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BERTHA STEBENS CHARITABLE FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BERTHA STEBENS CHARITABLE FOUNDATION (EIN 42-1280907)
Tax period
2015-08-01 to 2016-07-31
Filed
2016-09-08
IRS object ID
201612529349100706
Schema version
2015v2.1
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)
Return2016-09-08T12:46:09-05:00ReturnTs
Tax Period End2016-07-31TaxPeriodEndDt

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 Line110 NO WASHINGTON AVE 200AddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421280907EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BERTHA STEBENS CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBERTBusinessNameControlTxt
Phone6414231913PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SECOND SREET NWAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHAL WINSTONPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone6414231913PhoneNum
Signature2016-09-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY R DAVISPreparerPersonNm
PTINP00042153PTIN
Phone6414235114PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,024,319FMVAssetsEOYAmt
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$28,101DividendsRevAndExpnssAmt
Dividends Net Invst Incm$26,271DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$114,209GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$114,209GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$97,385NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss-$5,665NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$71,960GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$136,645TotalRevAndExpnssAmt
Total Net Invst Incm$140,480TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$35,185CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$26,389CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$8,796CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,700AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,775AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$925AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$7,328OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$5,496OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$1,832OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$10,942TaxesRevAndExpnssAmt
Taxes Net Invst Incm$8,978TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$6,835DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$5,658DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$2,554OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,797OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$757OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$66,544TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$51,093TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$12,310TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$204,087ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$204,087ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$270,631TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$51,093TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$216,397TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$133,986ExcessRevenueOverExpensesAmt
Net Investment Income$89,387NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$86CashBOYAmt
Cash EOY$129CashEOYAmt
Cash EOYFMV$129CashEOYFMVAmt
Sav And Temp Cash Invst BOY$61,230SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$11,659SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$11,659SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$36,976USGovernmentObligationsBOYAmt
US Government Obligations EOY$35,247USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$37,769USGovtObligationsEOYFMVAmt
Corporate Stock BOY$238,116CorporateStockBOYAmt
Corporate Stock EOY$217,023CorporateStockEOYAmt
Corporate Stock EOYFMV$396,947CorporateStockEOYFMVAmt
Corporate Bonds BOY$73,535CorporateBondsBOYAmt
Corporate Bonds EOY$58,326CorporateBondsEOYAmt
