MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-09
- IRS object ID
- 201241309349100229
- Schema version
- 2011v1.2
- 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
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Land Etc Schedule2
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-09T10:59:13-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421046003 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORWIN REICHTER & COMPANY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1055 JORDAN CREEK PKWY SUITE 120 | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 502665821 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421235348 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID IOWA HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIDI | NameControl |
| Phone | 5152776411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 INGERSOLL AVE NO 104 | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 503123535 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUZANNE MINECK | Name |
| Title | PRESIDENT | Title |
| Phone | 5152776411 | Phone |
| Date Signed | 2012-04-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LYLE D REICHTER | Name |
| PTIN | P00065165 | PTIN |
| Phone | 5153090215 | Phone |
| Date Prepared | 2012-04-25 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 | 13273169 | FMVAssetsEOY |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 319 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 319 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 344070 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 344070 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 371613 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 9557823 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 373176 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 716002 | TotalRevenueAndExpenses |
| Total Net Investment Income | 717565 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 0 | TotalAdjustedNetIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 111651 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 9532 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Adj Net Incm | 0 | CompOfcrDirTrstAdjNetIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 102119 | CompOfcrDirTrstDsbrsChrtblPrps |
| Oth Empl Slrs Wgs Rev And Expnss | 77000 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Net Invst Incm | 0 | OthEmplSlrsWgsNetInvstIncm |
| Oth Empl Slrs Wgs Adj Net Incm | 0 | OthEmplSlrsWgsAdjNetIncm |
| Oth Empl Slrs Wgs Dsbrs Chrtbl Prps | 77000 | OthEmplSlrsWgsDsbrsChrtblPrps |
| Pension Empl Bnft Rev And Expnss | 28143 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Net Invst Incm | 1133 | PensionEmplBnftNetInvstIncm |
| Pension Empl Bnft Adj Net Incm | 0 | PensionEmplBnftAdjNetIncm |
| Pension Empl Bnft Dsbrs Chrtbl Prps | 27010 | PensionEmplBnftDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 10500 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Adj Net Incm | 0 | AccountingFeesAdjNetIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 10500 | AccountingFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 94484 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 90857 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Adj Net Incm | 0 | OtherProfFeesAdjNetIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 3627 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 21320 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 9183 | TaxesNetInvstIncm |
| Taxes Adj Net Incm | 0 | TaxesAdjNetIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Deprec And Depletion Rev And Expnss | 1681 | DeprecAndDepletionRevAndExpnss |
| Deprec And Depletion Net Invst Incm | 0 | DeprecAndDepletionNetInvstIncm |
| Deprec And Depletion Adj Net Incm | 1681 | DeprecAndDepletionAdjNetIncm |
| Occupancy Rev And Expnss | 13398 | OccupancyRevAndExpnss |
| Occupancy Net Invst Incm | 0 | OccupancyNetInvstIncm |
| Occupancy Adj Net Incm | 0 | OccupancyAdjNetIncm |
| Occupancy Dsbrs Chrtbl Prps | 13398 | OccupancyDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 18665 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Net Invst Incm | 0 | TravConfMeetingNetInvstIncm |
