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
HEADWATERS HEALTH FOUNDATION
OF WESTERN MONTANA
Number and street (or P.O. box number if mail is not delivered to street address)283 W FRONT STREET NO 301
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MISSOULA, MT59802
A Employer identification number

81-1099715
B Telephone number (see instructions)

(406) 926-6526
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$95,372,239J 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) 12,467,585
2 Check bullet.............
3 Interest on savings and temporary cash investments 26,696 26,696  
4 Dividends and interest from securities... 971,480 1,223,414  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,148,578
b Gross sales price for all assets on line 6a 43,273,918
7 Capital gain net income (from Part IV, line 2)... 3,434,237
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)....... Click to see attachment 571,788 507,795  
12 Total. Add lines 1 through 11........ 17,186,127 5,192,142  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 463,315 65,636   395,206
14 Other employee salaries and wages...... 233,045 49,767   182,138
15 Pension plans, employee benefits....... 185,127 20,844   146,626
16a Legal fees (attach schedule)......... Click to see attachment 16,373 0   17,331
b Accounting fees (attach schedule)....... Click to see attachment 76,415 5,206   66,158
c Other professional fees (attach schedule).... Click to see attachment 737,644 1,490,064   354,520
17 Interest............... 37,413 37,413   0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 76,038 18,005   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 7,843 0  
20 Occupancy.............. 79,507 0   86,554
21 Travel, conferences, and meetings....... 105,236 0   105,236
22 Printing and publications.......... 702 0   702
23 Other expenses (attach schedule)....... Click to see attachment 100,339 49   100,290
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,118,997 1,686,984   1,454,761
25 Contributions, gifts, grants paid....... 2,378,300 2,037,100
26 Total expenses and disbursements. Add lines 24 and 25 4,497,297 1,686,984   3,491,861
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 12,688,830
b Net investment income (if negative, enter -0-) 3,505,158
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............. 449,608 975,329 975,329
2 Savings and temporary cash investments......... 750,000 888,000 888,000
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   9,302    
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..........   8,927 8,927
10a Investments—U.S. and state government obligations (attach schedule) 0 Click to see attachment3,039,829 3,039,829
b Investments—corporate stock (attach schedule)....... 51,399,947 Click to see attachment11,456,752 11,456,752
c Investments—corporate bonds (attach schedule)....... 3,776,748 Click to see attachment10,170,506 10,170,506
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 38,122,456 Click to see attachment68,777,405 68,777,405
14 Land, buildings, and equipment: basis bullet63,334
Less: accumulated depreciation (attach schedule) bullet7,843 4,717 Click to see attachment55,491 55,491
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 94,512,778 95,372,239 95,372,239
Liabilities 17 Accounts payable and accrued expenses.......... 71,570 13,244
18 Grants payable.................   341,200
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) Click to see attachment244,191 Click to see attachment210,323
23 Total liabilities (add lines 17 through 22)......... 315,761 564,767
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.................. 94,197,017 94,807,472
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)..... 94,197,017 94,807,472
31 Total liabilities and net assets/fund balances (see instructions). 94,512,778 95,372,239
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
94,197,017
2
Enter amount from Part I, line 27a .....................
2
12,688,830
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
2,923
4
Add lines 1, 2, and 3 ..........................
4
106,888,770
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
12,081,298
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
94,807,472
Form 990-PF (2018)
Form 990-PF (2018)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b ALTERNATIVE INVESTMENTS P    
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 42,970,480   39,839,681 3,130,799
b 143,026     143,026
c 160,412     160,412
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       3,130,799
b       143,026
c       160,412
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 3,434,237
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 990,647 77,661,511 0.012756
2016 48,448 17,220 2.813473
2015      
2014      
2013      
2
Total of line 1, column (d) .....................
2
2.826229
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
1.413115
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
110,983,314
5
Multiply line 4 by line 3......................
5
156,832,186
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
35,052
7
Add lines 5 and 6........................
7
156,867,238
8
Enter qualifying distributions from Part XII, line 4,.............
8
6,555,195
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 70,103
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 70,103
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 70,103
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 72,337
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 55,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 127,337
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 795
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 56,439
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet56,439 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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletMT
    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 addressbulletWWW.HEADWATERSMT.ORG
    14
    The books are in care ofbulletMYNOR VELIZ Telephone no.bullet (406) 926-6526

    Located atbullet283 W FRONT STREETMISSOULAMT ZIP+4bullet59802
    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
     
    No
    ........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
    ROBERT PHILLIPS CHAIR
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    ROSALIE SHEEHY CATES VICE CHAIR
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    CHRISTINA TWOHIG TREASURER
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    PENNY KIPP TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    JAY LOWDER TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    STEVE MCNEECE TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    RICHARD OPPER TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    ALYSSA SCHOCK TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    MIKE STEWART TRUSTEE
    1.30     		0 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    BRENDA SOLORZANO-CAUDLE CEO
    40.00     		257,000 27,022 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    MYNOR A VELIZ CFO
    40.00     		190,000 28,620 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    ERIC SWITALKSKI PROGRAM DIRECTOR
    40.00     		16,315 3,132 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    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
    JENNIFER L SAVAGE COMMUNICATIONS OFFIC
    40.00     		67,722 3,801 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    ZIA MAUMENEE GRANTS MANAGER
    40.00     		57,414 3,254 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    ASHLEY N SHAW PROGRAM ASSOCIATE
    40.00     		58,135 0 0
    283 WEST FRONT STREET
    MISSOULA,MT59802
    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
    DEBORAH HALLIDAY STRATEGIC PLANNING 106,732
    1212 STUART STREET
    HELENA,MT59601
    SIX PONY HITCH BRAND & COMMUNICATION 91,985
    700 SOUTH AVENUE WEST SUITE F
    MISSOULA,MT59801
    PHILANTHOPY NORTHWEST RECRUITMENT CONSULTING 90,021
    2101 4TH AVENUE SUITE 650
    SEATTLE,WA98121
    SMARTSIMPLE SOFTWARE LIMITED SOFTWARE BUILD 61,443
    33 WEST 18TH STREET 4TH FLOOR
    NEW YORK,NY10011
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    42,137,727
    b
    Average of monthly cash balances.......................
    1b
    1,758,283
    c
    Fair market value of all other assets (see instructions)................
    1c
    68,777,405
    d
    Total (add lines 1a, b, and c).........................
    1d
    112,673,415
    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
    112,673,415
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,690,101
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    110,983,314
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    5,549,166
    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
    5,549,166
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    70,103
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    70,103
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    5,479,063
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    5,479,063
    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
    5,479,063
    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
    3,491,861
    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
    63,334
    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) Click to see attachment.................
    3b
    3,000,000
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    6,555,195
    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
    6,555,195
    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 5,479,063
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 2,788,897
    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......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 6,555,195
    a Applied to 2017, but not more than line 2a 2,788,897
    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..... 3,766,298
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		1,712,765
    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 ......     		0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    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
