MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201701379349100505
- Schema version
- 2016v3.0
- 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
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Other Assets Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T00:00:00-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421046003 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Corwin Reichter & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1055 Jordan Creek Pkwy Ste 120 | AddressLine1Txt |
| City | West Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502665821 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421235348 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid-Iowa Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MID- | BusinessNameControlTxt |
| Phone | 5152776411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave No 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Suzanne Mineck | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5152776411 | PhoneNum |
| Signature | 2017-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lyle D Reichter CPA CMA | PreparerPersonNm |
| PTIN | P00065165 | PTIN |
| Phone | 5153090215 | PhoneNum |
| Preparation | 2017-05-16 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.39.81.174 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-17 | IPDt |
| IP Tm | 09:20:51 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DE05E35143268843142D73FFF35B0BD0FDE815B4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $14,537,822 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $137 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $137 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $230,406 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $230,406 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $224,289 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $7,858,930 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $224,289 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $454,832 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $454,832 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $113,897 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $9,112 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $104,785 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $86,920 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $86,920 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $38,195 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,356 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $36,839 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $12,800 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $12,800 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $67,611 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $64,611 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $3,000 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $8,560 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $4,811 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $1,403 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $15,601 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $13,379 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $7,899 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $0 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $31,284 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $21,431 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $397,549 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $79,890 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $265,775 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $511,091 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $551,091 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $908,640 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $79,890 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $816,866 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$453,808 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $374,942 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $10,031 | CashBOYAmt |
| Cash EOY | $10,031 | CashEOYAmt |
| Cash EOYFMV | $10,031 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $246,046 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $207,550 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $207,550 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $7,750 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $8,028 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $8,028 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $5,243,612 | CorporateStockBOYAmt |
| Corporate Stock EOY | $6,061,046 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,061,046 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $9,037,315 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $8,241,184 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $8,241,184 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $19,776 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,711 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $3,469 | LandBOYAmt |
| Land EOY | $2,065 | LandEOYAmt |
| Land EOYFMV | $2,065 | LandEOYFMVAmt |
| Other Assets BOY | $11,667 | OtherAssetsBOYAmt |
| Other Assets EOY | $7,918 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $7,918 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $14,559,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,537,822 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $14,537,822 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $22,554 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $2,947 | AccountsPayableEOYAmt |
| Grants Payable BOY | $40,000 | GrantsPayableBOYAmt |