| Trav Conf Meeting Adj Net Incm | 0 | TravConfMeetingAdjNetIncm |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 18665 | TravConfMeetingDsbrsChrtblPrps |
| Printing And Pub Rev And Expnss | 7029 | PrintingAndPubRevAndExpnss |
| Printing And Pub Net Invst Incm | 0 | PrintingAndPubNetInvstIncm |
| Printing And Pub Adj Net Incm | 0 | PrintingAndPubAdjNetIncm |
| Printing And Pub Dsbrs Chrtbl Prps | 7029 | PrintingAndPubDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 10112 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 0 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 0 | OtherExpensesAdjNetIncm |
| Other Expenses Dsbrs Chrtbl Prps | 11672 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 393983 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 110705 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 1681 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 271020 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 444695 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 413695 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 838678 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 110705 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 1681 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 684715 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -122676 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 606860 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 53676 | CashBOY |
| Cash EOY | 48535 | CashEOY |
| Cash EOYFMV | 48535 | CashEOYFMV |
| Savings And Temp Cash Invst BOY | 265955 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 371302 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 371302 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig BOY | 2675857 | InvestmentsGovtObligBOY |
| Investments Govt Oblig EOY | 2973833 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 2973833 | InvestmentsGovtObligEOYFMV |
| Investments Corp Stock BOY | 9847762 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 8510914 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 8510914 | InvestmentsCorpStockEOYFMV |
| Investments Corp Bonds BOY | 1416465 | InvestmentsCorpBondsBOY |
| Investments Corp Bonds EOY | 1324099 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 1324099 | InvestmentsCorpBondsEOYFMV |
| Land Building And Equipment Basis | 20739 | LandBuildingAndEquipmentBasis |
| Accum Deprec Land Bldg And Equip | 15005 | AccumDeprecLandBldgAndEquip |
| Land Building And Equipment BOY | 7579 | LandBuildingAndEquipmentBOY |
| Land Building And Equipment EOY | 5734 | LandBuildingAndEquipmentEOY |
| Land Building And Equipment EOYFMV | 5734 | LandBuildingAndEquipmentEOYFMV |
| Other Assets BOY | 55202 | OtherAssetsBOY |
| Other Assets EOY | 38752 | OtherAssetsEOY |
| Other Assets EOYFMV | 38752 | OtherAssetsEOYFMV |
| Total Assets BOY | 14322496 | TotalAssetsBOY |
| Total Assets EOY | 13273169 | TotalAssetsEOY |
| Total Assets EOYFMV | 13273169 | TotalAssetsEOYFMV |
| Accounts Payable BOY | 2455 | AccountsPayableBOY |
| Accounts Payable EOY | 1637 | AccountsPayableEOY |
| Grants Payable EOY | 31000 | GrantsPayableEOY |
| Other Liabilities BOY | 10020 | OtherLiabilitiesBOY |
| Other Liabilities EOY | 52 | OtherLiabilitiesEOY |
| Total Liabilities BOY | 12475 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 32689 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 14310021 | UnrestrictedBOY |
| Unrestricted EOY | 13240480 | UnrestrictedEOY |
| Total Net Assets BOY | 14310021 | TotalNetAssetsBOY |
| Total Net Assets EOY | 13240480 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 14322496 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 13273169 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 14310021 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -122676 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 14187345 | Subtotal |
| Other Decreases | 946865 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 13240480 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)
| Description Of AssetDescriptionOfAsset | Gross Sales PriceGrossSalesPrice | Cost Or Other BasisCostOrOtherBasis | Gain Or LossGainOrLoss | Gains Minus Excess Or LossesGainsMinusExcessOrLosses | How AcquiredHowAcquired |
|---|---|---|---|---|---|
