MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-10
IRS object ID
201331309349101553
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)
Timestamp2013-05-10T14:29:03-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN421046003EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CORWIN REICHTER & COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11055 JORDAN CREEK PKWY SUITE 120AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code502665821ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421235348EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MID IOWA HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDINameControl
Phone5152776411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE NO 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUZANNE MINECKName
TitlePRESIDENTTitle
Phone5152776411Phone
Date Signed2013-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYLE D REICHTERName
PTINP00065165PTIN
Phone5153090215Phone
Date Prepared2013-05-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY13941888FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss219InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm219InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss327382DividendsRevAndExpnss
Dividends Net Invst Incm327382DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss1407120NetGainSaleAssetsRevAndExpnss
Gross Sales Price17569921GrossSalesPrice
Capital Gain Net Incm Net Invst Incm1407120CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses1734721TotalRevenueAndExpenses
Total Net Investment Income1734721TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss97450CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm7796CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps89654CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Rev And Expnss77625OthEmplSlrsWgsRevAndExpnss
Oth Empl Slrs Wgs Net Invst Incm0OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps77625OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Rev And Expnss31627PensionEmplBnftRevAndExpnss
Pension Empl Bnft Net Invst Incm1124PensionEmplBnftNetInvstIncm
Pension Empl Bnft Dsbrs Chrtbl Prps30503PensionEmplBnftDsbrsChrtblPrps
Accounting Fees Rev And Expnss11500AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps11500AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss93825OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm89535OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps4290OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss39754TaxesRevAndExpnss
Taxes Net Invst Incm7172TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss1564DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Occupancy Rev And Expnss14411OccupancyRevAndExpnss
Occupancy Net Invst Incm0OccupancyNetInvstIncm
Occupancy Dsbrs Chrtbl Prps14411OccupancyDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss12813TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Dsbrs Chrtbl Prps12813TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss147PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Dsbrs Chrtbl Prps147PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss13943OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps13943OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss394659TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm105627TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps254886TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss458494ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps489494ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss853153TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm105627TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps744380TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses881568ExcessOfRevenueOverExpenses
Net Investment Income1629094NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY48535CashBOY
Cash EOY7715CashEOY
Cash EOYFMV7715CashEOYFMV
Savings And Temp Cash Invst BOY371302SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY319872SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV319872SavingsAndTempCashInvstEOYFMV
Prepaid Expenses EOY2500PrepaidExpensesEOY
Prepaid Expenses EOYFMV2500PrepaidExpensesEOYFMV
Investments Govt Oblig BOY2973833InvestmentsGovtObligBOY
Investments Govt Oblig EOY647300InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV647300InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY8510914InvestmentsCorpStockBOY
Investments Corp Stock EOY5122970InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV5122970InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY1324099InvestmentsCorpBondsBOY
Investments Corp Bonds EOY447797InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV447797InvestmentsCorpBondsEOYFMV
Investments Other BOY0InvestmentsOtherBOY
Investments Other EOY7380467InvestmentsOtherEOY
Investments Other EOYFMV7380467InvestmentsOtherEOYFMV
Land Building And Equipment Basis20739LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip16569AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY5734LandBuildingAndEquipmentBOY
Land Building And Equipment EOY4170LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV4170LandBuildingAndEquipmentEOYFMV
Other Assets BOY38752OtherAssetsBOY
Other Assets EOY9097OtherAssetsEOY
Other Assets EOYFMV9097OtherAssetsEOYFMV
Total Assets BOY13273169TotalAssetsBOY
Total Assets EOY13941888TotalAssetsEOY
Total Assets EOYFMV13941888TotalAssetsEOYFMV
Accounts Payable BOY1637AccountsPayableBOY
Accounts Payable EOY3814AccountsPayableEOY
Grants Payable BOY31000GrantsPayableBOY
Other Liabilities BOY52OtherLiabilitiesBOY
Other Liabilities EOY20537OtherLiabilitiesEOY
Total Liabilities BOY32689TotalLiabilitiesBOY
Total Liabilities EOY24351TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY13240480UnrestrictedBOY
Unrestricted EOY13917537UnrestrictedEOY
Total Net Assets BOY13240480TotalNetAssetsBOY
Total Net Assets EOY13917537TotalNetAssetsEOY
Total Liabilities Net Assets BOY13273169TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY13941888TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY13240480TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses881568ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal14122048Subtotal
Other Decreases204511OtherDecreases
Total Net Assets Fund Balances EOY13917537TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo

FieldValueIRS element (for citing)
Description Of AssetINVESTMENT SALESDescriptionOfAsset
Gross Sales Price17569921GrossSalesPrice
Cost Or Other Basis16162801CostOrOtherBasis
Gain Or Loss1407120GainOrLoss
Gains Minus Excess Or Losses1407120GainsMinusExcessOrLosses
FieldValueIRS element (for citing)
Capital Gain Net Income1407120CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1684715QualifyingDistributionsYear1
Noncharitable Assets Year113896275NoncharitableAssetsYear1
Distribution Ratio Year10.049273DistributionRatioYear1
Qualifying Distributions Year2713859QualifyingDistributionsYear2
Noncharitable Assets Year213253051NoncharitableAssetsYear2
Distribution Ratio Year20.053864DistributionRatioYear2
Qualifying Distributions Year3774680QualifyingDistributionsYear3
Noncharitable Assets Year312160790NoncharitableAssetsYear3
Distribution Ratio Year30.063703DistributionRatioYear3
Qualifying Distributions Year4835583QualifyingDistributionsYear4
Noncharitable Assets Year414510704NoncharitableAssetsYear4
Distribution Ratio Year40.057584DistributionRatioYear4
Qualifying Distributions Year5976170QualifyingDistributionsYear5
Noncharitable Assets Year517060336NoncharitableAssetsYear5
Distribution Ratio Year50.057219DistributionRatioYear5
Total Distribution Ratio0.281643TotalDistributionRatio
Average Distribution Ratio0.056329AverageDistributionRatio
Net Noncharitable Assets13648124NetNoncharitableAssets
Adjusted Noncharitable Assets768785AdjustedNoncharitableAssets
One Percent Net Investment Income16291OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One785076AdjNonchrtblAssetsAndOnePct
Qualifying Distributions744380QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax32582InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal32582Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income32582TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment12160EstTaxPaymentsAndOverpayment
Total Credits And Payments12160TotalCreditsAndPayments
Tax Due20422TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithIAStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.MIDIOWAHEALTH.ORGWebsiteAddress
Books In Care Of Person NameDENISE SWARTZBooksInCareOfPersonName
Books In Care Of Phone Number5152776411BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE SUITE 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person1PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions0ActsFailToQualifyAsExceptions
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
THOMAS JESCHKE
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312VICE-CHAIR1.00000
NOLDEN GENTRY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312CHAIR1.00000
ROB HAYES
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
TERRY CALDWELL-JOHNSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
JUDITH VOGEL
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
BECKY MILES-POLKA
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
MATTHEW MCGARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
CHERYL HARDING
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312SECRETARY/TREASURER1.00000
LIBBY JACOBS
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000
SUZANNE MINECK
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312PRESIDENT40.009745064280

Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl

FieldValueIRS element (for citing)
NameDENISE SWARTZName

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVENUE STE 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code50312ZIPCode
FieldValueIRS element (for citing)
TitlePROGRAM OFFICERTitle
Average Hours Per Week40.00AverageHoursPerWeek
Compensation77625Compensation
Employee Benefits5692EmployeeBenefits
Expense Account0ExpenseAccount
FieldValueIRS element (for citing)
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities13462362AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances393601AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets13855963TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets13855963AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable207839CashDeemedCharitable
Net Noncharitable Assets13648124NetNoncharitableAssets
Minimum Investment Return682406MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return682406MinimumInvestmentReturn
Tax Based On Investment Income32582TaxBasedOnInvestmentIncome
Total Tax32582TotalTax
Distributable Amount Before Adj649824DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded649824DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted649824DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions744380ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions744380QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions744380AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted649824DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year5148857ExcessDistriCarryoverYear5
Excess Distri Carryover Year4115626ExcessDistriCarryoverYear4
Excess Distri Carryover Year3171200ExcessDistriCarryoverYear3
Excess Distri Carryover Year263386ExcessDistriCarryoverYear2
Excess Distri Carryover Year12038ExcessDistriCarryoverYear1
Total Excess Distri Carryover501107TotalExcessDistriCarryover
Qualifying Distributions744380QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year649824AppliedToCurrentYear
Remaining Distri From Corpus94556RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus595663TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5148857ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year446806ExcessDistriCyovToNextYear
Excess From Year4115626ExcessFromYear4
Excess From Year3171200ExcessFromYear3
Excess From Year263386ExcessFromYear2
Excess From Year12038ExcessFromYear1
Excess From Current Year94556ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameSUZANNE MINECK MID-IOWA HEALTH FOUNRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line13900 INGERSOLL AVE SUITE 104AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503123535ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number5152776411RecipientPhoneNumber
Form And Info And MaterialsAN APPLICATION FORM IS AVAILABLE FROM THE ORGANIZATION'S WEBSITE AT WWW.MIDIOWAHEALTH.ORG/GRANTS.FormAndInfoAndMaterials
Submission DeadlinesAPPLICATIONS FOR COMMUNITY RESPONSE GRANTS MUST BE RECEIVED BY OCTOBER 1. HEALTH INITIATIVE GRANTS ASubmissionDeadlines
Restrictions On AwardsCOMMUNITY RESPONSE GRANTS ARE USED TO IMPROVE HEALTH IN GREATER DES MOINES, IOWA. THESE GRANTS WILL NOT BE GIVEN TO INDIVIDUALS, SCHOLARSHIPS, SCIENTIFIC AND MEDICAL RESEARCH, COMPUTER EQUIPMENT, CONFERENCES, PROGRAMS PROMOTING RELIGIOUS ACTIVITIES, GENERAL OPERATIONS OR SPECIAL CAMPS, CAPITAL CAMPAIGNS, ENDOWMENT CAMPAIGNS, DEBT REDUCTION, FUND RAISING EVENTS OR SUBSIDIZED UNITS OF SERVICE. HEALTH INTITIATIVE GRANTS ARE BY INVITATION FROM MID-IOWA HEALTH ONLY.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (32 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodePurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
AMOS - A MID-IOWA ORGANIZING STRATEGY
3700 COTTAGE GROVEDES MOINESIA50311BUILDING HEALTHY COMMUNITIES$25,000
CATHOLIC CHARITIES
601 GRAND AVENUEDES MOINESIA50309SPANISH LANGUAGE COUNSELING$25,000
