2017-04-07T11:57:55-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 600 3RD AVE SE STE 300 CEDAR RAPIDS IA 52401 990 2016-01-01 201730015 WASHINGTON COUNTY RIVERBOAT FOUNDATION INC WASH 3196533588 205 WEST MAIN NO D WASHINGTON IA 52353 MIKE DRISCOLL PRESIDENT 3196533588 2017-04-04 1 CONNIE M LIRA P00481097 3193632697 67.137.57.251 2017-04-04 10:19:05 CD P A78CD26141F57C8840FBEC3782FDEC5649A42A9D 567CD5D6373DE894C9AFC6CE0D822047BC9EC381 2016 2021-01-29 14:40:06Z JADEN PROTTSMAN 205 WEST MAIN NO D WASHINGTON IA 52353 3232921 0 X WASHINGTONCOUNTYRIVERBOATFOUNDATION.ORG X 2004 IA TO DISTRIBUTE GRANTS TO AREA ORGANIZATIONS AND MUNICIPALITIES 14 14 1 17 0 0 3179829 3229748 0 0 4305 3173 0 0 3184134 3232921 3048544 3150520 0 0 30981 32531 0 0 0 36888 35820 3116413 3218871 67721 14050 1295500 1320211 56824 67485 1238676 1252726 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 2343083 2343083 COMPETITIVE FUND GRANTS 807437 807437 MUNICIPAL FUND GRANTS 3150520 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 1 1 0 0 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 JAMES LOGAN 3196533588 205 WEST MAIN NO D WASHINGTON IA 52353 X PATTY KOLLER DIRECTOR 1.00 X 0 0 0 MICHEL BLUM DIRECTOR 1.00 X 0 0 0 KENNY KEMPF DIRECTOR - LEFT 1.21.16 1.00 X 0 0 0 FAY VITTETOE DIRECTOR - LEFT 1.21.16 1.00 X 0 0 0 TRACY OUSEY DIRECTOR 1.00 X 0 0 0 JOHN CONWAY DIRECTOR 1.00 X 0 0 0 BRENDA HERINGTON DIRECTOR 1.00 X 0 0 0 TOM BASTEN 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 CATHY RICH DIRECTOR 1.00 X 0 0 0 DAVID MITCHELL DIRECTOR 1.00 X 0 0 0 LIZ HALL SECRETARY 1.00 X X 0 0 0 JADEN PROTTSMAN TREASURER 1.00 X X 0 0 0 TERI FISHER VICE PRESIDENT - LEFT 1.21.16 1.00 X X 0 0 0 STEPHANIE SCHLABAUGH VICE PRESIDENT 1.00 X X 0 0 0 MIKE DRISCOLL PRESIDENT 2.00 X X 0 0 0 0 0 0 0 0 0 0 0 3229748 3229748 3173 3173 3232921 0 0 3173 3150520 3150520 30180 30180 2351 2351 800 800 9911 9911 3509 3509 6840 6840 13078 13078 1682 1682 3218871 3150520 68351 0 73408 900843 1003986 159444 218106 259924 1295500 1320211 2297 2502 54527 64983 56824 67485 X 1238676 1252726 1238676 1252726 1295500 1320211 14050 0 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 3232921 0 3232921 0 3232921 3218871 0 3218871 0 3218871 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 BOY SCOUT TROOP 242 608 N 2ND ST WASHINGTON IA 52353 421253569 501C(3) 7246 CANOE REPLACEMENT CEDAR RAPIDS KENNEDY HIGH SCHOOL 4545 WENIG ROAD NE CEDAR RAPIDS IA 52402 426023551 SCHOOL 6000 WEIGHT ROOM CITY OF AINSWORTH 134 N RAILROAD AINSWORTH IA 52201 426004179 GOVERNMENT 37967 MUNICIPAL GRANT CITY OF BRIGHTON PO BOX 336 BRIGHTON IA 52540 426004297 GOVERNMENT 54718 MUNICIPAL GRANT CITY OF CRAWFORDSVILLE PO BOX 202 CRAWFORDSVILLE IA 52621 426004439 GOVERNMENT 15382 MUNICIPAL GRANT CITY OF KALONA PO BOX 1213 KALONA IA 52247 426004824 GOVERNMENT 157639 MUNICIPAL GRANT CITY OF RIVERSIDE PO BOX 188 RIVERSIDE IA 52327 426005154 GOVERNMENT 57861 MUNICIPAL GRANT CITY OF WASHINGTON 215 E WASHINGTON WASHINGTON IA 52353 426005318 GOVERNMENT 560061 MUNICIPAL GRANT CITY OF WELLMAN PO BOX 129 WELLMAN IA 52356 426005352 GOVERNMENT 108781 MUNICIPAL GRANT CITY OF WEST CHESTER PO BOX 115 WEST CHESTER IA 52359 421054362 GOVERNMENT 8528 MUNICIPAL GRANT COLUMBUS COMMUNITY MEDICAL FACILITIES 134 MAIN ST COLUMBUS JCT IA 52738 421058063 501C(3) 35000 AMBULANCE FACILITY EXPANSION COLUMBUS UNITED FUND 232 2ND ST COLUMBUS JCT IA 52738 426004411 501C(3) 6000 LOUISA COUNTY FREEDOM ROCK, BURMESE COMMUNITY GARDENS, AND GARBAGE CANS EASTERN IOWA HONOR FLIGHT