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
FIRST CITIZENS CHARITABLE FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)2601 4TH STREET SW PO BOX 1708
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MASON CITY, IA504021708
A Employer identification number

42-1451615
B Telephone number (see instructions)

(641) 423-1600
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$1,437,573J 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) 500,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 50,398 50,398  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 50,877
8 Net short-term capital gain......... 1,169
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 550,398 101,275 1,169
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 10,000 5,000 0 5,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... Click to see attachment 875 875 0 0
c Other professional fees (attach schedule).... Click to see attachment 7,153 7,153 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,939 1,939 0 0
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 0      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,967 14,967 0 5,000
25 Contributions, gifts, grants paid....... 486,500 486,500
26 Total expenses and disbursements. Add lines 24 and 25 506,467 14,967 0 491,500
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 43,931
b Net investment income (if negative, enter -0-) 86,308
c Adjusted net income (if negative, enter -0-)... 1,169
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............. 0 0 0
2 Savings and temporary cash investments......... 77,523 103,886 103,886
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).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
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)....... 522,408 Click to see attachment562,379 617,444
c Investments—corporate bonds (attach schedule)....... 147,164 Click to see attachment147,164 138,957
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 512,002 Click to see attachment540,476 577,286
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,259,097 1,353,905 1,437,573
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) 0 0
23 Total liabilities (add lines 17 through 22).........   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..................    
25 Temporarily restricted...............    
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 1,259,097 1,353,905
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 1,259,097 1,353,905
31 Total liabilities and net assets/fund balances (see instructions). 1,259,097 1,353,905
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
1,259,097
2
Enter amount from Part I, line 27a .....................
2
43,931
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
50,877
4
Add lines 1, 2, and 3 ..........................
4
1,353,905
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
1,353,905
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 ISHARE S&P MIDCAP 400/GROWTH P 2002-03-18 2018-01-03
b ISHARE S&P MIDCAP 400/GROWTH P 2012-01-27 2018-01-03
c ISHARE S&P MIDCAP 400/GROWTH P 2013-03-06 2018-01-03
d ISHARE S&P MIDCAP 400/VALUE P 2002-03-18 2018-01-03
e ISHARE S&P SMALLCAP 600 P 2002-03-18 2018-01-03
ISHARE S&P SMALLCAP 600 P 2002-03-18 2018-01-03
ISHARE DOW JONES INTL SE P 2013-01-30 2018-06-26
PNC FINANCIAL SERVICES P 2014-01-23 2018-06-26
ABBVIE INC P 2016-01-06 2018-01-30
ABBVIE INC P 2016-01-06 2018-03-01
ASTRAZENECA PLC SPON P 2016-07-21 2018-03-01
ASTRAZENECA PLC SPON P 2016-07-21 2018-05-04
ASTRAZENECA PLC SPON P 2016-07-21 2018-08-13
ASTRAZENECA PLC SPON P 2016-07-21 2018-08-16
ASTRAZENECA PLC SPON P 2016-07-21 2018-11-30
BCE INC COM NEW P 2011-12-16 2018-04-05
BCE INC COM NEW P 2011-12-16 2018-04-19
MORGAN STANLY BANK DEI P 2016-08-08 2018-01-19
MORGAN STANLY BANK DEI P 2016-08-08 2018-03-05
MORGAN STANLY BANK DEI P 2016-08-08 2018-03-22
MORGAN STANLY BANK DEI P 2016-08-08 2018-04-09
MORGAN STANLY BANK DEI P 2016-08-08 2018-05-08
MORGAN STANLY BANK DEI P 2016-08-08 2018-06-20
MORGAN STANLY BANK DEI P 2016-08-08 2018-07-30
MORGAN STANLY BANK DEI P 2016-08-08 2018-08-08
MORGAN STANLY BANK DEI P 2016-08-08 2018-08-10
MORGAN STANLY BANK DEI P 2016-08-08 2018-08-13
COCA COLA COMMON STK P 2010-07-28 2018-12-04
MERCK & CO INC COM P 2012-01-06 2018-04-05
MERCK & CO INC COM P 2012-01-06 2018-04-19
MERCK & CO INC COM P 2012-01-06 2018-05-04
MERCK & CO INC COM P 2012-01-06 2018-06-18
MERCK & CO INC COM P 2012-01-06 2018-06-22
OCCIDENTAL PETROLEUM P 2016-10-24 2018-06-18
OCCIDENTAL PETROLEUM P 2016-10-24 2018-07-26
