Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 159,742 | 223,344 | 145,772 | 144,882 | 520,372 | 1,194,112 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 159,742 | 223,344 | 145,772 | 144,882 | 520,372 | 1,194,112 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 1,194,112 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 159,742 | 223,344 | 145,772 | 144,882 | 520,372 | 1,194,112 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 72,142 | 126,893 | 83,305 | 74,291 | 83,413 | 440,044 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 1,634,156 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4C | EDUCATIONAL SCHOLARSHIPS FROM THE FOLLOWING FUNDS: ARTHUR J. PETERS SCHOLARSHIP FUND, KARL AND BETTY KECK SCHOLARSHIP FUND, WEST DELAWARE ENGINEERING SCHOLARSHIP FUND, EARL GLEASON SCHOLARSHIP FUND, ED AND RUTH BIRKHOLZ SCHOLARSHIP FUND, HOWARD F. WELLEMEYER SCHOLARSHIP FUND, GEORGE AND BLANCHE PERRINJAQUET SCHOLARSHIP FUND, ARTHUR SCHOLARSHIP FUND, WILLIAM C. FRANCOIS SCHOLARSHIP FUND, LLOYD KELCHEN SCHOLARSHIP FUND, ZACH SHERMAN SCHOLARSHIP FUND, WT LICHTER TRUST, SUSAN ELLEDGE SCHOLARSHIP, DOUGLAS P. KIRBY MEMORIAL SCHOLARSHIP, MARTY HARPER SCHOLARSHIP FUND, DAVE SCHULTZ SCHOLARSHIP, CANDY HERZMAN SCHOLARSHIP, FRANK L. STATON MEMORIAL SCHOLARSHIP FUND, ANNIE KEHRLI MEMORIAL NURSING SCHOOL SCHOLARSHIP, SCHENKE/PHELPS ENDOWMENT FOR THE ARTS SCHOLARSHIP FUND, FRED AND ELLEN PHELPS MEDICAL SCHOLARSHIPS. |
| FORM 990, PAGE 2, PART III, LINE 4D | DELAWARE COUNTY COMMUNITY CHEST FUND - SUPPORTS COUNTY PROGRAMS INCLUDING SERVICES FOR CHILDREN, ELDERLY, FAMILIES, EDUCATION, HEALTH CARE, THE POOR AND THE NEEDY. OPERATION SANTA CLAUS FUND - PROVIDE FOR THE LESS FORTUNATE OF DELAWARE COUNTY BY PROVIDING FOOD, CLOTHING, AND TOYS PURCHASED LOCALLY. COMMUNITY CENTER PROJECT FUND - COLLECT FUNDS FOR THE CONTINUED IMPROVEMENT OF THE COMMUNITY RECREATION CENTER FOR THE CITIZENS OF MANCHESTER AND SURROUNDING COMMUNITIES. WEST DELAWARE COUNTY COMMUNITY SCHOOL DISTRICT FUND - MAINTAIN, DEVELOP, INCREASE, AND EXTEND THE FACILITIES AND SERVICES OF WEST DELAWARE SCHOOL DISTRICT. ARE YOU OK FUND - COMPUTERIZED HEALTH CHECK OF ELDERLY RESIDENTS OF DELAWARE COUNTY, IOWA. WEST DELAWARE SCHOOL AUDITORIUM FUND - PROVIDE SUPPORT FOR THE ENHANCEMENT OF THE ARTS PROGRAMS OF WEST DELAWARE SCHOOL DISTRICT. DELAWARE COUNTY DISASTER RECOVERY - MEET THE UNMET NEEDS OF THE CITIZENS OF DELAWARE COUNTY FROM ANY TYPE OF NATURAL DISASTER. BMJ RODIES' FAMILY FOUNDATION - SUPPORT FOR THE DELAWARE COUNTY CANCER LOAN CHEST AND OTHER ACTIVITIES THAT ASSIST DELAWARE COUNTY RESIDENTS AND THEIR FAMILIES WHO ARE SUFFERING FROM CANCER. TREES FOREVER FUND - ENHANCE AND IMPROVE THE CITY OF EARLVILLE AREA BY ESTABLISHING