-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
05-01-2019
, and ending
04-30-2020
Name of foundation
ROY J CARVER CHARITABLE TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
202 IOWA AVENUE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MUSCATINE
,
IA
527613733
A Employer identification number
42-1186589
B
Telephone number (see instructions)
(563) 263-4010
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
285,250,007
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
14,365
14,365
4
Dividends and interest from securities
...
5,750,471
8,514,080
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
7,069,400
b
Gross sales price for all assets on line 6a
52,077,728
7
Capital gain net income (from Part IV, line 2)
...
8,268,450
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)
.......
367,360
4,389,949
12
Total.
Add lines 1 through 11
........
13,201,596
21,186,844
13
Compensation of officers, directors, trustees, etc.
538,998
33,080
505,918
14
Other employee salaries and wages
......
451,296
5,180
446,116
15
Pension plans, employee benefits
.......
246,434
3,002
243,432
16a
Legal fees (attach schedule)
.........
10,549
2,110
8,439
b
Accounting fees (attach schedule)
.......
33,900
6,780
27,120
c
Other professional fees (attach schedule)
....
1,060,172
1,053,125
7,002
17
Interest
...............
30,924
18
Taxes (attach schedule) (see instructions)
...
232,178
222,055
0
19
Depreciation (attach schedule) and depletion
...
69,338
13,868
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
3,278
0
3,278
22
Printing and publications
..........
1,335
0
1,335
23
Other expenses (attach schedule)
.......
108,928
998,176
87,297
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
2,756,406
2,368,300
1,329,937
25
Contributions, gifts, grants paid
.......
16,329,449
16,329,449
26
Total expenses and disbursements.
Add lines 24 and 25
19,085,855
2,368,300
17,659,386
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-5,884,259
b
Net investment income
(if negative, enter -0-)
18,818,544
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
4,000
4,000
4,000
2
Savings and temporary cash investments
.........
3,843,053
3,054,727
3,054,727
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
59,217
10a
Investments—U.S. and state government obligations (attach schedule)
6,270,623
7,089,923
7,631,549
b
Investments—corporate stock (attach schedule)
.......
54,356,560
57,441,534
63,129,770
c
Investments—corporate bonds (attach schedule)
.......
33,005,892
30,063,978
29,979,259
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
17,012,340
14,067,937
14,246,523
13
Investments—other (attach schedule)
..........
122,649,947
119,593,253
165,094,549
14
Land, buildings, and equipment: basis
3,000,360
Less: accumulated depreciation (attach schedule)
1,621,488
1,419,315
1,378,872
1,378,872
15
Other assets (describe
)
558,210
730,758
730,758
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
239,179,157
233,424,982
285,250,007
17
Accounts payable and accrued expenses
..........
128,504
74,719
18
Grants payable
.................
42,415,904
40,160,952
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
)
1,823,000
720,000
23
Total liabilities
(add lines 17 through 22)
.........
44,367,408
40,955,671
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
194,811,749
192,469,311
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
194,811,749
192,469,311
30
Total liabilities and net assets/fund balances
(see instructions)
.
239,179,157
233,424,982
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
194,811,749
2
Enter amount from Part I, line 27a
.....................
2
-5,884,259
3
Other increases not included in line 2 (itemize)
3
3,541,821
4
Add lines 1, 2, and 3
..........................