    A CAROUSEL FOR MISSOULA FOUNDATION INC
    PO BOX 3345
    MISSOULA,MT59806     		  PC EVENT SPONSORSHIP 1,500
    ALBERTON SCHOOL DISTRICT #2
    306 RAILROAD AVENUE
    ALBERTON,MT59820     		  GOV GENERAL OPERATING 5,000
    ALBERTON SCHOOL DISTRICT #2
    306 RAILROAD AVENUE
    ALBERTON,MT59820     		  GOV EVENT SPONSORSHIP 2,500
    ANACONDA PCA FAMILY RESORCE CENTER
    520 OAK STREET
    ANACONDA,MT59711     		  PC GENERAL OPERATING 5,000
    ARLEE COMMUNITY DEVELOPMENT CORPORATION
    PO BOX 452
    ARLEE,MT59821     		  PC GENERAL OPERATING 5,000
    BEAVERHEAD COUNTY MENTAL HEALTH LOCAL ADVISORY COUNCIL
    2 SOUTH PACIFIC 1
    DILLON,MT50972     		  PC GENERAL OPERATING 5,000
    BIG SKY REGIONAL COUNCIL OF CHILD AND ADOLESCENT PSYCHIATRY
    2620 COLONIAL DRIVE SUITE B
    HELENA,MT59601     		  PC EVENT SPONSORSHIP 2,500
    BIGFORK ACRES INC
    439 GRAND 345
    BIGFORK,MT59911     		  PC GENERAL OPERATING 5,000
    BITTER ROOT RESOURCE CONSERVATION AND DEVELOPMENT AREA INCORPORATED
    PO BOX 870
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    BITTERROOT CASA INC
    PO BOX 661
    HAMILTON,MT59828     		  PC GENERAL OPERATING 3,000
    BITTERROOT ECOLOGICAL AWARENESS RESOURCES INC
    1105 W MAIN STREET
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    BLUE MOUNTAIN CLINIC INC
    610 N CALIFORNIA STREET
    MISSOULA,MT59802     		  PC GENERAL OPERATING 5,000
    BOYS & GIRLS CLUB OF GLACIER COUNTRY
    PO BOX 961
    COLUMBIA FALLS,MT59912     		  PC GENERAL OPERATING 5,000
    BOYS & GIRLS CLUB OF THE FLATHEAD RESERVATION
    PO BOX 334
    RONAN,MT59864     		  PC GENERAL OPERATING 5,000
    CANVAS EARLY LEARNING CENTER
    PO BOX 1282
    DILLON,MT59725     		  PC GENERAL OPERATING 5,000
    CASA OF LAKE COUNTY
    PO BOX 511
    POLSON,MT59860     		  PC GENERAL OPERATING 5,000
    CHILD AND FAMILY RESOURCE COUNCIL INC (DBA THE PARENTING PLACE)
    PO BOX 3805
    MISSOULA,MT59806     		  PC GENERAL OPERATING 5,000
    CHILD DEVELOPMENT CENTER INC
    3335 LT MOSS ROAD
    MISSOULA,MT59804     		  PC GENERAL OPERATING 4,500
    CHILDWISE INSTITUTE
    500 S LAMBORN STREET
    HELENA,MT59601     		  PC EVENT SPONSORSHIP 2,000
    CHILDWISE INSTITUTE
    500 S LAMBORN STREET
    HELENA,MT59601     		  PC STRATEGIC INITIATIVE PROGRAM OFFICE PLANNING 10,000
    COMMUNITY FOOD AND AGRICULTURE COALITION
    PO BOX 7025
    MISSOULA,MT59807     		  PC GENERAL OPERATING 5,000
    COURT APPOINTED SPECIAL ADVOCATES OF MISSOULA INC
    PO BOX 7433
    MISSOULA,MT59807     		  PC EVENT SPONSORSHIP 2,500
    DARBY SCHOOLS EXCELLENCE FUND
    209 SCHOOL DRIVE
    DARBY,MT59829     		  PC GENERAL OPERATING 5,000
    DAYTON ELEMENTARY PARENT TEACHER ORGANIZATION
    PO BOX 195
    DAYTON,MT59914     		  PC GENERAL OPERATING 5,000
    DESMET SCHOOL
    6355 PADRE LANE
    MISSOULA,MT59808     		  PC EVENT SPONSORSHIP 1,000
    EMMAS HOUSE - BITTERROOT VALLEYCHILDRENS ADVOCACY CENTER INC
    PO BOX 2034
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    EMPOWERMT
    2300 REGENT STREET
    MISSOULA,MT59801     		  PC GENERAL OPERATING 5,000
    EUREKA SCHOOL DISTRICT
    PO BOX 2000 340 9TH STREET
    EUREKA,MT59917     		  GOV GENERAL OPERATING 5,000
    FAMILIES IN PARTNERSHIP INCORPORATED
    PO BOX 762
    LIBBY,MT59923     		  PC EVENT SPONSORSHIP 2,500
    FAMILIES IN PARTNERSHIP INCORPORATED
    PO BOX 762
    LIBBY,MT59923     		  PC GENERAL OPERATING 5,000
    FARM HANDS-NOURISH THE FLATHEAD
    PO BOX 4404
    WHITEFISH,MT59937     		  PC GENERAL OPERATING 5,000
    FARMING FOR THE FUTURE ACADEMY INC
    80 13TH STREET EAST
    COLUMBIA FALLS,MT59912     		  PC GENERAL OPERATING 5,000
    FIFTH JUDICAL DISTRICT VOICE FOR CHILDREN INC
    PO BOX 1464
    DILLON,MT59725     		  PC GENERAL OPERATING 5,000
    FLATHEAD CITY-COUNTY HEALTH DEPARTMENT
    1035 1ST AVENUE WEST
    KALISPELL,MT59901     		  GOV MONTANA 0-5 STRATEGIC INITIATIVE LOCAL COMMUNITY COLLABORATIVE PLANNING PHASE 49,985