PO BOX 10704 CEDAR RAPIDS IA 52410 271666013 501C(3) 10000 HONOR FLIGHT FAMILIES HELPING FAMILIES 3516 CENTER POINT RD CEDAR RAPIDS IA 52402 710985937 501C(3) 10162 COMPUTER DATABASE, SHOE VOUCHER PROGRAM, AND VOLUNTEER WORKSTATION FILMSCENE 118 E COLLEGE ST IOWA CITY IA 52240 454103745 501C(3) 49412 BRINTON FILM FRIENDS OF CENTER POINT LIBRARY 720 MAIN ST CENTER POINT IA 52213 203113110 501C(3) 7000 LIBRARY FURNISHINGS FRIENDS OF LAKE DARLING PO BOX 82 BRIGHTON IA 52540 753196705 501C(3) 85000 INTERPRETIVE PATHWAY GIVE FOUNDATION 3184 HWY 22 RIVERSIDE IA 52327 200440698 501C(3) 10000 ANNUAL GOLF TOURNAMENT HIGHLAND COMMUNITY SCHOOL DISTRICT 1715 VINE AVE RIVERSIDE IA 52327 420872377 SCHOOL 76851 ROBOTICS, IPADS, AND MACBOOKS HOLY TRINITY CHURCH 571 HOWARD ST KALONA IA 52247 420680263 501C(3) 6208 SOUND SYSTEM UPDATE AND TABLE REPLACEMENT HOUSE OF HEROES 1601 N 4TH WASHINGTON IA 52353 263559296 501C(3) 5120 HOME IMPROVEMENT KEOTA COMMUNITY SCHOOLS PO BOX 88 KEOTA IA 52248 426039202 SCHOOL 18722 MINI IPAD LAB, ACTIVITY SIGN, AND BASEBALL/SOFTBALL RENOVATIONS KEOTA VFW POST 4716 106 N CHESNEY KEOTA IA 52248 420645681 501C(19) 19506 VETERANS MEMORIAL LAKE DARLING YOUTH CENTER 1018 N 5TH WASHINGTON IA 52353 426074539 501C(3) 12537 MAIN LODGE ROOF AND MAIN LODGE COUNTERTOP LONE TREE COMMUNITY FOUNDATION PO BOX 556 LONE TREE IA 52755 421524406 501C(3) 10000 ROOF FOR AMERICAN LEGION MAIN STREET WASHINGTON 205 W MAIN WASHINGTON IA 52353 460552716 501C(6) 49978 INCENTIVE FUND AND DOWNTOWN BRANDING MID-PRAIRIE COMMUNITY SCHOOLS 16353 HWY 22 WELLMAN IA 52356 426025685 SCHOOL 8500 OUTDOOR CLASSROOM MID-PRAIRIE FOUNDATION PO BOX 389 KALONA IA 52247 421304224 501C(3) 115000 ATHLETIC COMPLEX AND FEED THE KIDS MIDWEST CENTRAL RAILROAD 403 E THRESHERS ROAD MT PLEASANT IA 52641 237002864 501C(3) 32000 ENGINE RESTORATION AND AIR CONDITIONING SAINT JAMES SCHOOL 616 W SECOND ST WASHINGTON IA 52353 420681064 501C(3) 42556 SAFETY & PRESERVATION AND SUCCESS MAKER UPDATE SYSTEMS UNLIMITED 1519 S GILBERT IOWA CITY IA 52240 420985205 501C(3) 7000 MENTAL HEALTH SERVICES AND ADULT TRIKE UNITED CHURCH OF CRAWFORDSVILLE PO BOX 95 CRAWFORDSVILLE IA 52621 421122797 501C(3) 35635 FACILITY UPGRADE UNIVERSITY OF IOWA FOUNDATION PO BOX 4550 IOWA CITY IA 52244 420796760 501C(3) 100000 CHILDREN'S HOSPITAL FURNISHINGS WASHINGTON AREA SOFTBALL ASSOC 214 E MADISON WASHINGTON IA 52353 421444027 501C(3) 11632 BALL FIELD RENOVATION WASHINGTON COMMUNITY SCHOOLS 404 W MAIN ST WASHINGTON IA 52353 426037704 SCHOOL 80000 CONSUMER SCIENCE CLASSROOM AND CASE FIELD BLEACHERS WASHINGTON COMMUNITY THEATRE PO BOX 347 WASHINGTON IA 52353 237091652 501C(3) 22000 HANDICAPPED ACCESSIBILITY WASHINGTON CONCERT ASSOCIATION PO BOX 367 WASHINGTON IA 52353 426129957 501C(3) 5045 MUSICAL PERFORMANCES AND U OF I SYMPHONY BAND WASHINGTON ECONOMIC DEVELOPMENT GROUP 205 W MAIN WASHINGTON IA 52353 421276049 501C(6) 31792 BRINTON PRESERVATION PHASE 2, 2015 LABOR ANALYSIS, AND DOWNTOWN WIFI WASHINGTON IOWA BETTERMENT FOUNDATION PO BOX 462 WASHINGTON IA 52353 421444876 501C(3) 858721 HIGH SCHOOL AUDITORIUM WASHINGTON MUSIC BOOSTERS 111 S AVE B WASHINGTON IA 52353 811117160 501C(3) 14836 CHOIR AND BAND INSTRUMENTS WELLMAN VOLUNTEER AMBULANCE 1759 140TH ST WELLMAN IA 52356 421065288 501C(3) 75000 NEW AMBULANCE WESLEY RETIREMENT SERVICES 1015 S IOWA WASHINGTON IA 52353 420680440 501C(3) 176335 DEMENTIA AND HEALTH CENTER 34 8 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 VIOLATION. 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.