2013-05-15T11:41:18-05:00 2012-06-30 450250958 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2011-07-01 421526614 COMMUNITY FOUNDATION OF GREATER DUBUQUE COMM 5635882700 700 LOCUST STREET NO 195 DUBUQUE IA 52001 NANCY VAN MILLIGEN 5635882700 2013-05-13 1 CARMEN KRANTZ P00031958 5635561790 2013-05-10 2011 2016-02-24 21:20:13Z NANCY VAN MILLIGEN 700 LOCUST STREET NO 195 DUBUQUE IA 52001 28578312 0 X WWW.DBQFOUNDATION.ORG X 2001 IA TO SUPPORT SCIENTIFIC, EDUCATIONAL, AND CHARITABLE ACTIVITIES IN THE GREATER DUBUQUE AREA 15 15 13 40 0 0 7596371 6534658 24140 26993 1046445 1027715 0 0 8666956 7589366 2047351 3080190 0 0 420913 536383 0 0 40832 972467 767724 3440731 4384297 5226225 3205069 29182009 31179245 3489329 3726127 25692680 27453118 X THE COMMUNITY FOUNDATION OF GREATER DUBUQUE GROWS PHILANTHROPY TO IMPROVE LIFE IN NORTHEAST IOWA BY SERVING DONORS, STRENGTHENING NONPROFITS AND LEADING COLLABORATIVE INITIATIVES TO ADDRESS COMMUNITY NEEDS. 0 0 3960333 3080190 26993 THE COMMUNITY FOUNDATION OF GREATER DUBUQUE WORKS TO IMPROVE THE QUALITY OF LIFE IN THE REGION BY SERVING DONORS, MAKING GRANTS AND PROVIDING COMMUNITY LEADERSHIP THROUGH COLLABORATION AND CONVENING. THE REGION INCLUDES METRO DUBUQUE AND DUBUQUE COUNTY AS WELL AS ALLAMAKEE, CLAYTON AND DELAWARE COUNTIES.IN SERVING DONORS, THE COMMUNITY FOUNDATION PERSONALLY ADVISES INDIVIDUALS, FAMILIES, CORPORATIONS, AND NON-PROFIT GROUPS ABOUT HOW TO BUILD BOTH ENDOWMENTS AND NON-ENDOWED OR PROJECT FUNDS TO SERVE THE CHARITABLE NEEDS OF THE COMMUNITY EFFECTIVELY AND EFFICIENTLY.IN MAKING GRANTS, THE COMMUNITY FOUNDATION SEEKS TO BE A HUB FOR COMMUNITY KNOWLEDGE AND THEN ADVISES INDIVIDUALS, FAMILIES, AND CORPORATIONS AS THEY MAKE GRANTS IN THE COMMUNITY. IN ADDITION, THE COMMUNITY FOUNDATION HOSTS AND ADMINISTERS THE FOLLOWING ANNUAL GRANTMAKING PROGRAMS: COMMUNITY IMPACT, THEISENS MORE FOR YOUR COMMUNITY GRANTS, YAPPERS GRANTS, WOMEN'S GIVING CIRCLE GRANTS AND MEDIACOM GRANTS.IN PROVIDING COMMUNITY LEADERSHIP THROUGH COLLABORATION AND CONVENING, THE COMMUNITY FOUNDATION GATHERS DATA ABOUT URGENT AND EMERGING NEEDS IN THE COMMUNITY. THE COMMUNITY FOUNDATION THEN CONVENES STAKEHOLDERS BY FACILITATING MEETINGS, EDUCATIONAL OPPORTUNITIES AND PROGRAMS WHICH ENCOURAGE CONVENING AND COLLABORATION INCLUDING EVERY CHILD EVERY PROMISE, ONE DUBUQUE, SPEAK YOUR PEACE, GREEN AND HEALTHY HOME INITIATIVE AND PROJECT HOPE. 3960333 1 1 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 14 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X