| INVESTMENT SALES | 3841121 | 3941570 | -100449 | -100449 | |
| INVESTMENT SALES | 5698463 | 5243077 | 455386 | 455386 | |
| CAPITAL GAINS DIVIDENDS | 18239 | 18239 | 18239 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 373176 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 713859 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 13253051 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 0.053864 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 774680 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 12160790 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.063703 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 835583 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 14510704 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.057584 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 976170 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 17060336 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.057219 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 912563 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 15842617 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.057602 | DistributionRatioYear5 |
| Total Distribution Ratio | 0.289972 | TotalDistributionRatio |
| Average Distribution Ratio | 0.057994 | AverageDistributionRatio |
| Net Noncharitable Assets | 13896275 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 805901 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 6069 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 811970 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 684715 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 12137 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 12137 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 12137 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 12200 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 12200 | TotalCreditsAndPayments |
| Overpayment | 63 | Overpayment |
| Amount Credited To Next Year | 63 | AmountCreditedToNextYear |
| Amount To Be Refunded | 0 | AmountToBeRefunded |
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 | WWW.MIDIOWAHEALTH.ORG | WebsiteAddress |
| Books In Care Of Person Name | DENISE SWARTZ | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 5152776411 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 INGERSOLL AVE SUITE 104 | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 503123535 | 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 | 1 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|
| THOMAS JESCHKE | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | VICE-CHAIR | 1.00 | 3400 | 0 | 0 |
| NOLDEN GENTRY | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | CHAIR | 1.00 | 2000 | 0 | 0 |
| ROB HAYES | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| TERRY CALDWELL-JOHNSON | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 2000 | 0 | 0 |
| JUDITH VOGEL | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 2200 | 0 | 0 |
| BECKY MILES-POLKA | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 2000 | 0 | 0 |
| MATTHEW MCGARVEY | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 2800 | 0 | 0 |
| CHERYL HARDING | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | SECRETARY/TREASURER | 1.00 | 0 | 0 | 0 |
| LIBBY JACOBS | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | DIRECTOR | 1.00 | 600 | 0 | 0 |
| SUZANNE MINECK | ||||||||
| 3900 INGERSOLL AVENUE STE 104 | DES MOINES | IA | 50312 | PRESIDENT | 40.00 | 96651 | 6766 | 0 |
Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENISE SWARTZ | Name |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 INGERSOLL AVENUE STE 104 | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 50312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | PROGRAM OFFICER | Title |
| Average Hours Per Week | 40.00 | AverageHoursPerWeek |
| Compensation | 77000 | Compensation |
| Employee Benefits | 5390 | EmployeeBenefits |
| Expense Account | 0 | ExpenseAccount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 13734369 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 373524 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 14107893 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 14107893 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 211618 | CashDeemedCharitable |
