ARTHUR T ERICKSON FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ARTHUR T ERICKSON FOUNDATION (EIN 41-6050855)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-13
IRS object ID
201101339349101940
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T16:48:02-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990PFReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN416050855EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARTHUR T ERICKSON FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARTHNameControl
Phone9528308700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1224AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55440ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGERALD A ERICKSONName
TitleTRUSTEETitle
Phone9528308700Phone
Date Signed2011-05-12DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY322358FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss150000ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss25InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm25InterestOnSavingsNetInvstIncm
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses150025TotalRevenueAndExpenses
Total Net Investment Income25TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Other Prof Fees Rev And Expnss25OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm0OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps25OtherProfFeesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss25TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps25TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss119150ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps119150ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss119175TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps119175TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses30850ExcessOfRevenueOverExpenses
Net Investment Income25NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY290658SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY322358SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV322358SavingsAndTempCashInvstEOYFMV
Accounts Receivable BOY850AccountsReceivableBOY
Total Assets BOY291508TotalAssetsBOY
Total Assets EOY322358TotalAssetsEOY
Total Assets EOYFMV322358TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY291508UnrestrictedBOY
Unrestricted EOY322358UnrestrictedEOY
Total Net Assets BOY291508TotalNetAssetsBOY
Total Net Assets EOY322358TotalNetAssetsEOY
Total Liabilities Net Assets BOY291508TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY322358TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY291508TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses30850ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal322358Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY322358TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1108175QualifyingDistributionsYear1
Noncharitable Assets Year1239694NoncharitableAssetsYear1
Distribution Ratio Year10.451305DistributionRatioYear1
Qualifying Distributions Year291025QualifyingDistributionsYear2
Noncharitable Assets Year2167685NoncharitableAssetsYear2
Distribution Ratio Year20.542833DistributionRatioYear2
Qualifying Distributions Year3161046QualifyingDistributionsYear3
Noncharitable Assets Year3153285NoncharitableAssetsYear3
Distribution Ratio Year31.050631DistributionRatioYear3
Qualifying Distributions Year460475QualifyingDistributionsYear4
Noncharitable Assets Year487091NoncharitableAssetsYear4
Distribution Ratio Year40.694389DistributionRatioYear4
Qualifying Distributions Year5109588QualifyingDistributionsYear5
Noncharitable Assets Year5121309NoncharitableAssetsYear5
Distribution Ratio Year50.903379DistributionRatioYear5
Total Distribution Ratio3.642537TotalDistributionRatio
Average Distribution Ratio0.728507AverageDistributionRatio
Net Noncharitable Assets273778NetNoncharitableAssets
Adjusted Noncharitable Assets199449AdjustedNoncharitableAssets
One Percent Net Investment Income0OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One199449AdjNonchrtblAssetsAndOnePct
Qualifying Distributions119175QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal0Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income0TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due0TaxDue