Corporate Bonds EOYFMV$55,536CorporateBondsEOYFMVAmt
Invst Land Cost Or Other Basis$501,113InvstLandCostOrOtherBasisAmt
Invst Land Accum Depreciation$92,889InvstLandAccumDepreciationAmt
Land Bldg Investments BOY$415,059LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$408,224LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$3,393,000LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$218,024OtherInvestmentsBOYAmt
Other Investments EOY$178,432OtherInvestmentsEOYAmt
Other Investments EOYFMV$129,279OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,043,026TotalAssetsBOYAmt
Total Assets EOY$909,040TotalAssetsEOYAmt
Total Assets EOYFMV$4,024,319TotalAssetsEOYFMVAmt
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$1,043,026RetainedEarningBOYAmt
Retained Earning EOY$909,040RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,043,026TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$909,040TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,043,026TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$909,040TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,043,026TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$133,986ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$909,040SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$909,040TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (19 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmtAcquiredAcquiredDtSoldSoldDt
ESC LEHMAN BROS RETURN OF PRINCIPALP$51$51$51
ESC LEHMAN BROS RETURN OF PRINCIPLEP$156$0$0$156
COLUMBIA STRATEGIC INCOME FUNDP$32,000-$7,615-$7,615$39,6151996-11-262016-07-25
DUKE REALTY CORPORATIONP$9,465$151$151$9,3141998-11-172016-07-19
DUKE REALTY CORPORATIONP$13,561$1,781$1,781$11,7802001-12-142016-07-19
FHLMC 9% RETURN PRINCIPALP$32$0$0$32
FHLMC 7% RETURN PRINCIPALP$84-$1-$1$85
FHLMC 8% RETURN PRINCIPALP$51$0$0$51
FHLMC 8% RETURN PRINCIPALP$72$0$0$72
FED NATL MTGE 7.5% RETURN PRINCIPALP$117$2$2$115
FED NATL MTGE 7.7% RETURN PRINCIPALP$269$5$5$264
GOVT NATL MTG 9% RETURN PRINCIPALP$1$0$0$1
GOVT NATL MTG 9% RETURN PRINCIPALP$5$0$0$5
GOVT NATL MTG 10% RETURN PRINCIPALP$15$0$0$15
GOVT NATL MTG 10.5% RETURN PRINCIPALP$6-$1-$1$7
GOVT NATL MTGE 9.5 RETURN PRINCIPALP$75$0$0$75
FHLMC 8.25%P$1,000$15$15$9851996-11-152016-06-15
JP MORGAN CHASE 6%P$10,000-$37-$37$10,0372013-01-292015-11-15
JP MORGAN CHASE 6%P$5,000-$16-$16$5,0162013-02-152015-11-15
FieldValueIRS element (for citing)
Capital Gain Net Income-$5,665CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$132,887AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,441,039NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.038618DistributionYr1Rt
Adjusted Qlfy Distri Yr2$156,563AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,444,888NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.045448DistributionYr2Rt
Adjusted Qlfy Distri Yr3$149,668AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,497,812NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.042789DistributionYr3Rt
Adjusted Qlfy Distri Yr4$163,006AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,489,678NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.046711DistributionYr4Rt
Adjusted Qlfy Distri Yr5$130,875AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,422,865NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.054017DistributionYr5Rt
Total Distribution0.227583TotalDistributionRt
Average Distribution0.045517AverageDistributionRt
Net Vl Noncharitable Assets$3,604,517NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$164,067AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$894NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$164,961AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$216,397QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$894InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$894SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$894TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,360EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$2,360TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$1,466OverpaymentAmt
