MID-IOWA HEALTH FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MID-IOWA HEALTH FOUNDATION (EIN 42-1235348)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201141399349100309
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)
Timestamp2011-05-16T14:40:13-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-05-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYLE D REICHTERName
Phone5153090215Phone
Date Prepared2011-05-17DatePrepared
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 EOY14322496FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss1983ContriReceivedRevAndExpnss
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss328InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm328InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss342015DividendsRevAndExpnss
Dividends Net Invst Incm342015DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss369423NetGainSaleAssetsRevAndExpnss
Gross Sales Price7218586GrossSalesPrice
Capital Gain Net Incm Net Invst Incm369423CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses713749TotalRevenueAndExpenses
Total Net Investment Income711766TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss29100CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm2400CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps26700CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Rev And Expnss149601OthEmplSlrsWgsRevAndExpnss
Oth Empl Slrs Wgs Net Invst Incm5596OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Adj Net Incm0OthEmplSlrsWgsAdjNetIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps144005OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Rev And Expnss20215PensionEmplBnftRevAndExpnss
Pension Empl Bnft Net Invst Incm414PensionEmplBnftNetInvstIncm
Pension Empl Bnft Adj Net Incm0PensionEmplBnftAdjNetIncm
Pension Empl Bnft Dsbrs Chrtbl Prps19801PensionEmplBnftDsbrsChrtblPrps
Accounting Fees Rev And Expnss9450AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps9450AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss92127OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm86652OtherProfFeesNetInvstIncm
Other Prof Fees Adj Net Incm0OtherProfFeesAdjNetIncm
Other Prof Fees Dsbrs Chrtbl Prps5475OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss19897TaxesRevAndExpnss
Taxes Net Invst Incm7717TaxesNetInvstIncm
Taxes Adj Net Incm0TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss2221DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Deprec And Depletion Adj Net Incm2221DeprecAndDepletionAdjNetIncm
Occupancy Rev And Expnss15593OccupancyRevAndExpnss
Occupancy Net Invst Incm0OccupancyNetInvstIncm
Occupancy Adj Net Incm0OccupancyAdjNetIncm
Occupancy Dsbrs Chrtbl Prps15593OccupancyDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss12168TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Adj Net Incm0TravConfMeetingAdjNetIncm
Trav Conf Meeting Dsbrs Chrtbl Prps12168TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss11276PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm0PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps11276PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss13238OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps13238OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss374886TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm102779TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm2221TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps257706TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss456153ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps456153ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss831039TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm102779TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm2221TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps713859TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-117290ExcessOfRevenueOverExpenses
Net Investment Income608987NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY63985CashBOY
Cash EOY53676CashEOY
Cash EOYFMV53676CashEOYFMV
Savings And Temp Cash Invst BOY280246SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY265955SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV265955SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY2509142InvestmentsGovtObligBOY
Investments Govt Oblig EOY2675857InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV2675857InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY9183639InvestmentsCorpStockBOY
Investments Corp Stock EOY9847762InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV9847762InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY1481157InvestmentsCorpBondsBOY
Investments Corp Bonds EOY1416465InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV1416465InvestmentsCorpBondsEOYFMV
Land Building And Equipment Basis22520LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip14941AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY7653LandBuildingAndEquipmentBOY
Land Building And Equipment EOY7579LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV7579LandBuildingAndEquipmentEOYFMV
Other Assets BOY58140OtherAssetsBOY
Other Assets EOY55202OtherAssetsEOY
Other Assets EOYFMV55202OtherAssetsEOYFMV
Total Assets BOY13583962TotalAssetsBOY
Total Assets EOY14322496TotalAssetsEOY
Total Assets EOYFMV14322496TotalAssetsEOYFMV
Accounts Payable BOY720AccountsPayableBOY
Accounts Payable EOY2455AccountsPayableEOY
Other Liabilities BOY0OtherLiabilitiesBOY
Other Liabilities EOY10020OtherLiabilitiesEOY
Total Liabilities BOY720TotalLiabilitiesBOY
Total Liabilities EOY12475TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY13583242UnrestrictedBOY
Unrestricted EOY14310021UnrestrictedEOY
Total Net Assets BOY13583242TotalNetAssetsBOY
Total Net Assets EOY14310021TotalNetAssetsEOY
Total Liabilities Net Assets BOY13583962TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY14322496TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY13583242TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-117290ExcessOfRevenueOverExpenses
Other Increases844069OtherIncreases
Subtotal14310021Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY14310021TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDepreciationDepreciationCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLossesGross Sales PriceGrossSalesPrice
EQUIPMENT DISPOSED OFP158511585100
INVESTMENT SALES34225321929651929653615497
INVESTMENT SALES34266311764581764583603089
FieldValueIRS element (for citing)
Capital Gain Net Income369423CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1774680QualifyingDistributionsYear1
Noncharitable Assets Year112160790NoncharitableAssetsYear1
Distribution Ratio Year10.063703DistributionRatioYear1
Qualifying Distributions Year2835583QualifyingDistributionsYear2
Noncharitable Assets Year214510704NoncharitableAssetsYear2
Distribution Ratio Year20.057584DistributionRatioYear2
Qualifying Distributions Year3976170QualifyingDistributionsYear3
Noncharitable Assets Year317060336NoncharitableAssetsYear3
Distribution Ratio Year30.057219DistributionRatioYear3
Qualifying Distributions Year4912563QualifyingDistributionsYear4
Noncharitable Assets Year415842617NoncharitableAssetsYear4
Distribution Ratio Year40.057602DistributionRatioYear4
Qualifying Distributions Year5889224QualifyingDistributionsYear5
Noncharitable Assets Year515662918NoncharitableAssetsYear5
Distribution Ratio Year50.056773DistributionRatioYear5
Total Distribution Ratio0.292881TotalDistributionRatio
Average Distribution Ratio0.058576AverageDistributionRatio
Net Noncharitable Assets13253051NetNoncharitableAssets
Adjusted Noncharitable Assets776311AdjustedNoncharitableAssets
One Percent Net Investment Income6090OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One782401AdjNonchrtblAssetsAndOnePct
Qualifying Distributions713859QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax12180InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal12180Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income12180TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment2280EstTaxPaymentsAndOverpayment
Tax Paid With Extension12955TaxPaidWithExtension
Total Credits And Payments15235TotalCreditsAndPayments
Penalty For Underpayment5PenaltyForUnderpayment
Overpayment3050Overpayment
Amount Credited To Next Year3050AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

