MIDWESTONE BANK FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MIDWESTONE BANK FOUNDATION (EIN 75-3023674)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-18
- IRS object ID
- 201731389349100208
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-18T13:04:55-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 S DUBUQUE ST | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 522404077 | 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 | 753023674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDW | BusinessNameControlTxt |
| Phone | 3193565800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O NICK PFEIFFER PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLAS D PFEIFFER | PersonNm |
| Person Title | SECRETARY AND TREASURER | PersonTitleTxt |
| Phone | 3193565800 | PhoneNum |
| Signature | 2017-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MADELINE WINDAUER | PreparerPersonNm |
| PTIN | P00094137 | PTIN |
| Phone | 3193541500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.171.131.186 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-12 | IPDt |
| IP Tm | 15:07:57 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BCFF0591BE7D42A5E3DD561C7065848EFC52E4BA | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4EB68A65321406C632C30C388056C7EEC112CD33 | 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 | $2,502,807 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $50,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $116 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $116 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $72,335 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $72,335 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$6,966 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $343,399 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $115,485 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $72,451 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $625 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $625 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $1,927 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $3,177 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $625 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $625 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $120,467 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $120,467 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $123,644 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $625 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $121,092 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$8,159 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $71,826 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $135,731 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $91,526 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $91,526 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $1,672,142 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,584,598 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,750,083 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $545,573 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $669,413 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $661,198 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,353,446 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,345,537 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,502,807 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $750,000 | CapitalStockBOYAmt |
| Capital Stock EOY | $750,000 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,603,446 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,595,537 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,353,446 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,345,537 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,353,446 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,345,537 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,353,446 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$8,159 | ExcessRevenueOverExpensesAmt |
| Other Increases | $250 | OtherIncreasesAmt |
| Subtotal | $2,345,537 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,345,537 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $73,479 | $94,918 | -$21,439 | -$21,439 |
| PUBLICLY TRADED SECURITIES | P | $261,361 | $255,447 | $5,914 | $5,914 |
