MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-13
IRS object ID
201621349349102247
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)
Return2016-05-13T14:07:53-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421046003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CORWIN REICHTER & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11055 JORDAN CREEK PKWY SUITE 120AddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP502665821ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421235348EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MID-IOWA HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMID-BusinessNameControlTxt
Phone5152776411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE NO 104AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503123535ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUZANNE MINECKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5152776411PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYLE D REICHTERPreparerPersonNm
PTINP00065165PTIN
Phone5153090215PhoneNum
Preparation2016-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$14,559,890FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$19InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$19InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$256,199DividendsRevAndExpnssAmt
Dividends Net Invst Incm$256,199DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$661,081NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$7,740,896GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$661,081CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$917,299TotalRevAndExpnssAmt
Total Net Invst Incm$917,299TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$104,708CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$8,377CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$96,331CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$79,325OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$79,325OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$35,818PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$1,248PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$34,570PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$13,000AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$13,000AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$75,156OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$69,518OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$5,638OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$13,172TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,839TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$1,481DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$14,473OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$14,473OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$15,574TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$15,574TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$3,187PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$3,187PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss-$11,138OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$13,262OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$344,756TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$83,982TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$275,360TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$501,936ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$541,936ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$846,692TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$83,982TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$817,296TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$70,607ExcessRevenueOverExpensesAmt
Net Investment Income$833,317NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$10,058CashBOYAmt
Cash EOY$10,031CashEOYAmt
Cash EOYFMV$10,031CashEOYFMVAmt
Sav And Temp Cash Invst BOY$191,709SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$246,046SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$246,046SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses EOY$7,750PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$7,750PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$6,528,625CorporateStockBOYAmt
Corporate Stock EOY$5,243,612CorporateStockEOYAmt
Corporate Stock EOYFMV$5,243,612CorporateStockEOYFMVAmt
Other Investments BOY$9,037,013OtherInvestmentsBOYAmt
Other Investments EOY$9,037,315OtherInvestmentsEOYAmt
Other Investments EOYFMV$9,037,315OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$19,776LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,307LandBldgEquipAccumDeprecAmt
Land BOY$4,949LandBOYAmt
Land EOY$3,469LandEOYAmt
Land EOYFMV$3,469LandEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$11,667OtherAssetsEOYAmt
Other Assets EOYFMV$11,667OtherAssetsEOYFMVAmt
Total Assets BOY$15,772,354TotalAssetsBOYAmt
Total Assets EOY$14,559,890TotalAssetsEOYAmt
Total Assets EOYFMV$14,559,890TotalAssetsEOYFMVAmt
Accounts Payable BOY$22,686AccountsPayableBOYAmt