PUBLIC SERVICE ENTER P 2017-04-06 2018-07-26
PUBLIC SERVICE ENTER P 2017-04-06 2018-11-06
PUBLIC SERVICE ENTER P 2017-04-06 2018-11-13
PUBLIC STORAGE P 2017-05-16 2018-11-30
PUBLIC STORAGE P 2017-05-16 2018-12-04
PUBLIC STORAGE P 2017-05-16 2018-12-11
SANOFI-AVENTIS SPONS AD P 2015-01-06 2018-08-08
SANOFI-AVENTIS SPONS AD P 2015-01-06 2018-08-13
TOTAL S A SPONS ADR P 2016-10-24 2018-06-18
TOTAL S A SPONS ADR P 2016-10-24 2018-06-22
TOTAL S A SPONS ADR P 2016-10-24 2018-07-26
TOTAL S A SPONS ADR P 2016-10-24 2018-09-21
VERIZON COMM INC P 2011-12-16 2018-08-13
VERIZON COMM INC P 2012-04-23 2018-08-13
VERIZON COMM INC P 2012-09-17 2018-08-13
VERIZON COMM INC P 2013-01-31 2018-08-13
VERIZON COMM INC P 2013-01-31 2018-09-18
VERIZON COMM INC P 2013-01-31 2018-11-30
VODAFONE GROUP PLC P 2011-12-16 2018-01-17
WELLTOWER INC P 2011-12-16 2018-03-20
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-08-20
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-09-20
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-09-25
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-11-08
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-12-04
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-12-06
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-12-13
MORGAN STANLEY INSTL LIQ P 2018-08-13 2018-12-28
PFIZER INC COM STOCK P 2018-06-18 2018-11-13
PFIZER INC COM STOCK P 2018-06-18 2018-11-14
CAPITAL GAIN DISTRIBUTIONS P 2017-01-01 2018-12-31
(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 12,003 0 3,226 8,777
b 3,274 0 1,588 1,686
c 1,091 0 626 465
d 12,107 0 3,662 8,445
e 10,051 0 3,014 7,037
10,252 0 2,375 7,877
34,524 0 37,213 -2,689
13,710 0 8,325 5,385
4,246 0 2,139 2,107
2,060 0 1,069 991
1,778 0 1,669 109
1,954 0 1,700 254
2,182 0 1,735 447
2,605 0 2,107 498
2,156 0 1,673 483
2,053 0 2,169 -116
1,010 0 1,085 -75
699 0 699 0
6,681 0 6,681 0
173 0 173 0
386 0 386 0
461 0 461 0
454 0 454 0
204 0 204 0
6,862 0 6,862 0
15 0 15 0
6,745 0 6,745 0
3,076 0 2,538 538
2,096 0 1,701 395
1,051 0 806 245
2,077 0 1,611 466
2,498 0 1,835 663
2,214 0 1,611 603
1,587 0 1,283 304
2,105 0 1,689 416
2,071 0 1,802 269
3,230 0 2,748 482
2,573 0 2,118 455
4,447 0 4,283 164
3,616 0 3,467 149
3,391 0 3,263 128
3,905 0 3,901 4
3,826 0 3,901 -75
906 0 774 132
1,097 0 928 169
2,144 0 1,754 390
2,159 0 1,754 405
1,566 0 1,160 406
157 0 116 41
157 0 134 23
574 0 482 92
2,074 0 1,665 409
2,025 0 1,490 535
4,036 0 4,633 -597
1,220 0 1,371 -151
50 0 50 0
243 0 243 0
147 0 147 0
300 0 300 0
330 0 330 0
251 0 251 0
133 0 133 0
5,520 0 5,520 0
2,921 0 2,439 482
4,752 0 4,065 687
967 0 0 967
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 0 0 0 8,777
b 0 0 0 1,686
c 0 0 0 465
d 0 0 0 8,445
e 0 0 0 7,037
0 0 0 7,877
0 0 0 -2,689
0 0 0 5,385
0 0 0 2,107
0 0 0 991
0 0 0 109
0 0 0 254
0 0 0 447
0 0 0 498
0 0 0 483
0 0 0 -116
0 0 0 -75
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 538
0 0 0 395
0 0 0 245
0 0 0 466
0 0 0 663
0 0 0 603
0 0 0 304
0 0 0 416
0 0 0 269
0 0 0 482
0 0 0 455
0 0 0 164
0 0 0 149
0 0 0 128
0 0 0 4
0 0 0 -75
0 0 0 132
0 0 0 169
0 0 0 390
0 0 0 405
0 0 0 406
0 0 0 41
0 0 0 23
0 0 0 92
0 0 0 409
0 0 0 535
0 0 0 -597
0 0 0 -151
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 482
0 0 0 687
0 0 0 967
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 50,877
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 1,169
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 372,600 1,538,886 0.242123
2016 367,645 1,383,419 0.265751
2015 401,839 1,318,872 0.304684
2014 335,400 1,309,718 0.256086
2013 404,350 1,122,660 0.360171
2
Total of line 1, column (d) .....................
2
1.428815
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
0.285763
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
1,519,510
5
Multiply line 4 by line 3......................
5
434,220
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
863
7
Add lines 5 and 6........................
7
435,083
8
Enter qualifying distributions from Part XII, line 4,.............
8
491,500
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 1 863
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........................... 3 863
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- ..... 5 863
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 1,460
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -1460 7 1,460
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 597
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet597 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
 
