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
FIRST CITIZENS CHARITABLE FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)2601 4TH STREET SW PO BOX 1708
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MASON CITY, IA504021708
A Employer identification number

42-1451615
B Telephone number (see instructions)

(641) 423-1600
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$1,589,989J 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) 300,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 585 585  
4 Dividends and interest from securities... 41,005 41,005  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 25,664
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 341,590 67,254 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 10,000 5,000   5,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... Click to see attachment 960 960 0 0
c Other professional fees (attach schedule).... Click to see attachment 5,230 5,230 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,107 1,107    
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 0      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 17,297 12,297 0 5,000
25 Contributions, gifts, grants paid....... 374,905 374,905
26 Total expenses and disbursements. Add lines 24 and 25 392,202 12,297 0 379,905
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -50,612
b Net investment income (if negative, enter -0-) 54,957
c Adjusted net income (if negative, enter -0-)... 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............. 348 1,390 1,390
2 Savings and temporary cash investments......... 379,451 82,909 82,909
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).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
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)....... 331,619 Click to see attachment281,875 330,846
c Investments—corporate bonds (attach schedule)....... 72,164 Click to see attachment231,944 232,079
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 570,976 Click to see attachment731,261 942,765
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,354,558 1,329,379 1,589,989
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet) 0 0
23 Total liabilities (add lines 17 through 22).........   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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund 1,354,558 1,329,379
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,354,558 1,329,379
30 Total liabilities and net assets/fund balances (see instructions). 1,354,558 1,329,379
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
1,354,558
2
Enter amount from Part I, line 27a .....................
2
-50,612
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
25,664
4
Add lines 1, 2, and 3 ..........................
4
1,329,610
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
231
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,329,379
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 ABBVIE INC P 2016-01-06 2020-04-21