    FLATHEAD CITY-COUNTY HEALTH DEPARTMENT
    1035 1ST AVENUE WEST
    KALISPELL,MT59901     		  GOV TO LAUNCH THE FLATHEAD ZERO TO FIVE MULTI-SECTOR COLLABORATIVE 150,015
    FLATHEAD COUNTY LIBRARY FOUNDATION INC
    44 2ND AVENUE WEST SUITE 104
    KALISPELL,MT59901     		  PC GENERAL OPERATING 5,000
    FLORENCE CRITTENTON HOME & SERVICES
    901 N HARRIS STREET
    HELENA,MT59601     		  PC GENERAL OPERATING 5,000
    FLORENCE-CARLTON SCHOOL DISTRICT 15-6
    5602 OLD HIGHWAY 93
    FLORENCE,MT59833     		  GOV GENERAL OPERATING 5,000
    FORTINE SCHOOL
    358 MEADOWCREEK ROAD
    FORTINE,MT59918     		  PC GENERAL OPERATING 5,000
    FOUNDATION FOR COMMUNITY HEALTH
    2831 FORT MISSOULA ROAD SUITE 103
    MISSOULA,MT59804     		  PC EVENT SPONSORSHIP 1,500
    FRED MOODRY INTERMEDIATE SCHOOL
    219 E 3RD STREET
    ANACONDA,MT59711     		  PC GENERAL OPERATING 5,000
    FREEDOM GARDENS
    319 S 5TH STREET WEST
    MISSOULA,MT59801     		  PC GENERAL OPERATING 5,000
    FRIENDS OF THE PHILIPSBURG LIBRARY
    110 RUMSEY ROAD
    PHILIPSBURG,MT59858     		  PC GENERAL OPERATING 3,000
    GARDEN CITY HARVEST INC
    PO BOX 205
    MISSOULA,MT59806     		  PC EVENT SPONSORSHIP 1,000
    GOOD SAMARITAN MINISTRIES & THRIFT STORE
    3067 N MONTANA AVENUE
    HELENA,MT59601     		  PC GENERAL OPERATING 5,000
    GRACE LUTHERAN CHURCH
    275 HATTIE LANE
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    GREATER BUTTE COMMUNITY CO-ORDINATED CHILD
    101 N MAIN STREET
    BUTTE,MT59701     		  PC MONTANA 0-5 STRATEGIC INITIATIVE LOCAL COMMUNITY COLLABORATIVE PLANNING PHASE 50,000
    GREATER BUTTE COMMUNITY CO-ORDINATED CHILD
    101 N MAIN STREET
    BUTTE,MT59701     		  PC GENERAL OPERATING 5,000
    GREATER BUTTE COMMUNITY CO-ORDINATED CHILD
    101 N MAIN STREET
    BUTTE,MT59701     		  PC TO LAUNCH THE BUTTE SILVER BOW 0 TO 5 MULTI-SECTOR COLLABORATIVE 150,000
    HABITAT FOR HUMANITY INTERNATIONAL INC
    PO BOX 7181
    MISSOULA,MT59807     		  PC EVENT SPONSORSHIP 2,500
    HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC
    318-20 N LAST CHANCE GULCH SUITE 2C
    HELENA,MT59601     		  PC TO ADD AT LEAST 10 NEW CHILD AND FAMILY RESILIENCY QUESTIONS TO MONTANAS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). 36,000
    HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC
    318-20 N LAST CHANCE GULCH SUITE 2C
    HELENA,MT59601     		  PC GENERAL OPERATING 5,000
    HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC
    318-20 N LAST CHANCE GULCH SUITE 2C
    HELENA,MT59601     		  PC EVENT SPONSORSHIP 2,500
    HEALTHY MOTHERS HEALTHY BABIES THE MONTANA COALITION INC
    318-20 N LAST CHANCE GULCH SUITE 2C
    HELENA,MT59601     		  PC STRATEGIC INITIATIVE PROGRAM OFFICE PLANNING 10,000
    HELENA FOOD SHARE INC
    PO BOX 943
    HELENA,MT59624     		  PC EVENT SPONSORSHIP 2,500
    HELPING HANDS FUND
    PO BOX 1094
    POLSON,MT59860     		  PC GENERAL OPERATING 5,000
    K WILLIAM HARVEY
    421 ANDREW STREET NORTHWEST
    RONAN,MT59864     		  GOV STUDENT SELF-REGULATION 5,000
    KIWANIS FOUNDATION OF MONTANA
    PO BOX 1171
    TROY,MT59935     		  PC GENERAL OPERATING 5,000
    LAKE COUNTY PUBLIC HEALTH
    802 MAIN STREET
    POLSON,MT59860     		  GOV GENERAL OPERATING 5,000
    LITERACY VOLUNTEERS OF AMERICA- BITTERROOT INC
    303 N THIRD STREET SUITE A
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    MINERAL COUNTY HEALTH DEPARTMENT
    1203 FIFTH AVENUE EAST
    SUPERIOR,MT59872     		  GOV GENERAL OPERATING 5,000
    MINERAL COUNTY HEALTH DEPARTMENT
    PO BOX 488
    SUPERIOR,MT59872     		  GOV MINERAL COUNTY ZERO TO FIVE COLLABORATIVE PLANNING GRANT 50,000
    MINERAL COUNTY PIONEER COUNCIL INC
    PO BOX 922
    SUPERIOR,MT59872     		  PC GENERAL OPERATING 5,000
    MISSOULA AREA AGENCY ON AGING
    337 STEPHENS AVENUE
    MISSOULA,MT59801     		  PC GENERAL OPERATING 5,000
    MISSOULA INTERFAITH COLLABORATIVE
    202 BROOKS STREET
