TELLIGEN COMMUNITY INITIATIVE: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- TELLIGEN COMMUNITY INITIATIVE (EIN 20-2017785)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-07-07
- IRS object ID
- 201721889349100202
- 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
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-07T09:59:40-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420794029 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Denman & Company LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 22nd Street Suite 400 | AddressLine1Txt |
| City | West Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502661453 | 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 | 202017785 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Telligen Community Initiative | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TELL | BusinessNameControlTxt |
| Phone | 5152232852 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 West Lakes Parkway | AddressLine1Txt |
| City | West Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Matt McGarvey | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 5152232852 | PhoneNum |
| Signature | 2017-06-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David Ellis | PreparerPersonNm |
| PTIN | P01306431 | PTIN |
| Phone | 5152258400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.142.53.102 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-06-26 | IPDt |
| IP Tm | 13:19:48 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0E1B973726001D6F901B89741ACBB070236FD491 | 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 | $38,036,220 | 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 | $88,497 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $88,497 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $623,899 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $623,899 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $27,710,691 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $42,454,763 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $27,710,691 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $103,218 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $103,218 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $28,526,305 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $28,526,305 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $120,535 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $107,879 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $25,146 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $22,506 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $2,622 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $2,347 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $6,425 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,750 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $53,360 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $47,757 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $577,752 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $9,225 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $6,016 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $5,384 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $301,493 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $225,253 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $68,236 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,093,349 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $225,253 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $269,084 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,732,712 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,508,712 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $2,826,061 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $225,253 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,777,796 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $25,700,244 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $28,301,052 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,174,867 | CashBOYAmt |
| Cash EOY | $217,550 | CashEOYAmt |
| Cash EOYFMV | $217,550 | CashEOYFMVAmt |
| Sav And Temp Cash Invst EOY | $532,431 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $532,431 | SavAndTempCashInvstEOYFMVAmt |
| Prepaid Expenses BOY | $42,042 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $30,028 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $30,028 | PrepaidExpensesEOYFMVAmt |
| Other Investments BOY | $8,607,979 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $37,256,211 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $37,256,211 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $27,600,445 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $37,425,333 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,036,220 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $38,036,220 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $5,333 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $8,108 | AccountsPayableEOYAmt |
| Grants Payable EOY | $224,000 | GrantsPayableEOYAmt |
| Other Liabilities BOY | $27,600,445 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $27,605,778 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $232,108 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $9,819,555 | UnrestrictedBOYAmt |
