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
TELLIGEN COMMUNITY INITIATIVE
 
Number and street (or P.O. box number if mail is not delivered to street address)1776 WEST LAKES PARKWAY
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WEST DES MOINES, IA50266
A Employer identification number

20-2017785
B Telephone number (see instructions)

(515) 222-2428
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$37,463,864J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 153,513 153,513  
4 Dividends and interest from securities... 1,236,752 1,236,752  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,175,726
b Gross sales price for all assets on line 6a 25,352,220
7 Capital gain net income (from Part IV, line 2)... 2,175,726
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).......      
12 Total. Add lines 1 through 11........ 3,565,991 3,565,991  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 121,934 0   109,131
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 24,818 0   22,212
16a Legal fees (attach schedule)......... Click to see attachment 1,433 0   1,283
b Accounting fees (attach schedule)....... Click to see attachment 7,600 0   6,802
c Other professional fees (attach schedule).... Click to see attachment 50,513 0   45,209
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 52,234 0   8,945
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 7,830 0   7,008
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 371,076 283,111   56,489
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 637,438 283,111   257,079
25 Contributions, gifts, grants paid....... 1,747,989 1,747,989
26 Total expenses and disbursements. Add lines 24 and 25 2,385,427 283,111   2,005,068
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,180,564
b Net investment income (if negative, enter -0-) 3,282,880
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............. 187,104 198,113 198,113
2 Savings and temporary cash investments......... 566,967 353,935 353,935
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.......... 14,014 8,480 8,480
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).......... 40,925,691 Click to see attachment36,903,336 36,903,336
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) 41,693,776 37,463,864 37,463,864
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................. 94,200 0
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)......... 94,200 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.................. 41,599,576 37,463,864
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    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 41,599,576 37,463,864
31 Total liabilities and net assets/fund balances (see instructions). 41,693,776 37,463,864
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
41,599,576
2
Enter amount from Part I, line 27a .....................
2
1,180,564
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
42,780,140
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
5,316,276
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
37,463,864
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 MORGAN STANLEY #4045 - SHORT TERM      
b MORGAN STANLEY #4045 - LONG TERM      
c CAPITAL GAINS DIVIDENDS P    
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 9,193,083   9,528,915 -335,832
b 16,037,684   13,647,579 2,390,105
c 121,453     121,453
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       -335,832
b       2,390,105
c       121,453
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 2,175,726
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 1,659,301 39,889,322 0.041598
2016 1,777,796 36,497,730 0.048710
2015 1,854,858 36,297,980 0.051101
2014 1,334,544 32,859,397 0.040614
2013 147,500 28,190 5.232352
2
Total of line 1, column (d) .....................
2
5.414375
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
1.082875
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
40,402,548
5
Multiply line 4 by line 3......................
5
43,750,909
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
32,829
7
Add lines 5 and 6........................
7
43,783,738
8
Enter qualifying distributions from Part XII, line 4,.............
8
2,005,068
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 65,658
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 65,658
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 65,658
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 29,880
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 52,420
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 82,300
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
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 16,642
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet16,642 RefundedBullet 11 0
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 ofbulletTELLIGEN COMMUNITY INITIATIVE Telephone no.bullet (515) 222-2428

    Located atbullet1776 WEST LAKES PARKWAYWEST 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
    DAVID THOMAS MD DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    MICHAEL ZIA MD VICE PRESIDENT
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    VICTORIA SHARP MD PRESIDENT
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    GERARD CLANCY MD DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    PEG MASON DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    MATT MCGARVEY EXECUTIVE DIRECTOR
    40.00     		121,934 24,818 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    PAMELA BALLOU-NELSON SECRETARY/TREASURER
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    JIM STAVNEAK DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    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 GRANTMAKING TO OTHER CHARITABLE ORGANIZATIONS 0
    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
    40,417,766
    b
    Average of monthly cash balances.......................
    1b
    591,569
    c
    Fair market value of all other assets (see instructions)................
    1c
    8,480
    d
    Total (add lines 1a, b, and c).........................
