BERTHA STEBENS CHARITABLE FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BERTHA STEBENS CHARITABLE FOUNDATION (EIN 42-1280907)
Tax period: 2012-08-01 to 2013-07-31
Filed: 2013-09-11
IRS object ID: 201322549349100017
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
Form 990-PF
Accounting Fees Schedule
Depreciation Schedule
General Explanation Attachment
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Govt Obligations Sch
Investments Land Schedule2
Investments Other Schedule2
Other Expenses Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-11T16:13:41-05:00	Timestamp
Tax Period End Date	2013-07-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	420714325	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	10 NO WASHINGTON AVE 200	AddressLine1
City	MASON CITY	City
State	IA	State
ZIP Code	50401	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-08-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	421280907	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BERTHA STEBENS CHARITABLE FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BERT	NameControl
Phone	6414231913	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	119 SECOND SREET NW	AddressLine1
City	MASON CITY	City
State	IA	State
ZIP Code	50401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	HAL WINSTON	Name
Title	DIRECTOR	Title
Phone	6414231913	Phone
Date Signed	2013-08-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	RANDY R DAVIS	Name
PTIN	P00042153	PTIN
Phone	6414235114	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	3477506	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Dividends Rev And Expnss	39359	DividendsRevAndExpnss
Dividends Net Invst Incm	39359	DividendsNetInvstIncm
Gross Rents Rev And Expnss	149508	GrossRentsRevAndExpnss
Gross Rents Net Invst Incm	149508	GrossRentsNetInvstIncm
Net Rental Income Or Loss	144414	NetRentalIncomeOrLoss
Net Gain Sale Assets Rev And Expnss	-3116	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	103417	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	0	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	185751	TotalRevenueAndExpenses
Total Net Investment Income	188867	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	38198	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	28648	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	9550	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	3465	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	2599	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	866	AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss	7141	OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm	5356	OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps	1785	OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss	2814	TaxesRevAndExpnss
Taxes Net Invst Incm	0	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	0	TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss	4885	DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm	4885	DeprecAndDepletionNetInvstIncm
Other Expenses Rev And Expnss	924	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	397	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	527	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	57427	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	41885	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	12728	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	136940	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	136940	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	194367	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	41885	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	149668	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-8616	ExcessOfRevenueOverExpenses
Net Investment Income	146982	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	-8698	CashBOY
Cash EOY	28	CashEOY
Cash EOYFMV	28	CashEOYFMV
Savings And Temp Cash Invst BOY	10271	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	1343	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	1343	SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY	32778	InvestmentsGovtObligBOY
Investments Govt Oblig EOY	30648	InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV	32258	InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY	247891	InvestmentsCorpStockBOY
Investments Corp Stock EOY	254636	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	324010	InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY	248254	InvestmentsCorpBondsBOY
Investments Corp Bonds EOY	194616	InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV	190109	InvestmentsCorpBondsEOYFMV
Investments Land Etc Basis	462910	InvestmentsLandEtcBasis
Accum Deprec Investments Land Etc	71225	AccumDeprecInvestmentsLandEtc
Investments Land Etc BOY	351076	InvestmentsLandEtcBOY
Investments Land Etc EOY	391685	InvestmentsLandEtcEOY
Investments Land Etc EOYFMV	2757000	InvestmentsLandEtcEOYFMV
Investments Other BOY	212207	InvestmentsOtherBOY
Investments Other EOY	212207	InvestmentsOtherEOY
Investments Other EOYFMV	172758	InvestmentsOtherEOYFMV
Total Assets BOY	1093779	TotalAssetsBOY
Total Assets EOY	1085163	TotalAssetsEOY
Total Assets EOYFMV	3477506	TotalAssetsEOYFMV
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	0	CapitalStockBOY
Capital Stock EOY	0	CapitalStockEOY
Paid In Or Capital Surplus BOY	0	PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY	0	PaidInOrCapitalSurplusEOY
Retained Earnings BOY	1093779	RetainedEarningsBOY
Retained Earnings EOY	1085163	RetainedEarningsEOY
Total Net Assets BOY	1093779	TotalNetAssetsBOY
Total Net Assets EOY	1085163	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	1093779	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	1085163	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	1093779	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-8616	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	1085163	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	1085163	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (23 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
DUKE REALTY CORP	P	1998-11-17	2013-07-09	6194	10675	-4481	-4481
PRINC FHLMC 9.0	P			37	37	0	0
PRINC FHLMC 7.0	P			157	160	-3	-3
PRINC FHLMC 8.0	P			114	114	0	0
PRINC FED NATL MTGE 7.5	P			134	132	2	2
PRINC FED NATL MTGE 7.7	P			494	485	9	9
PRINC GOVT NATL MTG 9.0	P			18	17	1	1
PRINC GOVT NATL MTG 9.5	P			61	61	0	0
BANK OF AM 6.375	P	2007-08-21	2012-10-15	14000	13810	190	190
BANK OF AM 6.3	P	2006-02-23	2012-11-15	10000	10000	0	0
BANK OF AM 6.0	P	2005-10-18	2012-08-15	15000	15000	0	0
FED NATL MTG ASN 6.75	P	1996-11-15	2013-02-26	1000	960	40	40
GEN ELEC CAP 6.2	P	2007-04-10	2012-10-15	10000	10000	0	0
GEN ELEC CAP 6.15	P	2010-02-09	2012-12-15	15000	15000	0	0
GEORGIA POWER 6.05	P	2007-12-10	2012-12-01	20000	19601	399	399
SEARS ROEBUCK 7.5	P	2003-03-19	2012-12-15	10000	9892	108	108
TEMPLETON GLOBAL INC-CAP GAIN	P			8		8	8
PRINC LEHMAN BROS	P			449	449	0	0
PRINC FHLMC 8.0	P			113	113	0	0
PRINC GOVT NATL MTG 9.0	P			5	5	0	0
PRINC GOVT NATL MTG 10.5	P			2	2	0	0
PRINC GOVT NATL MTG 9.5	P			20	20	0	0
CAPITAL GAINS DIVIDENDS	P			611		611	611

Field	Value	IRS element (for citing)
Capital Gain Net Income	-3116	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	163006	QualifyingDistributionsYear1
Noncharitable Assets Year1	3489678	NoncharitableAssetsYear1
Distribution Ratio Year1	0.046711	DistributionRatioYear1
Qualifying Distributions Year2	130875	QualifyingDistributionsYear2
Noncharitable Assets Year2	2422865	NoncharitableAssetsYear2
Distribution Ratio Year2	0.054017	DistributionRatioYear2
Qualifying Distributions Year3	116515	QualifyingDistributionsYear3
Noncharitable Assets Year3	2113844	NoncharitableAssetsYear3
Distribution Ratio Year3	0.055120	DistributionRatioYear3
Qualifying Distributions Year4	148317	QualifyingDistributionsYear4
Noncharitable Assets Year4	2086750	NoncharitableAssetsYear4
Distribution Ratio Year4	0.071076	DistributionRatioYear4
Qualifying Distributions Year5	117169	QualifyingDistributionsYear5
Noncharitable Assets Year5	2321678	NoncharitableAssetsYear5
Distribution Ratio Year5	0.050467	DistributionRatioYear5
Total Distribution Ratio	0.277391	TotalDistributionRatio
Average Distribution Ratio	0.055478	AverageDistributionRatio
Net Noncharitable Assets	3497812	NetNoncharitableAssets
Adjusted Noncharitable Assets	194052	AdjustedNoncharitableAssets
One Percent Net Investment Income	1470	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	195522	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	149668	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	2940	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	2940	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	2940	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	2640	EstTaxPaymentsAndOverpayment
Total Credits And Payments	2640	TotalCreditsAndPayments
Form2220 Attached	X	Form2220Attached
Tax Due	300	TaxDue

