LOHSE FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LOHSE FAMILY FOUNDATION (EIN 46-1567946)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-30
IRS object ID
201841509349100124
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-30T14:32:07-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 LOCUST ST STE 640AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503092354ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461567946EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOHSE FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOHSBusinessNameControlTxt
Phone5153607647PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 67AddressLine1Txt
CityBONDURANTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50035ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN K LOHSEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5153607647PhoneNum
Signature2018-05-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHEATHER BYERSPreparerPersonNm
PTINP01076405PTIN
Phone5155586600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.187IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-18IPDt
IP Tm10:52:45IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE20CEA6B0704ADA635237DC0B36694D38C8974D2AtSubmissionCreationDeviceId
At Submission Filing Device Id6E1B243F3124D820DE30E75D3837C8B1335380A6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,236,818FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$139,553DividendsRevAndExpnssAmt
Dividends Net Invst Incm$139,553DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$97,771NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,128,300GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$97,771CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$237,324TotalRevAndExpnssAmt
Total Net Invst Incm$237,324TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$180LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$180LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$10,753AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,377AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$5,376AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$22,957OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$22,957OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$13,559TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,021TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$6,889OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$6,889OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$54,338TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$38,244TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,556TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$384,208ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$384,208ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$438,546TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$38,244TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$389,764TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$201,222ExcessRevenueOverExpensesAmt
Net Investment Income$199,080NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$93,418SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$121,767SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$121,767SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,027,289CorporateStockBOYAmt
Corporate Stock EOY$2,827,402CorporateStockEOYAmt
Corporate Stock EOYFMV$3,481,005CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,483,099CorporateBondsBOYAmt
Corporate Bonds EOY$1,451,719CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,452,136CorporateBondsEOYFMVAmt
Other Investments BOY$183,284OtherInvestmentsBOYAmt
Other Investments EOY$184,980OtherInvestmentsEOYAmt
Other Investments EOYFMV$181,910OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,787,090TotalAssetsBOYAmt
Total Assets EOY$4,585,868TotalAssetsEOYAmt
Total Assets EOYFMV$5,236,818TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$4,787,090RetainedEarningBOYAmt
Retained Earning EOY$4,585,868RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,787,090TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,585,868TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,787,090TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,585,868TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,787,090TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$201,222ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,585,868SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,585,868TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
PUBLICLY TRADED SECURITIES$1,117,112$1,030,529$86,583$86,583
CASH IN LIEU$287$287$287
CAPITAL GAINS DIVIDENDS$10,901$10,901$10,901P
FieldValueIRS element (for citing)
Capital Gain Net Income$97,771CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$393,038AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,865,343NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.080783DistributionYr1Rt
Adjusted Qlfy Distri Yr2$390,048AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,125,034NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.076106DistributionYr2Rt
Adjusted Qlfy Distri Yr3$665,280AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$5,578,190NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.119264DistributionYr3Rt
Adjusted Qlfy Distri Yr4$5,255,241AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$9,781,969NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.537238DistributionYr4Rt
Adjusted Qlfy Distri Yr5$0AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$430,946NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.000000DistributionYr5Rt
Total Distribution0.813391TotalDistributionRt
Average Distribution0.162678AverageDistributionRt
Net Vl Noncharitable Assets$5,036,074NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$819,258AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,991NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$821,249AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$389,764QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,982InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,982SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,982TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$9,661EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$9,661TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$5,679OverpaymentAmt
