COONS FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COONS FOUNDATION (EIN 39-1898965)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-08
IRS object ID
201741289349100834
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)
Return2017-05-08T12:49:35-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421361038PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROTH & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1666 WALNUT STREET SUITE 1450AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503093918ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391898965EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE COONS FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O KENTON R COONSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOONBusinessNameControlTxt
Phone6417661001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117112 480TH LANEAddressLine1Txt
CityCHARITONCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50049ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENTON COONSPersonNm
Person TitleDIRECTOR/PRESIDENTPersonTitleTxt
Phone6417661001PhoneNum
Signature2017-05-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAY A ANDERSONPreparerPersonNm
PTINP00223704PTIN
Phone5152440266PhoneNum
Preparation2017-05-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.81.130.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-02IPDt
IP Tm19:11:16IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id13E18882DA8A0ED5B505B5BD527614CBB2333893AtSubmissionCreationDeviceId
At Submission Filing Device Id3912B87E0C5D14B660EE635A714207D5BBA18F0EAtSubmissionFilingDeviceId
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$5,917,799FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$11,636ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$18,449InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$18,449InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$221,500DividendsRevAndExpnssAmt
Dividends Net Invst Incm$221,500DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$3,990NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$91,644GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,563OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,563OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$249,158TotalRevAndExpnssAmt
Total Net Invst Incm$241,512TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,425AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$712AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$713AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$1,180TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$25,688OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$20,550OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$5,138OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$28,293TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$21,262TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,851TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$203,474ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$203,474ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$231,767TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$21,262TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$209,325TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$17,391ExcessRevenueOverExpensesAmt
Net Investment Income$220,250NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$75,123CashBOYAmt
Cash EOY$109,964CashEOYAmt
Cash EOYFMV$109,964CashEOYFMVAmt
Corporate Stock BOY$2,947,203CorporateStockBOYAmt
Corporate Stock EOY$2,803,389CorporateStockEOYAmt
Corporate Stock EOYFMV$4,677,609CorporateStockEOYFMVAmt
Corporate Bonds BOY$1,150,000CorporateBondsBOYAmt
Corporate Bonds EOY$1,150,000CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,130,226CorporateBondsEOYFMVAmt
Total Assets BOY$4,172,326TotalAssetsBOYAmt
Total Assets EOY$4,063,353TotalAssetsEOYAmt
Total Assets EOYFMV$5,917,799TotalAssetsEOYFMVAmt
Other Liabilities BOY$122,991OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities BOY$122,991TotalLiabilitiesBOYAmt
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$4,049,335RetainedEarningBOYAmt
Retained Earning EOY$4,063,353RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,049,335TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,063,353TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,172,326TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,063,353TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,049,335TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$17,391ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,066,726SubtotalAmt
Other Decreases$3,373OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,063,353TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmt
PUT XLUP2016-02-222016-01-20$410$410$410
CYS INVESTMENTSP2012-08-292016-05-05$25,218-$16,779-$16,779$41,997
CYS INVESTMENTSP2012-08-292016-12-09$32,240-$21,397-$21,397$53,637
CAPITAL GAINS DIVIDENDSP$33,776$33,776$33,776
FieldValueIRS element (for citing)
Capital Gain Net Income-$3,990CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$252,342AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$5,350,412NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.047163DistributionYr1Rt
Adjusted Qlfy Distri Yr2$275,397AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,148,540NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.053490DistributionYr2Rt
Adjusted Qlfy Distri Yr3$253,691AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,801,791NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.052833DistributionYr3Rt
Adjusted Qlfy Distri Yr4$221,711AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,609,111NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.048103DistributionYr4Rt
Adjusted Qlfy Distri Yr5$155,988AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$4,294,864NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.036320DistributionYr5Rt
Total Distribution0.237909TotalDistributionRt
Average Distribution0.047582AverageDistributionRt
Net Vl Noncharitable Assets$5,676,688NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$270,108AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,203NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$272,311AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$209,325QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,405InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,405SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,405TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,400EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$2,400TotalPaymentsAndCreditsAmt
Tax Due$2,005TaxDueAmt

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 BooksCHRISTINE S COONSIndividualWithBooksNm
