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
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
MIDWESTONE BANK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)CO MATT WALTER PO BOX 1700
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
IOWA CITY, IA52244
A Employer identification number

75-3023674
B Telephone number (see instructions)

(319) 356-5800
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$4,182,421J 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) 100,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 436 436  
4 Dividends and interest from securities... 102,766 102,766  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 20,808
b Gross sales price for all assets on line 6a 560,643
7 Capital gain net income (from Part IV, line 2)... 20,808
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 224,010 124,010  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,520 760   760
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,544 95   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,064 855   760
25 Contributions, gifts, grants paid....... 178,840 178,840
26 Total expenses and disbursements. Add lines 24 and 25 182,904 855   179,600
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 41,106
b Net investment income (if negative, enter -0-) 123,155
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
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.............      
2 Savings and temporary cash investments......... 108,567 50,225 50,225
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 761,111 Click to see attachment774,262 1,426,121
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,494,443 Click to see attachment2,582,027 2,706,075
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,364,121 3,406,514 4,182,421
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 750,000 750,000
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 2,614,121 2,656,514
29 Total net assets or fund balances (see instructions)..... 3,364,121 3,406,514
30 Total liabilities and net assets/fund balances (see instructions). 3,364,121 3,406,514
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
3,364,121
2
Enter amount from Part I, line 27a .....................
2
41,106
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,287
4
Add lines 1, 2, and 3 ..........................
4
3,406,514
5
Decreases not included in line 2 (itemize) bullet
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
3,406,514
Form 990-PF (2020)
Form 990-PF (2020)
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 SECURITES P    
b PUBLICLY TRADED SECURITES P    
c LONG TERM CAPITAL GAINS 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 15,098   19,331 -4,233
b 529,455   520,504 8,951
c 16,090     16,090
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       -4,233
b       8,951
c       16,090
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 20,808
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
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,712
c All other domestic foundations enter 1.39% 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 1,712
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 1,712
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 1,800
b Exempt foreign organizations—tax withheld at source...... 6b 0
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 1,800
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 88
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet88 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 the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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 addressbulletMIDWESTONEBANK.COM/AFOUNDATION.PHP
    14
    The books are in care ofbulletMATT WALTER Telephone no.bullet (319) 356-5800

    Located atbulletPO BOX 1700IOWA CITYIA ZIP+4bullet52244
    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 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    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 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    KEVIN W MONSON PRESIDENT
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    CHARLES N FUNK VICE PRESIDENT
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    MATT WALTER SECRETARY/TREASURER
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    PEGGY HUDSON DIRECTOR
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    LARRY D ALBERT DIRECTOR
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    RUTH E STANOCH DIRECTOR
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    KURT R WEISE DIRECTOR
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    LEN DEVAISHER DIRECTOR AS OF 9/25/20
    1.00     		0 0 0
    PO BOX 1700
    IOWA CITY,IA52244
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    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 (2020)
    Form 990-PF (2020)
    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
    3,706,080
    b
    Average of monthly cash balances.......................
    1b
    78,688
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,784,768
    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
    3,784,768
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    56,772
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,727,996
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    186,400
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    186,400
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,712
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,712
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    184,688
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    184,688
    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
    184,688
    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
    179,600
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    179,600
    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
    179,600
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 184,688
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 6,493
    b From 2016...... 3,219
    c From 2017...... 2,422
    d From 2018...... 6,818
    e From 2019...... 23,815
    fTotal of lines 3a through e........ 42,767
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 179,600
    a Applied to 2019, 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 2020 distributable amount..... 179,600
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 5,088 5,088
    (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 37,679
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		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 2015 not
    applied on line 5 or line 7 (see instructions) ...     		1,405
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		36,274
    10 Analysis of line 9:
    a Excess from 2016.... 3,219
    b Excess from 2017.... 2,422
    c Excess from 2018.... 6,818
    d Excess from 2019.... 23,815
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, 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) 2020 (b) 2019 (c) 2018 (d) 2017
             
