2016-11-09T13:31:15-06:00 2015-12-31 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1528 SIOUX CITY IA 51102 990 2015-01-01 421323904 SIOUXLAND COMMUNITY FOUNDATION SIOU 7122933303 505 FIFTH STREET NO 412 SIOUX CITY IA 51101 REBECCA KROHN EXECUTIVE DIRECTOR 7122933303 2016-11-08 1 MELISSA J WILLER P00121904 7122773931 2016-11-08 2015 2017-02-10 21:41:12Z REBECCA KROHN 505 FIFTH STREET NO 412 SIOUX CITY IA 51101 6270686 0 X WWW.SIOUXLANDCOMMUNITYFOUNDATION.ORG X 1987 IA THE FOUNDATION CARRIES OUT EXCLUSIVELY CHARITABLE ACTIVITIES, PRIMARILY IN, OR FOR THE BENEFIT OF, THE SIOUXLAND AREA. 19 19 4 255 0 0 2151752 2662650 0 0 868018 627513 32526 35808 3052296 3325971 1501932 1588164 0 0 169692 181771 0 0 43134 115185 124442 1786809 1894377 1265487 1431594 19047685 19389547 2404972 2306477 16642713 17083070 X THE SIOUXLAND COMMUNITY FOUNDATION IS A PUBLICLY SUPPORTED, NONPROFIT ORGANIZATION ESTABLISHED TO SUPPORT AND ENHANCE THE QUALITY OF LIFE IN THE GREATER SIOUXLAND TRI-STATE AREA BY ADMINISTERING A POOL OF ENDOWED FUNDS CONTRIBUTED BY A VARIETY OF DONORS, INDIVIDUALS, FAMILIES, CORPORATIONS AND OTHER FOUNDATIONS AND RESPONDING TO EMERGING AND CHANGING NEEDS IN SIOUXLAND AND SUSTAIN EXISTING ORGANIZATIONS OR INSTITUTIONS THROUGH GRANTS. 0 0 1588164 1588164 AWARDED GRANTS TO ORGANIZATIONS PERFORMING CHARITABLE ACTIVITIES, PRIMARILY IN OR FOR THE BENEFIT OF THE SIOUXLAND AREA. 1588164 1 1 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 4 1 0 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X REBECCA KROHN 7122933303 505 FIFTH ST 412 SIOUX CITY IA 51101 MATTHEW J BASYE DIRECTOR 1.00 X 0 0 0 RICHARD J DEHNER PRESIDENT 1.00 X X 0 0 0 MARILYN J HAGBERG SECRETARY 1.00 X X 0 0 0 GARRETT A SMITH INVESTMENT/FINANCE CO-CHAR 1.00 X 0 0 0 MARY E ANDERSON TREASURER 1.00 X X 0 0 0 JOHN BAKER DIRECTOR 1.00 X 0 0 0 RENEE M BEAULIEU DIRECTOR 1.00 X 0 0 0 AMANDA E H BELLER DIRECTOR 1.00 X 0 0 0 MARIE L BUCKLEY DIRECTOR 1.00 X 0 0 0 TODD E DEMOSS DIRECTOR 1.00 X 0 0 0 KATHY K GUNDERSON DIRECTOR 1.00 X 0 0 0 NANCY J KENT DIRECTOR 1.00 X 0 0 0 MATTHEW J LAWLER DIRECTOR 1.00 X 0 0 0 PAM MILLER DIRECTOR 1.00 X 0 0 0 MICHAEL H PROSSER DIRECTOR 1.00 X 0 0 0 CHARLES A KNOEPFLER GRANTS CHAIR 1.00 X 0 0 0 PEGGY E SMITH DIRECTOR 1.00 X 0 0 0 RYLAND DEINERT DIRECTOR 1.00 X 0 0 0 ROBERT MEIS VICE PRESIDENT 1.00 X X 0 0 0 REBECCA KROHN EXECUTIVE DIRECTOR 40.00 X 74130 0 0 74130 0 0 0 0 0 0 0 2662650 424800 2662650 299192 299192 3273036 2944715 328321 328321 328321 OTHER INVESTMENT INCOME 900099 21829 21829 OTHER INCOME 900099 13979 13979 35808 3325971 0 0 663321 1232714 1232714 355450 355450 74129 55597 18532 92659 74800 17859 14983 13565 1418 41332 41332 3546 1535 2011 