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	0	LegislativePoliticalActivities
More Than100 Spent	0	MoreThan100Spent
Form1120 POL Filed	0	Form1120POLFiled
Sect4955 Tax On Organization	0	Sect4955TaxOnOrganization
Sect4955 Tax On Managers	0	Sect4955TaxOnManagers
Reimbursement Of Tax	0	ReimbursementOfTax
Activities Not Prev Reported	0	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	0	UnrelatedBusIncomeOver1000
Termination Etc	0	TerminationEtc
Requirements Of Sect508e	1	RequirementsOfSect508e
At Least5000 In Assets	1	AtLeast5000InAssets
States Filed With	IA	StatesFiledWith
Form990 PF Filed With AG	1	Form990PFFiledWithAG
Private Operating Foundation	0	PrivateOperatingFoundation
New Substantial Contributors	0	NewSubstantialContributors
Interest In Controlled Entity	0	InterestInControlledEntity
Applicable Insurance Contract	0	ApplicableInsuranceContract
Comply With Public Inspection Rqr	1	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	HAROLD R WINSTON	BooksInCareOfPersonName
Books In Care Of Phone Number	6414231913	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	119 2ND STREET	AddressLine1
City	MASON CITY	City
State	IA	State
ZIP Code	50401	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	0	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	0	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	0	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	0	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	1	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	0	TransferAssetsToDsqflyPerson
Payment To Government Offical	0	PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions	0	ActsFailToQualifyAsExceptions
Uncorrected Prior Acts	0	UncorrectedPriorActs
Undistributed Income Prior Years	0	UndistributedIncomePriorYears
Business Holdings	0	BusinessHoldings
Jeopardy Investments	0	JeopardyInvestments
Uncorrected Jeopardy Investments	0	UncorrectedJeopardyInvestments
Influence Legislation	0	InfluenceLegislation
Influence Election	0	InfluenceElection
Grants To Individuals	0	GrantsToIndividuals
Grants To Organizations	0	GrantsToOrganizations
Noncharitable Purpose	0	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	0	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	0	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	0	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
HAROLD R WINSTON SEE GENL EXPLNTN
119 2ND ST NW	MASON CITY	IA	50401	SECRETARY/DIRECTOR	3.50	33198	0	0
GARY BLODGETT
1225 NORTH SHORE DRIVE	CLEAR LAKE	IA	50428	PRESIDENT/DIRECTOR	0.60	2500	0	0
GREGORY C NICHOLAS
2601 FOURTH ST SW	MASON CITY	IA	50401	TREASURER/DIRECTOR	0.60	2500	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

Field	Value	IRS element (for citing)
Description1	NONE	Description1
Expenses1	0	Expenses1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Description1	NONE	Description1
Amount1	0	Amount1
Total	0	Total

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	721568	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	72510	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	2757000	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	3551078	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	3551078	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	53266	CashDeemedCharitable
Net Noncharitable Assets	3497812	NetNoncharitableAssets
Minimum Investment Return	174891	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	174891	MinimumInvestmentReturn
Tax Based On Investment Income	2940	TaxBasedOnInvestmentIncome
Total Tax	2940	TotalTax
Distributable Amount Before Adj	171951	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	171951	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	171951	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	149668	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	149668	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	0	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	149668	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	171951	DistributableAmountAsAdjusted
Undistributed Income Prior Year	0	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Excess Distri Carryover Year5	764	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	45971	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	12518	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	11146	ExcessDistriCarryoverYear2
Total Excess Distri Carryover	70399	TotalExcessDistriCarryover
Qualifying Distributions	149668	QualifyingDistributions
Applied To Year1	0	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	149668	AppliedToCurrentYear
Remaining Distri From Corpus	0	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	22283	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	22283	ExcessDistriCyovAppliedCY
Total Corpus	48116	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	0	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	48116	ExcessDistriCyovToNextYear
Excess From Year4	24452	ExcessFromYear4
Excess From Year3	12518	ExcessFromYear3
Excess From Year2	11146	ExcessFromYear2

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

Field	Value	IRS element (for citing)
Recipient Name	HAROLD R WINSTON	RecipientName

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	119 SECOND STREET NW	AddressLine1
City	MASON CITY	City
State	IA	State
ZIP Code	50401	ZIPCode

