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

20-2017785
B Telephone number (see instructions)

(515) 222-2428
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$42,421,408J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 128,657 128,657  
4 Dividends and interest from securities... 1,554,312 1,554,312  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 714,884
b Gross sales price for all assets on line 6a 25,421,733
7 Capital gain net income (from Part IV, line 2)... 714,884
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........ 2,397,853 2,397,853  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 135,635 0   121,393
14 Other employee salaries and wages...... 4,000 0   3,580
15 Pension plans, employee benefits....... 25,207 0   22,560
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 7,825 0   7,003
c Other professional fees (attach schedule).... Click to see attachment 45,126 0   40,388
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 40,301 0   9,638
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 3,432 0   3,072
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 326,448 273,257   44,921
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 587,974 273,257   252,555
25 Contributions, gifts, grants paid....... 1,950,439 1,950,439
26 Total expenses and disbursements. Add lines 24 and 25 2,538,413 273,257   2,202,994
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -140,560
b Net investment income (if negative, enter -0-) 2,124,596
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............. 144,912 36,607 36,607
2 Savings and temporary cash investments......... 475,133 466,634 466,634
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.......... 43,741 5,589 5,589
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 40,687,123 Click to see attachment41,725,686 41,725,686
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment245,910 Click to see attachment186,892 Click to see attachment186,892
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 41,596,819 42,421,408 42,421,408
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................. 20,000 10,000
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment252,953 Click to see attachment197,631
23 Total liabilities (add lines 17 through 22)......... 272,953 207,631
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........... 41,323,866 42,213,777
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 41,323,866 42,213,777
30 Total liabilities and net assets/fund balances (see instructions). 41,596,819 42,421,408
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
41,323,866
2
Enter amount from Part I, line 27a .....................
2
-140,560
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,030,471
4
Add lines 1, 2, and 3 ..........................
4
42,213,777
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
42,213,777
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 MORGAN STANLEY #4045 - SHORT TERM      
b MORGAN STANLEY #4045 - LONG TERM      
c CAPITAL GAINS DIVIDENDS P    
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 13,699,226   13,623,702 75,524
b 11,651,836   11,083,147 568,689
c 70,671     70,671
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       75,524
b       568,689
c       70,671
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 2 714,884
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 29,532
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 29,532
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 29,532
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 27,760
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,772
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 29,532
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
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 addressbulletN/A
    14
    The books are in care ofbulletTELLIGEN COMMUNITY INITIATIVE Telephone no.bullet (515) 222-2428

    Located atbullet1776 WEST LAKES PARKWAYWEST DES MOINESIA ZIP+4bullet50266
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 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
    GERARD CLANCY MD DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    MATT MCGARVEY EXECUTIVE DIRECTOR
    40.00     		135,635 25,207 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    PAMELA BALLOU-NELSON SECRETARY/TREASURER
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    JIM STAVNEAK DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    RIED BOOM MD DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    MICHELE DRUKER DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    KIM DOWNS DIRECTOR
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    VICTORIA SHARP MD PRESIDENT
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    PEG MASON VICE PRESIDENT
    1.00     		0 0 0
    1776 WEST LAKES PARKWAY
    WEST DES MOINES,IA50266
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (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 GRANTMAKING TO OTHER CHARITABLE ORGANIZATIONS 0
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (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
    38,866,197
    b
    Average of monthly cash balances.......................
    1b
    186,238
    c
    Fair market value of all other assets (see instructions)................
    1c
    5,589
    d
    Total (add lines 1a, b, and c).........................
    1d
    39,058,024
    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
    39,058,024
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    585,870
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    38,472,154
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,923,608
    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
    1,923,608
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    29,532
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    29,532
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,894,076
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,894,076
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,894,076
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    2,202,994
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,202,994
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,202,994
    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 1,894,076
    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......  
    b From 2016...... 449,844
    c From 2017......  
    d From 2018...... 50,599
    e From 2019...... 80,222
    fTotal of lines 3a through e........ 580,665
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 2,202,994
    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..... 1,894,076
    e Remaining amount distributed out of corpus 308,918
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 889,583
    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) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		889,583
    10 Analysis of line 9:
    a Excess from 2016.... 449,844
    b Excess from 2017....  