    1d
    41,017,815
    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
    41,017,815
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    615,267
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    40,402,548
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,020,127
    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
    2,020,127
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    65,658
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    65,658
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,954,469
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,954,469
    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
    1,954,469
    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
    2,005,068
    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
    2,005,068
    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
    2,005,068
    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 1,954,469
    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......  
    b From 2014......  
    c From 2015......  
    d From 2016...... 449,844
    e From 2017......  
    fTotal of lines 3a through e........ 449,844
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 2,005,068
    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..... 1,954,469
    e Remaining amount distributed out of corpus 50,599
    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 5 500,443
    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) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		500,443
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016.... 449,844
    d Excess from 2017....  
    e Excess from 2018.... 50,599
    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
    BOOMERS LEADING CHANGE
    425 SOUTH CHERRY STREET SUITE 840
    DENVER,CO80246     		  501(C)3 BOOMERS LEADING CHANGE SEEKS SUPPORT FOR NECESSARY ENHANCEMENTS TO ITS PIONEERING HEALTH NAVIGATOR/COMMUNITY HEALTH WORKER TRAINING PROGRAM TO BETTER PREPARE ITS OLDER ADULT VOLUNTEER WORK FORCE TO ASSIST DIVERSE MEDICALLY UNDERSERVED POPULATIONS IN METRO DENVER. THIS PROJECT WILL ENABLE BLC TO IMPROVE ITS CURRICULUM TO ALIGN WITH RECENTLY ISSUED STATE STANDARDS AND DELIVER STATE-OF-THE-ART TRAINING TO 70 OLDER ADULT VOLUNTEERS BY MID-2019, ULTIMATELY BENEFITING THE CLIENTS SERVED AT 40+ NONPROFIT PARTNER SITES. 34,811
    CENTENNIAL AREA HEALTH AND EDUCATION CENTER
    4650 WEST 20TH STREET SUITE 100
    GREELEY,CO80634     		  501(C)3 CENTENNIAL AREA HEALTH EDUCATION CENTER HAS 2 REGIONAL HEALTH CONNECTORS, COVERING 10 RURAL AND FRONTIER EASTERN COLORADO COUNTIES. BASED ON THE LOCAL NEEDS IN THESE COMMUNITIES, WE PROPOSE TO INTRODUCE A MODEL FOR CARE MANAGEMENT. THIS MODEL WOULD BE TO PARTNER WITH CLINICS TO PROVIDE CLINICAL WORKFORCE TRAINING FOR CARE MANAGERS TO GO TO THE HOMES OF PATIENTS, ATTEND CLINIC VISITS AND TAKE TELEHEALTH INTO THE HOMES FOR THE MOST VULNERABLE PATIENTS. 50,000
    CENTENNIAL MENTAL HEALTH CENTER
    211 WEST MAIN STREET