b ABBVIE INC P 2016-01-06 2020-05-29
c ABBVIE INC P 2016-01-06 2020-08-12
d ALTRIA GROUP INC P 2011-09-13 2020-02-19
e ALTRIA GROUP INC P 2011-09-13 2020-04-21
AMGEN INC P 2019-10-03 2020-01-24
AMGEN INC P 2019-10-03 2020-01-28
B P AMOCO SPONSORED ADR P 2013-01-04 2020-05-20
B P AMOCO SPONSORED ADR P 2013-01-04 2020-08-18
B P AMOCO SPONSORED ADR P 2013-01-04 2020-08-25
COCA COLA COMMON STOCK P 2010-07-28 2020-06-24
COCA COLA COMMON STOCK P 2010-07-28 2020-09-24
COCA COLA COMMON STOCK P 2010-07-28 2020-11-18
DOMINION ENERGY INC P 2011-12-16 2020-09-21
DOMINION ENERGY INC P 2011-12-16 2020-09-24
DUKE ENERGY HLDG P 2013-01-31 2020-03-04
DUKE ENERGY HLDG P 2013-01-31 2020-10-02
GILEAD SCIENCES INC P 2019-07-23 2020-03-26
GILEAD SCIENCES INC P 2019-07-23 2020-04-21
GILEAD SCIENCES INC P 2019-07-23 2020-04-28
GILEAD SCIENCES INC P 2019-07-23 2020-05-01
GILEAD SCIENCES INC P 2019-07-23 2020-05-20
GLAXOSMITHKLINE PLC SPON ADR P 2011-12-16 2020-02-24
GLAXOSMITHKLINE PLC SPON ADR P 2011-12-16 2020-05-20
GLAXOSMITHKLINE PLC SPON ADR P 2011-12-16 2020-09-21
GLAXOSMITHKLINE PLC SPON ADR P 2011-12-16 2020-10-23
GLAXOSMITHKLINE PLC SPON ADR P 2011-12-16 2020-11-18
KIMBERLY CLARK CORP P 2011-10-20 2020-05-01
KIMBERLY CLARK CORP P 2011-10-20 2020-05-06
NATIONAL GRID PLC SPONSORED ADR NEW P 2017-05-19 2020-03-04
OCCIDENTAL PETROLEUM CORP P 2016-10-24 2020-01-24
OCCIDENTAL PETROLEUM CORP P 2016-10-24 2020-02-27
PNC FINANCIAL SERVICES CORP P 2018-11-13 2020-01-24
PNC FINANCIAL SERVICES CORP P 2018-11-13 2020-02-19
PPL CORP P 2011-12-16 2020-06-24
PPL CORP P 2011-12-16 2020-06-29
PFIZER INC COMMON STOCK P 2019-06-24 2020-03-26
PFIZER INC COMMON STOCK P 2019-06-24 2020-05-12
REALTY INCOME CORP P 2013-07-03 2020-02-27
ROYAL DUTCH SHELL PLC SPON ADR B P 2019-09-27 2020-03-20
SOUTHERN CO COM P 2018-01-30 2020-02-19
UNITED PARCEL SERVICE P 2017-07-13 2020-08-25
UNITED PARCEL SERVICE P 2017-07-13 2020-09-03
UNITED PARCEL SERVICE P 2017-07-13 2020-09-24
UNITED PARCEL SERVICE P 2017-07-13 2020-10-02
UNITED PARCEL SERVICE P 2017-07-13 2020-10-15
UNITED PARCEL SERVICE P 2017-07-13 2020-10-19
UNITED PARCEL SERVICE P 2017-07-13 2020-10-23
VENTAS INC P 2013-09-16 2020-03-20
VERIZON COMM INC P 2016-11-16 2020-03-26
VERIZON COMM INC P 2016-11-16 2020-04-28
UPJOHN INC VIATRIS ORD SHRS P 2020-11-17 2020-11-20
WELLTOWER INC P 2011-12-16 2020-05-11
WELLTOWER INC P 2011-12-16 2020-05-13
AMCOR PLC ORD P 2019-06-24 2020-03-16
INVESCO LTD SHS P 2018-06-18 2020-04-27
LYONDELL BASELL INDUSTRIES NV P 2019-09-06 2020-03-16
UPJOHN INC VIATRIS ORD SHRS P 2020-11-17 2020-11-20
FEDERATED HERMES TOTAL RETURN BOND INSTL P 2017-07-01 2020-12-31
T ROWE PRICE BLUE CHIP GROWTH FUND #93 P 2017-07-01 2020-12-15
ISHARE S&P MIDCAP 400/GROWTH INDEX FUND P 2014-03-24 2020-02-18
ISHARE S&P MIDCAP 400/VALUE INDEX FUND P 2014-03-24 2020-02-18
ISHARES DJ US REAL ESTATE P 2013-03-06 2020-02-18
ISHARE S&P SMALLCAP 600 BARRA VALUE IND P 2002-03-18 2020-02-18
