TELLIGEN COMMUNITY INITIATIVE: Form 990PF, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- TELLIGEN COMMUNITY INITIATIVE (EIN 20-2017785)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-05-14
- IRS object ID
- 201511349349103031
- Schema version
- 2014v5.0
- 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
- Form 990-PF
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T16:34:52-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420794029 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENMAN & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 22ND STREET SUITE 400 | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 502661453 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202017785 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN COMMUNITY INITIATIVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TELL | BusinessNameControlTxt |
| Phone | 5152232852 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT MCGARVEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5152232852 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID ELLIS | PreparerPersonNm |
| PTIN | P01306431 | PTIN |
| Phone | 5152258400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $38,133,248 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Net Gain Sale Ast Rev And Expnss | $8,988,935 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $8,988,935 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $8,988,935 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,965,500 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,962,000 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $10,954,435 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $10,950,935 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $71,200 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $63,724 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $20,018 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $17,916 | PensionEmplBnftDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $27,311 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $24,443 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $219,019 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,087 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $973 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $118,135 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $105,730 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $456,770 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $212,786 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,121,758 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,121,758 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,578,528 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,334,544 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $9,375,907 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $10,950,935 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $19,219 | CashBOYAmt |
| Cash EOY | $9,566,127 | CashEOYAmt |
| Cash EOYFMV | $9,566,127 | CashEOYFMVAmt |
| Prepaid Expenses EOY | $56,056 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $56,056 | PrepaidExpensesEOYFMVAmt |
| Other Assets BOY | $37,500,000 | OtherAssetsBOYAmt |
| Other Assets EOY | $28,511,065 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $28,511,065 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $37,519,219 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,133,248 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $38,133,248 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $8,038 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $37,500,000 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $28,730,084 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $37,500,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,738,122 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $19,219 | UnrestrictedBOYAmt |
| Unrestricted EOY | $9,395,126 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $19,219 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,395,126 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $37,519,219 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $38,133,248 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $19,219 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $9,375,907 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $9,395,126 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $9,395,126 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | INSTALLMENT GAIN ON SALE OF TELLIGEN, INC | PropertyDesc |
| How Acquired | D | HowAcquiredCd |
| Acquired | 2013-12-31 | AcquiredDt |
| Sold | 2014-01-01 | SoldDt |
| Gross Sales Price | $8,988,935 | GrossSalesPriceAmt |
| Gain Or Loss | $8,988,935 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $8,988,935 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $8,988,935 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $147,500 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $28,190 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 5.232352 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $0 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $21,057 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.000000 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $146,700 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,530 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 32.384106 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $166,310 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $73,928 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 2.249621 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $20,890 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $153,541 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.136055 | DistributionYr5Rt |