    STERLING,CO80751     		  501(C)3 DURING THE GRANT PERIOD, THIS AWARD WILL BE USED TO PARTIALLY FUND AN INTEGRATED CARE DIRECTOR TO ENHANCE AND EXPAND CENTENNIAL'S CURRENT INTEGRATED SERVICES PROGRAM TO INCREASE ACCESS TO BEHAVIORAL HEALTH CARE. THIS WILL BE ACCOMPLISHED BY EMBEDDING A TEAM OF BEHAVIORAL HEALTH CARE PROVIDERS INTO RURAL HEALTH CLINICS AND PRIMARY CARE PRACTICES IN OUR MOST UNDERSERVED COLORADO COMMUNITIES THROUGHOUT OUR TEN COUNTY REGION. THROUGH THE USE OF THIS SYSTEMATIC AND COST-EFFECTIVE APPROACH, CENTENNIAL WILL REDUCE BARRIERS TO ACCESSING BEHAVIORAL HEALTH CARE; WHILE, INCREASING PATIENT ENGAGEMENT SPECIFICALLY THOSE WITH HIGH HEALTH CARE NEEDS THAT HAVE MULTIPLE CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS. CENTENNIAL'S EFFORTS WILL BE FOCUSED ON ADVANCING AN EMERGING PROCESS IMPROVEMENT TO INTEGRATED HEALTH CARE BY DELIVERING SERVICES TO THE TARGETED POPULATION IN PRIMARY CARE SETTINGS THAT IS CURRENTLY NOT AVAILABLE. 50,000
    COLORADO HEALTH INSTITUTE
    303 EAST 17TH AVENUE SUITE 930
    DENVER,CO80203     		  501(C)3 COLORADO'S SPECIALTY CARE STEWARDSHIP COUNCIL IS COMMITTED TO BUILDING A STATEWIDE SPECIALTY CARE ACCESS NETWORK FOR COLORADO'S MOST VULNERABLE RESIDENTS. UNDER THE COLORADO HEALTH INSTITUTE'S LEADERSHIP, THE COUNCIL ENVISIONS A SPECIALTY CARE NETWORK AVAILABLE TO ALL. THIS PROPOSAL SEEKS SUPPORT FROM TELLIGEN TO HELP MAKE THIS ESSENTIAL RESEARCH A REALITY. SPECIFIC RESEARCH, INCLUDING THE DEVELOPMENT OF DATA INFRASTRUCTURE, IS DETAILED IN OUR LETTER OF INTENT. 45,000
    COLORADO SCHOOL MEDICAID CONSORTIUM
    789 SHERMAN STREET SUITE 370
    DENVER,CO80203     		  501(C)3 EXPANSION OF THE CONSORTIUM'S SCHOOL HEALTH SERVICES (SHS) COORDINATOR PROGRAM TO SERVE NEW HIGH-NEED SCHOOL DISTRICTS BY HIRING A DEDICATED PROGRAM SPECIALIST. THE SHS PROGRAM SPECIALIST WILL MANAGE THIS PROGRAM AND SERVE AS A CONSULTANT, PROVIDING IN-DEPTH AND ONSITE TECHNICAL ASSISTANCE, TRAINING AND SUPPORT TO SCHOOL DISTRICTS TO IMPLEMENT AN EFFICIENT AND SELF-SUSTAINING SHS PROGRAM, RESULTING IN INCREASED REVENUE TO FUND CRITICAL STUDENT HEALTH SERVICES. 35,000
    DENTISTS FOR THE DISABLED AND ELDERLY IN NEED OF TREATMENT (D-DENT)
    3000 UNITED FOUNDERS BLVD SUITE 122
    OKLAHOMA CITY,OK73112     		  501(C)3 D-DENT'S RESTORATIVE DENTAL CARE PROGRAM PROVIDES LOW INCOME, UNINSURED OKLAHOMAN'S WITH FREE COMPREHENSIVE DENTAL CARE. IT PROVIDES DENTAL ACCESS FOR THOSE WHO CANNOT AFFORD THE HIGH COST OF DENTISTRY. OUR TARGET AUDIENCE INCLUDES THE ELDERLY, THOSE WITH DEVELOPMENTAL DISABILITIES, AND VETERANS. 25,000
    DOCTORS CARE
    609 WEST LITTLETON BLVD SUITE 100
    LITTLETON,CO80120     		  501(C)3 DOCTORS CARE SEEKS FUNDING TO SUPPORT HEALTH NAVIGATION SERVICES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH FOR LOW-INCOME INDIVIDUALS. THE HEALTH NAVIGATION TEAM WILL IMPLEMENT IMPROVEMENTS TO INCREASE THE NUMBER OF INDIVIDUALS IMPACTED AND ADDRESS THE EFFECTIVENESS OF THE PROGRAM TO REDUCE AND SOCIOECONOMIC BARRIERS TO CARE AND IMPROVE OVERALL HEALTH. 50,000
    DOROTHY'S HOUSE
    PO BOX 57672
    DES MOINES,IA57672     		  501(C)3 SAFE PLACE FOR THE PRACTICE OF LIFE FOR TEEN AND YOUTH GIRLS WHOSE LIVES HAVE BEEN INTERRUPTED BY SEX TRAFFICKING AND EXPLOITATION. 50,000