ISHARE S&P SMALLCAP 600 GROWTH INDEX P 2002-03-18 2020-02-18
LORD ABBETT INVT TR SH DURA INCM 1 P 2011-02-03 2020-10-29
ETF VANGUARD EMERGING MARKETS P 2011-02-13 2020-02-18
(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 911 0 894 17
b 977 0 894 83
c 1,108 0 976 132
d 998 0 1,150 -152
e 2,304 0 2,929 -625
1,194 0 981 213
1,580 0 1,374 206
2,091 0 3,606 -1,515
1,708 0 2,990 -1,282
1,989 0 3,758 -1,769
2,051 0 2,016 35
990 0 896 94
2,718 0 2,285 433
2,093 0 1,715 378
2,110 0 1,781 329
1,136 0 821 315
1,039 0 821 218
803 0 711 92
2,143 0 1,679 464
1,848 0 1,550 298
1,417 0 1,098 319
975 0 840 135
1,157 0 1,213 -56
993 0 1,078 -85
1,021 0 1,167 -146
2,137 0 2,694 -557
3,006 0 3,537 -531
971 0 662 309
1,644 0 1,134 510
1,097 0 1,022 75
1,225 0 1,811 -586
2,333 0 4,140 -1,807
1,217 0 1,089 128
1,235 0 1,089 146
1,001 0 1,130 -129
1,021 0 1,189 -168
628 0 849 -221
853 0 930 -77
3,141 0 1,681 1,460
1,988 0 4,973 -2,985
1,240 0 801 439
2,225 0 1,488 737
2,271 0 1,488 783
968 0 638 330
1,001 0 638 363
2,283 0 1,382 901
1,217 0 744 473
2,265 0 1,382 883
1,812 0 5,685 -3,873
812 0 761 51
972 0 774 198
497 0 498 -1
1,546 0 2,453 -907
1,941 0 3,050 -1,109
2,225 0 3,422 -1,197
1,130 0 3,375 -2,245
1,971 0 3,536 -1,565
16 0 15 1
1,087 0 0 1,087
531 0 0 531
23,428 0 14,202 9,226
19,641 0 12,431 7,210
24,842 0 17,731 7,111
5,475 0 1,623 3,852
10,987 0 2,177 8,810
15,000 0 15,220 -220
21,510 0 21,413 97
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 0 0 0 17
b 0 0 0 83
c 0 0 0 132
d 0 0 0 -152
e 0 0 0 -625
0 0 0 213
0 0 0 206
0 0 0 -1,515
0 0 0 -1,282
0 0 0 -1,769
0 0 0 35
0 0 0 94
0 0 0 433
0 0 0 378
0 0 0 329
0 0 0 315
0 0 0 218
0 0 0 92
0 0 0 464
0 0 0 298
0 0 0 319
0 0 0 135
0 0 0 -56
0 0 0 -85
0 0 0 -146
0 0 0 -557
0 0 0 -531
0 0 0 309
0 0 0 510
0 0 0 75
0 0 0 -586
0 0 0 -1,807
0 0 0 128
0 0 0 146
0 0 0 -129
0 0 0 -168
0 0 0 -221
0 0 0 -77
0 0 0 1,460
0 0 0 -2,985
0 0 0 439
0 0 0 737
0 0 0 783
0 0 0 330
0 0 0 363
0 0 0 901
0 0 0 473
0 0 0 883
0 0 0 -3,873
0 0 0 51
0 0 0 198
0 0 0 -1
0 0 0 -907
0 0 0 -1,109
0 0 0 -1,197
0 0 0 -2,245
0 0 0 -1,565
0 0 0 1
0 0 0 1,087
0 0 0 531
0 0 0 9,226
0 0 0 7,210
0 0 0 7,111
0 0 0 3,852
0 0 0 8,810
0 0 0 -220
0 0 0 97
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 25,664
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 -4,318
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................................ 1 764
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........................... 3 764
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- ..... 5 764
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 889
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Part VI Line 7 - Original Return Overpayment: -889 7 889
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 5
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 10 120
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet120 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
 
No
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)
    bullet
    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 ofbulletFIRST CITIZENS TRUST COMPANY Telephone no.bullet (641) 422-1600

    Located atbullet2601 4TH STREET SWMASON CITYIA ZIP+4bullet50401
    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
    PATRICIA A TOMSON EXEC DIRECTOR
    2.00     		10,000 0 0
    PO BOX 1708
    MASON CITY,IA50402
    O JAY TOMSON PRESIDENT
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    GORDON ANDERSON DIRECTOR
    1.00     		0 0 0
    501 MAIN ST
    OSAGE,IA50461
    CATHERINE ROTTINGHAUS DIRECTOR
    1.00     		0 0 0
    300 MAIN ST
    CHARLES CITY,IA50616
    MARTI RODAMAKER VICE PRESIDENT
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    MARY NORDENSTROM DIRECTOR
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    ELAINE ABERG SECRETARY
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    JAMES ANDERSON TREASURER
    1.00     		0 0 0
    PO BOX 1708
    MASON CITY,IA50402
    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 GRANTS PAID TO NONPROFIT ORGANIZATIONS THAT MEET ESTABLSIHED CRITERIA. SEE LISTING ON PAGE 11, PART XV. 374,905
    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 NONE 0
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    0
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    0
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    0
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    0
    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
    0
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    764
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    764
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    0
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    0
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    0
    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
    379,905
    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
    379,905
    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
    379,905
    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 0
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 401,839
    b From 2016...... 367,645
    c From 2017...... 228,938
    d From 2018...... 416,387
    e From 2019...... 364,587
    fTotal of lines 3a through e........ 1,779,396
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 379,905
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount.....  
    e Remaining amount distributed out of corpus 379,905
    5 Excess distributions carryover applied to 2020.    
    (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 2,159,301
    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......     		 
    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) .......     		 
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		401,839
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		1,757,462
    10 Analysis of line 9:
    a Excess from 2016.... 367,645
    b Excess from 2017.... 228,938
    c Excess from 2018.... 416,387
    d Excess from 2019.... 364,587
    e Excess from 2020.... 379,905
    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).)
    NONE
    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.
    NOT APPLICABLE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    PATRICIA A TOMSON
    FIRST CITIZENS CHARITABLE FOUNDATIO
    MASON CITY,IA50402
    (641) 422-1600
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED APPLICATION FORM.
    cAny submission deadlines:
    APPLICATIONS ARE REVIEWED QUARTERLY.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE CRITERIA INCLUDED IN THE APPLICATION FORM ATTACHED.
    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
    43 NORTH IOWA
    1225 S HARRISON
    MASON CITY,IA50401     		  PC COVID-19 SERVICERECOVERY PROJECT 5,000
    BUILD A BETTER BELMOND
    1233 HEGINGER DR
    BELMOND,IA50421     		  PC STORAGE HED FORCOMMUNITYCHILDCARE CENTER 2,500
    CEDAR VALLEY SEMINARY FOUNDATION INC
    200 N 7TH ST
    OSAGE,IA50461     		  PC RESTORATION OFCEDAR VALLEYSEMINARY BUILDING 25,000
    CHARLES CITY ARTS COUNCIL
    301 N JACKSON
    CHARLES CITY,IA50616     		  PC EQUIPMENT FORLIVESTREAMINGEVENTS AT ART CENTER 1,000
    CHARLES CITY COMMUNITY SCHOOLS
    500 NORTH GRAND AVE
    CHARLES CITY,IA50616     		  GOV CONSTRUCTION OF SOFTBALL& BASEBALL FIELD 10,000
    CHARLES H MACNIDER ART MUSEUM
    303 2ND ST SE
    MASON CITY,IA50401     		  PC PAUL MOBLEY'S "AMERICAN FARMER"EXHIBITION 2,000
    CHICKASAW EVENT CENTER
    301 N WATER AVE
    NEW HAMPTON,IA50659     		  PC REPAIR OF WALK-IN COOLER 1,000
    COMMUNITY KITCHEN OF NORTH IOWA
    606 NORTH MONROE
    MASON CITY,IA50401     		  PC MATCHINGGIFT 250
    ELDERBRIDGE AGENCY ON AGING
    22 N GEORGIA AVE 216
    MASON CITY,IA50401     		  PC PROVIDE MATERIALAID TO LOW-INCOMESENIORS 5,000
    ELDERBRIDGE AGENCY ON AGING
    22 N GEORGIA AVE 216
    MASON CITY,IA50401     		  PC MATERIAL AID TOLOW-INCOME AT-RISKSENIORS 1,000
    EVERYBODY PLAYS INCLUSIVE PLAYGROUND
    913 N 14TH STREET
    CLEAR LAKE,IA50428     		  PC PLAYGROUND WITHSPECIALIZED PLAYEQUIPMENT 5,000
    FLOYD COUNTY FAIR SOCIETY
    2516 7 MILE RD
    CHARLES CITY,IA50616     		  PC CONSTRUCT BUILDINGFOR 4-H FOOD STANDAND INDOOR ENTERTAINMENT 12,500
    FLOYD COUNTY FAIR SOCIETY
    2516 7 MILE RD
    CHARLES CITY,IA50616     		  PC MATCHING GIFT 1,000
    FLOYD COUNTY HISTORICAL SOCIETY
    500 GILBERT ST
    CHARLES CITY,IA50616     		  PC REPLACEMENT OF SECTION OF MUSEUMROOF 15,000
    FOOD BANK OF IOWA
    2220 E 17TH ST
    DES MOINES,IA50316     		  PC PROVIDE FOOD ASSISTANCE 5,000
    FOREST CITY EDUCATION FOUNDATION
    145 S CLARK ST
    FOREST CITY,IA50436     		  PC MATCHING GIFT 1,000
    FOUR OAKS FAMILY AND CHILDREN SERVICES
    80 N EISENHOWER
    MASON CITY,IA50401     		  PC TECHNOLOGY UPGRADE 2,000
    FRANKLIN COUNTY FAIR FOUNDATION
    1008 CENTRAL AVE W
    HAMPTON,IA50441     		  PC RENOVATIONS OFCONVENTION CENTER 5,000
    GIRL SCOUTS OF GREATER IOWA INC
    10715 HICKMAN RD
    URBANDALE,IA50322     		  PC TWO SHOWER HOSE UPDATES AT CAMPTANGLEFOOT 5,000
    GREATER IOWA YOUTH FOR CHRIST
    2210 S FEDERAL AVE
    MASON CITY,IA50401     		  PC CAMPUS LIFEREWARDS EXPERIENTIALFISCAL LITERACY PROGRAM 10,000
    HANSEN-HAVE AMERICAN LEGION POST#658
    BOX 95
    COULTER,IA50431     		  PC FREEDOM CORRIDOR PROJECTFOR ROLLING PRARIE BIKETRAIL IN COULTER 2,000
    IOOF HOME AND COMMUNITY THERAPY CENTER
    1037 19TH ST SW
    MASON CITY,IA50401     		  PC PERSONAL PROTECTIVEEQUIPMENT AND IMPROVEDVENTILATION SYSTEM 5,000
    IOOF HOME AND COMMUNITY THERAPY CENTER
    1037 19TH ST SW
    MASON CITY,IA50401     		  PC OPERATING FUNDS 5,000
    IOOF HOME AND COMMUNITY THERAPY CENTER
    1037 19TH ST SW
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    IOWA COLLEGE FOUNDATION
    505 5TH AVE STE 1034
    DES MOINES,IA50309     		  PC SCHOLARSHIPPROGRAM 5,000
    IOWA LEGAL AID
    202 1ST ST SE SUITE 112
    MASON CITY,IA50401     		  PC FREE LEGAL SERVICES FOR LOW-INCOMERESIDENTS 5,000
