CLOVERFIELDS FOUNDATION: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CLOVERFIELDS FOUNDATION (EIN 20-1919362)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201423189349100437
- Schema version
- 2013v3.0
- 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
- Schedule B
- Expenditure Responsibility Stmt
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T10:15:38-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410223337 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORSEY & WHITNEY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 S 6TH ST STE 1500 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201919362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLOVERFIELDS FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLOV | BusinessNameControlTxt |
| Phone | 6124926440 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O DEAN BARR 50 SOUTH 6TH STREET | AddressLine1 |
| Address Line2 | NO 1500 | AddressLine2 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554021498 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN J HEMSLEY | PersonNm |
| Person Title | DIR, PRESIDENT & TREAS | PersonTitleTxt |
| Phone | 6124926440 | PhoneNum |
| Signature | 2014-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEAN D BARR | PreparerPersonNm |
| PTIN | P00005626 | PTIN |
| Phone | 6123402600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-12-30 17:16:21Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $25,758,875 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,802,064 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $200,141 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $200,141 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $11,312,264 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $18,273,470 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $11,312,264 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $13,314,469 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $11,512,405 | 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 |
| Other Prof Fees Rev And Expnss | $57,793 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $57,793 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $234,100 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Occupancy Rev And Expnss | $8,471 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $0 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,212 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $301,576 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $57,793 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $758,833 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $758,833 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,060,409 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $57,793 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $758,833 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $12,254,060 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $11,454,612 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,445,915 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $16,586,501 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $16,586,501 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $12,488,505 | CorporateStockBOYAmt |
| Corporate Stock EOY | $6,902,989 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $8,922,374 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $250,000 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $250,000 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $250,000 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $14,184,420 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,739,490 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $25,758,875 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $14,184,420 | RetainedEarningBOYAmt |
| Retained Earning EOY | $23,739,490 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $14,184,420 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $23,739,490 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $14,184,420 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $23,739,490 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $14,184,420 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $12,254,060 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $26,438,480 | SubtotalAmt |
| Other Decreases | $2,698,990 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $23,739,490 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $18,273,469 | $6,961,206 | $11,312,263 | $11,312,263 | |
| CAPITAL GAINS DIVIDENDS | $1 | $1 | $1 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $11,312,264 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $2,619,806 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $19,918,409 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.131527 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $2,596,576 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $16,445,165 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.157893 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,325,000 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $9,532,657 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.138996 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,028,643 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,717,390 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 1.181236 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,886,678 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,749,209 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.503220 | DistributionYr5Rt |
| Total Distribution | 2.112872 | TotalDistributionRt |