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 WithMNStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameGERALD A ERICKSONBooksInCareOfPersonName
Books In Care Of Phone Number9528308700BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line14567 AMERICAN BOULEVARD WESTAddressLine1
CityBLOOMINGTONCity
StateMNState
ZIP Code55437ZIPCode
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 Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
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 (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
GERALD A ERICKSON
4567 AMERICAN BOULEVARD WESTBLOOMINGTONMN55437TRUSTEE1.00000
MARJORIE J PIHL
4567 AMERICAN BOULEVARD WESTBLOOMINGTONMN55437TRUSTEE1.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
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 Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances277947AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets277947TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets277947AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable4169CashDeemedCharitable
Net Noncharitable Assets273778NetNoncharitableAssets
Minimum Investment Return13689MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return13689MinimumInvestmentReturn
Total Tax0TotalTax
Distributable Amount Before Adj13689DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded13689DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted13689DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions119175ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions119175QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions119175AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted13689DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year599025ExcessDistriCarryoverYear5
Excess Distri Carryover Year456122ExcessDistriCarryoverYear4
Excess Distri Carryover Year3153384ExcessDistriCarryoverYear3
Excess Distri Carryover Year282641ExcessDistriCarryoverYear2
Excess Distri Carryover Year196190ExcessDistriCarryoverYear1
Total Excess Distri Carryover487362TotalExcessDistriCarryover
Qualifying Distributions119175QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year13689AppliedToCurrentYear
Remaining Distri From Corpus105486RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus592848TotalCorpus
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 Year599025ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year493823ExcessDistriCyovToNextYear
Excess From Year456122ExcessFromYear4
Excess From Year3153384ExcessFromYear3
Excess From Year282641ExcessFromYear2
Excess From Year196190ExcessFromYear1
Excess From Current Year105486ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (34 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
MOUNT OLIVET LUTHERAN CHURCH
5025 KNOX AVENUE SOUTHMINNEAPOLISMN554191095NONEPUBLICTO SUPPORT THE GENERAL FUND OF THE CHURCH$10,000
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905NONEPUBLICTO SUPPORT PROGRAMS IN MEDICAL CARE, RESEARCH, AND E$1,000
PLYMOUTH CONGREGATIONAL CHURCH
1900 NICOLLET AVENUEMINNEAPOLISMN554033789NONEPUBLICTO SUPPORT THE GENERAL FUND OF THE CHURCH$20,000
GUSTAVUS ADOLPHUS COLLEGE
800 WEST COLLEGE AVENUEST PETERMN560821498NONEPUBLICTO SUPPORT EDUCATION, SERVICE, AND FAITH$2,500
THE MINNEAPOLIS INSTITUTE OF THE ARTS
2400 THIRD AVENUE SOUTHMINNEAPOLISMN55404NONEPUBLICTO PROVIDE SERVICES AND PROGRAMS TO THE COMMUNITY$12,000
MINNESOTA ORCHESTRAL ASSOCIATION
1111 NICOLLET MALLMINNEAPOLISMN55403NONEPUBLICTO FUND THE ANNUAL GUARANTY FUND$5,000
SALVATION ARMY
2445 PRIOR AVENUEROSEVILLEMN551132714NONEPUBLICTO PROVIDE SERVICES AND PROGRAMS TO THE COMMUNITY$500
GROVES ACADEMY
3200 HIGHWAY 100 SOUTHST LOUIS PARKMN55416NONEPUBLICTO SUPPORT EDUCATION OF CHILDREN WITH LEARNING DISAB$4,150
CHILDREN'S FOUNDATION CHILDREN'S HOSPITAL ASSOCIATION
PO BOX 86MINNEAPOLISMN554862486NONEPUBLICTO SUPPORT ORTHOPEDIC PROGRAMS AND SERVICES FOR CHIL$3,500
BETHEL UNIVERSITY
3900 BETHEL DRIVEST PAULMN551126999NONEPUBLICTO SUPPORT THE BETHEL ANNUAL FUND$500
RIVER VALLEY RIDERS
260 SOUTH 4TH STREETBAYPORTMN55003NONEPUBLICTO SUPPORT THERAPEUTIC HORSE BACK RIDING FOR PEOPLE$5,000
