2014-11-06T09:08:44-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-01-01 721524988 ANNE CARLSEN CENTER FOUNDATION ANNE 8005685175 701 3RD STREET NW BOX 8000 JAMESTOWN ND 58402 ERIC MONSON CEO 8005685175 2014-10-31 1 JENNIFER TINGLEY P01485570 6123764500 2013 2015-11-30 17:44:51Z ERIC MONSON 701 3RD STREET NW BOX 8000 JAMESTOWN ND 58402 19679233 0 X WWW.ANNECENTER.ORG X 2003 ND TO SUPPORT THE MISSION AND PURPOSE OF THE ANNE CARLSEN CENTER. 11 11 0 125 0 0 1137738 1470746 0 0 3262688 2084285 32139 -2707 4432565 3552324 0 0 0 0 205347 439346 20152 40411 954014 491480 474257 716979 954014 3715586 2598310 35863804 39504596 571531 123506 35292273 39381090 TO SUPPORT THE ANNE CARLSEN CENTER IN JAMESTOWN, NORTH DAKOTA BY SOLICITING, RECEIVING, HOLDING, INVESTING, ADMINISTERING, DISTRIBUTING AND DISBURSING DONATED FUNDS AND ANY AND ALL TYPES OF DONATED OR PERSONAL PROPERTY IN SUPPORT OF THAT MISSION. 0 0 0 0 0 TO SUPPORT THE MISSION AND PURPOSE OF THE ANNE CARLSEN CENTER. 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN WA ND WI X ALLAN HARTMANN 7012523850 701 3RD STREET NW BOX 8000 JAMESTOWN ND 58402 BRUCE ISERMAN BOARD CHAIR 2.00 2.00 X X 0 0 0 HARVEY HUBER BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 PAT MCCULLOUGH TREASURER 1.50 1.50 X X 0 0 0 JANET SEAWORTH SECRETARY 1.50 1.50 X X 0 0 0 PAT TRAYNOR IMMEDIATE PAST CHAIR 1.00 1.00 X X 0 0 0 TIM FLAKOLL BOARD MEMBER 1.00 1.00 X 0 0 0 JOEL FREMSTAD BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT MONTGOMERY BOARD MEMBER 1.00 1.00 X 0 0 0 SUE OFFUTT BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS ROHLEDER BOARD MEMBER 1.00 1.00 X 0 0 0 REESA WEBB BOARD MEMBER 1.00 1.00 X 0 0 0 ERIC MONSON CEO 10.00 40.00 X 0 175152 28911 ALLAN HARTMAN CFO 10.00 40.00 X 0 97612 7888 MARCIA GUMS COO 50.00 0.00 X 0 120386 28711 0 393150 65510 0 0 1 0 0 39653 1431093 1470746 1084257 1084257 17097415 16097387 1000028 1000028 1000028 26815 39653 29522 -2707 -2707 3552324 0 0 2081578 358857 358857 7823 7823 47974 47974 24692 24692 40411 40411 91225 91225 24385 24385 17124 17124 19125 19125 22209 22209 86651 86651 ALLOCATION OF CENTER EX 112330 112330 MISCELLANEOUS EXPENSE 95749 95749 STAFF DEVELOPMENT 3558 3558 EQUIPMENT 1901 1901 954014 0 0 954014 1039569 391761 177159 64374 8573870 11837956 34549 19238958 20498530 6799699 6711975 35863804 39504596 434326 0 137205 123506 571531 123506 X 30173986 33693443 1250951 1330412 3867336 4357235 35292273 39381090 35863804 39504596 X 2598310 1058049 432458 X 0 1 X 1 0 X 1134782 1731530 1590718 1137738 1470746 7065514 1134782 1731530 1590718 1137738 1470746 7065514 406440 6659074 645500 1172101 1634692 1299505 1084257 5836055 12901569 143871 0.51610 0.54770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1279919 95200 111494 1486613 1173971 15000 90948 1279919 1206731 5000 -37660 100 1173971 957049 10000 239682 1206731 0.00000 0.71000 0.29000 0 0 0 TRUST INTERESTS 4156808 F HEDGE: DIVERSIFIED/MULTI-STRATEGY 1618181 F REITS 541905 F TIMBER 275674 F MINERAL RIGHTS 86000 C CASH & CASH EQUIVALENTS 33407 F 6711975 ANNUITIES PAYABLE 123506 123506 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF ANNE CARLSEN CENTER. PART X, LINE 2: THE FOUNDATION IS ORGANIZED AS A NORTH DAKOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES, AS DEFINED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE FOUNDATION BELIEVES THE ORGANIZATION IS COMPLIANT WITH ALL IRS REGULATIONS AND AS OF DECEMBER 31, 2013, HAS NOT RECORDED A TAX LIABILITY FOR A TAX UNCERTAINTY. THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X X X X X 1 BBS & ASSOCIATES 130 SPRINGSIDE DRIVE 200 AKRON OH 44333 FUNDRAISING CONSULTATION 0 176438 40411 136027 