X KRISTIN KLUESNER 5635882700 700 LOCUST STREET STE 195 DUBUQUE IA 52001 X PHIL RUPPEL 1.00 X X 0 0 0 JOHN O'CONNOR 1.00 X X 0 0 0 KEN TOWNSEND 1.00 X X 0 0 0 DONNELLE FUERSTE 1.00 X X 0 0 0 TIM CONLON 1.00 X 0 0 0 DICK FRIEDMAN 1.00 X 0 0 0 KEN FURST 1.00 X 0 0 0 JIM THEISEN 1.00 X 0 0 0 CHARLIE GLAB 1.00 X 0 0 0 STEVE JUERGENS 1.00 X 0 0 0 WR KLAUER JR 1.00 X 0 0 0 JEANNE LAURITSEN 1.00 X 0 0 0 JANE HASEK 1.00 X 0 0 0 BRIAN KANE 1.00 X 0 0 0 SARAH HARRIS 1.00 X 0 0 0 ELDON HERRIG 1.00 X 0 0 0 NANCY VAN MILLIGEN 40.00 X 115559 0 5770 KRISTIN KLUESNER 30.00 X 55049 0 0 170608 0 5770 1 0 0 0 0 70708 6463950 368910 6534658 SERVICE FEE INCOME 900099 21526 21526 SUPPORTING REVENUE 900099 5467 5467 26993 608172 608172 21408489 20988946 419543 419543 419543 7589366 26993 0 1027715 3080190 3080190 185295 61639 92837 30819 297783 215476 78298 4009 16159 391 15768 37146 21342 13207 2597 10239 10239 456259 447034 9225 137859 110493 27366 75468 6072 69096 300 12821 904 11917 33753 16691 14682 2380 1749 101 921 727 21966 21966 17610 17610 4384297 3960333 383132 40832 251066 186620 2262615 1759456 226726 139717 106970 87009 26561358 29146160 29182009 31179245 44770 78309 56545 80582 3388014 3567236 3489329 3726127 X 23887535 25666603 1508917 1428811 296228 357704 25692680 27453118 29182009 31179245 X 3205069 -1444631 X 0 1 1 X 0 X 3808003 4533610 4478214 7596371 6534658 26950856 3808003 4533610 4478214 7596371 6534658 26950856 5554184 21396672 481551 408699 463741 472651 608172 2434814 29385670 102038 0.72810 0.72150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 111 251 2098316 4176706 1217480 1561411 9355980 21548910 1 1 18285156 3321896 -312020 1132829 20162203 14068360 2544038 2654661 981903 18285156 11046379 2547475 1310903 836397 14068360 11119783 1758760 -1272785 559379 11046379 0.98230 0.01770 0 0 226726 139717 87009 87009 DEFERRED COMPENSATION PAYABLE 51832 FUNDS HELD FOR OTHERS 3451882 AMOUNTS DUE UNDER ANNUITY AGREEMENT 63522 3567236 7589366 4384297 3205069 -1411320 -41976 8665 -1444631 1760438 6216102 -1411320 71367 8665 -1331288 7547390 41976 41976 7589366 4455664 71367 71367 4384297 0 4384297 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: EARNINGS ON ENDOWMENTS ARE USED FOR CHARITABLE PURPOSES DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE TAXES. THE FOUNDATION, HOWEVER, IF IT SHOULD RECEIVE ANY UNRELATED BUSINESS INCOME WOULD NOT BE EXEMPT FROM TAXATION ON SUCH INCOME. THE FOUNDATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE FISCAL YEARS ENDED 2009 THROUGH 2011 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 8,665. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHG IN VALUE OF SPLIT-INTEREST AGREEMENTS INCL IN REVENUE PER FINANCIAL STMT 8,665. 1 ALLAMAKEE COMMUNITY SCHOOL DISTRICT 1061 3RD AVE NW WAUKON IA 52172 426036591 17290 EDUCATIONAL AMERICAN CANCER SOCIETY 4080 FIRST AVE NE STE 101 CEDAR RAPIDS IA 52402 131788491 501(C)(3) 11661 HEALTH BOYS AND GIRLS CLUB 1299 LOCUST ST DUBUQUE IA 52001 427210263 501(C)(3) 20983 EDUCATIONAL CITY OF LANSING PO BOX 470 LANSING IA 52151 426004861 7000 PUBLIC SERVICE CLARKE COLLEGE 1550 CLARKE DR DUBUQUE IA 520013198 420680408 501(C)(3) 61654 EDUCATIONAL CRESCENT COMMUNITY HEALTH CENTER 1789 ELM STREET DUBUQUE IA 52001 481302204 501(C)(3) 162230 HEALTH MATTER 137 MAIN STREET DUBUQUE IA 52001 263523626 501(C)(3) 6600 YOUTH MENTORING AND ARTS ENRICHMENT DUBUQUE HUMANE SOCIETY 175 N CRESCENT RDG DUBUQUE IA 52003 426039535 501(C)(3) 26440 PUBLIC SERVICE DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 501(C)(3) 24900 HEALTH DUBUQUE MUSEUM OF ART 701 LOCUST STREET DUBUQUE IA 52001 421071185 501(C)(3) 20680 LECTURE SERIES, ARTS AND CULTURE DUBUQUE RESCUE MISSION 398 MAIN STREET DUBUQUE IA 52001 420844836 501(C)(3) 16660 HUMAN SERVICE DUBUQUE SYMPHONY ORCHESTRA 2728 ASBURY RD DUBUQUE IA 520012970 237429727 501(C)(3) 68450 ARTS AND CULTURE FLAMES OF LOVE INTERNATIONAL MINISTRIES 405 DEVARGAS EL PASO TX 79905 742374868 501(C)(3) 28000 RELIGION FOUR MOUNDS FOUNDATION 4900 PERU ROAD DUBUQUE IA 52001 421265303 501(C)(3) 9340 COMMUNITY DEVELOPMENT FULTON ELEMENTARY SCHOOL 2540 CENTRAL AVE DUBUQUE IA 52001 426001531 501(C)(3) 14300 EDUCATIONAL GUTTENBERG MUNICIPAL HOSPITAL 200 MAIN STREET GUTTENBERG IA 520520550 426038728 501(C)(3) 25000 HEALTH HILLCREST FAMILY SERVICES 2005 ASBURY RD DUBUQUE IA 52001 420680411 501(C)(3) 18915 TRANSITIONAL HOUSING SUPPORT HILLS AND DALES CHILD DEVELOPMENT CENTER 1011 DAVIS ST DUBUQUE IA 52001 421388270 501(C)(3) 14810 HUMAN SERVICES HOLY FAMILY CATHOLIC SCHOOLS 2005 KANE ST DUBUQUE IA 520010538 420792429 501(C)(3) 59140 EDUCATIONAL HOSPICE OF DUBUQUE 1670 JOHN F KENNEDY RD DUBUQUE IA 52002 421205973 501(C)(3) 39532 HUMAN SERVICES LORAS COLLEGE PO BOX 178 DUBUQUE IA 520040178 420680412 501(C)(3) 194720 EDUCATIONAL MARYKNOLL FATHERS PO BOX 302 MARYKNOLL NY 10545 131740144 501(C)(3) 10000 RELIGION INTERNATIONAL MULTI-CULTURAL FAMILY CENTER 1157 CENTRAL AVENUE DUBUQUE IA 52001 270751743 501(C)(3) 26114 HUMAN