | $4,000 |
| HUGO GOOD NEIGHBORS FOOD SHELF | |||||||
| PO BOX 373 | HUGO | MN | 55038 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| IOWA VALLEY RESOURCE CONSERVATION & DEVELOPMENT | |||||||
| 920 48TH AVE | AMANA | IA | 52403 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| MILL POND LEARNING FOUNDATION | |||||||
| PO BOX 791 | OSCEOLA | WI | 54020 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| NEWALDAYA LIFESCAPES | |||||||
| 7511 UNIVERSITY AVE | CEDAR FALLS | IA | 50613 | N/A | PC | MEMORY CARE HOUSE | $5,000 |
| NEWPORT ELEMENTARY SCHOOL | |||||||
| 851 6TH AVE | NEWPORT | MN | 55055 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| NORTH BEND ELEMENTARY PARENT TEACHER GROUP | |||||||
| 2230 ST ANDRES DR | NORTH LIBERTY | IA | 52317 | N/A | PC | GENERAL OPERATING FUND | $2,000 |
| OSKALOOSA HIGH SCHOOL | |||||||
| 1818 N THIRD STREET | OSKALOOSA | IA | 52577 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| 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 |
| 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 |
| STMA YOUTH HOCKEY ASSOCIATION INC | |||||||
| PO BOX 1345 | ST MICHAEL | MN | 55376 | N/A | PC | GENERAL OPERATING FUND | $5,000 |
| 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 |
| HURRICANE HARVEY RELIEF EFFORTS - TEXAS BANKERS ASSOCIATION | |||||||
| 203 W 10TH ST | AUSTIN | TX | 78701 | N/A | PC | HURRICANE HARVEY RELIEF EFFORTS | $1,000 |
| THE 1105 PROJECT | |||||||
| 325 E WASHINGTON STREET | IOWA CITY | IA | 522401803 | N/A | PC | GENERAL OPERATING FUND | $3,000 |
| TOWN OF HAYESVILLE | |||||||
| 102 FRITZ ST | HAYESVILLE | IA | 52562 | N/A | GOV | GENERAL OPERATING FUND | $1,500 |
| 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 | $128,253 | 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 | $139 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $72,994 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $29,892 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LITIGATION PROCEEDS | Desc |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $18 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $103,043 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $103,043 | 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 | $100,000 | 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 | $1,300 | Amt |
| Net Investment Income | $650 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $650 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (56 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AT&T INC | $4,049 | $5,676 |
| ABBOTT LABORATORIS | $6,181 | $14,496 |
| ABBVIE INC | $4,576 | $16,731 |
| ALLSTATE CORP | $10,442 | $20,209 |
| ALPHABET INC - CL C | $8,976 | $19,882 |
| ALPHABET INC - CL A | $1,729 | $6,320 |
| AMERICAN TOWER CORP NEW COM | $14,316 | $21,115 |
| APPLE INC | $12,311 | $25,554 |
| BALL CORP | $4,973 | $7,949 |
| BECTON DICKINSON AND CO | $14,672 | $21,834 |
| BLACKROCK INC COMMON | $8,794 | $11,815 |
| BOEING COMPANY | $7,464 | $27,427 |
| BROADCOM LTD | $5,917 | $10,533 |
| CVS HEALTH CORPORATION COM | $7,033 | $11,818 |
| CHEVRON CORP | $6,837 | $11,142 |
| CISCO SYSTEMS INC | $8,004 | $15,205 |