4
192,469,311
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
192,469,311
Form
990-PF
(2019)
Form 990-PF (2019)
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 - GALLIARD
b
PUBLICLY TRADED SECURITIES - INV COMM
c
PUBLICLY TRADED SECURITIES - LSV
d
PUBLICLY TRADED SECURITIES - SMITH GRAHAM
e
PUBLICLY TRADED SECURITIES - SCZ
PUBLICLY TRADED SECURITIES - IWF
PUBLICLY TRADED SECURITIES - IWR
PUBLICLY TRADED SECURITIES - ACADIAN
PUBLICLY TRADED SECURITIES - ADAMS STREET
FROM K-1 - ACADIAN INTERNATIONAL ALL-CAP FUND
FROM K-1 - ADAMS STREET 2009 DIRECT FUND LP
FROM K-1 - ADAMS STREET 2013 GLOBAL FUND LP
FROM K-1 - ADAMS STREET CO-INVESTMENT FUND IIIA LP
FROM K-1 - ADAMS STREET PARTNERSHIP FUND - 2003 NON-US FUND LP
FROM K-1 - ADAMS STREET PARTNERSHIP FUND - 2003 US FUND LP
FROM K-1 - ADAMS STREET PARTNERSHIP FUND - 2005 NON-US FUND LP
FROM K-1 - ADAMS STREET PARTNERSHIP FUND - 2005 US FUND LP
FROM K-1 - ADAMS STREET PTRSHP FUND - 2009 NON-US DEVELOPED MARKETS FUND LP
FROM K-1 - ADAMS STREET PTRSHP FUND - 2009 NON-US EMERGING MARKETS FUND LP
FROM K-1 - ADAMS STREET PARTNERSHIP FUND - 2009 US FUND LP
FROM K-1 - THE EMERGING WORLD INVESTORS LP
CAPITAL GAINS DIVIDENDS
P
(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
30,130,049
29,319,838
810,211
b
536
50
486
c
4,864,770
3,277,169
1,587,601
d
9,680,630
8,135,501
1,545,129
e
200,029
126,217
73,812
2,400,172
854,416
1,545,756
1,000,046
403,808
596,238
846,619
846,619
0
2,944,764
2,944,764
0
312,567
2,792
572,794
425,164
-47,445
102,841
-11,536
185,595
124,655
28,528
258,133
145,016
10,113
10,113
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
810,211
b
486
c
1,587,601
d
1,545,129
e
73,812
1,545,756
596,238
0
0
312,567
2,792
572,794
425,164
-47,445
102,841
-11,536
185,595
124,655
28,528
258,133
145,016
10,113
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
8,268,450
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
...................
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?
Yes
No
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))
2018
17,821,078
325,237,791
0.054794
2017
18,105,263
334,261,661
0.054165
2016
16,364,123
305,492,464
0.053566
2015
16,010,155
299,006,891
0.053544
2014
16,714,972
312,519,164
0.053485
2
Total
of line 1, column (d)
.....................
2
0.269554
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.053911
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
317,142,592
5
Multiply line 4 by line 3
......................
5
17,097,474
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
188,185
7
Add lines 5 and 6
........................
7
17,285,659
8
Enter qualifying distributions from Part XII, line 4
,.............
8
17,665,165
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
188,185
here
and 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
188,185
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
188,185
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
339,244
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
339,244
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
151,059
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
151,059
Refunded
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
IA
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
CARVERTRUST.ORG
14
The books are in care of
DR TROY ROSS
Telephone no.
(563) 263-4010
Located at
202 IOWA AVENUE
MUSCATINE
IA
ZIP+4
527613733
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
JOHN A CARVER
TRUSTEE
2.00
23,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
ROY J CARVER JR
TRUSTEE/CHAIRMAN
4.00
26,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
WILLARD L BOYD
TRUSTEE
1.00
20,600
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
J LARRY GRIFFITH
TRUSTEE/VICE CHAIRMAN
4.00
25,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
TROY K ROSS
EXECUTIVE ADMINISTRATOR
40.00
373,598
62,641
3,114
202 IOWA AVENUE
MUSCATINE
,
IA
52761
D SCOTT INGSTAD
TRUSTEE
2.00
23,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
DAVID M UTLEY
TRUSTEE/SECRETARY
2.00
23,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
MARTIN G CARVER
TRUSTEE
2.00
23,300
0
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
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
LYNNE M SASMAZER
PROGRAM DIRECTOR
40.00
165,204
32,845
139
202 IOWA AVENUE
MUSCATINE
,
IA
52761
MICHELLE L ELIAS
FINANCE DIRECTOR
40.00
83,191
31,005
46
202 IOWA AVENUE
MUSCATINE
,
IA
52761
LINDA K DEAN
EXECUTIVE ASSISTANT
40.00
86,634
20,693
177
202 IOWA AVENUE
MUSCATINE
,
IA
52761
LINDA B MUMEY
PROGRAM ASST/SEC
40.00
60,067
8,250
0
202 IOWA AVENUE
MUSCATINE
,
IA
52761
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
SMITH GRAHAM & CO
ASSET MANAGEMENT
339,835
600 TRAVIS STREET
HOUSTON
,
TX
77002
ACADIAN ASSET MANAGEMENT
ASSET MANAGEMENT
246,619
1 POST OFFICE SQUARE
BOSTON
,
MA
02109
LSV ASSET MANAGEMENT
ASSET MANAGEMENT
176,389
155 NORTH WACKER DRIVE SUITE 4600
CHICAGO
,
IL
60606
GALLIARD CAPITAL MANAGEMENT
ASSET MANAGEMENT
141,438
800 LASALLE AVENUE SUITE 1100
MINNEAPOLIS
,
MN
55402
NORTHERN TRUST
ASSET MANAGEMENT
88,074
50 SOUTH LASALLE STREET
CHICAGO
,
IL
60606
Total
number of others receiving over $50,000 for professional services
.............