Accounts Payable EOY$22,554AccountsPayableEOYAmt
Grants Payable BOY$80,000GrantsPayableBOYAmt
Grants Payable EOY$40,000GrantsPayableEOYAmt
Other Liabilities BOY$35,079OtherLiabilitiesBOYAmt
Other Liabilities EOY$10,400OtherLiabilitiesEOYAmt
Total Liabilities BOY$137,765TotalLiabilitiesBOYAmt
Total Liabilities EOY$72,954TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$15,634,589UnrestrictedBOYAmt
Unrestricted EOY$14,486,936UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$15,634,589TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$14,486,936TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$15,772,354TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$14,559,890TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$15,634,589TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$70,607ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$15,705,196SubtotalAmt
Other Decreases$1,218,260OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$14,486,936TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
INVESTMENT SALES$7,512,352$7,079,815$432,537$432,537
CAPITAL GAINS DIVIDENDS$228,544$228,544$228,544P
FieldValueIRS element (for citing)
Capital Gain Net Income$661,081CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$757,514AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$15,699,162NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048252DistributionYr1Rt
Adjusted Qlfy Distri Yr2$739,076AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$14,580,962NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.050688DistributionYr2Rt
Adjusted Qlfy Distri Yr3$744,380AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$13,648,124NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.054541DistributionYr3Rt
Adjusted Qlfy Distri Yr4$684,715AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$13,896,275NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.049273DistributionYr4Rt
Adjusted Qlfy Distri Yr5$713,859AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$13,253,051NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.053864DistributionYr5Rt
Total Distribution0.256618TotalDistributionRt
Average Distribution0.051324AverageDistributionRt
Net Vl Noncharitable Assets$15,268,779NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$783,655AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$8,333NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$791,988AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$817,296QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$8,333InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,333SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,333TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$20,000EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$20,000TotalPaymentsAndCreditsAmt
Overpayment$11,667OverpaymentAmt
Applied To ES Tax$11,667AppliedToESTaxAmt
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 AddressWWW.MIDIOWAHEALTH.ORGWebsiteAddressTxt
Individual With BooksSUZANNE MINECKIndividualWithBooksNm
Phone5152776411PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE SUITE 104AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503123535ZIPCd
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 (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BECKY MILES-POLKA
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
CHERYL HARDING
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312SECRETARY/TREASURER1.00$0$0$0
HAYLEY L HARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
JUDITH VOGEL
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
LIBBY JACOBS
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
MATTHEW MCGARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
NOLDEN GENTRY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
ROB HAYES
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312CHAIR1.00$0$0$0
SCOTT L WILSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
SUZANNE MINECK
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312PRESIDENT40.00$104,708$7,330$0
TEREE CALDWELL-JOHNSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312VICE-CHAIR1.00$0$0$0
THOMAS JESCHKE
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonDENISE SWARTZPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVENUE STE 104AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50312ZIPCd
FieldValueIRS element (for citing)
TitlePROGRAM OFFICERTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$79,325CompensationAmt
Employee Benefits$5,880EmployeeBenefitsAmt
Expense Account$0ExpenseAccountAmt
FieldValueIRS element (for citing)
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$15,287,447AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$213,851AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$15,501,298TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$15,501,298AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$232,519CashDeemedCharitableAmt
Net Vl Noncharitable Assets$15,268,779NetVlNoncharitableAssetsAmt