    GOOD SHEPHERD COMMUNITY CLINIC INC
    TWENTY 12TH AVENUE NW
    ARDMORE,OK73401     		  501(C)3 THE MAJORITY OF PATIENTS CARED FOR AT THE GOOD SHEPHERD COMMUNITY CLINIC, INC. (GSCC) ARE STRUGGLING WITH BEHAVIORAL HEALTH PROBLEMS AND SOCIAL DETERMINATES THAT HAVE A SEVERE IMPACT ON THEIR OVERALL HEALTH, LEAVING THEM AT RISK FOR CHRONIC DISEASES. INTEGRATING BEHAVIORAL HEALTH WITH THE HEALTHCARE TEAM WILL ALLOW THE GSCC TO TREAT AND IMPROVE HEALTH OUTCOMES OF PATIENTS SERVED. ADDRESSING BEHAVIORAL HEALTH THROUGH TRAUMA-INFORMED CARE IS IMPORTANT BECAUSE THESE PROBLEMS, LEFT UNTREATED, CAN HAVE LIFELONG EFFECTS THAT HARM NOT ONLY PATIENTS, BUT ALSO THEIR FAMILIES, SCHOOLS, WORKPLACES, AND COMMUNITIES. 50,000
    GOOD SHEPHERD MINISTRIES OF OKLAHOMA
    222 NW 12TH STREET
    OKLAHOMA CITY,OK73103     		  501(C)3 AS A LONGTIME PROVIDER OF FREE HEALTH CARE TO THE UNDERSERVED IN OUR COMMUNITY, WE FEEL IT IS INCUMBENT UPON US TO FOCUS MORE ON MENTAL HEALTH FOR NOT ONLY OUR PATIENT'S SAKE, BUT THEIR FAMILIES AS WELL. WE ARE WORKING TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE AND FINDING WAYS TO BRING OUR SERVICES TO PEOPLE WHO NEED IT THE MOST AND ARE SUFFERING. 12,500
    HCI CARE SERVICES DBA EVERYSTEP
    3000 EASTON BLVD
    DES MOINES,IA50317     		  501(C)3 PALLIATIVE CARE TRAINING/IMMERSION IN MULTIPLE RURAL PILOT COMMUNITIES. 50,000
    HEARTLAND ALLIANCE
    208 SOUTH LASALLE STREET STE 1300
    CHICAGO,IL60604     		  501(C)3 READI CHICAGO IS AN INNOVATIVE, AMBITIOUS, COMMUNITY-DRIVEN STRATEGY TO ADDRESSING GUN VIOLENCE IN CHICAGO. 50,000
    HEARTLINE INC
    3801 NW 63RD STREET BLDG 1
    OKLAHOMA CITY,OK73116     		  501(C)3 HEARTLINE'S MISSION IS TO CONNECT OKLAHOMANS TO HELP, HOPE AND INFORMATION 24 HOURS A DAY. HEARTLINE HAS A 47-YEAR HISTORY OF PROVIDING AROUND-THE-CLOCK, COMPASSIONATE, NONJUDGMENTAL LISTENING, INFORMATION AND REFERRAL, CRISIS INTERVENTION AND SUICIDE PREVENTION. HEARTLINE FULFILLS ITS MISSION THROUGH FREE AND CONFIDENTIAL PHONE-BASED AND SUICIDE PREVENTION SERVICES. HEARTLINE IS SEEKING GENERAL OPERATING SUPPORT FOR OUR 2-1-1 PHONE AND WEB BASED SERVICES. 50,000
    HOUSING OPPORTUNITIES AND MAINTENANCE FOR THE ELDERLY (HOME)
    1419 WEST CARROLL AVENUE FLOOR 2
    CHICAGO,IL60607     		  501(C)3 HOME SAFETY OF ELDERLY IN A COLLABORATION WITH RUSH UNIVERSITY MEDICAL CENTER - TO HELP MAINTAIN SENIOR INDEPENDENT LIVING. 50,000
    IOWA CHRONIC CARE CONSORTIUM
    2700 WESTOWN PARKWAY SUITE 330
    WEST DES MOINES,IA50266     		  501(C)3 FUNDING FROM TCI WOULD DEVELOP THE FIRST OPERATIONAL NATIONAL REGISTERED COMMUNITY HEALTH WORKER (CHW) APPRENTICESHIP PROGRAM IN IOWA. 50,000
    IOWA COMMISSION ON VOLUNTEER SERVICE
    200 EAST GRAND AVENUE
    DES MOINES,IA50309     		  501(C)3 THE CAPACITY OF NONPROFITS TO IMPROVE INDIVIDUAL AND OVERALL COMMUNITY HEALTH HAS THE POTENTIAL TO BE GREATLY EXPANDED THROUGH THE EFFECTIVE ENGAGEMENT OF VOLUNTEERS, HOWEVER A MAJORITY OF ORGANIZATIONS DO NOT HAVE THE KNOWLEDGE AND PRACTICES TO LEVERAGE THIS ASSET. 16,000
    IOWA PRIMARY CARE ASSOCIATION