CHILD AND FAMILY POLICY CENTER
505 5TH AVE STE 404DES MOINESIA503092013 HEALTH ADVOCACY$25,000
CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVENUEDES MOINESIA50314TEEN RECOVERY OUTPATIENT PROGRAM$20,000
CHILDREN AND FAMILY URBAN MINISTRIES
PO BOX 41125DES MOINESIA503112012 BACK TO SCHOOL HEALTH FAIR$10,000
COMMUNITY YOUTH CONCEPTS
3826 1/2 DOUGLAS AVENUEDES MOINESIA50310YOUTH ENGAGEMENT PROJECT$12,779
DALLAS COUNTY PUBLIC HEALTH
902 COURT AVENUEADELIA500031445DALLAS COUNTY MENTAL HEALTH WORKGROUP$1,000
DES MOINES HEALTH CENTER
1111 NINTH STREET STE 190DES MOINESIA50314SMILE SQUAD ORAL HEALTH PROGRAM$25,000
GLBT YOUTH IN IOWA SCHOOLS TASK FORCE
PO BOX 704DES MOINESIA50303MAKE IT BETTER IOWA$5,000
GRANTMAKERS IN HEALTH
1130 CONNECTICUT AVENUE NW STE 700WASHINGTONDC20036GENERAL OPERATING, TECHNICAL ASSISTANCE$2,500
IOWA ASSOCIATION FOR INFANT AND EARLY CHILDHOOD MENTAL HEALTH
100 HAWKINS DRIVE ROOM 247IOWA CITYIA52242HEALTH INITIATIVES$10,000
IOWA DENTAL FOUNDATION
5530 WEST PARKWAY SUITE 100JOHNSTONIA501312013 IOWA MISSION OF MERCY$5,000
IOWA DEPARTMENT OF PUBLIC HEALTH
321 E 12TH STREETDES MOINESIA50319ACES & MENTAL HEALTH MODULES FOR THE 2013 IOWA BRFSS$9,600
IOWA DEPARTMENT OF PUBLIC HEALTH
321 E 12TH STREETDES MOINESIA50319IOWA ADVERSE CHILDHOOD EXPERIENCES PROJECT$26,000
IOWA FOSTER AND ADOPTIVE PARENTS ASSOCIATION
6864 NE 14TH STREET SUITE 5ANKENYIA50023CARING FOR CHILDREN WHO HAVE EXPERIENCED TRAUMA - EDUCATION FORUM$7,050
IOWA LEGAL AID
1111 NINTH STREET STE 230DES MOINESIA503092527HEALTH AND LAW PROJECT$15,000
IOWA PRESCRIPTION DRUG CORPORATION
11100 AURORA AVE BLDG 13URBANDALEIA50322POLK COUNTY COMMUNITY CORRECTIONS BEHAVIORAL HEALTH ASSISTANCE$35,000
LUTHERAN SERVICES IN IOWA
3125 COTTAGE GROVE AVENUEDES MOINESIA50311HEALTHY FAMILIES AMERICA REFUGEE EXPANSION PILOT$25,010
MERCY HOSPITAL MEDICAL FOUNDATION
411 LAUREL STREET SUITE 2250DES MOINESIA50314IMPLEMENTATION OF 1ST FIVE IN MERCY CENTRAL PEDIATRICS CLINIC$5,000
OAKRIDGE NEIGHBORHOOD SERVICES
1236 OAKRIDGE DRIVEDES MOINESIA50314YOUTH HEALTH PROGRAMMING$1,000
PLANNED PARENTHOOD OF THE HEARTLAND
1171 7TH STREETDES MOINESIA50314SEXUALITY HEALTH EDUCATION FOR HIGH RISK YOUTH IN POLK COUNTY, IOWA$20,000
POLK COUNTY HEALTH DEPARTMENT
1907 CARPENTER AVENUEDES MOINESIA50314JUMPSTART BACK TO SCHOOL HEALTH FAIR$5,000
POLK COUNTY MEDICAL SOCIETY FOUNDATION
1520 HIGH STREETDES MOINESIA50309VOLUNTEER PHYSICIAN NETWORK$10,000
PROTEUS INC
3850 MERLE HAY ROADDES MOINESIA50310REFUND OF UNSPENT PORTION OF GRANT-$7,945
THE HOMESTEAD
1625 ADVENTURELAND DRIVE SUITE BALTOONAIA50009CHILDREN'S AUTISM PROJECT - EXPANSION$30,000
TORI'S ANGELS
4677 PANORAMA DRIVEPANORAIA50216SUPPORT FOR FAMILIES OF CHILDREN ACCEPTED FOR ASSISTANCE WHO HAVE LIFE-THREATENING MEDICAL CONDITIONS.$500
UNITED WAY OF CENTRAL IOWA
1111 NINTH STREETDES MOINESIA503142012 ACES SUMMIT$6,000
VISITING NURSE SERVICES
1111 NINTH STREET STE 320DES MOINESIA50306VISITING NURSE SERVICES OUTREACH PROGRAM$50,000
WESLEYLIFE COMMUNITY SERVICES INC
3520 GRAND AVENUEDES MOINESIA50312PUBLIC HEALTH NURSING PROGRAM$10,000
WILDWOOD HILLS RANCH OF IOWA
2552 UNION LANEST CHARLESIA50240RANCH FOR AT-RISK YOUTH$500
YOUNG WOMEN'S RESOURCE CENTER
818 5TH AVENUEDES MOINESIA50309YOUNG MOM'S PROGRAM - INDIVIDUAL SUPPORT & THERAPY EXPANSION$40,500
YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
918 SE 11TH STREETDES MOINESIA50309YESS CLINICAL PROGRAMMING & ORGANIZATIONAL MODELING$35,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year489494TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$219ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$327,382ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$1,407,120ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$1,734,721ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA1734721TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
AUDIT FEES$5,50005500
ACCOUNTING FEES$6,00006000