2273 1150 1123 8055 8055 3164 2801 363 6527 6527 2810 2810 SOFTWARE 34362 34362 MISCELLANEOUS 9522 9522 DUES & PUBLICATIONS 5617 5617 PRINTING 2188 1068 1120 5046 4338 708 1894377 1588164 263079 43134 55972 81543 1372640 1635848 73450 10550 19700 8756 17511 10944 17188285 17297538 339827 353124 19047685 19389547 601234 488319 1803738 1818158 2404972 2306477 X 546604 336875 4280089 3690484 11816020 13055711 16642713 17083070 19047685 19389547 1431594 -991237 0 X X 0 1 X 1 0 X 1674549 1819406 1778540 2151752 2688289 10112536 1674549 1819406 1778540 2151752 2688289 10112536 1540667 8571869 324834 287859 293938 314968 321021 1542620 11655156 0.73550 0.66330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14 44 474056 1660893 91554 967901 2151953 4272132 1 1 16278316 1225932 1329874 1909450 8756 169721 16746195 15247960 1040969 656980 501599 4150 161844 16278316 13097426 794902 2218433 731825 8491 139467 15247960 11388429 674386 1512776 352345 -835 126655 13097426 11231010 618008 -113194 215884 18773 112739 11388428 0.77960 0.22040 0 0 19700 8756 10944 10944 AGENCY ENDOWMENT FUNDS 1807784 ACCRUED EXPENSES 10374 1818158 X 2491471 -991237 25639 131098 -834500 3325971 0 3325971 2051114 25639 131098 156737 1894377 0 1894377 PART X, LINE 2: TAX YEARS POTENTIALLY SUBJECT TO EXAMINATION OF RETURNS BY AUTHORITIES ARE DECEMBER 31, 2011, 2012, 2013, 2014 & 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES RETAINED BY FOUNDATION 131,098. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES RETAINED BY FOUNDATION 131,098. 1 AKRON PARK & RECREATION BOARD 220 REED STREET AKRON IA 55101 426004180 21434 LEFTY SWIFT PLAYGROUND IMPROVEMENTS UMO HO NATION PUBLIC SCHOOL PO BOX 2880 MACY NE 68039 476005726 5000 GRANT TO SCHOOL PROGRAMS SEASONS CENTER FOR BEHAVIORAL HEALTH 604 PARK ST SPENCER IA 51301 420840465 8471 OFFICE FURNISHINGS SPENCER COMMUNITY THEATRE INC PO BOX 1225 SPENCER IA 51301 421083384 10000 THEATRE AUDIO SYSTEM REDESIGN ST LUKES HOMES & SERVICES INC 1301 ST LUKE DR SPENCER IA 51301 426078294 5500 WHEELCHAIR MINIBUS BRIAR CLIFF UNIVERSITY 3303 REBECCA ST SIOUX CITY IA 51104 420707124 8500 ANNUAL DISTRIBUTION SACRED HEART R C CHURCH 5000 MILITARY RD SIOUX CITY IA 51103 420710276 7600 GENERAL SUPPORT CELEBRATING COMMUNITY FOUNDATION PO BOX 5171 SIOUX CITY IA 51101 461981808 5000 CELEBRATING COMMUNITY FOUNDATION CITY OF HARTLEY 11 SOUTH CENTRAL AVE HARTLEY IA 51346 426004765 60771 EATON MUSEUM AND HOUSE RESTORATION HAWARDEN COMMUNITY SUPPER COMMITTEE 112 CENTRAL AVE HARTLEY IA 51023 426004768 6800 MONTHLY MEAL SUPPER PROJECT WEST SIOUX COMMUNITY SCHOOL DISTRICT 1300 FALCON DR HAWARDEN IA 51023 421326981 13500 POSITIVE BEHAVIOR INTERVENTIONS, INDOOR