MANKATO CLINIC FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MANKATO CLINIC FOUNDATION INC (EIN 41-6045200)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-02
- IRS object ID
- 201301839349300620
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-02T10:03:18-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1911 EXCEL DRIVE | AddressLine1 |
| City | MANKATO | City |
| State | MN | State |
| ZIP Code | 56001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 416045200 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANKATO CLINIC FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MANK | NameControl |
| Phone | 5073898504 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8674 | AddressLine1 |
| City | MANKATO | City |
| State | MN | State |
| ZIP Code | 560028674 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVE HATKIN | Name |
| Title | BOARD MEMBER | Title |
| Phone | 5073898504 | Phone |
| Date Signed | 2013-06-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANN COLEMAN | Name |
| PTIN | P00032499 | PTIN |
| Phone | 5073876031 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVE HATKIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8674 | AddressLine1 |
| City | MANKATO | City |
| State | MN | State |
| ZIP Code | 560028674 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 260561 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MANKATO-CLINIC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1966 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE, PROMOTE AND DEVELOP HEALTH EDUCATION AND HEALTHY LIFESTYLE AWARENESS TO MEMBERS OF THE MANKATO CLINIC SERVICE AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 232063 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 242467 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4034 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1326 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2301 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4483 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 238398 | TotalRevenuePriorYear |
| Total Revenue Current Year | 248276 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 142945 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 164189 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 55603 | OtherExpensePriorYear |
| Other Expenses Current Year | 47969 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 198548 | TotalExpensesPriorYear |
| Total Expenses Current Year | 212158 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39850 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 36118 | RevenuesLessExpensesCY |
| Total Assets BOY | 440240 | TotalAssetsBOY |
| Total Assets EOY | 476358 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 440240 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 476358 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE, PROMOTE AND DEVELOP HEALTH EDUCATION AND HEALTHY LIFESTYLE AWARENESS TO MEMBERS OF THE MANKATO CLINIC SERVICE AREA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14000 | Expense |
| Grants | 14000 | Grants |
| Description | PROVIDED SCHOLARSHIPS TO AREA MANKATO CLINIC EMPLOYEES WHO ARE STUDENTS STARTING OR ADVANCING HEALTH CARE EDUCATION PROGRAMS AT THE COLLEGE LEVEL. SIXTEEN DIRECT SCHOLARSHIPS WERE AWARDED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 45488 | Expense |
| Description | ASSISTS WITH FOUR HEALTH EDUCATION PROJECTS INCLUDING PROJECT KINDNESS, PARTNERSHIP IN HEALTH, CAR SEAT SAFETY AND IMPACT PROGRAM.PROJECT KINDNESS IS A PROGRAM IN GREATER MANKATO SCHOOLS THAT EDUCATES STUDENTS ON THE IMPORTANCE OF RANDOM ACTS OF KINDNESS, INCLUDING LESSONS ON COURAGE, RESPECT AND GOOD SPORTSMANSHIP. THE PROGRAM INCLUDES SPECIAL LEARNING OPPORTUNITIES HELD AT THE SCHOOLS SUCH AS COURAGE RETREATS AND SPECIAL THEATER PERFORMANCES. SERVES APPROXIMATELY 2,500 - 3,000 STUDENTS EACH YEAR.PARTNERSHIP IN HEALTH IS A PROGRAM IN GREATER MANKATO SCHOOLS THAT PROVIDES A REGISTERED DIETICIAN FOR ADVICE ON NUTRITIONAL GUIDELINES, INCLUDING HEALTH EDUCATION TO SCHOOL STAFF, STUDENTS AND PARENTS. THE DIETICIAN WORKS WITH THE SCHOOLS' FOOD SERVICES, MAKES PRESENTATIONS IN CLASSROOMS AND PROVIDES EDUCATION INFORMATION TO FAMILIES. THIS PROGRAM SERVICES OVER 5,000 PEOPLE EACH YEAR. CAR SEAT SAFETY PROGRAM PROVIDES FREE OF CHARGE CAR SEAT SAFETY LESSONS EACH MONTH OPEN TO THE PUBLIC. THIS CLASS HELPS PARENTS AVOID MISTAKES THAT CAN PUT THEIR CHILDREN AT RISK. THE CLASSES ARE TAUGHT BY CERTIFIED NATIONAL HIGHWAY TRANSPORTATION SAFETY ADMINISTRATION TECHNICIANS. THIS PROGRAM SERVES 100 - 200 FAMILIES EACH YEAR. THE IMPACT PROGRAM PROVIDES SPECIAL SOFTWARE WHICH CAN EVALUATE POSSIBLE SPORTS RELATED HEAD INJURIES IN HIGH SCHOOL ATHLETES. THIS PROGRAM IS CURRENTLY LIMITED TO TWO OR THREE SCHOOLS, BUT HAS THE POTENTIAL TO GROW. THIS PROGRAM SERVES 200 - 300 STUDENT ATHLETES PER YEAR. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 150189 | Expense |