| LONG TERM CAPITAL GAINS | P | $8,559 | $8,559 | $8,559 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$6,966 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $107,963 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,070,308 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.052148 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $70,108 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,459,329 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.048041 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $72,774 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,352,173 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053820 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $69,341 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,282,279 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.054076 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $68,223 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,164,964 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.058562 | DistributionYr5Rt |
| Total Distribution | 0.266647 | TotalDistributionRt |
| Average Distribution | 0.053329 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,386,203 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $127,254 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $718 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $127,972 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $121,092 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,437 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,437 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,437 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,080 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $1,040 | AppliedToEsTaxAmt |
| Total Payments And Credits | $3,120 | TotalPaymentsAndCreditsAmt |
| Overpayment | $1,683 | OverpaymentAmt |
| Applied To ES Tax | $1,440 | AppliedToESTaxAmt |
| Refund | $243 | 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 | MIDWESTONEBANK.COM/AFOUNDATION.PHP | WebsiteAddressTxt |
| Individual With Books | NICK PFEIFFER | IndividualWithBooksNm |
| Phone | 3193565800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | 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 |
|---|---|---|---|---|---|---|---|---|
| KEVIN W MONSON | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| CHARLES N FUNK | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| NICHOLAS D PFEIFFER | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | SECRETARY AND TREASURER | 1.00 | $0 | $0 | $0 |
| SUSAN R EVANS | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| LARRY D ALBERT | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| RUTH E STANOCH | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KURT R WEISE | ||||||||
| PO BOX 1700 | IOWA CITY | IA | 52244 | DIRECTOR | 1.00 | $0 | $0 | $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 |
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 | $2,367,021 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $55,520 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,422,541 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,422,541 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $36,338 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,386,203 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $119,310 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $119,310 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,437 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,437 | TotalTaxAmt |
| Distributable Before Adj | $117,873 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $117,873 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $117,873 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $121,092 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $121,092 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $121,092 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $117,873 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $10,975 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $6,513 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $6,109 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $6,493 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $30,090 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $121,092 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $117,873 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $3,219 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $33,309 | 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 | $10,975 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $22,334 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $6,513 | ExcessFromYear4Amt |
| Excess From Year3 | $6,109 | ExcessFromYear3Amt |
| Excess From Year1 | $6,493 | ExcessFromYear1Amt |
