LOHSE FAMILY FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LOHSE FAMILY FOUNDATION (EIN 46-1567946)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-18
IRS object ID
201732619349100553
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-09-18T14:28:53-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 LOCUST ST STE 640AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503092354ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461567946EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOHSE FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOHSBusinessNameControlTxt
Phone5153607647PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 67AddressLine1Txt
CityBONDURANTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50035ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN K LOHSEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5153607647PhoneNum
Signature2017-08-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHEATHER BYERSPreparerPersonNm
PTINP01076405PTIN
Phone5155586600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.171IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-31IPDt
IP Tm20:34:52IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB75A8AAEFB44128EC8C45A368A4AB871B8BF3CCCAtSubmissionCreationDeviceId
At Submission Filing Device IdDE8F01695C5F52FDF33B84413DB388F78AAEEEF2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,009,467FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$156,655DividendsRevAndExpnssAmt
Dividends Net Invst Incm$156,655DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$4,341NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,417,012GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$36OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$36OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$152,350TotalRevAndExpnssAmt
Total Net Invst Incm$156,691TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$125LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$125LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$8,460AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,230AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,230AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$21,734OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$21,734OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$11,640TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,640TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$35,962OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$13,415OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$77,921TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$43,019TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,355TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$388,683ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$388,683ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$466,604TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$43,019TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$393,038TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$314,254ExcessRevenueOverExpensesAmt
Net Investment Income$113,672NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$1,209,367SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$93,418SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$93,418SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,081,465CorporateStockBOYAmt
Corporate Stock EOY$3,027,289CorporateStockEOYAmt
Corporate Stock EOYFMV$3,258,035CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,810,512CorporateBondsBOYAmt
Corporate Bonds EOY$1,483,099CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,477,615CorporateBondsEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$183,284OtherInvestmentsEOYAmt
Other Investments EOYFMV$180,399OtherInvestmentsEOYFMVAmt
Total Assets BOY$5,101,344TotalAssetsBOYAmt
Total Assets EOY$4,787,090TotalAssetsEOYAmt
Total Assets EOYFMV$5,009,467TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$5,101,344RetainedEarningBOYAmt
Retained Earning EOY$4,787,090RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$5,101,344TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,787,090TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$5,101,344TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,787,090TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$5,101,344TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$314,254ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,787,090SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,787,090TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$1,407,010$1,421,353-$14,343-$14,343
CAPITAL GAINS DIVIDENDSP$10,002$10,002$10,002
FieldValueIRS element (for citing)
Capital Gain Net Income-$4,341CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$390,048AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$5,125,034NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.076106DistributionYr1Rt
Adjusted Qlfy Distri Yr2$665,280AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,578,190NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.119264DistributionYr2Rt
Adjusted Qlfy Distri Yr3$5,255,241AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$9,781,969NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.537238DistributionYr3Rt
Adjusted Qlfy Distri Yr4$0AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$430,946NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.000000DistributionYr4Rt
Total Distribution0.732608TotalDistributionRt
Average Distribution0.183152AverageDistributionRt
Net Vl Noncharitable Assets$4,865,343NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$891,097AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,137NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$892,234AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$393,038QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,273InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,273SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,273TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,440EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$3,500AppliedToEsTaxAmt