SERVICES OPENING DOORS (MARIA HOUSE & TERESA SHELTER) 1561 JACKSON ST DUBUQUE IA 520014904 421490364 501(C)(3) 13431 HUMAN SERVICES PROJECT CONCERN 1789 ELM ST B DUBUQUE IA 52001 421298833 501(C)(3) 633147 HUMAN SERVICES RIVERVIEW CENTER INC 2600 DODGE ST DUBUQUE IA 52003 363920008 501(C)(3) 17846 VIOLENCE PREVENTION EDUCATION SHALOM RETREAT CENTER 1001 DAVIS ST DUBUQUE IA 52001 420757421 501(C)(3) 16000 HUMAN SERVICES SOLIDARITY BRIDGE 1577 FLORENCE AVE EVANSTON IL 60201 364481213 501(C)(3) 16000 HEALTH ST JOHN'S LUTHERAN CHURCH 203 PEARL ST GUTTENBERG IA 52052 421522040 501(C)(3) 9600 RELIGION ST MARK COMMUNITY CENTER 1201 LOCUST STREET DUBUQUE IA 52001 421338364 501(C)(3) 20669 YOUTH DEVELOPMENT ST PATRICK SCHOOL 200 2ND ST SW WAUKON IA 52172 420698115 501(C)(3) 11480 EDUCATIONAL TWO BY TWO CAMPUS INC 620 S GRANDVIEW AVENUE DUBUQUE IA 52003 203437767 501(C)(3) 58800 EDUCATIONAL WAUKON WELLNESS CENTER 1220 3RD AVENUE NW STE 101 WAUKON IA 52172 426005340 501(C)(3) 7810 HEALTH ABUNDANT LIVING FAITH CENTER 2140 N ZARAGOSA 140 EL PASO TX 79938 237454799 501(C)(3) 20000 RELIGION ALBRECHT ACRES 14837 SHERRILL ROAD SHERRILL IA 52073 421125110 501(C)(3) 9480 HUMAN SERVICES ALLAMAKEE COUNTY PO BOX 278 HARPERS FERRY IA 52146 426005341 6000 PUBLIC SERVICESPORTS EDUCATION ARCHDIOCESE OF DUBUQUE 1229 MT LORETTA AVENUE DUBUQUE IA 52002 420680409 501(C)(3) 20700 RELIGION BECKMAN HIGH SCHOOL 1325 9TH ST SE DYERSVILLE IA 52040 420923753 501(C)(3) 11350 EDUCATIONAL BETHANY HOME 1005 LINCOLN AVENUE DUBUQUE IA 52001 420698260 501(C)(3) 11300 HUMAN SERVICES CAMP COURAGEOUS OF IOWA 12007 190TH STREET MONTICELLO IA 523100418 237210932 501(C)(3) 7203 HUMAN SERVICES CITY OF DUBUQUE LEISURE SERVICES 2200 BUNKER HILL DUBUQUE IA 52001 426004596 40500 PUBLIC SERVICE CITY OF POSTVILLE 147 N LAWLER STREET POSTVILLE IA 52162 426005131 6000 PUBLIC SERVICE DUBUQUE COUNTY HISTORICAL SOCIETY 350 E THIRD STREET DUBUQUE IA 52001 426072050 501(C)(3) 38839 EDUCATIONAL FOUR OAKS OF DUBUQUECORNERSTONE 180 W 15TH STREET DUBUQUE IA 520014809 420998726 501(C)(3) 7000 YOUTH DEVELOPMENT GRAND OPERA HOUSE 135 WEST 8TH STREET DUBUQUE IA 52001 421133812 501(C)(3) 7171 ARTS AND CULTURE IOWA JAG INC 400 E 14TH STREET DES MOINES IA 50319 421492988 501(C)(3) 7500 EDUCATIONAL NORTHEAST IOWA COUNCIL #178 BOY SCOUTS OF AMERICA 10601 MILITARY ROAD DUBUQUE IA 52004 420680414 501(C)(3) 6530 YOUTH DEVELOPMENT PRESENTATION LANTERN 1584 WHITE STREET DUBUQUE IA 52001 134224124 501(C)(3) 6850 HEALTH SISTERS OF ST FRANCIS 3390 WINDSOR