| Average Distribution | 0.422574 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $21,421,018 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $9,051,965 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $114,546 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $9,166,511 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $758,833 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $229,092 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $229,092 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $229,092 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $233,388 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $5,000 | AppliedToEsTaxAmt |
| Total Payments And Credits | $238,388 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $9,296 | OverpaymentAmt |
| Applied To ES Tax | $9,296 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | MN | 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 |
| Individual With Books | DEAN D BARR DORSEY WHITNEY LLP | IndividualWithBooksNm |
| Phone | 6124926440 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH 6TH STREET SUITE 1500 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554021498 | ZIPCode |
| 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 | Yes (1) | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (1) | MaintainedExpenditureRspnsInd |
| 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 (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| STEPHEN J HEMSLEY | ||||||||
| 622 FERNDALE ROAD WEST | WAYZATA | MN | 55391 | DIR, PRESIDENT & TREAS | 1.00 | $0 | $0 | $0 |
| BARBARA K HEMSLEY | ||||||||
| 622 FERNDALE ROAD WEST | WAYZATA | MN | 55391 | DIRECTOR, SECRETARY | 0.50 | $0 | $0 | $0 |
| MATTHEW S HEMSLEY | ||||||||
| 4620 MOORELAND AVENUE | EDINA | MN | 55424 | DIRECTOR | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
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 | $12,983,484 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $8,763,742 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $21,747,226 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $21,747,226 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $326,208 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $21,421,018 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,071,051 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,071,051 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $229,092 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $229,092 | TotalTaxAmt |
| Distributable Before Adj | $841,959 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $841,959 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $841,959 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $758,833 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $758,833 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $758,833 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $841,959 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $1,700,528 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,943,133 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $861,290 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,799,718 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,673,624 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $7,978,293 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $758,833 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $758,833 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $83,126 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $83,126 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $7,895,167 | 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 | $1,617,402 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $6,277,765 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $1,943,133 | ExcessFromYear4Amt |
| Excess From Year3 | $861,290 | ExcessFromYear3Amt |
| Excess From Year2 | $1,799,718 | ExcessFromYear2Amt |
| Excess From Year1 | $1,673,624 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | STEPHEN J HEMSLEY | ContributingManagerNm |
| Contributing Manager | BARBARA K HEMSLEY | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (17 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BASILICA OF ST MARY'S | |||||||
| BOX 50010 | MINNEAPOLIS | MN | 554050010 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $41,788 |
| CHURCH OF THE ASCENSION | |||||||
| 1723 BRYANT AVE N | MINNEAPOLIS | MN | 55411 | N/A | PUBLIC CHARITY | FUNDING FOR THE ASCENSION CATHOLIC SCHOOL | $5,000 |
| FRASER | |||||||
| 2400 WEST 64TH STREET | MINNEAPOLIS | MN | 55423 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $1,000 |
| GUTHRIE THEATRE | |||||||
| 818 SOUTH 2ND STREET | MINNEAPOLIS | MN | 55415 | N/A | PUBLIC CHARITY | OPERATING FUND | $13,000 |
| HOPKINS BASEBALL | |||||||
| PO BOX 27644 | GOLDEN VALLEY | MN | 55427 | N/A | PUBLIC CHARITY | FUNDING FOR THE 2013 COMMUNITY SERVICE PROJECT | $300 |
| INTERFAITH OUTREACH & COMMUNITY PARTNERS | |||||||
| 110 GRAND AVE S | WAYZATA | MN | 553911872 | N/A | PUBLIC CHARITY | FUNDING FOR THE 2013 SLEEP OUT CAMPAIGN | $150,000 |
| MINNEAPOLIS INSTITUTE OF ARTS | |||||||
| 2400 THIRD AVE S | MINNEAPOLIS | MN | 55404 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $25,000 |
| MINNEAPOLIS INSTITUTE OF ARTS | |||||||
| 2400 THIRD AVE S | MINNEAPOLIS | MN | 55404 | N/A | PUBLIC CHARITY | FUNDING FOR ART PERCHANCE EVENT | $10,000 |
| STANFORD UNIVERSITY | |||||||
| 326 GALVEZ STREET | STANFORD | CA | 943056105 | N/A | PUBLIC CHARITY | OPERATING FUND FOR GRADUATE SCHOOL OF BUSINESS | $375,000 |
| STANFORD UNIVERSITY | |||||||
