2017-11-14T16:00:18-06:00 2016-12-31 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1528 SIOUX CITY IA 51102 990 2016-01-01 421323904 SIOUXLAND COMMUNITY FOUNDATION SIOU 7122933303 505 FIFTH STREET NO 412 SIOUX CITY IA 51101 REBECCA KROHN EXECUTIVE DIRECTOR 7122933303 2017-11-14 1 MELISSA J WILLER P00121904 7122773931 2017-11-10 192.30.185.22 2017-11-14 15:57:12 CS P 5062D1BEC469E1CD284A6DC0DB601E3016574839 B5E55416FF1D37C0ED92D1378900061C8360E4F2 2016 2017-02-10 21:41:12Z REBECCA KROHN 505 FIFTH STREET NO 412 SIOUX CITY IA 51101 8100557 0 X WWW.SIOUXLANDCOMMUNITYFOUNDATION.ORG X 1987 IA THE FOUNDATION CARRIES OUT EXCLUSIVELY CHARITABLE ACTIVITIES, PRIMARILY IN, OR FOR THE BENEFIT OF, THE SIOUXLAND AREA. 17 17 5 168 0 0 2662650 2767446 0 0 627513 251123 35808 23596 3325971 3042165 1588164 2698447 0 0 181771 149658 0 0 36503 124442 132329 1894377 2980434 1431594 61731 19389547 20516834 2306477 2403082 17083070 18113752 X THE SIOUXLAND COMMUNITY FOUNDATION IS A PUBLICLY SUPPORTED, NONPROFIT ORGANIZATION ESTABLISHED TO SUPPORT AND ENHANCE THE QUALITY OF LIFE IN THE GREATER SIOUXLAND TRI-STATE AREA BY ADMINISTERING A POOL OF ENDOWED FUNDS CONTRIBUTED BY A VARIETY OF DONORS, INDIVIDUALS, FAMILIES, CORPORATIONS AND OTHER FOUNDATIONS AND RESPONDING TO EMERGING AND CHANGING NEEDS IN SIOUXLAND AND SUSTAIN EXISTING ORGANIZATIONS OR INSTITUTIONS THROUGH GRANTS. 0 0 2698447 2698447 AWARDED GRANTS TO ORGANIZATIONS PERFORMING CHARITABLE ACTIVITIES, PRIMARILY IN OR FOR THE BENEFIT OF THE SIOUXLAND AREA. 2698447 1 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X REBECCA KROHN 7122933303 505 FIFTH ST 412 SIOUX CITY IA 51101 MATTHEW J BASYE PAST PRESIDENT 1.00 X 0 0 0 RICHARD J DEHNER PRESIDENT 1.00 X X 0 0 0 MARILYN J HAGBERG SECRETARY 1.00 X X 0 0 0 MARY E ANDERSON TREASURER 1.00 X X 0 0 0 RENEE M BEAULIEU DIRECTOR 1.00 X 0 0 0 AMANDA E H BELLER DIRECTOR 1.00 X 0 0 0 MARIE L BUCKLEY DIRECTOR 1.00 X 0 0 0 TODD E DEMOSS INVESTMENT/FINANCE CHAIR 1.00 X 0 0 0 KATHY K GUNDERSON DIRECTOR 1.00 X 0 0 0 NANCY J KENT DIRECTOR 1.00 X 0 0 0 MATTHEW J LAWLER DIRECTOR 1.00 X 0 0 0 PAM MILLER DIRECTOR 1.00 X 0 0 0 MICHAEL H PROSSER DIRECTOR 1.00 X 0 0 0 CHARLES A KNOEPFLER GRANTS CHAIR 1.00 X 0 0 0 PEGGY E SMITH DIRECTOR 1.00 X 0 0 0 RYLAND DEINERT DIRECTOR 1.00 X 0 0 0 ROBERT MEIS VICE PRESIDENT 1.00 X X 0 0 0 REBECCA KROHN EXECUTIVE DIRECTOR 40.00 X 61000 0 0 61000 0 0 0 0 0 0 0 2767446 2767446 309115 309115 5000400 5058392 -57992 -57992 -57992 OTHER INCOME 900099 13834 13834 OTHER INVESTMENT INCOME 900099 9762 9762 23596 3042165 0 0 274719 2247097 2247097 451350 451350 61000 45750 15250 70294 54294 16000 4404 4404 13960 12200 1760 12240 12240 47054 47054 1366 1366 1930 1544 386 8705 8705 3299 