    IOWA SPECIALTY HOSPITAL FOUNDATION CLARION
    1316 S MAIN ST
    CLARION,IA50525     		  PC TWO NUSTEPEXERCISE MACHINES 6,000
    KANAWHA SWIMMING POOL
    220 W 6TH ST
    KANAWHA,IA50447     		  PC NEW POOL VACUUMAND POOL REPAIRSAND IMPROVEMENTS 2,000
    LAWLER FIREFIGHTERS FOUNDATION INC
    302 E GROVE ST
    LAWLER,IA52154     		  PC QUICK ATTACKFIRE TRUCK 10,000
    LUTHERAN MUSIC PROGRAM
    PO BOX 8687
    MINNEAPOLIS,MN55408     		  PC MATCHING GIFT 1,000
    LUTHERAN SERVICES IN IOWA
    2502 SOUTH JEFFERSON
    MASON CITY,IA50401     		  PC PARENT EDUCATIONAND IN-HOME SERVICESFOR AT-RISK FAMILIES 5,000
    LUTHERAN SERVICES IN IOWA
    2502 SOUTH JEFFERSON
    MASON CITY,IA50401     		  PC CHILD ABUSEPREVENTION PROGRAMMINGFOR AT-RISK FAMILIES 5,000
    MAIN STREET MASON CITY
    9 N FEDERAL
    MASON CITY,IA50401     		  PC CLIMB N CRAWL PLAY AREA ATSOUTHBRIDGE MALL 5,000
    MAIN STREET MASON CITY
    9 N FEDERAL
    MASON CITY,IA50401     		  PC ELECTRICAL INFRASTRUCTUREOF CENTRAL PARK FORCOMMUNITY EVENTS 2,500
    MASON CITY CHAMBER OF COMMERCE
    9 N FEDERAL AVE
    MASON CITY,IA50401     		  PC 2020 BAND FESTIVALDRUM MAJORSCHOLARSHIP 5,000
    MASON CITY CHAMBER OF COMMERCE FOUNDATION
    9 N FEDERAL
    MASON CITY,IA50401     		  PC MARKETING WITHINVISION NORTH IOWAPLAN 5,000
    MASON CITY COMMUNITY SCHOOL DIST - LINCOLN INTERMEDIATE
    1515 S PENNSYLVANIA
    MASON CITY,IA50401     		  GOV FITNESS PLAYGROUNDAT LINCOLN INTERMEDIATESCHOOL CAMPUS 5,000
    MASON CITY FAMILY YMCA
    1840 S MONROE
    MASON CITY,IA50401     		  PC MATCHING GIFT 750
    MASON CITY FAMILY YMCA
    1840 S MONROE
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    MASON CITY INSTRUMENTAL MUSIC BOOSTERS
    PO BOX 111
    MASON CITY,IA50401     		  PC PURCHASE BANDUNIFORMS 9,000
    MASON CITY POLICE DEPARTMENT
    78 S GEORGIA
    MASON CITY,IA50401     		  GOV TWO FULL-BODYPADDED REDMAN SUITSFOR DEFENSIVE TACTICS 2,000
    MASON CITY SENIOR ACTIVITY CENTER
    326 4TH ST NE
    MASON CITY,IA50401     		  PC REPLACEMENT OF FRONTACCESS DOOR AND TWOEXIT DOORS 1,000
    MEALS ON WHEELS
    606 N MONROE
    MASON CITY,IA50401     		  PC TAKE-OUT TRAYS TO PROVIDE MEALS 2,905
    MERCYONE NORTH IOWA FOUNDATION
    1000 4TH ST SW
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    MERCYONE NORTH IOWA FOUNDATION
    1000 4TH ST SW
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    MITCHELL COUNTY MEMORIAL FDN
    616 N 8TH ST
    OSAGE,IA50461     		  PC EXPANSION/RENOVATIONOF MITCHELL COUNTYREGIONAL HEALTH CENTER 25,000
    MOHAWK MARKET
    122 S ADAMS AVE
    MASON CITY,IA50402     		  PC ROOSEVELT ELEMENTARYSCHOOL FOODPANTRY 2,000
    NATIONAL 19TH AMENDMENT SOCIETY
    2379 TIMBER AVE
    CHARLES CITY,IA50616     		  PC IMPROVEMENTS TOVISITOR PARKING 5,000
    NEW HAMPTON POLICE DEPT
    22 S LOCUST AVE
    NEW HAMPTON,IA50659     		  GOV MOBILE THERMALIMAGING CAMERASYSTEMS 4,050
    NIACC FOUNDATION
    500 COLLEGE DR
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS
    2 SOUTH ADAMS
    MASON CITY,IA50401     		  PC MATCHINGGIFT 1,000
    NORTHERN LIGHTS ALLIANCE FOR HOMELESS
    2 SOUTH ADAMS
    MASON CITY,IA50401     		  PC PROVIDE SHELTERAND SERVICES FORTHE HOMELESS 10,000
    NORTHERN LIGHTS ALLIANCE FOR HOMELESS
    2 SOUTH ADAMS
    MASON CITY,IA50401     		  PC SHELTER OPERATINGEXPENSES 5,000
    NIACOG HOUSING TRUST FUND
    525 6TH ST SW
    MASON CITY,IA50401     		  PC HOMEREPAIR PROGRAM 5,000
    NO IOWA AREA COMM COLLEGE FDN
    500 COLLEGE DR
    MASON CITY,IA50401     		  PC PERFORMING ARTS AND LEADERSHIPSERIES SPONSOR 3,950