| 326 GALVEZ STREET | STANFORD | CA | 943056105 | N/A | PUBLIC CHARITY | MBA CLASS OF 2006 REUNION | $5,000 |
| TEENAGER'S INC | |||||||
| 105 BETHLEHEM PIKE | PHILADELPHIA | PA | 19118 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $5,000 |
| THE CHILDREN'S THEATRE | |||||||
| 2400 THIRD AVE S | MINNEAPOLIS | MN | 554043597 | N/A | PUBLIC CHARITY | CAPITAL CAMPAIGN | $100,000 |
| THE CLOVER FIELDS PRESERVATION FOUNDATION INC | |||||||
| C/O D BARR 50 S 6TH ST STE 1500 | MINNEAPOLIS | MN | 554021498 | N/A | PRIVATE FOUNDATION | CEMETERY RESTORATION | $1,698 |
| THE SAINT PAUL SEMINARY | |||||||
| 2260 SUMMIT AVENUE | ST PAUL | MN | 551051094 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $5,000 |
| UNITED HEALTH FOUNDATION | |||||||
| MN008-W175 9900 BREN RD E | MINNETONKA | MN | 55343 | N/A | PRIVATE FOUNDATION | DONATIONS FOR UNITEDHEALTH GROUP GIVING CAMPAIGN | $6,047 |
| UNITED HEALTHCARE CHILDREN'S FOUNDATION | |||||||
| MN012-S286 PO BOX 41 | MINNEAPOLIS | MN | 554400041 | N/A | PUBLIC CHARITY | FUNDING FOR MEDICAL GRANTS OF CHILDREN IN NEED | $5,000 |
| UNITED WAY OF MINNEAPOLIS | |||||||
| 404 SOUTH 8TH STREET | MINNEAPOLIS | MN | 55404 | N/A | PUBLIC CHARITY | GENERAL OPERATING FUND | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $758,833 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $200,141 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $11,312,264 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $11,512,405 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $11,512,405 | TotalIncomeProducingActyAmt |
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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | STEPHEN J AND BARBARA K HEMSLEY | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 622 FERNDALE ROAD WEST | AddressLine1 |
| City | WAYZATA | City |
| State | MN | State |
| ZIP Code | 55391 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $1,802,064 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 24,000 SHS UNITEDHEALTH GROUP | NoncashPropertyDesc |
| Fair Market Value | $1,802,064 | FairMarketValueAmt |
| Received | 2013-12-31 | ReceivedDt |
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CLOVER FIELDS PRESERVATION FOUNDATION INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O DEAN BARR 50 S 6TH STREET STE | AddressLine1 |
| Address Line2 | 1500 | AddressLine2 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554021498 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | 2013-11-07 | GrantDt |
| Grant | $1,698 | GrantAmt |
| Purpose Of Grant | CEMETERY RESTORATION | PurposeOfGrantTxt |
| Expended By Grantee | $1,698 | ExpendedByGranteeAmt |
| Any Diversion By Grantee | NO | AnyDiversionByGranteeTxt |
| Dates Of Reports By Grantee | NOVEMBER 7, 2013 | DatesOfReportsByGranteeTxt |
| Results Of Verification | CEMETERY RESTORATION | ResultsOfVerificationTxt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (40 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 2900 SHS ACE LIMITED | $131,058 | $300,237 |
| 5000 SHS AON CORP | $245,400 | $419,450 |
| 330 SHS APPLE INC | $198,107 | $185,137 |
| 2200 SHS AUTONATION INC | $100,392 | $109,318 |
| 1000 SHS BAXTER INTERNATIONAL INC | $0 | $0 |
| 1800 SHS BOEING CO | $0 | $0 |
| 9700 SHS BROADRIDGE FINANCIAL SOLUTIONS | $0 | $0 |
| 2000 SHS CARPENTER TECHNOLOGY CORP | $96,463 | $124,400 |
| 1100 SHS CELGENE CORP | $123,185 | $185,865 |
| 2100 SHS CHECK POINT SOFTWARE | $0 | $0 |
| 1500 SHS CHEVRON | $115,815 | $187,365 |
| 5000 SHS CHUBB CORP | $247,000 | $483,150 |
| 2100 SHS CIT GROUP INC | $76,010 | $109,473 |
| 6000 SHS CITRIX SYSTEMS INC | $400,958 | $379,500 |
| 2300 SHS COMCAST CORP | $41,829 | $119,520 |
| 4200 SHS DELPHI AUTOMOTIVE | $131,630 | $252,546 |
| 2400 SHS DEVON ENERGY CORPORATION | $150,440 | $148,488 |
| 11,150 SHS DIGITAL GENERATION | $0 | $0 |
| 3100 SHS EBAY INC | $171,056 | $170,081 |
| 2000 SHS GILEAD SCIENCES INC | $111,324 | $150,200 |
| 175 SHS GOOGLE INC | $82,201 | $196,124 |
| 3900 SHS IMAX CORP | $105,365 | $114,972 |
| 8500 SHS JOHNSON CONTROLS INC | $276,429 | $436,050 |
| 2500 SHS LIFE TECHNOLOGIES CORPORATION | $0 | $0 |
| 6000 SHS MARATHON OIL CORP | $158,571 | $211,800 |
| 4000 SHS METLIFE INC | $136,200 | $215,680 |
| 2300 SHS MICROSOFT CORP | $64,083 | $86,043 |
| 3900 SHS ORACLE CORP | $88,648 | $149,214 |
| 4500 SHS PENTAIR LTD | $285,342 | $349,515 |
| 17,800 SHS REPUBLIC SERVICES INC | $590,260 | $590,960 |
| 2800 SHS SCHLUMBERGER LTD | $188,663 | $252,308 |
| 2400 SHS STARBUCKS CORP | $133,872 | $188,136 |
| 2900 SHS THERMO FISHER SCIENTIFIC INC | $141,114 | $322,915 |
| 10,000 SHS TRIMBLE NAVIGATION LTD | $295,557 | $347,000 |
| 2000 SHS UNITED PARCEL SVC INC | $143,588 | $210,160 |
| 150,000 SHS UNITEDHEALTH GROUP | $0 | $0 |
| 33,244 SHS UNITEDHEALTH GROUP | $0 | $0 |
| 58,900 SHS UNITEDHEALTH GROUP | $0 | $0 |
| 24,000 SHS UNITEDHEALTH GROUP | $1,802,064 | $1,807,200 |
| 3100 SHS WILLIAMS COMPANIES INC | $70,365 | $119,567 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | GATHER INC | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $250,000 | BookValueAmt |
| EOYFMV | $250,000 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | STOCK BASIS ADJ (DONOR BASIS VS FMV) | Description |
| Amount | $2,698,990 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Revenue And Expenses Per Books | $1,212 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $57,793 | Amt |
| Net Investment Income | $57,793 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAXES | CategoryTxt |
| Amt | $234,100 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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