Field	Value	IRS element (for citing)
Recipient Phone Number	6414231913	RecipientPhoneNumber
Form And Info And Materials	WRITTEN REQUESTS INCLUDING NAME, ADDRESS AND PURPOSE OF ORGANIZATION EVIDENCE OF EXEMPT STATUS, ID NUMBER, CURRENT FINANCIALS, OFFICERS, DIRECTORS & CONTACT PERSON, AMOUNT & PURPOSE OF REQUEST, DATE NEEDED.	FormAndInfoAndMaterials
Submission Deadlines	MAY 31	SubmissionDeadlines
Restrictions On Awards	NEEDS TO BE A QUALIFIED 501(C)(3) CHARITY IN CERRO GORDO COUNTY.	RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (49 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
AG IN THE CLASSROOM
65 STATE ST	GARNER	IA	50438	NONE	PUBLIC CHARITY	AG EDUCATION WEEKS	$2,000
BEST BUDDIES IOWA
8450 HICKMAN RD STE 6	DES MOINES	IA	80325	NONE	PUBLIC CHARITY	YOUTH SERVICES AT MASON CITY HIGH SCHOOL	$1,000
CARING PREGNANCY CENTER
830 15TH STREET SW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	5 STAFF TO NATL CONFERENCE	$5,100
CASA (COURT APPOINTED SPECIAL ADVOCATE)
220 NORTH WASHINGTON AVENUE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	VOLUNTEER CONFERENCE REGISTRATION FEES	$1,000
CENTRAL GARDENS
2ND AVE N N 8TH ST	CLEAR LAKE	IA	50428	NONE	PUBLIC CHARITY	PAVILLION STEPS AND LANDING	$1,000
CERRO GORDO COUNTY FREE HEALTH CLINIC
PO BOX 1261	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	ASSISTANCE ON LABORATORY FEES	$5,000
CHORAL MUSIC GUILD
1515 SOUTH PENNSYLVANIA AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	REPLACE VARSITY SHOW CHOIR VESTS	$2,500
CITY OF MASON CITY - FRIENDS OF THE 457
898 E STATE ST	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	STEAM ENGINE RESTORATION	$1,500
CITY OF MASON CITY - VOLUNTEER BEAUTIFICATION PROGRAM
10 FIRST ST NW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	ASSISTANCE WITH PROGRAM	$1,500
CLEAR LAKE SENIOR CITIZENS CENTER
105 S 4TH ST	CLEAR LAKE	IA	50428	NONE	PUBLIC CHARITY	WALK-IN FREEZER	$3,000
COMMUNITY KITCHEN OF NORTH IOWA
606 N MONROE AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	MILK SUPPLY	$2,000
COMMUNITY POLICING ADVISORY BOARD
78 S GEORGIA	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	NATIONAL NIGHT OUT CAMPAIGN	$1,500
COMPREHENSIVE SYSTEMS
1453 4TH ST SE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	POWER LIFT	$5,000
CONSUMER CREDIT COUNSELING
409 SOUTH MONROE AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	TEXTBOOKS FOR EDUCATION PROGRAM-MCHS	$1,000
CRISIS INTERVENTION SERVICE
PO BOX 656	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	COMPUTER AND BROCHURES	$1,000
EDUCATION FOUNDATION MC SCHOOL
1515 SOUTH PENNSYLVANIA AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	MOHAWK PERFORMANCE HALL	$15,000
ELMWOOD - ST JOSEPH CEMETERY
1224 S WASHINGTON AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	CEMETERY WALK	$500
FRANCIS LAUER YOUTH SERVICES
50 NORTH EISENHOWER	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	MUSIC THERAPY ACTIVITIES	$1,500
FRIENDS OF PARKERS WOODS
10 FIRST ST NW	MASON CITY	IA	52401	NONE	PUBLIC CHARITY	PLAYGROUND EQUIPMENT	$1,500
HABITAT FOR HUMANITY OF NORTH CENTRAL IOWA
1411 S TAFT AFE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	CONSTRUCTION AND RESTORE	$1,840
HOSPICE OF NORTH IOWA
232 2ND ST SE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	BEAUMONT SLEEP CHAIR	$1,000
IOOF HOME
1037 19TH ST SW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	QUARTERS FOR EMERGENCY LODGING	$1,500