Applied To ES Tax$1,466AppliedToESTaxAmt
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 BooksHAROLD R WINSTONIndividualWithBooksNm
Phone6414231913PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1119 2ND STREETAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd
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 PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
HAROLD R WINSTON SEE GENL EXPLNTN
119 2ND ST NWMASON CITYIA50401SECRETARY/DIRECTOR3.50$30,185$0$0
GARY BLODGETT
1225 NORTH SHORE DRIVECLEAR LAKEIA50428PRESIDENT/DIRECTOR0.60$2,500$0$0
GREGORY C NICHOLAS
2601 FOURTH ST SWMASON CITYIA50401TREASURER/DIRECTOR0.60$2,500$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$620,441AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$96,467AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$2,942,500FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,659,408TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,659,408AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$54,891CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,604,517NetVlNoncharitableAssetsAmt
Minimum Investment Return$180,226MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$180,226MinimumInvestmentReturnAmt
Tax Based On Investment Income$894TaxBasedOnInvestmentIncomeAmt
Total Tax$894TotalTaxAmt
Distributable Before Adj$179,332DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$179,332DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$179,332DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$216,397ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$216,397QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$894PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$215,503AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$179,332DistributableAsAdjustedAmt
Undistributed Income PY$16,177UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$216,397QualifyingDistributionsAmt
Applied To Year1$16,177AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$179,332AppliedToCurrentYearAmt
Remaining Distri From Corpus$20,888RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$20,888TotalCorpusAmt
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$20,888ExcessDistriCyovToNextYrAmt
Excess From Current Year$20,888ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonHAROLD R WINSTONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1119 SECOND STREET NWAddressLine1Txt
CityMASON CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50401ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6414231913RecipientPhoneNum
Form And Info And MaterialsWRITTEN REQUESTS INCLUDING NAME, ADDRESS AND PURPOSE OF ORGANIZATION EVIDENCE OF EXEMPT STATUS, ID NUMBER, CURRENT FINANCIALS, OFFICERS, DIRECTORS & CONTACT PERSON, AMOUNT & PURPOSE OF REQUEST, DATE NEEDED.FormAndInfoAndMaterialsTxt
Submission DeadlinesMAY 31SubmissionDeadlinesTxt
Restrictions On AwardsNEEDS TO BE A QUALIFIED 501(C)(3) CHARITY IN CERRO GORDO COUNTY.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (50 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AG IN THE CLASSROOM
65 STATE STGARNERIA50438NONEPCAG EDUCATION WEEKS$3,000
CARING PREGNANCY CENTER
830 15TH STREET SWMASON CITYIA50401NONEPCSENDING STAFF TO NATIONAL CONVENTION$2,500
CENTRAL GARDENS OF NORTH IOWA
800 2ND AVENUE NORTHCLEAR LAKEIA50428NONEPCPERFORMANCE SERIES "PICNICS & PERFORMANCES"$3,000
CERRO GORDO COUNTY CONSERVATION BOARD
3501 LIME CREEK ROADMASON CITYIA50401NONEPCREPAIRS TO WILKINSON PIONEER PARK COVERED BRDIGE ROCK FALLS$5,000
CHARLIE BROWN DAYCARE
326 FOURTH STREET NEMASON CITYIA50401NONEPCCAFETERIA TABLES$4,000
CHORAL MUSIC GUILD
1515 SOUTH PENNSYLVANIA AVEMASON CITYIA50401NONEPCUNIFORMS TO MCHS VOCAL MUSIC STUDENTS$5,000
CITY OF MASON CITY - FRIENDS OF THE 457
10 FIRST ST NWMASON CITYIA50401NONEGOVCANNONBALL GARDEN PROJECT$15,000
CLEAR LAKE CLASSICAL INC
1310 HWY 18 WESTCLEAR LAKEIA50428NONEPCSCHOLARSHIPS & TUITION$6,500