    9943 HICKMAN ROAD SUITE 103
    URBANDALE,IA50322     		  501(C)3 THIS PROJECT WILL ALSO ALLOW FOR THE MARRYING OF SOCIAL DETERMINANT OF HEALTH DATA WITH TRADITIONAL CLINICAL DATA, WHICH WILL INFORM A BROADER STRATEGY FOCUSED ON RISK STRATIFICATION AND NEW PAYMENT METHODOLOGY DEVELOPMENT IN A VALUE-BASED HEALTH CARE ENVIRONMENT. 50,000
    IOWA PUBLIC HEALTH ASSOCIATION
    2704 FLEUR DRIVE
    DES MOINES,IA50321     		  501(C)3 IPHA PROPOSES TO FOCUS THE NETWORK TO ASSESS IOWA'S PUBLIC HEALTH WORKFORCE AND FACILITATE THE DEVELOPMENT OF A STATEWIDE STRATEGIC PLAN TO ADDRESS IOWA'S IDENTIFIED PUBLIC HEALTH WORKFORCE DEVELOPMENT NEEDS IN A COORDINATED, COLLABORATIVE FASHION. 47,585
    LIFE CONNECTIONS PEER RECOVERY SERVICES
    414 6TH STREET
    DEWITT,IA52742     		  501(C)3 PEER RUN RESPITE HOUSE FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES IN A FIVE-COUNTY SERVICE AREA OF EASTERN IOWA. 50,000
    LONGMONT UNITED HOSPITAL
    1950 MOUNTAIN VIEW AVENUE
    LONGMONT,CO80501     		  501(C)3 DESIGN, MANUALIZATION, AND EVALUATION OF A NOVEL 8-WEEK INTERDISCIPLINARY CHRONIC PAIN SELF-REHABILITATION TRAINING PROGRAM FOR LOW-INCOME PATIENTS CURRENTLY USING OPIOID MEDICATION. 46,250
    MADISON STRATEGIES GROUP
    907 S DETROIT AVE SUITE 830
    TULSA,OK74120     		  501(C)3 MSG IS COMMITTED TO HELPING UNDERSERVED POPULATIONS BECOME FUTURE MEMBERS OF TULSA'S HEALTHCARE WORKFORCE THROUGH VIABLE HEALTH CAREER PATHWAYS USING THE INNOVATIVE, NATIONALLY RECOGNIZED WORKADVANCE MODEL. FUNDING FROM TCI WILL ENABLE MSG TO DELIVER THE FULL WORKADVANCE MODEL TO HELP MORE LOW-INCOME TULSANS BECOME PRODUCTIVE MEMBERS OF THE HEALTHCARE WORKFORCE THROUGH ESSENTIAL SOFT SKILLS DEVELOPMENT, TECHNICAL TRAINING, JOB PLACEMENT, CAREER ADVANCEMENT COACHING AND CREATIVE ENGAGEMENT STRATEGIES. THIS PROVEN MODEL WILL HELP TULSA'S UNDERSERVED INCREASE THEIR EDUCATION AND EARN MORE INCOME WHILE PROVIDING BUSINESSES WITH A PIPELINE OF SKILLED EMPLOYEES, CREATING A BRIGHTER OUTCOME FOR THE COMMUNITY WHILE IMPROVING THE ECONOMIC OUTLOOK FOR TULSA. 50,000
    MCKENDREE UNIVERSITY
    701 COLLEGE ROAD
    LEBANON,IL62254     		  501(C)3 DEVELOPMENT OF INNOVATIVE MSN POPULATION HEALTH ONLINE CURRICULUM CREATING A SPECIFIC POPULATION HEALTH SPECIALTY OPTION FOR ASPIRING NURSE LEADERS AND EDUCATORS TO DRIVE CHANGES IN HEALTHCARE PRACTICE ACROSS ALL HEALTH RELATED SETTINGS THROUGHOUT THE STATE OF ILLINOIS WITH A FOCUS ON RURAL AND UNDERSERVED AREAS. 49,840
    NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT
    203 SOUTH ROLLIE AVENUE
    FORT LUPTON,CO80621     		  501(C)3 NIMAA PROVIDES VOCATIONAL EDUCATION AND EMPLOYMENT OPPORTUNITIES FOR THE UNDERSERVED WHO LIVE AND HOPE TO WORK AS MEDICAL ASSISTANTS IN THE COMMUNITIES OUR HEALTH CARE EMPLOYERS SERVE, WHILE IMPROVING THE CAPABILITIES OF THE STAFF WHO DELIVER THAT HEALTH SERVICE. NIMAA SEEKS TCI FUNDING TO DEVELOP AND IMPLEMENT A UNIQUE, HOLISTIC STUDENT SERVICES FUNCTION WITHIN OUR EDUCATION MODEL. STUDENT SERVICES WILL PROVIDE MENTORING AND SUPPORT TO ENABLE EACH STUDENT TO OVERCOME THE BARRIERS TO SUCCESS WHICH OFTEN PLAGUE THE UNDERSERVED AND WILL DEVELOP DEEP RELATIONSHIPS WITH OUR COLLABORATING SAFETY NET CLINIC EMPLOYERS WHO HOST STUDENTS THROUGHOUT THE 7-MONTH NIMAA PROGRAM. 50,000