    MISSOULA,MT59801     		  PC TO ENGAGE FAMILIES AND NONPROFIT DIRECT SERVICE STAFF IN TRAININGS AND ORGANIZING EFFORTS AIMED AT ADDRESSING THE BEHAVIORAL HEALTH NEEDS OF FAMILIES IN MISSOULA COUNTY. 50,900
    MONTANA ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN
    PO BOZ 11568
    BOZEMAN,MT59719     		  PC EVENT SPONSORSHIP 2,500
    MONTANA ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN
    PO BOZ 11568
    BOZEMAN,MT59719     		  PC GENERAL OPERATING 5,000
    MONTANA BUDGET AND POLICY CENTER
    101 N LAST CHANCE GULCH SUITE 220
    HELENA,MT59601     		  PC ADDRESSING CHILDREN AND FAMILY RESILIENCY POLICY ISSUES IN MONTANA 125,000
    MONTANA BUDGET AND POLICY CENTER
    101 N LAST CHANCE GULCH SUITE 220
    HELENA,MT59601     		  PC EVENT SPONSORSHIP 1,500
    MONTANA HUMAN RIGHTS NETWORK INC
    PO BOX 1509
    HELENA,MT59624     		  PC TO PROVIDE GENERAL OPERATING SUPPORT TO MONTANA WOMEN VOTE. 41,675
    MONTANA NONPROFIT ASSOCIATION INC
    PO BOX 1744
    HELENA,MT59624     		  PC EVENT SPONSORSHIP 2,500
    MONTANA STATE UNIVERSITY FOUNDATION
    PO BOX 172750
    BOZEMAN,MT59717     		  PC EVENT SPONSORSHIP 2,500
    MONTANA TWO SPIRIT SOCIETY
    PO BOX 7514
    MISSOULA,MT59807     		  PC GENERAL OPERATING 5,000
    MOUNTAIN HOME MONTANA INC
    2606 SOUTH AVENUE WEST
    MISSOULA,MT59804     		  PC EVENT SPONSORSHIP 2,500
    MOUNTAIN HOME MONTANA INC
    2606 SOUTH AVENUE WEST
    MISSOULA,MT59804     		  PC GENERAL OPERATING 5,000
    NATE CHUTE FOUNDATION INC
    PO BOX 245
    WHITEFISH,MT59937     		  PC GENERAL OPERATING 5,000
    NEW HORIZONS AFTER SCHOOL PROGRAM TROY SCHOOL DISTRICT #1
    PO BOX 867
    TROY,MT59935     		  GOV GENERAL OPERATING 5,000
    NKWUSM
    PO BOX 5
    ARLEE,MT59821     		  PC GENERAL OPERATING 5,000
    NORTHWOOD COMMUNITY INC
    41652 HIGHWAY 93 FRONTAGE ROAD
    RONAN,MT59864     		  PC GENERAL OPERATING 5,000
    NURTURING CENTER INC
    146 3RD AVENUE WEST
    KALISPELL,MT59901     		  PC GENERAL OPERATING 5,000
    PARTNERSHIP FOR CHILDREN
    PO BOX 8134
    MISSOULA,MT59807     		  PC GENERAL OPERATING 5,000
    PROMOTING EXCELLNCE IN ALBERTON - AREA KIDS FOUNDATION
    PO BOX 36
    ALBERTON,MT59820     		  PC GENERAL OPERATING 5,000
    RAVALLI HEAD START INC
    81 KURTZ LANE
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    RIVERSTONE SCHOOL
    1093 SLEEPING CHILD ROAD
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    RONAN HIGH SCHOOL
    46525 STAGECOACH TRAIL
    RONAN,MT59864     		  GOV GENERAL OPERATING 5,000
    RONAN SCHOOL DISTRICT
    421 ANDREW STREET NORTHWEST
    RONAN,MT59864     		  GOV GENERAL OPERATING 5,000
    SALISH INSTITUTE
    PO BOX 914
    SAINT IGNATIUS,MT59865     		  PC EVENT SPONSORSHIP 5,000
    SALISH KOOTENAI COLLEGE INC
    PO BOX 70
    PABLO,MT59855     		  GOV EVENT SPONSORSHIP 2,500
    SALISH KOOTENAI COLLEGE INC
    PO BOX 70
    PABLO,MT59855     		  GOV GENERAL OPERATING 5,000
    SAMARITAN HOUSE INC
    PO BOX 592
    KALISPELL,MT59903     		  PC GENERAL OPERATING 5,000
    SOCIAL AND ENVIRONMENTAL ENTREPRENEURS INC
    23532 CALABASAS ROAD SUITE A
    CALABASAS,CA91302     		  PC EVENT SPONSORSHIP 2,500
    SPARROWS NEST OF NW MT
    PO BOX 8384
    KALISPELL,MT59904     		  PC GENERAL OPERATING 5,000
    SPECIAL OLYMPICS MONTANA INC
    PO BOX 3507
    GREAT FALLS,MT59403     		  PC GENERAL OPERATING 5,000
    ST LUKE COMMUNITY HEALTHCARE FOUNDATION
    107 6TH AVENUE SOUTHWEST
    RONAN,MT59864     		  PC GENERAL OPERATING 5,000
    ST REGIS SCHOOL DISTRICT 1
    90 TIGER STREET
    SAINT REGIS,MT59866     		  GOV GENERAL OPERATING 5,000
    SUNBURST COMMUNITY SERVICE FOUNDATION INC
    PO BOX 703
    MISSOULA,MT59803     		  PC GENERAL OPERATING 5,000
    THE IRWIN AND FLORENCE ROSTEN FOUNDATION INC
    515 MADISON
    HAMILTON,MT59840     		  PC GENERAL OPERATING 5,000
    UNITED WAY OF MISSOULA COUNTY
    412 W ALDER STREET
    MISSOULA,MT59802     		  PC MONTANA 0-5 STRATEGIC INITIATIVE LOCAL COMMUNITY COLLABORATIVE PLANNING PHASE 34,500