CLASSROOM SUPPLIES, AND BACK PACK PROGRAM GALVA ECONOMIC DEVELOPMENT CORPORATION 1681 MARKET AVE GALVA IA 51020 421506393 10565 ELECTRONIC MARQUEE SIGN REPLACEMENT GALVA FIRE DEPARTMENT 109 E 2ND STREET GALVA IA 51020 752977383 5000 PAGER REPLACEMENT AND HANDHELD RADIO HOLSTEIN FIRE & AMBULANCE ASSOCIATION PO BOX 500 HOLSTEIN IA 51025 263468200 10000 JAWS OF LIFE HORN MEMOIRAL HOSPITAL 701 EAST 2ND STREET IDA GROVE IA 51445 420843389 11500 SPECIALTY RESPRATORY THERAPY IDA COUNTY CONSERVATION BOARD 299 JASPER AVE IDA GROVE IA 51445 426004786 5000 NORTHWESTERN DEPOT RESTORATION PROJECT SOUTH SIOUX CITY COMMUNITY FOUNDATION 1615 1ST AVE S SOUTH SIOUX CITY NE 68776 363497298 5000 ANNUAL DISTRIBUTION SIOUXLAND HUMAN INVESTMENT PARTNERSHIP 1520 MORNINGSHIDE AVE SIOUX CITY IA 51106 421495836 9300 ANNUAL GRANT WEST MONONAWHITING BACKPACK PROGRAM 17518 CORK AVE WHITING IA 51063 421095619 8510 BACK PACKS BAUM HARMON MERCY HOSPITAL 555-4TH ST NE PRIMGHAR IA 51245 421500277 5000 CAPITAL CAMPAIGN CITY OF CALUMET 113 W 2ND ST CALUMET IA 51009 420926860 10000 GEARING FOR THE FUTURE KIDS EXPRESS DAYCARE 102 PROSPECT ST SANBORN IA 51248 421353405 8000 WINDOW AND DOOR REPLACEMENT PROJECT, IMRPOVE ENERGY EFFICIENCY O'BRIEN COUNTY FAIR BOARD PO BOX 332 PRIMGHAR IA 51245 426005137 5000 RE-ROOFING 4-H NON-LIVESTOCK BUILDING SANBORN FIRE & RESCUE DEPARTMENT 102 MAIN SANBORN IA 51248 426005185 5000 FIREFIGHTER BOOTS FIRST REFORMED CHURCH 911-2ND ST HULL IA 51239 420716343 20000 HULL SACK PACK PROGRAM SIOUX CENTER SACK PACK PROGRAM 669-10TH ST CIRCLE SE SIOUX CENTER IA 51250 272708602 10700 HUNGER FREE KIDS - SACK PACK SIOUX CITY COMMUNITY SCHOOL DISTRICT 627-4TH ST SIOUX CITY IA 51101 426003589 51705 NEW EQUIPMENT FOR HIGH SCHOOL SCIENCE LABS SIOUX CITY PUBLIC SCHOOLS FOUNDATION 627-4TH ST SIOUX CITY IA 51101 426003589 17500 ANNUAL DISTRIBUTION AND ACADEMIC EXCELLENCE FUND AKRON EMS 205 4TH STREET AKRON IA 51001 426004180 8310 PAGER AND TRAINING EQUIPMENT ALTON ECONOMIC DEVELOPMENT 905 THIRD AVE ALTON IA 51003 421523453 5000 CAPITAL CAMPAIGN ARTHUR COMMUNITY FIRE DEPARTMENT PO BOX 41 ARTHUR IA 51431 426004242 5200 THERMAL IMAGING CAMERA B&R PAINTING LLC 315 DURBAND STREET STRUBLE IA 51031 474151298 5285 MUSEUM RENOVATION BASEBALL RACKS 2908 WEST 99TH PLACE EVERGREEN PARK IL 60805 274933197 5092 DUGOUT SEATING BIG BROTHERS BIG SISTERS OF SIOUXLAND 3650 GLEN OAKS BLVD SIOUX CITY IA 51104 421121154 5000 SERVER UPGRADE BLENCOE FIRE DEPARTMENT 413 MAIN STREET PO BOX 56 BLENCOE IA 51523 420898135 5130 BACKPACK PROGRAM BOYDEN-HULL COMMUNITY SCHOOL DISTRICT FOUNDATION PO BOX 678 HULL IA 51239 391904348 10000 BOYDEN CENTENNIAL PARK BATTING CAGES CAMP HIGH HOPES 5804 CORRECTIONVILLE ROAD