    NO IOWA AREA COMM COLLEGE FDN
    500 COLLEGE
    MASON CITY,IA50401     		  PC 3 - $1,000SCHOLARSHIPS 3,000
    NO IOWA AREA COMM COLLEGE FDN
    500 COLLEGE
    MASON CITY,IA50401     		  PC EMERGENCY TEXTBOOK FUND 3,500
    NORTH IOWA AREA COMM COLLEGE FDN
    500 COLLEGE DR
    MASON CITY,IA50401     		  PC SPONSORSHIP OFLIFELONG LEARNINGINSTITUTE PROGRAM 10,000
    NORTHEAST IOWA FOOD BANK
    1605 LAFAYETTE ST
    WATERLOO,IA50703     		  PC BACKPACK ANDMOBILE FOOD PANTRYPROGRAMS 10,000
    NORTHWOOD-KENSETT BOOSTER CLUB
    1200 1ST AVE N
    NORTHWOOD,IA50459     		  PC FITNESS AND ACTIVITYCENTER ADDITION TOGYMNASIUM 5,000
    ONE VISION
    1200 N 9TH ST W
    CLEAR LAKE,IA50428     		  PC OVERNIGHT MONITORINGSYSTEM 3,000
    OSAGE COMMUNITY DAYCARE
    915 PINE ST
    OSAGE,IA50461     		  PC CONSTRUCTION OFNEW DAYCARE BUILDING 15,000
    OUR DAILY BREAD FOOD PANTRY
    201 9TH ST NE
    ALTOONA,IA50009     		  PC MATCHING GIFT 1,000
    OUR SAVIORS LUTHERAN CHURCH
    833 ASH ST
    OSAGE,IA50461     		  PC MATCHING GIFT 1,000
    PHEASANTS FOREVER
    805 PENN BLVD
    OSKALOOSA,IA52577     		  PC CONSERVATION PRACTICESINCLUDING POLLINATORHABITAT ETC 10,000
    PROJECT FLO ASSOCIATION
    PO BOX 604
    SHELL ROCK,IA50670     		  PC REPAIRING/SHINGLING/RENOVATINGFAMILY RESIDENCES 2,000
    POST 733 SAN JUAN-MARNE VFW
    1603 S MONROE AVE
    MASON CITY,IA50401     		  PC UPGRADE ALL VETSCENTER BANQUETROOM 3,000
    QUILTS FOR VALOR FOUNDATION
    PO BOX 191
    WINTERSET,IA50273     		  PC SUPPLIES FOR MAKINGQUILTS FOR SERVICE MEMBERSAND VETERANS 1,500
    ROCKWELL LIONS CLUB
    PO BOX 57
    ROCKWELL,IA50469     		  PC DEBT REDUCTION-ROCKWELL AQUATICCENTER BATH HOUSE 2,000
    ST ANSGAR HISTORICAL SCHOOL PROJECT INC
    202 S WASHINGTON ST
    ST ANSGAR,IA50472     		  PC AIR CONDITIONING SYSTEMFOR SOUTH SQUAREBUILDING 2,500
    THE WORLD FOOD PRIZE FOUNDATION
    666 GRAND AVENUE PO BOX 1700
    DES MOINES,IA50309     		  PC SUSTAINABILITYFUND 10,000
    SALVATION ARMY OF NORTH IOWA
    747 VILLAGE GREEN DR
    MASON CITY,IA50401     		  PC MATCHING GIFT 1,000
    SALVATION ARMY ADULT DAY HEALTH CENTER
    747 VILLAGE GREEN DR
    MASON CITY,IA50401     		  PC HANDS-ON ACTIVITIES 1,000
    SPIN DEVO
    4700 4TH ST SW
    MASON CITY,IA50401     		  PC YOUTH CYCLING DEVELOPMENTAND WOMENS CYCLING 2,500
    STEBENS CHILDREN'S THEATER
    616 N DELAWARE
    MASON CITY,IA50401     		  PC "ACTING FOR THE CAMERA"PROJECT EQUIPMENT 3,000
    TRAILSIDE PARK COMMITTEE
    200 N AKIR ST
    LATIMER,IA50452     		  PC PLAYGROUND ANDPREPARATION OF AREAALONG BIKE TRAIL 2,500
    UNITED WAY OF NORTH CENTRAL IOWA
    2911 4TH STREET SE
    MASON CITY,IA50401     		  PC UPGRADE COMPUTERTECHNOLOGY 3,000
    WEST HANCOCK COMM SCHOOL DISTRICT
    420 9TH AVE SW
    BRITT,IA50423     		  PC OUTSIDE DIGITAL SCOREBOARDAND SIGNAGE 5,000
    WINNEBAGO COUNCIL BOY SCOUTS
    2929 AIRPORT BLVD
    WATERLOO,IA50703     		  PC GENERAL OPERATINGFUNDS 5,000
    Total .................................bullet 3a 374,905
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........     		    14 585  
    4 Dividends and interest from securities....     14 41,005  
    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 ............     		         
    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)..   41,590  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    41,590
    (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:  
    Part VI Line 7 -Original Return Overpayment: -889