    OMNI INSTITUTE
    899 LOGAN STREET SUITE 600
    DENVER,CO80203     		  501(C)3 OMNI IS APPLYING FOR FUNDING TO DEVELOP CAPACITY-BUILDING TOOLS AND RESOURCES FOR HEALTH EQUITY RELATED ISSUES FOR COLORADO COMMUNITIES. TOOLS AND RESOURCES WILL SUPPORT COMMUNITIES IN 1) BETTER ADDRESSING AND ENHANCING FOCUS ON UNDERSTANDING THE SOCIAL DETERMINANTS OF HEALTH WITHIN THEIR PLANNING AND WORK; 2) BUILDING ORGANIZATIONAL CAPACITY AROUND ADDRESSING HEALTH INEQUITIES AND EVALUATING EFFORTS; AND 3) LEVERAGING THEIR EXISTING WORK AND COLLABORATIONS/PARTNERSHIPS TO IMPROVE HEALTH EQUITY IN THEIR COMMUNITY. IN ORDER TO DO THIS WELL AND BE RESPONSIVE TO COMMUNITY NEEDS, WE PLAN TO COLLABORATE AND PILOT TEST THESE RESOURCES WITH TWO LOCAL PUBLIC HEALTH AGENCIES WHO ARE COMMITTED TO BUILDING CAPACITY TO ADDRESS COMMUNITY HEALTH EQUITY ISSUES. 50,000
    OSF SAINT ELIZABETH MEDICAL CENTER
    1100 EAST NORRIS DRIVE
    OTTAWA,IL61350     		  501(C)3 INNOVATIVE REDESIGNED MOBILE INTEGRATED HEALTH PLAN AT ITS OSF CENTER FOR HEALTH-STREATOR THAT WILL TRANSFORM THE WAY HEALTHCARE IS MANAGED FOR AT-RISK PATIENTS. 50,000
    PATHWAYS TO A HEALTHY STEPHENS COUNTY
    1407 WHISENANT DRIVE
    DUNCAN,OK73534     		  501(C)3 CREATE THE SOUTHWEST OKLAHOMA HEALTHCARE CAREER EDUCATION AND AWARENESS PROJECT THAT WILL BRING TOGETHER A NETWORK OF INFORMATION AND RESOURCES AND SHARE IN MULTIPLE FORMATS TO ENGAGE STUDENTS, PARENTS AND ADULTS SEEKING INFORMATION ON THE GROWING HEALTHCARE EMPLOYMENT OPPORTUNITIES AVAILABLE IN SOUTHWEST OKLAHOMA. 50,000
    PRESENCE CARE TRANSFORMATION CORPORATION
    200 SOUTH WACKER DRIVE 11TH FLOOR
    CHICAGO,IL60606     		  501(C)3 IN PARTNERSHIP WITH THE CHICAGO PUBLIC LIBRARY (CPL), THE SOCIAL WORKER IN THE LIBRARY PROJECT WILL EMBED A LICENSED CLINICAL SOCIAL WORKER (LCSW) AT TWO UPTOWN COMMUNITY SITES TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS WHO ARE EXPERIENCING HOMELESSNESS, UNEMPLOYMENT, MENTAL ILLNESS, AND OTHER COMPLEX NEEDS. 50,000
    PROJECT ANGEL HEART
    4950 WASHINGTON STREET
    DENVER,CO80216     		  501(C)3 PROJECT ANGEL HEART RESPECTFULLY REQUESTS $30,000 FROM TCI TO SUPPORT OUR EFFORTS TO BUILD AN EVIDENCE BASE OF THE EFFICACY OF MEDICALLY TAILORED MEALS IN IMPROVING HEALTH AND REDUCING COSTS AND UTILIZATION FOR CRITICALLY ILL INDIVIDUALS. THIS EVIDENCE WILL BE USED AS RHETORIC TO SECURE PAYER REIMBURSEMENT AND ESTABLISH COMMUNITY-CLINICAL LINKAGES WITH HEALTH SYSTEMS AND PROVIDERS IN COLORADO. 30,000
    PROJECT IOWA
    1420 MULBERRY STREET
    DES MOINES,IA50309     		  501(C)3 INTEGRATE OUR HOLISTIC, CAREER-TRAINING PROGRAM INTO THE RECOVERY COURT SYSTEM TO ADDRESS UPSTREAM SOCIAL DETERMINANTS OF HEALTH FOR THE FAMILIES INVOLVED, MOVE THEM TO FINANCIAL STABILITY, AND ULTIMATELY ASSIST IN REUNIFICATION OF THESE FAMILIES SOONER. 50,000
    RICHARD J DALEY COLLEGE
    7500 SOUTH PULASKI ROAD