Minimum Investment Return$763,439MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$763,439MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,333TaxBasedOnInvestmentIncomeAmt
Total Tax$8,333TotalTaxAmt
Distributable Before Adj$755,106DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$755,106DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$755,106DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$817,296ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$817,296QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$8,333PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$808,963AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$755,106DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$63,386ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,038ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$94,556ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$29,745ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$189,725TotalExcessDistributionCyovAmt
Qualifying Distributions$817,296QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$755,106AppliedToCurrentYearAmt
Remaining Distri From Corpus$62,190RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$251,915TotalCorpusAmt
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$63,386ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$188,529ExcessDistriCyovToNextYrAmt
Excess From Year4$2,038ExcessFromYear4Amt
Excess From Year3$94,556ExcessFromYear3Amt
Excess From Year2$29,745ExcessFromYear2Amt
Excess From Current Year$62,190ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonSUZANNE MINECK MID-IOWA HEALTH FOUNRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE SUITE 104AddressLine1Txt
CityDES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP503123535ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5152776411RecipientPhoneNum
Form And Info And MaterialsAN APPLICATION FORM IS AVAILABLE FROM THE ORGANIZATION'S WEBSITE AT WWW.MIDIOWAHEALTH.ORG/GRANTS.FormAndInfoAndMaterialsTxt
Submission DeadlinesANNUALLY BY NOON ON OCTOBER 1.SubmissionDeadlinesTxt
Restrictions On AwardsHEALTHCARE SAFETY NET GRANTS WILL NOT BE GIVEN TO INDIVIDUALS, SCHOLARSHIPS, CONFERENCE REGISTRATION FEES, PROGRAMS THAT PROMOTE RELIGIOUS ACTIVITIES, GENERAL OPERATIONS OR SPECIAL CAMPS OF DISEASE- OR CONDITION-SPECIFIC ORGANIZATIONS, CAPITAL CAMPAIGNS, ENDOWMENT CAMPAIGNS, DEBT REDUCTION, OR FUND RAISING EVENTS. CHILDREN'S HEALTHY DEVLOPMENT GRANTS ARE BY INVITATION FROM MID-IOWA HEALTH FOUNDATION ONLY.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (35 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALZHEIMER'S ASSOCIATION GREATER DES MOINES CHAPTER
1730 28TH STREETWEST DES MOINESIA50265DR. DON C GREEN MEMORIAL$500
AMANDA THE PANDA
1821 GRAND AVENUEDES MOINESIA50265UVOICE YOUTH HEALTH PHILANTHROPY INITIATIVE GRANT$1,000
BROADLAWNS MEDICAL CENTER FOUNDATION
1801 HICKMAN ROADDES MOINESIA50314DIRECTOR DESIGNATED GRANT$500
BROADLAWNS MEDICAL CENTER FOUNDATION
1801 HICKMAN ROADDES MOINESIA50314BROADLAWNS MENTAL HEALTH AND ORAL MEDICINE INITIATIVE$50,000
CATHOLIC CHARITIES
601 GRAND AVENUEDES MOINESIA50309COMMUNITY OUTREACH PROGRAM/SPANISH LANGUAGE COUNSELING$20,000
CENTRAL IOWA SHELTER AND SERVICES
1420 MULBERRY STREETDES MOINESIA50309EMERGENCY SERVICES REDUCTION PROGRAM$40,000
CHILD AND FAMILY POLICY CENTER
505 5TH AVE STE 404DES MOINESIA50309FACILITATIVE LEADERSHIP AROUND CHILD HEALTH AND WELL-BEING IN IOWA$30,000
CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVENUEDES MOINESIA50314TEEN RECOVERY OUTPATIENT PROGRAM$20,000
CHILDREN'S CANCER CONNECTION
2708 GRAND AVENUEDES MOINESIA50312UVOICE YOUTH HEALTH PHILANTHROPY INITIATIVE GRANT$1,500
COMMUNITY YOUTH CONCEPTS
1446 MARTIN LUTHER KING JR PKWYDES MOINESIA50314UVOICE YOUTH PHILANTHROPY BOARD$16,200
DES MOINES HEALTH CENTER
1111 NINTH STREET STE 190DES MOINESIA50314DES MOINES PUBLIC SCHOOL FULL SERVICE DENTAL$35,000
DES MOINES INDEPENDENT COMMUNITY SCHOOL DISTRICT
901 WALNUT STREETDES MOINESIA503093506SCAVO FULL SERVICE SCHOOL DENTAL CLINIC$20,000
EMPLOYEE AND FAMILY RESOURCES
505 5TH AVE STE 600DES MOINESIA50309THE EFR COUNSELING PROGRAM$15,000
ETHNIC MINORITIES OF BURMA ADVOCACY AND RESOURCE CENTER
2309 EUCLID AVENUEDES MOINESIA50310EMBARC'S REFUGEE HEALTH NAVIGATOR PROJECT$20,000
GRANTMAKERS IN HEALTH
1130 CONNECTICUT AVENUE NW STE 700WASHINGTONDC20036GENERAL OPERATING, TECHNICAL ASSISTANCE$2,875
GREATER DES MOINES COMMUNITY FOUNDATION
1915 GRAND AVEDES MOINESIA50309IGNITE INNOVATION CHALLENGE$5,000
IOWA LEGAL AID
1111 NINTH ST STE 230DES MOINESIA50314IOWA LEGAL AID HEALTH AND LAW RESPONSE TEAM PROJECT$10,000
IOWA PUBLIC HEALTH ASSOCIATION FOUNDATION
6919 VISTA DRWEST DES MOINESIA50266ENGAGING IOWA'S PUBLIC HEALTH SYSTEM IN MEDICAID MODERNIZATION$1,500
LUTHERAN SERVICES OF IOWA
3125 COTTAGE GROVE AVEDES MOINESIA50311HEALTHY FAMILIES AMERICA REFUGEE EXPANSION$32,665
NATIONAL ALLIANCE ON MENTAL ILLNESS OF GREATER DES MOINES
200 SW 42ND STDES MOINESIA50312NAMI OF GREATER DES MOINES PROGRAM AND OPERATING SUPPORT$20,000
OAKRIDGE NEIGHBORHOOD SERVICES