    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 (2020)
    Form 990-PF (2020)
    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
    AARON'S PLAYGROUND
    897 LEDGESTONE DRIVE
    MAHTOMEDI,MN55115     		N/A PC GENERAL OPERATING FUND 2,500
    ARENACO CVB
    1512 7TH STREET
    CORALVILLE,IA52241     		N/A PC GENERAL OPERATING FUND 5,000
    BCLUW ACES
    704 COMMERCIAL ST
    UNION,IA50258     		N/A PC GENERAL OPERATING FUND 2,500
    BOYS AND GIRLS CLUB OF THE NORTH STAR
    905 6TH STREET NW
    ELK RIVER,MN55330     		N/A PC GENERAL OPERATING FUND 5,000
    BOYS AND GIRLS CLUBS OF METRO DENVER
    2017 W 9TH AVE
    DENVER,CO802043845     		N/A PC GENERAL OPERATING FUND 3,750
    BUTLER COUNTY FAIR
    101 S MAIN STREET
    ALLISON,IA50602     		N/A PC GENERAL OPERATING FUND 3,333
    CAER FOOD SHELF
    12621 ELK LAKE ROAD
    ELK RIVER,MN55330     		N/A PC GENERAL OPERATING FUND 2,500
    CENTRAL COLLEGE
    812 UNIVERSITY STREET
    PELLA,IA50219     		N/A PC GENERAL OPERATING FUND 5,000
    CHISAGO LAKES SCHOOL DISTRICT
    13750 LAKE BLVD
    LINDSTROM,MN55045     		N/A PC GENERAL OPERATING FUND 5,000
    CITY OF FARLEY
    PO BOX 246
    FARLEY,IA52046     		N/A PC GENERAL OPERATING FUND 5,000
    CITY OF LANCASTER
    206 S MADISON STREET
    LANCASTER,WI53813     		N/A PC GENERAL OPERATING FUND 3,333
    CITY OF NORTH ENGLISH
    PO BOX 220
    NORTH ENGLISH,IA52316     		N/A PC GENERAL OPERATING FUND 1,758
    CITY OF PARKERSBURG
    804 LINCOLN ST
    PARKERSBURG,IA506650489     		N/A PC GENERAL OPERATING FUND 3,000
    DUBUQUE MUSEUM OF ART
    701 LOCUST STREET
    DUBUQUE,IA52001     		N/A PC GENERAL OPERATING FUND 5,000
    EDEN PRAIRIE HOCKEY ASSOCIATION
    7900 W 78TH ST 450
    MINNEAPOLIS,MN55439     		N/A PC GENERAL OPERATING FUND 3,750
    FAITH ACADEMY
    1030 CROSS PARK AVENUE
    IOWA CITY,IA52240     		N/A PC GENERAL OPERATING FUND 4,000
    FRANCONIA SCULPTURE PARK
    29836 ST CROIX TRAIL
    SHAFER,MN55074     		N/A PC GENERAL OPERATING FUND 2,500
    FRIENDS OF THE MELBOURNE PUBLIC LIBRARY
    1433 295TH STREET
    RHODES,IA50162     		N/A PC GENERAL OPERATING FUND 2,500
    FRIENDS OF THE WILLOW RIVER AND KINNICKKINNIC STATE PARK
    1034 COUNTY ROAD A
    HUDSON,WI54016     		N/A PC GENERAL OPERATING FUND 4,000
    GREATER BURLINGTON AREA SPORTS FACILITIES
    610 N 4TH STREET SUITE 200
    BURLINGTON,IA52601     		N/A PC GENERAL OPERATING FUND 4,000
    HILLS AND DALES
    1011 DAVIS STREET
    DUBUQUE,IA52001     		N/A PC GENERAL OPERATING FUND 2,000
    HISTORIC PELLA TRUST
    615 MAIN STREET
    PELLA,IA50219     		N/A PC GENERAL OPERATING FUND 4,000
    HUDSON HOSPITAL FOUNDATION
    405 STAGELINE ROAD
    HUDSON,WI54016     		N/A PC GENERAL OPERATING FUND 5,000
    INSPIRING COMMUNITY INC
    PO BOX 503
    PLATTEVILLE,WI53818     		N/A PC GENERAL OPERATING FUND 3,333
    JEFFERSON COUNTY KIDS
    101 N COURT ST
    FAIRFIELD,IA52556     		N/A PC GENERAL OPERATING FUND 3,000
    LAKES INTERNATIONAL LANGUAGE ACADEMY
    246 11TH AVENUE SE
    FOREST LAKE,MN55025     		N/A PC GENERAL OPERATING FUND 2,500
    LEE COUNTY HOUSING DEVELOPMENT
    3677 CENTRAL AVE
