HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA (EIN 81-1099715)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202223189349106292
- Schema version
- 2021v4.2
- 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
- Expenditure Responsibility Stmt
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T17:10:38-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811099715 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEADWATERS HEALTH FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | OF WESTERN MONTANA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAD | BusinessNameControlTxt |
| Phone | 4069266526 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 119 W MAIN ST | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD OPPER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4069266526 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICHARD | PersonFirstNm |
| Person Last | OPPER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2022-10-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $111,739,027 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $1,727,453 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $2,920,807 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $3,184,836 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $31,419,570 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $8,437,418 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $2,104,843 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $838,367 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $7,017,132 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $12,196,592 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $672,137 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $111,512 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $570,753 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $344,305 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $13,326 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $336,696 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $235,831 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $13,867 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $189,226 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $17,071 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $3,641 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $16,045 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $115,353 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $49,202 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $57,702 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $507,557 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $667,889 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $156,245 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $14,579 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $14,579 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $323,785 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $148,574 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $31,779 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $89,646 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $97,523 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $119,024 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $119,024 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $61 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $61 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $220,613 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $203,321 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $2,691,741 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,022,590 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,746,596 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $9,508,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $9,508,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $12,200,241 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,022,590 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $11,255,096 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$5,183,109 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $11,174,002 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $4,787,407 | CashBOYAmt |