No
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)
    bullet
    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 ofbulletFIRST CITIZENS TRUST COMPANY Telephone no.bullet (641) 422-1600

    Located atbullet2601 4TH STREET SWMASON CITYIA ZIP+4bullet50401
    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
    PATRICIA A TOMSON EXEC DIRECTOR
    2.00     		10,000 0 0
    PO BOX 1708
    MASON CITY,IA50402
    O JAY TOMSON PRESIDENT
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    GORDON ANDERSON DIRECTOR
    1.00     		0 0 0
    501 MAIN ST
    OSAGE,IA50461
    CATHERINE ROTTINGHAUS DIRECTOR
    1.00     		0 0 0
    300 MAIN ST
    CHARLES CITY,IA50616
    MARTI RODAMAKER VICE PRESIDENT
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    MARY NORDENSTROM DIRECTOR
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    ELAINE ABERG SECRETARY
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    JAMES ANDERSON TREASURER
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    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 GRANTS PAID TO NONPROFIT ORGANIZATIONS THAT MEET ESTABLSIHED CRITERIA. SEE LISTING ON PAGE 11, PART XV. 486,500
    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 NONE 0
    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
    1,387,100
    b
    Average of monthly cash balances.......................
    1b
    155,550
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,542,650
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,542,650
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    23,140
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,519,510
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    75,976
    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
    75,976
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    863
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    863
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    75,113
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    75,113
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    75,113
    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
    491,500
    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
    491,500
    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
    863
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    490,637
    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 75,113
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 348,930
    b From 2014...... 335,400
    c From 2015...... 401,839
    d From 2016...... 367,645
    e From 2017...... 228,938
    fTotal of lines 3a through e........ 1,682,752
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 491,500
    a Applied to 2017, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2018 distributable amount..... 75,113
    e Remaining amount distributed out of corpus 416,387
    5 Excess distributions carryover applied to 2018.    
    (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 2,099,139
    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......     		 