| Other Liabilities BOY | $10,400 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $20,200 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $72,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,147 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $14,486,936 | UnrestrictedBOYAmt |
| Unrestricted EOY | $14,514,675 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $14,486,936 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $14,514,675 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $14,559,890 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $14,537,822 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $14,486,936 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$453,808 | ExcessRevenueOverExpensesAmt |
| Other Increases | $481,547 | OtherIncreasesAmt |
| Subtotal | $14,514,675 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $14,514,675 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| Wells Fargo Advisors | $7,775,859 | $7,634,641 | $141,218 | $141,218 | |
| Capital Gains Dividends | $83,071 | $83,071 | $83,071 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $224,289 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $808,963 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $15,268,779 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052982 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $757,514 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $15,699,162 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.048252 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $739,076 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $14,580,962 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050688 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $744,380 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $13,648,124 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.054541 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $684,715 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $13,896,275 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.049273 | DistributionYr5Rt |
| Total Distribution | 0.255736 | TotalDistributionRt |
| Average Distribution | 0.051147 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $14,103,070 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $721,330 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,749 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $725,079 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $816,866 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $3,749 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,749 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,749 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $11,667 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $11,667 | TotalPaymentsAndCreditsAmt |
| Overpayment | $7,918 | OverpaymentAmt |
| Applied To ES Tax | $7,918 | 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 | www.midiowahealth.org | WebsiteAddressTxt |
| Individual With Books | Suzanne Mineck | IndividualWithBooksNm |
| Phone | 5152776411 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave Suite 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | 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 | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| 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 (12 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 |
|---|---|---|---|---|---|---|---|---|
| Becky Miles-Polka | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Cheryl Harding | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Secretary/Treasurer | 1.00 | $0 | $0 | $0 |
| Hayley L Harvey | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Judith Vogel | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Libby Jacobs | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Matthew McGarvey | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Nolden Gentry | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Rob Hayes | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Chair | 1.00 | $0 | $0 | $0 |
| Scott L Wilson | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
| Suzanne Mineck | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | President | 40.00 | $116,897 | $7,973 | $0 |
| Teree Caldwell-Johnson | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Vice-Chair | 1.00 | $0 | $0 | $0 |
| Chris Cook | ||||||||
| 3900 Ingersoll Avenue Ste 104 | Des Moines | IA | 50312 | Director | 1.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Denise Swartz | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Avenue Ste 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50312 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | Program Officer | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $87,620 | CompensationAmt |
| Employee Benefits | $6,343 | EmployeeBenefitsAmt |
| Expense Account | $0 | ExpenseAccountAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $14,115,152 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $202,686 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $14,317,838 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $14,317,838 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $214,768 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $14,103,070 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $705,154 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $705,154 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,749 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,749 | TotalTaxAmt |