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 Person1FurnishedGoodsWithDsqflyPerson
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 (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
IVAN JOHNSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312CHAIR10.00860000
THOMAS JESCHKE
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312SECRETARY/TREASURER1.00440000
NOLDEN GENTRY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00280000
ROB HAYES
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00110000
TERRY CALDWELL-JOHNSON
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00320000
JUDITH VOGEL
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00300000
BECKY MILES-POLKA
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00340000
MATTHEW MCGARVEY
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00260000
CHERYL HARDING
3900 INGERSOLL AVENUE STE 104DES MOINESIA50312DIRECTOR1.00000

Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (2 entries)

NameNameAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAverage Hours Per WeekAverageHoursPerWeekCompensationCompensationEmployee BenefitsEmployeeBenefitsExpense AccountExpenseAccount
DENISE SWARTZ3900 INGERSOLL AVENUE STE 104DES MOINESIA50312PROGRAM OFFICER40.006986048900
KATHRYN K BRADLEY3900 INGERSOLL AVENUE STE 104DES MOINESIA50312PRESIDENT40.006393744760
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 Securities13088285AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances366589AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets13454874TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets13454874AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable201823CashDeemedCharitable
Net Noncharitable Assets13253051NetNoncharitableAssets
Minimum Investment Return662653MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return662653MinimumInvestmentReturn
Tax Based On Investment Income12180TaxBasedOnInvestmentIncome
Total Tax12180TotalTax
Distributable Amount Before Adj650473DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded650473DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted650473DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions713859ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions713859QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions713859AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted650473DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year5118256ExcessDistriCarryoverYear5
Excess Distri Carryover Year4197432ExcessDistriCarryoverYear4
Excess Distri Carryover Year3148857ExcessDistriCarryoverYear3
Excess Distri Carryover Year2115626ExcessDistriCarryoverYear2
Excess Distri Carryover Year1171200ExcessDistriCarryoverYear1
Total Excess Distri Carryover751371TotalExcessDistriCarryover
Qualifying Distributions713859QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year650473AppliedToCurrentYear
Remaining Distri From Corpus63386RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus814757TotalCorpus
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 Year5118256ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year696501ExcessDistriCyovToNextYear
Excess From Year4197432ExcessFromYear4
Excess From Year3148857ExcessFromYear3
Excess From Year2115626ExcessFromYear2
Excess From Year1171200ExcessFromYear1
Excess From Current Year63386ExcessFromCurrentYear