| Unrestricted EOY | $37,804,112 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $9,819,555 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $37,804,112 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $37,425,333 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $38,036,220 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $9,819,555 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $25,700,244 | ExcessRevenueOverExpensesAmt |
| Other Increases | $2,284,313 | OtherIncreasesAmt |
| Subtotal | $37,804,112 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $37,804,112 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| Installment Gain on Sale of Telligen, Inc | D | 2013-12-31 | 2016-01-26 | $27,600,445 | $27,600,445 | $27,600,445 | |
| Morgan Stanley #4045 - Short Term | $9,686,594 | $315,434 | $315,434 | $9,371,160 | |||
| Morgan Stanley #4045 - Long Term | $5,127,464 | -$245,448 | -$245,448 | $5,372,912 | |||
| Capital Gains Dividends | P | $40,260 | $40,260 | $40,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $27,710,691 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,854,858 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $36,297,980 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.051101 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,334,544 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $32,859,397 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.040614 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $147,500 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $28,190 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 5.232352 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $0 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $21,057 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.000000 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $146,700 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $4,530 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 32.384106 | DistributionYr5Rt |
| Total Distribution | 37.708173 | TotalDistributionRt |
| Average Distribution | 7.541635 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $36,497,730 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $275,252,558 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $283,011 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $275,535,569 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,777,796 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $566,021 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $566,021 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $566,021 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $565,500 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $521 | AppliedToEsTaxAmt |
| Total Payments And Credits | $566,021 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Tax Due | $0 | TaxDueAmt |
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 | N/a | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Telligen Community Initiative | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5152232852 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 West Lakes Parkway | AddressLine1Txt |
| City | West Des Moines | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| David Thomas MD | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | President | 1.00 | $0 | $0 | $0 |
| Michael Zia MD | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | Vice President | 1.00 | $0 | $0 | $0 |
| VICTORIA SHARP MD | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | SECRETARY/TREASURER | 1.00 | $0 | $0 | $0 |
| Lanny Ward | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | Director | 1.00 | $0 | $0 | $0 |
| GERARD CLANCY MD | ||||||||
| 1776 West Lakes Parkway | West Des Moines | IA | 50266 | DIrector | 1.00 | $0 | $0 | $0 |
| pEG MASON | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | dIrector | 1.00 | $0 | $0 | $0 |
| Matt McGarvey | ||||||||
| 1776 West Lakes Parkway | west Des Moines | IA | 50266 | Executive Director | 40.00 | $120,535 | $25,146 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | Grantmaking to other charitable organizations | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
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 | $33,899,753 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,123,752 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $30,028 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $37,053,533 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $37,053,533 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $555,803 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $36,497,730 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,824,887 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,824,887 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $566,021 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $566,021 | TotalTaxAmt |