AVENUE DUBUQUE IA 52001 420754210 501(C)(3) 24000 RELIGION ST CLEMENTS CATHOLIC CHURCH 537 FAIRFIELD STAMFORD CT 06902 060653079 501(C)(3) 6584 RELIGION STONEHILL FRANCISCAN SERVICES 3485 WINDSOR AVENUE DUBUQUE IA 52001 510141775 501(C)(3) 17300 HUMAN SERVICES STONEHILL BENEVOLENT FOUNDATION 3485 WINDSOR AVENUE DUBUQUE IA 52001 421337556 501(C)(3) 19510 HUMAN SERVICES UNIVERSITY OF DUBUQUE 2000 UNIVERSITY AVENUE DUBUQUE IA 52001 420680323 501(C)(3) 10000 EDUCATIONAL HONOR FLIGHT INC 300 E AUBURN AVE SPRINGFIELD OH 45505 202751460 501(C)(3) 127032 TRAVEL ASSISTANCE FOR VETERANS TO VISIT THE WASHINGTON MEMORIALS GREELEY FIREMEN'S ASSOCIATION PO BOX 164 GREELEY IA 52050 452541031 501(C)(3) 157117 PUBLIC SERVICE DUBUQUE COMMUNITY SCHOOL DISTRICT 2300 CHANEY ROAD DUBUQUE IA 52001 426001531 18000 EDUCATIONAL CASTLE THEATRE INC 112 E MAIN MANCHESTER IA 52057 270555602 501(C)(3) 10000 ARTS AND CULTURE CATHOLIC WORKER HOUSE 1592 LOCUST STREET DUBUQUE IA 52001 421453549 501(C)(3) 17000 HUMAN SERVICES CITY OF HARPERS FERRY PO BOX 250 HARPERS FERRY IA 52146 421076054 8290 PUBLIC SERVICE COMMUNITY FOUNDATION OF GREAT RIVER BEND 852 MIDDLE RD SUITE 100 BETTENDORF IA 52722 426122716 501(C)(3) 22500 COMMUNITY SERVICE COMMUNITY FOUNDATION OF NORTHWEST MISSISSIPPI 315 LOSCHER STREET SUITE 100 HERNANDO MS 38632 943421724 501(C)(3) 10000 COMMUNITY SERVICE DUBUQUE ARBORETUM 3800 ARBORETUM DR DUBUQUE IA 52001 421160989 501(C)(3) 7611 PUBLIC SERVICE DUBUQUE AREA LABOR HARVEST 423 WEST LOCUST DUBUQUE IA 52001 421321098 501(C)(3) 10000 HUMAN SERVICES DUBUQUE INITIATIVE INC 50 W 13TH STREET DUBUQUE IA 52004 421165790 501(C)(3) 100000 PUBLIC SERVICE DURIDE 2728 ASBURY ROAD DUBUQUE IA 52001 262988507 501(C)(3) 6400 PUBLIC SERVICE FRIENDS OF THE DUBUQUE COUNTY CONSERVATION BOARD INC 13606 SWISS VALLEY ROAD PEOSTA IA 52068 201592158 501(C)(3) 5525 PUBLIC SERVICE GALENA ART AND RECREATION CENTER 413 S BENCH STREET GALENA IL 61036 362616288 501(C)(3) 13370 ARTS AND CULTURE GREATER DELAWARE COUNTY COMMUNITY FOUNDATION 217 N FRANKLIN STREET MANCHESTER IA 52057 421045184 501(C)(3) 5500 COMMUNITY SERVICE HARPERS FERRY COMMUNITY BOOSTERS 148 N GREELEY AVENUE HARPERS FERRY IA 52146 411468341 501(C)(3) 8000 COMMUNITY PROMOTION INITIATIVE FOUNDATION 405 1ST STREET SE LITTLE FALLS MN 56345 363451562 501(C)(3) 35000 COMMUNITY DEVELOPMENT JO DAVIESS CONSERVATION FOUNDATION 126 NORTH MAIN STREET ELIZABETH IL 61028 363913497 501(C)(3) 5350 CONSERVATION JONES REGIONAL MEDICAL CENTER 1795 HWY 64 EAST ANAMOSA IA 