2023-11-10T12:05:52-06:00 2022-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2022-01-01 255100130 Adams Family Foundation of Nora Springs Iowa % Foundation Source ADAM 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Angie Pippert President 8008391754 2023-11-05 true Angie Pippert 999009999 Jeffrey D Haskell P01345770 8008391754 2022 2023-04-26 12:10:37Z X 19604788 X 0 X 6472 6472 303710 303710 201906 201906 163928 -1787177 7488272 0 -26736 -13461 -1301825 498627 55000 55000 3060 3060 175 0 0 175 262 0 0 262 144017 128267 15750 51470 20894 0 2948 2948 108687 56945 51575 365619 206106 0 128770 517751 517751 883370 206106 0 646521 -2185195 292521 630217 1732055 1732055 14007707 11539996 10329443 8638657 8638657 8638657 6064807 2006726 1210285 1478483 25283307 23120993 19604788 2119 0 2119 0 X 25281188 23120993 25281188 23120993 25283307 23120993 25281188 -2185195 25000 23120993 23120993 Publicly-traded Securities 6446389 8256006 -1809617 -1809617 Passthrough K1 Capital Gain/(Loss) 38737 CRYSTAL CAPITAL FUND SER LLC P 2021-04-26 2022-12-31 1041883 1058544 -16661 -16661 -1787541 4066 4066 4066 8332 0 8332 X 0 4266 4266 false false false false false true true false true true IA true false false false false true n/a Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false true false false false false false false false false false false false false false false false false false Lori M Jost Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Sec 3.0 8000 0 0 Kenneth Kirk Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir 3.0 3000 0 0 Michael Marth Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, VP 3.0 3000 0 0 Debra O'Banion Foundation Source 501 Silverside Rd Wilmington DE 198091377 Treas, Dir 10.0 18000 0 0 Angie L Pippert Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres 10.0 23000 0 0 Charles Schwab & Co 211 Main Street SAN FRANCISCO CA 94105 Investment MGMT 115143 11470617 859351 8561850 20891818 0 20891818 313377 20578441 1028922 1028922 4066 4066 1024856 25000 1049856 1049856 646521 0 0 0 0 646521 1049856 629259 2020 2019 2018 646521 629259 17262 0 0 1032594 0 0 NONE ANGIE PEPPERT PO BOX 236 Nora Springs IA 504580236 APIPPERT@HOTMAIL.COM FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS FSREQUESTS.COM/ADAMSFAMILYNORASPRINGS CENTRAL SPRINGS AG ED BOOSTERS INCORPORATED 24146 RAVEN AVE MASON CITY IA 50401 N/A PC Central Springs AgEd Curriculum and FFA Chapter fund 20000 CENTRAL SPRINGS COMMUNITY SCHOOL DISTRICT PO BOX 190 MANLY IA 50456 N/A GOV for Wee Soar Preschool 44478 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Nora Springs UTV & Snow removal 26337 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Nora Springs Public Library Local and Guest Speakers/Presenters/Programs 3000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Old Mill Pond North Bank Improvement 40000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Aquatic Center LED stop sign design & Hole for sign 2341 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Nora Springs Aquatic Center Pool Repainting 