    c Excess from 2018.... 50,599
    d Excess from 2019.... 80,222
    e Excess from 2020.... 308,918
    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
    ALLIANCECHICAGO
    225 W ILLNOIS ST 5TH FLOOR
    CHICAGO,IL60654     		  501(C)3 DEVELOPMENT OF INTERRELATIONSHIP BETWEEN COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY HEALTH CENTERS TO CREATE COMPREHENSIVE CARE AND WRAP-AROUND SOCIAL SERVICES 50,000
    CENTENNIAL MENTAL HEALTH CARE
    211 WEST MAIN STREET
    STERLING,CO80751     		  501(C)3 CENTENNIAL MENTAL HEALTH CENTER, INC. (CENTENNIAL) SEEKS TO ENHANCE AND EXPAND OUR CURRENT INTEGRATED SERVICES PROGRAM TO INCREASE ACCESS TO BEHAVIORAL HEALTH CARE BY EMBEDDING A TEAM OF PROVIDERS INTO RURAL HEALTH CLINICS AND PRIMARY CARE PRACTICES IN OUR MOST UNDERSERVED COMMUNITIES IN OUR TEN COUNTY REGION. CENTENNIAL'S EFFORTS WILL BE FOCUSED ON ADVANCING A GEOGRAPHICAL EXPANSION TO OUR COMMUNITIES PARTNERING WITH LOCAL MEDICAL PROVIDERS IN CREATING INNOVATIVE SERVICE DELIVERY. 50,000
    CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL
    4913 WEST RENO AVENUE
    OKLAHOMA CITY,OK73127     		  501(C)3 OKCIC WILL INITIATE AND SUPPORT LEAN SIX SIGMA GREEN BELT CERTIFICATION ACROSS THE OKLAHOMA CITY AREA INDIAN HEALTH SERVICE (OCAIHS), PRIMARILY IN OKLAHOMA. GREEN BELTS WILL DEVELOP INITIATIVES AND LEAD TEAMS THROUGH INNOVATIVE AND FORWARD-LOOKING CONTINUOUS IMPROVEMENT PROJECTS AIMED AT STREAMLINING PROCESSES, ELIMINATING INEFFICIENCIES, AND IMPROVING HEALTHCARE DELIVERY. OUR GOAL IS TO CREATE A SUSTAINABLE COLLABORATION AIMED AT PROVIDING EXCELLENT HEALTHCARE TO AMERICAN INDIANS (AIS). 50,000
    CLINICA COLORADO
    8300 ALCOTT STREET SUITE 300
    WESTMINSTER,CO80031     		  501(C)3 IN DECEMBER 2019, WE ESTABLISHED A NEW DIABETES COORDINATED CARE PROGRAM FOR PATIENTS WITH UNCONTROLLED DIABETES AND OTHER METABOLIC SYNDROME ISSUES. OUR PROVIDERS AND FRONT-LINE MEDICAL STAFF IDENTIFY AND RECRUIT PARTICIPANTS WHO ARE A GOOD FIT FOR DIABETES GROUP VISITS. THE MONTHLY GROUP VISITS INCLUDE 2-3 STAFF MEMBERS OVERSEEING 10-15 PATIENTS AND THEIR FAMILY MEMBERS. THE INCORPORATION OF FAMILY MEMBERS AND/OR OTHER SUPPORTING FRIENDS IS A VALUABLE ADDITION TO OUR DIABETIC CARE. 6,183
    COLORADO ASSOCIATION OF BLACK PROFESSIONAL ENGINEERS AND SCIENTISTS
    PO BOX 200508
    DENVER,CO80220     		  501(C)3 JUNIOR ENGINEERS, TOMORROW'S SCIENTISTS (JETS) PROGRAM ENGAGES STUDENTS IN GRADES 5-12 WITH INTERACTIVE, STEM-BASED SUBJECTS DESIGNED TO INSPIRE STUDENTS TO PURSUE COLLEGE AND FUTURE CAREERS IN STEM-RELATED FIELDS, INCLUDING THE HEALTH CARE INDUSTRY. THE JETS PROGRAM IS DESIGNED TO DEVELOP STUDENTS' INTEREST IN THE APPLIED SCIENCES THROUGH A VARIETY OF INTERACTIVE STEM COURSES, FIELD TRIPS, HANDS-ON PROJECTS, AND OTHER PROJECT-BASED LEARNING (PBL) OPPORTUNITIES. 35,000
    COLORADO HEALTH INSTITUTE
    1999 BROADWAY SUITE 600
    DENVER,CO80202     		  501(C)3 THE METRO DENVER PARTNERSHIP FOR HEALTH HAS IDENTIFIED A NEED TO ADOPT A REGIONAL SOCIAL HEALTH INFORMATION EXCHANGE (SHIE) TO ADDRESS THE SOCIAL FACTORS THAT INFLUENCE HEALTH. AN EFFECTIVE SHIE WILL NEED PARTNERSHIP WITH COMMUNITY ORGANIZATIONS WHO MAKE AND RECEIVE REFERRALS. HOWEVER, MANY COMMUNITY PROVIDERS FACE RESOURCE LIMITATIONS IN PROVIDING FEEDBACK TO THIS WORK. OUR GOAL IS TO TO ADDRESS THESE BARRIERS BY MOBILIZING THE COMMUNITY AND CLINICAL WORKFORCE TO REALIZE THE VISION OF A SHIE. 50,000
    COLORADO MEDICAL SOCIETY EDUCATION FOUNDATION
    7351 E LOWRY BLVD SUITE 110
    DENVER,CO80230     		  501(C)3 THE COLORADO MEDICAL SOCIETY (CMS) HAS ALREADY ESTABLISHED AN ONGOING COVID-19 PHYSICIANS' TOWN HALL, VIRTUAL GRAND ROUNDS, A WEBINAR ON PHYSICIANS STAYING WELL AMIDST THE CRISIS, A COVID-19 DISCUSSION BOARD, IN ADDITION TO BEING PART OF THE PHYSICIANS CARE LINE AS DESCRIBED ABOVE (CO CARE LINE FOR PHYSICIANS). CMS WOULD LIKE TO COMPLEMENT THIS BY DEVELOPING A COVID-19 SPECIFIC RESOURCE TO THE CARE LINE THAT COULD THEN FOCUS ON LONG-TERM PHYSICIAN WELLBEING EFFORTS AND LIKELY REMAIN ACTIVE FOR EMERGING WORK IN THAT SPACE AFTER A PANDEMIC RESPONSE 50,000
    COMMUNITY ACTION PROJECT OF TULSA COUNTY
    5330 EAST 31ST STREET SUITE 300
    TULSA,OK74135     		  501(C)3 COMMUNITY ACTION PROJECT OF TULSA COUNTY (CAP) PROVIDES SCHOOL-BASED PHYSICAL HEALTH, ORAL HEALTH, BEHAVIORAL HEALTH, AND NUTRITION SERVICES FOR OVER 2,000 CHILDREN ENROLLED IN ITS EARLY CHILDHOOD PROGRAM. CAP SEEKS FUNDING TO SUPPORT CRITICAL SERVICES TO CHILDREN AND FAMILIES PROVIDED BY THE AGENCY'S HEALTH AND BEHAVIORAL HEALTH TEAMS. 25,000
    COMMUNITY FOOD BANK OF EASTERN OKLAHOMA
    1304 NORTH KENOSHA
    TULSA,OK74106     		  501(C)3 A FOOD BANK AND FOOD BANK COALITION GRANTEE PROACTIVELY SELECTED BY TCI FOR IMMEDIATE FOOD PROCUREMENT NEEDS EXACERBATED BY THE COVID-19 PANDEMIC AND INCREASING UNEMPLOYMENT (RESOURCING 24 EASTERN OKLAHOMA COUNTIES) 25,000
    DUPAGE PADS
    601 W LIBERTY DR
    WHEATON,IL60187     		  501(C)3 HOMELESS INDIVIDUAL AND FAMILY HEALTH NAVIGATION PROGRAM 20,000
    EDUCATIONAL AND SCIENTIFIC FOUNDATION OF THE ILLINOIS STATE MEDCIAL SOCIETY
    20 NORTH MICHIGAN AVENUE STE 700
    CHICAGO,IL60602     		  501(C)3 FUNDING WILL HELP RESOURCE A CURRENT SERIES OF VIRTUAL SUPPORTIVE PROGRAMMING TO PROVIDER AND FRONT-LINE HEALTH WORKER STRESS AND MENTAL HEALTH RELIEF 50,000
    FEEDING ILLINOIS
    41W905 N CIRCLE DRIVE
    ST CHARLES,IL60175     		  501(C)3 A FOOD BANK AND FOOD BANK COALITION GRANTEE PROACTIVELY SELECTED BY TCI FOR IMMEDIATE FOOD PROCUREMENT NEEDS EXACERBATED BY THE COVID-19 PANDEMIC AND INCREASING UNEMPLOYMENT (RESOURCING 8 MEMBER FOOD BANKS THROUGHOUT ILLINOIS) 50,000
