Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
THE MERCHANTS BONDING COMPANY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)6700 WESTOWN PARKWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WEST DES MOINES, IA502667754
A Employer identification number

26-3035459
B Telephone number (see instructions)

(515) 243-8171
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$807,761
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 285,731
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 15,095 15,095  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 15,077
b Gross sales price for all assets on line 6a 151,235
7 Capital gain net income (from Part IV, line 2)... 15,077
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 63,501 0  
12 Total. Add lines 1 through 11........ 379,404 30,172  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 2,201 0   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,012 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 90,286 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 93,499 0   0
25 Contributions, gifts, grants paid....... 333,050 333,050
26 Total expenses and disbursements. Add lines 24 and 25 426,549 0   333,050
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -47,145
b Net investment income (if negative, enter -0-) 30,172
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 852,875 805,730 807,761
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 852,875 805,730 807,761
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 687,875 765,730
25 Temporarily restricted............... 165,000 40,000
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 852,875 805,730
31 Total liabilities and net assets/fund balances (see instructions). 852,875 805,730
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
852,875
2
Enter amount from Part I, line 27a .....................
2
-47,145
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
805,730
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
805,730
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES   2017-01-01 2018-12-31
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 151,235   136,158 15,077
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       15,077
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 15,077
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2017      
2016      
2015      
2014      
2013      
2
Total of line 1, column (d) .....................
2
 
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
 
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
 
5
Multiply line 4 by line 3......................
5
 
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
 
7
Add lines 5 and 6........................
7
 
8
Enter qualifying distributions from Part XII, line 4,.............
8
 
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 603
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 603
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 603
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 14
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 617
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletLARRY TAYLOR Telephone no.bullet (515) 243-8171