    UNITED WAY OF THE LEWIS AND CLARK AREA
    PO BOX 862
    HELENA,MT59624     		  PC MONTANA 0-5 STRATEGIC INITIATIVE LOCAL COMMUNITY COLLABORATIVE PLANNING PHASE 47,600
    UNIVERSITY OF MONTANA - RESEARCH & SPONSORED PROGRAMS
    32 CAMPUS DRIVE ORSP UH 116
    MISSOULA,MT59812     		  GOV MEDICAID EXPANSION RESEARCH 6,500
    UNIVERSITY OF MONTANA - WESTERN MONTANAN AREA HEALTH EDUCATION CENTER
    32 CAMPUS DRIVE ORSP UH 116
    MISSOULA,MT59812     		  GOV GENERAL OPERATING 6,000
    UNIVERSITY OF MONTANA- BUREAU OF BUSINESS AND ECONOMIC RESEARCH
    32 CAMPUS DRIVE GALLAGHER BUSINESS
    BUILDING SUITE 231
    MISSOULA,MT59812     		  GOV UPDATE OF MEDICAID EXPANSION REPORT: ECONOMIC AND FISCAL IMPACTS OF THE MEDICAID EXPANSION IN MONTANA 9,375
    UNIVERSITY OF MONTANA- WESTERN MONTANA AREA HEALTH EDUCATION CENTER
    1205 E BROADWAY ROOM 106
    MISSOULA,MT59802     		  GOV GENERAL OPERATING 5,000
    UNIVERSITY OF MONTANA- WESTERN MONTANA AREA HEALTH EDUCATION CENTER
    32 CAMPUS DRIVE ORSP UH 116
    MISSOULA,MT59812     		  GOV GENERAL OPERATING 2,500
    UNIVERSITY OF MONTANA
    32 CAMPUS DRIVE ORSP UH 116
    MISSOULA,MT59812     		  GOV ZERO TO FIVE STRATEGIC INITIATIVE PROGRAM OFFICE 680,000
    UNIVERSITY OF MONTANA-CENTER FOR CHILDREN FAMILIES AND WORKFORCE DEVELOPMEN
    32 CAMPUS DRIVE ORSP UH 116
    MISSOULA,MT59812     		  GOV TO BUILD THE CAPACITY OF MONTANA TO MORE EFFECTIVELY LEVERAGE FEDERAL AND FOUNDATION FUNDS TO ADDRESS THE NEEDS OF CHILDREN AND FAMILIES WHO HAVE COMPLEX HEALTH, SOCIAL, AND EDUCATIONAL NEEDS. 124,550
    UNIVERSITY OF MONTANA-NATIONAL NATIVE CHILDREN'S TRAUMA CENTER
    32 CAMPUS DRIVE COLLEGE OF
    EDUCATION
    MISSOULA,MT59812     		  GOV EVENT SPONSORSHIP 1,000
    VIOLENCE FREE CRISIS LINE DBA ABBIE SHELTER
    POBOX 1401
    KALISPELL,MT59903     		  PC EVENT SPONSORSHIP 2,500
    WATSON CHILDRENS SHELTER INC
    4978 BUCKHOUSE LANE
    MISSOULA,MT59804     		  PC EVENT SPONSORSHIP 2,500
    WOMEN'S RESOURCE CENTER
    221 1/2 SOUTH IDAHO STREET
    DILLON,MT59725     		  PC GENERAL OPERATING 5,000
    YES YOUTH EMPOWERMENT SERVICES
    PO BOX 686
    ANACONDA,MT59711     		  PC GENERAL OPERATING 5,000
    YOUNG WOMENS CHRISTIAN ASSO OF MISSOULA
    1130 W BROADWAY STREET
    MISSOULA,MT59802     		  PC EVENT SPONSORSHIP 2,500
    YOUTH CONNECTIONS FOUNDATION
    PO BOX 4572
    HELENA,MT59604     		  PC EVENT SPONSORSHIP 2,500
    YOUTH HOMES INC
    PO BOX 7616
    MISSOULA,MT59807     		  PC GENERAL OPERATING 5,000
    Total .................................bullet 3a 2,037,100
    bApproved for future payment
    CHILDWISE INSTITUTE
    500 S LAMBORN STREET
    HELENA,MT59601     		  PC EVENT SPONSORSHIP 500
    LINCOLN COUNTY HEALTH DEPARTMENT
    418 MINERAL AVENUE
    LIBBY,MT59923     		  GOV LINCOLN COUNTY 0 - 5 PLANNING INITIATIVE 22,800
    UNITED WAY OF MISSOULA COUNTY
    412 WEST ALDER STREET
    MISSOULA,MT59802     		  PC MISSOULA (MISSOULA EARLY CHILDHOOD COLLECTIVE IMPACT) 0-5 STRATEGIC INITIATIVE COLLABORATIVE 165,500
    UNITED WAY OF THE LEWIS AND CLARK AREA
    PO BOX 862
    HELENA,MT59624     		  PC LEWIS AND CLARK COUNTY ZERO TO FIVE COLLABORATIVE 152,400
    Total .................................bullet 3b 341,200
    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 26,696  
    4 Dividends and interest from securities....     14 971,480  
    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.....     14 567,809  
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 3,148,578  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aORDINARY INCOME FROM PASSTHROUGH     		523000 -66,219   66,219  
    bEXCISE TAX BENEFIT     01 3,979  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. -66,219 4,784,761 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    4,718,542
    (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
    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
    HEADWATERS HEALTH FOUNDATION
    OF WESTERN MONTANA
    Employer identification number