Applied To ES Tax$5,679AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateIAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBRIAN K LOHSEIndividualWithBooksNm
Phone5153607647PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11500 NE MORGAN DRAddressLine1Txt
CityBONDURANTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50035ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BRIAN K LOHSE
PO BOX 67BONDURANTIA50035PRESIDENT & SECRETARY0.00$0$0$0
MARY F LOHSE
PO BOX 67BONDURANTIA50035VICE-PRESIDENT & TREASURER0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,972,262AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$140,503AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,112,765TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,112,765AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$76,691CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,036,074NetVlNoncharitableAssetsAmt
Minimum Investment Return$251,804MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$251,804MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,982TaxBasedOnInvestmentIncomeAmt
Total Tax$3,982TotalTaxAmt
Distributable Before Adj$247,822DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$247,822DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$247,822DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$389,764ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$389,764QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$389,764AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$247,822DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$4,770,899ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$390,423ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$142,232ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$152,044ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$5,455,598TotalExcessDistributionCyovAmt
Qualifying Distributions$389,764QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$247,822AppliedToCurrentYearAmt
Remaining Distri From Corpus$141,942RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$5,597,540TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$5,597,540ExcessDistriCyovToNextYrAmt
Excess From Year4$4,770,899ExcessFromYear4Amt
Excess From Year3$390,423ExcessFromYear3Amt
Excess From Year2$142,232ExcessFromYear2Amt
Excess From Year1$152,044ExcessFromYear1Amt
Excess From Current Year$141,942ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BONDURANT FARRAR EDUCATION FOUNDATION
PO BOX 212BONDURANTIA50035NONEPCGENERAL OPERATING FUND$50,150
BONDURANT SOCCER CLUB
PO BOX 5BONDURANTIA50035NONEPCGENERAL OPERATING FUND$150
CITY OF BONDURANT
200 2ND ST NEBONDURANTIA50035NONEPCGENERAL OPERATING FUND$35,919
EASTER SEALS IOWA
PO BOX 5168DES MOINESIA50305NONEPCGENERAL OPERATING FUND$2,500
FEDERATED CHURCH OF BONDURANT
103 2ND SWBONDURANTIA50035NONEPCGENERAL OPERATING FUND$108,759
GIRL SCOUTS OF GREATER IOWA
10715 HICKMAN RDURBANDALEIA50322NONEPCGENERAL OPERATING FUND$150
LUTHERAN CHURCH OF THE CROSS
1701 8TH ST SWALTOONAIA50009NONEPCGENERAL OPERATING FUND$2,300
POLK COUNTY FAIRBOARD
328 SE 72ND STPLEASANT HILLIA50327NONEPCGENERAL OPERATING FUND$1,000
SHELTERED REALITY
408 E 8TH STREETWEST LIBERTYIA52776NONEPCGENERAL OPERATING FUND$150
SPECIAL OLYMPICS OF IOWA
551 SE DOVETAIL RDGRIMESIA50111NONEPCGENERAL OPERATING FUND$20,000
ST BALDRICK'S FOUNDATION
1333 S MAYFLOWER AVEMONROVIACA91016NONEPCGENERAL OPERATING FUND$50,000
UNIVERSITY OF IOWA DANCE MARATHON
157 IOWA MEMORIAL UNIONIOWA CITYIA52242NONEPCGENERAL OPERATING FUND$4,000
HIS HAVEN RANCH COMPANY
3245 LAKE AVENUENEW PRAGUEMN56071NONEPCGENERAL OPERATING FUND$25,000
FOUNDATION FOR CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVEDES MOINESIA50314NONEPCGENERAL OPERATING FUND$5,000
CENTRAL IOWA SCHOLASTIC SHOOTERS
2400 NW 86TH STDES MOINESIA50322NONEPCGENERAL OPERATING FUND$2,000
BOY SCOUTS OF AMERICA
571 HOLT AVENUEMANCHESTERNH03109NONEPCGENERAL OPERATING FUND$1,000
ENGINEERING MINISTRIES INTERNATIONAL INC
130 EAST KIOWA ST NO 200COLORADO SPPRINGSCO809031722NONEPCGENERAL OPERATING FUND$500
MERCY FOUNDATION OF DES MOINES IOWA
1111 6TH AVENUEDES MOINESIA50314NONEPCGENERAL OPERATING FUND$500
BONDURANT FUNDRAISING FRIENDS
905 LINCOLN ST SEBONDURANTIA50035NONEPCGENERAL OPERATING FUND$1,150
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303NONEPCGENERAL OPERATING FUND$1,000
POLK COUNTY 4-H AND FFA FAIR ASSOCIATION
328 SE 72ND STPLEASANT HILLIA50327NONEPCPOLK COUNTY HOT SHOTS$2,000
MAKE-A-WISH FOUNDATION OF IOWA INC
3024 104TH STURBANDALEIA50322NONEPCGENERAL OPERATING FUND$10,000
FOLLOW HARD MINISTRIES
1849 FOX TRLWINTERSETIA50273NONEPCGENERAL OPERATING FUND$480
CHILDREN'S CANCER CONNECTION
2708 GRAND AVENUEDES MOINESIA503125214NONEPCGENERAL OPERATING FUND$10,000
COMMUNITY FOUNDATION OF JOHNSON COUNTY
325 E WASHINGTON STREET SUITE 100IOWA CITYIA52317NONEPCGENERAL OPERATING FUND$500
UNIVERSITY OF NORTHWESTERN - ST PAUL
3003 SNELLING AVE NORTHSAINT PAULMN55113NONEPCGENERAL OPERATING FUND$50,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$384,208TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$139,553ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$97,771ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$237,324ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$237,324TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ACCOUNTING FEES - RSM$8,820$4,410$4,410
ACCOUNTING FEES$1,933$967$966

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondGOLDMAN SACHS - FIXED INCOMEBondNm
EOY Book Value$1,451,719EOYBookValueAmt
EOYFMV$1,452,136EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GOLDMAN SACHS - US EQUITY$1,613,236$2,124,293
GOLDMAN SACHS - GLOBAL EQUITY$218,226$233,744
GOLDMAN SACHS - NON-US EQUITY$995,940$1,122,968

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemGOLDDMAN SACHS - ASSET ALLOCATION INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$184,980BookValueAmt
EOYFMV$181,910EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$180LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$180DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BOND AMORTIZATION$5,326$5,326$0
BANK CHARGES$629$629$0
ACCRUED INTEREST PAID$539$539$0
POSTAGE$40$40$0
MISCELLANEOUS INVESTMENTS EXPENSES$355$355$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$22,957Amt
Net Investment Income$22,957NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$3,021$3,021$0
2016 FEDERAL EXCISE TAX PAYMENTS$10,538$0$0

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