KCMR RADIO
600 FIRST STREET NW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	NEW STUDIO	$4,000
KINNEY PIONEER MUSEUM
9184 265TH STREET	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	ROOF REPLACEMENT	$1,000
LAKESIDE FESTIVALS LTD
84 FOUR WINDS DR	CLEAR LAKE	IA	50428	NONE	PUBLIC CHARITY	DIXIEFEST	$1,000
LINCOLN INTERMEDIATE SCHOOL
1625 S PENNSYLVANIA AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	PBIS CELEBRATIONS & TRAINING	$1,500
MACNIDER MUSEUM
303 2ND STREET SW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	PUPPET PERFORMANCES	$4,000
MASON CITY CIVIL WAR REENACTMENT
911 N JEFFERSON	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	DEMONSTRATOR AND EDUCATIONAL MATERIALS	$1,000
MASON CITY COMMUNITY THEATRE INC
215 S DELAWARE AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	PARKING LOT REPAIR	$2,500
MASON CITY FOUNDATION
308 SOUTH PENNSYLVANIA AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	COMMUNITY DEVELOPMENT ACTIVITIES	$15,000
MASON CITY POLICE DEPARTMENT
78 GEORGIA AVENUE S	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	OFFICE FURNITURE	$2,000
MASON CITY PUBLIC LIBRARY
225 2ND STREET SE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	ENHANCE DIGITAL COLLECTIONS	$2,000
MASON CITY SENIOR ACTIVITY CENTER
326 4TH ST NE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	STOVE/OVEN	$2,500
MEALS ON WHEELS OF MASON CITY INC
606 N MONROE AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	ASSISTANCE WITH PAYING FOR MEALS	$2,000
MERCY MEDICAL CENTER
1000 4TH ST SW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	BILICHEK ASSESSMENT TOOL	$2,500
MOHAWK BOOSTER CLUB
PO BOX 480	MASON CITY	IA	504020480	NONE	PUBLIC CHARITY	NEW WARM-UP SUITS FOR MOHAWK DANCERS	$2,000
NEWMAN CATHOLIC ELEMENTARY
2000 S MCKINLEY	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	IPADS	$3,500
NIACC
808 US HIGHWAY 18W	CLEAR LAKE	IA	50428	NONE	PUBLIC CHARITY	FINE ARTS SCHOLARSHIP	$5,000
NORA SPRINGS-ROCK FALLS COMMUNITY SCHOOL
509 NORTH IOWA AVENUE	NORA SPRINGS	IA	50458	NONE	PUBLIC SCHOOL	5 $500 SCHOLARSHIPS	$2,500
NORTH IOWA BAND FESTIVAL FOUNDATION
25 WEST STATE STREET	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	TRAVEL STIPENDS, EXPENSE	$8,000
NORTH IOWA VOCATIONAL CENTER
1225 S HARRISON AVE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	UPGRADING FOOD SERVICE EQUIPMENT	$1,500
NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS
307 N MONROE AVENUE	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	SUPPLIES FOR THE HOMELESS	$3,000
OPPORTUNITY VILLAGE
1200 NORTH NINTH STREET WEST	CLEAR LAKE	IA	50428	NONE	PUBLIC CHARITY	CONCRETE FOR GREENHOUSE	$2,500
RIVER CITY SCULPTURES ON PARADE
2021 FOURTH ST SW HWY 122 W	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	COSTS OF SCULPTURE WALK PROGRAM	$2,500
RIVER CITY SOCIETY FOR HISTORIC PRESERVATION
PO BOX 565	MASON CITY	IA	50402	NONE	PUBLIC CHARITY	STEEL TRELLIS FOR LANDSCAPING	$1,000
STEBENS CHILDREN'S THEATRE
119 SECOND STREET NW	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	CAPITAL IMPROVEMENT CAMPAIGN	$4,000
UNITED WAY - TEENSCREEN
600 FIRST STREET NW 102	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	TEENSCREEN PROGRAM ASSISTANCE	$1,000
UNITED WAY
600 FIRST STREET NW 102	MASON CITY	IA	50401	NONE	PUBLIC CHARITY	RELOCATION EXPENSES	$1,500
WRIGHT ON THE PARK
PO BOX 792	MASON CITY	IA	50402	NONE	PUBLIC CHARITY	PUBLISH POSTCARD BOOKS	$1,000