0
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
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
320,430,201
b
Average of monthly cash balances
.......................
1b
701,063
c
Fair market value of all other assets (see instructions)
................
1c
840,911
d
Total
(add lines 1a, b, and c)
.........................
1d
321,972,175
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
321,972,175
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
4,829,583
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
317,142,592
6
Minimum investment return.
Enter 5% of line 5
..................
6
15,857,130
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
15,857,130
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
188,185
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
188,185
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
15,668,945
4
Recoveries of amounts treated as qualifying distributions
................
4
367,360
5
Add lines 3 and 4
............................
5
16,036,305
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
16,036,305
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
17,659,386
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
5,779
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
17,665,165
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
188,185
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
17,476,980
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
16,036,305
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
1,257,925
b
From 2015
......
1,418,720
c
From 2016
......
1,423,334
d
From 2017
......
1,156,852
e
From 2018
......
1,585,559
f
Total
of lines 3a through e
........
6,842,390
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
17,665,165
a
Applied to 2018, 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 2019 distributable amount
.....
16,036,305
e
Remaining amount distributed out of corpus
1,628,860
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
8,471,250
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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 2014 not
applied on line 5 or line 7 (see instructions)
...
1,257,925
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
7,213,325
10
Analysis of line 9:
a
Excess from 2015
....
1,418,720
b
Excess from 2016
....
1,423,334
c
Excess from 2017
....
1,156,852
d
Excess from 2018
....
1,585,559
e
Excess from 2019
....
1,628,860
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
ROY J CARVER CHARITABLE TRUST
202 IOWA AVENUE
MUSCATINE
,
IA
527613733
(563) 236-4010
b
The form in which applications should be submitted and information and materials they should include:
SUBMIT A WRITTEN OR ELECTRONIC LETTER OF INQUIRY BEFORE SUBMISSION OF A FORMAL REQUEST. INCLUDE THE FOLLOWING INFORMATION: 1. A BRIEF BACKGROUND ON YOUR ORGANIZATION, INCLUDING A HISTORY OF ITS EXISTENCE, THE SIZE OF STAFF AND BOARD AND THE TYPE OF SERVICE PROVIDED. 2. A DESCRIPTION OF THE PROJECT, WHAT IT IS DESIGNED TO ACHIEVE, AND HOW THIS WILL BE ACCOMPLISHED. 3. A PROPOSED BUDGET FOR THE TOTAL COST OF THE PROJECT AND THE AMOUNT YOU INTEND TO REQUEST FROM THE TRUST. 4. A STATEMENT DESCRIBING WHY PARTICIPATION OF THE CARVER TRUST IS VITAL TO THE SUCCESS OF THE PROJECT. INDICATE PAST HISTORY WITH THE TRUST.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
RECIPIENT MUST QUALIFY AS AN EXEMPT CHARITABLE, EDUCATIONAL, OR SCIENTIFIC ORGANIZATION UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE.