CHILDREN'S CANCER RESEARCH FUND
7801 EAST BUSH LAKE ROAD SUITE 130MINNEAPOLISMN55439NONEPUBLICTO SUPPORT CHILDREN'S CANCER RESEARCH$1,000
UNIVERSITY OF ST THOMAS
2115 SUMMIT AVEST PAULMN551051096NONEPUBLICTO SUPPORT THE ST. THOMAS ANNUAL FUND$2,000
EAGLE BLUFF ENVIRONMENTAL LEARNING CENTER
28097 GOODVIEW DRIVELANESBOROMN55949NONEPUBLICTO SUPPORT ENVIRONMENTAL EDUCATION$1,000
TWIN CITIES PUBLIC TELEVISION
172 EAST 4TH STREETST PAULMN55101NONEPUBLICTO SUPPORT PUBLIC BROADCASTING$500
BOYS & GIRLS CLUBS OF THE TWIN CITIES
6500 NICOLLET AVE SOUTH SUITE 201MINNEAPOLISMN554231674NONEPUBLICTO SUPPORT THE GENERAL OPERATING FUND$2,500
GRAYWOLF PRESS
250 3RD AVENUE NORTH SUITE 600MINNEAPOLISMN55401NONEPUBLICTO SUPPORT THE PUBLISHING OF CONTEMPORARY LITERATURE$500
AMERICAN CANCER SOCIETY MIDWEST DIVISION
2520 PILOT KNOB ROAD SUITE 150MENDOTA HEIGHTSMN551201158NONEPUBLICTO SUPPORT THE FIGHT AGAINST CANCER$1,000
MINNESOTA LANDSCAPE ARBORETUM
3675 ARBORETUM DRIVECHASKAMN553189613NONEPUBLICTO SUPPORT THE ANNUAL FUND$1,500
INTERFAITH OUTREACH & COMMUNITY PARTNERS
110 GRAND AVENUE SOUTHWAYZATAMN553911872NONEPUBLICTO HELP FAMILIES IN NEED BECOME SELF-SUFFICIENT$1,000
AMERICAN RED CROSS TWIN CITIES AREA CHAPTER
1201 WEST RIVER PARKWAYMINNEAPOLISMN55454NONEPUBLICTO SUPPORT COMMUNITIES IN EMERGENCY SITUATIONS$6,500
WILLIAM MITCHELL COLLEGE OF LAW
875 SUMMIT AVENUEST PAULMN551053076NONEPUBLICTO SUPPORT THE COLLEGE SCHOLARSHIP FUNDS$1,000
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
800 EAST 28TH STREETMINNEAPOLISMN554073799NONEPUBLICTO SUPPORT HEALTH CARE TREATMENT & TECHNOLOGY$2,500
GUTHRIE THEATER
818 SOUTH 2ND STREETMINNEAPOLISMN55415NONEPUBLICTO SUPPORT COMMUNITY PRODUCTIONS & PROGRAMS$1,500
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100MINNEAPOLISMN55407NONEPUBLICTO SUPPORT THE FIGHT AGAINST HEART DISEASE$1,000
WALKER ART CENTER
1750 HENNEPIN AVENUEMINNEAPOLISMN55403NONEPUBLICTO SUPPORT ART PROGRAMS$1,500
MINNESOTA PUBLIC RADIO
480 CEDAR STREETST PAULMN55101NONEPUBLICTO SUPPORT PUBLIC RADIO$500
JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL
2626 EAST 82ND STREET SUITE 225BLOOMINGTONMN55425NONEPUBLICTO SUPPORT THE SEARCH FOR A CURE TO DIABETES$5,000
PATRONATO BENEFICO ORIENTAL OF THE UNITED STATES
2600 SW 3RD AVE SUITE 600MIAMIFL33129NONEPUBLICTO SUPPORT THE BASIC NEEDS OF IMPOVERISHED CHILDREN$5,000
BLAKE SCHOOL
110 BLAKE ROAD SOUTHHOPKINSMN55343NONEPUBLICTO SUPPORT THE ANNUAL FUND$500
SUSAN G KOMAN FOR THE CURE
20 WESTPORT ROAD PO BOX 855WILTONCT06897NONEPUBLICTO SUPPORT THE FIGHT AGAINST BREAST CANCER$1,000
RIVERS EDGE HOSPITAL & CLINIC FOUNDATION
1900 NORTH SUNRISE DRIVEST PETERMN56082NONEPUBLICTO FUND THE PURCHASE OF MEDICAL EQUIPMENT FOR THE EMERGENCY DEPARTMENT$5,000
ARHRITIS FOUNDATION
1876 MINNEHAHA AVE WST PAULMN55104NONEPUBLICTO SUPPORT THE PREVENTION, CONTROL AND CURE OF ARTHRITIS$2,500
CARLETON COLLEGE
ONE NORTH COLLEGE STREETNORTHFIELDMN55057NONEPUBLICTO FUND RESOURCES FOR LEARNING AND TEACHING$10,500
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year119150TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Related Or Exempt Function Income25RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$0ExclusionAmount
Related Or Exempt Function Income25RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA25TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

FieldValueIRS element (for citing)
Line Number3ELineNumber
Relationship StatementINTEREST EARNED ON FOUNDATION CHECKING ACCOUNTRelationshipStatement

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualHOLIDAY STATIONSTORES INCContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line14567 AMERICAN BOULEVARD WESTAddressLine1
CityBLOOMINGTONCity
StateMNState
ZIP Code55437ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions150000AggregateContributions
Person Contribution TypeXPersonContributionType

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategorySTATE FILING FEESCategory
Amount$25Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps25DisbursementsCharitablePrps

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