    CHICAGO,IL60652     		  501(C)3 INCREASE THE SPANISH-SPEAKER COMMUNITY HEALTH WORKER WORKFORCE IN CHICAGO THROUGH THIS COLLEGE-CREDIT AWARDING PROGRAM. 40,000
    ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
    2701 17TH STREET
    ROCK ISLAND,IL61201     		  501(C)3 RYC WILL PROVIDE COMMUNITY LEADERSHIP IN THE AREA OF PREVENTION AND INTERVENTION REGARDING THE HIGHLY SENSITIVE AND PAINFUL SUBJECT OF PEDIATRIC/YOUTH SUICIDE. 50,000
    SINNISSIPPI CENTERS
    325 IL ROUTE 2
    DIXON,IL61201     		  501(C)3 ESTABLISHING A COMMUNITY BEHAVIORAL HEALTH CENTER OF EXCELLENCE PROGRAM FOR MASTER'S LEVEL PREPARED PROFESSIONALS. 41,834
    SOUTHERN ILLINOIS UNIVERSITY
    PO BOX 19616
    SPRINGFIELD,IL62794     		  501(C)3 UTILIZATION OF TELEMEDICINE TECHNOLOGY TO PROVIDE HIV PRE-EXPOSURE PROPHYLAXIS TO COMMUNITIES IN CENTRAL AND SOUTHERN ILLINOIS, WHO ARE AT HIGH RISK OF HIV ACQUISITION, IN COMMUNITIES THAT ARE RESOURCE DEPRIVED. 50,000
    THRIVE SEXUAL HEALTH COLLECTIVE FOR YOUTH
    3000 UNITED FOUNDERS BLVD SUITE 247
    OKLAHOMA CITY,OK73112     		  501(C)3 OUR COMMUNITY ENGAGEMENT PROJECT WILL ASSESS THE ATTITUDES ABOUT AND NEEDS FOR INFORMATION, RESOURCES AND PROGRAMMING RELATED TO HEALTHY RELATIONSHIPS, SEXUAL HEALTH AND TEEN PREGNANCY PREVENTION WITHIN THREE SPECIFIC CONSTITUENCY GROUPS WITHIN THE COMMUNITY - PARENTS, FAITH LEADERS AND STAFF OF YOUTH-SERVING ORGANIZATIONS. 48,150
    TRINITY MUSCATINE PUBLIC HEALTH
    160 CEDAR STREET
    MUSCATINE,IA52761     		  501(C)3 GREATER ACCESS AND IMPROVED COMPREHENSIVE HEALTHCARE FOR LOW-INCOME CHILDREN AND ADULTS. THE CLINIC WILL COMPLEMENT A LARGER COLLABORATION OF HEALTH SERVICES FACILITATED BY THE MUSCATINE CENTER FOR SOCIAL ACTION (MCSA). 50,000
    UNITED COMMUNITY ACTION PROGRAM INC
    501 SIXTH STREET
    PAWNEE,OK74058     		  501(C)3 SEEKING FUNDING TO ADVANCE THE VETERANS RIDE CONNECT PROJECT UTILIZING ONECALL/ONECLICK TECHNOLOGY TO IMPROVE HEALTH EQUITY AND IMPACT PRIMARY CARE AND MENTAL HEALTH INTERVENTIONS FOR TRANSPORTATION DISADVANTAGED OKLAHOMA VETERANS LIVING IN RURAL AREAS. 50,000
    UNIVERSITY OF CHICAGO
    5801 SOUTH ELLIS AVENUE
    CHICAGO,IL60637     		  501(C)3 THERE IS AN URGENT NEED TO INCREASE THE NUMBER OF HEALTH CARE PROVIDERS IN THESE COMMUNITIES THAT ARE TRAINED IN EVIDENCE BASED TREATMENT OPTIONS FOR PATIENTS WITH OPIOID USE DISORDER (OUD). FUNDING FROM TCI WILL SUPPORT WORKFORCE DEVELOPMENT FOR COMMUNITY-BASED PRIMARY CARE PROVIDERS. 25,000
    UNIVERSITY OF IOWA CARVER COLLEGE OF MEDICINE
    375 NEWTON ROAD
    IOWA CITY,IA52246     		  501(C)3 THROUGH AN ONLINE PLATFORM, WE WANT TO CONNECT RURAL PHYSICIANS IN IOWA WITH MEDICAL STUDENTS, INTRODUCE THEM BOTH TO TOPICS IN HEALTHCARE DELIVERY SCIENCE AND MANAGEMENT, AND LEVERAGE THESE RELATIONSHIPS TO DRIVE VALUE-BASED CARE ACROSS IOWA. 50,000
    VARIETY CARE
    3000 NORTH GRAND BLVD
    OKLAHOMA CITY,OK73107     		  501(C)3 WE ARE SEEKING GRANT SUPPORT FROM THE TELLIGEN COMMUNITY INITIATIVE TO ENABLE VARIETY CARE TO EMBARK ON THE PROCESS OF PRACTICE TRANSFORMATION UTILIZING THE DRAMATIC PERFORMANCE IMPROVEMENT COLLABORATIVE PROCESS. 50,000
    WESTERN OKLAHOMA STATE COLLEGE
    2801 NORTH MAIN STREET