| Cash EOY | $446,270 | CashEOYAmt |
| Cash EOYFMV | $446,270 | CashEOYFMVAmt |
| Acct Rcvbl | $52,731 | AcctRcvblAmt |
| Acct Rcvbl EOY | $52,731 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $52,731 | AcctRcvblEOYFMVAmt |
| US Government Obligations BOY | $1,747,098 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $1,055,660 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $1,055,660 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $8,654,372 | CorporateStockBOYAmt |
| Corporate Stock EOY | $33,616,123 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $33,616,123 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $7,327,308 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $7,650,602 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $7,650,602 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $82,423,176 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $66,443,956 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $66,443,956 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $2,553,351 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,666 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $1,209,580 | LandBOYAmt |
| Land EOY | $2,473,685 | LandEOYAmt |
| Land EOYFMV | $2,473,685 | LandEOYFMVAmt |
| Total Assets BOY | $106,148,941 | TotalAssetsBOYAmt |
| Total Assets EOY | $111,739,027 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $111,739,027 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $12,805 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $14,455 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $263,955 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $1,624,543 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $276,760 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,638,998 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $105,872,181 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $110,100,029 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $105,872,181 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $110,100,029 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $106,148,941 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $111,739,027 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $105,872,181 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$5,183,109 | ExcessRevenueOverExpensesAmt |
| Other Increases | $9,410,957 | OtherIncreasesAmt |
| Subtotal | $110,100,029 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $110,100,029 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $23,996,918 | $22,982,152 | $1,014,766 | $1,014,766 | |
| ALTERNATIVE INVESTMENTS | $5,910,222 | $5,910,222 | $5,910,222 | P | |
| CAPITAL GAINS DIVIDENDS | $1,512,430 | $1,512,430 | $1,512,430 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $8,437,418 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $155,319 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $155,319 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $155,319 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $76,968 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $80,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $156,968 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $1,649 | OverpaymentAmt |
| Applied To ES Tax | $1,649 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.HEADWATERSMT.ORG | WebsiteAddressTxt |
| Individual With Books | MYNOR VELIZ | IndividualWithBooksNm |
| Phone | 4069266526 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 119 W MAIN STREET | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (1) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MICHAEL A STEWART | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | CHAIR | 1.32 | $0 | $0 | $0 |
| CARISSA KUHL | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | VICE CHAIR | 1.32 | $0 | $0 | $0 |
| RICHARD OPPER | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TREASURER | 1.32 | $0 | $0 | $0 |
| CHRISTINA J TWOHIG | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| JAY LOWDER | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| KELLEY RISCHKE | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| M JORDAN THOMPSON | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| RACHEL HUFF-DORIA | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| ROBERT J PHILLIPS | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.32 | $0 | $0 | $0 |
| MARILYN ZIMMERMAN | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| JASON SMITH | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| JENNIFER MEANS | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| BRENDA L SOLORZANO-CLAUDLE | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | CHIEF EXECUTIVE OFFICER | 40.00 | $297,193 | $26,466 | $0 |
| MYNOR VELIZ | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | CHIEF FINANCIAL OFFICER | 40.00 | $239,410 | $21,212 | $0 |
| ERIN SWITALSKI | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | PROGRAM DIRECTOR | 40.00 | $121,038 | $14,357 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| MARGUERITE SELDIN JIMENEZ | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | EVALUATION AND OPERA | 40.00 | $103,341 | $12,091 | $0 |
| ASHLEY N SHAW | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | GRANTS MANAGER | 40.00 | $84,099 | $5,862 | $0 |
| STEPHANIE SCHILLING | ||||||||
| 119 W MAIN ST | MISSOULA | MT | 59802 | PROGRAM ASSOCIATE | 40.00 | $77,695 | $6,928 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FSG INC | |||||
| 1411 4TH AVE 12TH FLOOR | SEATTLE | WA | 98101 | INVESTMENT MANAGEMENT | $128,933 |
| MCEWEN BIG SKY LLC | |||||
| 2024 218TH PLACE NE | SAMMAMISH | WA | 98074 | CONSULTING | $76,421 |
| MOSS ADAMS LLP | |||||
| 805 SW BROADWAY ST SUITE 1200 | PORTLAND | OR | 97205 | AUDIT AND TAX | $65,870 |
| RESOURCE MEDIA | |||||
| 9450 SW GEMINI DR | BEAVERTON | OR | 97008 | CONSULTING | $56,000 |
| WIPFLI LLP | |||||
| 101 E FRONT ST | MISSOULA | MT | 59802 | BOOKKEEPING | $52,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $22,492,200 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,538,828 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $66,443,956 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $91,474,984 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $91,474,984 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,372,125 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $90,102,859 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $4,505,143 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $4,505,143 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $155,319 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $1,252 | IncomeTaxAmt |
| Total Tax | $156,571 | TotalTaxAmt |
| Distributable Before Adj | $4,348,572 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $2,886,868 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $7,235,440 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $7,235,440 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $11,255,096 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $1,295,883 | CharitableAssetsAcquisPaidAmt |
| Qualifying Distributions | $12,550,979 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $7,235,440 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $12,550,979 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $7,235,440 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $5,315,539 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $5,315,539 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $5,315,539 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $5,315,539 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | VISIT WEBSITE FOR MOST CURRENT INFO | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 W FRONT ST | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4069266526 | RecipientPhoneNum |
| Form And Info And Materials | VISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORG | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | VISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORG | SubmissionDeadlinesTxt |
| Restrictions On Awards | VISIT WEBSITE FOR MOST CURRENT INFO WWW.HEADWATERSMT.ORG | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (111 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| A VOICE | ||||||
| PO BOX 832 | PABLO | MT | 59855 | PC | GENERAL OPERATING | $7,500 |
| ACTION INC | ||||||
| 25 W SILVER ST | BUTTE | MT | 59701 | PC | GENERAL OPERATING | $7,500 |
| ANACONDA JR HIGH SCHOOL | ||||||
| 1410 W PARK AVE | ANACONDA | MT | 59711 | GOV | GENERAL OPERATING | $7,500 |
| ANACONDA PCA FAMILY RESORCE CENTER | ||||||
| 307 E PARK ST | ANACONDA | MT | 59711 | PC | ANACONDA JR HIGH SCHOOL | $7,500 |
| ARLEE REHABILITATION CENTER | ||||||
| 700 WOODWORTH AVE | MISSOULA | MT | 59801 | PC | GENERAL OPERATING | $7,500 |
| AWARE INC | ||||||
| 205 E PARK AVE | ANACONDA | MT | 59711 | PC | GENERAL OPERATING | $7,500 |
| BE THE CHANGE 406 COALITION | ||||||
| PO BOX 733 | DILLON | MT | 59725 | PC | GENERAL OPERATING | $30,500 |
| BEAVERHEAD COUNTY MENTAL HEALTH LOCAL ADVISORY COUNCIL | ||||||
| 2 S PACIFIC ST | DILLON | MT | 59725 | GOV | GENERAL OPERATING | $7,500 |
| BIGFORK ACES INC | ||||||
| 439 GRAND DR | BIGFORK | MT | 59911 | PC | GENERAL OPERATING | $7,500 |
| BITTER ROOT RESOURCE CONSERVATION AND DEVELOPMENT AREA INCORPORATED | ||||||
| PO BOX 870 | HAMILTON | MT | 59840 | PC | GENERAL OPERATING | $7,500 |
| BOYS & GIRLS CLUB OF GLACIER COUNTRY | ||||||
| PO BOX 961 | COLUMBIA FLS | MT | 59912 | PC | GENERAL OPERATING | $7,500 |
| BOYS & GIRLS CLUB OF MISSOULA COUNTY | ||||||
| 1515 FAIRVIEW AVE SUITE 243 | MISSOULA | MT | 59801 | PC | GENERAL OPERATING | $7,500 |
| BREAD BASKET INC | ||||||
| PO BOX 346 | RONAN | MT | 59864 | PC | GENERAL OPERATING | $7,500 |
| BUTTE 4 C'S | ||||||
| 101 N MAIN ST | BUTTE | MT | 59701 | PC | GENERAL OPERATING | $650,000 |
| CANVAS EARLY LEARNING CENTER | ||||||
| 512 1/2 N WASHINGTON ST | DILLON | MT | 59725 | PC | GENERAL OPERATING | $177,000 |
| CENTER FOR RESTORATIVE YOUTH JUSTICE | ||||||
| 110 E IDAHO ST | KALISPELL | MT | 59901 | PC | GENERAL OPERATING | $5,000 |
| CHARLO COMMUNITY OUTDOOR COMPLEX INC | ||||||
| 39752 MORRIS RD | CHARLO | MT | 59824 | PC | GENERAL OPERATING | $7,500 |
| CHURCH ON THE MOVE | ||||||
| PO BOX 767 | PLAINS | MT | 59859 | PC | GENERAL OPERATING | $7,500 |
| COMMON GOOD MISSOULA | ||||||
| 2205 34TH | MISSOULA | MT | 59803 | PC | GENERAL OPERATING | $175,000 |
| COMMUNITY FOOD AND AGRICULTURE COALITION | ||||||
| PO BOX 7025 | MISSOULA | MT | 59807 | PC | GENERAL OPERATING | $7,500 |
| COMMUNITY HARVEST INC | ||||||
| PO BOX 314 | THOMPSON FALLS | MT | 59873 | PC | GENERAL OPERATING | $5,000 |
| CONFEDERATED SALISH AND KOOTENAI TRIBES | ||||||
| PO BOX 278 | PABLO | MT | 59855 | GOV | GENERAL OPERATING | $500,000 |
| DAYTON ELEMENTARY PARENT TEACHER ORGANIZATION | ||||||
| PO BOX 195 | DAYTON | MT | 59914 | PC | GENERAL OPERATING | $7,500 |
| DESMET SCHOOL | ||||||
| 6355 PADRE LN | MISSOULA | MT | 59808 | GOV | GENERAL OPERATING | $5,000 |
| DIXON SCHOOL DISTRICT #9 | ||||||
| 411 B ST | DIXON | MT | 59831 | GOV | GENERAL OPERATING | $7,500 |
| DRUMMOND ELEMENTARY SCHOOL | ||||||
| PO BOX 349 | DRUMMOND | MT | 59832 | GOV | GENERAL OPERATING | $7,500 |
| DRUMMOND HIGH SCHOOL | ||||||
| PO BOX 349 | DRUMMOND | MT | 59832 | GOV | GENERAL OPERATING | $7,500 |
| DRUMMOND SCHOOL & COMMUNITY LIBRARY | ||||||
| PO BOX 266 | DRUMMOND | MT | 59832 | GOV | GENERAL OPERATING | $3,000 |
| DRUMMOND SCHOOL DISTRICT 11 | ||||||
| PO BOX 349 | DRUMMOND | MT | 59832 | GOV | GENERAL OPERATING | $7,500 |
| DRUMMOND SCHOOL DISTRICT 2 | ||||||
| PO BOX 349 | DRUMMOND | MT | 59832 | GOV | GENERAL OPERATING | $7,500 |
| EARLY CHILDHOOD COALITION OF THE GREATER HELENA AREA | ||||||
| 901 N BENTON AVE | HELENA | MT | 59601 | PC | HOME VISITING TASK FORCE | $2,000 |
| EMPOWER MT | ||||||
| 2300 REGENT ST SUITE 101 | MISSOULA | MT | 59801 | PC | GENERAL OPERATING | $7,500 |
| FAMILIES IN PARTNERSHIP INC | ||||||
| PO BOX 762 | LIBBY | MT | 59923 | PC | GENERAL OPERATING | $7,500 |
| FARM HANDS-NOURISH THE FLATHEAD | ||||||
| PO BOX 4404 | WHITEFISH | MT | 59937 | PC | GENERAL OPERATING | $7,500 |
| FLATHEAD COUNTY LIBRARY FOUNDATION INC | ||||||
| 44 2ND AVE W SUITE 104 | KALISPELL | MT | 59901 | PC | GENERAL OPERATING | $7,500 |
| FLATHEAD FOOD BANK INC | ||||||
| 1203 US HIGHWAY 2 W SUITE 2 | KALISPELL | MT | 59901 | PC | GENERAL OPERATING | $7,500 |
| FLINT CREEK CHILDCARE CO | ||||||
| PO BOX 1205 | PHILIPSBURG | MT | 59858 | PC | GENERAL OPERATING | $7,500 |
| FLORENCE COMMUNITY CENTER | ||||||
| PO BOX 98 | FLORENCE | MT | 59833 | PC | GENERAL OPERATING | $7,500 |
| FLORENCE-CARLTON SCHOOL PARENT ASSOCIATION | ||||||
| PO BOX 433 | FLORENCE | MT | 59833 | PC | GENERAL OPERATING | $7,500 |
| FRIENDS FOREVER MENTORING | ||||||
| 210 MAIN ST SW | RONAN | MT | 59864 | PC | GENERAL OPERATING | $7,500 |
| FRIENDS OF THE PHILIPSBURG LIBRARY | ||||||
| PO BOX 797 | PHILIPSBURG | MT | 59858 | PC | GENERAL OPERATING | $7,000 |
| HABITAT FOR HUMANITY MISSOULA | ||||||
| PO BOX 7181 | MISSOULA | MT | 59807 | PC | GENERAL OPERATING | $7,500 |
| HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC | ||||||
| 318-20 N LAST CHANCE GULCH SUITE 2C | HELENA | MT | 59601 | PC | GENERAL OPERATING | $7,500 |
| HEARTISM COMMUNITY CENTER | ||||||
| PO BOX 14 | CORVALLIS | MT | 59828 | PC | GENERAL OPERATING | $7,500 |
| HELENA AREA HABITAT FOR HUMANITY | ||||||
| PO BOX 459 | HELENA | MT | 59624 | PC | GENERAL OPERATING | $7,500 |
| HELPING HANDS | ||||||
| PO BOX 1094 | POLSON | MT | 59860 | PC | GENERAL OPERATING | $55,000 |
| IDENTITY INC | ||||||
| PO BOX 1653 | EAST HELENA | MT | 59635 | PC | GENERAL OPERATING | $7,500 |
| INNER ROADS INC | ||||||
| 734 S 1ST ST W | MISSOULA | MT | 59801 | PC | GENERAL OPERATING | $7,500 |
| INTERMOUNTAIN DEACONESS CHILDRENS SERVICES | ||||||
| 500 S LAMBORN ST | HELENA | MT | 59601 | GOV | GENERAL OPERATING | $7,500 |
| JEFFERSON LOCAL DEVELOPMENT COR | ||||||
| PO BOX 1079 | WHITEHALL | MT | 59759 | NC | TO DEVELOP AND ENSURE SUSTAINABLE CHILDCARE | $50,000 |
| KIDS CO-OP | ||||||
| 34224 S FINLEY POINT RD | POLSON | MT | 59860 | PC | GENERAL OPERATING | $7,500 |
| KIWANIS FOUNDATION OF MONTANA | ||||||
| 418 MINERAL AVE | LIBBY | MT | 59923 | PC | GENERAL OPERATING | $7,500 |
| LAKE COUNTY COMMUNITY HOUSING | ||||||
| PO BOX 146 | RONAN | MT | 59864 | PC | GENERAL OPERATING | $7,500 |
| LIBBY CREEK COMMUNITY INC | ||||||
| 34561 US HIGHWAY 2 | LIBBY | MT | 59923 | PC | GENERAL OPERATING | $7,500 |
| LINCOLN COUNTY HEALTH DEPARTMENT | ||||||
| 418 MINERAL AVE | LIBBY | MT | 59923 | GOV | GENERAL OPERATING | $600,000 |
| LINCOLN COUNTY HIGH SCHOOL | ||||||
| PO BOX 2000 | EUREKA | MT | 59917 | GOV | GENERAL OPERATING | $5,000 |
| LINCOLN COUNTY PUBLIC LIBRARIES FOUNDATION | ||||||
| 220 W 6TH ST | LIBBY | MT | 59923 | PC | GENERAL OPERATING | $7,500 |
| LITERACY VOLUNTEERS OF AMERICA - BITTERROOT INC | ||||||
| 303 N THIRD ST | HAMILTON | MT | 59840 | PC | GENERAL OPERATING | $7,500 |
| LOADS OF DIGNITY FORMALLY LAUNDRY LOVE HAMILTON | ||||||
| 177 ALICE AVE | HAMILTON | MT | 59840 | PC | GENERAL OPERATING | $5,000 |
| LOWELL ELEMENTARY SCHOOL | ||||||
| 1215 PHILLIPS ST | MISSOULA | MT | 59802 | GOV | GENERAL OPERATING | $150,000 |
| MAPS MEDIA INSTITUTE INC | ||||||
| 515 MADISON | HAMILTON | MT | 59840 | PC | GENERAL OPERATING | $22,500 |
| MINERAL COUNTY HEALTH DEPARTMENT | ||||||
| P O BOX 488 | SUPERIOR | MT | 59872 | GOV | GENERAL OPERATING | $600,000 |
| MINERAL COUNTY HELP INC | ||||||
| PO BOX 142 | SUPERIOR | MT | 59872 | PC | GENERAL OPERATING | $7,500 |
| MISSOULA CITY-COUNTY HEALTH DEPARTMENT | ||||||
| 301 W ALDER ST | MISSOULA | MT | 59802 | GOV | GENERAL OPERATING | $50,000 |
| MONTANA ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN | ||||||
| PO BOX 11568 | BOZEMAN | MT | 59719 | PC | GENERAL OPERATING | $7,500 |
| MONTANA BUDGET AND POLICY CENTER | ||||||
| 15 W 6TH AVE | HELENA | MT | 59601 | PC | GENERAL OPERATING | $675,000 |
| MONTANA CHILD CARE RESOURCE & REFERRAL NETWORK INC DBA RAISE MONTANA | ||||||
| PO BOX 808 | LOLO | MT | 59847 | PC | GENERAL OPERATING | $150,000 |
| MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES | ||||||
| 1625 11TH AVE | HELENA | MT | 59601 | GOV | NO KID HUNGRY MONTANA | $50,000 |
| MONTANA FOOD BANK NETWORK INC | ||||||
| 5625 EXPRESSWAY | MISSOULA | MT | 59808 | PC | GENERAL OPERATING | $375,000 |
| MONTANA NONPROFIT ASSOCIATION INC | ||||||
| PO BOX 1744 | HELENA | MT | 59624 | PC | GENERAL OPERATING | $195,000 |
| MONTANA SKATEPARK ASSOCIATION | ||||||
| 618 S HIGGINS AVE | MISSOULA | MT | 59801 | PC | GENERAL OPERATING | $7,500 |
| MONTANA WOMEN VOTE | ||||||
| 725 W ALDER ST SUITE 21 | MISSOULA | MT | 59802 | PC | GENERAL OPERATING | $750,000 |
| MTAEYC - FLATHEAD CHAPTER | ||||||
| 110 NORTHERN LIGHTS BLVD | KALISPELL | MT | 59901 | PC | GENERAL OPERATING | $7,500 |
| NATIVE AMERICAN DEVELOPMENT CORP | ||||||
| 17 N 26TH ST | BILLINGS | MT | 59101 | PC | GENERAL OPERATING | $750,000 |
| NEVER ALONE RECOVERY SUPPORT SERVICES | ||||||
| PO BOX 406 | RONAN | MT | 59864 | PC | GENERAL OPERATING | $105,000 |
| NORTHWOOD COMMUNITY INC | ||||||
| 41652 HWY 93 FRONTAGE RD | RONAN | MT | 59864 | PC | GENERAL OPERATING | $7,500 |
| NURSE FAMILY PARTNERSHIP | ||||||
| 1900 N GRANT ST SUITE 400 | DENVER | CO | 80203 | PC | GENERAL OPERATING | $100,000 |
| PLAINS ELEMENTARY SCHOOL | ||||||
| 412 RITTENOUR ST | PLAINS | MT | 59859 | GOV | GENERAL OPERATING | $7,500 |
| POLSON SCHOOL DISTRICT 23 | ||||||
| 111 4TH AVE EAST | POLSON | MT | 59860 | GOV | CHERRY VALLEY ELEMENTARY | $7,500 |
| POSTPARTUM RESOURCE GROUP | ||||||
| PO BOX 10394 | KALISPELL | MT | 59904 | PC | GENERAL OPERATING | $7,500 |
| PROMISE686 | ||||||
| 19 HOLCOMB BRIDGE RD | ATLANTA | GA | 30071 | PC | MONTANA INITIATIVE | $7,500 |
| PROMOTING EXCELLNCE IN ALBERTON - AREA KIDS FOUNDATION | ||||||
| PO BOX 36 | ALBERTON | MT | 59820 | PC | GENERAL OPERATING | $5,000 |
| RESOURCE ASSISTANCE CENTER - BEAVERHEAD DEPT | ||||||
| 205 E CENTER | DILLON | MT | 59725 | PC | GENERAL OPERATING | $7,500 |
| RONAN HIGH SCHOOL | ||||||
| 46525 STAGECOACH TR | RONAN | MT | 59864 | GOV | GENERAL OPERATING | $7,500 |
| RONAN SCHOOL DISTRICT 30 | ||||||
| 421 ANDREW ST NW | RONAN | MT | 59864 | GOV | RONAN HIGH SCHOOL | $7,500 |
| SALISH & KOOTENAI HOUSING AUTHORITY | ||||||
| PO BOX 38 | PABLO | MT | 59855 | GOV | GENERAL OPERATING | $7,500 |
| SALISH INSTITUTE | ||||||
| PO BOX 914 | ST IGNATIUS | MT | 59865 | PC | GENERAL OPERATING | $7,500 |
| SALISH KOOTENAI COLLEGE FOUNDATION | ||||||
| PO BOX 70 | PABLO | MT | 59855 | PC | GENERAL OPERATING | $100,000 |
| SALISH KOOTENAI COLLEGE INC | ||||||
| 58138 US HWY 93 | PABLO | MT | 59855 | PC | CENTER FOR PREVENTION AND WELLNESS | $750,000 |
| SANDERS COUNTY COMMUNITY HOUSING ORGANIZATION | ||||||
| 303 MAIN ST | THOMPSON FALLS | MT | 59873 | PC | GENERAL OPERATING | $7,500 |
| SEELEY LAKE COMMUNITY FOUNDATION | ||||||
| PO BOX 25 | SEELEY LAKE | MT | 59868 | PC | GENERAL OPERATING | $7,500 |
| SEELEY LAKE ELEMENTARY | ||||||
| PO BOX 840 | SEELEY LAKE | MT | 59868 | PC | GENERAL OPERATING | $5,000 |
| SNQWEYLMISTN | ||||||
| 63893 HWY 93 | RONAN | MT | 59864 | PC | GENERAL OPERATING | $7,500 |
| SPARROWS VINE | ||||||
| PO BOX 864 | SEELEY LAKE | MT | 59868 | PC | GENERAL OPERATING | $7,500 |
| ST PETER'S HEALTH FOUNDATION | ||||||
| 2475 BROADWAY | HELENA | MT | 59601 | PC | GENERAL OPERATING | $50,000 |
| ST REGIS ELEMENTARY SCHOOL | ||||||
| 90 TIGER ST | ST REGIS | MT | 59866 | GOV | GENERAL OPERATING | $4,000 |
| ST REGIS FRIENDS AND NEIGHBORS CLUB | ||||||
| 6 TIGER ST | ST REGIS | MT | 59866 | PC | GENERAL OPERATING | $5,000 |
| ST REGIS SCHOOL DISTRICT 1 | ||||||
| 90 TIGER ST | ST REGIS | MT | 59866 | GOV | ST REGIS ELEMENTARY | $7,500 |
| SWAN VALLEY SCHOOL | ||||||
| 6423 HIGHWAY 83 | CONDON | MT | 59826 | GOV | GENERAL OPERATING | $7,500 |
| THE HENRY J KAISER FAMILY FOUNDATION | ||||||
| 185 BERRY ST SUITE 2000 | SAN FRANCISCO | CA | 94107 | PC | GENERAL OPERATING | $50,000 |
| TROY FARMERS MARKET | ||||||
| PO BOX 51 | TROY | MT | 59935 | PC | GENERAL OPERATING | $7,500 |
| UNITED WAY OF MISSOULA COUNTY | ||||||
| 412 W ALDER ST | MISSOULA | MT | 59802 | PC | GENERAL OPERATING | $600,000 |
| UNIVERSITY OF MONTANA | ||||||
| 203 B PFNAC | MISSOULA | MT | 59812 | GOV | AMERICAN INDIAN GOVERNANCE AND POLICY INSTITUTE | $100,000 |
| UNIVERSITY OF MONTANA | ||||||
| 32 CAMPUS DR ORSP UH116 | MISSOULA | MT | 59812 | GOV | CENTER FOR CHILDREN, FAMILIES AND WORKFORCE DEVELOPMENT | $375,000 |
| VALLEY OAK EDUCATION RESOURCE CENTER | ||||||
| PO BOX 870 | HAMILTON | MT | 59840 | PC | GENERAL OPERATING | $7,500 |
| W F MORRISON SCHOOL | ||||||
| BOX 867 | TROY | MT | 59935 | GOV | GENERAL OPERATING | $7,500 |
| WESTERN MONTANA PROFESSIONAL LEARNING COLLABORATIVE | ||||||
| PO BOX 1516 | TROUT CREEK | MT | 59874 | PC | GENERAL OPERATING | $7,500 |
| WESTERN NATIVE VOICE | ||||||
| PO BOX 1018 | BILLINGS | MT | 59103 | PC | GENERAL OPERATING | $100,000 |
| WHITEHALL PUBLIC SCHOOLS | ||||||
| PO BOX 1109 | WHITEHALL | MT | 59759 | GOV | GENERAL OPERATING | $7,500 |
| YES YOUTH EMPOWERMENT SERVICES | ||||||
| PO BOX 686 | ANACONDA | MT | 59711 | PC | GENERAL OPERATING | $7,500 |
| ZERO TO FIVE MONTANA STATEWIDE OFFICE | ||||||
| 3240 DREDGE DR | HELENA | MT | 59602 | PC | GENERAL OPERATING | $600,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $9,508,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 901101 | BusinessCd |
| Unrelated Business Taxbl Incm | $253 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,727,200 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 901101 | BusinessCd |
| Unrelated Business Taxbl Incm | $32,511 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,072,332 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 901101 | BusinessCd |
| Unrelated Business Taxbl Incm | $25,316 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $3,159,520 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $58,080 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $6,959,052 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $7,017,132 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $115,353 | Amt |
| Net Investment Income | $49,202 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $57,702 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (6 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | RtRt |
|---|---|---|---|---|---|---|---|---|
| INTERACTIVE DISPLAY SYSTEM | 2017-02-16 | $5,661 | $3,208 | NC | 5.000000000000 | $0 | $0 | |
| SMARTSIMPLE SOFTWARE LTD | 2018-07-05 | $57,673 | $17,302 | NC | 5.000000000000 | $0 | $0 | |
| BUILDING | 2019-12-23 | $688,431 | NC | 39.000000000000 | $0 | $0 | ||
| LAND | 2020-01-01 | $387,243 | L | $0 | $0 | |||
| FURNITURE AND EQUIPMENT | 2021-01-01 | $151,674 | $59,156 | NC | 7.000000000000 | $0 | $0 | |
| CONSTRUCTION IN PROGRESS | 2021-01-01 | $1,262,669 | NC | $0 | $0 | 0.000000000000 |
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON LOCAL DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1079 | AddressLine1Txt |
| City | WHITEHALL | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | 2021-08-09 | GrantDt |
| Grant | $50,000 | GrantAmt |
| Purpose Of Grant | TO DEVELOP AND ENSURE SUSTAINABLE CHILDCARE (PROVIDERS AND FACILITIES) IN BOULDER, MT, AND ITS IMMEDIATE ENVIRONS | PurposeOfGrantTxt |
| Expended By Grantee | $50,000 | ExpendedByGranteeAmt |
| Any Diversion By Grantee | NONE | AnyDiversionByGranteeTxt |
| Dates Of Reports By Grantee | 9/14/21 | DatesOfReportsByGranteeTxt |
| Verification | 2021-12-31 | VerificationDt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (15 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MEAD JOHNSON NUTRITIONAL | $283,815 | $283,815 |
| PNC FINANCIAL SERVICES GROUP | $422,614 | $422,614 |
| ALLY FINL INC | $253,596 | $253,596 |
| MORGAN STANLEY | $439,290 | $439,290 |
| L3HARRIS TECHNOLOGIES | $259,469 | $259,469 |
| GILEAD SCIENCES | $460,731 | $460,731 |
| FISERV INC | $444,349 | $444,349 |
| AMERICAN TOWER CORP | $457,560 | $457,560 |
| PIMCO INCOME INSTL | $2,849,838 | $2,849,838 |
| WELLS FARGO & CO | $154,206 | $154,206 |
| MICROCHIP TECHN | $234,524 | $234,524 |
| IHS MARKIT LTD4 | $339,219 | $339,219 |
| MCCORMICK & CO | $365,166 | $365,166 |
| MOTOROLA SOLUTIONS | $372,766 | $372,766 |
| UNITED PARCEL SER | $313,459 | $313,459 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| DFA EMERGING MKTS VALUE | $4,487,510 | $4,487,510 |
| PIMCO RAE FUNDAMENTAL | $4,595,905 | $4,595,905 |
| VANGUARD DEVELOPED MARKET | $8,516,503 | $8,516,503 |
| VANGUARD EMERGING MKTS | $4,796,786 | $4,796,786 |
| VANGUARD INSTITUTIONAL | $10,904,469 | $10,904,469 |
| BLACK HILLS CORP | $314,950 | $314,950 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $1,055,660 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $1,055,660 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (18 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ABS GLOBAL | FMV | $6,892,672 | $6,892,672 |
| ACCOLADE PARTNERS VII LP | FMV | $1,381,228 | $1,381,228 |
| ACCRUED INTEREST | FMV | $54,491 | $54,491 |
| AMBERBROOK VIII LP | FMV | $2,161,216 | $2,161,216 |
| AUDAX DIRECT LENDING SOLUTIONS FUND-C LP | FMV | $1,338,861 | $1,338,861 |
| COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LP | FMV | $1,557,409 | $1,557,409 |
| EDGE PRINCIPAL INVESTMENTS IV LP | FMV | $693,851 | $693,851 |
| FALCON PRIVATE CREDIT OPPORTUNITIES VI LP | FMV | $1,488,717 | $1,488,717 |
| FEG SELECT LLC | FMV | $19,395,741 | $19,395,741 |
| HARVEST MLP INCOME FUND II LLC | FMV | $3,725,993 | $3,725,993 |
| IRONWOOD INTERNATIONAL LTD | FMV | $9,594,605 | $9,594,605 |
| MAP RE 2018 LP | FMV | $2,348 | $2,348 |
| RCP ADVISORS | FMV | $1,175,041 | $1,175,041 |
| SEAPORT GLOBAL PROPERTY SECURITIES FUND LLC | FMV | $2,578,238 | $2,578,238 |
| THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUND | FMV | $47,849 | $47,849 |
| WEATHERLOW OFFSHORE FUND I LTD | FMV | $10,454,466 | $10,454,466 |
| STRATEGIC VALUE | FMV | $1,793,732 | $1,793,732 |
| FIDELITY REAL ESTATE | FMV | $2,107,498 | $2,107,498 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (6 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| INTERACTIVE DISPLAY SYSTEM | $5,661 | $3,208 | $2,453 |
| SMARTSIMPLE SOFTWARE LTD | $57,673 | $17,302 | $40,371 |
| BUILDING | $688,431 | $0 | $688,431 |
| LAND | $387,243 | $0 | $387,243 |
| FURNITURE AND EQUIPMENT | $151,674 | $59,156 | $92,518 |
| CONSTRUCTION IN PROGRESS | $1,262,669 | $0 | $1,262,669 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $17,071 | LegalFeesAmt |
| Net Investment Income | $3,641 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $16,045 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (13 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INSURANCE | $17,494 | $0 | $17,494 |
| COMPUTER AND SOFTWARE | $43,780 | $0 | $43,015 |
| ADVERTISING AND PROMOTIONS | $2,649 | $0 | $2,649 |
| FEES AND SUBSCRIPTIONS | $18,095 | $0 | $18,022 |
| OFFICE EXPENSE | $5,889 | $0 | $5,889 |
| REPAIRS AND MAINTENANCE | $1,632 | $0 | $1,602 |
| EQUIPMENT RENT | $22,568 | $0 | $9,251 |
| SMALL EQUIPMENT | $12,186 | $0 | $12,186 |
| MISCELLANEOUS | $12,857 | $0 | $12,857 |
| STATE FILING FEES | $20 | $0 | $20 |
| GRANTEE VISITS | $293 | $0 | $293 |
| NONPROFIT CENTER | $18,150 | $0 | $15,043 |
| GRANTEE CONVENINGS | $65,000 | $0 | $65,000 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATIVE INVESTMENTS | Desc |
| Revenue And Expenses Per Books | $2,104,843 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $838,367 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $2,104,843 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAIN ON INVESTMENTS | Desc |
| Amt | $9,410,957 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (4 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| PAYROLL LIABILITIES | $99,869 | $90,874 |
| DEFERRED EXCISE TAX | $138,800 | $277,498 |
| TAXES PAYABLE | $25,286 | $69,095 |
| CLEARWATER CONSTRUCTION LOAN | $0 | $1,187,076 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT MANAGEMENT | $310,827 | $310,827 | $0 |
| CONSULTING | $153,734 | $0 | $152,668 |
| RECRUITING | $3,577 | $0 | $3,577 |
| ALTERNATIVE INVESTMENTS | $39,419 | $357,062 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAX | $30,486 | $148,574 | $0 |
| EXCISE TAX | $293,249 | $0 | $0 |
| STATE INCOME TAX | $50 | $0 | $0 |