176438 40411 136027 MN ND WA WI GOLF TOURNAMENT 24236 16371 7865 900 3680 1050 5450 GOLF AT BULLY PULPIT 17635 10170 7465 7848 772 876 3 24597 13112 11485 67 383 5649 500 2347 66468 39653 26815 900 67 11911 7471 500 8673 29522 -2707 0 0 0 0 0 0 0 0 0 ERIC MONSON CEO 0 169729 0 0 0 5423 0 7948 0 20963 0 204063 0 0 PART I, LINE 3 THE FOUNDATION RELIED ON A RELATED ORGANIZATION TO DETERMINE THE COMPENSATION FOR THE CEO WHICH INCLUDED THE FOLLOWING PRACTICES: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE. FORM 990, PART I, LINE 1 FOR A READER TO FULLY UNDERSTAND THE ACTIVITY AND PROGRAMS OF THE ANNE CARLSEN CENTER FOUNDATION, MANAGEMENT RECOMMENDS THAT THE READER ALSO REVIEW THE ANNE CARLSEN CENTER FORM 990. FORM 990, PART VI, SECTION A, LINE 1 THE GOVERNANCE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, PAST CHAIR, CORPORATE TREASURER AND CORPORATE SECRETARY. THE GOVERNANCE COMMITTEE HAS THE POWER TO TRANSACT ALL BUSINESS OF THE FOUNDATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION SO TAKEN DOES NOT CONFLICT WITH THE POLICIES AND EXPRESS WISHES OF THE BOARD OF TRUSTEES, AND THE COMMITTEE REFERS ALL MATTERS OF MAJOR IMPORTANCE TO THE FULL BOARD. THE COMMITTEE SHALL BE RESPONSIBLE FOR BOARD DEVELOPMENT, NOMINATING BOARD MEMBERS, AND GOVERNANCE POLICIES. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION'S SOLE MEMBER IS ANNE CARLSEN CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, ANNE CARLSEN CENTER APPOINTS THE BOARD OF TRUSTEES OF THE FOUNDATION. THE SOLE MEMBER DETERMINES THE NUMBER OF, APPOINTS, AND MAY REMOVE, WITH OR WITHOUT CAUSE, ALL OF THE OFFICERS OF THE FOUNDATION, EXCEPT THE BOARD CHAIR AND VICE CHAIR, WHO SHALL BE ELECTED BY THE BOARD OF TRUSTEES OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER MUST APPROVE ALL BYLAWS AND AMENDMENTS TO BYLAWS AND AMENDMENTS TO ARTICLES OF INCORPORATION OF THE FOUNDATION; APPROVES THE FOUNDATION'S ANNUAL BUDGET; AND APPROVES ALL DISTRIBUTIONS AND DISBURSEMENTS FROM THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIR, IMMEDIATE PAST CHAIR, CEO AND CFO CONDUCTED A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN ELECTRONICALLY FORWARDED TO THE FULL BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD. THE PURPOSE OF THIS POLICY IS TO ENSURE IDENTIFICATION AND RESOLUTION OF THOSE INSTANCES IN WHICH GOVERNING BOARD MEMBERS, OFFICERS, EMPLOYEES AND OTHER AGENTS OR REPRESENTATIVES OF THE FOUNDATION (AND ITS AFFILIATES AND SUBSIDIARIES) MAY FIND THEMSELVES IN CIRCUMSTANCES GIVING RISE TO A POTENTIAL OR ACTUAL CONFLICT OF INTEREST. TO PROTECT THE FOUNDATION'S INTEREST IN SUCH SITUATIONS, AND TO PROVIDE FOR ADEQUATE REPORTING MECHANISMS, THE FOUNDATION WILL NOT ENTER INTO ANY TRANSACTION OR ARRANGEMENT WITH ANY ENTITY IN WHICH ANY BOARD MEMBER, OFFICER, EMPLOYEE OR AGENT THAT HAS A FINANCIAL INTEREST UNLESS SUCH TRANSACTION OR ARRANGEMENT IS FULLY DISCLOSED TO, AND APPROVED BY THE PRESIDENT/CEO (OR THE BOARD, IF THE PRESIDENT/CEO OR A BOARD MEMBER HAS THE FINANCIAL INTEREST). AFTER DISCLOSURE OF THE FINANCIAL INTEREST OR FIDUCIARY RESPONSIBILITY AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINAL DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF TRUSTS 432,458. ANNE CARLSEN CENTER 701 3RD STREET NE BOX 8000 JAMESTOWN ND 58402 870694180 EDUCATIONAL, RESIDENTIAL, MEDICAL AND THERAPY SERVICES FOR CHILDREN ND 501(C)(3) LINE 2 N/A 0 NIERLING ANNE CARLSEN CENTER TRUST 701 3RD STREET NE BOX 8000 JAMESTOWN ND 58402 912004887 PRIVATE FOUNDATION ND 501(C)(3) PF ANNE CARLSEN CENTER 0 PERPETUAL TRUSTS (2) 701 3RD STREET NW BOX 8000 JAMESTOWN ND 58402 INVESTMENT ND N/A T 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0