2639 660 6567 6567 4381 4381 SOFTWARE 37756 37756 DUES & PUBLICATIONS 3050 3050 POSTAGE 2618 2094 524 TELEPHONE 1501 1201 300 1862 1605 257 2980434 2698447 245484 36503 81543 66282 1635848 1246792 10550 0 19700 15322 10944 4378 17297538 18842517 353124 356865 19389547 20516834 488319 462500 1818158 1940582 2306477 2403082 X 336875 335185 3690484 4149556 13055711 13629011 17083070 18113752 19389547 20516834 61731 968951 0 X X 0 1 X 1 0 X 1819406 1778540 2151752 2688289 2767446 11205433 1819406 1778540 2151752 2688289 2767446 11205433 2156641 9048792 287859 293938 314968 321021 318877 1536663 12742096 0.71010 0.73550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14 25 217626 486400 164000 793955 1743122 2501142 1 1 16746195 2664245 1149887 2607997 -13280 187043 17778567 16278316 1225932 1329874 1909450 8756 169721 16746195 15247960 1040969 656980 501599 4150 161844 16278316 13097426 794902 2218433 731825 8491 139467 15247960 11388429 674386 1512776 352345 -835 126655 13097426 0.76660 0.23340 0 0 19700 15322 4378 4378 AGENCY ENDOWMENT FUNDS 1936607 ACCRUED EXPENSES 3975 1940582 4184605 968951 22964 150525 1142440 3042165 0 3042165 3153923 22964 150525 173489 2980434 0 2980434 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES RETAINED BY FOUNDATION 150,525. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES RETAINED BY FOUNDATION 150,525. 1 UMO HO NATION PUBLIC SCHOOL PO BOX 2880 MACY NE 68039 476005726 5000 GENERAL SUPPORT BRIAR CLIFF UNIVERSITY 3303 REBECCA ST SIOUX CITY IA 51104 420707124 37961 ANNUAL DESIGNATED FUND DISTRIBUTION SACRED HEART R C CHURCH 5000 MILITARY RD SIOUX CITY IA 51103 420710276 5000 GENERAL SUPPORT CITY OF HARTLEY 11 SOUTH CENTRAL AVE HARTLEY IA 51346 426004765 9585 COMPUTER HARDWARE AND SOFTWARE UPGRADE HOLSTEIN FIRE & AMBULANCE ASSOCIATION PO BOX 500 HOLSTEIN IA 51025 263468200 7000 REPLACE TURN OUT GEAR SOUTH SIOUX CITY COMMUNITY FOUNDATION 1615 1ST AVE S SOUTH SIOUX CITY NE 68776 363497298 5000 HOLIDAY GIFT BASKET FOR NEEDY WEST SIOUX BACKPACK PROGRAM 17518 CORK AVE WHITING IA 51063 421095619 20000 BACK PACK PROGRAM KIDS EXPRESS DAYCARE 102 PROSPECT ST SANBORN IA 51248 421353405 5000 INSTALL SYSTEM TO KEEP BASEMENT FREE FROM MOISTURE O'BRIEN COUNTY LIVESTOCK SHOW & AG PO BOX 332 PRIMGHAR IA 51245 426005137 6000 CONSTRUCTING AND EXTENDING ROOF SANBORN FIRE & RESCUE DEPARTMENT 102 MAIN SANBORN IA 51248 426005185 6730 SCBA CYLINDER REPLACEMENT PROJECT FIRST REFORMED CHURCH 911-2ND ST HULL IA 51239 420716343 43000 GENERAL SUPPORT SIOUX CENTER SACK PACK PROGRAM 669-10TH ST CIRCLE SE SIOUX CENTER IA 51250 272708602 10800 BACK PACK PROGRAM SIOUX CITY PUBLIC SCHOOLS 627-4TH ST SIOUX CITY IA 51101 426003589 6683 ANNUAL DESIGNATED FUND DISTRIBUTION SIOUX CITY PUBLIC SCHOOLS FOUNDATION 627-4TH ST SIOUX CITY IA 51101 426003589 15000 MATH & SCIENCE CURRICULUM AKRON EMS 205 4TH STREET AKRON IA 51001 426004180 7500 EMERGENCY PROVIDER SAFETY EQUIPMENT BLENCOE FIRE DEPARTMENT 413 MAIN STREET PO BOX 56 BLENCOE IA 51523 420898135 5889 UPDATE BUNKER COATS, PANTS, SUSPENDERS, AND HELMETS CITY OF IDA GROVE 403 3RD STREET PO BOX 236 IDA GROVE IA 51445 426004785 6000 BUNKER GEAR WASHER/EXTRACTOR AND DRYING CABINET CITY OF SANBORN 102 MAIN STREET PO BOX 548 SANBORN IA 51248 426005185 5000 TRAINING AND PLANNING EQUIPMENT CITY OF SOLDIER 108 OAK STREET SOLDIER IA 51572 426006435 7023 PLAYGROUND RENOVATION CITY OF TURIN 310 STATE HIGHWAY 175 TURIN IA 51040 421061900 5830 VETERAN & VOLUNTEER MEMORIAL CLAY COUNTY COMMUNITY FOUNDATION PO BOX 7952 SPENCER IA 51301 421323904 1057897 CLOSE FUND HARTLEY COMMUNITY DAYCARE 611 - 3RD SREET NE HARTLEY IA 51346 263142880 5000 PLAYGROUND RENOVATION HAWARDEN PUBLIC LIBRARY 803 TENTH STREET HAWARDEN IA 51023 426004769 7870 UPDATING FIRE SAFETY STANDARDS HINTON COMMUNITY SCHOOL DISTRICT 315 WEST GRAND STREET PO BOX 128 HINTON IA 51024 870693404 11651 WELLNESS PROJECT IDA COUNTY AGRICULTURAL SOCIETY 5978 - 310TH STREET IDA GROVE IA 51445 426004786 5000 CRAWFORD CREEK RECREATION AREA POWER UPDATE MARK AVERY STUDIO 107 NORTHSHORE DRIVE MCCOOK LAKE SD 57049 460427382 50000 CELEBRATING SCULPTORS MIRACLE LEAGUE OF SIOUX CITY 5601 SUNNYBROOK DRIVE SIOUX CITY IA 51106 463655434 5000 THE MIRACLE LEAGUE OF SIOUX CITY MONONA COUNTY VETERANS MUSEUM PO BOX 418 ONAWA IA 51040 421406597 5540 MONONA COUNTY'S "FREEDOM ROCK" MORNINGSIDE COLLEGE 1501 MORNINGSIDE AVENUE SIOUX CITY IA 51106 420680400 16716 ANNUAL DESIGNATED FUND DISTRIBUTION ROTARY CLUB OF ROCK VALLEY FOUNDATION INC 1510 - 14TH STREET ROCK VALLEY IA 51247 391902725 8559 SENIOR COMPANION VOLUNTEER SERVICE SACK PACK PROGRAM PO BOX 111 ORANGE CITY IA 51041 474185290 17000 BACK PACK PROGRAM SIOUX CITY SYMPHONY ORCHESTRA ASSOCIATION 520 PIERCE STREET STE 375 SIOUX CITY IA 51101 426005220 11000 GENERAL SUPPORT WESTERN IOWA TECH COMMUNITY COLLEGE 4647 STONE AVENUE SIOUX CITY IA 51106 421355682 10938 ANNUAL DESIGNATED FUND DISTRIBUTION PLYMOUTH COUNTY HISTORICAL MUSEUM 215 4TH AVE SE LEMARS IA 51031 420924381 26572 ANNUAL DESIGNATED FUND DISTRIBUTION AKRON FIRE DEPARTMENT P O BOX 318 AKRON IA 51001 426004180 7224 BUNKER GEAR REPLACEMENT AMERICAN LEGION POST 454 1747 ORCHARD AVENUE GALVA IA 51020 361717960 5000 UPDATE AVENUE OF FLAGS ARCHER FIRE DEPARTMENT P O BOX 541 PRIMGHAR IA 51245 421189721 5877 COMMUNITY SERVICE AND ENHANCEMENTS BATTLE CREEK COMMUNITY FIRE DEPARTMENT 2346 ALPINE AVENUE BATTLE CREEK IA 51006 426004264 12500 REPLACEMENT OF RESCUE APPARATUS BATTLE CREEK-IDA GROVE ELEMENTARY SCHOOL 900 JOHN MONTGOMERY DRIVE IDA GROVE IA 51445 421410831 15000 FFA GREENHOUSE BIG SIOUX RIVER VALLEY HISTORICAL SOCIETY 1150 CENTRAL AVENUE HAWARDEN IA 51023 426004768 9850 REPLACING ONE WINDOW AT A TIME BIG SPRINGS BAPTIST CHURCH 30705 - 480TH AVENUE ALCESTER SD 57001 423239040 6567 ANNUAL DESIGNATED FUND DISTRIBUTION BOYDEN AREA FIRE DEPARTMENT 813 MAIN STREET BOYDEN IA 51234 421263327 7300 AIR PACK REPLACEMENT CALUMENT FIRE DEPARTMENT 112 W 2ND STREET CALUMET IA 51009 420926860 5272 CALUMENT PARK SAFETY ENHANCEMENTS CENTER FOR SIOUXLAND 715 DOUGLAS STREET SIOUX CITY IA 51001 421078435 5000 FINANCIAL FITNESS TO END HOMELESSNESS AND POVERTY CHILDREN'S MUSEUM OF SIOUXLAND PO BOX 833 SIOUX CITY IA 51102 450563279 5000 GENERAL SUPPORT CITY OF BOYDEN P O BOX 160 BOYDEN IA 51234 426004294 7500 TENNIS COURT/BASKETBALL COURT RENOVATION CITY OF HAWARDEN 1150 CENTRAL AVENUE HAWARDEN IA 51023 426004768 21056 COMMUNITY CENTER SOUND AND PROJECTION SYSTEM CITY OF HOSPERS 100 - 3RD AVENUE S PO BOX 248 HOSPERS IA 51238 426004777 7500 HOSPERS SOUTH SIDE PARK CAMPGROUND CEMENT PROJECT CITY OF ONAWA 914 DIAMOND STREET ONAWA IA 51040 426005064 5000 SENIOR CENTER RELOCATION CITY OF ROCK VALLEY 1507 MAIN ST PO BOX 100 ROCK VALLEY IA 51247 426005162 7500 ROCK VALLEY SPORTS COMPLEX PLAYGROUND EQUIPMENT CITY OF SHELDON 416 - 9TH ST PO BOX 276 SHELDON IA 51201 260807339 8568 SHELDON REC. BASEBALL/SOFTBALL SAFETY EQUIPMENT COUNCIL ON SEXUAL ASSAULT & DOMESTIC VIOLENCE PO BOX 1565 SIOUX CITY IA 51102 421104234 17695 ANNUAL DESIGNATED FUND DISTRIBUTION FOOD BANK OF SIOUXLAND INC 1313 - 11TH ST PO BOX 985 SIOUX CITY IA 51002 421381516 9938 ANNUAL DESIGNATED FUND DISTRIBUTION GALVA-HOLSTEIN COMMUNITY SCHOOL DISTRICT 519 EAST MAPLE ST HOLSTEIN IA 51025 421385680 17500 GALVA-HOLSTEIN SCHOOL SECURITY GIRLS INC OF SIOUX CITY PO BOX 3380 SIOUX CITY IA 51102 421272032 6333 ANNUAL DESIGNATED FUND DISTRIBUTION GREATER SIOUX COMMUNITY HEALTH CENTER 338 - 1ST AVENUE NW SIOUX CENTER IA 51250 205896415 10000 DENTAL CHAIR UNIT REPLACEMENT HARTLEY COMMUNITY CENTER ASSOCIATION 820 - 2ND STREET NW HARTLEY IA 51346 421307627 5000 ADDITIONAL CONCRETE FOR PARKING LOT HAWARDEN AMBULANCE 1150 CENTRAL AVENUE HAWARDEN IA 51023 426004768 5846 AMBULANCE EQUIPMENT UPGRADE HAWARDEN ASSOCIATED CHURCH 719 - 10TH STREET HAWARDEN IA 51023 426004768 5000 HAWARDEN COMMUNITY SUPPER PROJECT HAWARDEN PROMOTION ASSOCIATION 1820 - 440TH STREET HAWARDEN IA 51023 272365564 9600 HAWARDEN PROMOTION ASSOCIATION BLEACHER PROJECT HOLSTEIN DEVELOPMENT AUTHORITY P O BOX 500 HOLSTEIN IA 51025 321286795 10000 PURCHASE PROJECTION EQUIPMENT HOSPERS AMBULANCE SERVICES 100 - 3RD AVENUE S PO BOX 248 HOSPERS IA 51238 