    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) .......     		 
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		348,930
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		1,750,209
    10 Analysis of line 9:
    a Excess from 2014.... 335,400
    b Excess from 2015.... 401,839
    c Excess from 2016.... 367,645
    d Excess from 2017.... 228,938
    e Excess from 2018.... 416,387
    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).)
    O JAY TOMSON
    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.
    NOT APPLICABLE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    PATRICIA A TOMSON
    FIRST CITIZENS CHARITABLE FOUNDATIO
    MASON CITY,IA50402
    (641) 422-1600
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED APPLICATION FORMS.
    cAny submission deadlines:
    APPLICATIONS ARE REVIEWED QUARTERLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE CRITERIA INCLUDED IN THE APPLICATION FORM ATTACHED.
    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
    BADGES
    100 N VINE ST
    MORA,MN55051     		  EXEMPT COMMUNITY PROJECTSAND EVENTS 5,000
    BIG BROTHERSSISTERS OF NE IA
    101 S MAIN ST
    CHARLES CITY,IA50616     		  EXEMPT OPERATIONS 2,500
    CHARLES CITY BOOSTER CLUB
    1 COMET LN
    CHARLES CITY,IA50616     		  EXEMPT MATCHINGGIFT 1,000
    CHARLES CITY COMMUNITY SCHOOLS
    500 NORTH GRAND AVE
    CHARLES CITY,IA50616     		  EXEMPT SOCCER WARM-UPSAND BAGS 2,500
    CHARLES CITY GARDEN CORRIDOR COMM
    105 MILWAUKEE MALL
    CHARLES CITY,IA50616     		  EXEMPT WALKING PATHS INEDIBLE ARBORETUM 1,000
    CHARLIE BROWN PRESCHOOL
    1780 S MONROE AVE
    MASON CITY,IA50401     		  EXEMPT NEW PLAYGROUND 5,000
    CHICKASAW ATHLETIC BOOSTER CLUB
    215 S 1ST AVE
    NEW HAMPTON,IA50659     		  EXEMPT RENOVATION OF RESTROOM/CONCESSIONS 3,600
    CITY IMPROVEMENT ASSOC OF CHARLES CITY
    1007 10TH ST
    CHARLES CITY,IA50616     		  EXEMPT LIGHTING INCOMMUNITY PARKS 1,000
    CITY OF MASON CITY
    10 1ST ST NW
    MASON CITY,IA50401     		  EXEMPT LAND FORBIKE TRAIL 10,000
    CHICKASAW TOWNSHIP FIRE DISTRICT
    301 S MAIN ST
    IONIA,IA50645     		  EXEMPT NEW FIRESTATION 10,000
    CITY OF FOREST CITY
    PO BOX 346
    FOREST CITY,IA50436     		  EXEMPT THEATER/ARTGALLERY 10,000
    CITY OF IONIA
    203 E MAIN ST
    IONIA,IA50645     		  EXEMPT TRAILS 2,500
    CLEAR LAKE AREA CHAMBER
    205 MAIN AVE
    CLEAR LAKE,IA50428     		  EXEMPT SPONSORSHIP 2,500
    COMMUNITY BANKERS OF IA
    521 E LOCUST ST
    DES MOINES,IA50309     		  EXEMPT SCHOLARSHIPS FOREDUCATION PROGRAM 5,000
    COMMUNITY HEALTH CENTER OF FORT DODGE INC
    126 N 10TH ST
    FORT DODGE,IA50501     		  EXEMPT DENTALCHAIRS 10,000
    COMMUNITY KITCHEN OF NORTH IOWA
    606 NORTH MONROE
    MASON CITY,IA50401     		  PUBLICCHARITY FOOD FOR NEEDYFAMILIES 5,000
    COMMUNITY KITCHEN OF NORTH IOWA
    606 NORTH MONROE
    MASON CITY,IA50401     		  PUBLICCHARITY MATCHING GIFT 250
    COMPREHENSIVE SYSTEMS INC
    1316 18TH ST SW
    MASON CITY,IA50401     		  EXEMPT MODERNIZE HYDRAULIC ELEVATOR 6,500
    COULTER PUBLIC LIBRARY
    111 MAIN ST