COMMUNITY KITCHEN OF NORTH IOWA
606 N MONROE AVEMASON CITYIA50401NONEPCONE-HALF YEAR MILK COST$2,500
COMMUNITY POLICING ADVISORY BOARD
78 S GEORGIAMASON CITYIA50401NONEPCEDUCATIONAL MATERIALS FOR NATIONAL NIGHT OUT$1,500
COMPREHENSIVE SYSTEMS
1453 4TH ST SEMASON CITYIA50401NONEPCROOF FOR MASON CITY BUILDING$4,000
CRISIS INTERVENTION SERVICES
PO BOX 656MASON CITYIA50401NONEPCNEW LAPTOPS$2,607
ELDERBRIDGE AGENCY ON AGING
22 N GEORGIA AVE 216MASON CITYIA50401NONEPCPROGRAM COSTS$10,000
ELMWOOD-ST JOSEPH CEMETERY
1224 S WASHINGTON AVEMASON CITYIA50401NONEPCCEMETARY WALK$1,000
FRANCIS LAUER YOUTH SERVICES
50 NORTH EISENHOWERMASON CITYIA50401NONEPCMUSIC THERAPY ACTIVITIES$2,500
HABITAT FOR HUMANITY OF NORTH CENTRAL IOWA
1411 S TAFT AFEMASON CITYIA50401NONEPCPOPCORN POPPER & SUPPLIES$1,200
HARDING ELEMENTARY SCHOOL PTO
1239 N RHODE ISLAND AVEMASON CITYIA50401NONEPCOUTDOOR MUSICAL INSTRUMENT$3,500
INSTRUMENTAL MUSIC BOOSTERS
PO BOX 111MASON CITYIA50401NONEPCFRENCH HORN$2,200
ISU CERRO GORDO COUNTY EXTENSION & OUTREACH
2023 S FEDERAL AVENUEMASON CITYIA50401NONEPCCOMMUNITY GARDEN/SCHOOL GREENHOUSE$2,500
KCMR RADIO
600 FIRST STREET NWMASON CITYIA50401NONEPCSECOND PHASE OF STUDIO UPGRADE$5,000
KINNEY PIONEER MUSEUM
9184 265TH STREETMASON CITYIA50401NONEPCRIDING POWER LAWNMOWER$2,500
KIWANIS
525 HEMLOCKMASON CITYIA50401NONEPCPLAYGROUND EQUIPMENT$2,000
LAKESIDE FESTIVALS LTD
84 FOUR WINDS DRCLEAR LAKEIA50428NONEPCDIXIEFEST$1,000
LUTHERAN SERVICES IN IOWA
2502 S JEFFERSON AVEMASON CITYIA50401NONEPCTRAVEL COSTS$1,575
MACNIDER MUSEUM
303 2ND STREET SWMASON CITYIA50401NONEPCPUPPET PERFORMANCES$4,000
MASON CITY COMMUNITY THEATER
215 S DELAWARE AVEMASON CITYIA50401NONEPCPROFESSIONAL DIRECTOR$5,000
MASON CITY FOUNDATION
308 SOUTH PENNSYLVANIA AVEMASON CITYIA50401NONEPCADVENTURES IN MUSIC PROGRAM$5,000
MASON CITY POLICE DEPARTMENT
78 GEORGIA AVENUE SMASON CITYIA50401NONEGOVOFFICE FURNITURE$2,680
MASON CITY PUBLIC LIBRARY
225 2ND STREET SEMASON CITYIA50401NONEGOVREADING MATERIALS$2,000
MEALS ON WHEELS
606 N MONROE AVEMASON CITYIA50401NONEPCASSISTANCE WITH MEALS$3,000
MERCY MEDICAL CENTER
1000 4TH ST SWMASON CITYIA50401NONEPCSCHOLARSHIP PLEDGE$10,000
MESERVEY PUBLIC LIBRARY
719 1ST STREETMESERVERYIA50457NONEPCNEW OUTDOOR BOOKDROP$3,000
NEWMAN CATHOLIC SCHOOL
2000 S MCKINLEYMASON CITYIA50401NONEPCTALES & ITEMS FOR CALMING CORNERS$3,185
NIACC
808 US HIGHWAY 18WMASON CITYIA50401NONEPCCAPITAL CAMPAIGN FOR NEW FACILITY$12,500
NIACC
808 US HIGHWAY 18WMASON CITYIA50401NONEPCSCHOLARSHIPS$5,000
NORA SPRINGS-ROCK FALLS - COMMUNITY SCHOOLS
509 NORTH IOWA AVENUENORA SPRINGSIA50458NONEGOVFIVE $500 SCHOLARSHIPS$2,500
NORTH IOWA BAND FESTIVAL FOUNDATION
25 W STATE ST SUITE BMASON CITYIA50401NONEPCSCHOOL TRANSPORTATION TO BAND FESTIVAL, GENERAL SUPPORT$8,000
NORTH IOWA CHILD ABUSE PREVENTION COUNCIL
PO BOX 41MASON CITYIA50401NONEPCSATELLITE CHILD PROTECTION CENTER$7,500
NORTH IOWA COMMUNITY ACTION CENTER
1190 BRIARSTONE DR STE 2MASON CITYIA50401NONEPCSECURITY SYSTEM TECHNOLOGY$6,000
NORTH IOWA FAIR ASSOCIATION
3700 4TH STREET SWMASON CITYIA50401NONEPCONE HEATING UNIT$2,500
NORTH IOWA VOCATIONAL CENTER
1225 S HARRISON AVEMASON CITYIA50401NONEPCCOLD FOOD COOLER/DISPLAY CASE$1,000
OPPORTUNITY VILLAGE
1200 NORTH NINTH STREET WESTCLEAR LAKEIA50428NONEPCPOINT-OF-SALE SYSTEM FOR TRIED & TRUE$1,965
OUTDOOR SPORTS TRAINING CENTER
PO BOX 1567MASON CITYIA50401NONEPCCONSTRUCTION OF 2500 SQUARE FEET CLUB FACILITY$9,000
RIVER CITY SCULPTURES ON PARADE
9 N FEDERAL AVENUEMASON CITYIA50401PCTHREE LIMESTONE PEDESTALS$5,000
RIVER CITY SOCIETY FOR HISTORIC PRESERVATION
530 1ST STREET NEMASON CITYIA50401NONEPCREPAIR EXTERIOR STUCCO$2,175
ROCK FALLS UNITED METHODIST CHURCH
1 W JACKSON STREETROCK FALLSIA50467NONEPCIMPROVEMENTS TO FELLOWSHIP HALL$3,000
SALVATION ARMY
747 VILLAGE GREEN DRIVEMASON CITYIA50401NONEPCSTEPPING UP BOOTS$2,500
SOCIETY TO PRESERVE ANTIQUATED TOWN STRUCTURES
23 3RD ST NW STE 200MASON CITYIA50401NONEPCREPLACEMENT OF WINDOWS IN SCHOOL$4,000
SPECIAL KIDS SPECIAL LOVE