| Excess From Current Year | $3,219 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (32 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CITY OF APLINGTON - APLINGTON AMBULANCE DEPARTMENT | |||||||
| PO BOX 308 | APLINGTON | IA | 50604 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| ARTREACH ST CROIX | |||||||
| 224 N 4TH ST | STILLWATER | MN | 55082 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| CITY OF FT MADISON | |||||||
| PO BOX 240 | FT MADISON | IA | 52627 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| CITY OF SIGOURNEY | |||||||
| 100 N MAIN ST | SIGOURNEY | IA | 52591 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| COBRA CLUB LLC | |||||||
| PO BOX 207 | SIGOURNEY | IA | 52591 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| FAIRFIELD PARK AND REC | |||||||
| 1000 W BURLINGTON AVENUE | FAIRFIELD | IA | 52556 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| FORT MADISON COMMUNITY HIGH SCHOOL | |||||||
| 2001 AVE B | FORT MADISON | IA | 52627 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS IN NEED FOOD SHELF | |||||||
| PO BOX 6 | COTTAGE GROVE | MN | 55016 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| FRIENDS OF SHERBURNE NATIONAL WILDLIFE REFUGE INC | |||||||
| 17076 293RD AVE | ZIMMERMAN | MN | 55398 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| FRIENDS OF THE ANIMALS CENTER FOUNDATION | |||||||
| PO BOX 1345 | IOWA CITY | IA | 52244 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| GIRL SCOUTS OF EASTERN IOWA AND WESTERN ILLINOIS | |||||||
| 940 GOLDEN VALLEY DRIVE | BETTENFORF | IA | 52722 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| GOODWILL INDUSTRIES OF SOUTHWEST FLORIDA INC | |||||||
| 5100 TICE STREET | FORT MYERS | FL | 33905 | N/A | PUBLIC | GENERAL OPERATING FUND | $1,882 |
| HEARTHSTONE A MINISTRY OF WESLEY LIFE | |||||||
| 607 EAST 3RD STREET | PELLA | IA | 50219 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| HISTORIC PELLA TRUST | |||||||
| 615 MAIN STREET | PELLA | IA | 50219 | N/A | PUBLIC | GENERAL OPERATING FUND | $4,000 |
| HUGO GOOD NEIGHBORS FOOD SHELF | |||||||
| PO BOX 373 | HUGO | MN | 55038 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| MILL POND LEARNING FOUNDATION | |||||||
| PO BOX 791 | OSCEOLA | WI | 54020 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| NEWALDAYA LIFESCAPES | |||||||
| 7511 UNIVERSITY AVE | CEDAR FALLS | IA | 50613 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| NORTH ENGLISH COMMUNITY CENTER | |||||||
| PO BOX 262 | NORTH ENGLISH | IA | 52316 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| PURPLE AND GRAY FOUNDATION | |||||||
| 520 WASHINGTON STREET | BURLINGTON | IA | 52601 | N/A | PUBLIC | GENERAL OPERATING FUND | $4,000 |
| RHODES LITTLE LEAGUE | |||||||
| 1309 295TH ST | RHODES | IA | 50234 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,000 |
| SOUTH ST PAUL YOUTH SOCCER ASSOCIATION | |||||||
| PO BOX 44 | SOUTH ST PAUL | MN | 55075 | N/A | PUBLIC | GENERAL OPERATING FUND | $1,250 |
| SOUTHEASTERN COMMUNITY COLLEGE FOUNDATION | |||||||
| 1500 WEST AGENCY ROAD | WEST BURLINGTON | IA | 52655 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,000 |
| ST CROIX FALLS SCHOOL DISTRICT | |||||||
| 740 MAPLE DRIVE | ST CROIX FALLS | WI | 54024 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| STMA YOUTH HOCKEY ASSOCIATION INC | |||||||
| PO BOX 1345 | ST MICHAEL | MN | 55376 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| SUMMIT ACADEMY OIC | |||||||
| 935 OLSON MEMORIAL HIGHWAY | MINNEAPOLIS | MN | 55405 | N/A | PUBLIC | GENERAL OPERATING FUND | $5,000 |
| TANAGER PLACE | |||||||
| 2309 C STREET SW | CEDAR RAPIDS | IA | 52404 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,335 |
| THE 1105 PROJECT | |||||||
| 325 E WASHINGTON STREET | IOWA CITY | IA | 522401803 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,000 |
| THE UNIVERSITY OF IOWA FOUNDATION | |||||||
| PO BOX 4550 | IOWA CITY | IA | 522444550 | N/A | PUBLIC | GENERAL OPERATING FUND | $10,000 |
| UNITYPOINT HEALTH - ALLEN FOUNDATION | |||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,000 |
| UNIVERSITY OF IOWA FOUNDATION | |||||||
| ONE WEST PARK ROAD | IOWA CITY | IA | 52244 | N/A | PUBLIC | GENERAL OPERATING FUND | $3,000 |
| WEST LIBERTY VOLUNTEER FIRE DEPARTMENT | |||||||
| 109 E SECOND ST | WEST LIBERTY | IA | 52776 | N/A | PUBLIC | GENERAL OPERATING FUND | $2,500 |
| YWCA OF BLACK HAWK COUNTY | |||||||