| Net Noncharitable Assets | 13896275 | NetNoncharitableAssets |
| Minimum Investment Return | 694814 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 694814 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 12137 | TaxBasedOnInvestmentIncome |
| Total Tax | 12137 | TotalTax |
| Distributable Amount Before Adj | 682677 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 682677 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 682677 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 684715 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 684715 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 684715 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 682677 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year5 | 197432 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 148857 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 115626 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 171200 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 63386 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 696501 | TotalExcessDistriCarryover |
| Qualifying Distributions | 684715 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 682677 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 2038 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 698539 | 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 | 197432 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 501107 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 148857 | ExcessFromYear4 |
| Excess From Year3 | 115626 | ExcessFromYear3 |
| Excess From Year2 | 171200 | ExcessFromYear2 |
| Excess From Year1 | 63386 | ExcessFromYear1 |
| Excess From Current Year | 2038 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | SUZANNE MINECK MID-IOWA HEALTH FOUN | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 INGERSOLL AVE SUITE 104 | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 503123535 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 5152776411 | RecipientPhoneNumber |
| Form And Info And Materials | AN APPLICATION FORM IS AVAILABLE FROM THE ORGANIZATION. | FormAndInfoAndMaterials |
| Submission Deadlines | APPLICATIONS ARE ACCEPTED AT ANY TIME AND ARE REVIEWED ANNUALLY. | SubmissionDeadlines |
| Restrictions On Awards | GRANTS WILL BE FOR HEALTH SERVICE PROJECTS TO QUALIFIED GROUPS WITHIN POLK COUNTY, IOWA AND THE EIGHT SURROUNDING COUNTIES. | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (29 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|
| AMOS - A MID-IOWA ORGANIZING STRATEGY | |||||
| 3700 COTTAGE GROVE | DES MOINES | IA | 50311 | QUALITY HEALTH CARE | $25,000 |
| ASSOCIATION OF SMALL FOUNDATIONS | |||||
| 1720 N STREET NW | WASHINGTON | DC | 20036 | GENERAL OPERATIONS - TA FOR GOVERNANCE, INVESTMENT, | $695 |
| CATHOLIC CHARITIES | |||||
| 601 GRAND AVENUE | DES MOINES | IA | 50309 | SPANISH LANGUAGE COUNSELING | $20,000 |
| CHILD AND FAMILY POLICY CENTER | |||||
| 505 5TH AVE STE 404 | DES MOINES | IA | 50309 | CHILDREN'S HEALTHY DEVELOPMENT EDUCATION & INFORMATION | $15,000 |
| CHILDREN AND FAMILIES OF IOWA | |||||
| 1111 UNIVERSITY AVENUE | DES MOINES | IA | 50314 | CORNERSTON RECOVERY OUTPATIENT TREATMENT PROGRAM | $15,000 |
| CHILDREN AND FAMILY URBAN MINISTRIES | |||||
| PO BOX 41125 | DES MOINES | IA | 50311 | 2011 BACK TO SCHOOL HEALTH FAIR | $5,000 |
| DES MOINES HEALTH CENTER | |||||
| 1111 NINTH STREET STE 190 | DES MOINES | IA | 50314 | SMILE SQUAD ORAL HEALTH PROGRAM | $20,000 |
| DES MOINES PASTORAL COUNSELING CENTER | |||||
| 2929 WESTOWN PARKWAY STE 110 | WEST DES MOINES | IA | 50266 | CHILDREN OVERCOMING THE OBSTACLES OF LIFE | $10,000 |
| EMPLOYEE AND FAMILY RESOURCES | |||||
| 505 5TH AVE STE 930 | DES MOINES | IA | 50309 | RESTORATIVE JUSTICE PROGRAMS | $30,000 |
| FOOD BANK OF CENTRAL IOWA | |||||
| 2220 E 17TH STREET | DES MOINES | IA | 50316 | BACKPACK BUDDIES | $500 |
| GRANTMAKERS IN HEALTH | |||||
| 1130 CONNECTICUT AVENUE NW STE 700 | WASHINGTON | DC | 20036 | GENERAL OPERATING, TECHNICAL ASSISTANCE | $2,500 |
| IOWA CAREGIVERS ASSOCIATION | |||||
| 1211 VINE STREET STE 1000 | WEST DES MOINES | IA | 50265 | ACCESS TO QUALITY CARE THROUGH A STABLE DIRECT CARE WORKFORCE | $15,000 |