47634 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec - Dock for Old Mill Pond 6000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec - Disc Golf Course 6000 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Parks & Rec Project - Aquatic Center Laptop 1075 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Buckthorn control in Adams Woods 8250 CITY OF NORA SPRINGS PO BOX 336 NORA SPRINGS IA 50458 N/A GOV Project - Aquatic Center LED stop sign design 2636 CITY OF RUDD PO BOX 78 RUDD IA 50471 N/A GOV Public Library Re-Build 5000 FIRST CHURCH OF CHRIST SCIENTIST 210 MASSACHUSETTS AVE BOSTON MA 02115 N/A PC General & Unrestricted 1000 FLOYD COUNTY IOWA 101 S MAIN ST CHARLES CITY IA 50616 N/A GOV Floyd County K9 Program 5000 NORA SPRINGS HISTORICAL SOCIETY WEST CONGRESS 116 1ST ST NORA SPRINGS IA 50458 N/A PC General & Unrestricted 5000 NORTH IOWA AREA COMMUNITY COLLEGE FOUNDATION 500 COLLEGE DR MASON CITY IA 50401 N/A SO I Adams Family Foundation of Nora Springs, Iowa Scholarship Fund 290000 PHEASANTS FOREVER INC 1783 BUERKLE CIR SAINT PAUL MN 55110 N/A PC Adopt A Tree Program 4000 517751 14 6472 14 303710 16 163928 525990 364 18 -1787541 K-1 Inc/Loss 525990 -13309 14 -14813 CLASS ACTION LAWSUIT PROCEEDS 01 1386 -12945 -1326858 -1339803 false false false false false false false false false false Bookkeeping 262 262 FARMLAND - SEC 31 1951625 L 0 FARMLAND - SEC 4 R 533797 L 0 FARMLAND - SEC 8 R 2475668 L 0 FARMLAND - SEC 9 R 3677567 L 0 PARK CEMETERY ASSOCIATION 1055 135TH STREET NORA SPRINGS IA 50458 2013-12-18 21840 TO FUND THE PRESERVATION OF HISTORICAL INFORMATION AND SUBSIDIZE BURIALS OF LOW INCOME INDIVIDUALS NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY PARK CEMETERY ASSOCIATION 1055 135TH STREET NORA SPRINGS IA 50458 2013-10-07 5000 TO FUND THE PRESERVATION OF HISTORICAL INFORMATION AND SUBSIDIZE BURIALS OF LOW INCOME INDIVIDUALS NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY NORA SPRINGS VOLUNTEER AMBULANCE SERVICE PO BOX 625 NORA SPRINGS IA 50458 2013-10-03 42500 PROMOTE HEALTH OF COMMUNITY BY FUNDING CONSTRUCTION OF HOUSING FOR ON CALL AMBULANCE CREW 42500 NO SEE GENERAL EXPLANATION FOR DATES OF REPORTS NO VERIFICATION WAS NECESSARY FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY GRANTEE'S NAME: PARK CEMETERY ASSOCIATION GRANT DATE: 12/18/2013 DATES OF ANNUAL REPORTS: 10/22/2014, 4/15/2015, 4/7/2016, 4/4/2017, 4/4/2018, 3/27/2019, 4/1/2020, 4/12/2021, AND 4/12/2022 FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY GRANTEE'S NAME: PARK CEMETERY ASSOCIATION GRANT DATE: 10/07/2013 DATES OF ANNUAL REPORTS: 10/22/2014, 4/15/2015, 4/7/2016, 4/4/2017, 4/4/2018, 3/27/19, 4/1/2020, 4/12/2021, AND 4/12/2022 FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY FORM 990-PF, PART VI-B, LINE 5D - EXPENDITURE RESPONSIBILITY GRANTEE'S NAME: NORA SPRINGS VOLUNTEER AMBULANCE SERVICE GRANT DATE: 10/03/2013 DATES OF ANNUAL REPORTS: 3/4/2014, 6/7/2014, 11/21/2014, 4/20/2015, 4/7/2016, 4/3/2017, 4/4/2018, 3/27/2019, 4/3/2020, 4/12/2021, AND 4/12/2022 PART I LINE 6A (990-PF) PART I