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (17 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncome
FILE CABINET1993-09-01429429SL7.00000000000000
CONFERENCE TABLE1995-08-2514081408SL7.00000000000000
FILE CABINET1998-08-03114114SL10.00000000000000
OFFICE FURNITURE2000-05-0410811081SL10.00000000000000
FURNITURE2002-06-04468450SL10.000000000000180
FURNITURE2004-04-0125872007SL10.0000000000002590
FURNITURE2004-05-0615771211SL10.0000000000001580
COMPUTER BACKUP SYSTEM2004-05-0317731773SL5.00000000000000
FURNITURE2004-09-01372271SL10.000000000000370
FURNITURE2004-09-01152110SL10.000000000000150
COMPUTER PRINTER2006-02-1419781978SL5.00000000000000
OFFICE FURNITURE2006-11-2731561606SL10.0000000000003160
COMPUTER2006-02-1415781578SL5.00000000000000
OFFICE FURNITURE2007-05-07520243SL10.000000000000520
OPTIPLEX 960 MINITOWER2010-04-071797629SL5.0000000000003590
USED DELL PRECISION 3902010-12-3135070SL5.000000000000700
LANIER COPIER/PRINTER2011-10-18139947SL5.0000000000002800

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

FieldValueIRS element (for citing)
Name Of BondTOTAL CORPORATE BONDS OWNEDNameOfBond
EOY Book Value447797EOYBookValue
EOYFMV447797EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockTOTAL CORPORATE STOCKS OWNEDNameOfStock
EOY Book Value5122970EOYBookValue
EOYFMV5122970EOYFMV

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value598950USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV598950USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val48350StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV48350StateLocalSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemTOTAL MUTUAL FUNDSCategoryOrItem
Listed At Cost Or FMVFMVListedAtCostOrFMV
Book Value7380467BookValue
EOYFMV7380467EOYFMV

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc (17 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationBook ValueBookValue
FILE CABINET4294290
CONFERENCE TABLE140814080
FILE CABINET1141140
OFFICE FURNITURE108110810
FURNITURE4684680
FURNITURE25872266321
FURNITURE15771369208
COMPUTER BACKUP SYSTEM177317730
FURNITURE37230864
FURNITURE15212527
COMPUTER PRINTER197819780
OFFICE FURNITURE315619221234
COMPUTER157815780
OFFICE FURNITURE520295225
OPTIPLEX 960 MINITOWER1797988809
USED DELL PRECISION 390350140210
LANIER COPIER/PRINTER13993271072

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionACCRUED INTEREST INCOMEDescription
BOY Book Value38752BOYBookValue
EOY Book Value9097EOYBookValue
EOYFMV9097EOYFMV

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINS (LOSSES) ON INVESTMENTSDescription
Amount$204,511Amount

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
DUES & SUBSCRIPTIONS101401014
INSURANCE485104851
SUPPLIES & POSTAGE144101441
TELEPHONE208902089
INFORMATION TECHNOLOGY454804548

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED FEDERAL EXCISE TAXDescription
BOY Book Value52BOYBookValue
EOY Book Value20537EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
CONSULTANT$4,29004290
INVESTMENT FEES$89,535895350

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FEDERAL EXCISE TAX$32,58200
FOREIGN TAXES$7,17271720

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.