| IOWA HEALTH FOUNDATION | |||||
| 1440 INGERSOLL AVENUE | DES MOINES | IA | 50309 | LA CLINICA - YOUR OVERALL HEALTH | $20,000 |
| LUTHERAN SERVICES IN IOWA | |||||
| 3125 COTTAGE GROVE AVENUE | DES MOINES | IA | 50311 | HEALTHY OPPORTUNITIES FOR FAMILIES TO EXPERIENCE SUCCESS | $10,000 |
| OAKRIDGE NEIGHBORHOOD | |||||
| 1236 OAKRIDGE DRIVE | DES MOINES | IA | 50314 | YOUTH HEALTH PROGRAMMING | $500 |
| POLK COUNTY HEALTH DEPARTMENT | |||||
| 1907 CARPENTER AVENUE | DES MOINES | IA | 50314 | JUMPSTART BACK TO SCHOOL HEALTH FAIR | $5,000 |
| VISITING NURSE SERVICES | |||||
| 1111 NINTH STREET STE 320 | DES MOINES | IA | 50306 | VISITING NURSE SERVICES OUTREACH PROGRAM | $30,000 |
| YOUNG WOMEN'S RESOURCE CENTER | |||||
| 818 5TH AVENUE | DES MOINES | IA | 50309 | CHILDBIRTH EDUCATION AND DOULA PROGRAM | $20,000 |
| YOUTH EMERGENCY SERVICES & SHELTER OF IOWA | |||||
| 918 SE 11TH STREET | DES MOINES | IA | 50309 | CRISIS ASSESSMENT AND COUNSELING SERVICES | $25,000 |
| CHRYSALIS FOUNDATION | |||||
| 300 E LOCUST 150 | DES MOINES | IA | 50309 | GIRLSTRONG PROGRAM | $10,000 |
| PRIMARY HEALTH CARE INC | |||||
| 9943 HICKMAN ROAD SUITE 105 | URBANDALE | IA | 50322 | REFERRAL COORDINATION PILOT | $40,000 |
| CENTRAL IOWA SHELTER AND SERVICES | |||||
| 205 15TH STREET | DES MOINES | IA | 50309 | COMMUNITY HEALTH CLINIC | $25,000 |
| MENTOR IOWA | |||||
| 3900 INGERSOLL AVENUE | DES MOINES | IA | 50312 | MAN UP | $5,000 |
| COMMUNITY YOUTH CONCEPTS | |||||
| 3826 1/2 DOUGLAS AVENUE | DES MOINES | IA | 50310 | PUBLIC HEALTH YOUTH ADVISORY BOARD | $15,000 |
| NEW OPPORTUNITIES | |||||
| 23751 HIGHWAY 30 | CARROLL | IA | 51401 | DALLAS COUNTY DENTAL HEALTH PROJECT | $22,000 |
| PREVENT CHILD ABUSE IOWA | |||||
| 505 5TH AVE STE 900 | DES MOINES | IA | 50309 | HEALTHIER OUTCOMES FOR CHILDREN THROUGH IMPROVED CHILD ABUSE PREVENTION SERVICES | $15,000 |
| CHILD AND FAMILY POLICY CENTER | |||||
| 505 5TH AVE STE 404 | DES MOINES | IA | 50309 | IOWA ADVERSE CHILDHOOD EXPERIENCES BRIEF | $5,000 |
| ORCHARD PLACE | |||||
| 925 PORTER AVENUE | DES MOINES | IA | 50315 | EARLY CHILDHOOD MENTAL HEALTH CONSULTATION | $7,000 |
| WESLEY LIFE | |||||
| 3520 GRAND AVENUE | DES MOINES | IA | 50312 | GENERAL SUPPORT | $500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 413695 | TotGrantOrContriPaidDuringYear |
Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (2 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|
| GLBT YOUTH IN IOWA SCHOOLS TASK FORCE | |||||
| PO BOX 704 | DES MOINES | IA | 50303 | MAKE IT BETTER IOWA | $5,000 |
| IOWA DEPARTMENT OF PUBLIC HEALTH | |||||
| 321 E 12TH STREET | DES MOINES | IA | 50319 | IOWA ADVERSE CHILDHOOD EXPERIENCES PROJECT | $26,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Approved Future | 31000 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $319 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $344,070 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $371,613 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $716,002 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 716002 | 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 (3 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| AUDIT FEES | $5,000 | 0 | 0 | 5000 |
| ACCOUNTING FEES | $4,600 | 0 | 0 | 4600 |
| PAYROLL PROCESSING FEE | $900 | 0 | 0 | 900 |
Depreciation Schedule DepreciationSchedule
Depreciation Depreciation (18 entries)
| Description Of PropertyDescriptionOfProperty | Date AcquiredDateAcquired | Cost Or Other BasisCostOrOtherBasis | Prior Years DepreciationPriorYearsDepreciation | Computation MethodComputationMethod | LifeLife | Current Year ExpenseCurrentYearExpense | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|---|---|---|---|---|
| FILE CABINET | 1993-09-01 | 429 | 429 | SL | 7.000000000000 | 0 | 0 | 0 |
| CONFERENCE TABLE | 1995-08-25 | 1408 | 1408 | SL | 7.000000000000 | 0 | 0 | 0 |
| FILE CABINET | 1998-08-03 | 114 | 114 | SL | 10.000000000000 | 0 | 0 | 0 |
| OFFICE FURNITURE | 2000-05-04 | 1081 | 1081 | SL | 10.000000000000 | 0 | 0 | 0 |
| FURNITURE | 2002-06-04 | 468 | 403 | SL | 10.000000000000 | 47 | 0 | 47 |
| FURNITURE | 2004-04-01 | 2587 | 1748 | SL | 10.000000000000 | 259 | 0 | 259 |