AND IMPROVING PARKS, IMPROVING RECREATIONAL OPPORTUNITIES, AND IMPROVING CITY ENTRANCES BY PLANTING TREES, SHRUBS, FLOWERS, AND NATIVE GRASSES. FRIENDS OF MUSIC - RAISE FUNDS TO SUPPORT THE MUSIC DEPARTMENT OF THE WEST DELAWARE COUNTY COMMUNITY SCHOOL DISTRICT. WEST DELAWARE BOOSTER CLUB - RAISE FUNDS TO SUPPORT THE EXTRACURRICULAR ACTIVITIES OF THE WEST DELAWARE COUNTY COMMUNITY SCHOOL DISTRICT. DELAWARE COUNTY FOOD PANTRY - ASSIST RESIDENTS OF DELAWARE COUNTY WITH FOOD IN THE EVENT OF A LOST JOB, A FIRE, A TORNADO, A BANK CLOSURE, AND OTHER CIRCUMSTANCES BEYOND A PERSON'S CONTROL. SHELLY FAMILY FOUNDATION - PROVIDE ACADEMIC SCHOLARSHIPS TO GRADUATING SENIORS FROM WEST DELAWARE HIGH SCHOOL AND FUND OTHER COMMUNITY PROJECTS THAT COMPLY WITH THE FOUNDATION'S PURPOSE. MANCHESTER LIONS CLUB - SUPPORT PROGRAMS SUCH AS KIDSIGHT (SCREENING CHILDREN FOR EYE DEFECTS), LIONS EYE BANK, LIONS HEARING AID CENTER, GLASSES FOR NEEDY PERSONS, AND LEADER DOG. JOHN J. JUERGENS MEMORIAL TRUST - TO CONTRIBUTE TO THE GROWTH OF THE CITY OF COLESBURG AND THE SURROUNDING AREA. SECOND HELPINGS - PROVIDE FREE MEALS TO THE POOR AND NEEDY OF DELAWARE COUNTY, IOWA. FRIENDS OF THE CASTLE THEATRE- SUPPORT AND PROMOTE THE ARTS FOR CITIZENS OF DELAWARE COUNTY. YOUTH FOOTBALL PROGRAM - TEACH FUNDAMENTALS AND FUN OF PLAYING FOOTBALL, WHILE TEACHING TEAMWORK AND RESPECT. VETERANS MEMORIAL PROJECT - CONSTRUCT A MEMORIAL FOR ALL VETERANS OF DELAWARE COUNTY, IA. AMERICAN LEGION POST 45 - CUSTODIAN OF FLAGS FOR DOWNTOWN MANCHESTER AND OAKLAND, ST. MARY'S, AND OTHER DELAWARE COUNTY CEMETERIES. RAGBRAI - OPERATING ACCOUNT USED FOR RECORDKEEPING DURING RAGBRAI TOUR THROUGH MANCHESTER. WEST DELAWARE FINE ARTS - FACILITATE ARTS EVENTS AT THE HANSON AUDITORIUM OF WEST DELAWARE COMMUNITY SCHOOL DISTRICT. BACKBONE AREA ARTISTS TOUR - ENCOURAGE TOURISM AND A COTTAGE INDUSTRY BY CREATING AWARENESS OF THE ARTISTS AND DEVELOPING MARKETS. EARLVILLE COMMUNITY CLUB - RAISE FUNDS TO ENCOURAGE ACTIVITIES THAT BENEFIT THE COMMUNITY AND CITIZENS OF THE COMMUNITY. |
| FORM 990, PART VI | SECTION C, LINE 20, BOOKS IN THE CARE OF: GNB BANK 300 E MAIN MANCHESTER, IA 52057 563-927-3814 F&M BANK 101 E MAIN MANCHESTER, IA 52057 563-927-4475 COMMUNITY SAVINGS BANK 101 E UNION EDGEWOOD, IA 52042 563-928-6425 FARMERS SAVINGS BANK 205 MAIN COLESBURG, IA 52035 563-856-2315 CITIZENS STATE BANK 117 W FIRST STREET, MONTICELLO, IA 52310 319-465-5921 |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE TO GIVE NOTICE OF CONFLICT OF INTEREST AND THEREAFTER REFRAIN FROM DISCUSSING OR VOTING ON ANY TRANSACTION WHERE HE OR SHE HAS A CONFLICT OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS AVAILABLE TO PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |