MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-15
IRS object ID
201441359349100904
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-05-15T08:34:32-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421046003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CORWIN REICHTER & COMPANY PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11055 JORDAN CREEK PKWY SUITE 120AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code502665821ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421235348EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MID IOWA HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMIDIBusinessNameControlTxt
Phone5152776411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE NO 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUZANNE MINECKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5152776411PhoneNum
Signature2014-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYLE D REICHTERPreparerPersonNm
PTINP00065165PTIN
Phone5153090215PhoneNum
Preparation2014-05-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$15,849,796FMVAssetsEOYAmt
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$8InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$286,635DividendsRevAndExpnssAmt
Dividends Net Invst Incm$286,635DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$799,797NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$8,307,334GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$799,797CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,086,440TotalRevAndExpnssAmt
Total Net Invst Incm$1,086,440TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$98,858CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$7,909CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$97,144CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$78,750OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$78,750OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$33,712PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$1,176PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$32,536PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$12,195AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$12,195AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$89,783OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$86,733OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$3,050OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$65,513TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,796TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$1,571DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$12,535OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$12,535OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$17,910TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$14,207TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$2,020PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Dsbrs Chrtbl$2,020PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$19,450OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$21,797OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$432,297TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$100,614TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$274,234TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$464,842ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$464,842ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$897,139TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$100,614TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$739,076TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$189,301ExcessRevenueOverExpensesAmt
Net Investment Income$985,826NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$7,715CashBOYAmt
Cash EOY$10,084CashEOYAmt
Cash EOYFMV$10,084CashEOYFMVAmt
Sav And Temp Cash Invst BOY$319,872SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$351,769SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$351,769SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$2,500PrepaidExpensesBOYAmt
Prepaid Expenses EOY$4,618PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$4,618PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$647,300USGovernmentObligationsBOYAmt
US Government Obligations EOY$0USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt
Corporate Stock BOY$5,122,970CorporateStockBOYAmt
Corporate Stock EOY$6,219,299CorporateStockEOYAmt
Corporate Stock EOYFMV$6,219,299CorporateStockEOYFMVAmt
Corporate Bonds BOY$447,797CorporateBondsBOYAmt
Corporate Bonds EOY$0CorporateBondsEOYAmt
Corporate Bonds EOYFMV$0CorporateBondsEOYFMVAmt
Other Investments BOY$7,380,467OtherInvestmentsBOYAmt
Other Investments EOY$9,259,670OtherInvestmentsEOYAmt
Other Investments EOYFMV$9,259,670OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$17,588LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,232LandBldgEquipAccumDeprecAmt
Land BOY$4,170LandBOYAmt
Land EOY$4,356LandEOYAmt
Land EOYFMV$4,356LandEOYFMVAmt
Other Assets BOY$9,097OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$13,941,888TotalAssetsBOYAmt
Total Assets EOY$15,849,796TotalAssetsEOYAmt
Total Assets EOYFMV$15,849,796TotalAssetsEOYFMVAmt
Accounts Payable BOY$3,814AccountsPayableBOYAmt
Accounts Payable EOY$2,488AccountsPayableEOYAmt
Other Liabilities BOY$20,537OtherLiabilitiesBOYAmt
Other Liabilities EOY$41,000OtherLiabilitiesEOYAmt
Total Liabilities BOY$24,351TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,488TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$13,917,537UnrestrictedBOYAmt
Unrestricted EOY$15,806,308UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$13,917,537TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$15,806,308TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$13,941,888TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$15,849,796TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$13,917,537TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$189,301ExcessRevenueOverExpensesAmt
Other Increases$1,699,470OtherIncreasesAmt
Subtotal$15,806,308SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$15,806,308TotNetAstOrFundBalancesEOYAmt