    Located atbullet6700 WESTOWN PKWYWEST DES MOINESIA ZIP+4bullet50266
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2018?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2018 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2018.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    LARRY TAYLOR PRESIDENT
    0.00
    0 0 0
    4127 PLUMWOOD
    WEST DES MOINES,IA50265
    WILLIAM WARNER JR SECRETARY & TREASURER
    0.00
    0 0 0
    3917 155TH STREET
    URBANDALE,IA50323
    MELISSA WARNER DIRECTOR
    0.00
    0 0 0
    4628 N AVENIDA DEL PUENTE
    PHOENIX,AZ85018
    JANET TAYLOR DIRECTOR
    0.00
    0 0 0
    7117 PELICAN BAY BLVD UNIT 607
    NAPLES,FL34108
    LLOYD TAYLOR DIRECTOR
    0.00
    0 0 0
    7117 PELICAN BAY BLVD UNIT 607
    NAPLES,FL34108
    BILL TAYLOR DIRECTOR
    0.00
    0 0 0
    5115 S KENTON WAY
    ENGLEWOOD,CO80111
    JEFF TAYLOR DIRECTOR
    0.00
    0 0 0
    919 RAVENDALE PLACE
    CARY,NC27513
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    586,857
    b
    Average of monthly cash balances.......................
    1b
    359,053
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    945,910
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    945,910
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    14,189
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    931,721
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    46,586
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    46,586
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    603
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    603
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    45,983
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    45,983
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    45,983
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    333,050
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    333,050
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    333,050
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 45,983
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 98,818
    b From 2014...... 195,060
    c From 2015...... 121,536
    d From 2016...... 109,993
    e From 2017...... 155,842
    fTotal of lines 3a through e........ 681,249
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 333,050
    a Applied to 2017, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2018 distributable amount..... 45,983
    e Remaining amount distributed out of corpus 287,067
    5 Excess distributions carryover applied to 2018. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 968,316
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    98,818
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    869,498
    10 Analysis of line 9:
    a Excess from 2014.... 195,060
    b Excess from 2015.... 121,536
    c Excess from 2016.... 109,993
    d Excess from 2017.... 155,842
    e Excess from 2018.... 287,067
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2018, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2018 (b) 2017 (c) 2016 (d) 2015
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AGC OF IOWA FOUNDATION
    701 E COURT AVE SUITE B
    DES MOINES,IA50309
    NONE PUBLIC FOSTER EDUCATION, SUPPORT RESEARCH AND DISSEMINATE INFORMATION TO THE GENERAL PUBLIC ABOUT THE CONSTRUCTION INDUSTRY. 650
    AMERICAN HEART ASSOCIATION
    1111 9TH ST SUITE 280
    DES MOINES,IA50314
    NONE PUBLIC TO BUILD HEALTHIER LIVES, FREE OF CARDIOVASCULAR DISEASES AND STROKE. 5,275
    BEST BUDDIES OF IA
    7648 HICKMAN RD
    DES MOINES,IA50324
    NONE PUBLIC GLOBAL VOLUNTEER MOVEMENT THAT CREATES 1 TO 1 FRIENDSHIPS FOR PEOPLE WITH LEARNING DISABILITIES 50
    BIG BROTHERS BIG SISTERS OF CENTRAL IOWA
    9051 SWANSON BOULEVARD
    CLIVE,IA50325
    NONE PUBLIC SUPPORT FOR MENTORING PROGRAM 2,864
    BIG BROTHERS BIG SISTERS OF GREATER KC
    1709 WALNUT ST
    KANSAS CITY,MO64108
    NONE PUBLIC ORGANIZATION MATCHES CHILDREN OF ONE-PARENT FAMILIES, IN ONE-TO-ONE FRIENDSHIPS. CREATING FRIENDSHIPS THAT OTHERWISE WOULD NOT HAPPEN. 200
    BLOOD SWEAT & BEERS
    3512 INGERSOL AVE
    DES MOINES,IA50312
    NONE PUBLIC SUPPORT FOR LEUKEMIA AND LYMPHOMA SOCIETY FUNDRAISING RACE 750
    BOYS & GIRLS CLUB OF CENTRAL IOWA
    1031 OFFICE PARK RD STE 1
    WEST DES MOINES,IA50265
    NONE PUBLIC TO PROVIDE CONTINUED DAILY ACCESS TO LIFE-ENRICHING PROGRAMS AND UNIQUE LEARNING OPPPORTUNITIES TO YOUNG PEOPLE IN THE COMMUNITY. 500
    BRAVO GREATER DES MOINES
    700 LOCUST ST STE 100
    DES MOINES,IA50309
    NONE PUBLIC FUNDING AND SUPPORT TO STRENGTHEN ARTS, CULTURE AND HERITAGE ORGANIZATIONS SERVING GREATER DES MOINES. 3,500
    CENTRAL IOWA AGFP CHAPTER
    37 LIBERTY BELL BLVD
    PLEASANT HILL,IA50327
    NONE PUBLIC PROMOTES PHILANTHROPY BY EMPOWERING PEOPLE & ORGANIZATIONS TO PRACTICE ETHICAL AND EFFECTIVE PROFESSIONAL FUNDRAISING 650
    CENTURION OF SOUTHERN ARIZONA CHARITABLE FOUNDATION
    PO BOX 64545
    TUCSON,AZ85728
    NONE PUBLIC TO PROVIDE SERVICES TO UNDERSERVED COMMUNITY MEMBERS PRIMARILY IN THE AREAS OF HEALTHCARE, EDUCATION AND MENTORSHIP. 700
    CHARLOTTES WINGS
    1392 OTTER DRIVE
    ROCHESTER HILLS,MI48309
    NONE PUBLIC DEDICATED TO SUPPORTING AILING CHILDREN THROUGH DONATIONS OF NEW BOOKS TO THE CHILDREN AND THEIR FAMILIES IN HOSPITAL AND HOSPICE CARE. 250
    CHILDREN & FAMILIES OF IOWA
    1111 UNIVERSITY AVE
    DES MOINES,IA50314
    NONE PUBLIC PROVIDES RESOURCES NEEDED TO HELP VICTIMS OF DOMESTIC VIOLENCE, PROVIDE SAFETY AND PREVENTION FOR ABUSED OR NEGLECTED CHILDREN. 500
    CHILDREN'S HOSPITAL CLINICS OF MINNESOTA
    2525 CHICAGO AVE
    MINNEAPOLIS,MN55404
    NONE PUBLIC PROGRAM SUPPORT 200
    CHILDRENS CANCER CONNECTION
    2708 GRAND AVE
    DES MOINES,IA50312
    NONE PUBLIC TO SERVE FAMILIES WITH CHILDHOOD CANCERS WITH QUALITY PROGRAMS FOR EDUCATION, RECREATION AND SUPPORT. 500
    COMMUNITY FOUNDATION OF GREATER DES MOINES
    2771 104TH ST SUITE I
    URBANDALE,IA50322
    NONE PUBLIC SUPPORT FOR TOURNAMENT 1,000
    COURAGE LEAGUE SPORT
    4405 121ST ST
    URBANDALE,IA50322
    NONE PUBLIC PHILOSOPHY IS EVERYBODY DESERVES TO PLAY 25,000
    CYSTIC FIBROSIS FOUNDATION
    4150 WESTOWN PKWY 206
    WEST DES MOINES,IA50266
    NONE PUBLIC RESEARCH FOR A CURE FOR CYSTIC FIBROSIS AND IMPROVE THE QUALITY OF LIFE FOR THOSE WITH THE DISEASE 1,000
    DES MOINES COMMUNITY PLAYHOUSE
    831 42ND ST
    DES MOINES,IA50312
    NONE PUBLIC TO ENCOURAGE SELF-DEVELOPMENT THROUGH THE DRAMATIC ARTS, EXPLORE THE SKILLS OF THE THEATRE, FOSTER AN APPRECIATION FOR THEATRE AND ACQUAINT STUDENTS WITH TECHNICAL THEATRE KNOWLEDGE. 1,000
    DES MOINES METRO OPERA
    106 WEST BOSTON AVE
    INDIANOLA,IA50125
    NONE PUBLIC SUPPORTS THE OPERA IN DES MOINES. 2,000
    DES MOINES PERFORMING ARTS
    221 WALNUT STREET
    DES MOINES,IA50309
    NONE PUBLIC ENGAGE THE MIDWEST IN WORLD-CLASS ENTERTAINMENT, EDUCATION AND CULTURAL ACTIVITIES 9,500
    DES MOINES WATER WORKS PARKS FOUNDATION
    PO BOX 12009
    DES MOINES,IA50312
    NONE PUBLIC IMPROVING QIALITY OF LIFE FOR CENTAL IOWANS BY ENHANCING WATERWORKS PARK 5,000
    EASTER SEALS OF IA
    401 NE 66TH AVE
    DES MOINES,IA50313
    NONE PUBLIC PROVIDES SERVICES TO ENSURE THAT PEOPLE WITH DISABILITES HAVE EQUAL OPPORTUNITIES 158,383
    FREEDOM FOR YOUTH MINISTRIES
    2301 HICKMAN RD
    DES MOINES,IA50010
    NONE PUBLIC THE ORGANIZATION OFFERS THE LOVE OF JESUS CHRIST TO DISTRESSED AND IMPOVERISHED YOUTH. 2,750
    FRIENDS OF IOWA PUBLIC TELEVISON
    PO BOX 6400
    JOHNSTON,IA50131
    NONE PUBLIC TO PROVIDE SUPPORT FOR QUALITY ALTERNATIVE PROGRAMMING THAT EDUCATES, ENLIGHTENS AND ENTERTAINS IOWANS THROUGHOUT THE STATE. 100