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
AFRICAN AMERICAN MUSEUM OF IOWA
55 12TH AVENUE SE
CEDAR RAPIDS
,
IA
52401
NONE
PC
SUPPORT BUILDING AND EXHIBIT UPDATES
72,222
AMERICAN RED CROSS
1100 RIVER DRIVE
MOLINE
,
IL
61265
NONE
PC
DISASTER RELIEF FOR EASTERN IOWA FLOODING
10,000
AMERICAN RED CROSS
1100 RIVER DRIVE
MOLINE
,
IL
61265
NONE
PC
EMERGENCY BLOOD DRIVE PUBLIC SERVICE CAMPAIGN
15,000
BOY SCOUTS OF AMERICA - ILLOWA COUNCIL
4412 NORTH BRADY STREET
DAVENPORT
,
IA
52806
NONE
PC
SUPPORT IMPROVEMENTS AT CAMP LOUD THUNDER
147,709
BRIAR CLIFF UNIVERSITY
3303 REBECCA STREET
SIOUX CITY
,
IA
51104
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
12,000
BUENA VISTA UNIVERSITY
610 WEST 4TH STREET
STORM LAKE
,
IA
50588
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
CENTRAL COLLEGE
812 UNIVERSITY
PELLA
,
IA
50219
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
20,000
CENTRAL COLLEGE
812 UNIVERSITY
PELLA
,
IA
50219
NONE
PC
PURCHASE A NUCLEAR MAGNETIC RESONANCE SPECTROMETER
145,000
CITY OF WEST LIBERTY
119 EAST 3RD STREET
WEST LIBERTY
,
IA
52776
NONE
GOV
KIMBERLY PARK PLAYGROUND EQUIPMENT
25,000
CLARKE UNIVERSITY
1550 CLARKE DRIVE
DUBUQUE
,
IA
52001
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
CLARKE UNIVERSITY
1550 CLARKE DRIVE
DUBUQUE
,
IA
52001
NONE
PC
RENOVATE CAMPUS CLASSROOMS
100,000
COE COLLEGE
1220 1ST AVENUE NE
CEDAR RAPIDS
,
IA
52402
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
COMMUNITY FOUNDATION OF GREATER MUSCATINE
208 WEST 2ND STREET SUITE 213
MUSCATINE
,
IA
52761
NONE
PC
VISION 20/20 - SUSTAIN SERVICES
30,000
CORNELL COLLEGE
600 1ST STREET SW
MOUNT VERNON
,
IA
52314
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
DAVENPORT PUBLIC LIBRARY
321 NORTH MAIN STREET
DAVENPORT
,
IA
52801
NONE
PC
RENOVATE THE LIBRARY INTERIOR
100,000
DIKE PUBLIC LIBRARY
133 EAST ELDER STREET
DIKE
,
IA
50624
NONE
PC
REPLACE THE LIBRARY ROOF
5,950
DORDT COLLEGE
498 4TH AVENUE NE
SIOUX CENTER
,
IA
51250
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
DRAKE UNIVERSITY
2507 UNIVERSITY AVENUE
DES MOINES
,
IA
50311
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
20,000
EAST MOLINE PUBLIC LIBRARY
740 16TH AVENUE
EAST MOLINE
,
IL
61244
NONE
PC
RENOVATE AND EXPAND A BUILDING TO HOUSE THE LIBRARY
100,000
EASTER SEALS IOWA
401 NE 66TH AVENUE
DES MOINES
,
IA
50313
NONE
PC
SUPPORT FACILITY IMPROVEMENTS AT CAMP SUNNYSIDE
200,000
FLICKINGER LEARING CENTER
413 MULBERRY AVENUE
MUSCATINE
,
IA
52761
NONE
PC
IMPLEMENT STUDENT TRANSPORTATION PROGRAM
25,000
GRACELAND UNIVERSITY
1 UNIVERSITY PLACE
LAMONI
,
IA
50140
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
GRAND VIEW UNIVERSITY
1200 GRANDVIEW AVENUE
DES MOINES
,
IA
50316
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
GRAND VIEW UNIVERSITY
1200 GRANDVIEW AVENUE
DES MOINES
,
IA
50316
NONE
PC
ACQUIRE SCIENTIFIC INSTRUMENTATION
147,475
GRINNELL COLLEGE
1115 8TH AVENUE
GRINNELL
,
IA
50112
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
GROUT MUSEUM DISTRICT
503 SOUTH STREET
WATERLOO
,
IA
50701
NONE
PC
RENOVATE THE MUSEUM PLANETARIUM