    FOOD BANK OF THE ROCKIES
    10700 EAST 45TH AVENUE
    DENVER,CO80239     		  501(C)3 A FOOD BANK AND FOOD BANK COALITION GRANTEE PROACTIVELY SELECTED BY TCI FOR IMMEDIATE FOOD PROCUREMENT NEEDS EXACERBATED BY THE COVID-19 PANDEMIC AND INCREASING UNEMPLOYMENT (RESOURCING 30 COLORADO COUNTIES) 50,000
    HOME FRONT MILITARY NETWORK
    1120 NORTH CIRCLE DRIVE SUITE 230
    COLORADO SPRINGS,CO80909     		  501(C)3 HFMN HELPS MILITARY AND VETERANS FAMILIES NAVIGATE SUPPORT SYSTEMS THROUGH ONE-TIME EMERGENCY FINANCIAL BRIDGE SUPPORT AND FACILITATING COLLABORATION AMONG MILITARY, VETERAN AND COMMUNITY PROVIDERS TO FIND THE SERVICES THAT ARE THE BEST FIT, BEFORE THEY ARE IN CRISIS. HFMN PROMOTES HEALTH AND WELL-BEING BY FOCUSING ON SOCIAL DETERMINANTS OF HEALTH, INCLUDING FAMILY AND COMMUNITY SUPPORTS, EMPLOYMENT, EDUCATION, FINANCIAL AND HOUSING STABILITY. 25,000
    HOSPICE OF WASHINGTON COUNTY
    948 E 11TH STREET
    WASHINGTON,IA52353     		  501(C)3 HONARARY GRANT FROM TCI TO HOSPICE OF WASHINGTON COUNTY FOR THE TCI BOARD OF DIRECTORS SERVICE OF PEG MASON. 2,500
    HUNGER FREE COLORADO
    1355 SOUTH COLORADO BLVD SUITE 201
    DENVER,CO80222     		  501(C)3 HUNGER FREE COLORADO (HFC) IS SUPPORTING COLORADO FOOD PANTRIES TO WORK BETTER TOGETHER IN SHARING RESOURCES, COLLABORATING FOR JOINT PURCHASES AND DEVELOPING STRATEGIC RELATIONSHIPS WITH LOCAL FARMERS AND RANCHERS. HFC BROUGHT FOOD PANTRIES TOGETHER TO FORM A NETWORK KNOWN AS THE COLORADO FOOD PANTRY NETWORK AND IS FOCUSED ON CREATING GROUP INFRASTRUCTURE, TOOLS AND RELATIONSHIPS TO DEVELOP A CONSISTENT SUPPLY OF NUTRITIOUS AND LOCAL FOOD IN PANTRIES ACROSS THE STATE. 50,000
    IOWA CANCER CONSORTIUM
    2501 CROSSPARK RD SUITE A
    CORALVILLE,IA52241     		  501(C)3 CREATE A SUSTAINABLE AND INNOVATIVE STATEWIDE IOWA RURAL CNACER RESEARCH NETWORK 50,000
    IOWA DONOR NETWORK
    320 ADVENTURELAND DR NW
    ALTOONA,IA50009     		  501(C)3 APP TO STREAMLINE TISSUE DONATION REFERRAL PROCESS TO FACILITATE DONATION AND TRANSPLANTS. 50,000
    IOWA FOOD BANK ASSOCIATION
    1605 LAFAYETTE STREET PO BOX 2397
    WATERLOO,IA50704     		  501(C)3 A FOOD BANK AND FOOD BANK COALITION GRANTEE PROACTIVELY SELECTED BY TCI FOR IMMEDIATE FOOD PROCUREMENT NEEDS EXACERBATED BY THE COVID-19 PANDEMIC AND INCREASING UNEMPLOYMENT (RESOURCING 7 MEMBER FOOD BANKS THROUGHOUT IOWA) 50,000
    IOWA MEDICAL SOCIETY FOUNDATION
    515 EAST LOCUST STREET
    DES MOINES,IA50309     		  501(C)3 FUNDING WILL HELP RESOURCE A CURRENT SERIES OF VIRTUAL SUPPORTIVE PROGRAMMING TO PROVIDER AND FRONT-LINE HEALTH WORKER STRESS AND MENTAL HEALTH 20,000
    IOWA STATE UNIVERSITY FOUNDATION