    COULTER,IA50431     		  EXEMPT LED SIGNS 1,000
    CUB CADET CHILDHOOD CENTER
    1441 GULL AVE
    LATIMER,IA50452     		  EXEMPT KITCHEN RENOVATIONFOR DAYCARE CENTER 5,000
    FAITH LUTHERAN HOME
    914 DAVIDSON DR
    OSAGE,IA50461     		  EXEMPT BOILERSYSTEM 2,000
    FAMILY YMCA OF CHARLES CITY
    800 HULIN ST
    CHARLES CITY,IA50616     		  EXEMPT POOL HEATER ANDPA SYSTEM 2,000
    FOSTER GRANDPARENT PROGRAM
    624 N MAIN ST
    CHARLES CITY,IA50616     		  EXEMPT ASSIST ELEMENTARYSTUDENTS 2,500
    FRIENDS OF WINNEBAGO CTY CONSERVATION
    34496 110TH AVE
    FOREST CITY,IA50436     		  PUBLICCHARITY MATCHING GIFT 1,000
    FOSSIL & PRAIRIE CENTER FDN
    1227 215TH ST
    ROCKFORD,IA50468     		  PUBLICCHARITY CABIN AT TOSANAKRECREATION AREA 5,000
    GIRL SCOUTS OF GREATER IOWA
    14948 DOGWOOD AVE
    CLEAR LAKE,IA50428     		  EXEMPT TENTS AND CABIN REPAIRS 5,000
    GOOD SHEPHERD HEALTH CENTER
    304 3RD STREET NE
    MASON CITY,IA50401     		  PUBLICCHARITY TELEPHONEREASSURANCE 1,000
    HEALTHY HARVEST OF NORTH IA
    206 N LINDON ST
    JOICE,IA50446     		  EXEMPT FARMERS MARKETINNOVATION 2,000
    HOMES FOR HAITI
    310 E BROADWAY
    EAGLE GROVE,IA50533     		  PUBLICCHARITY COMPUTER LAB 1,500
    IOWA COLLEGE FOUNDATION
    505 5TH AVE STE 1034
    DES MOINES,IA50309     		  PUBLICCHARITY SCHOLARSHIPPROGRAM 5,000
    JUNIOR ACHIEVEMENT OF EASTERN IA
    324 3RD ST SE
    CEDAR RAPIDS,IA52401     		  EXEMPT OPERATIONS 2,500
    KANABEC COUNTY COMM HEALTH
    905 FOREST AVE E 127
    MORA,MN55051     		  EXEMPT FAMILY HOMEVISITING 25,000
    KANABEC COUNTY SHERIFF RESERVES
    18 NORTH VINE STREET
    MORA,MN55051     		  EXEMPT RADIOS AND BULLETPROOF VESTS 3,500
    KANAWHA CHRISTIAN SCHOOL
    470 E 5TH ST
    KANAWHA,IA50447     		  EXEMPT CEILING LIGHTS 1,000
    LUTHERAN SOCIAL SERVICES
    2502 SOUTH JEFFERSON
    MASON CITY,IA50401     		  PUBLICCHARITY FAMILIES TOGETHERPROGRAM 5,000
    MASON CITY CHORAL MUSIC GUILD
    1700 4TH ST SE
    MASON CITY,IA50401     		  EXEMPT GRANDPIANO 5,000
    MASON CITY FAMILY YMCA
    1840 S MONROE
    MASON CITY,IA50401     		  PUBLICCHARITY MATCHING GIFT 1,500
    MASON CITY FAMILY YMCA
    1840 S MONROE
    MASON CITY,IA50401     		  PUBLICCHARITY YOUTHCAMPAIGN 5,000
    MASON CITY FAMILY YMCA
    1840 S MONROE
    MASON CITY,IA50401     		  PUBLICCHARITY SCHOLARSHIPS 2,000
    MASON CITY POLICE DEPT
    78 S GEORGIA AVE
    MASON CITY,IA50401     		  EXEMPT INTERVIEW ROOM 1,500
    MASON CITY PUBLIC LIBRARY
    225 2ND ST SE
    MASON CITY,IA50401     		  EXEMPT POPUPBOOKMOBILE 5,000
    MERCY MEDICAL CENTER FOUNDATION
    1000 4TH STREET SW
    MASON CITY,IA50401     		  PUBLICCHARITY MATCHINGGIFT 2,000
    MERCY MEDICAL CENTER-NEW HAMPTON
    308 N MAPLE AVE
    NEW HAMPTON,IA50659     		  PUBLICCHARITY ADDITION/RENOVATIONS 5,000
    MITCHELL COUNTY MEMORIAL FDN
    616 N 8TH ST
    OSAGE,IA50461     		  EXEMPT MATCHINGGIFT 1,000
    MORA ELEMENTARY
    200 N 9TH ST
    MORA,MN55051     		  EXEMPT CHAIRS, LISTENING STATION,LEGO KITS, AND COMPUTER PROGRAMS 5,650
    MORA FOOD PANTRY
    214 NW RALIROAD AVE 2
    MORA,MN55051     		  PUBLICCHARITY OPERATIONS 3,000
    MORA HIGH SCHOOL
    400 E MAPLE AVE
    MORA,MN55051     		  EXEMPT CLASSROOMRESTRUCTURE 2,000
    NIAD-CENTER FOR HUMAN DEVELOPMENT
    206 3RD NE
    MASON CITY,IA50401     		  PUBLICCHARITY BRIGHT FINANCIALFUTURES PROJECT 4,000
    NORTHERN LIGHTS ALLIANCE FOR HOMELESS
    2 SOUTH ADAMS
    MASON CITY,IA50401     		  PUBLICCHARITY HOUSING PROJECTS 20,000
    NORTHERN LIGHTS ALLIANCE FOR HOMELESS
    2 SOUTH ADAMS
    MASON CITY,IA50401     		  PUBLICCHARITY MATCHINGGIFT 1,500
    NORTH IA CHRISTIAN SCHOOL
    680 6TH ST SE
    MASON CITY,IA50401     		  EXEMPT ADDITION OF GYM/LOCKER ROOMS 12,500
    NORTH IA COMM ACTION ORG
    100 1ST ST NW
    MASON CITY,IA50401     		  EXEMPT AFFORDABLEHOUSING 5,000
    NIACOG HOUSING TRUST FUND
    525 6TH ST SW
    MASON CITY,IA50401     		  PUBLICCHARITY EMERGENCY HOMEREPAIRS 5,000
    NO IOWA AREA COMM COLLEGE FDN
    500 COLLEGE
    MASON CITY,IA50401     		  PUBLICCHARITY SCHOLARSHIPSPERFORMING ARTSSPONSORSHIP 6,950
    NO IOWA AREA COMM COLLEGE FDN
    500 COLLEGE
    MASON CITY,IA50401     		  EXEMPT LABORATORIESFACILITY 25,000
    NO IOWA AREA COMM COLLEGE
    500 COLLEGE
    MASON CITY,IA50401     		  EXEMPT MATCHING GIFT 1,000
    NORTH IOWA BAND FESTIVAL
    9 NORTH FEDERAL
    MASON CITY,IA50401     		  PUBLICCHARITY SPONSORPARADE 5,000
    NORTH IOWA VOCATIONAL CENTER
    1225 S HARRISON AVE
    MASON CITY,IA50401     		  EXEMPT MATCHINGGIFT 250
    NORTH IA TRANSITION CENTER
    408 1ST ST NW
    MASON CITY,IA50401     		  EXEMPT CREATE A DROP-IN CENTER 1,000
    OGILVIE-MORA SWIM TEAM
    400 E MAPLE AVE
    MORA,MN55051     		  EXEMPT STARTER BLOCKS/LANE LINES FORSWIMMING POOL 7,000
    ONE HEARTLAND
    2101 HENNEPIN AVE S
    MINNEAPOLIS,MN55405     		  PUBLICCHARITY HOMELESS YOUTH 5,000
    ONE VISION
    PO BOX 622
    CLEAR LAKE,IA50428     		  EXEMPT GREENHOUSE 1,000
    OSAGE COMMUNITY DAYCARE
    915 PINE ST
    OSAGE,IA50461     		  EXEMPT NEW DAYCAREBUILDING 15,000
    PROJECT FLO ASSOCIATION
    PO BOX 604
    SHELL ROCK,IA50670     		  EXEMPT OPERATIONS 2,000
    ROCKWELL LIONS CLUB
    PO BOX 57
    ROCKWELL,IA50469     		  PUBLICCHARITY NEW BATH HOUSEFOR POOL 2,000
    THE WORLD FOOD PRIZE FOUNDATION
    666 GRAND AVENUE PO BOX 1700
    DES MOINES,IA50309     		  PUBLICCHARITY SUSTAINABILITYFUND 10,000
    YOUTH FOR CHRIST
    2210 SOUTH FEDERAL
    MASON CITY,IA50401     		  PUBLICCHARITY FISCAL LITERACYPROGRAM 10,000
    THE SALVATION ARMY
    747 VILLAGE GREEN DR
    MASON CITY,IA50401     		  PUBLICCHARITY MATCHING GIFT 1,000
    SALVATION ARMY ADULT DAY HEALTH CENTER
    747 VILLAGE GREEN DR
    MASON CITY,IA50401     		  PUBLICCHARITY OPERATINGEXPENSES 11,000
    SENIOR CITIZENS CENTER
    326 4TH ST NE
    MASON CITY,IA50401     		  EXEMPT TABLES/CHAIRS 1,000
    SPIN DEVO
    4700 4TH ST SW
    MASON CITY,IA50401     		  EXEMPT YOUTH CYCLING DEVELOPMENTAND WOMENS CYCLING 2,500
    ST PAUL LUTHERAN SCHOOL
    301 1ST ST NW
    WAVERLY,IA50677     		  EXEMPT UPDATE LIBRARY 1,800
    STACYVILLE COMM NURSING HOME
    413 S BROAD ST
    STACYVILLE,IA50476     		  EXEMPT REPLACE DINING ROOM FURNITURE 1,000
    UPPER DES MOINES OPPORTUNITY INC
    101 ROBINS ST
    GRAETTINGER,IA51342     		  PUBLIC CHARITY FOOD PROGRAM 2,000
    VISIT MASON CITY IOWA
    2021 4TH ST SW
    MASON CITY,IA50401     		  EXEMPT SPONSORSHIP 5,000
    WINNEBAGO COUNCIL BOY SCOUTS
    1631 4TH ST SW
    MASON CITY,IA50401     		  EXEMPT YOUTH DEVELOPMENTPROGRAM 5,000
    NORTH IOWA EVENTS CENTER
    3700 4TH ST SW
    MASON CITY,IA50401     		  PUBLIC CHARITY SPONSORSHIP 10,000
    KANAWHA COMMUNITY POOL
    112 E 2ND ST
    KANAWHA,IA50447     		  PUBLICCHARITY POOL FILTERMAINTENANCE 2,500
    ELDERBRIDGE AGENCY ON AGING
    22 N GEORGIA AVE 216
    MASON CITY,IA50401     		  EXEMPT COMM FDN OF NE IAELDERBIRDGE ENDOW FDCLIENT CHAIRS 5,000
    ELDERBRIDGE AGENCY ON AGING
    22 N GEORGIA AVE 216
    MASON CITY,IA50401     		  EXEMPT OPERATIONS 5,000
    UNIVERSITY OF NORTHERN IA FDN
    204 COMMONS
    CEDAR FALLS,IA50614     		  EXEMPT TOM BARRYSTUDIO 1,000
    FLOYD COUNTY FAIR SOCIETY
    PO BOX 301
    CHARLES CITY,IA50616     		  EXEMPT YOUTH ENRICHMENTCENTER 15,000
    MEALS ON WHEELS - MC
    606 N MONROE AVE
    MASON CITY,IA50401     		  EXEMPT OPERATIONS 5,000
    NIVC SERVICES INC
    1225 S HARRISON AVE
    MASON CITY,IA50401     		  EXEMPT EMPLOYMENTBOOT CAMP 2,500
    THE LEARNING CENTER
    404 N JACKSON ST
    CHARLES CITY,IA50616     		  EXEMPT MEALS/SNACKS FORCOMM CHILDCARE CENTER 5,000
    THE LEARNING CENTER OF KANABEC CTY
    1847 SUNDET RD
    MORA,MN55051     		  EXEMPT KICK CANCERTO THE CURB 2,000
    WRIGHT ON THE PARK
    17 S FEDERAL AVE
    MASON CITY,IA50401     		  EXEMPT IPADS/MP3 PLAYERSFOR TOURS 1,500
    AMERICAN RED CROSS
    525 1ST ST NE
    MASON CITY,IA50401     		  EXEMPT EMERGENCY DISASTERSERVICES 1,000
    IOWA SPECIALTY HOSPITAL
    1316 S MAIN ST
    CLARION,IA50525     		  EXEMPT MATCHINGGIFT 1,000
    IOWA SPECIALTY HOSPITAL
    1316 S MAIN ST
    CLARION,IA50525     		  EXEMPT RENOVATIONS TOTHE MEADOWS 10,000
    PRAIRIE RIDGE INTEGRATED BEHAVIOR HEALTH
    320 N EISENHOWER AVE
    MASON CITY,IA50401     		  EXEMPT BUILDING ADDITION 15,000
    STEBENS CHILDREN'S THEATRE
    616 N DELAWARE AVE
    MASON CITY,IA50401     		  EXEMPT OUTSIDE SIGNS 1,000
    YOUTH&SHELTER SERVICES INC & FRANCIS LAUER
    50 N EISENHOWER AVE
    MASON CITY,IA50401     		  EXEMPT RECOVERYCENTER 40,000
    KCMR RADIO
    316 N FEDERAL
    MASON CITY,IA50401     		  EXEMPT OPERATIONS 2,500
    Total .................................bullet 3a 486,500
    bApproved for future payment
    Total .................................bullet 3b  
    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 50,398  
    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 ............     		         
    9 Net income or (loss) from special events:          
    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)..   50,398  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    50,398
    (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:  
    Software Version:  
    Part VI Line 7 -Original Return Overpayment: -1,460


    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
     
    Employer identification number

    42-1451615
    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number
    42-1451615
    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
    FIRST CITIZENS BANK
     
    2601 4TH ST SW
     
    MASON CITY, IA50401

    		$ 500,000


    (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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number

    42-1451615
    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number

    42-1451615
    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:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHUPICK & ASSOC, PC TAX PREPARATION 875      

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ROYAL BANK OF CANADA 75,000 74,868
    VANGUARD HIGH YIELD CORPORATE FUND 72,164 64,089

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AT&T INC 21,423 18,123
    ABBVIE INC 15,602 17,793
    ALTRIA GROUP INC 16,019 17,879
    AMERICAN ELEC PWR INC 3,483 5,904
    ASTRAZENECA PLC SPON 4,151 5,089
    BCE INC COM 15,769 13,835
    BERKSHIRE HATHAWAY INC 32,533 61,254
    BRITISH AMER TOBACCO 12,225 7,232
    CDN IMPERIAL BK 12,240 10,361
    CHEVRON CORPORATION 16,013 16,210
    COCA COLA 14,713 16,999
    CROWN CASTLE INTL CORP 16,250 18,250
    DOMINION ENERGY INC 14,046 15,507
    DUKE ENERGY HOLDINGS 13,469 16,915
    EXXON MOBIL CORP 16,602 15,343
    GENERAL MILLS INC 8,845 6,347
    HUNTINGTON BANCSHARES INC 4,393 3,695
    INVESCO LTD 4,361 2,779
    KIMBERLY CLARK CORP 7,280 9,571
    KRAFT HEINZ CO 4,555 3,357
    NATIONAL GRID PLC 14,334 11,515
    OCCIDENTAL PETROLEUM CORP 11,792 10,741
    PNC FINANCIAL SVCS CORP 21,062 27,240
    PPL CORP 10,277 10,029
    PEPSICO INC 8,584 9,943
    PHILLIP MORRIS INTL INC 21,160 16,757
    PROCTOR & GAMBLE CO 9,146 10,847
    REALTY INCOME CORP 3,408 4,791
    SOUTHERN CO 11,275 11,112
    UNITED PARCEL SERVICE 11,870 10,338
    VENTAS INC 10,608 10,780
    VERIZON COMMUNICATIONS INC 17,638 21,026
    WELLS FARGO & CO 34,193 50,688
    WELLTOWER INC 7,836 9,093
    BANK OF AMERICA PREFERRED 49,784 68,888
    B P AMOCO SPONSORED ADR 16,576 15,168
    GLAXOSMITHKLINE PLC 18,213 15,628
    TOTAL S A SPONS ADR 6,856 6,940
    VODAFONE GROUP PLC 23,795 13,477

    TY 2018 InvestmentsOtherSchedule2
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ISHARE S&P MIDCAP 400 GROWTH   49,216 60,237
    ISHARE S&P MIDCAP 400 VALUE   51,028 59,486
    ISHARE S&P SMALLCAP 600 BARRA VALUE   33,225 50,103
    ISHARE S&P SMALLCAP 600 GROWTH   28,712 53,239
    ETF VANGUARD EMERGING MARKETS   82,594 72,009
    ISHARE MSCI EAFE FUND   155,301 149,007
    ISHARE DOW JONES INTL SELECT DIV IDX   66,638 55,267
    ISHARES DJ US REAL ESTATE   73,762 77,938

    TY 2018 OtherIncreasesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Description Amount
    CAPITAL GAIN 50,877


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FIRST CITIZENS TRUST CO. TRUSTEE 7,153      


    TY 2018 TaxesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 68 68 0 0
    FEDERAL EXCISE TAXES 1,871 1,871 0 0