58,000
HUDSON PUBLIC LIBRARY
401 5TH STREET
HUDSON
,
IA
50643
NONE
PC
UPDATE THE LIBRARY
27,909
IOWA STATE UNIVERSITY FOUNDATION
2415 UNION DRIVE
AMES
,
IA
50011
NONE
PC
CARVER STATEWIDE SCHOLARSHIP PROGRAM
245,000
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
BIOTECHNOLOGY - SUPPORT THE ACQUISITION OF LIGHT-SHEET MICROSCOPY TECHNOLOGY
492,088
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
STUDY BACTERIAL ENZYME TO DEVELOP NEW ANTIMICROBIAL AGENTS
125,000
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
EXPAND A PROFESSIONAL DEVELOPMENT PROGRAM FOR K-12 TEACHERS
84,416
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
STUDY RESPIRATORY VIRUS INFECTION
94,834
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
STUDY PROTEIN EXPORT MECHANISM OF THE MALARIA PARASITE-LIVER STAGE
131,396
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
CARVER DEPT OF BBMB - STRUCTURAL BIOLOGY INITIATIVE PHASE II
1,110,000
IOWA WESLEYAN UNIVERSITY
601 NORTH MAIN STREET
MT PLEASANT
,
IA
52641
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
4,000
LAKE VIEW PUBLIC LIBRARY
202 MAIN STREET BOX 20
LAKE VIEW
,
IA
51450
NONE
PC
CONSTRUCT AN ADDITION TO THE LIBRARY
40,000
LEAGUE OF WOMEN VOTERS OF IOWA
CAPITOL BUILDING 1007 EAST GRAND
AVENUE
DES MOINES
,
IA
50319
NONE
PC
CURRICULUM ON XIX AMENDMENT IN IOWA
37,500
LORAS COLLEGE
1450 ALTA VISTA STREET
DUBUQUE
,
IA
52001
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
LUTHER COLLEGE
700 COLLEGE DRIVE
DECORAH
,
IA
52101
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
MORNINGSIDE COLLEGE
1501 MORNINGSIDE AVENUE
SIOUX CITY
,
IA
51106
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
12,000
MOUNT MERCY UNIVERSITY
1330 ELMHURST DRIVE NE
CEDAR RAPIDS
,
IA
52402
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
MUSCATINE CENTER FOR SOCIAL ACTION
312 IOWA AVENUE
MUSCATINE
,
IA
52761
NONE
PC
GYMNASIUM FLOORING AND SOUND SYSTEM
24,846
MUSCATINE COMMUNITY SCHOOL DISTRICT
2900 MULBERRY AVENUE
MUSCATINE
,
IA
52761
NONE
GOV
CONSTRUCT HIGH SCHOOL SCIENCE FACILITIES
1,000,000
MUSCATINE COMMUNITY SCHOOL DISTRICT
2900 MULBERRY AVENUE
MUSCATINE
,
IA
52761
NONE
GOV
FUND THE 2020 EXCELLENCE IN EDUCATION PROGRAM
84,000
NAHANT MARSH EDUCATION CENTER
4220 WAPELLO AVENUE
DAVENPORT
,
IA
52802
NONE
PC
CONSTRUCT AND EQUIP A NEW FACILITY
125,000
NATIONAL MISSISSIPPI RIVER MUSEUM & AQUARIUM
350 EAST 3RD STREET
DUBUQUE
,
IA
52001
NONE
PC
EXHIBIT DEVELOPMENT
250,000
NATIONAL PEARL BUTTON MUSEUM
117 WEST 2ND STREET
MUSCATINE
,
IA
52761
NONE
PC
EXHIBIT DEVELOPMENT AT LACMRERS
20,000
NORTHWESTERN COLLEGE
101 7TH STREET SW
ORANGE CITY
,
IA
51041
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
NORTHWESTERN COLLEGE
101 7TH STREET SW
ORANGE CITY
,
IA
51041
NONE
PC
DEV. INSTR. FACILITIES FOR PHYSICIAN ASSISTANT TRAINING PROGRAM
120,000
PERRY PUBLIC LIBRARY
1101 WILLIS AVENUE
PERRY
,
IA
50220
NONE
PC
UPDATE THE LIBRARY INTERIOR
60,000
RIVER BEND FOODBANK
4010 KIMMEL DRIVE
DAVENPORT
,
IA
52802
NONE
PC
DISASTER RELIEF FUND
10,000
ROCK ISLAND GIRLS SOFTBALL LEAGUE
