2015-05-14T16:34:52-05:00 2014-12-31 420794029 DENMAN & COMPANY LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990PF 2014-01-01 202017785 TELLIGEN COMMUNITY INITIATIVE TELL 5152232852 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 MATT MCGARVEY EXECUTIVE DIRECTOR 5152232852 2015-05-12 1 DAVID ELLIS P01306431 5152258400 2014 2016-02-25 16:41:14Z X 38133248 X 0 X 8988935 8988935 8988935 1965500 1962000 10954435 10950935 0 0 0 71200 0 63724 20018 0 17916 27311 0 24443 219019 0 0 1087 0 973 118135 0 105730 456770 0 212786 1121758 1121758 1578528 0 1334544 9375907 10950935 19219 9566127 9566127 56056 56056 37500000 28511065 28511065 37519219 38133248 38133248 8038 37500000 28730084 37500000 28738122 X 19219 9395126 19219 9395126 37519219 38133248 19219 9375907 0 9395126 0 9395126 INSTALLMENT GAIN ON SALE OF TELLIGEN, INC D 2013-12-31 2014-01-01 8988935 8988935 8988935 8988935 0 147500 28190 5.232352 0 21057 0.000000 146700 4530 32.384106 166310 73928 2.249621 20890 153541 0.136055 40.002134 8.000427 32859397 262889207 109509 262998716 1334544 219019 0 219019 0 219019 0 219019 0 0 0 0 0 0 0 0 0 0 1 1 IA 1 0 0 0 0 1 N/A TELLIGEN COMMUNITY INITIATIVE 5152232852 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 MATT MCGARVEY 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 EXECUTIVE DIRECTOR 40.00 68000 0 8000 0 NONE 0 GRANTMAKING TO OTHER CHARITABLE ORGANIZATIONS 195585 0 0 4792673 28567121 33359794 0 0 33359794 500397 32859397 1642970 1642970 219019 219019 1423951 0 1423951 0 1423951 1334544 0 1334544 0 1334544 1423951 0 0 13213 162614 146473 146090 468390 1334544 0 0 0 1334544 0 89407 89407 378983 0 0 0 0 0 0 0 378983 86420 146473 146090 X 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. 49639 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. 49725 FREE CLINICS OF IOWA 814 SCHOOL STREET DES MOINES IA 50309 501(C)(3) TO EDUCATE PATIENTS AND VOLUNTEERS ABOUT HEALTH CARE PROGRAM ELIGIBILITY. 50000 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. 48725 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. 50000 HEALTHY HENRY COUNTY COMMUNITIES 407 SOUTH WHITE STREET MOUNT PLEASANT IA 52641 501(C)(3) START AN AREA MEDICAL TRANSPORTATION SERVICE TO OUTLYING COMMUNITIES. 50000 HANSEN FAMILY HOSPITAL FOUNDATION 920 SOUTH OAK STREET IOWA FALLS IA 50126 501(C)(3) AID MONITORING AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS. 43013 IOWA PSYCHOLOGICAL FOUNDATION 48428 290TH AVENUE ROLFE IA 50581 501(C)(3) CONTINUED GROWTH OF A POSTDOCTORAL TRAINING PROGRAM IN UNDERSERVED AREAS OF IOWA. 50000 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. 30000 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. 50000 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. 45738 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. 20000 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. 49511 ETHNIC MINORITIES OF BURMA ADVOCACY AND RESOURCE CENTER (EMBARC) 2309 EUCLID AVENUE POLK COUNTY RIVER PLACE DES MOINES IA 50310 501(C)(3) AID THE HEALTH IMMERSION NEEDS OF THE BURMESE REFUGEES IN THE GREATER DES MOINES AREA. 41500 HEALTHY BIRTH DAY PO BOX 71093 CLIVE IA 50325 501(C)(3) AID PREVENTION OF STILLBIRTH THROUGH EDUCATION, ADVOCACY, AND SUPPORT. 50000 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. 49990 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. 50000 CHICAGO WOMEN'S HEALTH CENTER 1025 W SUNNYSIDE AVENUE CHICAGO IL 60640 501(C)(3) EXPANSION OF PRIMARY CARE CLINIC. 45000 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. 49102 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. 49920 FAMILY INC 3501 HARRY LANGDON BOULEVARD SUITE 150 COUNCIL BLUFFS IA 51503 501(C)(3) EXPAND A SCHOOL-BASED DENTAL SEALANT PROGRAM WITHIN THE COUNCIL BLUFFS COMMUNITY SCHOOL DISTRICT. 49998 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. 50000 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. 49897 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. 50000 1121758 0 SPEAKING ENGAGEMENTS 3500 8988935 INTEREST INCOME- NOTE RECEIVABLE 1962000 0 0 10954435 10954435 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. 0 0 0 0 0 0 0 0 0 0 RECEIVABLE - INSTALLMENT SALE 37500000 28511065 28511065 MISCELLANEOUS 1188 0 1063 ADMINISTRATIVE SERVICES 84923 0 76006 INSURANCE 29721 0 26600 OFFICE EXPENSES 2303 0 2061 SPEAKING ENGAGEMENTS 3500 3500 INTEREST INCOME- NOTE RECEIVABLE 1962000 1962000 1962000 DEFERRED GAIN - INSTALLMENT SALE 37500000 28511065 INVESTMENT INCOME TAX PAYABLE 0 219019 LEGAL AND OTHER PROFESSIONAL SERVICES 27311 0 24443 INVESTMENT INCOME TAX 219019 0 0