    HABITAT FOR HUMANITY INTERNATIONAL
    2200 E EUCLID
    DES MOINES,IA50303
    NONE PUBLIC BRING PEOPLE TOGETHER TO BUILD HOMES, COMMUNITIES AND HOPE 1,000
    HCI CARE SERVICES
    2901 WESTOWN PKWY
    W DES MOINES,IA50266
    NONE PUBLIC PROMOTING DIGNITY AND QUALITY OF LIFE AND EFFECTIVE COMMUNITY BASED CARE 6,500
    HOPE MINISTRIES
    PO BOX 862
    DES MOINES,IA50304
    NONE PUBLIC MEETING THE SPIRITUAL, PHYSICAL, AND EMOTIONAL NEEDS OF MEN, WOMEN AND CHILDREN WHO ARE HOMELESS OR IN NEED OF HOPE. 800
    IOWA ATHLETICS DEVELOPMENT
    5410 CARVER HAWKEYE ARENA
    IOWA CITY,IA52242
    NONE PUBLIC PROVIDES SUPPORT TO THE GENERAL ATHLETIC BUDGET 2,400
    IOWA COLLEGE FOUNDATION
    505 5TH AVENUE 1034
    DES MOINES,IA50309
    NONE PUBLIC PROVIDES STUDENTS WITH THE OPPORTUNITY FOR A HIGH QUALITY EDUCATION BY SECURING FINANCIAL RESOURCES FOR MEMBER PRIVATE COLLEGES AND UNIVERSITIES. 1,000
    IOWA INSURANCE HALL OF FAME
    10546 JUSTIN DRIVE
    URBANDALE,IA50322
    NONE PUBLIC TO HONOR THOSE INDIVIDUALS WHO HAVE MADE AN IMPACT ON THE INSURANCE INDUSTRY IN IOWA. 250
    IOWA STATE FAIR BLUE RIBBON FOUNDATION
    PO BOX 57130
    DES MOINES,IA50317
    NONE PUBLIC SUPPORT FOR FAIR PROGRAMS 3,000
    IOWA STATE UNIVERSITY FOUNDATION
    2505 UNIVERSITY BLVD PO BOX 2230
    AMES,IA50010
    NONE PUBLIC ESSENTIAL IN BUILDING THE FINANCIAL BASE TO SUSTAIN LONG-TERM GROWTH OF ISU. 5,000
    JUVINILE DIABETES RESEARCH FOUNDATION
    3580 EP TRUE PARKWAY 101
    WEST DES MOINES,IA50265
    NONE PUBLIC SUPPORT OF RESEARCH TO FIND A CURE FOR DIABETES AND ITS COMPLICATIONS. 1,500
    LYMPHOMA & LEUKEMIA SOCIETY
    2700 WESTOWN PKWY 260
    WEST DES MOINES,IA50266
    NONE PUBLIC CURE LEUKEMIA, LYMPHOMA, HODGKIN'S DISEASE AND MYELOMA, AND IMPROVE THE QUALITY OF LIFE OF PATIENTS AND THEIR FAMILIES. 2,750
    MAKE A WISH FOUNDATION IA
    3024 104TH STREET
    URBANDALE,IA50322
    NONE PUBLIC GRANTING WISHES OF CHILDREN WITH LIFE-THREATENING MEDICAL CONDITIONS TO ENRICH THE HUMAN EXPERIENCE WITH HOPE, STRENGTH AND JOY. 2,100
    MCNISH FAMILY FOUNDATION
    26622 WOODWARD AVE
    ROYAL OAK,MN48067
    NONE PUBLIC TO PROVIDE YOUNG PEOPLE WITH OPPORTUNITIES THAT CAN CHANGE THEIR LIVES. 100
    MID-IOWA COUNCIL - BOY SCOUTS OF AMERICA
    5123 SCOUT TRAIL
    DES MOINES,IA50321
    NONE PUBLIC TO PROVIDE A PROGRAM FOR BOYS AND YOUNG ADULTS TO BUILD CHARACTER, TO TRAIN IN THE RESPONSIBLITIES OF CITIZENSHIP, AND TO DEVELOP MENTAL AND PHYSICAL FITNESS - MAKING A DIFFERENCE IN THE LIVES OF BOYS AGED 7 THROUGH 20. 5,000
    MISSION HAITI
    PO BOX 2175
    SIOUX FALLS,SD57101
    NONE PUBLIC TO REACH THE PEOPLE OF HAITI ONE VILLAGE AT A TIME FOR THE GLORY OF THE LORD. 500
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    PO BOX 4527
    NEW YORK,NY10163
    NONE PUBLIC WORKS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AFFECTED BY MS AND RAISE FUNDS FOR CRITICAL MS RESEARCH. 350
    NORWALK PTO
    9210 HAPPY HOLLOW DRIVE
    NORWALK,IA50211
    NONE PUBLIC TO FOSTER A SPIRIT OF COOPERATION BETWEEN PARENTS AND TEACHERS AND TO ASSIST IN AND ENHANCE THE STUDENTS EDUCATION. 75
    ORCHARD PLACE FOUNDATION
    2116 GRADE AVE
    DES MOINES,IA50312
    NONE PUBLIC DEVELOP STRONG FUTURES FOR CHILDREN AND YOUTH WITH MENTAL HEALTH AND BEHAVIORAL CHALLENGES. 1,000
    PRINCIPAL CHARITY CLASSIC
    2771 104TH ST SUITE I
    URBANDALE,IA50322
    NONE PUBLIC THE TOURNAMENT RAISES MONEY FOR LOCAL NON-PROFIT ORGANIZATIONS SUPPORTING CHILDREN IN THE ARTS, CULTURE, HEALTH AND HUMAN SERVICES. 6,000
    PUPPY JAKE FOUNDATION
    4020 JOHN LYNDE RD
    DES MOINES,IA50312
    NONE PUBLIC HELPING MILITARY VETERANS THROUGH TRAINED SERVICE DOGS 25,000
    RONALD MCDONALD HOUSE
    1441 PLEASANT STREET
    DES MOINES,IA50314
    NONE PUBLIC SUPPORT FOR FAMILIES OF CHILDREN RECEIVING CRITICAL MEDICAL CARE IN DES MOINES. 1,000