Phone6417661001PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line117112 480TH LANEAddressLine1Txt
CityCHARITONCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50049ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KENTON R COONS
17112 480TH LANECHARITONIA50049DIRECTOR/PRESIDENT0.00$0$0$0
CHRISTINE COONS
17112 480TH LANECHARITONIA50049DIRECTOR/SEC. TREASURE0.00$0$0$0
KEVIN COONS
3225 HILLCREST DRIVEDES MOINESIA50310DIRECTOR0.00$0$0$0
KYLE COONS
3908 REGENCY PARK CTFLOWER MOUNDTX75022DIRECTOR0.00$0$0$0
KAREN DIXSON
47458 170TH AVECHARITONIA50049DIRECTOR0.00$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$5,709,654AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$53,481AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,763,135TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,763,135AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$86,447CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,676,688NetVlNoncharitableAssetsAmt
Minimum Investment Return$283,834MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$283,834MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,405TaxBasedOnInvestmentIncomeAmt
Total Tax$4,405TotalTaxAmt
Distributable Before Adj$279,429DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$279,429DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$279,429DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$209,325ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$209,325QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$209,325AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$279,429DistributableAsAdjustedAmt
Undistributed Income PY$155,600UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$209,325QualifyingDistributionsAmt
Applied To Year1$155,600AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$53,725AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$225,704UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (28 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
APPANOOSE COUNTY HISTORICAL SOCIETY
100 WEST MAPLE STREETCENTERVILLEIA52544NONEPUBLIC CHARITYCHARITABLE$1,000
BLANK'S CHILDREN'S HOSPITAL
1200 PLEASANT STDES MOINESIA50309NONEPUBLIC CHARITYCHARITABLE$45,000
CORAM DEO ACADEMY
4900 WICHITA TRAILFLOWER MOUNDTX75022NONEPUBLIC CHARITYEDUCATIONAL$3,000
DES MOINES METRO OPERA
106 W BOSTON AVEINDIANOLAIA50125NONEPUBLIC CHARITYCHARITABLE$2,000
DES MOINES PERFORMING ARTS
221 WALNUT STDES MOINESIA503092148NONEPUBLIC CHARITYCHARITABLE$4,000
DES MOINES SYMPHONY ASSOCIATION
2210 WALNUT ST STE 2DES MOINESIA503099933NONEPUBLIC CHARITYCHARITABLE$3,000
FIRST UNITED METHODIST CHURCH
923 ROLAND AVECHARITONIA50049NONEPUBLIC CHARITYRELIGIOUS$12,000
FLOWER MOUND UNITED METHODIST CHURCH
3950 BRUTON ORAND BLVDFLOWER MOUNDTX75022NONEPUBLIC CHARITYRELIGIOUS$2,000
FRIENDS OF IOWA PUBLIC TELEVISION
6535 CORPORATE DRIVE PO BOX 6400JOHNSTONIA501316400NONEPUBLIC CHARITYCHARITABLE$3,000
HUMANE SOCIETY OF LUCAS COUNTY
118 E LINCOLNCHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$2,000
HUMESTON PUBLIC LIBRARY
113 BROAD STREET PO BOX 672HUMESTONIA50123NONEPUBLIC CHARITYCHARITABLE$2,000
INTERCHURCH COUNCIL OF LUCAS COUNTY
PO BOX 464CHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$3,000
JOHN L LEWIS MUSEUM
102 DIVISIONLUCASIA50151NONEPUBLIC CHARITYCHARITABLE$1,000
LIVING HISTORY FARMS
11121 HICKMAN ROADURBANDALEIA50322NONEPUBLIC CHARITYCHARITABLE$2,000
CIRCLE OF LIFE HOSPICE
220 NORTHWESTERN AVE PO BOX 569CHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$30,000
AMERICAN LEGION
PO BOX 58 201 S MAIN STCHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$7,000
LUCAS COUNTY EXTENSION
48293 HY-VEE ROADCHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$1,174
LUCAS CO HISTORICAL SOCIETY
123 N 17THCHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$9,100
SALVATION ARMY
PO BOX 672CHARITONIA50049NONEPUBLIC CHARITYCHARITABLE$2,000
SCIENCE CENTER OF IOWA
401 W MARTIN LUTHER JR PKWYDES MOINESIA50309NONEPUBLIC CHARITYEDUCATIONAL$1,000
HOPE LEARNING (4TH OF JULY COMMITTEE)
1920 COURT AVECHARITONIA50049NONEPUBLIC CHARITYCHARITY$4,000
THE VILLAGE GOOD SHEPHERD FD
1203 NORTH E STREETINDIANOLAIA50125NONEPUBLIC CHARITYCHARITABLE$50,000
UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550IOWA CITYIA522444450NONEPUBLIC CHARITYEDUCATIONAL$2,000
VAN ALLEN ELEMENTARY
1129 ASHLANDCHARITONIA50049NONEPUBLIC CHARITYEDUCATIONAL$3,200
WESLEY LIFE RETIREMENT SERVICES
5508 NW 88THJOHNSTONIA50131NONEPUBLIC CHARITYCHARITABLE$5,000
WILLIAM WOODS UNIVERSITY
ONE UNIVERSITY AVENUEFULTONMO65251NONEPUBLIC CHARITYEDUCATIONAL$1,000
UCM FOUNDATION
TRG 210WARRENSBURGMO64093NONEPUBLIC CHARITYEDUCATIONAL$2,000
NUTRITIONAL RESEARCH FOUNDATION
4 WALTER FORAN BLVD SUITE 408FLEMINGTONNJ08822NONEPUBLIC CHARITYCHARITABLE$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$203,474TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$18,449ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$221,500ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,563ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$3,990ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$237,522ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$237,522TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
CHRISTINE COONS
117112 480TH LANECHARITONIA50049$6,332Yes (X)
CHRISTINE COONS
217112 480TH LANECHARITONIA50049$5,304Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1200 SHARES OF CHEVRONCOST BASIS $6,332$23,0692016-12-09
2300 SHARES OF ALTRIA GROUPCOST BASIS $5,304$19,7972016-12-09

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryROTH & COMPANYCategoryTxt
Amt$1,425Amt
Net Investment Income$712NetInvestmentIncomeAmt
Disbursements Charitable Prps$713DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondMERRILL LYNCHBondNm
EOY Book Value$1,150,000EOYBookValueAmt
EOYFMV$1,130,226EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockMERRILL LYNCHStockNm
EOY Book Value$2,803,389EOYBookValueAmt
EOYFMV$4,677,609EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescPRIOR PERIOD ADJUSTMENT FOR RETURN OF CAPITALDesc
Amt$3,373Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescMERRILL LYNCH FEEDesc
Revenue And Expenses Per Books$25,688RevenueAndExpensesPerBooksAmt
Net Investment Income$20,550NetInvestmentIncomeAmt
Disbursements Charitable Prps$5,138DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescLITIGATION SETTLEMENTDesc
Revenue And Expenses Per Books$1,563RevenueAndExpensesPerBooksAmt
Net Investment Income$1,563NetInvestmentIncomeAmt
Adjusted Net Income$1,563AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescUNSETTLED TRADESDesc
BOY Book Value$122,991BOYBookValueAmt
EOY Book Value$0EOYBookValueAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL TAXESCategoryTxt
Amt$1,180Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt