2021-03-26T09:01:26-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 600 3RD AVENUE SE SUITE 300 CEDAR RAPIDS IA 52401 990 2020-01-01 201730015 WASHINGTON COUNTY RIVERBOAT FOUNDATION INC WASH 3196533588 120 EAST MAIN STREET NO 5 WASHINGTON IA 52353 SHAWN ELLINGSON PRESIDENT 3196533588 2021-03-23 1 SHAWN ELLINGSON 999009999 DAVID LITTLE P01480921 3193632697 2021-03-23 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X SHAWN ELLINGSON 120 EAST MAIN STREET NO 5 WASHINGTON IA 52353 3113363 0 X WASHINGTONCOUNTYRIVERBOATFOUNDATION.ORG X 2004 IA TO DISTRIBUTE GRANTS TO AREA ORGANIZATIONS AND MUNICIPALITIES. 14 14 1 16 0 0 3524200 3097595 0 0 8714 15566 19479 202 3552393 3113363 3651166 2968721 0 0 35509 33806 0 0 0 58286 26810 3744961 3029337 -192568 84026 1075040 1579056 93139 513129 981901 1065927 WASHINGTON COUNTY RIVERBOAT FOUNDATION IS THE NON-PROFIT LICENSE HOLDER FOR THE RIVERSIDE CASINO AND GOLF RESORT. THE ORGANIZATION DISTRIBUTES DONATIONS FROM THE CASINO TO AREA ORGANIZATIONS AND MUNICIPALITIES IN THE FORM OF GRANTS. 0 0 2194322 2194322 0 COMPETITIVE FUND GRANTS 774399 774399 0 MUNICIPAL FUND GRANTS 2968721 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 1 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X PATTY KOLLER 3196533588 120 EAST MAIN STREET NO 5 WASHINGTON IA 52353 TOM BASTEN PRESIDENT 1.00 X X 0 0 0 SHAWN ELLINGSON VICE PRESIDENT 1.00 X X 0 0 0 CATHY RICH SECRETARY 2.00 X X 0 0 0 DAVID MITCHELL TREASURER 1.00 X X 0 0 0 KATHLEEN BRINNING DIRECTOR 1.00 X 0 0 0 SHELLI CLEVERLY DIRECTOR 1.00 X 0 0 0 DAVE ERWIN DIRECTOR 1.00 X 0 0 0 PATRICIA HAGIST DIRECTOR 1.00 X 0 0 0 JIM HAUTH DIRECTOR 1.00 X 0 0 0 MARY ANN KNUPP DIRECTOR 1.00 X 0 0 0 JADEN PROTTSMAN DIRECTOR 1.00 X 0 0 0 STEPHANIE SEXTON DIRECTOR 1.00 X 0 0 0 MICHAEL VINCENT DIRECTOR 1.00 X 0 0 0 MARK WEIDMAN DIRECTOR 1.00 X 0 0 0 PATTY KOLLER EXECUTIVE DIRECTOR 20.00 X 31000 0 930 31000 0 930 0 0 0 0 0 3097595 3097595 15566 15566 MISCELLANEOUS 900099 202 202 202 3113363 0 0 15768 2968721 2968721 31930 31930 1876 1876 530 530 11378 11378 45 45 2092 2092 6840 6840 3845 3845 1730 1730 REIMBURSEMENT 350 350 3029337 2968721 60616 0 703453 1250691 371587 328365 1075040 1579056 594 1318 92545 511811 93139 513129 X 981901 1065927 981901 1065927 1075040 1579056 84026 0 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 3113363 0 3113363 0 3113363 3029337 0 3029337 0 3029337 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE IOWA INCOME TAX LAW, WHICH PROVIDES INCOME TAX EXEMPTION FOR CORPORATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, OR EDUCATIONAL PURPOSES. THE INTERNAL REVENUE SERVICE HAS NOT CLASSIFIED THE FOUNDATION AS A PRIVATE FOUNDATION. THE FOUNDATION FILES INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION. THE FOUNDATION FOLLOWS THE ACCOUNTING STANDARD TO EVALUATE UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. 