| Distributable Before Adj | $701,405 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $701,405 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $701,405 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $816,866 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $816,866 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $3,749 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $813,117 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $701,405 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $2,038 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $94,556 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $29,745 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $62,190 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $188,529 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $816,866 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $701,405 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $115,461 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $303,990 | 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 | $2,038 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $301,952 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $94,556 | ExcessFromYear4Amt |
| Excess From Year3 | $29,745 | ExcessFromYear3Amt |
| Excess From Year1 | $62,190 | ExcessFromYear1Amt |
| Excess From Current Year | $115,461 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Suzanne Mineck | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 Ingersoll Ave Suite 104 | AddressLine1Txt |
| City | Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503123535 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5152776411 | RecipientPhoneNum |
| Form And Info And Materials | Please contact Denise Swartz or Suzanne Mineck at 515-277-6411 or go to the Mid-Iowa Health Foundation website at www.midiowahealth.org to learn more about the grant process and how to apply. Non-profit organziations may apply for a grant through the competitive application process. Contact Denise or Suzanne to discuss your ideas for addressing the HealthConnect Innovation Grants priority. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | See the website for application deadlines. | SubmissionDeadlinesTxt |
| Restrictions On Awards | Proposals are not considered for: for-profit entities, individuals, scholarships, conference registration fees, programs supporting religious activities, general operations or special camps, capital campaigns, endowment campaigns, debt reduction, or fundraising events. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (37 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|
| Ankeny Mental Health Ministry co Ankeny First United Methodist Church | |||||
| 206 SW Walnut St | Ankeny | IA | 50023 | Suicide Prevention Symposium | $2,500 |
| Blank Children's Hospital | |||||
| 1215 Pleasant Street | Des Moines | IA | 50309 | Blank Children's Hospital Foster Care Clinic | $9,516 |
| Bridges of Iowa Inc | |||||
| 1211 Vine St | West Des Moines | IA | 50265 | Director Designated Grant | $250 |
| Broadlawns Medical Center Foundation | |||||
| 1801 Hickman Road | Des Moines | IA | 50314 | Director Designated Grant | $500 |
| Catholic Council for Social Concern Inc | |||||
| 601 Grand Ave | Des Moines | IA | 50309 | Community Outreach Program/Spanish-Language Counseling | $20,000 |
| Child and Family Policy Center | |||||
| 505 5th Ave Ste 404 | Des Moines | IA | 50309 | Facilitative Leadership Around Child Health and Well-Being in Iowa | $20,000 |
| Child and Family Policy Center | |||||
| 505 5th Ave Ste 404 | Des Moines | IA | 50309 | Kids Action Agenda Planning and Facilitation | $5,700 |
| Community Youth Concepts | |||||
| 1446 Martin Luther King Jr Parkway | Des Moines | IA | 50314 | uVoice Youth Philanthropy Board | $30,000 |
| Dallas County Hospital Foundation | |||||
| 610 10th Street | Perry | IA | 50220 | Hispanic/Latino Health Education & Community Outreach Program | $25,000 |
| Des Moines Area Religious Council | |||||
| 1435 Mulberry Street | Des Moines | IA | 50309 | DMARC Childhood Nutrition Food Assistance Project | $15,500 |
| Des Moines Health Center | |||||
| 1111 Ninth St Ste 190 | Des Moines | IA | 50314 | Nolden Gentry Dental Clinic | $25,000 |
| EMBARC | |||||
| 2309 Euclid Avenue | Des Moines | IA | 50310 | Refugee Health Navigator Project | $10,000 |
| Eyerly Ball CMHS | |||||
| 945 19th St | Des Moines | IA | 50314 | Improving Client Quality of Life | $5,000 |
| Grantmakers in Health | |||||
| 1130 Connecticut Ave NW Ste 700 | Washington | DC | 20036 | Technical Assistance | $2,875 |
| Greater Des Moines Community Foundation | |||||
| 1915 Grand Avenue | Des Moines | IA | 50309 | Ignite Innovation Challenge | $5,000 |
| Homes of Oakridge Human Services | |||||
| 1236 Oakridge Drive | Des Moines | IA | 50314 | Director Designated Grant | $750 |
| Homes of Oakridge Human Services | |||||
| 1236 Oakridge Drive | Des Moines | IA | 50314 | Director Designated Grant | $500 |
| Iowa Caregivers | |||||
| 1231 8th Street Ste 236 | West Des Moines | IA | 50265 | Mouth Care Matters: Oral Health Specialty for Direct Care Workers | $20,000 |
| Iowa Chronic Care Consortium | |||||
| 5550 Wild Rose Lane Ste 400 | West Des Moines | IA | 50266 | Patient Engagement for Outcomes Focused Healthcare: Skills Development for the Front Line Healthcare | $20,000 |
| Iowa Healthiest State Initiative | |||||
| 301 Grand Avenue | Des Moines | IA | 50309 | Healthiest State/DMPS/Americorps Garden | $1,000 |
| Kiwanis Club of Des Moines Foundation | |||||
| 505 5th Ave Ste 302 | Des Moines | IA | 50309 | Wil Blechman Conference | $500 |
| Orchard Place | |||||
| 2116 Grand Avenue | Des Moines | IA | 50312 | Mental health Crisis Services for Youth Planning Grant | $50,000 |
| Polk County Housing Trust Fund | |||||
| 108 3rd St Suite 350 | Des Moines | IA | 50309 | Affordable Housing Week Symposium & Bus Tour | $500 |
| Prevent Child Abuse Iowa | |||||
| 505 5th Ave Ste 900 | Des Moines | IA | 50309 | Building Systems and Communities Responsive to Childhood Trauma | $40,000 |
| Prevent Child Abuse Iowa | |||||
| 505 5th Ave Ste 900 | Des Moines | IA | 50309 | Building Systems and Communities Responsive to Childhood Trauma | $10,000 |
| Primary Health Care Inc | |||||