52205 421487967 501(C)(3) 10000 HEALTH JUNIOR ACHIEVEMENT OF EASTERN IOWA INC 324 3RD STREET SE CEDAR RAPIDS IA 52401 420919209 501(C)(3) 5300 EDUCATIONAL JUNIOR ACHIEVEMENT OF THE HEARTLAND INC 800 12TH AVENUE MOLINE IL 61265 362684253 501(C)(3) 5970 EDUCATIONAL LUTHER MANOR 3131 HILLCREST ROAD DUBUQUE IA 52001 420713635 501(C)(3) 5480 HUMAN SERVICES LUTHERAN SERVICES IN IOWA 203 HAMILTON STREET ANAMOSA IA 52205 420698267 501(C)(3) 9500 HUMAN SERVICES ST CROIX VALLEY FOUNDATION 516 2ND STREET STE 214 HUDSON WI 54016 411817315 501(C)(3) 25000 COMMUNITY SERVICE ST JOSEPH CHILDCARE CENTER 321 MARY STREET EARLVILLE IA 52041 420745989 501(C)(3) 11730 EARLY CHILDHOOD EDUCATION ST JOSEPH THE WORKER CATHOLIC CHURCH 60 SOUTH ALGONA STREET DUBUQUE IA 52041 420698063 501(C)(3) 19300 HUMAN SERVICES ST MARY'S CATHOLIC CHURCH 1200 EAST MAIN STREET PAHOKEE FL 33476 592438903 501(C)(3) 6959 RELIGION THE MOLINE FOUNDATION 817 11TH AVENUE MOLINE IL 61265 366036867 501(C)(3) 22500 COMMUNITY SERVICE WEST DELAWARE COMMUNITY SCHOOL DISTRICT 701 NEW STREET MANCHESTER IA 52057 426037588 14830 EDUCATIONAL WESTMINSTER PRESBYTERIAN CHURCH 2155 UNIVERSITY AVENUE DUBUQUE IA 52001 420680324 501(C)(3) 15000 RELIGION WILDWOOD HILLS RANCH AND CONFERENCE CENTER 3000 ST CHARLES ROAD ST CHARLES IA 50240 421517411 501(C)(3) 22200 AT-RISK YOUTH DEVELOPMENT YWCA DOMESTIC VIOLENCE PROGRAM 35 NORTH BOOTH STREET DUBUQUE IA 52004 420934471 501(C)(3) 10000 HUMAN SERVICES 85 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: APPLICATIONS FOR GRANTS MUST BE SUBMITTED BY ORGANIZATIONS. FROM THE APPLICATIONS SUBMITTED, A COMMITTEE OF THE BOARD WILL DECIDE TO WHICH ORGANIZATIONS GRANTS WILL BE AWARDED. THE UNRESTRICTED FUND IS A FUND FROM WHICH INCOME AND/OR PRINCIPAL MAY BE DISTRIBUTED TO CHARITIES DESIGNATED AS 501(C)(3) ORGANIZATIONS. PRINCIPAL MAY BE DISTRIBUTED TO CHARITIES DESIGNATED AS 501(C)(3) ORGANIZATIONS AND TO QUALIFIED CHARITABLE CAUSES AND CONCERNS. THE BOARD OF DIRECTORS RETAINS COMPLETE DISCRETION AS TO THE SELECTION OF GRANTEES AND PROGRAMS TO RECEIVE HELP FROM SUCH A FUND, AND IN MEETING EMERGING AND PRIORITY COMMUNITY NEEDS AND OPPORTUNITIES. THE FIELD OF INTEREST FUND IS A FUND FROM WHICH INCOME AND/OR PRINCIPAL MAY BE DISTRIBUTED TO CHARITIES DESIGNATED AS 501(C)(3) ORGANIZATIONS OR TO GROUPS WITH POTENTIAL FOR ACHIEVING 501(C)(3) STATUS WHICH PROVIDE SERVICES IN A SPECIFIED FIELD OR FIELDS OF CHARITABLE ACTIVITY, SUCH AS ARTS AND CULTURE, COMMUNITY AFFAIRS AND DEVELOPMENT, EDUCATION, ENVIRONMENT, HEALTH, HISTORIC