    81-1099715
    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
    HEADWATERS HEALTH FOUNDATION
    OF WESTERN MONTANA         		Employer identification number
    81-1099715
    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
    COMMUNITY MEDICAL CENTER
     
    2827 FORT MISSOULA ROAD
     
    MISSOULA, MT59804

    		$ 12,467,585


    (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
    HEADWATERS HEALTH FOUNDATION
    OF WESTERN MONTANA         		Employer identification number

    81-1099715
    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
    1
    		 PULBLICLY TRADED SECURITIES $ 11,133,469 2018-02-28
    (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
    HEADWATERS HEALTH FOUNDATION
    OF WESTERN MONTANA         		Employer identification number

    81-1099715
    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:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 76,415 5,206   66,158

    TY 2018 CashDistributionExplnStmt
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Explanation:
    ORGANIZATION: HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANATIN: 81-1099715TAX YEAR ENDED: DECEMBER 31, 2018FORM 990-PF, PART XII, LINE 3B - REPORTING SET-ASIDES UNDER THE CASH DISTRIBUTION TEST1. FUNDS WERE SET ASIDE FOR GENERATING FUTURE CASH FLOW TO FULFILL MULTI-INSTALLMENT GRANTS THAT WILL COVER MORE THAN ONE TAXABLE YEAR. THE START-UP PERIOD WILL ALSO ALLOW THE FOUNDATION TO MONTIOR THESE GRANTS AND RECEIVE PROGRESS REPORTS BEFORE MAKING FURTHER DISTRIBUTIONS TO THE RECIPIENTS. 2. THE AMOUNTS SET ASIDE FOR THE PROJECT DESCRIBED IN ITEM 1 WILL ACTUALLY BE PAID WITHIN THE 24 MONTH PERIOD THAT ENDS NO MORE THAN 60 MONTHS AFTER THE DATE OF THE SET-ASIDE. 3. THE PROJECT WAS NOT COMPLETED BEFORE THE END OF THE ABOVE-REFERENCED TAX YEAR. 4. BELOW IS A LIST OF THE DISTRIBUTABLE AMOUNTS DETERMINED UNDER IRC SECTION 4942(D) FOR ALL PAST TAX YEARS IN THE TAXPAYER'S START-UP PERIOD:2017 - $765,4312018 - $2,189,5575. BELOW IS A LIST OF ACTUAL PAYMENTS MADE IN CASH OR ITS EQUIVALENT FOR EXEMPT PURPOSES DURING EACH TAX YEAR IN THE TAXPAYER'S START-UP PERIOD:2017 - $990,6472018 - $3,555,195

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2018 DepreciationSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    INTERACTIVE DISPLAY SYSTEM 2017-02-16 5,661 944 SL 5.000000000000 1,132 0    
    SMARTSIMPLE SOFTWARE LTD 2018-07-05 57,673   SL 5.000000000000 5,767 0    

