2019-03-14T16:11:03-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 3RD AVE SE STE 300 CEDAR RAPIDS IA 52401 990 2018-01-01 201730015 WASHINGTON COUNTY RIVERBOAT FOUNDATION INC WASH 3196533588 205 WEST MAIN WASHINGTON IA 52353 DAVID MITCHELL PRESIDENT 3196533588 2019-03-12 1 DAVID LITTLE P01480921 3193632697 67.137.57.251 2019-03-12 14:27:12 CD P CF5DC47B04BEE981237F6452D320A88985A44A86 D73E359738BDAD79C2EC8539ABD5DE3741BC0024 2018 2019-02-21 02:37:17Z DAVID MITCHELL 205 WEST MAIN WASHINGTON IA 52353 3288393 0 X WASHINGTONCOUNTYRIVERBOATFOUNDATION.ORG X 2004 IA TO DISTRIBUTE GRANTS TO AREA ORGANIZATIONS AND MUNICIPALITIES. 14 14 2 14 0 0 3317845 3281014 0 0 2963 7379 0 0 3320808 3288393 3059995 3473049 0 0 32531 42123 0 0 0 37115 42645 3129641 3557817 191167 -269424 1519621 1257290 75728 82821 1443893 1174469 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 2652795 2652795 COMPETITIVE FUND GRANTS 820254 820254 MUNICIPAL FUND GRANTS 3473049 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 2 0 2 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X PATTY KOLLER 3196533588 205 WEST MAIN WASHINGTON IA 52353 X DAVID MITCHELL PRESIDENT 1.00 X X 0 0 0 JADEN PROTTSMAN VICE PRESIDENT 1.00 X X 0 0 0 CATHY RICH TREASURER 2.00 X X 0 0 0 TOM BASTEN SECRETARY 1.00 X X 0 0 0 PAT FREEMAN DIRECTOR 1.00 X 0 0 0 DAVE ERWIN DIRECTOR 1.00 X 0 0 0 KATHLEEN BRINNING DIRECTOR 1.00 X 0 0 0 SHAWN ELLINGSON DIRECTOR 1.00 X 0 0 0 BRENDA HERINGTON DIRECTOR 1.00 X 0 0 0 JULIE BERGER DIRECTOR 1.00 X 0 0 0 JARROD LONGBINE DIRECTOR 1.00 X 0 0 0 MIKE JORGENSEN DIRECTOR 1.00 X 0 0 0 STEPHANIE SCHLABAUGH DIRECTOR 1.00 X 0 0 0 SHELLI CLEVERLY DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 3281014 3281014 7379 7379 3288393 0 0 7379 3473049 3473049 40180 40180 1943 1943 750 750 10259 10259 5777 5777 6840 6840 17300 17300 1719 1719 3557817 3473049 84768 0 0 914621 1225311 14429 294310 328240 1519621 1257290 2502 1113 73226 81708 75728 82821 X 1443893 1174469 1443893 1174469 1519621 1257290 -269424 0 X X 0 1 X 1 0 0 X 3288393 0 3288393 0 3288393 3557817 0 3557817 0 3557817 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 CITY OF KALONA PO BOX 1213 KALONA IA 52247 426004824 GOVERNMENT 691358 0 N/A N/A MUNICIPAL GRANT, COMMUNITY CENTER UPGRADES CITY OF WASHINGTON 215 E WASHINGTON WASHINGTON IA 52353 426005318 GOVERNMENT 435965 0 N/A N/A MUNICIPAL GRANT CITY OF WELLMAN PO BOX 129 WELLMAN IA 52356 426005352 GOVERNMENT 236119 0 N/A N/A MUNICIPAL GRANT, LIBRARY TECHNOLOGY, SHELTER & BANDSTAND RENOVATIONS, SENIOR CENTER LIGHTING, GENERATOR LONE TREE COMMUNITY SCHOOLS 303 S DEVOE ST LONE TREE IA 52755 426036794 SCHOOL 206750 0 N/A N/A WELLNESS CENTER, VIRTUAL REALITY LAB WESLEY RETIREMENT SERVICES 1015 S IOWA WASHINGTON IA 52353 420680440 501(C)(3) 150000 0 N/A N/A DEMENTIA AND HEALTH CENTER HIGHLAND COMMUNITY SCHOOL DISTRICT 1715 VINE AVE RIVERSIDE IA 52327 420872377 SCHOOL 131500 0 N/A N/A HIGH EFFICIENCY BOILERS, ROBOTICS, AEROSPACE ENGINEERING, LEGO LEAGUE PROJECT, TEMPERATURE CONTROL WASHINGTON COMMUNITY SCHOOLS 404 W MAIN ST WASHINGTON IA 52353 426037704 SCHOOL 120000 0 N/A N/A CHROMEBOOKS, LINCOLN SAFETY AND ACCESSIBILITY, TECHNOLOGY ENHANCEMENT, CASE FIELD SCOREBOARD HACAP 1515 HAWKEYE DR HIAWATHA IA 52766 420890405 501(C)(3) 90278 0 N/A N/A OUTDOOR CLASSROOM ENHANCEMENT, OLD MAIN HOUSING PROGRAM WASHINGTON COMMUNITY THEATER PO BOX 347 WASHINGTON IA 52353 237091652 501(C)(3) 88988 0 N/A N/A THEATER RIGGING EQUIPMENT, CABINET AND BENCHES RIVERSIDE EMERGENCY SERVICES PO BOX 33 RIVERSIDE IA 52327 473211538 501(C)(3) 70000 0 N/A N/A AIRPACK REPLACEMENT KEOKUK COUNTY 23019 HIGHWAY 149 SIGOURNEY IA 52591 426037647 GOVERNMENT 63756 0 N/A N/A LAKE BELVA DEER TRAIL MID-PRAIRIE COMMUNITY SCHOOLS 16353 HWY 22 WELLMAN IA 52356 426025685 SCHOOL 62206 0 N/A N/A INSTRUMENT REPLACEMENT, MAKER BY DESIGN, SCHOOL GARDEN, MIDDLE SCHOOL CHROMEBOOKS WASHINGTON COUNTY CONSERVATION BOARD 2943 HWY 92 AINSWORTH IA 52201 426005319 GOVERNMENT 60191 0 N/A N/A KEWASH TRAIL CITY OF RIVERSIDE PO BOX 188 RIVERSIDE IA 52327 426005154 GOVERNMENT 59550 0 N/A N/A MUNICIPAL GRANT KEOTA COMMUNITY SCHOOLS PO BOX 88 KEOTA IA 52248 426039202 SCHOOL 55738 0 N/A N/A SAFETY NETTING, TECHNOLOGY UPDATE, GYM UPDATE, CAFETERIA UPDATE WACO SCHOOLS PO BOX 158 CRAWFORDSVILLE IA 52621 420868016 501(C)(3) 51715 0 N/A N/A INNOVATION LAB, SAFETY & SECURITY CAMERAS KALONA HISTORICAL SOCIETY PO BOX 292 KALONA IA 52247 237446879 501(C)(3) 51144 0 N/A N/A KALONA PAST, HANDICAP ACCESSIBLE SIDEWALK, ROOF REPAIRS WCDC PO BOX 61 WASHINGTON IA 52353 420985163 501(C)(3) 50404 0 N/A N/A FIRE SAFETY PROJECT, DOCUMENTATION, OF CLIENTS, FLOOR SCRUBBER, HANDICAP ACCESSIBLE DOORS CITY OF AINSWORTH 134 N RAILROAD AINSWORTH IA 52201 426004179 GOVERNMENT 47664 0 N/A N/A MUNICIPAL GRANT, CITY CENTER ENERGY UPGRADE KEOTA UNLIMITED PO BOX 144 KEOTA IA 52248 421330680 501(C)(3) 46000 0 N/A N/A BALLFIELD IMPROVEMENTS RIVERSIDE AREA COMMUNITY CLUB PO BOX 55 RIVERSIDE IA 52327 421465749 501(C)(3) 44611 0 N/A N/A HALL PARK IMPROVEMENTS CITY OF BRIGHTON PO BOX 336 BRIGHTON IA 52540 426004297 GOVERNMENT 39126 0 N/A N/A MUNICIPAL GRANT WASHINGTON MUSIC BOOSTERS 314 E MADISON ST WASHINGTON IA 52353 811117160 501(C)(3) 36208 0 N/A N/A INSTRUMENT REPLACEMENT SAINTS PETER & PAUL CLEAR CREEK HERITAGE ASSOCIATION 22835 30TH AVE HARPER IA 52231 270375950 501(C)(3) 31937 0 N/A N/A RESTORATION OF STAINED GLASS, DOOR REPLACEMENT MAIN STREET WASHINGTON 205 W MAIN WASHINGTON IA 52353 460552716 501(C)(3) 29879 0 N/A N/A WASHINGTON INCENTIVE FUND CITY OF WEST CHESTER PO BOX 115 WEST CHESTER IA 52359 421054362 GOVERNMENT 27652 0 N/A N/A MUNICIPAL GRANT, CITY HALL IMPROVEMENTS WASHINGTON ECONOMIC DEVELOPMENT GROUP 205 W MAIN WASHINGTON IA 52353 421276049 501(C)(6) 27393 0 N/A N/A REGIONAL RECREATION AND TRAIL PLAN RICHMOND AMVETS 119 B AVENUE KALONA IA 52247 426073963 501(C)(3) 25502 0 N/A N/A BUILDING ADDITION, BUILDING RENOVATION SHELTER HOUSE COMMUNITY SHELTER 429 SOUTHGATE AVE IOWA CITY IA 52240 421231451 501(C)(3) 25000 0 N/A N/A FURNISHINGS AND EQUIPMENT CITY OF WHAT CHEER 308 SOUTH BARNES STREET WHAT CHEER IA 50268 426005369 GOVERNMENT 24999 0 N/A N/A PLAYGROUND KEOTA VOLUNTEER FIRE DEPT PO BOX 422 KEOTA IA 52248 421210291 501(C)(3) 21837 0 N/A N/A BREATING APPARATUS SIGOURNEY FIRE-RESCUE 219 S MAIN ST SIGOURNEY IA 52591 271871502 501(C)(3) 21837 0 N/A N/A WILDLAND FIRE SUPPRESSION LINN COUNTY FAIR ASSOCIATION PO BOX 329 CENTRAL CITY IA 52214 421231967 501(C)(3) 20000 0 N/A N/A HANDICAP PARKING AND SIDEWALKS CITY OF KEOTA PO BOX 77 KEOTA IA 52248 426004837 GOVERNMENT 18767 0 N/A N/A KEWASH TRAILHEAD IOWA VALLEY HABITAT FOR HUMMANITY 2401 SCOTT BLVD IOWA CITY IA 52240 421410210 501(C)(3) 17094 0 N/A N/A HELPING HANDS CITY OF CRAWFORDSVILLE PO BOX 202 CRAWFORDSVILLE IA 52621 426004439 GOVERNMENT 16343 0 N/A N/A MUNICIPAL GRANT, PLAYGROUND SAFETY RIVERSIDE VFW PO BOX 241 RIVERSIDE IA 52327 420927981 501(C)(3) 15000 0 N/A N/A HALL REMODEL, AIRLOCK SHELTER, WINDOWS KALONA CHAMBER OF COMMERCE PO BOX 615 KALONA IA 52247 421356376 501(C)(3) 14352 0 N/A N/A TRAVELING DISPLAY BOOTH WELLMAN VOLUNTEER FIRE DEPT PO BOX 96 WELLMAN IA 52356 426063236 501(C)(3) 13800 0 N/A N/A EQUIPMENT UPGRADE, WASHER/DRYER WASHINGTON AMATUER RADIO CLUB 802 NORTH SECOND AVE WASHINGTON IA 52353 743103551 501(C)(3) 13489 0 N/A N/A EQUIPMENT AND TRAILER JOHNSON COUNTY SHERRIFF PO BOX 2540 IOWA CITY IA 52240 426004806 501(C)(3) 12500 0 N/A N/A K-9 PROGRAM GIVE FOUNDATION 3184 HIGHWAY 22 RIVERSIDE IA 52327 200440698 501(C)(3) 10000 0 N/A N/A ANNUAL GOLF TOURNAMENT AINSWORTH COMMUNITY CENTER 284 RAILROAD ST AINSWORTH IA 52201 421351746 501(C)(3) 9928 0 N/A N/A ROOF AND SKYLIGHT REPAIR FAMILIES HELPING FAMILIES 3516 CENTER POINT RD CEDAR RAPIDS IA 52402 710985937 501(C)(3) 9298 0 N/A N/A SHOE VOUCHER PROGRAM SAINT JAMES SCHOOL 616 W SECOND ST WASHINGTON IA 52353 420681064 501(C)(3) 9240 0 N/A N/A SCHOOL RESTROOM RENOVATIONS WASHINGTON AREA SOFTBALL ASSOCIATION PO BOX 867 WASHINGTON IA 52353 411444027 501(C)(3) 8196 0 N/A N/A PRESSBOX RENOVATION, SOFTBALL TECHNOLOGY WASHINGTON COUNTY COALITION 604 SOUTH MAIN STREET WASHINGTON IA 52353 421124902 501(C)(3) 7745 0 N/A N/A ENSURING SAFETY OF VICTIMS, DOMESTIC VIOLENCE VICTIMS JACKSON TOWNSHIP FIRE ASSOCIATION 3640 ARGYLE RD KEOKUK IA 52632 202977547 501(C)(3) 7500 0 N/A N/A BRUSH TRUCK WASHINGTON COUNTY FAIR ASSOCIATION PO BOX 485 WASHINGTON IA 52353 420895998 501(C)(3) 6534 0 N/A N/A PLAYGROUND, SCHOOL HOUSE RESTORATION CZECH VILLAGE MAIN STREET 4103 LAKE DR SW CEDAR RAPIDS IA 52404 421040902 501(C)(3) 6000 0 N/A N/A BUILDING FUND WASHINGTON COUNTY PHEASANTS FOREVER 2665 PALM AVE WASHINGTON IA 52353 411429149 501(C)(3) 5968 0 N/A N/A BANQUET SUPPLIES KALONA FIRST RESPONDERS PO BOX 525 KALONA IA 52247 421284704 501(C)(3) 5702 0 N/A N/A CHEST COMPRESSION SYSTEM PAWS & MORE ANIMAL SHELTER 1004 1/2 WEST MADISON WASHINGTON IA 52353 421096734 501(C)(3) 5265 0 N/A N/A FOUNDATION REPAIR FRIENDS OF LAKE DARLING PO BOX 82 BRIGHTON IA 52540 753196705 501(C)(3) 5080 0 N/A N/A LODGE TABLE REPLACEMENT, U OF I WILDLIFE CAMP KIWANIS INTERNATIONAL 610 SOUTH 15TH AVE WASHINGTON IA 52353 237404126 501(C)(3) 5000 0 N/A N/A HOLIDAY FOR KIDS, CHRISTMAS ANGELS 48 7 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 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.