    4380 PALMER SUITE 2330
    AMES,IA50011     		  501(C)3 MENTAL HEALTH CONSULTATION SERVICE WILL BE FREE FOR PRIMARY CARE PHYSICIANS OF CHILDREN INSURED BY IOWA'S MEDICAL ASSISTANCE PROGRAM 50,000
    JEWELS ACADEMY
    1620 PLEASANT STREET SUITE 216
    DES MOINES,IA50314     		  501(C)3 YOUNG EMERGIN SCIENTISTS (YES) PROGRAM, STEM ENRICHMENT PROGRAMMING IS PROVIDED TO UNDER-REPRESENTED MINORITY WOMEN TO CONSIDER STEM CAREER PATHWAYS. 9,500
    LOCAL FOODS CONNECTION
    3633 HWY 146
    GRINNELL,IA50112     		  501(C)3 MAKE LOCAL, NUTRIENT FOOD ACCESSIBLE TO FAMILIES AND INDIVIDUALS WITH LIMITED MEANS 11,300
    METROPOLITAN TENANTS ORGANIZATIONS
    1727 S INDIANA G03
    CHICAGO,IL60616     		  501(C)3 EVICTION PREVENTION SERVICES ARE CRITICAL TO ENSURE HOUSING STABILITY DURING AND AFTER COVID-19 PANDEMIC 50,000
    MIDWEST ACCESS PROJECT
    5215 N RAVENWOOD AVENUE SUITE 206
    CHICAGO,IL60640     		  501(C)3 PROVIDER EDUCATION AROUND CONTRACEPTION, PREGNANCY OPTIONS, COUNSELING, ABORTION AND MISCARRIAGE MANAGEMENT 30,000
    NAMI DUPAGE COUNTY
    115 N COUNTY FARM ROAD
    WHEATON,IL60187     		  501(C)3 PROVIDE POLICE OFFICERS WITH RESOURCES TO BETTER ASSIST THEM WHEN THE RESPOND TO AN INCIDENT IN WHICH MENTAL ILLNESS IS THE PRIMARY COMPLAINT TO REDUCE POLICY INTERVENTIONS. 50,000
    NEWBOCO
    415 12TH AVENUE SE
    CEDAR RAPIDS,IA52401     		  501(C)3 HEALTHCARE FOCUS INTO A K-12 PROGRAM THAT PROVIDES STEM ACTIVITIES AND CODING EFFORTS TO A STATEWIDE PARTICIPANT AUDIENCE VIA NEW VIRTUAL PARTICIPATION CAPACITY. 50,000
    OKLAHOMA STATE MEDICAL ASSOCIATION FOUNDATION
    313 NE 50TH
    OKLAHOMA CITY,OK73105     		  501(C)3 OKLAHOMA STATE MEDICAL ASSOCIATION, LAUREATE INSTITUTE FOR BRAIN RESEARCH, AND UNIVERSITY OF TULSA ARE COLLABORATING AROUND THE DEVELOPMENT A TOOLBOX FOR HEALTH CARE WORKER WELL-BEING DURING COVID-19 PANDEMIC 90,000
    OPPORTUNITIES INC
    117 WEST RUSSWORM DRIVE
    WATONGA,OK73772     		  501(C)3 PROGRAM TO REACH LOW-INCOME CITIZENS IN 13 RURAL OKLAHOMA COUNTIES IN THE NORTHWEST PART OF THE STATE TO ADDRESS THEIR HUNGER, HEALTH CARE AND INSURANCE NEEDS. TRAINED EMPLOYEES AND VOLUNTEERS WILL WORK WITH LOCAL ORGANIZATIONS TO MEET WITH QUALIFIED CITIZENS TO DELIVER FOOD, PROVIDE COUNSEL FOR AFFORDABLE HEALTH INSURANCE AND ACCESS TO DISCOUNTED AND FREE PRESCRIPTION PROGRAMS. 50,000
    REGIONAL FOOD BANK OF OKLAHOMA
    3355 SOUTH PURDUE
    OKLAHOMA CITY,OK73179     		  501(C)3 A FOOD BANK AND FOOD BANK COALITION GRANTEE PROACTIVELY SELECTED BY TCI FOR IMMEDIATE FOOD PROCUREMENT NEEDS EXACERBATED BY THE COVID-19 PANDEMIC AND INCREASING UNEMPLOYMENT (RESOURCING 53 CENTRAL AND WESTERN OKLAHOMA COUNTIES) 25,000
    RESONANCE
    1608 SOUTH ELWOOD AVENUE
