ANNE CARLSEN CENTER FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ANNE CARLSEN CENTER FOUNDATION (EIN 72-1524988)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349302486
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

FieldValueIRS element (for citing)
Timestamp2013-11-13T11:59:18-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721524988EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ANNE CARLSEN CENTER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlANNENameControl
Phone8005685175Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 3RD STREET NW BOX 8000AddressLine1
CityJAMESTOWNCity
StateNDState
ZIP Code58402ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERIC MONSONName
TitleCEOTitle
Phone8005685175Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameXIAOYAN LUOName
PTINP01305207PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIC MONSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1701 3RD STREET NW BOX 8000AddressLine1
CityJAMESTOWNCity
StateNDState
ZIP Code58402ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42638220GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ANNECENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE MISSION AND PURPOSE OF THE ANNE CARLSEN CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1590718ContributionsGrantsPriorYear
Contributions Grants Current Year1137738ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2384758InvestmentIncomePriorYear
Investment Income Current Year3262688InvestmentIncomeCurrentYear
Other Revenue Prior Year9246OtherRevenuePriorYear
Other Revenue Current Year32139OtherRevenueCurrentYear
Total Revenue Prior Year3984722TotalRevenuePriorYear
Total Revenue Current Year4432565TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year218309SalariesEtcPriorYear
Salaries Etc Current Year205347SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year19909TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY20152TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year716979TotalFundrsngExpCurrentYear
Other Expense Prior Year445943OtherExpensePriorYear
Other Expenses Current Year491480OtherExpensesCurrentYear
Total Expenses Prior Year684161TotalExpensesPriorYear
Total Expenses Current Year716979TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3300561RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3715586RevenuesLessExpensesCY
Total Assets BOY31719889TotalAssetsBOY
Total Assets EOY35863804TotalAssetsEOY
Total Liabilities BOY258376TotalLiabilitiesBOY
Total Liabilities EOY571531TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31461513NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35292273NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionTO SUPPORT THE MISSION AND PURPOSE OF THE ANNE CARLSEN CENTER SERVING CHILDREN AND ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. ANNE CARLSEN CENTER SERVES PEOPLE WITH COMPLEX MEDICAL AND BEHAVIORAL NEEDS. THE FOUNDATION SUPPORTS SPECIALIZED MEDICAL AND NURSING PERSONNEL IN THE PURSUIT OF EXEMPLARY OUTCOMES FOR CLIENTS. THE COMBINATION OF EDUCATION AND RESIDENTIAL SERVICES UNDER ONE ROOF ENSURES THE HIGHEST LEVEL OF INDEPENDENCE POSSIBLE AND A CONSISTENT AND ENRICHED EDUCATIONAL EXPERIENCE.Description
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALLAN HARTMANNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7012523850TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 3RD STREET NW BOX 8000AddressLine1
CityJAMESTOWNCity
StateNDState
ZIP Code58402ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PAT TRAYNOR
BOARD CHAIR2.002.00XX000
BRUCE ISERMAN
BOARD VICE CHAIR1.001.00XX000
PAT MCCULLOUGH
SECRETARY1.501.50XX000
HARVEY HUBER
TREASURER1.501.50XX000
TIM FLAKOLL
BOARD MEMBER1.001.00X000
JOEL FREMSTAD
BOARD MEMBER1.001.00X000
ROBERT MONTGOMERY
BOARD MEMBER1.001.00X000
SUE OFFUTT
BOARD MEMBER1.001.00X000
THOMAS ROHLEDER
BOARD MEMBER1.001.00X000
JANET SEAWORTH
BOARD MEMBER1.001.00X000
REESA WEBB
BOARD MEMBER1.001.00X000
ERIC MONSON
CEO10.0040.00X018797324207
JUDY KULLA
CFO10.0040.00X010347412400
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs291447TotalReportableCompFrmRltdOrgs
Total Other Compensation36607TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events17186FundraisingEvents
All Other Contributions1120552AllOtherContributions
Noncash Contributions975NoncashContributions
Total Contributions1137738TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1299505TotalRevenueColumn
Exclusion$1,299,505ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40143757Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities38180574Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1963183Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1963183TotalRevenueColumn
Exclusion$1,963,183ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events57220GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events17186CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses25081FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column32139TotalRevenueColumn
Exclusion$32,139ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4432565TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,294,827ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total165314Total
Fundraising165314Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2153Total
Fundraising2153Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25310Total
Fundraising25310Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12570Total
Fundraising12570Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total20152Total
Fundraising20152Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total200619Total
Fundraising200619Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42062Total
Fundraising42062Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29608Total
Fundraising29608Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18381Total
Fundraising18381Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total10798Total
Fundraising10798Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total80598Total
Fundraising80598Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
ALLOCATION OF CENTER EX9161691616
EQUIPMENT37863786
STAFF DEVELOPMENT817817

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13195Total
Fundraising13195Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total716979Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising716979Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4020471BOY
EOY9613439EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY147090BOY
EOY177159EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34549LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY34549EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY24159602BOY
EOY19238958EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3392726BOY
EOY6799699EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31719889BOY
EOY35863804EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY96827BOY
EOY434326EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY161549BOY
EOY137205EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY258376BOY
EOY571531EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26860592BOY
EOY30173986EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1066097BOY
EOY1250951EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3534824BOY
EOY3867336EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31461513BOY
EOY35292273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31719889BOY
EOY35863804EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3715586ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-276345ReconciliationUnrealizedInvest
Reconcilation Other Changes391519ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1441144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1731530CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1590718CurrentTaxYearMinus1Year
Current Tax Year1137738CurrentTaxYear
Total7035912Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1441144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1134782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1731530CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1590718CurrentTaxYearMinus1Year
Current Tax Year1137738CurrentTaxYear
Total7035912Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total182108AmountsSubstContributorsTotal
Public Support Total1706853804PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years727013CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years645500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1172101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1634692CurrentTaxYearMinus1Year
Current Tax Year1299505CurrentTaxYear
Total5478811Total
FieldValueIRS element (for citing)
Total Support12514723TotalSupport
Gross Receipts From Admissions Etc148598GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.54770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.49970PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1173971BeginningOfYearBalance
Contributions15000Contributions
Investment Earnings Or Losses90948InvestmentEarningsOrLosses
End Of Year Balance1279919EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1206731BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses-37660InvestmentEarningsOrLosses
Administrative Expenses100AdministrativeExpenses
End Of Year Balance1173971EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance957049BeginningOfYearBalance
Contributions10000Contributions
Investment Earnings Or Losses239682InvestmentEarningsOrLosses
End Of Year Balance1206731EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.75150PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.24850TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis34549InvestmentCostOrOtherBasis
Book Value34549BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34549TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TRUST INTERESTS3724349F
HEDGE: DIVERSIFIED/MULTI-STRATEGY1703720F
PRIVATE EQUITY FUNDS756945F
REITS614685F
FieldValueIRS element (for citing)
Total Of Book Value Securities6799699TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITIES PAYABLEDescription
Amount$137,205Amount
FieldValueIRS element (for citing)
Total Of Amounts137205TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF ANNE CARLSEN CENTER.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2012, 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 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1BBS & ASSOCIATESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1130 SPRINGSIDE DRIVE 200AddressLine1
CityAKRONCity
StateOHState
ZIP Code44333ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISING CONSULTATIONActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts130900GrossReceipts
Amount Retained By Contractor20152AmountRetainedByContractor
Net To Organization110748NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts130900TotalGrossReceipts
Total Retained By Contractors20152TotalRetainedByContractors
Total Net To Organization110748TotalNetToOrganization
Licensed StatesMNLicensedStates
Licensed StatesNDLicensedStates
Licensed StatesWALicensedStates
Licensed StatesWILicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event126850GrossReceiptsEvent1
Charitable Contributions Event18060CharitableContributionsEvent1
Gross Revenue Event118790GrossRevenueEvent1
Non Cash Prizes Event12000NonCashPrizesEvent1
Rent Facility Costs Event15176RentFacilityCostsEvent1
Food And Beverage Event12292FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event17639OtherDirectExpensesEvent1
Name Of Event2GIVING HEARTS DAYNameOfEvent2
Gross Receipts Event235285GrossReceiptsEvent2
Gross Revenue Event235285GrossRevenueEvent2
Food And Beverage Event258FoodAndBeverageEvent2
Other Direct Expenses Event23029OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events12271GrossReceiptsOtherEvents
Charitable Contrib Other Events9126CharitableContribOtherEvents
Gross Revenue Other Events3145GrossRevenueOtherEvents
Entertainment Other Events3000EntertainmentOtherEvents
Other Direct Expenses Other Events1887OtherDirectExpensesOtherEvents
Gross Receipts Total74406GrossReceiptsTotal
Charitable Contributions Total17186CharitableContributionsTotal
Gross Revenue Total Events57220GrossRevenueTotalEvents
Non Cash Prizes Total Events2000NonCashPrizesTotalEvents
Rent Facility Costs Total Events5176RentFacilityCostsTotalEvents
Food And Beverage Total Events2350FoodAndBeverageTotalEvents
Entertainment Total Events3000EntertainmentTotalEvents
Other Direct Expenses Total Events12555OtherDirectExpensesTotalEvents
Direct Expense Summary Events25081DirectExpenseSummaryEvents
Net Income Summary32139NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonERIC MONSONNamePerson
TitleCEOTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs164273CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs23700BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs6809DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs17398NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs212180TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationSCHEDULE J, 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE 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 6THE FOUNDATION'S SOLE MEMBER IS ANNE CARLSEN CENTER.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11THE 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 12CTHE 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 19THE 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 391,519.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ANNE CARLSEN CENTER
701 3RD STREET NE BOX 8000JAMESTOWNND58402870694180EDUCATIONAL, RESIDENTIAL, MEDICAL AND THERAPY SERVICES FOR CHILDRENND501(C)(3)LINE 2N/A0
NIERLING ANNE CARLSEN CENTER TRUST
701 3RD STREET NE BOX 8000JAMESTOWNND58402912004887PRIVATE FOUNDATIONND501(C)(3)PF0ANNE CARLSEN CENTER

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PERPETUAL TRUSTS (2)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 3RD STREET NW BOX 8000AddressLine1
CityJAMESTOWNCity
StateNDState
ZIP Code58402ZIPCode
FieldValueIRS element (for citing)
Primary ActivityINVESTMENTPrimaryActivity
Legal Domicile StateNDLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityTTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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