| Total Distribution | 40.002134 | TotalDistributionRt |
| Average Distribution | 8.000427 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $32,859,397 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $262,889,207 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $109,509 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $262,998,716 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,334,544 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $219,019 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $219,019 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $219,019 | TaxBasedOnInvestmentIncomeAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Tax Due | $219,019 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | IA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN COMMUNITY INITIATIVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5152232852 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| LANNY WARD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| DAVID THOMAS MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| MICHAEL ZIA MD | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | SECRETARY/TREASURER | 1.00 | $0 | $0 | $0 |
| PEG MASON | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| VICTORIA SHARP | ||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | DIRECTOR | 1.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT MCGARVEY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1Txt |
| City | WEST DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50266 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $68,000 | CompensationAmt |
| Employee Benefits | $0 | EmployeeBenefitsAmt |
| Expense Account | $8,000 | ExpenseAccountAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | GRANTMAKING TO OTHER CHARITABLE ORGANIZATIONS | Description1Txt |
| Expenses1 | $195,585 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $4,792,673 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $28,567,121 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $33,359,794 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $33,359,794 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $500,397 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $32,859,397 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,642,970 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,642,970 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $219,019 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $219,019 | TotalTaxAmt |
| Distributable Before Adj | $1,423,951 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $1,423,951 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $1,423,951 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,334,544 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,334,544 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,334,544 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,423,951 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $13,213 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $162,614 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $146,473 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $146,090 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $468,390 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,334,544 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,334,544 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $89,407 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $89,407 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $378,983 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $378,983 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $86,420 | ExcessFromYear4Amt |
| Excess From Year3 | $146,473 | ExcessFromYear3Amt |
| Excess From Year1 | $146,090 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN) | |||||||
| 245 BACKBONE ROAD EAST | PRINCETON | IL | 61356 | 501(C)(3) | TRAINING AND ONGOING EDUCATIONAL NEEDS OF NURSES AND ALLIED HEALTH PROFESSIONALS IN SMALL, RURAL HOSPITAL SETTINGS. | $49,639 | |
| NORTHERN ILLINOIS FOOD BANK | |||||||
| 273 DEARBORN COURT | GENEVA | IL | 60134 | 501(C)(3) | DONATION TO SUPPORT PROGRAM TO ADDRESS THE DEFICIENCY OF VITAMIN D AND CALCIUM IN THE DIETS OF LOW-INCOME ADULTS AND CHILDREN. | $49,725 | |
| FREE CLINICS OF IOWA | |||||||
| 814 SCHOOL STREET | DES MOINES | IA | 50309 | 501(C)(3) | TO EDUCATE PATIENTS AND VOLUNTEERS ABOUT HEALTH CARE PROGRAM ELIGIBILITY. | $50,000 | |
| ALZHEIMER'S ASSOCIATION | |||||||
| 1730 28TH STREET | WEST DES MOINES | IA | 50266 | 501(C)(3) | PROVIDE TRAINING TO RECRUITS WHOM PROVIDE SERVICES AND SUPPORT TO PEOPLE IN THEIR HOMES VIA TELEPHONE CONTACT. | $48,725 | |
| LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER | |||||||
| 10001 GRAND AVENUE | FRANKLIN PARK | IL | 60131 | 501(C)(3) | PROVIDE HOUSING AND SERVICES TO THOSE WITH SEVERE AND PERSISTENT MENTAL ILLNESSES. | $50,000 | |
| HEALTHY HENRY COUNTY COMMUNITIES | |||||||
| 407 SOUTH WHITE STREET | MOUNT PLEASANT | IA | 52641 | 501(C)(3) | START AN AREA MEDICAL TRANSPORTATION SERVICE TO OUTLYING COMMUNITIES. | $50,000 | |
| HANSEN FAMILY HOSPITAL FOUNDATION | |||||||
| 920 SOUTH OAK STREET | IOWA FALLS | IA | 50126 | 501(C)(3) | AID MONITORING AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS. | $43,013 | |
| IOWA PSYCHOLOGICAL FOUNDATION | |||||||
| 48428 290TH AVENUE | ROLFE | IA | 50581 | 501(C)(3) | CONTINUED GROWTH OF A POSTDOCTORAL TRAINING PROGRAM IN UNDERSERVED AREAS OF IOWA. | $50,000 | |
| OAK PARK RIVER FOREST INFANT WELFARE SOCIETY | |||||||
| 324 LAKE STREET | OAK PARK | IL | 60302 | 501(C)(3) | INCREASE ACCESS TO BEHAVIORAL HEALTH CARE FOR LOW-INCOME CHILDREN. | $30,000 | |