| Grants | 150189 | Grants |
| Description | PROVIDED GRANTS TO 34 ORGANIZATIONS THAT FOCUS ON PROMOTING HEALTHY LIFESTYLES AND WELLNESS IN THE COMMUNITY. IN ADDITION MONEY IS PROVIDED TO MINNESOTA STATE UNIVERSITY MANKATO AND SOUTH CENTRAL COLLEGE TO AWARD AS SCHOLARSHIPS TO NURSING STUDENTS IN THEIR RESPECTIVE PROGRAMS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 209677 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCIA BAHR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5073898770 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 MADISON AVENUE SUITE 324B | AddressLine1 |
| City | MANKATO | City |
| State | MN | State |
| ZIP Code | 56001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| NANCY ZALLEK | ||||||
| CHAIRPERSON | 0.50 | X | 0 | 0 | 0 | |
| STEVE PENKHUS MD | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| NANCY PFEIFER | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| ANDREW LUNDQUIST | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| CURT FISHER | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| DAVID NAPLES | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| JOHN BENSON MD | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| ROGER GREENWALD | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| STEVE PETERSON | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| BYRON MCGREGOR MD | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| STEVE HATKIN | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| KATIE SMENTEK MD | ||||||
| BOARD MEMBER | 0.20 | X | 0 | 0 | 0 | |
| MAUREEN MAGUT MD | ||||||
| BOARD MEMBER (THRU APRIL) | 0.20 | X | 0 | 0 | 0 | |
| JACK HEIMARK | ||||||
| BOARD MEMBER (THRU APRIL) | 0.20 | X | 0 | 0 | 0 | |
| MARCIA BAHR | ||||||
| PRESIDENT | 10.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 24951 | FundraisingEvents |
| All Other Contributions | 217516 | AllOtherContributions |
| Total Contributions | 242467 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1326 | TotalRevenueColumn |
| Exclusion | $1,326 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 16768 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 24951 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 12285 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4483 | TotalRevenueColumn |
| Exclusion | $4,483 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 248276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,809 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150189 | Total |
| Program Services | 150189 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14000 | Total |
| Program Services | 14000 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2200 | Total |
| Management And General | 2200 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PARTNERSHIP IN HEALTH | 35573 | 35573 |
| IMPACT PROGRAM | 5500 | 5500 |
| CELEBRATE KINDNESS PROJ | 2965 | 2965 |
| CAR SEAT SAFETY PROGRAM | 1450 | 1450 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281 | Total |
| Management And General | 281 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212158 | Total |
| Program Services | 209677 | ProgramServices |
| Management And General | 2481 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440240 | BOY |
| EOY | 476358 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440240 | BOY |
| EOY | 476358 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440240 | BOY |
| EOY | 476358 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440240 | BOY |
| EOY | 476358 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440240 | BOY |
| EOY | 476358 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 36118 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 215568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 214405 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 206853 | CurrentTaxYearMinus1Year |
| Current Tax Year | 242467 | CurrentTaxYear |
| Total | 1124666 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 215568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 214405 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 206853 | CurrentTaxYearMinus1Year |
| Current Tax Year | 242467 | CurrentTaxYear |
| Total | 1124666 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 991988 | AmountsSubstContributorsTotal |