PRESERVATION, AND HUMAN SERVICES. THE BOARD OF DIRECTORS OF THE FOUNDATION SHALL EXERCISE COMPLETE DISCRETION IN IDENTIFYING FUNDING OPPORTUNITIES AND SELECTING GRANTEES WITHIN THE SPECIFIED FIELDS OF INTEREST. DESIGNATED FUNDS ARE FUNDS FROM WHICH INCOME AND/OR PRINCIPAL IS DISTRIBUTED BY THE BOARD OF DIRECTORS OF THE FOUNDATION TO 501(C)(3) CHARITIES NAMED OR SPECIFIED BY THE DONOR(S) AT THE TIME THE FUND IS ESTABLISHED. AGENCY ENDOWMENT FUNDS ARE FUNDS THAT MAY BE ESTABLISHED BY IRS 501(C)(3) ORGANIZATIONS FROM WHICH INCOME AND/OR PRINCIPAL MAY BE DISTRIBUTED BY THE BOARD OF DIRECTORS OF THE FOUNDATION FOR THE PARTICULAR ORGANIZATION'S OWN BENEFIT. DONOR ADVISED FUNDS ARE FUNDS FROM WHICH INCOME AND/OR PRINCIPAL IS DISTRIBUTED BY THE BOARD OF DIRECTORS TO 501(C)(3) CHARITIES IN RESPONSE TO RECOMMENDATIONS MADE BY THE DONOR, THE DONOR'S FAMILY, OR AN ADVISOR. IN ACCORDANCE WITH INTERNAL REVENUE CODE REQUIREMENTS, HOWEVER, SUCH RECOMMENDATIONS ARE ADVISORY ONLY AND NOT BINDING ON THE BOARD OF DIRECTORS OF THE FOUNDATION. X 13 167042 QUOTED MARKET PRICE X IRA 9 201867 MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 JOHN O'CONNOR AND WILLIAM KLAUER HAVE A BUSINESS RELATIONSHIP. JOHN O'CONNOR AND DONNELLE FUERSTE HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY BUT NOT IN ITS ENTIRETY. THE PRESIDENT/CEO AND FINANCE DIRECTOR REVIEW THE 990. FORM 990, PART VI, SECTION B, LINE 12C ANY MEMBER OF THE FOUNDATION'S STAFF, BOARD OF DIRECTORS, AND OFFICERS MUST COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIR OF THE FOUNDATION AND THE EXECUTIVE DIRECTOR REVIEW THE SIGNED STATEMENTS. ANY POSSIBLE CONFLICTS ARE BROUGHT TO THE BOARD'S ATTENTION. ANY MEMBER OF THE BOARD OF DIRECTORS WHO IS CONNECTED WITH A PROSPECTIVE GRANT RECIPIENT IN ANY OFFICIAL CAPACITY SHALL ABSTAIN FROM VOTING ON THE PROPOSED GRANT. THIS ABSTENTION SHALL BE RECORDED IN THE MINUTES OF THE MEETING AT WHICH SUCH VOTE OCCURS. IF, BECAUSE OF SUCH ABSTENTIONS AT ANY SUCH MEETING OF THE BOARD OF DIRECTORS, A PARTICULAR GRANT WOULD FAIL FOR LACK OF A MAJORITY VOTE, SUCH A GRANT COULD BE MADE IF APPROVED IN WRITING BY AN ABSENT BUT DISINTERESTED MEMBER OR MEMBERS WITHIN A REASONABLE TIME AFTER THE DIRECTORS' MEETING AT WHICH THE GRANT PROPOSAL WAS FIRST CONSIDERED. IF A SITUATION SHOULD ARISE IN WHICH A MAJORITY OF DIRECTORS WOULD BE DISQUALIFIED FROM VOTING ON A GRANT PROPOSAL BECAUSE OF THE FOUNDATION'S CONFLICT OF INTEREST POLICY, THE BOARD MAY, AFTER FULL DISCLOSURE