    SALISBURY HOUSE FOUNDATION
    4025 TONAWANDA DRIVE
    DES MOINES,IA50312
    NONE PUBLIC HELPS TO PRESERVE THE HOUSE AND GARDENS; PROVIDE EDUCATIONAL AND CULTURAL PROGRAMMING FOR STUDENTS AND OTHER OF ALL AGES, INCOMES, AND LIFE EXPERIENCES. 500
    THE SURETY FOUNDATION
    1101 CONNECTICUT AVENUE NW 800
    WASHINGTON,DC20036
    NONE PUBLIC PROVIDES SCHOLARSHIPS FOR INDIVIDUALS INTERESTED IN PURSUING A CAREER IN SURETY. 1,000
    THE TERRACE HILL SOCIETY FOUNDATION
    2300 GRAND AVE
    DES MOINES,IA50312
    NONE PUBLIC SUPPORTS THE UPKEEP OF THE GOVERNOR'S MANSION IN DES MOINES. 500
    UNITED WAY OF CENTRAL IOWA
    1111 NINTH STREET SUITE 100
    DES MOINES,IA50314
    NONE PUBLIC IMPROVES LIVES BY MOBILIZING THE CARING POWER OF COMMUNITIES AROUND THE WORLD TO ADVANCE THE COMMON GOOD. 6,680
    UNITY POINT HEALTH FOUNDATION
    1200 PLEASANT ST
    DES MOINES,IA50309
    NONE PUBLIC SUPPORT FOR THE BLANK CHILDREN'S HOSPITAL THAT SERVES THE CHILD LIFE PROGRAM AND THE CENTER FOR ADVOCACY AND OUTREACH THAT ARE PROVIDED TO PATIENTS AND FAMILIES AT LITTLE TO NO COST. 1,400
    UNIVERSITY OF SOUTH DAKOTA FOUNDATION
    PO BOX 5555
    VERMILLION,SD57069
    NONE PUBLIC SUPPORT FOR SCHOLARSHIP PROGRAM 250
    UNIVERSITY OF TEXAS FOUNDATION
    PO BOX 13178
    AUSTIN,TX78711
    NONE PUBLIC OPPORTUNITIES AND SUPPORT FOR STUDENT-ATHLETES AS WELL AS PROGRAMMING AND RESOURCES 4,000
    USED CAR DEALERS OF CO CHARITY FUND
    950 WADSWORTH BLVD 101
    LAKEWOOD,CO80214
    NONE PUBLIC REPRESENT THE GOODWILL OF USED CAR DEALERS IN COLORADO 1,000
    VARIETY THE CHILDRENS CHARITY OF IOWA
    505 5TH AVE SUITE 310
    DES MOINES,IA50309
    NONE PUBLIC HELPING UNDERPRIVILEDGED, AT-RISK AND SPECIAL NEEDS CHILDREN IN IOWA. 10,333
    VARIOUS PUBLIC CHARITIES
    VARIOUS
    DES MOINES,IA50310
    NONE PUBLIC VARIOUS PUBLIC CAUSES 3,890
    WAUKEE FOUNDATION
    230 W HICKMAN RD
    WAUKEE,IA50263
    NONE PUBLIC TO ENHANCE THE RECREATIONAL, HEALTH, CULTURAL AND ECOMONIC BENEFITS OF THE RACCOON RIVER VALLEY TRAIL SYSTEM. 2,000
    WEST DES MOINES EMS ASSOCIATION
    8055 MILLS CIVIC PKWY
    WEST DES MOINES,IA50266
    NONE PUBLIC TO PROVIDE TIMELY, PROFESSIONAL MEDICAL CARE AND MAINTAIN AN ACTIVE LEADERSHIP ROLE IN THE ADVANCEMENT OF EMS. 100
    YMCA OF GREATER DES MOINES
    501 GRAND AVENUE
    DES MOINES,IA50309
    NONE PUBLIC YOUTH DEVELOPMENT 6,500
    YOUTH EMERGENCY SERVICES & SHELTERS OF IOWA
    918 SE 11TH ST
    DES MOINES,IA50309
    NONE PUBLIC SUPPORT OF PROGRAMS DESIGNED TO KEEP CHILDREN SAFE AND FAMILIES TOGETHER 1,500
    YOUTH HOMES OF MID AMERICA
    PO BOX 39
    JOHNSTON,IA50131
    NONE PUBLIC TO PROVIDE TROUBLED YOUTH AND THEIR FAMILIES A PATH TO INDEPENDENCE. 250
    ARTFORCE IOWA
    600 HOLCOME AVE STE 3
    DES MOINES,IA50313
    NONE PUBLIC YOUTH DEVELOPMENT 500
    IMPACT IOWA
    160 S 68TH ST
    WEST DES MOINES,IA50266
    NONE PUBLIC PROGRAM SUPPORT 500
    OPPORTUNITY ON DECK
    12719 LINCOLN CIRCLE
    CLIVE,IA50325
    NONE PUBLIC PROGRAM SUPPORT 500
    ZERO - THE END OF PROSTATE CANCER
    PO BOX 320871
    ALEXANDRIA,VA22320
    NONE PUBLIC PROGRAM SUPPORT 500
    REACHING HIGHER IOWA
    PO BOX 42515
    URBANDALE,IA50323
    NONE PUBLIC YOUTH DEVELOPMENT 2,500
    GREATER DES MOINES BOTANICAL CENTER
    909 ROBERT D RAY DR
    DES MOINES,IA50309
    NONE PUBLIC PROGRAM SUPPORT 1,000
    Total .................................bullet 3a 333,050
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 15,095  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 15,077  
    9 Net income or (loss) from special events:     01 -19,099  
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 11,073 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    11,073
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2018)
    Additional Data