PO BOX 3961
ROCK ISLAND
,
IL
61204
NONE
PC
ROTARY FIELD LIGHTING PROJECT
23,250
SAINTS MARY AND MATHIAS CATHOLIC SCHOOL
2407 CEDAR STREET
MUSCATINE
,
IA
52761
NONE
PC
KILN
3,713
SIMPSON COLLEGE
701 NORTH C STREET
INDIANOLA
,
IA
50125
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
ST AMBROSE UNIVERSITY
518 WEST LOCUST STREET
DAVENPORT
,
IA
52803
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
TABOR PUBLIC LIBRARY
723 MAIN STREET
TABOR
,
IA
51653
NONE
PC
CONSTRUCT A NEW BUILDING
60,000
THE 180 ZONE INC
601 NORTH MARQUETTE STREET
DAVENPORT
,
IA
52802
NONE
PC
PURCHASE A PROGRAM VEHICLE
15,000
THE NATURE CONSERVANCY
4245 NORTH FAIRFAX DRIVE SUITE 100
ARLINGTON
,
VA
22203
NONE
PC
SUPPORT BIO SURVEY - LAND SWAMP WHITE OAK
80,000
UNITYPOINT HEALTH - DES MOINES FOUNDATION
1415 WOODLAND AVENUE SUITE E-200
DES MOINES
,
IA
50309
NONE
PC
SUPPORT MEDICAL STUDENT RESEARCH PROJECT
30,000
UNIVERSITY OF DUBUQUE
2000 UNIVERSITY AVENUE
DUBUQUE
,
IA
52001
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
12,000
UNIVERSITY OF ILLINOIS
1305 WEST GREEN STREET
URBANA
,
IL
61801
NONE
GOV
CARVER BIOTECH CENTER - SPECTROMETER AND MICROSCOPE DEVICE
399,995
UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
PC
CARVER STATEWIDE SCHOLARSHIPS
245,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
BIOLOGY - ACQUIRE EQUIPMENT FOR A GENOMICS RESEARCH CENTER
275,177
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
ENGINEERING - MAJOR INITIATIVE IN RESPIRATORY AND PULMONARY BME
1,500,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
CCOM - ENDOWMENT FOR IVR GENE THERAPY LAB - DR BUDD TUCKER
1,500,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
EDUCATION - IMPROVE EARLY CHILDHOOD LANGUAGE DEVELOPMENT
120,370
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
BIOLOGY - EXPAND COMMUNITY BASED SCIENCE EDUCATION PROGRAM
92,972
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
CCOM - DIRECT THE 2020 GIFT PAYOUT FOR THE IOWA NEUROSCIENCE INSTITUTE
3,100,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
CHEMISTRY - DEVELOP NEW UNDERGRADUATE CURRICULA IN CHEMISTRY
47,214
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
PUBLIC HEALTH - EXTEND A MUSCATINE STUDY ON CARDIOVASCULAR HEALTH
390,558
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
STANLEY MUSEUM OF ART - CONSTRUCT A NEW FACILITY
500,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
LIBRARIES - PURCHASE TECHNOLOGY FOR TRAINING AND EDUCATION OF ANATOMY
108,530
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
MEDICINE - ENDOWMENT FOR IVR GENE THERAPY LAB - DR BUDD TUCKER
1,000,000
UNIVERSITY OF NORTHERN IOWA FOUNDATION
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
CARVER STATEWIDE SCHOLARSHIPS
245,000
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
COMMUNICATIONS EQUIPMENT USED IN THE STUDY OF SPEECH DISORDERS
113,560
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
HUMANITIES - ACQUIRE INSTRUMENT FOR ADVANCED SPECTRAL ANALYSIS
375,000
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
