2017-11-08T08:33:34-06:00 2017-06-30 470677245 HBE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2016-07-01 470769903 NEBRASKA COMMUNITY FOUNDATION NEBR 4023237330 PO BOX 83107 LINCOLN NE 685013107 JEFFREY G YOST PRESIDENT & CHIEF EXEC OFFICER 4023237330 2017-11-07 1 KRYSTAL L SIEBRANDT CPA CFE CGMA P00543870 4024234343 216.229.3.146 2017-11-07 17:17:32 CS P 9D5917AE3D43D5C205902B676F4D63DE730B899B 6098045092FA96C5985A8C3F60B547B22F6DD4AB 2016 2017-02-10 21:41:12Z JEFFREY G YOST PO BOX 83107 LINCOLN NE 685013107 40895471 0 X WWW.NEBCOMMFOUND.ORG X 1993 NE THE NEBRASKA COMMUNITY FOUNDATION USES THE TOOLS OF PHILANTHROPY, COMMUNITY DEVELOPMENT AND ECONOMIC DEVELOPMENT TO HELP COMMUNITIES HELP THEMSELVES. 18 18 30 1500 247376 230135 29637814 29693297 1250198 1711731 96424 258367 -361644 9059130 30622792 40722525 4100770 9632520 0 0 1832381 2136704 35572 18423 367612 14516627 16018477 20485350 27806124 10137442 12916401 117669502 130566222 904367 884686 116765135 129681536 X THE NEBRASKA COMMUNITY FOUNDATION USES THE TOOLS OF PHILANTHROPY, COMMUNITY DEVELOPMENT AND ECONOMIC DEVELOPMENT TO HELP COMMUNITIES HELP THEMSELVES. CONTINUED ON SCHEDULE ONCF CREATES A PATH TO GREATER PROSPERITY FOR ALL BY HELPING COMMUNITIES: - ENVISION A BETTER FUTURE - DEVELOP LOCAL LEADERSHIP AND TALENT - INSPIRE CHARITABLE GIVING AND GROW ENDOWMENTS - FUND COMMUNITY NEEDS AND OPPORTUNITIES - MANAGE FINANCIAL RESOURCES - BUILD AND LEVERAGE EVERY LOCAL ASSET 0 0 25184413 9632520 1711731 NEBRASKA COMMUNITY FOUNDATION (NCF) IS A STATEWIDE ORGANIZATION THAT HELPS COMMUNITIES HELP THEMSELVES ENVISION AND CREATE A BETTER FUTURE. NCF WORKS WITH 1,500 VOLUNTEER LEADERS OF 219 AFFILIATED FUNDS LOCATED IN COMMUNITIES ACROSS THE STATE. NCF IS A DECENTRALIZED SYSTEM THAT EMPOWERS LOCAL LEADERSHIP, WHILE PROVIDING CENTRALIZED TECHNICAL SUPPORT AND EDUCATION. NCF TEACHES LOCAL LEADERS HOW TO RAISE THEIR OWN FUNDS AND MAKE THEIR OWN GRANTS BASED ON THEIR LOCAL DEVELOPMENT PRIORITIES. NCF PROVIDES TRAINING, STRATEGY DEVELOPMENT AND GIFT PLANNING ASSISTANCE. PROFESSIONAL STAFF MEMBERS HANDLE ALL THE FINANCIAL AND INVESTMENT MANAGEMENT, RECEIPTING, DISBURSEMENTS, TAX COMPLIANCE - RESPONSIBILITIES THAT COULD OVERWHELM LEADERS OF THE SMALL COMMUNITIES AND ORGANIZATIONS SERVED. 25184413 1 1 0 1 0 1 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 103 0 1 30 1 1 1 0 0 0 0 1 1 1 1 0 1 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X JASON D KENNEDY 4023237330 3833 SOUTH 14TH STREET LINCOLN NE 68502 AL STEUTER CHAIR 4.00 X X 0 0 0 DENNIS STARA PAST CHAIR 3.00 X 0 0 0 LORA DAMME VICE CHAIR 2.00 X X 0 0 0 JUDY BROCKMEIER SECRETARY 2.00 X X 0 0 0 KC BELITZ DIRECTOR 1.00 X 0 0 0 DOUG BEREUTER DIRECTOR 1.00 X 0 0 0 STEVE BREWSTER DIRECTOR 1.00 X 0 0 0 SARA COFFEE RADIL DIRECTOR 1.00 X 0 0 0 DALE DUELAND DIRECTOR 1.00 X 0 0 0 DAN BAHENSKY DIRECTOR 1.00 X 0 0 0 CASEY GARRIGAN DIRECTOR 1.00 X 0 0 0 CAROL LOCKWOOD DIRECTOR 1.00 X 0 0 0 PAUL MADISON DIRECTOR 1.00 X 0 0 0 LORI PANKONIN DIRECTOR 1.00 X 0 0 0 JUDY PARKS DIRECTOR 1.00 X 0 0 0 LYNN ROPER TREASURER 1.00 X X 0 0 0 GREG VASEK DIRECTOR 1.00 X 0 0 0 RICHARD WALTER DIRECTOR 1.00 X 0 0 0 SANDI WENDELL DIRECTOR 1.00 X 0 0 0 JEFFREY G YOST PRESIDENT AND CEO 40.00 X 202369 0 38741 JASON KENNEDY CFAO 40.00 X 146097 0 21473 JIM GUSTAFSON DIR OF ADVANCEMENT & GIFT 40.00 X 113362 0 24564 DIANE M WILSON MGR OF PUBLIC/PRIVATE PARTNERSHIPS 25.00 X 110584 0 1719 572412 0 86497 4 1 1 0 HEADWATERS CORPORATION 4111 4TH AVE STE 6 KEARNEY NE 68845 ENVIRONMENTAL PROGRAM