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.FormAndInfoAndMaterials
Submission DeadlinesAPPLICATIONS ARE ACCEPTED AT ANY TIME AND ARE REVIEWED SEMI ANNUALLY.SubmissionDeadlines
Restrictions On AwardsGRANTS 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 (35 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodePurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
GRANTMAKERS IN HEALTH
1130 CONNECTICUT AVENUE NW STE 700WASHINGTONDC20036HEALTH REFORM RESOURCE CENTER$2,500
AID GREATER DES MOINES INC
711 EAST 2ND STREETDES MOINESIA50309BE THE CURE RAPID HIV TESTING PROGRAM$15,000
CATHOLIC CHARITIES
601 GRAND AVENUEDES MOINESIA50309SPANISH LANGUAGE COUNSELING$32,000
CHILD AND FAMILY POLICY CENTER
505 5TH AVE STE 404DES MOINESIA50309CHILD HEALTH ADVOCACY AND HEALTH PROMOTION$35,000
GLBT YOUTH IN IOWA SCHOOLS TASK FORCE
PO BOX 704DES MOINESIA50303ENDING THE SILENCE$10,000
I'LL MAKE ME A WORLD IN IOWA
1620 PLEASANT STREET STE 210DES MOINESIA50314I'LL MAKE ME A WORLD IN IOWA$5,000
IOWA CAREGIVERS ASSOCIATION
1211 VINE STREET STE 1000WEST DES MOINESIA50265ACCESS TO QUALITY CARE THROUGH A STABLE DIRECT CARE WORKFORCE$25,000
IOWA HOMELESS YOUTH CENTERS
1219 BUCHANANDES MOINESIA50316STREET OUTREACH CERTIFIED ADDICTION COUNSELOR$12,000
LUTHERAN SERVICES IN IOWA
3125 COTTAGE GROVE AVENUEDES MOINESIA50311HEALTHY OPPORTUNITIES FOR FAMILIES TO EXPERIENCE SUCCESS$10,000
PLANNED PARENTHOOD OF THE HEARTLAND
1171 7TH STREETDES MOINESIA50314SEXUALITY HEALTH EDUCATION FOR HIGH RISK YOUTH$25,121
POLK COUNTY HEALTH DEPARTMENT
1907 CARPENTER AVENUEDES MOINESIA50314ENDORSE AND PROMOTE HEALTHY POLK 2020 - A COMPREHENSIVE STRATEGY FOR HEALTH$25,000
YMCA
101 LOCUSTDES MOINESIA50309TRIM KIDS$15,000
POLK COUNTY HEALTH DEPARTMENT
1907 CARPENTER AVENUEDES MOINESIA503142011 BACK TO SCHOOL HEALTH FAIR$7,098
FOOD BANK OF CENTRAL IOWA
2220 E 17TH STREETDES MOINESIA50316HEALTHY FOOD$10,000
GRANTMAKERS IN HEALTH
1130 CONNECTICUT AVENUE NW STE 700WASHINGTONDC20036GENERAL OPERATING, TECHNICAL ASSISTANCE$2,500
ASSOCIATION OF SMALL FOUNDATIONS
1720 N STREET NWWASHINGTONDC20036GENERAL OPERATIONS - TA FOR GOVERNANCE, INVESTMENT, OPERATIONS, PROGRAMS$5,000
AMOS - A MID-IOWA ORGANIZING STRATEGY QUALITY HEALTH CARE FOR ALL
3700 COTTAGE GROVEDES MOINESIA50311QUALITY HEALTH CARE$25,000
CHILDREN AND FAMILIES OF IOWA