LINE 6A (990-PF) RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $(1,787,541) TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $364 TOTAL PART I, LINE 6A: $(1,787,177) DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $6,446,389 BOOK BASIS: $8,256,006 NET GAIN/(LOSS): $(1,809,617) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $38,737 CRYSTAL CAPITAL FUND SER LLC GROSS SALES PRICE: $1,041,883 BOOK BASIS: $1,058,544 NET GAIN/(LOSS): $(16,661) Form 926 Form 926 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information. ADVANCED MICRO DEVICES INC 59436 36271 ALPHABET INC CL A 45511 38821 AMAZON COM 80634 58800 APOLLO GLOBAL MANAGEMENT, INC 60784 52627 APPLE INC 52135 54571 BLACKROCK STRAT INC OPP PORTFO 653667 590193 CAPITAL ONE FINANCIAL CORP 57128 33466 CHARLES SCHWAB CORP 62404 73685 EXPEDIA INC 80455 48180 FIDELITY NATIONAL INFORMATION 60888 33925 FIRST REPUBLIC BANK 68094 57898 GENERAL MOTORS 62384 43396 GOLDMAN SACHS GQG PARTNERS INT 393871 356523 ISHARES TRUST RUSSELL 1000 VAL 1136495 1126000 JANUS FORTY FUND CLASS I SHS 1137667 861580 JP MORGAN CHASE 47786 53640 JUNIPER NETWORKS 53999 54332 MARQETA ORD SHS CLASS A 77160 19247 META PLATFORMS INC 89943 67390 PARNASSUS EQUITY INCOME FUND I 952602 793399 PAYPAL HOLDINGS, INC 63982 42020 PIMCO INCOME FUND 651080 573617 PRUDENTIAL TOTAL RETURN BD FD 648971 545917 QUALCOMM INC 61937 52222 SCHWAB STRATEGIC TREMERGING MK 298560 284040 SELECT SECTOR SPDR INDUSTRIAL 258444 270078 SPDR S&P 500 ETF TRUST 3102128 2996338 VANGUARD TOTAL INTERNATIONAL S 537455 439620 VISA INC 65281 67522 WALT DISNEY HOLDINGS CO 49735 43440 WELLS FARGO ADV SHORT TERM HIG 569380 560685 FARMLAND - SEC 31 1951625 1951625 1340000 FARMLAND - SEC 4 R 533797 533797 350000 FARMLAND - SEC 8 R 2475668 2475668 1804807 FARMLAND - SEC 9 R 3677567 3677567 2570000 BLACKSTONE REAL ESTATE INCOME 250000 322016 FORTRESS LENDING FUND 2 A 258156 254232 MARCH CAPITAL OPPORTUNITY FUND 173806 319999 MS DIRECT LENDING FUND 216170 210849 OAK STREET RE CAPITAL FD V LP 312153 371387 Document Review/Drafting 175 175 Administrative Fees 48875 48875 Bank Charges 495 495 Digital Subscriptions 204 204 Indemnification Insurance 2250 2250 K-1 Exp CRYSTAL CAPITAL FUND S 48971 48958 K-1 Exp FORTRESS LENDING FUND 40 40 K-1 Exp MARCH CAPITAL OPPORTUN 176 22 K-1 Exp OAK STREET RE CAPITAL 3470 3470 OFFICE SUPPLIES 140 140 Postage/Delivery Service 106 106 Property insurance 894 894 Property Maintenance 3066 3066 K-1 Inc/Loss CRYSTAL CAPITAL FUND SER LLC 74936 62410 K-1 Inc/Loss FORTRESS LENDING FUND 2 A 1620 1620 K-1 Inc/Loss MARCH CAPITAL OPPORTUNITY FUND 4, LP -109583 -83782 K-1 Inc/Loss OAK STREET RE CAPITAL FD V LP 4905 4905 Class Action Lawsuit Proceeds 1386 1386 RETURNED GRANT 25000 OUTSTANDING OPTIONS 2119 INVESTMENT MANAGEMENT SERVICES 115143 115143 PROPERTY MANAGEMENT SERVICES 13124 13124 APPRAISAL SERVICES 1250 1250 SCHOLARSHIP ADMIN SERVICES 14500 14500 990-PF Estimated Tax for 2022 6200 990-PF Extension for 2021 23200 990-T Income Tax for 2021 936 Property Taxes 20894 20894 STATE INCOME TAX 2021 240