MANAGEMENT 2441487 TETRA TECH DIVISIONS 3801 AUTOMATION WAY STE 100 FORT COLLINS CO 80525 ENVIRONMENTAL MANAGEMENT/ENHANCEMENT 474529 QUANTUM SPATIAL INC 75 REMITTANCE DRIVE DEPT 6868 CHICAGO IL 606756868 ENVIORNMENTAL MANAGEMENT/AERIAL PHOTOGRA 297528 UNITED STATES GEOLOGICAL SURVEY MS 271 NATIONAL CENTER RESTON VA 20192 ENVIRONMENTAL MANAGEMENT/ENHANCEMENT 235454 HOOKER BROTHERS CONSTRUCTION CO PO BOX 5288 GRAND ISLAND NE 688025288 ENVIRONMENTAL MANAGEMENT/WATER QUALITY M 202912 11 199184 12209930 17284183 3095138 29693297 SERVICS FOR AFFIL. FUNDS 900099 1711731 1711731 1711731 258367 258367 21845 21845 157225 199184 172946 -15721 -15721 UNREAL & REALIZED GAIN (LOSS) 900099 9102697 247376 8855321 ACTUARIAL GAIN (LOSS) 900099 -49691 -49691 9053006 40722525 1711731 247376 9070121 9308497 9308497 324023 324023 448997 322787 76184 50026 1324889 989126 123398 212365 41426 30520 4572 6334 200432 150683 19914 29835 120960 90249 13126 17585 8678 8678 21710 21710 18423 18423 91198 91198 10667 5957 4710 116902 103517 4498 8887 58375 27959 24838 5578 48399 4047 44352 88480 64636 10839 13005 53848 42051 7078 4719 64046 45609 18437 27559 2733 24826 55020 34553 20467 AFFIL FUND CHAR DISB 13014626 13014626 ADMINISTRATIVE FEES 1711507 1711507 CONTRACT PAYMENTS 419880 419880 AFFIL FUND DEVELOPMENT 119976 119976 107606 82984 23767 855 27806124 25184413 2254099 367612 5063398 6124890 39857610 29005905 228312 145140 76028 83172 72269316 94910392 2 75133 403148 366730 117669502 130566222 59039 72181 845328 812505 904367 884686 X 99514316 113719828 15401984 14112373 1848835 1849335 116765135 129681536 117669502 130566222 12916401 0 X X 0 1 X 1 1 1 X 20714770 42502730 26080322 29637814 29693297 148628933 20714770 42502730 26080322 29637814 29693297 148628933 8143417 140485516 143389 122301 107561 111450 280212 764913 149393846 6496648 0.94040 0.95280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 225 225 27805899 27806124 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 200 200 225 225 850 250000 250000 250000 250000 1000000 1500000 47 7 8901355 350 5289794 139642 30340745 4711329 1 1 69350415 4268086 9005829 3009670 777650 78837010 66673068 5674937 -393006 1839309 765275 69350415 64934560 2479747 1979261 1984883 735617 66673068 50390227 8085742 8246437 1209504 578342 64934560 39955411 6134314 6012301 1247171 464628 50390227 0.07170 0.89890 0.02940 0 0 13311 12390 921 215001 132750 82251 83172 CHARITABLE GIFT ANNUITY LIABILITY 812505 812505 X 39237767 234391 234391 39003376 1719149 1719149 40722525 27098323 261368 261368 26836955 969169 969169 27806124 PART V, LINE 4: ENDOWMENT FUNDS AT THE FOUNDATION WILL BE USED TO BUILD STRONG, PROSPEROUS COMMUNITIES AND CHARITABLE ORGANIZATIONS THROUGHOUT NEBRASKA. PART X, LINE 2: NEBRASKA COMMUNITY FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2017, THE FOUNDATION WAS GIFTED AND SOLD S-CORPORATION STOCK, WHICH IS SUBJECT TO TAX ON UNRELATED BUSINESS ACTIVITY. THE FOUNDATION HAS FILED FORM 990-T FOR THIS UNRELATED BUSINESS ACTIVITY. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED ON FORM 990 172,946. REVENUE OF THE CONSOLIDATED, CONTROLLED ORGANIZATION 47,338. INTERFUND TRANSFER TO AGENCY FUND 14,107. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUE OF AGENGY FUNDS 1,671,849. REVENUE ELIMINATED FOR CONSOLIDATED FINANCIAL STATEMENTS 47,300. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF THE CONSOLIDATED, CONTROLLED ORGANIZATION 74,315. FUNDRAISING EXPENSES NETTED ON FORM 990 172,946. INTERFUND TRANSFER TO AGENCY FUND 14,107. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUE ELIMINATED FOR CONSOLIDATED FINANCIAL STATEMENTS 47,300. EXPENSES OF AGENCY FUNDS 921,869. X X X X X X 1 DINNER & AUCTION 113397 61889 51508 5148 59010 DINNER & AUCTION 64588 31320 33268 4720 29052 7 178424 105975 72449 2178 8788 1875 62175 356409 199184 157225 2178 18656 1875 150237 172946 -15721 1 CITY OF DESHLER PO BOX 189 DESHLER NE 68340 170(B)(1)(A)(V) 5350 LIBRARY BUILDING COLUMBUS LIBRARY FOUNDATION 2504 14TH ST COLUMBUS NE 68601 237135275 501(C)(3) 425000 QUALITY OF LIFE CENTER CHEYENNE COUNTY TREASURER PO BOX 217 SIDNEY NE 69162 170(B)(1)(A)(V) 20806 BUILDING SYNOVATION VALLEY LEADERSHIP ACADEMY PO BOX 56 ORD NE 68862 474579113 501(C)(3) 55537 LEADERSHIP COACHING THE WILLA CATHER FOUNDATION 413 N WEBSTER RED CLOUD NE 68970 470485401 501(C)(3) 125000 GENERAL SUPPORT CHIEF DULL KNIFE COLLEGE PO BOX 98 LAME DEER MT 59043 810351900 501(C)(3) 47461 MONUMENT PROJECT CITY OF WAVERLY PO BOX 7 WAVERLY NE 68462 170(B)(1)(A)(V) 25709 LAWSON PARK VILLAGE OF BENNET PO BOX 255 BENNET NE 68317 170(B)(1)(A)(V) 10123 AQUADOME NO.1 SPRAY EVENT LEWISTON CONSOLIDATED SCHOOL 306 WEST TIGER AVE LEWISTON NE 68380 170(B)(1)(A)(V) 20000 VOCATION/AG BLDG PLANNING PROJECT VALLEY PERFORMING ARTS THEATER INC PO BOX 56 ORD NE 68862 464291768 501(C)(3) 48800 GENERAL SUPPORT CITY OF NORFOLK 309 N 5TH ST NORFOLK NE 68701 170(B)(1)(A)(V) 404956 PARK PLAYGROUND FRIEND HISTORICAL SOCIETY PO BOX 174 FRIEND NE 68359 260876473 501(C)(3) 39867 FOUNDATION REPAIR NORFOLK PUBLIC SCHOOLS FOUNDATION INC 1221 N 1ST ST NORFOLK NE 68701 470742303 501(C)(3) 5300 JH SOCIAL STUDIES IXL/SUPPLIES BYRON COMMUNITY BUILDING DISTRICT 403 WARREN ST BYRON NE 68325 170(B)(1)(A)(V) 11936 MAIN STREET LIGHT BANNERS CITY OF ST EDWARD PO BOX D ST EDWARD NE 68660 170(B)(1)(A)(V) 37460 ST. EDWARD MEDICAL CLINIC CITY OF WAYNE PO BOX 8 WAYNE NE 68787 170(B)(1)(A)(V) 28511 GENERAL SUPPORT BLOOMFIELD COMMUNITY SCHOOL FOUNDATION PO BOX 523 BLOOMFIELD NE 68718 470745955 501(C)(3) 30637 GENERAL SUPPORT PRAIRIE PLAINS CASA 322 NORRIS AVE SUITE 6 MCCOOK NE 69001 811333824 501(C)(3) 9260 GENERAL SUPPORT SHICKLEY PUBLIC SCHOOL PO BOX 407 SHICKLEY NE 68436 170(B)(1)(A)(V) 22307 SCHOLARSHIPS CITY OF RALSTON 5500 SOUTH 77TH ST RALSTON NE 68127 170(B)(1)(A)(V) 40845 BANQUET HALL CARPET UNIVERSITY OF NEBRASKA 121 CANFIELD ADMIN BLDG LINCOLN NE 68588 170(B)(1)(A)(II) 11000 SCHOLARSHIPS UNIVERSITY OF NEBRASKA MEDICAL CENTER 984235 NE MEDICAL CENTER OMAHA NE 68198 170(B)(1)(A)(I) 69200 TRUREACH APPLICATION UNIVERSITY OF NEBRASKA FOUNDATION PO BOX 82555 LINCOLN NE 68501 470379839 501(C)(3) 540000 UNO ATHLETIC ARENA/UNK HEALTH SCIENCE BUILDING MILFORD SCHOOLS FOUNDATION 1200 1ST ST MILFORD NE 68405 470830054 501(C)(3) 9389 SCHOLARSHIPS THAYER CENTRAL COMMUNITY SCHOOL PO BOX 9 HEBRON NE 68370 170(B)(1)(A)(V) 21739 BLEACHERS DVORACEK MEMORIAL LIBRARY PO BOX 803 WILBER NE 68465 170(B)(1)(A)(V) 18056 GENERAL SUPPORT MORTON JAMES PUBLIC LIBRARY 923 1ST CORSO NEBRASKA CITY NE 68410 170(B)(1)(A)(V) 35204 GENERAL SUPPORT KEITH COUNTY AREA DEVELOPMENT 204 EAST A STREET OGALLALA NE 69153 470842182 501(C)(3) 6000 GENERAL SUPPORT HEAR NEBRASKA PO BOX 4591 OMAHA NE 68104 273452255 501(C)(3) 13250 ROCKIN IN ROO CITY OF NEBRASKA CITY 1409 CENTRAL AVE NEBRASKA CITY NE 68410 170(B)(1)(A)(V) 16866 CONCESSION STAND THE ZONE PO BOX 1032 NORFOLK NE 68702 454955787 501(C)(3) 37445 GENERAL SUPPORT YMCA OF MCCOOK PO BOX 408 MCCOOK NE 69001 470377999 501(C)(3) 33531 GENERAL SUPPORT NORTHEAST COMMUNITY COLLEGE