2013-09-12T08:44:24-05:00 2012-12-31 450250958 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2012-01-01 456013464 Children's Village Family Service Foundation CHIL 7014514900 PO Box 9859 Fargo ND 581069859 Gary Wolsky 7014514900 2013-09-04 1 LISA CHAFFEE CPA P00193453 7012398500 2013-09-04 2012 2016-02-24 21:20:13Z Gary Wolsky PO Box 9859 Fargo ND 581069859 2099339 0 X www.thevillagefamily.org X 1957 ND To provide permanent support for the activities and programs of the Village Family Service Center. 9 9 0 9 0 0 147111 143739 0 0 252099 384012 6427 2355 405637 530106 1075935 385840 0 0 0 0 0 0 0 48828 41942 1124763 427782 -719126 102324 4796853 4625097 729917 542297 4066936 4082800 The Children's Village Family Service Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 0 0 398208 385840 0 The Children's Village Foundation exists to provide permanent support for the activities and programs of The Village Family Service Center. 398208 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 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 0 X 9 9 1 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X Stewart Hovde 7014514870 PO Box 9859 Fargo ND 58106 Earl Strinden 2.00 X X 0 0 0 Carrie Bjorge 2.00 2.00 X 0 0 0 Richard Hanson 2.00 2.00 X 0 0 0 Matt Leiseth 2.00 2.00 X 0 0 0 Lyman Edds 2.00 2.00 X 0 0 0 Matthew Hallaway 2.00 2.00 X 0 0 0 Roger Reierson 2.00 X 0 0 0 Greg Hammes 2.00 X 0 0 0 Dan Burling 2.00 X 0 0 0 John MacFarlane 2.00 X 0 0 0 Gary Wolsky 2.00 40.00 X 0 135731 18939 Stewart Hovde 2.00 40.00 X 0 74475 16160 0 210206 35099 0 0 1 0 0 143739 143739 83010 83010 2355 2355 1870235 1569233 301002 301002 301002 530106 0 0 386367 385840 385840 5050 5050 24524 24524 12323 12323 Dues 45 45 427782 398208 29574 0 194646 175573 2200 2200 3114985 2884197 375088 432860 1109934 1130267 4796853 4625097 729917 542297 729917 542297 X 3688213 3605682 378723 477118 4066936 4082800 4796853 4625097 X 102324 -31724 -54736 X 0 1 X 1 0 X X X X 0 0 0 Village Family Service Center 450226423 7 1 385840 1 385840 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Investment in Dakota REIT 407772 C Mineral Rights 25088 C 432860 Accrued Interest & Dividends Receivable 15261 Related Party Receivable 1115006 1130267 Annuities Payable 36319 Due to Village Family Service Center 356922 Liability Under Life Income Agreements 149056 542297 X 498382 -31724 -31724 530106 0 530106 482518 54736 54736 427782 0 427782 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Foundation is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Foundation has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XII, Line 2d - Other Adjustments: Change in value of Split Interest Agreements -183,855. Transfer of beneficiary interest in CRAT 238,591. 1 Village Family Service Center 1201 25th St So Fargo ND 58103 450226423 501(c)(3) 385840 Support Programs 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The Organization monitors the use of funds through members of the Board of Directors that also serve on the Board of Directors of the Village Family Service Center. 0 0 0 0 0 0 0 0 0 Gary Wolsky 0 133219 0 0 0 2512 0 0 0 21060 0 156791 0 0 Supplemental Information Part III Form 990, Schedule J, Part I, Line 3: Compensation is set by the Village Family Service Center, a related organization. Approval by the board or compensation committee of the Village Family Service Center is required to establish compensation. Form 990, Part VI, Section A, line 2 Stewart Hovde and Gary Wolsky each have a business relationship with each other, and the following individuals: Carrie Bjorge, Matthew Leiseth, Richard Hanson, Lyman Edds, and Matthew Hallaway. Form 990, Part VI, Section A, line 3 The CEO and CFO of the Children's Village Family Service Foundation are employees of the Village Family Service Center, a related organization. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the Board. Form 990, Part VI, Section B, line 11 The CFO, CEO, and staff accountant of the Village Family Service Center, a related organization, will review the Form 990 prior to it being distributed to the board members prior to it being filed. Form 990, Part VI, Section B, line 12c Individuals with a conflict, or potential conflict, will make this known to the appropriate Foundation individual at the earliest possible date. Board member conflicts are to be reported to the Chairperson of the Board of Directors of the Children's Village Family Service Foundation. Board members are asked to abstain from voting on any issues in which they have a conflict. Form 990, Part VI, Section C, line 19 These documents are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in value of Split Interest Agreements 183,855. Transfer of beneficiary interest in CRAT -238,591. Village Family Service Center PO Box 9859 Fargo ND 58106 450226423 Human Services ND 501(c)(3) Line 7 N/A 0 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0