1236 OAKRIDGE DRIVEDES MOINESIA50314DIRECTOR DESIGNATED GRANT$500
ORCHARD PLACE
2116 GRAND AVENUEDES MOINESIA50312TRAUMA INFORMED CARE CONFERENCE$500
ORCHARD PLACE
2116 GRAND AVENUEDES MOINESIA503126TH ANNUAL PSYCHOLOGICAL TRAUMA & JUVENILE JUSTICE: IMPACT ON MIND, BODY, BEHAVIOR AND COMMUNITY CURRENT RESEARCH AND PRACTICE TRENDS CONFERENCE$500
PLANNED PARENTHOOD OF THE HEARTLAND
1171 7TH STREETDES MOINESIA50314INTEGRATED CARE FOR AT-RISK YOUTH AND YOUNG ADULTS$10,000
POLK COUNTY HEALTH DEPARTMENT
1907 CARPENTER AVENUEDES MOINESIA50314BACK TO SCHOOL CALL CENTER$5,000
POLK COUNTY HOUSING TRUST FUND
108 3RD ST SUITE 350DES MOINESIA50309HEALTHY HOMES EAST BANK$50,000
PRIMARY HEALTH CARE INC
9943 HICKMAN ROAD STE 105URBANDALEIA50322CENTRALIZED INTAKE$25,000
TORI'S ANGELS
4677 PANORAMA DRIVEPANORAIA50216DIRECTOR DESIGNATED GRANT$500
US COMMITTEE FOR REFUGEES AND IMMIGRANTS - DES MOINES FIELD OFFICE
601 FOREST AVEDES MOINESIA50314USCRI REFUGEE WELLNESS PROGRAM - HEALTH ADVOCATE$20,000
UNITED WAY OF CENTRAL IOWA
1111 NINTH STREETDES MOINESIA50314IOWA ACES REPORT$7,500
UNITED WAY OF CENTRAL IOWA
1111 NINTH STREETDES MOINESIA50314IOWA ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED PROJECT$5,000
VISITING NURSE SERVICES
1111 NINTH STREET STE 320DES MOINESIA50314IOWA HEALTH LINK COLLABORATION$7,488
YOUNG WOMEN'S RESOURCE CENTER
818 5TH AVENUEDES MOINESIA50309BUILDING BETTER BEGINNINGS THROUGH INFORMED CARE$27,708
YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
918 SE 11TH STREETDES MOINESIA50309DIRECTOR DESIGNATED GRANT$500
YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
918 SE 11TH STREETDES MOINESIA50309TRAUMA INFORMED CARE AND SANCTUARY - YEAR 2$40,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$541,936TotalGrantOrContriPdDurYrAmt
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$19ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$256,199ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$661,081ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$917,299ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$917,299TotalIncomeProducingActyAmt

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
AUDIT AND TAX PREPARATION FEES$6,400$0$6,400
ACCOUNTING FEES$6,600$0$6,600

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (16 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmt
FILE CABINET1993-09-01$429$429SL7.000000000000$0$0
CONFERENCE TABLE1995-08-25$1,408$1,408SL7.000000000000$0$0
FILE CABINET1998-08-03$114$114SL10.000000000000$0$0
OFFICE FURNITURE2000-05-04$1,081$1,081SL10.000000000000$0$0
FURNITURE2002-06-04$468$468SL10.000000000000$0$0
FURNITURE2004-04-01$2,587$2,587SL10.000000000000$0$0
FURNITURE2004-05-06$1,577$1,577SL10.000000000000$0$0
FURNITURE2004-09-01$372$372SL10.000000000000$0$0
FURNITURE2004-09-01$152$152SL10.000000000000$0$0
COMPUTER PRINTER2006-02-14$1,978$1,978SL5.000000000000$0$0
OFFICE FURNITURE2006-11-27$3,156$2,554SL10.000000000000$316$0
OFFICE FURNITURE2007-05-07$520$399SL10.000000000000$52$0
LANIER COPIER/PRINTER2011-10-18$1,399$887SL5.000000000000$280$0
SENTRYSAFE 4-DRAWER FIRE-SAFE FILE CABINET2013-08-22$742$99SL10.000000000000$74$0
OPTIPLEX 9020 MINITOWER2013-12-19$1,605$321SL5.000000000000$321$0
OPTIPLEX 9020 MINITOWER2014-02-11$2,188$401SL5.000000000000$438$0

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockTOTAL CORPORATE STOCKS OWNEDStockNm
EOY Book Value$5,243,612EOYBookValueAmt
EOYFMV$5,243,612EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemTOTAL MUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$9,037,315BookValueAmt
EOYFMV$9,037,315EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (16 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
FILE CABINET$429$429$0
CONFERENCE TABLE$1,408$1,408$0
FILE CABINET$114$114$0
OFFICE FURNITURE$1,081$1,081$0
FURNITURE$468$468$0
FURNITURE$2,587$2,587$0
FURNITURE$1,577$1,577$0
FURNITURE$372$372$0
FURNITURE$152$152$0
COMPUTER PRINTER$1,978$1,978$0
OFFICE FURNITURE$3,156$2,870$286
OFFICE FURNITURE$520$451$69
LANIER COPIER/PRINTER$1,399$1,167$232
SENTRYSAFE 4-DRAWER FIRE-SAFE FILE CABINET$742$173$569
OPTIPLEX 9020 MINITOWER$1,605$642$963
OPTIPLEX 9020 MINITOWER$2,188$839$1,349

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescREFUNDABLE FEDERAL EXCISE TAXDesc
EOY Book Value$11,667EOYBookValueAmt
EOYFMV$11,667EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINS (LOSSES) ON INVESTMENTSDesc
Amt$1,218,260Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DUES & SUBSCRIPTIONS$1,150$0$1,150
INSURANCE$4,601$0$4,601
OFFICE EXPENSE$1,121$0$1,121
TELEPHONE$2,488$0$2,488
INFORMATION TECHNOLOGY$3,902$0$3,902
DEFERRED EXCISE TAXES-$24,400$0$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DEFERRED FEDERAL EXCISE TAX$34,800$10,400
ACCRUED FEDERAL EXCISE TAX$279$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTING$5,638$0$5,638
INVESTMENT FEES$69,518$69,518$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$8,333$0$0
FOREIGN TAXES$4,839$4,839$0

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