FOUNDATION 801 E BENJAMIN AVE NORFOLK NE 68701 510145185 501(C)(3) 9000 SCHOLARSHIP GRANT VILLAGE OF SHICKLEY PO BOX 25 SHICKLEY NE 68436 170(B)(1)(A)(V) 6890 CEMETERY IMPROVEMENTS GIRL SCOUTS SPIRIT OF NEBRASKA 2121 SOUTH 44TH STREET OMAHA NE 68105 470432299 501(C)(3) 10735 CAMP CROSSED ARROWS CITY OF FULLERTON PO BOX 670 FULLERTON NE 68638 170(B)(1)(A)(V) 33889 TENNIS COURT, PICKLE BALL REHABILITATION THE SALVATION ARMY 10755 BURT ST OMAHA NE 68114 470380698 501(C)(3) 10173 GENERAL SUPPORT COMMUNITY ACTION PARTNERSHIP OF MID-NE PO BOX 2288 KEARNEY NE 68848 470639628 501(C)(3) 27747 WEATHERIZATION ASSISTANCE PROGRAM ST MICHAELS CATHOLIC SCHOOL OF ALBION 520 W CHURCH ST ALBION NE 68620 170(B)(1)(A)(II) 25861 TUITION ASSISTANCE DOMESTIC ABUSESEXUAL ASSAULT SERVICES PO BOX 714 MCCOOK NE 69001 470615934 501(C)(3) 18087 GENERAL SUPPORT CITY OF FRIEND 235 MAPLE ST FRIEND NE 68359 170(B)(1)(A)(V) 10425 TREES AT POND PROJECT VILLAGE OF SPENCER 100 E MAIN ST SPENCER NE 68777 170(B)(1)(A)(V) 37500 BASEBALL FIELD LIGHTS HEARTLAND BIG BROTHERS BIG SISTERS 6201 HAVELOCK AVE LINCOLN NE 68507 470794732 501(C)(3) 62402 GENERAL SUPPORT VILLAGE OF DECATUR PO BOX 156 DECATUR NE 68020 170(B)(1)(A)(V) 14946 WEST DOOR DOOR OPENER & CONTROLS UNIVERSITY OF NEBRASKA LINCOLN C203G ANIMAL SCIENCE BLDG LINCOLN NE 68583 170(B)(1)(A)(I) 6000 GENERAL SUPPORT NBIS OMAHA HOME FOR BOYS 4343 N 52ND ST OMAHA NE 68104 470376529 501(C)(3) 5674 GENERAL SUPPORT ELWOOD CARE CENTER PO BOX 315 ELWOOD NE 68937 170(B)(1)(A)(V) 5817 GENERAL SUPPORT SHICKLEY CEMETERY ASSN PO BOX 193 SHICKLEY NE 68436 170(B)(1)(A)(V) 8090 GENERAL SUPPORT OAKLAND-CRAIG PUBLIC SCHOOL FOUNDATION 309 N DAVIS AVE OAKLAND NE 68045 452056147 501(C)(3) 6000 SCHOLARSHIPS PENDER COMMUNITY DEVELOPMENT INC PO BOX 250 PENDER NE 68047 453483464 501(C)(3) 1953112 COMMUNITY BUILDING PERU STATE COLLEGE FOUNDATION PO BOX 10 PERU NE 68421 470495359 501(C)(3) 5000 GENERAL SUPPORT SCHOOL DISTRICT OF COLUMBUS FOUNDATION INC PO BOX 947 COLUMBUS NE 68602 470693924 501(C)(3) 341000 COMMUNITY PLAYGROUND SEVEN VALLEYS HISTORICAL SOCIETY INC PO BOX 293 CALLAWAY NE 68825 474025128 501(C)(3) 5000 SIDEWALK REPAIR & VILLAGE SIGN ACCION CHICAGO INC 1436 W RANDOLPH ST STE 300 CHICAGO IL 60607 363966573 501(C)(3) 5000 SMALL BUSINESS DEVELOPMENT PROGRAM ACCION-NEW MEXICO 2000 ZEARING AVE NW ALBUQUERQUE NM 87104 850417347 501(C)(3) 10000 SMALL BUSINESS DEVELOPMENT & JOB CREATION IN CO AINSWORTH COMMUNITY SCHOOLS PO BOX 65 AINSWORTH NE 69210 170(B)(1)(A)(V) 5451 AT-RISK BAND STUDENTS ALBION PUBLIC LIBRARY 431 SOUTH 3 ALBION NE 68620 170(B)(1)(A)(V) 5414 GENERAL SUPPORT AMERICAN RED CROSS 2912 SOUTH 80TH AVE OMAHA NE 68124 510196605 501(C)(3) 100674 CENTENNIAL CELEBRATION ARTHUR BETTERMENT AUTHORITY PO BOX 31 ARTHUR NE 69121 460954819 501(C)(3) 5000 GENERAL SUPPORT BERTRAND COMMUNITY SCHOOL 503 SCHOOL ST BERTRAND NE 68927 170(B)(1)(A)(V) 5000 SCHOOL/COMM WEIGHT & FITNESS PROJ BERTRAND VILLAGE CHARITABLE FUND INC PO BOX 295 BERTRAND NE 68927 470730910 501(C)(3) 59420 KITCHEN RENOVATION PROJECT BOYS TOWN COMMON SENSE PARENTING YOUTH CARE BLDG COMM 13603 FLANAGAN BLVDANGELA ST BOYS TOWN NE 68010 170(B)(1)(A)(V) 15000 COMMON SENSE PARENTING CLASS BRIGHT HORIZONS 601 E NORFOLK AVE NORFOLK NE 68701 470605938 501(C)(3) 6136 PROJECT HOMELESS CONNECT BUILDING A BETTER TOMORROW INC 6901 CALVERT STREET SUITE 9 LINCOLN NE 68506 470975505 501(C)(3) 10000 SABATA ESTATES CALLAWAY VOLUNTEER FIRE DEPARTMENT PO BOX 157 CALLAWAY NE 68825 170(B)(1)(A)(V) 5000 GENERAL SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC 3300 N 60TH ST OMAHA NE 68104 470376612 501(C)(3) 45000 MICROBUSINESS/ASSET DEVELOLPMENT CENTRAL HIGH SCHOOL FOUNDATION 1823 HARNEY ST SUITE 203 OMAHA NE 68102 911771983 501(C)(3) 250000 BUILDING ADDITION CHASE COUNTY HOSPITAL FOUNDATION INC PO BOX 819 IMPERIAL NE 69033 470839293 501(C)(3) 7500 DEFIBRILLATOR CITY OF ELGIN PO BOX 240 ELGIN NE 68636 170(B)(1)(A)(V) 505818 POOL RENOVATION CITY OF HEBRON PO BOX 29 HEBRON NE 68370 170(B)(1)(A)(V) 23379 WALKING TRAIL CITY OF WYMORE 115 WEST E WYMORE NE 68466 40154 GENERAL SUPPORT COLLEGE OF TECH AG - CURTIS 404 EAST 7TH STREET CURTIS NE 690259525 170(B)(1)(A)(II) 5000 SCHOLARSHIP GRANT COLORADO ENTERPRISE FUND 1888 SHERMAN ST STE 530 DENVER CO 80203 840837398 501(C)(3) 10000 N CO MAINSTREET GROWTH INTIATIVES DAVID CITY PUBLIC SCHOOLS 750 D STREET DAVID CITY NE 68632 170(B)(1)(A)(V) 8300 SCHOLARSHIP GRANT DEKALB COUNTY ECONOMIC DEVELOPMENT CORP 421 N CALIFORNIA ST STE 200 SYCAMORE IL 60178 363524353 501(C)(3) 15000 INDUSTRIAL INITIATIVE FAMILY RESOURCES INC PO BOX 222 MCCOOK NE 69001 470846255 501(C)(3) 8752 GENERAL SUPPORT FLATIRONS HABITAT FOR HUMANITY 1455 DIXIE AVENUE LAFAYETTE CO 80026 300174334 501(C)(3) 10000 HOMEOWNERSHIP PROGRAM FORT COLLINS HABITAT FOR HUMANITY 4001 S TAFT HILL RD FORT COLLINS CO 80526 841217901 501(C)(3) 10000 POUDRE BUILD FOUNDATION FOR THAYER COUNTY HEALTH SERVICES PO BOX 241 HEBRON NE 68370 363286244 501(C)(3) 7771 LED DELIVERY ROOM LIGHT FOX VALLEY ENTREPRENEURSHIP CENTER 140 SOUTH FIRST STREET BATAVIA IL 60510 452779311 501(C)(3) 25000 90-DAY ACCELERATOR FOX VALLEY HABITAT FOR HUMANITY 250 SOUTH HIGHLAND SUITE 2 AURORA IL 60506 363748805 501(C)(3) 6500 BUILDING FUTURE INITIATIVE FREMONT AREA HABITAT FOR HUMANITY 701 E DODGE ST FREMONT NE 68025 470763503 501(C)(3) 13000 HOME CONSTRUCTION FRONT RANGE COMMUNITY COLLEGE 4616 S SHIELDS ST FORT COLLINS CO 80526 170(B)(1)(A)(II) 10000 LARIMER CO SMALL BUSINESS DEVELOPMENT CENTER GESU HOUSING INC 5008 1/2 B DODGE STREET OMAHA NE 68132 043617019 501(C)(3) 20000 GENERAL SUPPORT GOODALL CITY LIBRARY 203 W A STREET OGALLALA NE 69153 170(B)(1)(A)(V) 5013 SOFTWARE, NETWORK, HARDWARE, IT GRAMEEN AMERICA INC 5002 S 24TH STREET OMAHA NE 68107 208497991 501(C)(3) 20000 GENERAL SUPPORT GREATER NEBRASKA SCIENCE & ENGINEERING FAIR 781 N 58TH ROAD NEBRASKA CITY NE 68410 470770940 501(C)(3) 22998 GENERAL SUPPORT GREELEY AREA HABITAT FOR HUMANITY 104 N 16TH AVENUE GREELEY CO 80631 841091487 501(C)(3) 10000 HOME OWNERSHIP/JHS PROGRAM HABITAT FOR HUMANITY OF BOONE COUNTY PO BOX 1222 BELVIDERE IL 61008 412231092 501(C)(3) 10000 HOME BUILD HABITAT FOR HUMANITY OF COLUMBUS PO BOX 1792 COLUMBUS NE 68602 272896995 501(C)(3) 15000 NEW HOPE SUBDIVISION HABITAT FOR HUMANITY OF MCHENRY COUNTY PO BOX 1166 MCHENRY IL 60051 364000780 501(C)(3) 6500 HOMEOWNER OCCUPANT HOME REPAIR HABITAT FOR HUMANITY OF NORTHERN FOX VALLEY 56 S GROVE AVE ELGIN IL 60120 363742888 501(C)(3) 7500 HOMEOWNERSHIP PROGRAM HABITAT FOR HUMANITY OF OMAHA 1701 N 24TH STREET OMAHA NE 68110 363283625 501(C)(3) 35000 KOUNTZE PARK NEIGHBORHOOD REVITILIZATION HABITAT FOR HUMANITY OF THE ST VRAIN VALLEY 1833 SUNSET PL STE A LONGMONT CO 80501 841092616 501(C)(3) 10000 HOME BUILD HABITAT FOR HUMANITY OF YANKTON 218 CAPITOL ST YANKTON SD 57078 460441510 501(C)(3) 13000 AFFORDABLE HOUSING PROGROM HIGH PLAINS COMMUNITY DEVELOPMENT CORP INC 803 E 3RD ST CHADRON NE 69337 470784065 501(C)(3) 7500 CITY OF CHADRON GENERAL SUPPORT HOLY NAME HOUSING CORPORATION 3014 NORTH 45TH STREET OMAHA