1 AINSWORTH VOLUNTEER FIREFIGHTERS ASSOCIATION INCORPORATED 645 HIGHWAY 92 AINSWORTH IA 52201 815200982 501(C)(3) 226356 N/A N/A NEW FIRE STATION AMERICAN RED CROSS OF EASTERN IOWA 317 7TH AVE SE SUITE 205 CEDAR RAPIDS IA 52401 530196605 501(C)(3) 37500 N/A N/A 2020 DISASTER RELIEF BRIDGEHAVEN PREGNANCY SUPPORT CENTER 701 CENTER POINT ROAD CEDAR RAPIDS IA 52402 421203675 501(C)(3) 25000 N/A N/A ORGANIZATIONAL OPERATION BRIGHTON VOLUNTEER FIRE FIGHTERS ASSOCIATION PO BOX 27 BRIGHTON IA 52540 474174392 501(C)(3) 26440 N/A N/A TRAILER CATHERINE MCAULEY CENTER 866 4TH AVE SE CEDAR RAPIDS IA 52403 421342872 501(C)(3) 25000 N/A N/A LONG-TERM STORAGE NEEDS CITY OF AINSWORTH 134 N RAILROAD AINSWORTH IA 52201 426004179 CITY OF AINSWORTH 41849 N/A N/A MUNICIPAL GRANT CITY OF BRIGHTON PO BOX 336 BRIGHTON IA 52540 426004297 CITY OF BRIGHTON 48101 N/A N/A MUNICIPAL GRANT CITY OF CRAWFORDSVILLE PO BOX 202 CRAWFORDSVILLE IA 52621 426004439 CITY OF CRAWFORDSVIL 19462 N/A N/A MUNICIPAL GRANT CITY OF KALONA PO BOX 1213 KALONA IA 52247 426004824 CITY OF KALONA 174152 N/A N/A MUNICIPAL GRANT CITY OF KEOTA PO BOX 77 KEOTA IA 52248 426004837 CITY OF KEOTA 23165 N/A N/A BALL FIELD IMPROVEMENTS CITY OF RIVERSIDE PO BOX 188 RIVERSIDE IA 52327 426005154 CITY OF RIVERSIDE 73210 N/A N/A MUNICIPAL GRANT CITY OF WASHINGTON 215 E WASHINGTON WASHINGTON IA 52353 426005318 CITY OF WASHINGTON 630573 N/A N/A MUNICIPAL GRANT, WELLNESS PARK CITY OF WELLMAN PO BOX 129 WELLMAN IA 52356 426005352 CITY OF WELLMAN 103866 N/A N/A MUNICIPAL GRANT CITY OF WEST CHESTER PO BOX 115 WEST CHESTER IA 52359 421054362 CITY OF WEST CHESTER 10790 N/A N/A MUNICIPAL GRANT DUTCH CREEK TOWNSHIP PO BOX 218 KEOTA IA 52248 426005319 DUTCH CREEK TOWNSHIP 8000 N/A N/A CEMETERY REMODEL FRIENDS OF LAKE DARLING PO BOX 82 BRIGHTON IA 52540 753196705 501(C)(3) 112055 N/A N/A BRIDGE TRAIL GIVE FOUNDATION 3184 HIGHWAY 22 RIVERSIDE IA 52327 200440698 501(C)(3) 10000 N/A N/A 2020 GIVE GRANT HACAP 1515 HAWKEYE DR HIAWATHA IA 52766 420890405 501(C)(3) 37500 N/A N/A 2020 DISASTER RELIEF HIGHLAND COMMUNITY SCHOOL DISTRICT 1715 VINE AVE RIVERSIDE IA 52327 420872377 CITY OF RIVERSIDE HI 12855 N/A N/A KITCHEN UPGRADE HIS HANDS MINISTRIES 400 12TH ST SE CEDAR RAPIDS IA 52403 391878606 501(C)(3) 14908 N/A N/A DERECHO/COVID RELIEF HORIZONS A FAMILY SERVICE ALLIANCE 819 5TH STREET SE CEDAR RAPIDS IA 52401 421135083 501(C)(3) 23802 N/A N/A CRITICAL NEEDS HOSPICE OF WASHINGTON COUNTY 948 EAST 11TH STREET WASHINGTON IA 52353 421315117 501(C)(3) 23629 N/A N/A HOSPICE KALONA HISTORICAL SOCIETY PO BOX 292 KALONA IA 52247 237446879 501(C)(3) 24783 N/A N/A NATIVE AMERICAN AND EARLY PIONEERS EXHIBIT KALONA VOLUNTEER FIRE DEPARTMENT 310 5TH ST PO BOX 284 KALONA IA 52247 208734153 501(C)(3) 60028 N/A N/A FIREFIGHTER PROTECTIVE EQUIPMENT KEOTA COMMUNITY SCHOOLS PO BOX 88 KEOTA IA 52248 426039202 KEOTA SCHOOL DISTRIC 19932 N/A N/A SCHOOL SECURITY AND TECHNOLOGY UPGRADE LAKE DARLING YOUTH CENTER PO BOX 929 WASHINGTON IA 52353 426074539 501(C)(3) 25000 N/A N/A COVID RELIEF MAIN STREET WASHINGTON 205 W MAIN WASHINGTON IA 52353 460552716 501(C)(3) 13000 N/A N/A RECOVERY MID-PRAIRIE COMMUNITY SCHOOLS 16353 HWY 22 WELLMAN IA 52356 426025685 WELLMAN SCHOOL DISTR 24760 N/A N/A TAKE IT OUTSIDE GREENHOUSE MIDWEST CENTRAL RAILROAD PO BOX 102 MOUNT PLEASANT IA 52641 237002864 501(C)(3) 13726 N/A N/A COVID RELIEF MOUNT PLEASANT COMMUNITY SCHOOL DISTRICT 400 E MADISON STREET MOUNT PLEASANT IA 52641 421446964 MOUNT PLEASANT SCHOO 20000 N/A N/A PICKLEBALL COURT SAINTS PETER & PAUL CLEAR CREEK HERITAGE FOUNDATION 22835 300TH AVE HARPER IA 52231 270375950 501(C)(3) 30000 N/A N/A BRICK RESTORATION THE ENGLERT CIVIC THEATRE 221 E WASHINGTON ST IOWA CITY IA 52245 421508154 501(C)(3) 50000 N/A N/A HISTORIC MARQUEE THE SALVATION ARMY 1116 S GILBERT CT IOWA CITY IA 52240 222406433 501(C)(3) 50000 N/A N/A HOT MEALS AND DISASTER RELIEF UNITED WAY OF EAST CENTRAL IOWA 317 7TH AVE SE NO 401 CEDAR RAPIDS IA 52401 420861239 501(C)(3) 37500 N/A N/A 2020 DISASTER RELIEF WASHINGTON COMMUNITY SCHOOLS 404 W MAIN ST WASHINGTON IA 52353 426037704 WASHINGTON SCHOOL DI 30923 N/A N/A STEAM LAB WASHINGTON COUNTY HOSPITAL 400 EAST POLK STREET WASHINGTON IA 52353 426037892 501(C)(3) 117836 N/A N/A MRI PROJECT WCDC PO BOX 61 WASHINGTON IA 52353 420985163 501(C)(3) 13401 N/A N/A KITCHEN UPGRADE YMCA OF WASHINGTON COUNTY IOWA 121 EAST MAIN STREET WASHINGTON IA 52353 420698186 501(C)(3) 500000 N/A N/A BUILDING PROJECT WALNUT TOWNSHIP 3304 HIGHWAY 78 BRIGHTON IA 52540 822655198 WALNUT TOWNSHIP 10080 N/A N/A CEMETERY REMODEL WASHINGTON CHAMBER OF COMMERCE 205 W MAIN WASHINGTON IA 52353 420586680 WASHINGTON CHAMBER O 13000 N/A N/A COVID RELIEF WASHINGTON COUNTY EMS ASSOCIATION PO BOX 371 WASHINGTON IA 52353 201681025 501(C)(3) 75000 N/A N/A VENTILATORS AND CENTER FURNISHING PROJECT WASHINGTON COUNTY FAIR ASSOCIATION PO BOX 485 WASHINGTON IA 52353 420895998 501(C)(3) 75000 N/A N/A CATTLE BARN CONSTRUCTION WASHINGTON YS MENS CLUB 520 W 5TH ST WASHINGTON IA 52353 426065779 501(C)(3) 12250 N/A N/A PROGRAM FUNDING WAYPOINT SERVICES FOR WOMEN CHILDREN AND FAMILIES 318 FIFTH STREET SE CEDAR RAPIDS IA 52401 420680307 501(C)(3) 25000 N/A N/A RECOVER SUPPORT WEDG COMMUNITY FOUNDATION 205 W MAIN WASHINGTON IA 52353 842847916 501(C)(3) 15000 N/A N/A OFFICE PROJECT 45 0 PART I, LINE 2: THERE IS A GRANT COMPLIANCE COMMITTEE THAT MONITORS AND MAKES SURE THE FUNDS ARE USED ACCORDING TO THE GRANT AWARD AGREEMENTS. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE 990 TAX RETURN IS PROVIDED TO THE WASHINGTON COUNTY RIVERBOAT FOUNDATION BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DOES HAVE A WRITTEN CONFLICT OF INTEREST POLICY. IT IS ENFORCED AND EACH BOARD MEMBER IS REQUIRED TO SIGN OFF ON THE POLICY ANNUALLY. IF ANY DIRECTOR OBSERVES, LEARNS OF, OR IN GOOD FAITH, BELIEVES IT IS POSSIBLE THAT ANOTHER AFFILIATED INDIVIDUAL HAS VIOLATED ANY PROVISION OF THIS CONFLICT OF INTEREST POLICY, THAT DIRECTOR MUST IMMEDIATELY REPORT THE ACTUAL OR SUSPECTED VIOLATION TO THE CHAIR OF THE EXECUTIVE COMMITTEE OR TO FOUNDATION STAFF. THE EXECUTIVE COMMITTEE HAS AN OBLIGATION TO INVESTIGATE, ADDRESS PROMPTLY, TAKE APPROPRIATE ACTION, AND TREAT AS CONFIDENTIAL ALL REPORTED VIOLATIONS. RECORDS AND MINUTES OF BOARD, BOARD COMMITTEE, AND OTHER FOUNDATION DELIBERATIONS, DECISION, AND VOTES WILL ACCURATELY RECORD THE EXISTENCE OF CONFLICT SITUATIONS, INCLUDING ANY DISCLOSURE, RECUSAL, AND ABSENCE OF THE AFFILIATED INDIVIDUAL INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 NO OFFICER OR BOARD MEMBER RECEIVES COMPENSATION AND THEREFORE NO FORMAL POLICY TO DETERMINE THE AMOUNT OF COMPENSATION EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE OVERSIGHT OR SELECTION PROCESS.