| Public Support Total170 | 132678 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5288 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1375 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4034 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1326 | CurrentTaxYear |
| Total | 14476 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1139142 | TotalSupport |
| Gross Receipts From Admissions Etc | 169857 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.11650 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.11340 | PublicSupportPertcentPriorYear |
| Ten Percent Test Current Year | X | TenPercentTestCurrentYear |
| Facts And Circumstances Test | THE ORGANIZATION'S PUBLIC SUPPORT PERCENTAGE IS GREATER THAN TEN-PERCENT. IT ALSO MEETS THE FACTS AND CIRCUMSTANCES TEST THROUGH THE FOLLOWING MEANS:* THE ORGANIZATION CONDUCTS AN ANNUAL GOLF TOURNAMENT FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC.* THE ORGANIZATION RECEIVES A LARGE PORTION OF ITS CONTRIBUTIONS FROM MANKATO CLINIC, LTD. WHICH IS A C CORPORATION WITH 73 STOCKHOLDERS IN 2012.* THE ORGANIZATION'S BOARD OF DIRECTORS REPRESENTS THE BROAD INTEREST OF THE PUBLIC AND IS COMPRISED OF COMMUNITY LEADERS RESIDING OR WORKING IN THE MANKATO AREA AS WELL AS EMPLOYEES OF THE MANKATO CLINIC KNOWLEDGEABLE IN THE HEALTH FIELD THAT THE FOUNDATION PROMOTES. * THE ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS ARE STRUCTURED TO BENEFIT THE GENERAL PUBLIC IN AND AROUND THE MANKATO AREA. | FactsAndCircumstancesTest |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 112308 | BeginningOfYearBalance |
| Contributions | 31319 | Contributions |
| Investment Earnings Or Losses | 755 | InvestmentEarningsOrLosses |
| End Of Year Balance | 144382 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 90500 | BeginningOfYearBalance |
| Contributions | 20700 | Contributions |
| Investment Earnings Or Losses | 1108 | InvestmentEarningsOrLosses |
| End Of Year Balance | 112308 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.56200 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.43800 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | PERMANENT ENDOWMENT FUND FOR SCHOLARSHIP PURPOSES. BOARD DESIGNATED ENDOWMENT TO BUILD UP RESERVES. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 38076 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 24951 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13125 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 1440 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 4337 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 4240 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 339 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 38076 | GrossReceiptsTotal |
| Charitable Contributions Total | 24951 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13125 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 1440 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 4337 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 4240 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 339 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10356 | DirectExpenseSummaryEvents |
| Net Income Summary | 2769 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| UNITED WAY FIRST STEPS | |||||||
| 101 N 2ND ST | MANKATO | MN | 56001 | 416008819 | 501(C)(3) | 40000 | CLINICAL SOCIAL WORKER |
| GREATER MANKATO DIVERSITY COUNCIL | |||||||
| PO BOX 166 | MANKATO | MN | 56001 | 204627525 | 501(C)(3) | 10000 | PREJUDICE REDUCTION WORKSHOPS IN PUBLIC SCHHOLS |
| YMCA | |||||||
| 1401 S RIVERFRONT | MANKATO | MN | 56001 | 410739108 | 501(C)(3) | 10000 | CAPITAL CAMPAIGN |
| SOUTH CENTRAL COLLEGE FOUNDATION | |||||||
| 1920 LEE BOULEVARD | MANKATO | MN | 56001 | 411649572 | 501(C)(3) | 10000 | SCHOLARSHIPS |
| BACK PACK INITIATIVE | |||||||
| PO BOX 5275 | MANKATO | MN | 56001 | 232374187 | 501(C)(3) | 10000 | WEEKEND FOOD FOR KIDS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 16 | NumberOfRecipients |
| Amount Of Cash Grant | 14000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: NO FORMAL MONITORING IS DONE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE PRESIDENT AND THE CEO REVIEW THE RETURN PRIOR TO FILING. A COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | AN ANNUAL STATEMENT IS SIGNED BY BOARD MEMBERS AND OFFICERS THAT THERE ARE NO CONFLICTS. THE GOVERNING BOARD WILL REVIEW ANY POTENTIAL CONFLICTS. IF A CONFLICT EXISTS, THE INDIVIDUAL MUST LEAVE THE MEETING AND CANNOT VOTE ON THE MATTER IN CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
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