SIOUX CITY IA 51106 201314342 10000 CAPITAL CAMPAIGN CITY OF EVERLY 202 N MAIN ST PO BOX 197 EVERLY IA 51338 426035939 8224 COMPUTER UPDATING AND REPLACING EQUIPMENT CITY OF IDA GROVE 403 3RD STREET PO BOX 236 IDA GROVE IA 51445 426004785 10000 REPLACE SELF CONTAINED BREATHING CITY OF MAPLETON 513 MAIN STREET MAPLETON IA 51034 426004921 6624 MAPLETON AND ROTARY PARK EQUIPMENT CITY OF MAURICE PO BOX 68 MAURICE IA 51036 420939569 8000 PARK IMPROVEMENTS CITY OF MOORHEAD 100 OAK STREET MOORHEAD IA 51558 421032104 7911 BUNKER GEAR CITY OF PRIMGHAR 160 S HAYES AVE PRIMGHAR IA 51245 426005137 8100 RESCUE VAN REPLACEMENT AND EVACUATION STAIR CHAIR CITY OF ROYAL 418 2ND AVE WEST SPENCER IA 51301 426006215 5891 MOSQUITO SPRAYER CITY OF SANBORN 102 MAIN STREET PO BOX 548 SANBORN IA 51248 426005185 6000 EMERGENCY SERVICES COMMUNICATION CITY OF SOLDIER 108 OAK STREET SOLDIER IA 51572 426006435 7912 REPLACE BUNKER GEAR CITY OF TURIN 310 STATE HIGHWAY 175 TURIN IA 51040 421061900 9089 FIRE PROTECTION CLAY COUNTY COMMUNITY FOUNDATION PO BOX 7952 SPENCER IA 51301 421323904 5000 CLAY COUNTY COMMUNITY FOUNDATION CLAY COUNTY FAIR CHARITABLE TRUST PO BOX 527 SPENCER IA 51301 421407793 10000 PERMANENT FENCING AND LIGHTING CONNECTING POINT 123 NORTH 4TH STREET NORFOLK NE 68701 208948056 9245 LCD PROJECT AND INSTALL PROJECTOR/SCREEN ELKHORN FENCE LLC PC PO BOX 186 ELKHORN NE 68022 421323904 5400 DUGOUT FOUL LINE FENCING FIRST REFORMED CHURCH 420 N CENTRAL AVE ORANGE CITY IA 51041 420716343 10700 BUILDING FUND FOOD 4 YOU 801 - 10TH STREET ONAWA IA 51040 352506197 6128 MOBILE FOOD PANTRY GRAVNILLE IMRPOVEMENT CLUB 4434 480TH STREET GRANVILLE IA 51022 426004722 10000 CITY PARK CAMPGROUND HARTLEY COMMUNITY DAYCARE 611 - 3RD SREET NE HARTLEY IA 51346 263142880 6000 FLOORING AND WINDOW RENOVATIONS HAWARDEN GRACE HILL CEMETARY 112 CENTRAL AVE HAWARDEN IA 51023 426004768 6000 CEMETARY MAPPING AND SIGNAGE HAWARDEN PARK & RECREATION 1150 CENTRAL AVE HAWARDEN IA 51023 426004768 20000 FRENCH PARK PLAYGROUND EQUIPMENT HAWARDEN POLICE DEPARTMENT 1150 CENTRAL AVE HAWARDEN IA 51023 426004768 5000 RMS SOFTWARE UPGRADE HAWARDEN PUBLIC LIBRARY 803 TENTH STREET HAWARDEN IA 51023 426004769 9588 YOUNG ADULT LIBRARY REMAKE AND LEARNING THROUGH LEGOS HAWARDEN REGIONAL HEALTHCARE 1111 - 11TH STREET HAWARDEN IA 51023 426005851 25000 MATCHING FUND FOR HEALTHCARE HAWARDEN VOLUNTEER FIRE DEPARTMENT 1150 CENTRAL AVE HAWARDEN IA 51023 426004768 12500 FIRE DEPARTMENT THERMAL AND RESOTRATION OF 1920 BROCKWAY CHEMICAL HINTON COMMUNITY SCHOOL DISTRICT 315 WEST GRAND STREET PO BOX 128 HINTON IA 51024 870693404 5622 LIBRARY AND ROBOTICS LAPTOPS HULL PARKS & RECREATION DEPARTMENT 1133 MAPLE STREET HULL IA 51239 