426004777 7300 HOSPERS AMBULANCE - NEW AMBULANCE HULL BRIGHT START INC 1003 OKEY STREET HULL IA 51239 203577581 5000 BRIGHT START KITCHEN REMODEL IDA GROVE COMMUNITY REC CENTER 311 BARNES STREET IDA GROVE IA 51445 426004785 6948 ANNUAL DESIGNATED FUND DISTRIBUTION IDA GROVE VOLUNTEER FIRE DEPARTMENT 409 - 1ST STREET IDA GROVE IA 51445 426004785 10000 BUNKER GEAR WASHER/EXTRACTOR AND DRYING CABINET IRETON COMMUNITY FIRE DEPARTMENT - SIOUX COUNTY CF 508 - 4TH STREET IRETON IA 51027 426004817 7300 NEW FIRE TRUCK IRETON FIRE DEPARTMENT - IRETON CF 508 - 4TH STREET IRETON IA 51027 421145719 5000 NEW FIRE TRUCK LESEBERG MASONRY AND CONSTRUCTION 420 WEST 8TH STREET WAYNE NE 68787 204416791 8528 GRAVES PARK FOREVER EXPENSE MACY SENIOR CITIZEN CENTER P O BOX 308 MACY NE 68039 464945158 5000 GENERAL SUPPORT MAKE-A-WISH FOUNDATION OF IOWA (WESTERN DIVISION) 622 - 4TH STREET SIOUX CITY IA 51101 421310530 32570 ANNUAL DESIGNATED FUND DISTRIBUTION MARY J TREGLIA COMMUNITY HOUSE 900 JENNINGS STREET SIOUX CITY IA 51105 420681107 29034 ANNUAL DESIGNATED FUND DISTRIBUTION MONONA COUNTY CONSERVATION BOARD 318 EAST IOWA AVENUE ONAWA IA 51040 426005065 10000 THE MIRACLE LEAGUE OF SIOUX CITY MONONA COUNTY EMERGENCY MGMT AGENCY 909 - 7TH STREET ONAWA IA 51040 426005065 10000 PETER'S PARK PLAYGROUND EQUIPMENT NATIVE AMERICAN CHURCH OF THE OMAHA TRIBE P O BOX 193 DECATUR NE 68020 363906057 5000 GENERAL SUPPORT OA-BCIG DOLLARS FOR SCHOLARS FOUNDATION P O BOX 253 IDA GROVE IA 51445 421410831 6845 ANNUAL DESIGNATED FUND DISTRIBUTION ONAWA VOLUNTEER FIRE DEPARTMENT 914 DIAMOND STREET ONAWA IA 51040 426005064 9112 TRUCK COMPANY OPERATIONS IMPROVEMENT RAPIDS THEATRE PRESERVATION SOCIETY INC P O BOX 427 ROCK RAPIDS IA 51246 452493206 9000 SOUTH TUCK POINTING ROCK RAPIDS KIDS CLUB INC 309 N STORY STREET ROCK RAPIDS IA 51246 205156803 13000 NEW FACILITY FUNDRAISER SEALED WITH A KID CHILD CARE CENTER 312 MAIN STREET IDA GROVE IA 51445 421397376 12500 COME GROW WITH US SHEPERD'S GARDEN FOUNDATION 608 NEBRASKA ST SIOUX CITY IA 51101 272258821 5000 GENERAL SUPPORT SIOUX CITY GOSPEL MISSION 500 BLUFF ST SIOUX CITY IA 51102 420819319 10842 ANNUAL DESIGNATED FUND DISTRIBUTION SIOUX CITY ORPHEUM THEATRE SOCIETY INC 520 PIERCE STREET SUITE 280 SIOUX CITY IA 51101 421339054 15558 ANNUAL DESIGNATED FUND DISTRIBUTION SIOUX CITY PUBLIC MUSEUM 607 - 4TH STREET SIOUX CITY IA 51101 421516734 45214 ANNUAL DESIGNATED FUND DISTRIBUTION SIOUX COUNTY LIBRARY ASSOCIATION 1408 MAIN STREET HULL IA 51239 426004780 10000 SIOUX COUNTY LIBRARY TECHNOLOGY IMPROVEMENT SIOUX COUNTY REGIONAL AIRPORT 335 - 1ST AVENUE NW SIOUX CENTER IA 51250 542173441 10000 MALSR APPROACH LIGHTING SYSTEM/TERMINAL BUILDING ENHANCEMENTS SIOUXLAND COMMUNITY