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	136940	TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future	0	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	$39,359	ExclusionAmount

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

Field	Value	IRS element (for citing)
Exclusion Code	16	ExclusionCode
Exclusion	$144,414	ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	-$3,116	ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$180,657	ExclusionAmount
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	180657	TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	0	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	0	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	0	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	0	RentalOfFacilitiesEtc
Reimbursement Arrangements	0	ReimbursementArrangements
Loans Or Loan Guarantees	0	LoansOrLoanGuarantees
Performance Of Services Etc	0	PerformanceOfServicesEtc
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	MCGLADREY LLP	Category
Amount	$3,465	Amount
Net Investment Income	2599	NetInvestmentIncome
Disbursements Charitable Prps	866	DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (7 entries)

Description Of PropertyDescriptionOfProperty	Date AcquiredDateAcquired	Cost Or Other BasisCostOrOtherBasis	Computation MethodComputationMethod	Current Year ExpenseCurrentYearExpense	Net Investment IncomeNetInvestmentIncome	Prior Years DepreciationPriorYearsDepreciation	LifeLife
LAND	1987-04-01	347080	L	0	0
TILE	1987-04-01	1000	150DB	0	0	1000	15.000000000000
TILE	1987-04-01	14000	150DB	0	0	14000	15.000000000000
TILE	1997-12-10	22294	150DB	658	495	21636	15.000000000000
TILE	1998-11-12	31877	150DB	1883	2125	29053	15.000000000000
TILE	2004-12-18	1165	150DB	69	78	651	15.000000000000
TILE	2012-12-20	45494	150DB	2275	1769		15.000000000000

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanation

Field	Value	IRS element (for citing)
Identifier	OFFICERS COMPENSATION	Identifier
Return Reference	FORM 990-PF, PART I, LINE 13 AND PART VIII, LINE 1	ReturnReference
Explanation	CONSISTENT WITH IRS INSTRUCTIONS, LEGAL FEES PAID TO WINSTON AND BYRNE PC HAS BEEN REPORTED AS OFFICER COMPENSATION TO HAROLD WINSTON. HE DID NOT RECEIVE DIRECT COMPENSATION FROM THE FOUNDATION.	Explanation

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

Field	Value	IRS element (for citing)
Name Of Bond	CORPORATE BONDS	NameOfBond
EOY Book Value	194616	EOYBookValue
EOYFMV	190109	EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

Field	Value	IRS element (for citing)
Name Of Stock	CORPORATE STOCK	NameOfStock
EOY Book Value	254636	EOYBookValue
EOYFMV	324010	EOYFMV

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

Field	Value	IRS element (for citing)
US Govt Securities EOY Book Value	10319	USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV	11819	USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val	20329	StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV	20439	StateLocalSecuritiesEOYFMV

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLand (7 entries)

Category Or ItemCategoryOrItem	Cost Or Other BasisCostOrOtherBasis	Accumulated DepreciationAccumulatedDepreciation	Book ValueBookValue
LAND	347080	0	347080
TILE	1000	1000	0
TILE	14000	14000	0
TILE	22294	22294	0
TILE	31877	30936	941
TILE	1165	720	445
TILE	45494	2275	43219

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (2 entries)

Category Or ItemCategoryOrItem	Listed At Cost Or FMVListedAtCostOrFMV	Book ValueBookValue	EOYFMVEOYFMV
MUTUAL FUNDS	AT COST	30471	13980
CORPORATE BOND MUTUAL FUNDS	AT COST	181736	158778

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks	Net Investment IncomeNetInvestmentIncome	Disbursements Charitable PrpsDisbursementsCharitablePrps
COURT COSTS	20	14	6
DUES	695	174	521
INSURANCE	209	209	0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

Field	Value	IRS element (for citing)
Category	FIRST CITIZENS TRUST	Category
Amount	$7,141	Amount
Net Investment Income	5356	NetInvestmentIncome
Disbursements Charitable Prps	1785	DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	EXCISE TAXES	Category
Amount	$2,814	Amount
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

BERTHA STEBENS CHARITABLE FOUNDATION: Form 990PF, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (23 entries)

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

Recipient US Address RecipientUSAddress

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (49 entries)

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Subtotals Part XVIA SubtotalsPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (7 entries)

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanation

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLand (7 entries)

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (2 entries)

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

Taxes Schedule TaxesSchedule

Taxes Taxes

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