| 9943 Hickman Road Ste 105 | Urbandale | IA | 50322 | PHC/CISS Nurse Care Manager Program | $35,000 |
| The Directors Council | |||||
| 501 Grand Ave | Des Moines | IA | 50309 | Youth Violence Prevention | $5,000 |
| Tori's Angels Foundation | |||||
| 4677 Panorma Drive | Panora | IA | 50216 | Director Designated Grant | $500 |
| United Way of Central Iowa | |||||
| 1111 Ninth St Ste 100 | Des Moines | IA | 50314 | Central Iowa ACEs 360 Learning Expansion | $15,500 |
| USCRI - Des Moines | |||||
| 1200 University Ave Ste 205 | Des Moines | IA | 50314 | The USCRI - Des Moines Refugee Wellness Program | $25,000 |
| Visiting Nurse Services of Iowa | |||||
| 1111 Ninth St Ste 230 | Des Moines | IA | 50314 | Iowa Health Link Collaboration - Medicaid Modernization Stakeholder Group | $20,000 |
| Visiting Nurse Services of Iowa | |||||
| 1111 Ninth St Ste 320 | Des Moines | IA | 50314 | Scavo Clinic Shutle | $5,000 |
| Visiting Nurse Services of Iowa | |||||
| 1111 Ninth St Ste 320 | Des Moines | IA | 50314 | Iowa Health Link Collaboration - Medicaid Modernization Stakeholder Group | $2,000 |
| WesleyLife | |||||
| 5508 NW 88th St | Johnston | IA | 50310 | WesleyLife Public Health Nursing Program | $25,000 |
| Young Women's Resource Center | |||||
| 818 5th Avenue | Des Moines | IA | 50309 | Youth Resiliency Matters | $50,000 |
| Youth Emergency Services & Shelter | |||||
| 918 SE 11th Street | Des Moines | IA | 50309 | Commitment to Trauma Informed Care and Sanctuary | $47,500 |
| Youth Homes of Mid-America | |||||
| 7225 NW 58th Street | Johnston | IA | 50131 | Director Designated Grant | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $551,091 | 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 | $137 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $230,406 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $224,289 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $454,832 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $454,832 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Audit and Tax Preparation Fees | $6,200 | $0 | $6,200 |
| Accounting fees | $6,600 | $0 | $6,600 |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (16 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| FILE CABINET | 1993-09-01 | $429 | $429 | SL | 7.000000000000 | $0 | $0 |
| CONFERENCE TABLE | 1995-08-25 | $1,408 | $1,408 | SL | 7.000000000000 | $0 | $0 |
| FILE CABINET | 1998-08-03 | $114 | $114 | SL | 10.000000000000 | $0 | $0 |
| OFFICE FURNITURE | 2000-05-04 | $1,081 | $1,081 | SL | 10.000000000000 | $0 | $0 |
| FURNITURE | 2002-06-04 | $468 | $468 | SL | 10.000000000000 | $0 | $0 |
| FURNITURE | 2004-04-01 | $2,587 | $2,587 | SL | 10.000000000000 | $0 | $0 |
| FURNITURE | 2004-05-06 | $1,577 | $1,577 | SL | 10.000000000000 | $0 | $0 |
| FURNITURE | 2004-09-01 | $372 | $372 | SL | 10.000000000000 | $0 | $0 |
| FURNITURE | 2004-09-01 | $152 | $152 | SL | 10.000000000000 | $0 | $0 |
| Computer Printer | 2006-02-14 | $1,978 | $1,978 | SL | 5.000000000000 | $0 | $0 |
| Office Furniture | 2006-11-27 | $3,156 | $2,870 | SL | 10.000000000000 | $286 | $0 |
| OFFICE FURNITURE | 2007-05-07 | $520 | $451 | SL | 10.000000000000 | $52 | $0 |
| Lanier Copier/Printer | 2011-10-18 | $1,399 | $1,167 | SL | 5.000000000000 | $232 | $0 |
| SentrySafe 4-Drawer Fire-Safe file cabinet | 2013-08-22 | $742 | $173 | SL | 10.000000000000 | $74 | $0 |
| Optiplex 9020 minitower | 2013-12-19 | $1,605 | $642 | SL | 5.000000000000 | $321 | $0 |
| Optiplex 9020 minitower | 2014-02-11 | $2,188 | $839 | SL | 5.000000000000 | $438 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | Total Corporate Stocks Owned | StockNm |
| EOY Book Value | $6,061,046 | EOYBookValueAmt |
| EOYFMV | $6,061,046 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Total Mutual Funds | CategoryOrItemTxt |
| Listed At Cost Or FMV | FMV | ListedAtCostOrFMVCd |
| Book Value | $8,241,184 | BookValueAmt |
| EOYFMV | $8,241,184 | EOYFMVAmt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (16 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| FILE CABINET | $429 | $429 | $0 |
| CONFERENCE TABLE | $1,408 | $1,408 | $0 |
| FILE CABINET | $114 | $114 | $0 |
| OFFICE FURNITURE | $1,081 | $1,081 | $0 |
| FURNITURE | $468 | $468 | $0 |
| FURNITURE | $2,587 | $2,587 | $0 |
| FURNITURE | $1,577 | $1,577 | $0 |
| FURNITURE | $372 | $372 | $0 |
| FURNITURE | $152 | $152 | $0 |
| Computer Printer | $1,978 | $1,978 | $0 |
| Office Furniture | $3,156 | $3,156 | $0 |
| OFFICE FURNITURE | $520 | $503 | $17 |
| Lanier Copier/Printer | $1,399 | $1,399 | $0 |
| SentrySafe 4-Drawer Fire-Safe file cabinet | $742 | $247 | $495 |
| Optiplex 9020 minitower | $1,605 | $963 | $642 |
| Optiplex 9020 minitower | $2,188 | $1,277 | $911 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Refundable federal excise tax | Desc |
| BOY Book Value | $11,667 | BOYBookValueAmt |
| EOY Book Value | $7,918 | EOYBookValueAmt |
| EOYFMV | $7,918 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Dues & Subscriptions | $1,693 | $0 | $1,693 |
| Insurance | $1,272 | $0 | $1,272 |
| Office Expense | $518 | $0 | $518 |
| Telephone | $2,663 | $0 | $2,663 |
| Information Technology | $15,338 | $0 | $15,285 |
| Deferred Excise Taxes | $9,800 | $0 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Unrealized Gains (losses) on Investments | Desc |
| Amt | $481,547 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Federal Excise Tax | Desc |
| BOY Book Value | $10,400 | BOYBookValueAmt |
| EOY Book Value | $20,200 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Consulting | $3,000 | $0 | $3,000 |
| Investment fees | $64,611 | $64,611 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Federal Excise Tax | $3,749 | $0 | $0 |
| Foreign taxes | $4,811 | $4,811 | $0 |
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