FOUNDATION 505 5TH ST NO 412 SIOUX CITY IA 51101 421323904 40818 IT/ACCOUNTING SOFTWARE SIOUXLAND HABITAT FOR HUMANITY 1150 TRIVIEW AVENUE SIOUX CITY IA 51103 421388519 10000 IRETON REHAB HOME SIOUXLAND YOUTH FOR CHRIST P O BOX 1626 SIOUX CITY IA 51102 362193619 5394 CITY LIFE TEEN CENTER PROGRAM PROJECT ST MARY'S CATHOLIC CHURCH 1121 AVENUE L HAWARDEN IA 51023 420791543 12695 ANNUAL DESIGNATED FUND DISTRIBUTION SUNRISE RETIREMENT COMMUNITY 5501 GORDON DRIVE SIOUX CITY IA 51106 420805391 8000 GENERAL SUPPORT SUTHERLAND FIRE AND RESCUE P O BOX 8 SUTHERLAND IA 51058 426004270 10000 ACQUIRING NEW BUNKER GEAR TRI STATE SNAP SPORTS 208 BROADMOOR DRIVE SOUTH SIOUX CITY NE 68776 472609669 29459 GRAVES PARK FOREVER EXPENSE UNITED WAY OF SIOUXLAND PO BOX 204 SIOUX CITY IA 51102 420680395 37278 ANNUAL DESIGNATED FUND DISTRIBUTION UTE TOWN AND COUNTRY HWY 175 UTE IA 51060 753034243 7450 CEMENT WORK AND SIDEWALKS WEST MONONAWHITING BACKPACK PROGRAM COMMITTEE 17518 CORK AVENUE WHITING IA 51063 421095619 6000 BACKPACK PROGRAM - WEST MONONA/WHITING WESTMINSTER PRESBYTERIAN CHURCH 4100 NAKOMA ROAD MADISON WI 53711 390977531 5000 GENERAL SUPPORT 96 POST-SECONDARY EDUCATION SCHOLARSHIPS 119 451350 PART I, LINE 2: EACH GRANTEE MUST SIGN A GRANT RECIPIENT AGREEMENT WHICH DELINEATES THE PURPOSE AND TERMS OF THE GRANT. NO GRANT PAYMENTS ARE MADE UNTIL THIS AGREEMENT HAS BEEN SIGNED AND RETURNED TO THE FOUNDATION. AT THE CONCLUSION OF THE GRANT TERM, GRANTEES MUST SUBMIT A FINAL GRANT EXPENDITURE REPORT TO THE FOUNDATION TO DOCUMENT (WITH PHOTOS, RECEIPTS, TESTIMONIALS, ETC.) ACCOMPLISHMENTS MADE POSSIBLE BY THE GRANT AND DETAIL EXPENDITURE OF THE GRANT FUNDS. FOUNDATION STAFF MONITOR GRANT ACTIVITIES AND EXPENDITURES. FORM 990, PART VI, SECTION B, LINE 11B COPY PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. AS AUTHORIZED BY THE BOARD, THE FORM 990 IS CLOSELY REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DECLARATION IS ANNUALLY COMPLETED & SIGNED BY EACH BOARD MEMBER. BOARD MEMBERS MUST ABSTAIN FROM VOTING WHEN A CONFLICT OF INTEREST IS PRESENT. ABSTENTIONS ARE NOTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15A PERFORMANCE OF THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE USING A PERFORMANCE ASSESSMENT TOOL. COMPILED ASSESSMENT REPORT IS REVIEWED WITH EXECUTIVE DIRECTOR. COUNCIL OF FOUNDATION'S GRANT MAKER'S SALARY & BENEFITS REPORT IS USED FOR COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND 990'S ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE MAIN OFFICE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES, AND STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE MAIN OFFICE. FORM 990, PART XII, LINE 2C: PROCESS CONSISTENT WITH PRIOR YEARS