1111 UNIVERSITY AVENUEDES MOINESIA50314CORNERSTON RECOVERY OUTPATIENT TREATMENT PROGRAM$15,000
CHILDREN AND FAMILY URBAN MINISTRIES
PO BOX 41125DES MOINESIA503112010 BACK TO SCHOOL HEALTH FAIR$5,000
DALLAS COUNTY PUBLIC HEALTH
902 COURT AVENUEADELIA50003HEALTH NAVIGATION PILOT$13,831
DES MOINES HEALTH CENTER
1111 NINTH STREET STE 190DES MOINESIA50314SMILE SQUAD ORAL HEALTH PROGRAM$20,000
DES MOINES INDEPENDENT COMMUNITY SCHOOL DISTRICT
901 WALNUT STREETDES MOINESIA50309COORDINATED HEALTHCARE SERVICES FOR REFUGEE & IMMIGRANT CHILDREN$20,000
DES MOINES PASTORAL COUNSELING CENTER
2929 WESTOWN PARKWAY STE 110WEST DES MOINESIA50266CHILDREN OVERCOMING THE OBSTACLES OF LIFE ASSISTANCE$10,000
EMPLOYEE AND FAMILY RESOURCES
505 5TH AVE STE 930DES MOINESIA50309RETHINKING DRINKING AND CHANCE 4 CHANGE RESTORATIVE JUSTICE YOUTH PROGRAMS$20,000
IOWA HEALTH FOUNDATION
1440 INGERSOLL AVENUEDES MOINESIA50309LA CLINICA - SUPPORT YOUR INTEGRAL HEALTH$30,000
VISITING NURSE SERVICES
1111 NINTH STREET STE 320DES MOINESIA50306VISITING NURSE SERVICES OUTREACH PROGRAM$30,000
YOUNG WOMEN'S RESOURCE CENTER
818 5TH AVENUEDES MOINESIA50309CHILDBIRTH EDUCATION AND DOULA PROGRAM (PERINATAL SERVICES)$15,000
YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
918 SE 11TH STREETDES MOINESIA50309CRISIS ASSESSMENT AND COUNSELING SERVICES$25,000
FOOD BANK OF CENTRAL IOWA
2220 E 17TH STREETDES MOINESIA50316CONTRIBUTION$500
AMERICA RED CROSS
2116 GRAND AVEDES MOINESIA50312HAITI EARTHQUAKE RELIEF$5,000
THE HOMESTEAD
1625 ADVENTURELAND DRIVE STE BALTOONAIA50009AUTISM PROGRAMMING$600
KIDNEY FOUNDATION OF IOWA
2121 NW 100TH STREETCLIVEIA50325KIDNEY DISEASE RESEARCH$1,600
OAKRIDGE NEIGHBORHOOD
1236 OAKRIDGE DRIVEDES MOINESIA50314YOUTH HEALTH PROGRAMMING$500
SHALOM ZONE MINISTRIES
2301 RITTENHOUSE STDES MOINESIA50321REFUND - ORIGINAL GRANT WAS FOR HEALTH FAIR - REDIRECTED TO 2011 HEALTH FAIR-$7,097
BROADLAWNS FOUNDATION
1801 HICKMAN ROADDES MOINESIA50314DIABETES ORAL HEALTH REFUND-$10,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year456153TotGrantOrContriPaidDuringYear
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$328ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$342,015ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$369,423ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$711,766ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA711766TotalPartXVIA