    FORT MYERS,FL33901     		N/A PC GENERAL OPERATING FUND 4,000
    LETS GO FISHING ST CROIX CHAPTER
    200 5TH AVE S
    BAYPORT,MN55003     		N/A PC GENERAL OPERATING FUND 2,500
    MAHASKA YMCA AND EARLY CHILDHOOD DEVELOPMENT CENTER
    124 1ST AVENUE EAST
    OSKALOOSA,IA52577     		N/A PC GENERAL OPERATING FUND 6,000
    NATL MISSISSIPPI RIVER MUSEUM & AQUARIUM
    350 EAST 3RD STREET
    DUBUQUE,IA52001     		N/A PC GENERAL OPERATING FUND 5,000
    NEIGHBORS INC
    222 GRAND AVE W
    SOUTH SAINT PAUL,MN55075     		N/A PC GENERAL OPERATING FUND 3,333
    OSCEOLA MEDICAL CENTER
    PO BOX 218
    OSCEOLA,WI54020     		N/A PC GENERAL OPERATING FUND 2,500
    PRISM
    1220 ZANE AVE N
    GOLDEN VALLEY,MN55422     		N/A PC GENERAL OPERATING FUND 5,000
    RHODES FIRE STATION
    PO BOX 97
    RHODES,IA50234     		N/A PC GENERAL OPERATING FUND 2,500
    RISE SCHOOL OF DENVER
    4901 E EASTMAN AVE
    DENVER,CO80222     		N/A PC GENERAL OPERATING FUND 5,000
    RIVER VALLEY RIDERS
    8362 TAMARACK VILLAGE SUITE 119-440
    WOODBURY,MN55125     		N/A PC GENERAL OPERATING FUND 2,500
    RONALD MCDONALD HOUSE CHARITIES
    730 HAWKINS DRIVE
    IOWA CITY,IA52246     		N/A PC GENERAL OPERATING FUND 2,000
    SHELTER HOUSE
    PO BOX 3146
    IOWA CITY,IA522443146     		N/A PC GENERAL OPERATING FUND 5,000
    STEPHEN ANIMAL SHELTER FOUNDATION
    100 FIRST AVE W
    OSKALOOSA,IA52577     		N/A PC GENERAL OPERATING FUND 3,750
    STEPPING STONE EMERGENCY HOUSING
    3300 4TH AVE
    ANOKA,MN55303     		N/A PC GENERAL OPERATING FUND 2,500
    STONEHILL FRANCISCAN SERVICES
    3485 WINDSOR AVENUE
    DUBUQUE,IA52001     		N/A PC GENERAL OPERATING FUND 12,000
    STRENGTH GROW EVOLVE CAMPAIGN
    221 E WASHINGTON STREET
    IOWA CITY,IA52240     		N/A PC GENERAL OPERATING FUND 6,000
    UI CENTER FOR ADVANCEMENT
    ONE WEST PARK ROAD
    IOWA CITY,IA52244     		N/A PC GENERAL OPERATING FUND 5,000
    UNITYPOINT HEALTH - ALLEN FOUNDATION
    1825 LOGAN AVE
    WATERLOO,IA50703     		N/A PC GENERAL OPERATING FUND 3,000
    UNIVERSITY OF IOWA FOUNDATION
    ONE WEST PARK ROAD
    IOWA CITY,IA52244     		N/A PC GENERAL OPERATING FUND 3,000
    VETERANS MEMORIAL PROJECT - CORALVILLE IOWA
    501 12TH AVE SUITE 102
    CORALVILLE,IA52241     		N/A PC GENERAL OPERATING FUND 2,500
    WASHINGTON COUNTY HISTORICAL SOCIETY
    602 N MAIN STREET
    STILLWATER,MN55082     		N/A PC GENERAL OPERATING FUND 2,500
    Total .................................bullet 3a 178,840
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 ...........     		    14 436  
    4 Dividends and interest from securities....     14 102,766  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 20,808  
    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).. 0 124,010 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    124,010
    (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 (2020)
    Form 990-PF (2020)
    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 instructions.
    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 (2020)
    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
    2020
    Name of the organization
    MIDWESTONE BANK FOUNDATION
     
    Employer identification number

    75-3023674
    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) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    MIDWESTONE BANK FOUNDATION
          		Employer identification number
    75-3023674
    Part I
    Contributors
    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
    MIDWESTONE BANK
     
    PO BOX 1700
     
    IOWA CITY, IA52244

    		$ 100,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    MIDWESTONE BANK FOUNDATION
          		Employer identification number

    75-3023674
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    MIDWESTONE BANK FOUNDATION
          		Employer identification number

    75-3023674
    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) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    MIDWESTONE BANK FOUNDATION
    EIN:
    75-3023674
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREP FEES 1,520 760   760

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    MIDWESTONE BANK FOUNDATION
    EIN:
    75-3023674
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 4,193 6,817
    ABBOTT LABS 6,181 27,810
    ACCENTURE PLC IRELAND SHS CLASS A 13,843 30,562
    ALLSTATE CORP 16,016 27,373
    ALPHABET INC - CL A 2,893 12,268
    ALPHABET INC - CL C 11,296 36,789
    AMERICAN TOWER CORP NEW COM 12,205 28,282
    APPLE INC 15,156 75,501
    APPLIED MATLS INC COM 15,305 28,134
    AT&T INC 11,050 10,354
    BALL CORP 6,514 21,990
    BECTON DICKINSON AND CO 17,739 28,775
    BLACKROCK INC COMMON 16,012 28,140
    BOEING COMPANY 7,464 19,908
    BOSTON SCIENFTIFIC CORP COM 11,155 11,287
    BROADCOM LTD 19,293 35,028
    CAPITAL ONE FINL CORP 11,897 19,078
    CHEVRON CORP 13,333 12,076
    CIGNA CORP COMMON 13,349 17,695
    CISCO SYSTEMS INC 11,017 20,182
    CITIGROUP INC COM NEW 7,438 10,051
    CORTEVA INC 2,356 3,059
    COSTCO WHSL CORP 15,223 26,751
    CVS HEALTH CORPORATION COM 26,746 32,852
    DANAHER CORP 4,781 20,659
    DOLLAR GENERAL CORP NEW 16,984 39,326
    DOMINION RES INC 17,636 18,650
    DUKE ENERGY HOLDING 19,470 22,890
    DUPONT DE NEMOURS INC 6,495 5,618
    FACEBOOK INC CL A 17,079 31,413
    FED EX CORP 20,865 33,231
    FORTIVE CORP COM 2,094 5,949
    GOLDMAN SACHS GROUP INC COM 13,768 18,460
    HOME DEPOT INC COM 17,883 32,406
    ILLINOIS TOOLWORKS 10,867 33,029
    JOHNSON & JOHNSON 19,477 31,004
    JP MORGAN CHASE 15,214 36,088
    MICRON TECHNOLOGY INC 15,927 24,960
    MICROSOFT CORP COM 18,177 57,607
    MIDWESTONE FINL GROUP INC 23,963 24,500
    MONDELEZ INTL INC 9,215 15,085
    NETFLIX INC COM 18,229 31,903
    NIKE INC CL B 6,921 10,752
    ORACLE SYSTEMS CORP 14,061 28,852
    O'REILLY AUTOMOTIVE 9,900 33,943
    PEPSICO INCORPORATED 9,377 17,203
    PIONEER NAT RES CO COM 6,612 4,328
    PROCTER & GAMBLE 8,924 21,010
    SALESFORCE COM INC COM 20,365 36,940
    SYNCHRONY FINANCIAL 13,288 14,856
    TARGET CORP COM 16,520 20,301
    UNION PAC CORP COM 18,417 24,154
    UNITEDHEALTH GROUP INC COM 21,794 41,731
    VALERO ENERGY CORP 14,924 14,708
    VERIZON COMM 9,799 14,041
    VISA INC COM CL A 20,405 43,965
    WALMART INC COM 12,627 20,613
    WALT DISNEY COMMON 14,530 25,184

    TY 2020 InvestmentsOtherSchedule2
    Name:
    MIDWESTONE BANK FOUNDATION
    EIN:
    75-3023674
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    COHEN & STEERS GLOBAL REALTY SHARES, INC CLASS I AT COST 35,000 33,932
    FEDERATED INSTL TR HI YIELD BD AT COST 162,173 163,624
    INVESCO OPPENHEIMER DEVELOPING MARKETS CLASS R6 AT COST 46,399 66,306
    JANUS TRITON FD CL 1 AT COST 71,012 99,355
    LORD ABBETT SHORT DURATION INCOME FUND CLASS F AT COST 413,668 413,755
    MFS INSTL INTL EQUITY FUND AT COST 50,940 65,831
    MFS NEW DISCOVERY VALUE FUND CLASS I AT COST 43,000 46,305
    PIMCO INCOME FUND AT COST 431,575 429,738
    PIMCO INVESTMENT GRADE CORP BD AT COST 440,500 468,310
    PIONEER MULTI-ASSET ULTRA SHORT INC FUND AT COST 47,566 46,189
    T ROWE PRICE MID-CAP GROWTH FUND CLASS I AT COST 70,574 82,915
    TCW EMERGING MARKET INCOME FUND CLASS I AT COST 138,740 141,165
    VANGUARD FIXED INCOME SECS GNMA FD ADMRL AT COST 239,120 250,147
    VICTORY SYCAMORE ESTABLISHED VALUE FUND CLASS I AT COST 41,000 42,009
    WESTERN ASSET CORE PLUS BOND AT COST 350,760 356,494

    TY 2020 OtherIncreasesSchedule
    Name:
    MIDWESTONE BANK FOUNDATION
    EIN:
    75-3023674
    Description Amount
    INVESTMENT ADJUSTMENT 1,287


    TY 2020 TaxesSchedule
    Name:
    MIDWESTONE BANK FOUNDATION
    EIN:
    75-3023674
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 2,449 0   0
    FOREIGN TAX 95 95   0