| HEARTLAND HEALTH OUTREACH | |||||||
| 208 S LASALLE STREET 1818 | CHICAGO | IL | 60604 | 501(C)(3) | SUPPORT HOMELESS WITH ACCESSING MEDICAID, OTHER FORMS OF INSURANCE, AND DISABILITY BENEFITS. | $50,000 | |
| HCI CARE SERVICES | |||||||
| 2910 WESTOWN PARKWAY | WEST DES MOINES | IA | 50266 | 501(C)(3) | PROVIDE EQUIPMENT TO AID IN TELEHOSPICE CARE SUPPORT FOR ISOLATED PATIENTS. | $45,738 | |
| IOWA FOOD BANK ASSOCIATION | |||||||
| 1111 9TH STREET SUITE 260 | DES MOINES | IA | 50314 | 501(C)(3) | AIDS STRATEGIC MOBILE OUTREACH PROGRAM TO PROVIDE ACCESS TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TO IOWANS LIVING IN REMOTE RURAL COMMUNITIES. | $20,000 | |
| ALLEN COLLEGE | |||||||
| 1990 HEATH STREET | WATERLOO | IA | 50703 | 501(C)(3) | SUPPORT AND ENHANCE A SUMMER NURSE CAMP FOR ECONOMICALLY AND EDUCATIONALLY DISADVANTAGED SECONDARY SCHOOL STUDENTS. | $49,511 | |
| ETHNIC MINORITIES OF BURMA ADVOCACY AND RESOURCE CENTER (EMBARC) | |||||||
| 2309 EUCLID AVENUE POLK COUNTY | DES MOINES | IA | 50310 | 501(C)(3) | AID THE HEALTH IMMERSION NEEDS OF THE BURMESE REFUGEES IN THE GREATER DES MOINES AREA. | $41,500 | RIVER PLACE |
| HEALTHY BIRTH DAY | |||||||
| PO BOX 71093 | CLIVE | IA | 50325 | 501(C)(3) | AID PREVENTION OF STILLBIRTH THROUGH EDUCATION, ADVOCACY, AND SUPPORT. | $50,000 | |
| VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY | |||||||
| 822 S MAIN STREET | COUNCIL BLUFFS | IA | 51503 | 501(C)(3) | PROVIDE TELEMEDICINE TECHNOLOGY TO IMPROVE HEALTH, INDEPENDENCE, AND WELL-BEING OF OLDER ADULTS IN THE WEST CENTRAL PORTION OF IOWA. | $49,990 | |
| MENTAL HEALTH AMERICA OF ILLINOIS | |||||||
| 70 E LAKE STREET 900 | CHICAGO | IL | 60601 | 501(C)(3) | SUPPORT AN INTERVENTION PROGRAM TARGETING YOUTH FROM THE 6TH TO 12TH GRADES TO REDUCE INCIDENCES OF DEPRESSION, ANXIETY DISORDERS, AND SUBSTANCE ABUSE. | $50,000 | |
| CHICAGO WOMEN'S HEALTH CENTER | |||||||
| 1025 W SUNNYSIDE AVENUE | CHICAGO | IL | 60640 | 501(C)(3) | EXPANSION OF PRIMARY CARE CLINIC. | $45,000 | |
| AMERICAN LUNG ASSOCIATION IN GREATER CHICAGO | |||||||
| 55 W UPPER WACKER DRIVE 800 | CHICAGO | IL | 60601 | 501(C)(3) | PREVENTION OF PEDIATRIC ASTHMA THROUGH CLINICAL AND PREVENTIVE CARE. | $49,102 | |
| UNITED WAY OF METROPOLITAN CHICAGO | |||||||
| 333 S WABASH AVENUE 30TH FLOOR | CHICAGO | IL | 60604 | 501(C)(3) | LOWER CHILDHOOD OBESITY RATES AND IMPROVE HEALTH OUTCOMES FOR RESIDENTS OF WEST CHICAGO. | $49,920 | |
| FAMILY INC | |||||||
| 3501 HARRY LANGDON BOULEVARD SUITE | COUNCIL BLUFFS | IA | 51503 | 501(C)(3) | EXPAND A SCHOOL-BASED DENTAL SEALANT PROGRAM WITHIN THE COUNCIL BLUFFS COMMUNITY SCHOOL DISTRICT. | $49,998 | 150 |
| AIDS FOUNDATION OF CHICAGO | |||||||
| 200 W JACKSON BOULEVARD 2100 | CHICAGO | IL | 60606 | 501(C)(3) | DEVELOPMENT OF NEW SYSTEMS TO IMPROVE AND ASSURE ACCESS TO QUALITY HEALTH CARE FOR VULNERABLE POPULATIONS, INCLUDING PEOPLE LIVING WITH HIV/AIDS. | $50,000 | |
| COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA INC | |||||||
| 302 NE 14TH STREET | LEON | IA | 50144 | 501(C)(3) | UTILIZE MOBILE EQUIPMENT TO PROVIDE ORAL HEALTH SERVICES. | $49,897 | |
| MT SINAI HOSPITAL | |||||||
| 1500 S FAIRFIELD AVENUE | CHICAGO | IL | 60608 | 501(C)(3) | AIDS COMMUNITY-BASED NAVIGATION PROGRAM THAT IMPROVES BREAST HEALTH AND HELPS ADDRESS THE SUBSTANTIAL BREAST CANCER MORTALITY DISPARITY IN CHICAGO BETWEEN MINORITY POPULATIONS AND CAUCASIAN WOMEN. | $50,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,121,758 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SPEAKING ENGAGEMENTS | Desc |
| Related Or Exempt Function Incm | $3,500 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $8,988,935 | RelatedOrExemptFunctionIncmAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST INCOME- NOTE RECEIVABLE | Desc |
| Related Or Exempt Function Incm | $1,962,000 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $10,954,435 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $10,954,435 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (7 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 1 | THE INCOME GENERATED RELATES TO SPEAKING ENGAGEMENTS THAT ARE |
| 1 | OPPORTUNITIES TO RAISE THE PROFILE OF TELLIGEN COMMUNITY INITIATIVE. |
| 8 | GAIN FROM THE INSTALLMENT SALE OF NEW TELLIGEN STOCK TO THE ESOP. |
| 8 | THE INSTALLMENT SALE WAS A NECESSARY COMPONENT OF THE REORGANIZATION |
| 8 | OF A RELATED ENTITY AND IS INCLUDED IN NET INVESTMENT INCOME. |
| 11 | INTEREST IS RELATED TO THE INSTALLMENT SALE AND IS INCLUDED IN NET |
| 11 | INVESTMENT INCOME. |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECEIVABLE - INSTALLMENT SALE | Desc |
| BOY Book Value | $37,500,000 | BOYBookValueAmt |
| EOY Book Value | $28,511,065 | EOYBookValueAmt |
| EOYFMV | $28,511,065 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| MISCELLANEOUS | $1,188 | $0 | $1,063 |
| ADMINISTRATIVE SERVICES | $84,923 | $0 | $76,006 |
| INSURANCE | $29,721 | $0 | $26,600 |
| OFFICE EXPENSES | $2,303 | $0 | $2,061 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| SPEAKING ENGAGEMENTS | $3,500 | $3,500 | |
| INTEREST INCOME- NOTE RECEIVABLE | $1,962,000 | $1,962,000 | $1,962,000 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DEFERRED GAIN - INSTALLMENT SALE | $37,500,000 | $28,511,065 |
| INVESTMENT INCOME TAX PAYABLE | $0 | $219,019 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL AND OTHER PROFESSIONAL SERVICES | CategoryTxt |
| Amt | $27,311 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $24,443 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT INCOME TAX | CategoryTxt |
| Amt | $219,019 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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