UPDATE AN INSTRUCTIONAL LABORATORY FOR THE STUDY OF GENETICS
160,000
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
UPDATE MICROSCOPY EQUIPMENT
125,000
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
CENTER FOR ENERGY AND ENV. ED. - DEVELOP EDUCATIONAL PROGRAM IN PUBLIC HEALTH
59,765
UPPER IOWA UNIVERSITY
605 WASHINGTON STREET
FAYETTE
,
IA
52142
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
UPPER IOWA UNIVERSITY
605 WASHINGTON STREET
FAYETTE
,
IA
52142
NONE
PC
PURCHASE EQUIPMENT FOR CHEMICAL ANALYSIS
80,000
VERA FRENCH FOUNDATION
1441 WEST CENTRAL PARK AVENUE
DAVENPORT
,
IA
52804
NONE
PC
EXPAND THERAPEUTIC SERVICES FOR QUAD CITY YOUTH
25,000
WARTBURG COLLEGE
100 WARTBURG BLVD
WAVERLY
,
IA
50677
NONE
PC
PRIVATE COLLEGE CARVER SCHOLARSHIP PROGRAM
16,000
WEST LIBERTY COMMUNITY SCHOOL DISTRICT
1103 NORTH ELM STREET
WEST LIBERTY
,
IA
52776
NONE
PC
GIRLS SOFTBALL FIELD LIGHTING
25,000
WVIK RADIO AT AUGUSTANA COLLEGE
815 38TH STREET
ROCK ISLAND
,
IL
61201
NONE
PC
HD CHANNEL DEVELOPMENT
30,000
Total
.................................
3a
16,329,449
b
Approved for future payment
IOWA STATE UNIVERSITY FOUNDATION
2415 UNION DRIVE
AMES
,
IA
50011
NONE
PC
CARVER STATEWIDE SCHOLARSHIP PROGRAM
122,500
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
EXPAND A PROFESSIONAL DEVELOPMENT PROGRAM FOR K-12 TEACHERS
168,832
IOWA STATE UNIVERSITY
2415 UNION DRIVE
AMES
,
IA
50011
NONE
GOV
STUDY RESPIRATORY VIRUS INFECTION IN CHILDREN WHO ARE IMMUNOCOMPROMISED DUE TO NUTRITIONAL DEFICIENCY
255,291
UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
PC
CARVER STATEWIDE SCHOLARSHIP PROGRAM
122,500
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
SUPPORT A MAJOR INITIATIVE IN RESPIRATORY AND PULMONARY BIOMEDICAL ENGINEERING
9,000,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
CREATE AN OPERATIONAL ENDOWMENT FOR A GENE THERAPY LABORATORY IN THE INSTITUTE FOR VISION RESEARCH
500,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
PROVIDE MAJOR PROGRAM AND ENDOWMENT SUPPORT
30,850,000
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
DEVELOP A NEW UNDERGRADUATE CURRICULA IN CHEMISTY
128,296
UNIVERSITY OF IOWA
PO BOX 4550
IOWA CITY
,
IA
52244
NONE
GOV
PURCHASE TECHNOLOGY FOR TRAINING AND EDUCATION IN ANATOMY
23,162
UNIVERSITY OF NORTHERN IOWA FOUNDATION
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
PC
CARVER STATEWIDE SCHOLARSHIP PROGRAM
122,500
UNIVERSITY OF NORTHERN IOWA
1227 WEST 27TH STREET
CEDAR FALLS
,
IA
50614
NONE
GOV
DEVELOP EDUCATIONAL PROGRAMMING IN PUBLIC HEALTH SCIENCE AND COMMUNITY ENGAGEMENT
123,551
Total
.................................
3b
41,416,632
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
14,365
4
Dividends and interest from securities
....
14
5,750,471
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
01
367,360
8
Gain or (loss) from sales of assets other than
inventory
............
18
7,069,400
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
13,201,596
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
13,201,596
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description