Total Payments And Credits$11,940TotalPaymentsAndCreditsAmt
Es Penalty$6EsPenaltyAmt
Overpayment$9,661OverpaymentAmt
Applied To ES Tax$9,661AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateIAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBRIAN K LOHSEIndividualWithBooksNm
Phone5153607647PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11500 NE MORGAN DRAddressLine1Txt
CityBONDURANTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50035ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BRIAN K LOHSE
PO BOX 67BONDURANTIA50035PRESIDENT & SECRETARY0.00$0$0$0
MARY F LOHSE
PO BOX 67BONDURANTIA50035VICE-PRESIDENT & TREASURER0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,679,818AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$259,617AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,939,435TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,939,435AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$74,092CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,865,343NetVlNoncharitableAssetsAmt
Minimum Investment Return$243,267MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$243,267MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,273TaxBasedOnInvestmentIncomeAmt
Total Tax$2,273TotalTaxAmt
Distributable Before Adj$240,994DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$240,994DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$240,994DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$393,038ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$393,038QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$393,038AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$240,994DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr3$4,770,899ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$390,423ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$142,232ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$5,303,554TotalExcessDistributionCyovAmt
Qualifying Distributions$393,038QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$240,994AppliedToCurrentYearAmt
Remaining Distri From Corpus$152,044RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$5,455,598TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$5,455,598ExcessDistriCyovToNextYrAmt
Excess From Year3$4,770,899ExcessFromYear3Amt
Excess From Year2$390,423ExcessFromYear2Amt
Excess From Year1$142,232ExcessFromYear1Amt
Excess From Current Year$152,044ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BONDURANT DEVELOPMENT INC
PO BOX 165BONDURANTIA50035NONEPCPARK DEVELOPMENT$85,923
BONDURANT FARRAR EDUCATION FOUNDATION
PO BOX 212BONDURANTIA50035NONEPCGENERAL OPERATING FUND$50,171
BONDURANT SOCCER CLUB
PO BOX 5BONDURANTIA50035NONEPCGENERAL OPERATING FUND$110
CITY OF BONDURANT
200 2ND ST NEBONDURANTIA50035NONEPCGENERAL OPERATING FUND$50,832
FEDERATED CHURCH OF BONDURANT
103 2ND SWBONDURANTIA50035NONEPCGENERAL OPERATING FUND$144
GIRL SCOUTS OF GREATER IOWA
10715 HICKMAN RDURBANDALEIA50322NONEPCGENERAL OPERATING FUND$148
IOWA DONOR NETWORK
550 MADISON AVENORTH LIBERTYIA52317NONEPCGENERAL OPERATING FUND$1,182
IOWA TIMBER RATTLERS YOUTH BASEBALL
5845 ROBIN ROADPLEASANT HILLIA50327NONEPCGENERAL OPERATING FUND$310
LUTHERAN CHURCH OF THE CROSS
1701 8TH ST SWALTOONAIA50009NONEPCGENERAL OPERATING FUND$255
SPECIAL OLYMPICS OF IOWA
551 SE DOVETAIL RDGRIMESIA50111NONEPCGENERAL OPERATING FUND$20,000
ST BALDRICK'S FOUNDATION
1333 S MAYFLOWER AVEMONROVIACA91016NONEPCGENERAL OPERATING FUND$143,000
SALISBURY HOUSE FOUNDATION
4025 TONAWANDA DRIVEDES MOINESIA50312NONEPCGENERAL OPERATING FUND$1,000
POLK COUNTY HOUSING TRUST FUND
108 3RD STREETDES MOINESIA50309NONEPCGENERAL OPERATING FUND$25,000
EASTER SEALS IOWA
PO BOX 5168DES MOINESIA50305NONEPCGENERAL OPERATING FUND$2,500
NORTH HIGH SCHOOL BOOSTER CLUB
501 HOLCOMB AVEDES MOINESIA50313NONEPCGENERAL OPERATING FUND$200
FOOD BANK OF IOWA
2220 EAST 17TH STREETDES MOINESIA50316NONEPCMOBILE PANTRY$125
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVENUENEW YORKNY100174057NONEPCMS WALK$302
SHELTERED REALITY
408 E 8TH STREETWEST LIBERTYIA52776NONEPCGENERAL OPERATING FUND$281
BAXTER AREA YOUTH
5595 N 59TH AVE WNEWTONIA50208NONEPCGENERAL OPERATING FUND$4,700
POLK COUNTY FAIRBOARD
328 SE 72ND STPLEASANT HILLIA50327NONEPCGENERAL OPERATING FUND$1,000
IOWA COPS
PO BOX 52GRANGERIA50109NONEPCGENERAL OPERATING FUND$1,000
THE NAVIGATORS
PO BOX 6079ALBERT LEAMN560076679NONEPCGENERAL OPERATING FUND$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$388,683TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$156,655ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$36ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$4,341ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$152,350ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$152,350TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ACCOUNTING FEES - RSM$7,080$3,540$3,540
ACCOUNTING FEES$1,380$690$690

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondGOLDMAN SACHS - FIXED INCOMEBondNm
EOY Book Value$1,483,099EOYBookValueAmt
EOYFMV$1,477,615EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
GOLDMAN SACHS - US EQUITY$1,647,553$1,909,117
GOLDMAN SACHS - GLOBAL EQUITY$218,226$224,085
GOLDMAN SACHS - NON-US EQUITY$1,161,510$1,124,833

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemGOLDDMAN SACHS - ASSET ALLOCATION INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$183,284BookValueAmt
EOYFMV$180,399EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$125LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$125DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BOND AMORTIZATION$8,872$8,872$0
BANK CHARGES$556$556$0
ACCRUED INTEREST PAID$3,961$3,961$0
POSTAGE$26$26$0
MISCELLANEOUS EXPENSE$22,547$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Revenue And Expenses Per Books$36RevenueAndExpensesPerBooksAmt
Net Investment Income$36NetInvestmentIncomeAmt
Adjusted Net Income$36AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$21,734Amt
Net Investment Income$21,734NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES$3,640$3,640$0
2015 FEDERAL EXCISE TAX EXTENSION$8,000$0$0

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