426004780 10000 CONCESSION STAND BATHROOM FACILITY HUNGER FREE KIDS OF SIOUX COUNTY PO BOX 382 SIOUX CENTER IA 51250 272708602 7500 SIOUX COUNTY BACK PACK PROGRAM IDA COUNTY AGRICULTURAL SOCIETY 5978 - 310TH STREET IDA GROVE IA 51445 426004786 10000 FAIRGROUND FOODSTAND KITCHEN IDA COUNTY COMMUNITY HOUSING 501 MOOREHEAD AVE IDA GROVE IA 51445 421032877 10000 SIDEWALK RENOVATION PROJECT IDA GROVE KIWANIS PO BOX 143 IDA GROVE IA 51445 455339482 5000 SPORTS COMPLEX BLEACHERS KENTON BOOK CONSTRUCTION 405 PRAIRIE AVENUE PONCA NE 68770 270331865 41265 BALL FIELD CONSTRUCTION, GRAVES PARK CONSTRUCTION, AND GRAVES PARK BALLPARKS LITTLE SIOUX VALLEY CONSERVATION ASSOCIATION 4931 YELLOW AVE PETERSON IA 51047 365019008 5000 SNOWSHOW EQUIPMENT FOR COMMUNITY EDUCATION MAPLETON PUBLIC LIBRARY 609 COURTRIGHT MAPLETON IA 51034 426004921 5675 LIBRARY RESTROOMS MARK AVERY STUDIO 107 NORTHSHORE DRIVE MCCOOK LAKE SD 57049 460427382 105454 CCF BUSTS AND FABRICATION OF STEEL ARC/GRANITE BASES MIRACLE LEAGUE OF SIOUX CITY 5601 SUNNYBROOK DRIVE SIOUX CITY IA 51106 463655434 5000 THE MIRACLE LEAGUE OF SIOUX CITY MONONA COUNTY FAIR ASSOCIATION PO BOX 135 BLENCOE IA 51523 420777782 6341 MULTIPURPOSE BUILDING PROJECT MONONA COUNTY VETERANS MUSEUM PO BOX 418 ONAWA IA 51040 421406597 5000 NAME PLATE REPLACEMENT MORNINGSIDE COLLEGE 1501 MORNINGSIDE AVENUE SIOUX CITY IA 51106 420680400 11300 ANNUAL DISTRIBUTION AND 2015-2016 SEASON OF THE BETTY LING TSANG OPEN CUP BOARD 17 ELMWOOD DRIVE MAPLETON IA 51034 611721425 6128 OPEN CUPBOARD FOOD DISTRIBUTION ORANGE CITY DAYCARE & BUILDING BLOCKS PRESCHOOL 515 - 8TH STREET ORANGE CITY IA 51041 421257443 10000 DAYCARE EXPANSION PRECISION DATA PRODUCT INC PO BOX 38367 GRAND RAPIDS MI 49518 383635440 17236 EQUIPMENT RL JOHANNSEN COMMUNITY CENTER 110 ASH STREET SUTHERLAND IA 51058 472844084 5800 SEATING FOR THE FUTURE ROBBIE GAMBLE LANDSCAPES 519 E 6TH STREET WAYNE NE 68787 505901131 9009 RAISE THE RIM ROTARY CLUB OF ROCK VALLEY FOUNDATION INC 1510 - 14TH STREET ROCK VALLEY IA 51247 391902725 7657 FOSTER GRANDPARENT PROGRAM BUILDING SACK PACK PROGRAM PO BOX 111 ORANGE CITY IA 51041 474185290 15000 BACK PACK PROGRAM SALSBURY INDUSTRIES 1010 EAST 62ND STREET LOS ANGELES CA 90001 954132127 33499 ELEMENTARY LOCKERS SCHOLASTICS INC PO BOX 3720 JEFFERSON CITY MO 65102 131824190 11972 ELEMENTARY GUIDED READING MATERIAL SIOUX CITY FENCE 207 LAKEVIEW PLACE NORTH SIOUX CITY SD 57049 422393694 5649 FENCING SIOUX CITY SKATEBOARD ASSOCIATION 625 SHADY LANE SIOUX CITY IA 51104 481947922 8200 CONSTRUCTION ON PARK SIOUX CITY SYMPHONY ORCHESTRA ASSOCIATION 520 PIERCE STREET STE 375 SIOUX CITY IA 51101 426005220 5000 SIOUX CITY SYMPHONY 100TH ANNIVERSARY SIOUX