| FURNITURE | 2004-05-06 | 1577 | 1053 | SL | 10.000000000000 | 158 | 0 | 158 |
| COMPUTER BACKUP SYSTEM | 2004-05-03 | 1773 | 1773 | SL | 5.000000000000 | 0 | 0 | 0 |
| FURNITURE | 2004-09-01 | 372 | 234 | SL | 10.000000000000 | 37 | 0 | 37 |
| FURNITURE | 2004-09-01 | 152 | 95 | SL | 10.000000000000 | 15 | 0 | 15 |
| COMPUTER PRINTER | 2006-02-14 | 1978 | 1947 | SL | 5.000000000000 | 31 | 0 | 31 |
| OFFICE FURNITURE | 2006-11-27 | 3156 | 1290 | SL | 10.000000000000 | 316 | 0 | 316 |
| COMPUTER | 2006-02-14 | 1578 | 1553 | SL | 5.000000000000 | 25 | 0 | 25 |
| LANIER COPIER | 2006-10-03 | 3180 | 1352 | SL | 10.000000000000 | 265 | 0 | 265 |
| OFFICE FURNITURE | 2007-05-07 | 520 | 191 | SL | 10.000000000000 | 52 | 0 | 52 |
| OPTIPLEX 960 MINITOWER | 2010-04-07 | 1797 | 270 | SL | 5.000000000000 | 359 | 0 | 359 |
| USED DELL PRECISION 390 | 2010-12-31 | 350 | SL | 5.000000000000 | 70 | 0 | 70 | |
| LANIER COPIER/PRINTER | 2011-10-18 | 1399 | SL | 5.000000000000 | 47 | 0 | 47 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LANIER COPIER | Name |
| Date Acquired | 2006-10 | DateAcquired |
| How Acquired | PURCHASED | HowAcquired |
| Date Sold | 2011-10 | DateSold |
| Basis | 3180 | Basis |
| Sales Expense | 0 | SalesExpense |
| Total Net | -1563 | TotalNet |
| Accumulated Depreciation | 1617 | AccumulatedDepreciation |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Bond | TOTAL CORPORATE BONDS OWNED | NameOfBond |
| EOY Book Value | 1324099 | EOYBookValue |
| EOYFMV | 1324099 | EOYFMV |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | TOTAL CORPORATE STOCKS OWNED | NameOfStock |
| EOY Book Value | 8510914 | EOYBookValue |
| EOYFMV | 8510914 | EOYFMV |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 2973833 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 2973833 | USGovtSecuritiesEOYFMV |
| State Local Securities EOY Book Val | 0 | StateLocalSecuritiesEOYBookVal |
| State Local Securities EOYFMV | 0 | StateLocalSecuritiesEOYFMV |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtc (17 entries)
| Category Or ItemCategoryOrItem | Cost Or Other BasisCostOrOtherBasis | Accumulated DepreciationAccumulatedDepreciation | EOYFMVEOYFMV | Book ValueBookValue |
|---|---|---|---|---|
| FILE CABINET | 429 | 429 | 0 | |
| CONFERENCE TABLE | 1408 | 1408 | 0 | |
| FILE CABINET | 114 | 114 | 0 | |
| OFFICE FURNITURE | 1081 | 1081 | 0 | |
| FURNITURE | 468 | 450 | 0 | 18 |
| FURNITURE | 2587 | 2007 | 0 | 580 |
| FURNITURE | 1577 | 1211 | 0 | 366 |
| COMPUTER BACKUP SYSTEM | 1773 | 1773 | 0 | |
| FURNITURE | 372 | 271 | 0 | 101 |
| FURNITURE | 152 | 110 | 0 | 42 |
| COMPUTER PRINTER | 1978 | 1978 | 0 | |
| OFFICE FURNITURE | 3156 | 1606 | 0 | 1550 |
| COMPUTER | 1578 | 1578 | 0 | |
| OFFICE FURNITURE | 520 | 243 | 0 | 277 |
| OPTIPLEX 960 MINITOWER | 1797 | 629 | 0 | 1168 |
| USED DELL PRECISION 390 | 350 | 70 | 0 | 280 |
| LANIER COPIER/PRINTER | 1399 | 47 | 0 | 1352 |
Other Assets Schedule OtherAssetsSchedule
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED INTEREST INCOME | Description |
| BOY Book Value | 55202 | BOYBookValue |
| EOY Book Value | 38752 | EOYBookValue |
| EOYFMV | 38752 | EOYFMV |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases OtherDecreases
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNREALIZED GAINS (LOSSES) ON INVESTMENTS | Description |
| Amount | $946,865 | Amount |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (6 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| DUES & SUBSCRIPTIONS | 430 | 0 | 0 | 430 |
| INSURANCE | 4321 | 0 | 0 | 4321 |
| SUPPLIES & POSTAGE | 673 | 0 | 0 | 673 |
| REPAIRS AND MAINTENANCE | 2550 | 0 | 0 | 2550 |
| TELEPHONE | 2070 | 0 | 0 | 2070 |
| OTHER | 68 | 0 | 0 | 1628 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED FEDERAL EXCISE TAX | Description |
| BOY Book Value | 10020 | BOYBookValue |
| EOY Book Value | 52 | EOYBookValue |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees (3 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| CONSULTANT | $2,952 | 0 | 0 | 2952 |
| 401K PLAN ADMIN | $675 | 0 | 0 | 675 |
| INVESTMENT FEES | $90,857 | 90857 | 0 | 0 |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | $12,137 | 0 | 0 | 0 |
| FOREIGN TAXES | $9,183 | 9183 | 0 | 0 |
Comments