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 AcquiredHowAcquiredCdDepreciationDepreciationAmt
INVESTMENT SALES$8,307,334$7,506,947$800,387$800,387
$5,498-$590-$590P$4,908
FieldValueIRS element (for citing)
Capital Gain Net Income$799,797CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$744,380AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$13,648,124NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.054541DistributionYr1Rt
Adjusted Qlfy Distri Yr2$684,715AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$13,896,275NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049273DistributionYr2Rt
Adjusted Qlfy Distri Yr3$713,859AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$13,253,051NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.053864DistributionYr3Rt
Adjusted Qlfy Distri Yr4$774,680AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$12,160,790NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.063703DistributionYr4Rt
Adjusted Qlfy Distri Yr5$835,583AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$14,510,704NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.057584DistributionYr5Rt
Total Distribution0.278965TotalDistributionRt
Average Distribution0.055793AverageDistributionRt
Net Vl Noncharitable Assets$14,580,962NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$813,516AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$9,858NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$823,374AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$739,076QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$19,717InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$19,717SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$19,717TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$24,450EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$24,450TotalPaymentsAndCreditsAmt
Overpayment$4,733OverpaymentAmt
Applied To ES Tax$4,733AppliedToESTaxAmt
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 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
THOMAS JESCHKE
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 MOINESIA50312VICE-CHAIR1.00$0$0$0
TERRY CALDWELL-JOHNSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
JUDITH VOGEL
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
BECKY MILES-POLKA
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312CHAIR1.00$0$0$0
MATTHEW MCGARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
CHERYL HARDING
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312SECRETARY/TREASURER1.00$0$0$0
LIBBY JACOBS
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$0$0$0
HAYLEY L HARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00$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$98,858$6,920$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonDENISE SWARTZPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVENUE STE 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code50312ZIPCode
FieldValueIRS element (for citing)
TitlePROGRAM OFFICERTitleTxt
Average Hrs Per Wk Devoted To Pos40.00AverageHrsPerWkDevotedToPosRt
Compensation$78,750CompensationAmt
Employee Benefits$5,863EmployeeBenefitsAmt
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$14,521,945AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$281,062AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,803,007TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$14,803,007AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$222,045CashDeemedCharitableAmt
Net Vl Noncharitable Assets$14,580,962NetVlNoncharitableAssetsAmt
Minimum Investment Return$729,048MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$729,048MinimumInvestmentReturnAmt
Tax Based On Investment Income$19,717TaxBasedOnInvestmentIncomeAmt
Total Tax$19,717TotalTaxAmt
Distributable Before Adj$709,331DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$709,331DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$709,331DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$739,076ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$739,076QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$739,076AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$709,331DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$115,626ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$171,200ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$63,386ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,038ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$94,556ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$446,806TotalExcessDistributionCyovAmt
Qualifying Distributions$739,076QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$709,331AppliedToCurrentYearAmt
Remaining Distri From Corpus$29,745RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$476,551TotalCorpusAmt
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$115,626ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$360,925ExcessDistriCyovToNextYrAmt
Excess From Year4$171,200ExcessFromYear4Amt
Excess From Year3$63,386ExcessFromYear3Amt
Excess From Year2$2,038ExcessFromYear2Amt
Excess From Year1$94,556ExcessFromYear1Amt
Excess From Current Year$29,745ExcessFromCurrentYearAmt