COUNTY FIREMAN'S ASSOCIATION 603 IOWA AVE SW ORANGE CITY IA 51041 421217221 7228 ELECTRONIC HAZMAT INFORMATION SIOUX GOLF & COUNTRY CLUB 1112 6TH AVE ALTON IA 51003 421523453 5000 SIOUX GOLF & COUNTRY CLUB SIOUXLAND CIVIC DANCE ASSOCIATION 813 PEARL STREET SIOUX CITY IA 51101 421231496 8472 GUS GIORDANA DANCE SCHOOL, SLEEPING BEAUTY, AND MUSICAL NEWSIES IN OMAHA SIOUXLAND COMMUNITY HEALTH CENTER 1021 NEBRASKA STREET SIOUX CITY IA 51105 421374894 6000 PRENATAL EDUCATION & SUPPORT PROGRAM AND GEORGE'S PLACE CLOTHING CLOSET SPALDING CATHOLIC SCHOOL 908 - 6TH AVENUE ALTON IA 51003 420866655 10000 HANDICAP ACCESSIBILITY PROJECT WEBB PUBLIC LIBRARY 124 MAIN STREET WEBB IA 51366 421044427 5000 SHELVING REPLACEMENT WESTERN IOWA TECH COMMUNITY COLLEGE 4647 STONE AVENUE SIOUX CITY IA 51106 421355682 8500 ANNUAL DISTRIBUTION MILLER BUILDING SUPPLY 205 MAIN STREET WAKEFIELD NE 58784 262255845 5541 GRAVES PARK PLYMOUTH COUNTY 215 4TH AVE SE LEMARS IA 51031 420924381 16522 HISTORICAL MUSEUM RENOVATION PROJECT S&S WILLER INC 83901 HIGHWAY 15 PILGER NE 68768 753023470 5708 GRAVES PARK 97 POST-SECONDARY EDUCATION SCHOLARSHIPS 96 355450 PART I, LINE 2: EACH GRANTEE MUST SIGN A GRANT RECIPIENT AGREEMENT WHICH DELINEATES THE PURPOSE AND TERMS OF THE GRANT. NO GRANT PAYMENTS ARE MADE UNTIL THIS AGREEMENT HAS BEEN SIGNED AND RETURNED TO THE FOUNDATION. AT THE CONCLUSION OF THE GRANT TERM, GRANTEES MUST SUBMIT A FINAL GRANT EXPENDITURE REPORT TO THE FOUNDATION TO DOCUMENT (WITH PHOTOS, RECEIPTS, TESTIMONIALS, ETC.) ACCOMPLISHMENTS MADE POSSIBLE BY THE GRANT AND DETAIL EXPENDITURE OF THE GRANT FUNDS. FOUNDATION STAFF MONITOR GRANT ACTIVITIES AND EXPENDITURES. X 1 424800 APPRAISAL 1 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 COPY PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. AS AUTHORIZED BY THE BOARD, THE FORM 990 IS CLOSELY REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DECLARATION IS ANNUALLY COMPLETED & SIGNED BY EACH BOARD MEMBER. BOARD MEMBERS MUST ABSTAIN FROM VOTING WHEN A CONFLICT OF INTEREST IS PRESENT. ABSTENTIONS ARE NOTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15A PERFORMANCE OF THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE USING A PERFORMANCE ASSESSMENT TOOL. COMPILED ASSESSMENT REPORT IS REVIEWED WITH EXECUTIVE DIRECTOR. COUNCIL OF FOUNDATION'S GRANT MAKER'S SALARY & BENEFITS REPORT IS USED FOR COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND 990'S ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE MAIN OFFICE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES, AND STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE MAIN OFFICE. FORM 990, PART XII, LINE 2C: PROCESS CONSISTENT WITH PRIOR YEARS