| 425 LAFAYETTE STREET | WATERLOO | IA | 50703 | N/A | PUBLIC | GENERAL OPERATING FUND | $6,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $120,467 | 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 | $116 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $72,335 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$6,966 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $65,485 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $65,485 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWESTONE BANK | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1700 | AddressLine1Txt |
| City | IOWA CITY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $50,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREP FEES | CategoryTxt |
| Amt | $1,250 | Amt |
| Net Investment Income | $625 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $625 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (76 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| AFLAC INC | $6,404 | $11,414 |
| AT&T INC | $4,049 | $6,209 |
| ABBOTT LABORATORIS | $6,181 | $9,756 |
| ABBVIE INC | $5,440 | $12,774 |
| ADVANCE AUTO PARTS INC | $0 | $0 |
| ALLSTATE CORP | $12,331 | $19,123 |
| ALPHABET INC - CL C | $8,976 | $14,665 |
| ALPHABET INC - CL A | $1,729 | $4,755 |
| AMERICAN TOWER CORP NEW COM | $16,619 | $18,177 |
| APPLE INC | $13,740 | $20,384 |
| BALL CORP | $4,973 | $7,882 |
| BECTON DICKINSON AND CO | $14,672 | $16,886 |
| BOEING COMPANY | $8,918 | $17,125 |
| CVS HEALTH CORPORATION COM | $7,033 | $12,862 |
| CHEVRON CORP | $4,353 | $7,886 |
| CISCO SYSTEMS INC | $8,004 | $11,997 |
| COOPER COS INC | $0 | $0 |
| CUMMINS INC | $13,429 | $17,767 |
| DANAHER CORP | $7,544 | $13,077 |
| DOLLAR GENERAL CORP NEW | $16,297 | $14,221 |
| DOLLAR TREE INC | $0 | $0 |
| DOMINION RES INC | $8,822 | $10,340 |
| DUKE ENERGY HOLDING | $4,682 | $5,822 |
| EMC CORP | $0 | $0 |
| EXXON MOBIL CORP | $3,902 | $4,603 |
| FACEBOOK INC CL A | $7,213 | $6,903 |
| FORTIVE CORP COM | $2,456 | $4,505 |
| GENERAL ELECTRIC CO | $9,616 | $13,240 |
| HCA HOLDINGS INC COM | $4,996 | $4,663 |
| HOME DEPOT INC COM | $11,864 | $12,335 |
| ILLINOIS TOOLWORKS | $8,863 | $18,247 |
| JP MORGAN CHASE | $10,247 | $20,796 |
| JOHNSON & JOHNSON | $10,803 | $15,899 |
| KRAFT FOODS INC | $5,815 | $11,876 |
| LINCOLN NATL CORP IND COM | $8,282 | $11,597 |
| MCKESSON CORP | $6,402 | $4,916 |
| MICRON TECHNOLOGY INC | $0 | $0 |
| MICROSOFT CORP COM | $10,627 | $12,179 |
| MOHAWK INDS INC COM | $18,021 | $19,768 |
| MONDELEZ INTL INC | $6,683 | $10,861 |
| O'REILLY AUTOMOTIVE | $4,368 | $18,097 |
| ORACLE SYSTEMS CORP | $9,050 | $13,650 |
| PPG INDS INC COM | $7,479 | $6,349 |
| PEPSICO INCORPORATED | $8,132 | $12,242 |
| PIONEER NAT RES CO COM | $2,335 | $2,341 |
| PRICELINE COM INC | $5,821 | $7,330 |
| PROCTER & GAMBLE | $10,588 | $14,966 |
| PRUDENTIAL FINL INC | $13,133 | $17,170 |
| SYNCHRONY FINANCIAL | $5,269 | $6,928 |
| STERIS CORP | $16,620 | $14,826 |
| 3M CO | $4,193 | $6,964 |
| UNITEDHEALTH GROUP INC COM | $7,521 | $8,962 |
| US BANCORP | $0 | $0 |
| VALERO ENERGY CORP | $11,602 | $16,397 |
| VARIAN MEDICAL SYST | $0 | $0 |
| VERIFONE SYSTEMS INC | $6,023 | $3,422 |
| VERIZON COMM | $9,799 | $12,758 |
| VISA INC COM CL A | $10,038 | $9,596 |
| WELLS FARGO COMPANY | $11,001 | $16,092 |
| WESTERN DIGITAL CORP | $0 | $0 |
| WHIRLPOOL CORP COM | $7,231 | $7,816 |
| BROADCOM LTD | $5,917 | $7,248 |
| MIDWESTONE FINL GROUP INC | $23,963 | $37,600 |
| ACCENTURE LTD | $3,832 | $7,262 |
| DODGE & COX INTL STK | $0 | $0 |
| DREYFUS GLOBAL REAL RETURN FUND CLASS 1 | $42,750 | $41,037 |
| HARTFORD MID CAP GROWTH FUND | $45,369 | $54,272 |
| JANUS TRITON FD CL 1 | $109,648 | $109,738 |
| NATIXIS ASG GLOBAL ALTERNATIVES FUND | $0 | $0 |
| OPPENHEIMER DEV MKTS | $24,330 | $24,163 |
| PIONEER REAL ESTATE CLASS Y | $62,550 | $57,622 |
| VICTORY MUNDER MID-CAP | $0 | $0 |
| EATON VANCE FLOATING RATE ADVANTAGE FUND | $147,922 | $144,900 |
| PIMCO GNMA INST CL | $146,438 | $142,910 |
| PIMCO INVESTMENT GRADE CORP BD | $301,245 | $287,732 |
| PIMCO INCOME FUND | $220,445 | $214,183 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| OPPENHEIMER INTERNATIONAL GROWTH FUND | AT COST | $49,930 | $51,112 |
| FEDERATED INSTL TR HI YIELD BD | AT COST | $147,383 | $143,601 |
| PIONEER MULTI-ASSET ULTRA SHORT INC FUND | AT COST | $40,000 | $39,900 |
| VANGUARD FIXED INCOME SECS FGNMA FD ADMRL | AT COST | $221,704 | $216,777 |
| VANGUARD SHORT TERM INVESTMENT GRADE FD | AT COST | $210,396 | $209,808 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADJ TO INCREASE COST BASIS | Desc |
| Amt | $250 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX | CategoryTxt |
| Amt | $1,927 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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