PO BOX 1703MASON CITYIA50401NONEPCREPLACE & UPGRADE SENSORY EQUIPMENT$1,500
STEBENS CHILDREN'S THEATRE
119 SECOND STREET NWMASON CITYIA50401NONEPCSCHOLARSHIP PROGRAM$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$204,087TotalGrantOrContriPdDurYrAmt
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$28,101ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$97,385ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$5,665ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$119,821ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$119,821TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
CategoryRSM US LLPCategoryTxt
Amt$3,700Amt
Net Investment Income$2,775NetInvestmentIncomeAmt
Disbursements Charitable Prps$925DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (8 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRt
LAND1987-04-01$347,080L$0$0
TILE1987-04-01$1,000150DB$0$0$1,00015.000000000000
TILE1987-04-01$14,000150DB$0$0$14,00015.000000000000
TILE1997-12-10$22,294150DB$0$0$22,29415.000000000000
TILE1998-11-12$31,877150DB$0$0$31,87715.000000000000
TILE2004-12-18$1,165150DB$68$78$85715.000000000000
TILE2012-12-20$45,494150DB$3,501$3,033$10,48715.000000000000
TILE2013-09-27$38,203150DB$3,266$2,547$5,53915.000000000000

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierOFFICERS COMPENSATIONIdentifierTxt
Form And Line ReferenceFORM 990-PF, PART I, LINE 13 AND PART VIII, LINE 1FormAndLineReferenceDesc
Medium ExplanationCONSISTENT WITH IRS INSTRUCTIONS, LEGAL FEES PAID TO WINSTON AND BYRNE PC HAS BEEN REPORTED AS OFFICER COMPENSATION TO HAROLD WINSTON. MR. WINSTON DID NOT RECEIVE DIRECT COMPENSATION FROM THE FOUNDATION.MediumExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (7 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BANK AMER CORP 6.05%$10,000$11,678
DELL COMPUTER CORP 7.1%$15,000$15,225
GEORGIA PACIFIC$9,950$13,830
JPMORGAN CHASE & CO NOTES 6%$0$0
JPORGAN CHASE & CO NOTES 6%$0$0
ESC LEHMAN BROS HLD$3,376$349
MN SLM CORP 6.0%$20,000$14,454

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AT & T$28,560$43,290
ALTRIA GROUP$22,838$67,700
AMEREN CORP$24,999$26,220
AMERICAN ELEC PWR INC$10,815$17,325
DUKE ENERGY HLDG$5,048$14,208
EXELON CORP$11,300$37,280
FIRSTENERGY CORP COM$6,488$10,476
NEW YORK COMMUNITY BANCORP$23,293$25,287
SOUTHERN CO COM$9,216$21,400
SPECTRA ENERGY$3,778$8,993
VERIZON COMMUNICATIONS$15,711$27,705
XCEL ENERGY INC$17,659$43,980
WEC ENERGY GROUP INC$37,318$53,083
DUKE REALTY CORPORATION$0$0

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$4,918USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$5,583USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$30,329StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$32,186StateLocalSecEOYFMVAmt

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLandGrp (8 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LAND$347,080$0$347,080
TILE$1,000$1,000$0
TILE$14,000$14,000$0
TILE$22,294$22,294$0
TILE$31,877$31,877$0
TILE$1,165$925$240
TILE$45,494$13,988$31,506
TILE$38,203$8,805$29,398

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (7 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DWS HIGH INCOME TRAT COST$22,853$10,193
FEDERATED EMERG MKT DEBT FUND AAT COST$25,055$21,293
TEMPLETON GLOBAL INCOME FUNDAT COST$8,417$7,318
COLUMBIA STRATEGIC INCOME FD AAT COST$30,326$24,413
LORD ABBETT INTL DIV INC FD CAT COST$55,633$40,310
PUTNAM HIGH YEILD CL AAT COST$20,000$11,992
B P AMOCO SPONSORED ADRAT COST$16,148$13,760

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
COURT COSTS$10$10$0
DUES$750$187$563
AGENT FEE$8$8$0
APPRAISAL FEE$775$581$194
INSURANCE$1,011$1,011$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryFIRST CITIZENS TRUSTCategoryTxt
Amt$7,328Amt
Net Investment Income$5,496NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,832DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAXES$1,964$0$0
REAL ESTATE TAXES$8,978$8,978$0

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