    Software ID:  
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    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    THE MERCHANTS BONDING COMPANY FOUNDATION
     
    Employer identification number

    26-3035459
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    THE MERCHANTS BONDING COMPANY FOUNDATION
     
    Employer identification number
    26-3035459
    Part I
    Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    MERCHANTS BONDING COMPANY
     
    2100 FLEUR DR
     
    DES MOINES, IA50321

    $ 180,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    THE MERCHANTS BONDING COMPANY FOUNDATION
     
    Employer identification number

    26-3035459
    Part II
    Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    THE MERCHANTS BONDING COMPANY FOUNDATION
     
    Employer identification number

    26-3035459
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    THE MERCHANTS BONDING COMPANY FOUNDATION
    EIN:
    26-3035459
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND TAX PREPARATION 2,201 0   0

    TY 2018 OtherExpensesSchedule
    Name:
    THE MERCHANTS BONDING COMPANY FOUNDATION
    EIN:
    26-3035459
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK CHARGES 101 0   0
    COMMUNITY OUTREACH COUNCIL EXPENSE 563 0   0
    OTHER EXPENSES - MERCHANTS 5,026 0   0
    PAYPAL FEES 1,996 0   0
    BILL WARNER SR MEMORIAL CHARITY GOLF CLASSIC EXPENSES 82,600 0   0


    TY 2018 OtherIncomeSchedule2
    Name:
    THE MERCHANTS BONDING COMPANY FOUNDATION
    EIN:
    26-3035459
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    GROSS INCOME FROM SPECIAL FUNDRAISING EVENTS 63,501   63,501


    TY 2018 TaxesSchedule
    Name:
    THE MERCHANTS BONDING COMPANY FOUNDATION
    EIN:
    26-3035459
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 395 0   0
    IOWA DEPARTMENT OF REVENUE 617 0   0