| Distributable Before Adj | $1,258,866 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,258,866 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,258,866 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,777,796 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,777,796 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,777,796 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,258,866 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $146,473 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr3 | $146,090 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $90,129 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $382,692 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,777,796 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,258,866 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $518,930 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $901,622 | 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 | $146,473 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $755,149 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $146,090 | ExcessFromYear3Amt |
| Excess From Year1 | $90,129 | ExcessFromYear1Amt |
| Excess From Current Year | $518,930 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (36 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| A New Leaf | ||||||
| 2306 South 1st Place | Tulsa | OK | 74012 | 501(C)3 | Blooming Acres | $50,000 |
| American Heart Association | ||||||
| 3401 NW 63rd Street Suite 200 | Oklahoma City | OK | 73116 | 501(C)3 | Simple Cooking with Heart in Native American Communities | $50,000 |
| American Heart Association - Midwest Affiliate | ||||||
| 5000 Westown Parkway Suite 340 | West Des Moines | IA | 50266 | 501(C)3 | Rural Hospital Stroke Quality Improvement Initiative | $50,000 |
| Among Friends Activity Center Inc | ||||||
| 1185 East Main Street | Norman | OK | 73071 | 501(C)3 | Among Friends Health & Wellness Program | $6,633 |
| Blank Children's Primary CareUnityPoint Health Foundation | ||||||
| 1415 Woodland Avenue E-200 | Des Moines | IA | 50131 | 501(C)3 | Connections in Primary Care | $50,000 |
| Board of Trustees of the University of Illinois | ||||||
| 809 South Marshfield MB 502 M/C 551 | Rockford | IL | 60612 | 501(C)3 | Expanding the Rural Nursing Initiative at UIC | $50,000 |
| Center for Asian Health Equity dba Asian Health Coalition | ||||||
| 180 West Washington Street Ste 1000 | Chicago | IL | 60602 | 501(C)3 | Chicago Southside PROMYS (Program in Research for Outstanding Minority Young Scientists) | $49,500 |
| Centerstone | ||||||
| 902 West Main Street | West Frankfort | IL | 62896 | 501(C)3 | Wellness and Recovery Care Coordination for Adults Following a Behavioral Health Crisis | $50,000 |
| Children & Families of Iowa | ||||||
| 1111 University Avenue | Des Moines | IA | 50314 | 501(C)3 | Telehealth Services for Underserved Rural Iowams | $36,450 |
| Clay County Hospital | ||||||
| 911 Stacy Burk Drive | Flora | IL | 62839 | 501(C)3 | Rural Behavioral Health via Telepsych | $25,000 |
| Crisis Center for South Suburbia | ||||||
| 7700 Timber Drive | Tinley Park | IL | 60477 | 501(C)3 | Medical Advocacy Program | $5,000 |
| Domestic Violence Intervention Services Inc | ||||||
| 4300 South Harvard Avenue | Tulsa | OK | 74135 | 501(C)3 | Coaching Boys Into Men | $49,775 |
| Four Oaks Family and Children's Services | ||||||
| 980 South Iowa Avenue | Mason City | IA | 50401 | 501(C)3 | Regional Trauma Informed Care Workforce Development | $49,434 |
| Great River Medical Center | ||||||
| 1221 South Gear Avenue | West Burlington | IA | 52655 | 501(C)3 | Dual-Diagnosis Partial Hospital Program | $48,279 |
| Illinois Association of Infant Mental Health | ||||||
| 451 North LaSalle Street | Chicago | IL | 60654 | 501(C)3 | Infant & Early Childhood Mental Health Workforce Development | $30,290 |
| Iowa College Student Aid Commission | ||||||
| 430 East Grand Ave FL 3 | Des Moines | IA | 50309 | 501(C)3 | LCANs for Healthcare Talent | $50,000 |
| Iowa Primary Care Association | ||||||
| 9943 Hickman Road Suite 103 | Urbandale | IA | 50322 | 501(C)3 | Behavioral Health Integration Support for Safety Net Providers Through Project ECHO | $50,000 |
| Iowa Radio Reading Information Service for the Blind and Print Handicapped | ||||||
| 100 East Euclid Avenue 117 | Des Moines | IA | 50313 | 501(C)3 | IRIS Connections | $6,500 |
| Kishwaukee Family YMCA | ||||||
| 2500 West Bethany Road | Sycamore | IL | 60178 | 501(C)3 | Pedaling for Parkinson's | $26,750 |
| Legal Council for Health Justice | ||||||
| 180 North Michigan Avenue Ste 2110 | Chicago | IL | 60601 | 501(C)3 | Chicago Medical-Legal Partnership for Children | $50,000 |
| Lutheran Social Services of Illinois | ||||||
| 1001 East Touhy Avenue Ste 50 | Des Plaines | IL | 60018 | 501(C)3 | Wrap-Around Behavioral Health Model | $50,000 |
| Oklahoma City Community College Foundation | ||||||
| 7777 South May Avenue | Oklahoma City | OK | 73159 | 501(C)3 | Workforce Development for SLPAs and Providing Speech-Language Pathology Services for Clients in Shortage Areas Across Oklahoma | $41,430 |
| Oklahoma City-County Health Department | ||||||
| 2600 NE 63rd Street | Oklahoma City | OK | 73111 | 501(C)3 | Increasing Access to Medical-Legal Services of the Under and Uninsured of Oklahoma County | $50,000 |
| Oklahoma Commission on Children and Youth | ||||||
| 1111 North Lee Suite 500 | Oklahoma City | OK | 73103 | 501(C)3 | Child Abuse/Neglect Medical System Infrastructure Development | $50,000 |
| Oklahoma Project Woman | ||||||
| PO Box 14026 | Tulsa | OK | 74159 | 501(C)3 | Breast Health Care for the Uninsured | $25,000 |
| Oklahoma State University Foundation | ||||||
| 400 South Monroe | Stillwater | OK | 74074 | 501(C)3 | Project ECHO OSU Substance Abuse Disorders Clinic | $50,000 |
| School for Healthy Lifestyles | ||||||