NE 68104 470653390 501(C)(3) 40000 GENERAL SUPPORT HOOKER COUNTY COMMUNITY FOUNDATION INC PO BOX 112 MULLEN NE 69152 470816509 501(C)(3) 6438 NEW COMMUNITY BUILDING HYANNIS VOLUNTEER FIRE DEPARTMENT PO BOX 200 HYANNIS NE 69350 170(B)(1)(A)(V) 5000 GENERAL SUPPORT IOWA WESTERN COMMUNITY COLLEGE 2700 COLLEGE RD COUNCIL BLUFFS IA 51501 170(B)(1)(A)(II) 40000 SMALL BUSINESS DEVELOPMENT CENTER JOHNSON COUNTY COMMUNITY COLLEGE KANSAS 12345 COLLEGE BLVD OVERLAND PARK KS 66210 170(B)(1)(A)(II) 10000 KS SMALL BUSINESS DEVELOPMENT CENTER KEARNEY AREA HABITAT FOR HUMANITY 1815 1ST AVE KEARNEY NE 68847 470754458 501(C)(3) 15000 HOME BUILD LAKEVIEW HIGH SCHOOL EDUCATIONAL FOUNDATION 3744 83RD STREET COLUMBUS NE 686018841 363671813 501(C)(3) 31000 GET GROWING STEM PROJECT LEWISTON CONSOLIDATED SCHOOL FOUNDATION 306 WEST TIGER AVE LEWISTON NE 68380 363990627 501(C)(3) 59318 PRE-SCHOOL PROGRAM LINCOLN COUNTY COMMUNITY DEVELOPMENT CORP 220 S DEWEY ST NORTH PLATTE NE 69101 470798426 501(C)(3) 10000 HOME BUYER EDUCATION & OWNER REHABILITATION LOVELAND HABITAT FOR HUMANITY PO BOX 56 LOVELAND CO 80537 841066816 501(C)(3) 10000 SIERRA VALLEY MCCOOK COMMUNITY COLLEGE 1205 EAST 3RD ST MCCOOK NE 69001 18072 HORMEL BUSINESS PL COMP MEDICINE VALLEY PUBLIC SCHOOLS FOUNDATION PO BOX 9 CURTIS NE 69025 470794108 501(C)(3) 75200 GENERAL SUPPORT MIDWEST HOUSING DEVELOPMENT FUND 13520 CALIFORNIA STREET STE 250 OMAHA NE 68154 841686593 501(C)(3) 25000 WORKFORCE HOUSING NE & SD MILE HIGH COMMUNITY LOAN FUND 1905 SHERMAN STREET SUITE 210 DENVER CO 80203 841505466 501(C)(3) 10000 TECHNICAL ASSISTANCE MITCHELL REGIONAL HABITAT FOR HUMANITY PO BOX 1331 MITCHELL SD 573017331 460458649 501(C)(3) 15000 HOME BUILD NEBRASKA CITY PUBLIC SCHOOLS FOUNDATION 215 N 12TH STREET NEBRASKA CITY NE 68410 470746454 501(C)(3) 7271 GENERAL SUPPORT NEBRASKA ENTERPRISE FUND 330 NORTH OAKLAND AVE OAKLAND NE 68045 311543695 501(C)(3) 40000 BUSINESS ACUMEN TRAINING NEBRASKA FARM BUREAU FOUNDATION FOR AGRICULTURE PO BOX 80299 LINCOLN NE 68501 461740947 501(C)(3) 387765 EDUCATION/NUTRITION PROGRAM NEBRASKA HOSPICE & PALLIATIVE CARE ASSOCATION 1200 LIBRA DRIVE SUITE 100 LINCOLN NE 685129332 470673727 501(C)(3) 35000 GENERAL SUPPORT NEBRASKA HOUSING DEVELOPERS ASSOCIATION 3883 NORMAL BLVD 206 LINCOLN NE 68506 470798048 501(C)(3) 20000 AFFORDABLE HOUSING & HOMEOWNER EDUCATION NEBRASKA STATEWIDE ARBORETUM INC PO BOX 830964 LINCOLN NE 685830964 470600702 501(C)(3) 17654 GENERAL SUPPORT NEIGHBORHOODS INC 2240 Q ST LINCOLN NE 68503 363430278 501(C)(3) 15000 NEIGHBOR WORKS LINCOLN REAL ESTATE DEVELOPMENT NEIGHBORWORKS 213 S 1ST STREET STE D NORFOLK NE 68701 470783310 501(C)(3) 16000 COLUMBUS HOUSING STUDY NEWMAN GROVE COMMUNITY CLUB PO BOX 479 NEWMAN GROVE NE 68758 470690205 501(C)(3) 11400 GENERAL SUPPORT NIGEL SPROUSE MEMORIAL LIBRARY PO BOX 277 CALLAWAY NE 68825 170(B)(1)(A)(V) 5000 GENERAL SUPPORT NORRIS INSTITUTE PO BOX 130 MCCOOK NE 69001 205796139 501(C)(3) 25000 NORRIS ALLEY PROJECT OMAHA HEALTHY KIDS ALLIANCE 5006 UNDERWOOD AVE OMAHA NE 68132 205085175 501(C)(3) 30000 CHAMPIONING HEALTH ENERGY EFFICIENCY OMAHA MUNICIPAL LAND BANK 1299 FARNAM STREET SUITE 300 OMAHA NE 68102 472876433 501(C)(3) 35000 VISION 400 OVERLAND TRAILS COUNCIL PO BOX 1361 GRAND ISLAND NE 68802 221576300 501(C)(3) 140000 CAMP AUGUSTINE PENDER PLAYGROUND COMMITTEE 800 INDUSTRIAL ROAD PENDER NE 68047 170(B)(1)(A)(V) 7500 CITY PARK EQUIPMENT PENDER PUBLIC SCHOOL PO BOX 629 PENDER NE 68047 170(B)(1)(A)(V) 19675 BAND INSTRUMENTS REBUILDING TOGETHER OMAHA 2316 S 24TH