| CUMMINS INC | $13,429 | $22,963 |
| DANAHER CORP | $7,544 | $15,594 |
| DOLLAR GENERAL CORP NEW | $16,297 | $17,858 |
| DOMINION RES INC | $8,822 | $10,943 |
| DUKE ENERGY HOLDING | $4,682 | $6,308 |
| EXXON MOBIL CORP | $6,373 | $6,859 |
| FACEBOOK INC CL A | $10,149 | $13,588 |
| FORTIVE CORP COM | $2,456 | $6,077 |
| GENERAL ELECTRIC CO | $11,646 | $8,777 |
| HCA HEALTHCARE INC COM | $6,963 | $7,730 |
| HOME DEPOT INC COM | $11,864 | $17,437 |
| ILLINOIS TOOLWORKS | $8,863 | $24,861 |
| JP MORGAN CHASE | $10,247 | $25,773 |
| JOHNSON & JOHNSON | $10,803 | $19,281 |
| KRAFT HEINZ CO | $8,854 | $13,452 |
| LINCOLN NATL CORP IND COM | $8,282 | $13,452 |
| MICROSOFT CORP COM | $10,627 | $16,766 |
| MOHAWK INDS INC COM | $13,756 | $20,968 |
| MONDELEZ INTL INC | $6,683 | $10,486 |
| O'REILLY AUTOMOTIVE | $7,393 | $19,243 |
| ORACLE SYSTEMS CORP | $9,050 | $16,784 |
| PPG INDS INC COM | $7,479 | $7,827 |
| PEPSICO INCORPORATED | $8,132 | $14,031 |
| PIONEER NAT RES CO COM | $2,335 | $2,247 |
| PRICELINE COM INC | $5,821 | $8,689 |
| PROCTER & GAMBLE | $10,588 | $16,355 |
| PRUDENTIAL FINL INC | $13,133 | $18,972 |
| SALESFORCE COM INC COM | $9,362 | $10,530 |
| SYNCHRONY FINANCIAL | $8,267 | $10,888 |
| STERIS CORP | $14,127 | $16,357 |
| 3M CO | $4,193 | $9,179 |
| UNITEDHEALTH GROUP INC COM | $12,131 | $17,416 |
| VALERO ENERGY CORP | $11,602 | $22,058 |
| VERIFONE SYSTEMS INC | $6,023 | $3,418 |
| VERIZON COMM | $9,799 | $12,650 |
| VISA INC COM CL A | $12,329 | $16,761 |
| WELLS FARGO COMPANY | $11,001 | $17,716 |
| WHIRLPOOL CORP COM | $7,231 | $7,251 |
| MIDWESTONE FINL GROUP INC | $23,963 | $33,530 |
| ACCENTURE LTD | $3,832 | $9,491 |
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 | $23,069 | $22,989 |
| HARTFORD MID CAP GROWTH FUND | AT COST | $56,569 | $76,620 |
| JANUS TRITON FD CL 1 | AT COST | $108,401 | $128,112 |
| OPPENHEIMER INTERNATIONAL GROWTH FUND | AT COST | $46,470 | $59,737 |
| OPPENHEIMER DEV MKTS | AT COST | $40,830 | $51,306 |
| VANGUARD REIT INDEX FUND ADMIRAL | AT COST | $48,506 | $48,731 |
| EATON VANCE FLOATING RATE ADVANTAGE FUND | AT COST | $144,416 | $142,492 |
| FEDERATED INSTL TR HI YIELD BD | AT COST | $110,144 | $109,502 |
| PIMCO GNMA INST CL | AT COST | $160,888 | $155,958 |
| PIMCO INVESTMENT GRADE CORP BD | AT COST | $316,738 | $312,651 |
| PIMCO INCOME FUND | AT COST | $236,545 | $236,615 |
| PIONEER BOND FUND - Y | AT COST | $62,975 | $63,003 |
| PIONEER MULTI-ASSET ULTRA SHORT INC FUND | AT COST | $31,780 | $31,678 |
| VANGUARD FIXED INCOME SECS FGNMA FD ADMRL | AT COST | $241,104 | $234,393 |
| VANGUARD SHORT TERM INVESTMENT GRADE FD | AT COST | $235,596 | $234,875 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJ TO DECREASE COST BASIS | Desc |
| Amt | $95 | Amt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LITIGATION PROCEEDS | Desc |
| Revenue And Expenses Per Books | $18 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $18 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $18 | AdjustedNetIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $1,040 | $0 | $0 |
| FOREIGN TAX | $16 | $16 | $0 |
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