| 500 North Broadway Ste 225 | Oklahoma City | OK | 73102 | 501(C)3 | Schools for Healthy Lifestyles: Health Education Implementation | $50,000 |
| Sinai Urban Health Institute | ||||||
| 1500 South Fairfield Avenue K446 | Chicago | IL | 60608 | 501(C)3 | Center for Community Health Worker Research, Outcomes and Workforce Development (CROWD) | $50,000 |
| South Side Office of Concern | ||||||
| 202 NE Madison Avenue | Peoria | IL | 61602 | 501(C)3 | Community Healthcare Homeless Outreach Program | $50,000 |
| State Hygienic Laboratory - University of Iowa | ||||||
| 2490 Crosspark Road | Iowa City | IA | 52241 | 501(C)3 | iExplore Laboratory Sciences | $50,000 |
| The Homestead | ||||||
| 1625 Adventureland Drive Suite B | Altoona | IA | 50009 | 501(C)3 | Capacity Building for The Homestead's Children's Autism Project (CAP Centers) | $50,000 |
| University of Oklahoma - Dept of Medical Informatics | ||||||
| 4502 East 41st Street | Tulsa | OK | 74135 | 501(C)3 | Oklahoma Academy for Integrated Care | $49,991 |
| University of Oklahoma Foundation (OU-Tulsa) | ||||||
| 4502 East 41st Street Room 3B07 | Tulsa | OK | 74135 | 501(C)3 | Preparing Oklahoma's Future Health Care Providers: The Professional ACEs-Informed Training for Health (PATH) | $46,180 |
| University of Tulsa | ||||||
| 800 South Tucker Drive | Tulsa | OK | 74104 | 501(C)3 | Health Care Delivery Sciences Executive Leadership Program Development | $37,500 |
| Young Invincibles | ||||||
| 234 South Wabash 6th Floor | Chicago | IL | 60604 | 501(C)3 | Chicago Homeless Youth Mobile App | $50,000 |
| Youth & Family Counseling | ||||||
| 1113 South Milwaukee Avenue Ste 104 | Libertyville | IL | 60048 | 501(C)3 | Waukegan Integration Project | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,508,712 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| de Beaumont Foundation | ||||||
| 7501 Wisconsin Ave 1310e | Bethesda | MD | 20814 | 501(C)3 | BUILD 2.0 - Local Funding Partner (de Beaumont Fdn is serving as fiscal agent for the national initiative) | $155,000 |
| University of Iowa Iowa Center for Higher Education | ||||||
| N459 Lindquist Center | Iowa City | IA | 52242 | 501(C)3 | Health/Human Services Incubator Place (HIP) | $59,000 |
| Active TCI Grantees | ||||||
| 1776 West Lakes Parkway | West Des Moines | IA | 50266 | 501(C)3 | Strategic Grantee Convening | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $224,000 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $88,497 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $623,899 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $110,246 | ExclusionAmt |
| Related Or Exempt Function Incm | $27,600,445 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Interest Income- Note Receivable | Desc |
| Related Or Exempt Function Incm | $103,218 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $822,642 | ExclusionAmt |
| Related Or Exempt Function Incm | $27,703,663 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $28,526,305 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (5 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 8 | GAIN FROM THE INSTALLMENT SALE OF NEW TELLIGEN STOCK TO THE ESOP. |
| 8 | THE INSTALLMENT SALE WAS A NECESSARY COMPONENT OF THE REORGANIZATION |
| 8 | OF A RELATED ENTITY AND IS INCLUDED IN NET INVESTMENT INCOME. |
| 11 | INTEREST IS RELATED TO THE INSTALLMENT SALE AND IS INCLUDED IN NET |
| 11 | INVESTMENT INCOME. |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $6,425 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,750 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MUTUAL FUNDS | FMV | $9,084,750 | $9,084,750 |
| EXCHANGE TRADED & CLOSED-END FUNDS | FMV | $7,817,660 | $7,817,660 |
| Equities | FMV | $16,644,262 | $16,644,262 |
| Corporate Fixed Income Funds | FMV | $1,132,069 | $1,132,069 |
| Government Securities | FMV | $2,577,470 | $2,577,470 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $2,622 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,347 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Receivable - Installment sale | Desc |
| BOY Book Value | $27,600,445 | BOYBookValueAmt |
| EOY Book Value | $0 | EOYBookValueAmt |
| EOYFMV | $0 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Miscellaneous | $2,106 | $0 | $1,885 |
| ADMINISTRATIVE SERVICES | $45,957 | $0 | $41,132 |
| INSURANCE | $26,814 | $0 | $23,999 |
| INVESTMENT FEES | $225,253 | $225,253 | $0 |
| Office Expenses | $1,363 | $0 | $1,220 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Interest Income- Note Receivable | Desc |
| Revenue And Expenses Per Books | $103,218 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $103,218 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $103,218 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Unrealized Gain/(Loss) on Investments | Desc |
| Amt | $2,284,313 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Gain - installment sale | Desc |
| BOY Book Value | $27,600,445 | BOYBookValueAmt |
| EOY Book Value | $0 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | OTHER PROFESSIONAL SERVICES | CategoryTxt |
| Amt | $53,360 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $47,757 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Investment Income Tax | $567,440 | $0 | $0 |
| PENALTIES | $5 | $0 | $0 |
| PAYROLL TAXES | $10,307 | $0 | $9,225 |
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