ST OMAHA NE 68108 470793980 501(C)(3) 40000 HEALTHY AT HOME REBUILDING TOGETHER PLATTE VALLEY EAST 445 E 1ST ST STE 2 FREMONT NE 68025 770695389 501(C)(3) 10000 CRITICAL ROOFING PROGRAM REPUBLICAN VALLEY CHILD DEVELOPMENT CENTER PO BOX 263 RED CLOUD NE 68970 811174755 501(C)(3) 430000 GENERAL SUPPORT ROCKY MOUNTAIN INNOSPHERE 320 EAST VINE DR STE 101 FORT COLLINS CO 80524 770707779 501(C)(3) 40000 ECONOMIC DEV INITIATIVES ROSEHILL CEMETERY VILLAGE OF CALLAWAY PO BOX 157 CALLAWAY NE 68825 170(B)(1)(A)(V) 5000 GENERAL SUPPORT SANDHILLS OUTREACH CHARITY INC PO BOX 7 ARNOLD NE 69120 472606005 501(C)(3) 17083 GENERAL SUPPORT SHICKLEY VOLUNTEER FIRE DEPT PO BOX 411 SHICKLEY NE 68436 170(B)(1)(A)(V) 6000 EMT CLASSES SPENCER SENIOR LIVING INC PO BOX 241 SPENCER NE 687770241 474828222 501(C)(3) 40367 GENERAL SUPPORT ST MONICA'S 120 WEDGEWOOD DR LINCOLN NE 68510 470490169 501(C)(3) 53838 GENERAL SUPPORT TEAMMATES MENTORING PROGRAM 809 ILLINOIS STREET SIDNEY NE 69162 452738248 501(C)(3) 10488 GENERAL SUPPORT THE HARRY AND REBA HUGE FOUNDATION 25 E BATTERY ST CHARLESTON SC 29401 203721428 501(C)(3) 55000 GENERAL SUPPORT THE MCCOOK ARTS COUNCIL PO BOX 123 MCCOOK NE 69001 470761296 501(C)(3) 6470 GENERAL SUPPORT THE UNIVERSITY OF NEBRASKA - LINCOLN DEPT OF AGRONOMY & HORTICULTURE 279C PLANT SCIENCE BUILDING LINCOLN NE 685830915 170(B)(1)(A)(II) 10000 GENERAL SUPPORT THOMAS COUNTY HISTORICAL SOCIETY 39401 HWY 2 THEDFORD NE 69166 470733702 501(C)(3) 12000 GENERAL SUPPORT UNIVERSITY OF NEBRASKA AT OMAHA 6001 DODGE ST OMAHA NE 68162 170(B)(1)(A)(II) 5000 MAKER GROUP UNIVERSITY OF NEBRASKA OMAHA 6001 DODGE STREET OMAHA NE 681820003 170(B)(1)(A)(II) 30000 NEBRASKA BUSINESS DEVELOPMENT CENTER UNIVERSITY OF NEBRASKA-LINCOLN GLENN KORFF SCHOOL OF MUSIC PO BOX 880100 LINCOLN NE 685880100 170(B)(1)(A)(II) 6000 UNL OPERA WORKSHOPS/PERFORMANCES UNIVERSITY OF NORTHERN COLORADO CARTER HALL 1005 GREELEY CO 80639 170(B)(1)(A)(II) 10000 EAST CO SMALL BUSINESS DEVELOPMENT CENTER VILLAGE OF BEAVER CROSSING PO BOX 116 BEAVER CROSSING NE 68313 170(B)(1)(A)(V) 38102 TREE COMMITTEE VILLAGE OF DORCHESTER 701 WASHINGTON DORCHESTER NE 68343 170(B)(1)(A)(V) 12875 CEMETERY DIRECTORY PROJECT BRICKS VILLAGE OF EXETER PO BOX 96 EXETER NE 68351 170(B)(1)(A)(V) 7500 BALLFIELD COMPLEX IMPRVS VILLAGE OF HOWELLS PO BOX 351 HOWELLS NE 68641 170(B)(1)(A)(V) 12802 YOUTH BASKETBALL EQUIPMENT VILLAGE OF LYNCH PO BOX 127 LYNCH NE 687460127 170(B)(1)(A)(V) 59532 WELCOME SIGNS LANDSCAPING VILLAGE OF MEADOW GROVE PO BOX 258 MEADOW GROVE NE 68752 170(B)(1)(A)(V) 9643 MG SIGN FLAGPOLE VILLAGE OF STRATTON 311 BAILEY ST STRATTON NE 69043 170(B)(1)(A)(V) 5396 WELCOME SIGNS BAILEY ST VISITING NURSE ASSOCATION 12565 WEST CENTER ROAD SUITE 100 OMAHA NE 681443810 470690207 501(C)(3) 150000 VNA TINE TECH WALTHILL PUBLIC LIBRARY VILLAGE OF WALTHILL PO BOX 246 WALTHILL NE 68067 170(B)(1)(A)(V) 15000 CONSTRUCTION READING, CONFERENCE, MEETING SPACE WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION 401 N WEBSTER RED CLOUD NE 68970 363850120 501(C)(3) 100000 WINDOW REPLACEMENT PROJECT WESTERN NEBRASKA HOUSING OPPORTUNITIES 1620 BROADWAY SCOTTSBLUFF NE 69361 371464286 501(C)(3) 10000 EASTWOOD APARTMENTS PHASE II YMCA FOUNDATION 3912 38TH ST COLUMBUS NE 68601 470777283 501(C)(3) 45000 GENERAL SUPPORT 157 COLLEGE SCHOLARSHIPS FOR NEBRASKA STUDENTS 201 324023 0 N/A N/A PART I, LINE 2: GRANTS TO INDIVIDUALS MADE BY THE FOUNDATION ARE IN THE FORM OF SCHOLARSHIPS, AS SET FORTH IN PART III TO THIS SCHEDULE. SCHOLARSHIP REPORTING FORMS ARE