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 (3 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
AUDIT FEES$3,000003000
ACCOUNTING FEES$5,400005400
PAYROLL PROCESSING FEE$1,050001050

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (30 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncome
FURNITURE & EQUIPMENT1984-12-0135543554SL5.000000000000000
FILE CABINET1985-07-01405405SL5.000000000000000
LASER PRINTER1990-09-1310451045SL5.000000000000000
OFFICE CHAIR1990-10-01113113SL7.000000000000000
BOOKCASE1991-12-06101101SL7.000000000000000
2 CHAIRS1993-08-05284284SL7.000000000000000
FILE CABINET1993-09-01429429SL7.000000000000000
CONFERENCE TABLE1995-08-2514081408SL7.000000000000000
HP COMPUTER AND MONITOR1998-08-0622912291SL5.000000000000000
FILE CABINET1998-08-03114114SL10.000000000000000
MICROEDGE SOFTWARE1998-09-1950005000SL3.000000000000000
HP 1100 PRINTER1999-07-06400400SL5.000000000000000
EXTERNAL ZIP DRIVE 100MB USB1999-07-069090SL5.000000000000000
FAX MACHINE1999-12-21229229SL5.000000000000000
OFFICE FURNITURE2000-05-0410811044SL10.00000000000037037
COMPUTER2000-06-0221622162SL5.000000000000000
FURNITURE2002-06-04468356SL10.00000000000047047
FURNITURE2004-04-0125871489SL10.0000000000002590259
FURNITURE2004-05-061577895SL10.0000000000001580158
COMPUTER BACKUP SYSTEM2004-05-0317731773SL5.000000000000000
FURNITURE2004-09-01372197SL10.00000000000037037
FURNITURE2004-09-0115280SL10.00000000000015015
COMPUTER PRINTER2006-02-1419781551SL5.0000000000003960396
OFFICE FURNITURE2006-11-273156974SL10.0000000000003160316
QUICKBOOKS PRO 20072006-12-08177177SL3.000000000000000
COMPUTER2006-02-1415781237SL5.0000000000003160316
LANIER COPIER2006-10-0331801034SL10.0000000000003180318
OFFICE FURNITURE2007-05-07520139SL10.00000000000052052
OPTIPLEX 960 MINITOWER2010-04-071797SL5.0000000000002700270
USED DELL PRECISION 3902010-12-31350SL5.000000000000000

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

FieldValueIRS element (for citing)
Name Of BondTOTAL CORPORATE BONDS OWNEDNameOfBond
EOY Book Value1416465EOYBookValue
EOYFMV1416465EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

FieldValueIRS element (for citing)
Name Of StockTOTAL CORPORATE STOCKS OWNEDNameOfStock
EOY Book Value9847762EOYBookValue
EOYFMV9847762EOYFMV

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value2675857USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV2675857USGovtSecuritiesEOYFMV
State Local Securities EOY Book Val0StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV0StateLocalSecuritiesEOYFMV

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc (17 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationEOYFMVEOYFMVBook ValueBookValue
FILE CABINET4294290
CONFERENCE TABLE140814080
FILE CABINET1141140
OFFICE FURNITURE108110810
FURNITURE468403065
FURNITURE258717480839
FURNITURE157710530524
COMPUTER BACKUP SYSTEM177317730
FURNITURE3722340138
FURNITURE15295057
COMPUTER PRINTER19781947031
OFFICE FURNITURE3156129001866
COMPUTER15781553025
LANIER COPIER3180135201828
OFFICE FURNITURE5201910329
OPTIPLEX 960 MINITOWER179727001527
USED DELL PRECISION 39035000350

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBOY Book ValueBOYBookValueEOY Book ValueEOYBookValueEOYFMVEOYFMV
ACCRUED INTEREST INCOME577405520255202
REFUNDABLE FEDERAL EXCISE TAX400

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (6 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
DUES & SUBSCRIPTIONS90700907
INSURANCE4713004713
SUPPLIES & POSTAGE1876001876
REPAIRS AND MAINTENANCE2353002353
TELEPHONE2253002253
OTHER1136001136

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINS (LOSSES) ON INVESTMENTSDescription
Amount$844,069Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED FEDERAL EXCISE TAXDescription
BOY Book Value0BOYBookValue
EOY Book Value10020EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (3 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
CONSULTANT$4,975004975
401K PLAN ADMIN$50000500
INVESTMENT FEES$86,6528665200

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FEDERAL EXCISE TAX$12,180000
FOREIGN TAXES$7,717771700

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