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 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode
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 DeadlinesAPPLICATIONS FOR COMMUNITY RESPONSE GRANTS MUST BE RECEIVED BY OCTOBER 1. HEALTH INITIATIVE GRANTS ASubmissionDeadlinesTxt
Restrictions On AwardsCOMMUNITY RESPONSE 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. HEALTH INTITIATIVE GRANTS ARE BY INVITATION FROM MID-IOWA HEALTH ONLY.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMOS - A MID-IOWA ORGANIZING STRATEGY
3700 COTTAGE GROVEDES MOINESIA50311HEALTH CARE FOR ALL$30,000
CATHOLIC CHARITIES
601 GRAND AVENUEDES MOINESIA50309COMMUNITY OUTREACH PROGRAM/SPANISH LANGUAGE COUNSELING$30,000
CHILD AND FAMILY POLICY CENTER
505 5TH AVE STE 404DES MOINESIA50309CHILD HEALTH POLICY FOR THE 2014 LEGISLATIVE SESSION$20,833
CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVENUEDES MOINESIA50314IN MEMORY OF T WARD PHILLIPS$500
CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVENUEDES MOINESIA50314TEEN RECOVERY OUTPATIENT PROGRAM$20,000
COMMUNITY HEALTH CHARITIES OF IOWA
1111 NINTH STREET SUITE 275DES MOINESIA50314DIRECTOR DESIGNATED GRANT$500
COMMUNITY YOUTH CONCEPTS
3826 1/2 DOUGLAS AVENUEDES MOINESIA50310YOUTH PHILANTHROPY COUNCIL FOR COMMUNITY HEALTH$18,743
DALLAS COUNTY HOSPITAL FOUNDATION INC
610 10TH STREETPERRYIA50220COORDINATING OUTREACH AND ACCESS TO CARE FOR HOSPITAL EMERGENCY DEPARTMENT$30,000
DES MOINES HEALTH CENTER
1111 NINTH STREET STE 190DES MOINESIA50314SMILE SQUAD ORAL HEALTH PROGRAM$20,000
GRANTMAKERS IN HEALTH
1130 CONNECTICUT AVENUE NW STE 700WASHINGTONDC20036GENERAL OPERATING, TECHNICAL ASSISTANCE$2,500
IOWA DEPARTMENT OF PUBLIC HEALTH
321 E 12TH STREETDES MOINESIA50319ACES, MENTAL HEALTH AND NEGLECT MODULES FOR THE 2014 IOWA BRFSS$9,300
IOWA FOSTER AND ADOPTIVE PARENTS ASSOCIATION
6864 NE 14TH STREET SUITE 5ANKENYIA50023FOSTERING THE TRAUMA CONNECTION: INTEGRATING TRAUMA INTO IFAPA TRAININGS$30,800
IOWA LEGAL AID
1111 NINTH STREET STE 230DES MOINESIA503092527HEALTH AND LAW PROJECT$15,000
IOWA POLICY PROJECT
20 EAST MARKET STREETIOWA CITYIA52245THE COST OF LIVING IN IOWA$6,000
IOWA STATE UNIVERSITY
4380 PALMER SUITE 1323AMESIA50011ASSESSING THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES IN IOWA$28,166
OAKRIDGE NEIGHBORHOOD SERVICES
1236 OAKRIDGE DRIVEDES MOINESIA50314DIRECTOR DESIGNATED GRANTS$1,500
PLANNED PARENTHOOD OF THE HEARTLAND
1171 7TH STREETDES MOINESIA50314STREET SMARTS INTEGRATED CARE PROJECT$20,000
PREVENT CHILD ABUSE IOWA
515 FIFTH AVE STE 900DES MOINESIA50309ACES PREVENTION AWARENESS PROJECT$10,000
PRIMARY HEALTH CARE INC
9943 HICKMAN ROAD STE 105URBANDALEIA50322CENTRALIZED CALL CENTER$40,000
TORI'S ANGELS
4677 PANORAMA DRIVEPANORAIA50216DIRECTOR DESIGNATED GRANT$500
UNITED WAY OF CENTRAL IOWA
1111 NINTH STREETDES MOINESIA50314CENTRAL IOWA ACES STEERING COMMITTEE$10,000
VISITING NURSE SERVICES
1111 NINTH STREET STE 320DES MOINESIA50306COORDINATION FOR SINGLE POINT OF ENTRY FOR THE HEALTH INSURANCE MARKETPLACE AT VNS$30,000
WESLEYLIFE COMMUNITY SERVICE INC
3520 GRAND AVENUEDES MOINESIA50312PUBLIC HEALTH NURSING PROGRAM$15,000
YOUNG WOMEN'S RESOURCE CENTER
818 5TH AVENUEDES MOINESIA50309DIRECTOR DESIGNATED GRANT$500
YOUNG WOMEN'S RESOURCE CENTER
818 5TH AVENUEDES MOINESIA50309INDIVIDUAL SUPPORT PROGRAM$40,000
YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
918 SE 11TH STREETDES MOINESIA50309COMMITMENT TO SANCTUARY AND TRAUMA INFORMED CARE$35,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$464,842TotalGrantOrContriPdDurYrAmt
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$8ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$286,635ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$800,387ExclusionAmt
Related Or Exempt Function Incm-$590RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,087,030ExclusionAmt
Related Or Exempt Function Incm-$590RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,086,440TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number8LineNumberTxt
Relationship StatementOBSOLETE COMPUTER EQUIPMENT WHICH WAS BEING USED IN THE OFFICE OF THE FOUNDATION FOR KEEPING TRACK OF GRANTS GIVEN AND EXPENSES INCURRED WAS REPLACED AND THUS WRITTEN OFF.RelationshipStatementTxt