COMPLETED BY THE SCHOLARSHIP SELECTION COMMITTEE SETTING FORTH THE IDENTITY OF THE STUDENT RECEIVING THE SCHOLARSHIP AND THE COLLEGE OR UNIVERSITY THAT THE STUDENT WILL ATTEND. ALL SCHOLARSHIP PAYMENTS ARE MADE PAYABLE TO AND MAILED DIRECTLY TO THE EDUCATIONAL INSTITUTION RATHER THAN TO THE RECIPIENT. THE CHECK NOTES THE NAME OF THE RECIPIENT SO THAT THE EDUCATIONAL INSTITUTION CAN PROPERLY APPLY THE PAYMENT FOR ITS INTENDED PURPOSE. X X X X 0 0 0 0 0 0 0 0 0 JEFFREY G YOST PRESIDENT AND CEO 202369 0 0 0 0 0 0 0 38741 0 241110 0 0 0 JASON KENNEDY CFAO 146097 0 0 0 0 0 0 0 21473 0 167570 0 0 0 DIANE M WILSON MGR OF PUBLIC/PRIVATE PARTNERSHIPS 110584 0 0 0 0 0 0 0 1719 0 112303 0 0 0 X 20 2155208 QUOTED MARKET PRICES X 2 302882 APPRAISAL X AG COMMODITIES 42 494624 QUOTED MARKET PRICES X EVENT ITEMS 436 142425 FAIR MARKET VALUE 2 0 1 1 PART I, LINE 32B: STOCK GIFTS ARE SOLD BY A STOCK BROKER OR BROKERAGE FIRM. AGRICULTURE COMMODITY GIFTS ARE SOLD BY A GRAIN ELEVATOR OR LIVESTOCK SALE BARN. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S CFAO AND CONTROLLER PERFORM A THOROUGH REVIEW OF THE FORM 990 PREPARED BY THE CPA FIRM WHILE IT IS IN DRAFT FORM. THE CFAO REVIEWS THE RETURN WITH THE PRESIDENT/CEO. THE BOARD OF DIRECTORS HAS DELEGATED RESPONSIBILITY FOR REVIEW OF THE FORM 990 TO THE AUDIT COMMITTEE, WHICH HOLDS A MEETING TO WALK THROUGH THE FORM 990 WITH THE CFAO. A COPY OF THE COMPLETE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE BOARD AND CEO'S CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND ANY OTHER POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND MAKING RECOMMENDATIONS TO THE FULL BOARD RELATED TO THE COMPENSATION AND PERFORMANCE OF THE FOUNDATION'S OFFICERS. A COMPENSATION COMMITTEE OF THE BOARD SUMMARIZES CURRENT COMPENSATION OF THE OFFICERS; COMPILES COMPARABLE INFORMATION FOR EACH POSITION (USING BOTH NATIONAL SURVEY DATA AND REGIONAL INFORMATION FOR SIMILARLY-SITUATED ORGANIZATIONS); AND MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE AND FULL BOARD REGARDING OFFICERS' COMPENSATION FOR THE UPCOMING YEAR. THE BOARD OF DIRECTORS DISCUSSES THE RECOMMENDATION IN EXECUTIVE SESSION (I.E., WITHOUT OFFICERS OR STAFF PRESENT) AND TAKES ACTION TO ADOPT OFFICERS' COMPENSATION AMOUNTS. THE COMPENSATION DATA AND ACTION TAKEN IS DOCUMENTED IN WRITING. ALL MEMBERS OF THE EXECUTIVE COMMITTEE, COMPENSATION COMMITTEE, AND BOARD ARE INDEPENDENT AND FREE OF CONFLICTS OF INTEREST WITH REGARD TO OFFICERS' COMPENSATION. THIS PROCESS WAS USED FOR BOTH OFFICERS OF THE FOUNDATION, THE PRESIDENT/CEO AND THE CHIEF FINANCIAL AND ADMINISTATIVE OFFICER; THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES AS DEFINED FOR PURPOSES OF FORM 990. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S ANNUAL REPORT, WHICH INCLUDES SUMMARY FINANCIAL INFORMATION, AND FORM 990 ARE AVAILABLE ON THE FOUNDATION'S WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FOUNDATION'S OFFICE. FORM 990, PART XI, LINE 1, ACCOUNTING METHOD: THE FOUNDATION USES THE MODIFIED CASH METHOD OF ACCOUNTING. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NCF LLC 1 PO BOX 83107 LINCOLN NE 685013107 INACTIVE NE NEBRASKA COMMUNITY FOUNDATION PLATTE RIVER RECOVERY IMPLEMENTATION FOUNDATION PO BOX 83107 LINCOLN NE 685013107 262433808 LAND INTEREST HOLDING ENTITY TRUSTEE-PLATTE RIVER RECOVERY PROGRAM NE 501(C)(3) 170(B)(1) (A)(VI) NEBRASKA COMMUNITY FOUNDATION 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 NO TRANSACTIONS EXCEEDING 50000 L NO TRANSACTIONS EXCEEDING 50000 Q