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN INTERN 304,877 304,877
    AMPHENOL CORP 408,737 408,737
    ANHEUSER-BUSCH INBEV 353,762 353,762
    APPLE INC 390,850 390,850
    AT&T INC 392,422 392,422
    BANK OF AMERICA CORP 391,206 391,206
    BROADRIDGE FINANCIAL 184,700 184,700
    CONSTELLATION BRANDS 384,348 384,348
    CONSUMERS ENERGY 384,902 384,902
    JP MORGAN CHASE 341,788 341,788
    MEAD JOHNSON NUTRITIONAL 265,434 265,434
    PNC FINANCIAL SERVICES GROUP 397,652 397,652
    ROYAL CARIBBEAN 414,500 414,500
    STRYKER CORP 399,405 399,405
    SYNCHRONY FINANCIAL 344,031 344,031
    THE BANK OF NOVA SCOTIA 635,854 635,854
    THERMO FISHER SCIENTIFIC 197,905 197,905
    UNITED RENTALS 92,750 92,750
    VANGUARD INFLATION 921,111 921,111
    VANGUARD TOTAL BOND 2,324,442 2,324,442
    VENTAS CAPITAL 295,783 295,783
    VISA INC 344,047 344,047

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DFA EMERGING MKTS VALUE 5,220,799 5,220,799
    FARM CREDIT SYSTEM 566,114 566,114
    FHLB 411,131 411,131
    PIMCO RAE FUNDAMENTAL 3,371,949 3,371,949
    SPDR S&P GLOBAL NATURAL 1,175,340 1,175,340
    TVA 711,419 711,419

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    US Government Securities - End of Year Book Value:

    2,053,584
    US Government Securities - End of Year Fair Market Value:

    2,053,584
    State & Local Government Securities - End of Year Book Value:


    986,245
    State & Local Government Securities - End of Year Fair Market Value:


    986,245


    TY 2018 InvestmentsOtherSchedule2
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACCRUED INTEREST AT COST 100,959 100,959
    AUDAX GROUP FMV 167,782 167,782
    COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LP FMV 1,406,418 1,406,418
    GEMINI GROUP FMV 33,947,718 33,947,718
    HARVEST MLP INCOME FUND II LLC FMV 4,155,532 4,155,532
    IRONWOOD INTERNATIONAL LTD FMV 7,536,500 7,536,500
    MAP RE 2018 LP FMV 132,422 132,422
    PARAMATRIC COMMODITY TRUST FMV 1,254,435 1,254,435
    RCP ADVISORS FMV 4,347 4,347
    SEAPORT GLOBAL PROPERTY SECURITIES FUND LLC FMV 5,469,559 5,469,559
    THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUND FMV 5,000,315 5,000,315
    WCP NEWCOLD LP FMV 2,163,296 2,163,296
    WEATHERLOW OFFSHORE FUND I LTD FMV 7,438,122 7,438,122

    TY 2018 LandEtcSchedule2
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    INTERACTIVE DISPLAY SYSTEM 5,661 2,076 3,585 3,585
    SMARTSIMPLE SOFTWARE LTD 57,673 5,767 51,906 51,906


    TY 2018 LegalFeesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 16,373 0   17,331


    TY 2018 OtherDecreasesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 12,081,298


    TY 2018 OtherExpensesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 17,453 0   17,453
    COMPUTER AND SOFTWARE 22,607 0   22,607
    ADVERTISING AND PROMOTIONS 20,007 0   20,007
    FEES AND SUBSCRIPTIONS 25,030 0   25,030
    OFFICE EXPENSE 10,908 0   10,908
    REPAIRS AND MAINTENANCE 412 0   412
    EQUIPMENT RENT 3,823 0   3,823
    BOND PREMIUM AMORTIZATION 49 49   0
    STATE FILING FEES 50 0   50


    TY 2018 OtherIncomeSchedule2
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ALTERNATIVE INVESTMENTS 567,809 507,795 567,809
    EXCISE TAX BENEFIT 3,979   3,979


    TY 2018 OtherIncreasesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description Amount
    PRIOR PERIOD ADJUSTMENT 2,923


    TY 2018 OtherLiabilitiesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Description Beginning of Year - Book Value End of Year - Book Value
    PAYROLL LIABILITIES 59,050 83,173
    DEFERRED EXCISE TAX 131,179 111,603
    EXCISE TAX PAYABLE 53,962 15,547


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT 294,947 294,947   0
    CONSULTING 402,697 122,114   314,520
    RECRUITING 40,000 0   40,000
    PASSTHROUGH INVESTMENT EXPENSE 0 1,073,003   0


    TY 2018 TaxesSchedule
    Name:
    HEADWATERS HEALTH FOUNDATION
     
    OF WESTERN MONTANA
    EIN:
    81-1099715
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX 0 18,005   0
    EXCISE TAX 76,038 0   0