    TULSA,OK74119     		  501(C)3 RESONANCE WORKS WITH INCARCERATED WOMEN, BOTH IN-PRISON AND AFTER RELEASE, CONNECTING THEM TO RESOURCES NECESSARY FOR SUCCESS. RECENT OKLAHOMA CRIMINAL JUSTICE REFORMS ALLOW HUNDREDS OF SENTENCES TO BE COMMUTED, MEANING MANY WOMEN ARE RELEASING WITHOUT THE TOOLS NECESSARY TO SUCCEED. $50,000 IN FUNDING FOR AN ADDITIONAL PART-TIME THERAPIST TO WORK WITH THE COMMUTEES BOTH PRE-RELEASE AND POST-RELEASE CAN HELP ENSURE A CLEAN, SOBER FUTURE. 50,000
    SAINT JOSEPH HOSPITAL FOUNDATION
    1375 EAST 19TH AVENUE
    DENVER,CO80218     		  501(C)3 SAINT JOSEPH HOSPITAL FOUNDATION (SJH) REQUESTS $50,000 FROM THE TELLIGEN COMMUNITY INITIATIVE TO EXPAND A PROMISING PILOT PROJECT TO REDUCE POSTPARTUM DEPRESSION AMONG LOW-INCOME, HIGH-RISK WOMEN. WITH FUNDING, SJH WILL HIRE A CASE MANAGER TO PROVIDE BEHAVIORAL HEALTH INTERVENTIONS, INCLUDING THE ROSE CURRICULUM, FOR WOMEN WHO SCREEN AS AT-RISK FOR POSTPARTUM DEPRESSION. ROSE IS AN EVIDENCE-BASED APPROACH THAT HAS BEEN PROVEN TO REDUCE RATES OF POSTPARTUM DEPRESSION BY NEARLY 50%. 50,000
    SEASONS CENTER FOR BEHAVIORAL HEALTH
    201 EAST 11TH STREET
    SPENCER,IA51301     		  501(C)3 PILOT IMPLEMENTATION OF MOBILE BEHAVIORAL HEALTH CLINICS IN NORTHWEST IOWA TO INCREASE ACCESS. 50,000
    SISTERS WORKING IT OUT
    21114 VIVIENNE DR
    CHICAGO,IL60443     		  501(C)3 USE OF FUNDING THE TRAIN TWO COHORTS OF CHWS TO SERVE UNDERSERVED COMMUNITIES ACROSS METRO CHICAGO IN THE WAKE OF COVID-19. 50,000
    SOUTH WESTERN OKLAHOMA DEVELOPMENT AUTHORITY
    420 SOONER DRIVE
    BURNS FLAT,OK73624     		  501(C)3 ASSIST IN FUNDING SALARIES FOR AN RN AND PATIENT NAVIGATOR FOR A MOBILE MEDICAL UNIT TO PROVIDE TELEHEALTH SERVICES FOR OPIOID USE DISORDER (OUD). OUD SERVICES WILL BE PROVIDED TO THE UNDER-SERVED, RURAL COMMUNITIES IN ALFALFA, BEAVER, BECKHAM, BLAINE, CADDO, CIMARRON, CUSTER, DEWEY, ELLIS, GARFIELD, GRANT, GREER, HARMON, HARPER, JACKSON, KIOWA, MAJOR, ROGER MILLS, TEXAS, TILLMAN, WASHITA, WOODS, WOODWARD COUNTIES IN OKLAHOMA. 50,000
    SSM HEALTH ST ANTHONY FOUNDATION
    601 NW 11TH STREET
    OKLAHOMA CITY,OK73103     		  501(C)3 THE VEGGIE RX PROGRAM WILL INTEGRATE PRODUCE PRESCRIPTION PROGRAMS INTO SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE'S HEALTHCARE SYSTEM AS A POWERFUL TOOL FOR COMBATING DIET-RELATED CHRONIC DISEASE AND FOOD INSECURITY. PATIENTS WHO ENROLL WITH THEIR PHYSICIAN OR REGISTERED DIETITIAN WILL BE GIVEN CREDIT TO REDEEM AT PARTICIPATING GROCERY STORES FOR FRESH FRUITS AND VEGETABLES. COMBINED WITH WEEKLY NUTRITION EDUCATION OPPORTUNITIES, PATIENTS' HEALTH METRICS WILL IMPROVE OVER THE 12-WEEK PROGRAM. 50,000
    TELLIGEN COMMUNITY INITIATIVE SYNERGY CENTER
    501 SW 7TH STREET