    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
     
    Employer identification number

    42-1451615
    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number
    42-1451615
    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
    FIRST CITIZENS BANK
     
    2601 4TH ST SW
     
    MASON CITY, IA50401

    		$ 300,000


    (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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number

    42-1451615
    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
    FIRST CITIZENS CHARITABLE FOUNDATION INC
          		Employer identification number

    42-1451615
    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:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHUPICK & ASSOC, PC TAX PREPARATION 960 960 0 0

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FEDERATED HERMES TOTAL RETURN BOND FD 65,000 66,680
    LORD ABBETT INVESTMENT TR SHORT DURATION INCOME 29,780 29,632
    PIMCO FDS INCOME FD INSTL 65,000 65,187
    VANGUARD HIGH YIELD CORPORATE FUND 72,164 70,580

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BERKSHIRE HATHAWAY INC 32,533 69,561
    PNC FINANCIAL SERVICES CORP 16,650 29,800
    3M CO 2,233 2,622
    AT&T INC 11,617 9,836
    ABBVIE INC 8,467 11,144
    AMERICAN ELECTRIC POWER INC 4,533 4,497
    AMGEN INC 1,841 2,069
    BCE INC COM 8,640 8,089
    BRISTOL MYERS SQUIBB CO 3,297 3,536
    BRITISH AMER TOBACCO 9,020 8,360
    CDN IMPERIAL BK 10,219 10,342
    CHEVRON CORPORATION 10,277 8,192
    CISCO SYSTEMS INC 6,791 7,563
    COCA COLA 2,151 2,632
    CROWN CASTLE INTERNATIONAL CORP 3,243 3,184
    DOMINION ENERGY INC 4,023 4,587
    DUKE ENERGY HOLDINGS 6,221 7,416
    EATON CORP PLC 2,203 2,643
    ENBRIDGE INC COM 6,686 5,694
    EXXON MOBIL CORP 12,512 7,049
    GENERAL MILLS INC 4,466 4,292
    GILEAD SCIENCES INC 9,412 8,448
    HUNTINGTON BANCSHARES INC 5,774 5,431
    INTERNATIONAL BUSINESS MACHINES 4,192 4,280
    JPMORGAN CHASE & CO 2,616 3,304
    KIMBERLY CLARK CORP 2,406 2,292
    MERCK & CO INC 7,242 7,526
    NATIONAL GRID PLC 6,731 6,611
    PFIZER INC COMMON STOCK 9,301 9,166
    PNC FINANCIAL SVCS CORP 4,144 5,215
    PPL CORP 4,187 3,976
    PEPSICO INC 4,867 6,525
    PHILLIP MORRIS INTL INC 11,122 11,177
    PUBLIC SERVICE ENTERPRISE 2,193 2,565
    REGIONS FINL CORP 3,613 4,578
    SOUTHERN CO 6,984 8,416
    TC ENERGY CORP 4,585 3,897
    UNILEVER PLC 5,992 6,640
    VERIZON COMMUNICATIONS INC 8,804 9,929
    VODAFONE GROUP PLC 10,087 7,762

    TY 2020 InvestmentsOtherSchedule2
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ISHARE S&P MIDCAP 400 GROWTH   35,015 63,554
    ISHARE S&P MIDCAP 400 VALUE   38,597 54,369
    ISHARE S&P SMALLCAP 600 BARRA VALUE   31,602 56,104
    ISHARE S&P SMALLCAP 600 GROWTH   26,535 62,799
    ETF VANGUARD EMERGING MARKETS   61,181 70,154
    ISHARE MSCI EAFE FUND   155,301 184,954
    ISHARE DOW JONES INTL SELECT DIV IDX   66,638 56,730
    ISHARES DJ US REAL ESTATE   56,030 66,952
    T ROWE PRICE BLUE CHIP GROWTH FUND #93   30,500 44,846
    COHEN & STEERS PREFERRED SECURITIES & INC FD   10,000 9,863
    ISHARE DOW JONES - BASIC MATERIALS   7,639 9,056
    ISHARE DOW JONES - CONSUMER GOODS   13,951 17,341
    ISHARE DOW JONES - CONSUMER SERVICES   10,717 12,690
    ISHARE DOW JONES - ENERGY   7,292 5,060
    ISHARE DOW JONES - FINANCIAL SECTOR   21,458 19,827
    ISHARE DOW JONES - HEALTHCARE   22,093 24,342
    ISHARE DOW JONES - INDUSTRIAL   30,542 33,985
    ISHARE DOW JONES - TECH   36,238 47,645
    ISHARE DOW JONES - TELECOM   12,286 12,088
    ISHARE DOW JONES - UTILITIES   7,862 6,884
    BANK OF AMERICA PREFERRED SHARES   49,784 83,522

    TY 2020 OtherDecreasesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Description Amount
    COST BASIS ADJUSTMENT 231


    TY 2020 OtherIncreasesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Description Amount
    CAPITAL GAIN 25,664


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FIRST CITIZENS TRUST CO. TRUSTEE 5,230 5,230 0 0


    TY 2020 TaxesSchedule
    Name:
    FIRST CITIZENS CHARITABLE FOUNDATION INC
    EIN:
    42-1451615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 226 226    
    FEDERAL EXCISE TAXES 850 850    
    INVESTMENT EXPENSES 31 31