    ALTUS,OK73512     		  501(C)3 LPNS ARE BEING PHASED OUT OF HIGH-RISK AREAS IN HOSPITALS NATIONWIDE. AT THE SAME TIME, THE ELDERLY POPULATION IS GROWING DUE TO THE AGING OF BABY BOOMERS AND PRESSURE IS NOW ON INSTITUTIONS OF HIGHER EDUCATION TO ADDRESS A SEVERE SHORTAGE OF RNS, ESPECIALLY IN RURAL AREAS SUCH AS WESTERN OKLAHOMA. WESTERN OKLAHOMA STATE COLLEGE PROPOSES AN ONLINE LPN TO RN ACADEMIC PROGRAM WITH CLINICAL EXPERIENCE IN THE FIELD AT VARIOUS PARTNER INSTITUTIONS IN ORDER TO ASSIST LPNS TO BECOME RNS IN ONE YEAR WITHOUT LEAVING THE WORKFORCE. WOSC ALSO SEEKS TO IMPLEMENT A NEW IMPROVED CURRICULUM TO MEET THE UPCOMING NEED FOR THE NEW NCLEX TEST WHICH PUTS MORE EMPHASIS ON INNOVATIVE AND CRITICAL THINKING IN ORDER TO PASS THE TEST. 49,298
    GREAT RIVER MEDICAL CENTER
    1221 S GEAR AVE
    WEST BURLINGTON,IA52655     		  501(C)3 REFUND OF GRANT. INITIAL GRANT FOR GREAT RIVER MEDICAL CENTER WAS REQUESTING FUNDING TO SUPPORT A DUAL-DIAGNOSIS PARTIAL HOSPITAL PROGRAM. THE DUAL-DIAGNOSIS PARTIAL HOSPITAL PROGRAM WOULD PROVIDE CONCURRENT TREATMENT FOR INDIVIDUALS WITH CO-OCCURING MENTAL HEALTH AND SUNSTANCE ABUSE DISORDERS IN A DRY HOSPITAL SETTING. TREATMENT WOULD INCLUDE INTENSIVE GROUP AND INDIVIDUAL MENTAL HEALTH THERAPY, SUBSTANCE ABUSE COUNSELING, MEDICATION MANAGEMENT, AS WELL AS NUTRITION, EXERCISE, RECREATIONAL, AND MUSIC THERAPY. -48,279
    Total .................................bullet 3a 1,747,989
    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 ...........     		    14 153,513  
    4 Dividends and interest from securities....     14 1,236,752  
    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 2,175,726  
    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).. 0 3,565,991 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,565,991
    (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:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2018 AccountingFeesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 7,600 0   6,802

    TY 2018 InvestmentsOtherSchedule2
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS FMV 11,428,269 11,428,269
    EXCHANGE TRADED & CLOSED-END FUNDS FMV 6,366,979 6,366,979
    EQUITIES FMV 14,947,790 14,947,790
    CORPORATE FIXED INCOME FUNDS FMV 1,198,040 1,198,040
    GOVERNMENT SECURITIES FMV 2,962,258 2,962,258

    TY 2018 LegalFeesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL 1,433 0   1,283


    TY 2018 OtherDecreasesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Amount
    UNREALIZED GAIN/(LOSS) ON INVESTMENTS 5,316,276


    TY 2018 OtherExpensesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOUS 4,922 0   4,405
    ADMINISTRATIVE SERVICES 26,112 0   26,055
    INSURANCE 27,363 0   24,490
    INVESTMENT FEES 283,111 283,111   0
    OFFICE EXPENSES 1,719 0   1,539
    OTHER PROGRAM SERVICES 24,849 0   0
    MANAGEMENT FEES 3,000 0   0


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL SERVICES 50,513 0   45,209


    TY 2018 TaxesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT INCOME TAX 42,240 0   0
    PAYROLL TAXES 9,994 0   8,945