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 FEES$6,195$0$6,195
ACCOUNTING FEES$6,000$0$6,000

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (19 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$2,266SL10.000000000000$259$0
FURNITURE2004-05-06$1,577$1,369SL10.000000000000$158$0
COMPUTER BACKUP SYSTEM2004-05-03$1,773$1,773SL5.000000000000$0$0
FURNITURE2004-09-01$372$308SL10.000000000000$37$0
FURNITURE2004-09-01$152$125SL10.000000000000$15$0
COMPUTER PRINTER2006-02-14$1,978$1,978SL5.000000000000$0$0
OFFICE FURNITURE2006-11-27$3,156$1,922SL10.000000000000$316$0
COMPUTER2006-02-14$1,578$1,578SL5.000000000000$0$0
OFFICE FURNITURE2007-05-07$520$295SL10.000000000000$52$0
OPTIPLEX 960 MINITOWER2010-04-07$1,797$988SL5.000000000000$359$0
USED DELL PRECISION 3902010-12-31$350$140SL5.000000000000$70$0
LANIER COPIER/PRINTER2011-10-18$1,399$327SL5.000000000000$280$0
SENTRYSAFE 4-DRAWER FIRE-SAFE FILE CABINET2013-08-22$742SL10.000000000000$25$0
OPTIPLEX 9020 MINITOWER2013-12-19$1,605SL5.000000000000$0$0

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondTOTAL CORPORATE BONDS OWNEDBondNm
EOY Book Value$0EOYBookValueAmt
EOYFMV$0EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockTOTAL CORPORATE STOCKS OWNEDStockNm
EOY Book Value$6,219,299EOYBookValueAmt
EOYFMV$6,219,299EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$0USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemTOTAL MUTUAL FUNDSCategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$9,259,670BookValueAmt
EOYFMV$9,259,670EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (15 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$2,525$62
FURNITURE$1,577$1,527$50
FURNITURE$372$345$27
FURNITURE$152$140$12
COMPUTER PRINTER$1,978$1,978$0
OFFICE FURNITURE$3,156$2,238$918
OFFICE FURNITURE$520$347$173
LANIER COPIER/PRINTER$1,399$607$792
SENTRYSAFE 4-DRAWER FIRE-SAFE FILE CABINET$742$25$717
OPTIPLEX 9020 MINITOWER$1,605$0$1,605

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescACCRUED INTEREST INCOMEDesc
BOY Book Value$9,097BOYBookValueAmt
EOY Book Value$0EOYBookValueAmt
EOYFMV$0EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DUES & SUBSCRIPTIONS$1,024$0$1,025
INSURANCE$4,538$0$4,538
OFFICE EXPENSE$2,341$0$4,687
TELEPHONE$2,175$0$2,175
INFORMATION TECHNOLOGY$9,372$0$9,372

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINS (LOSSES) ON INVESTMENTSDescription
Amount$1,699,470Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
ACCRUED FEDERAL EXCISE TAX$20,537$0
DEFERRED FEDERAL EXCISE TAX$0$41,000

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTING$3,050$0$3,050
INVESTMENT FEES$86,733$86,733$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$60,717$0$0
FOREIGN TAXES$4,796$4,796$0

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