OF THE POTENTIAL CONFLICT AND BY MAJORITY AFFIRMATIVE VOTE, SUSPEND THE CONFLICT OF INTEREST POLICY AND PROCEED TO MAKE THE GRANT. ALL DISCUSSION AND ACTION WITH RESPECT TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL BE ENTERED INTO THE MINUTES OF THE MEETINGS WHERE SUCH ACTION TAKES PLACE. IT IS THE PRACTICE OF THE COMMUNITY FOUNDATION TO BUILD A WRITTEN RECORD OF ANY SPECIAL RELATIONSHIPS BETWEEN PROSPECTIVE GRANTEES AND DIRECTORS, STAFF, OR THE FAMILY MEMBERS OF EITHER DIRECTORS OR STAFF FOR THE PURPOSE OF DOCUMENTING THE FACTUAL RECORD AND ENABLING FULL DISCLOSURE TO ALL DIRECTORS. SUCH RECORD SHALL BE KEPT WITH THE PERMANENT MINUTES OF THE BOARD PROCEEDINGS. ANY PERSON HAVING KNOWLEDGE OF ANY ACTION OR CONDUCT IN VIOLATION OF THE POLICIES SHOULD REPORT THE INFORMATION TO THE CHAIR OF THE FOUNDATION BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION FOR THE PRESIDENT/CEO. SALARY ADJUSTMENTS ARE BASED ON AN ANNUAL EVALUATION AND COMPARABILITY DATA. THE ORGANIZATION DOCUMENTS AND PROVIDES SUBSTANTIATION FOR THE COMPENSATION PROCESS. THE COMPENSATION PROCESS WAS LAST COMPLETED IN FY 2012. THE PRESIDENT/CEO DETERMINES THE COMPENSATION FOR THE DIRECTOR OF FINANCE. SALARY ADJUSTMENTS ARE BASED ON AN ANNUAL EVALUATION AND COMPARABILITY DATA. THE ORGANIZATION DOCUMENTS AND PROVIDES SUBSTANTIATION FOR THE COMPENSATION PROCESS. THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VII, SECTION A: THE FOLLOWING INDIVIDUAL DEVOTED TIME PROVIDING SERVICES TO THE FOLLOWING RELATED ORGANIZATIONS. CFGD REAL ESTATE, LLC NANCY VAN MILLIGEN 1 HOUR PER WEEK CFGD CHARITABLE TRUST NANCY VAN MILLIGEN <1 HOUR PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,411,320. INVESTMENT EXPENSES: -41,976. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 8,665. TOTAL TO FORM 990, PART XI, LINE 5: -1,444,631. CFGD REAL ESTATE LLC 700 LOCUST STREET SUITE 195 DUBUQUE IA 52001 421526614 ASSIST COMMUNITY FOUNDATION OF GREATER DUBUQUE WITH CHARITABLE GIVING NEEDS IA 0 0 N/A CFGD CHARITABLE TRUST 700 LOCUST STREET STE 195 DUBUQUE IA 52001 356840681 SUPPPORT THE COMMUNITY FOUNDATION OF GREATER DUBUQUE IA 501(C)(3) LINE 11A, I COMMUNITY FOUNDATION OF GREATER DUBUQUE 1 LEO A AND JOY K MCCARTHY CHARITABLE LEAD ANNUITY TRUST 700 LOCUST STREET STE 195 DUBUQUE IA 52001 206408300 SUPPORT COMMUNITY FOUNDATION OF GREATER DUBUQUE IA N/A T 60000 218644 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 LEO A AND JOY K MCCARTHY CHARITABLE LEAD ANNUITY TRUST C 60000 ACTUAL AMOUNT RECEIVED