    DES MOINES,IA50309     		  501(C)3 WE PROPOSE TO INTENTIONALLY CREATE A CAREFULLY SELECTED GROUP OF EMERGING HEALTH AND HUMAN SERVICE NONPROFITS AND INNOVATORS INTO A SHARED OR POOLED OFFICE SETTING WITH THE INTENTION OF HELPING THEM NURTURE AND GROW THEIR ORGANIZATIONAL CAPACITY. WE WOULD PROVIDE THEM WITH WORKSTATIONS, MEETING ROOMS AND A LARGE EVENT/CONFERENCE ROOM AS WELL AS TECHNOLOGY, TELECOMMUNICATIONS, MAINTENANCE AND SECURITY AT NO COST FOR A PERIOD OF TIME AS THEY AND THEIR WORK EMERGE. 94,164
    TRINITY HEALTH FOUNDATION
    2701 17TH STREET SUITE 206
    ROCK ISLAND,IL61201     		  501(C)3 PREVENT UNNECESSARY ED VISITS AND HOSPITALIZATIONS AMONG SKILLED NURSING FACILITY RESIDENTS, AND TO PROTECT THEM FROM COVID-19 EXPOSURE AND SPREAD 50,000
    TRU COMMUNITY CARE
    2594 TRAILRIDGE DRIVE EAST
    LAFAYETTE,CO80026     		  501(C)3 TRU IS DEVELOPING A COMPREHENSIVE TELEMEDICINE PROGRAM (TRU TELE-CARE) THAT WILL IMPROVE PATIENT CARE AND HEALTH CARE OUTCOMES AND REDUCE THE OVERALL COST OF CARE. TRU IS DEPLOYING TECHNOLOGY TO ALLOW FOR REMOTE PATIENT MONITORING (RPM) THAT ENABLES REAL-TIME DATA EXCHANGE AND TO PROACTIVELY MANAGE A PATIENT'S DISEASE PROGRESSION OVER TIME. RPM MAKES IT EASIER FOR PATIENTS AND FAMILIES LIVING WITH COMPLEX ILLNESSES TO COMMUNICATE WITH TRU AND TAKE ADVANTAGE OF CLINICAL EXPERTISE AND CARE. 49,502
    UNITED WAY OF IOWA
    PO BOX 316
    JOHNSTON,IA50131     		  501(C)3 HELP RESOURCE UNPLANNED EXPENSES AROUND LIFITING THIS INVALUABLE COMMUNITY SERVICE 50,000
    UNIVERSITY OF IOWA FOUNDATION
    CARVER COLLEGE OF MEDICINE 451
    NEWTON ROAD 200 MEDICINE ADMINISTRA
    IOWA CITY,IA52242     		  501(C)3 HONARARY GRANT FROM TCI TO THE UNIVERSITY OF IOWA - COLLEGE OF MEDICINE RURAL IOWA SCHOLARS PROGRAM FOR THE TCI BOARD OF DIRECTORS SERVICE OF DR. VICKIE SHARP. 2,500
    UNIVERSITY OF IOWA HOSPITAL & CLINICS
    UNIVERSITY OF IOWA CENTER FOR
    ADVANCEMENT PO BOX 4550
    IOWA CITY,IA52244     		  501(C)3 MENTAL HEALTH HOTLINE FOR ITS HEALTH WORKFORCE. 50,000
    YMCA OF GREATER DES MOINES
    501 GRAND AVENUE
    DES MOINES,IA50309     		  501(C)3 TOOLKIT TO IMPLEMENT 10-WEEK SAVE YOUR BRAIN PROGRAM TO REDUCE ALZHEIMER'S - TO BE PILOTED IN 4 IOWA COMMUNITIES. 49,340
    YMCA SUPPORTIVE HOUSING CAMPUS
    2 SW 9TH STREET
    DES MOINES,IA50309     		  501(C)3 RESEARCH APPRENTICESHIPS AND OTHER SOCIAL ENTERPRISE INITIATIVES TO SUPPORT THE RESIDENTS OF THE PERMANENT SUPPORTIVE HOUSING PROGRAM AND CAMPUS (140 BEDS FOR THOSE EMERGING FROM HOMELESSNESS). 39,150
    YOUTH OUTREACH SERVICES
    2411 WEST CONGRESS PARKWAY
    CHICAGO,IL60612     		  501(C)3 PROGRAM TO HELP YOUTH BREAK THE CYCLE OF JUVENILE JUSTIVE INVOLVEMENT BY OFFERING PROVEN ALTERNATIVES TO INCARCERATION 20,000
    YOUTHBUILD MCLEAN COUNTY
    360 WYLIE DR SUITE 305
    NORMAL,IL61761     		  501(C)3 LOW-INCOME, AT-RISK HIGH SCHOOL YOUTH LEARNING LAB TO PRACTICE KEY SKILL PRIOR TO THEIR ENROLLMENT IN HEALTH PURSUITS (CNA OR DISABLED SERVICE PROVIDER) 21,300
    YWCA TULSA
    1910 SOUTH LEWIS AVENUE
    TULSA,OK74104     		  501(C)3 YWCA TULSA PROPOSES TO HELP FILL THE SHORTAGE OF QUALIFIED MEDICAL INTERPRETERS IN TULSA AND SURROUNDING COUNTIES BY PROVIDING NATIONALLY RECOGNIZED TRAINING AND SUPPORT TO INCREASE THE NUMBER OF NATIONALLY ACCREDITED MEDICAL INTERPRETERS WITH A FOCUS ON IMMIGRANTS AND REFUGEES. THIS PROFESSIONAL SKILLS DEVELOPMENT PROGRAM WILL PROVIDE: HEALTH EQUITY FOR VULNERABLE COMMUNITIES, OPPORTUNITIES FOR JOB ADVANCEMENT, AND SUSTAINABILITY FOR OUR PROGRAMS SERVING NEWCOMERS TO TULSA. 50,000
    Total .................................bullet 3a 1,950,439
    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 ...........     		    14 128,657  
    4 Dividends and interest from securities....     14 1,554,312  
    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 ............     		    18 714,884  
    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 2,397,853 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,397,853
    (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

    TY 2020 AccountingFeesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 7,825 0   7,003

    TY 2020 InvestmentsOtherSchedule2
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS FMV 15,057,223 15,057,223
    EXCHANGE TRADED & CLOSED-END FUNDS FMV 433,529 433,529
    EQUITIES FMV 22,042,132 22,042,132
    CORPORATE FIXED INCOME FUNDS FMV 1,577,994 1,577,994
    GOVERNMENT SECURITIES FMV 2,614,808 2,614,808

    TY 2020 OtherAssetsSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    OPERATING LEASE RIGHT-OF-USE ASSET 245,910 186,892 186,892


    TY 2020 OtherExpensesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOUS 2,450 0   2,193
    ADMINISTRATIVE SERVICES 26,714 0   23,909
    INSURANCE 13,639 0   12,207
    INVESTMENT FEES 273,257 273,257   0
    OFFICE EXPENSES 2,580 0   2,309
    MANAGEMENT FEES 3,000 0   0
    INFORMATION TECHNOLOGY 4,808 0   4,303


    TY 2020 OtherIncreasesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Amount
    UNREALIZED GAIN/(LOSS) ON INVESTMENTS 1,030,471


    TY 2020 OtherLiabilitiesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Description Beginning of Year - Book Value End of Year - Book Value
    OPERATING LEASE LIABILITY 252,953 195,859
    EXCISE TAX PAYABLE 0 1,772


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL SERVICES 45,126 0   40,388


    TY 2020 TaxesSchedule
    Name:
    TELLIGEN COMMUNITY INITIATIVE
    EIN:
    20-2017785
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 10,769 0   9,638
    INVESTMENT INCOME TAX 29,532 0   0