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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
PELLA ROLSCREEN FOUNDATION
C/O PELLA CORPORATION
Number and street (or P.O. box number if mail is not delivered to street address)102 MAIN STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PELLA, IA502192147
A Employer identification number

23-7043881
B Telephone number (see instructions)

(641) 621-6224
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$18,290,768J 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) 2,000,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 491,128 491,128  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 484,583
b Gross sales price for all assets on line 6a 3,427,000
7 Capital gain net income (from Part IV, line 2)... 484,583
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........ 2,975,711 975,711  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 60,000 60,000   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 12,730 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 24,465 0   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 97,195 60,000   0
25 Contributions, gifts, grants paid....... 1,394,196 1,698,948
26 Total expenses and disbursements. Add lines 24 and 25 1,491,391 60,000   1,698,948
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,484,320
b Net investment income (if negative, enter -0-) 915,711
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 2,471,419 2,877,123 2,877,123
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 7,505,136 Click to see attachment9,623,179 9,623,179
c Investments—corporate bonds (attach schedule)....... 7,394,651 Click to see attachment5,790,466 5,790,466
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 17,371,206 18,290,768 18,290,768
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable................. 1,423,129 1,118,377
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 attachment28,969 Click to see attachment12,728
23 Total liabilities (add lines 17 through 22)......... 1,452,098 1,131,105
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........... 15,919,108 17,159,663
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)..... 15,919,108 17,159,663
30 Total liabilities and net assets/fund balances (see instructions). 17,371,206 18,290,768
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
15,919,108
2
Enter amount from Part I, line 27a .....................
2
1,484,320
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
18,385
4
Add lines 1, 2, and 3 ..........................
4
17,421,813
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
262,150
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
17,159,663
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES      
b
c
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 3,427,000   2,942,417 484,583
b
c
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       484,583
b
c
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 2 484,583
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 12,728
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 12,728
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 14,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 14,500
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 72
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 1,700
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,700 RefundedBullet 11 0
Part VI-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 XIV..................................
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 ofbulletKARMEN GARDNER Telephone no.bullet (641) 621-6224

    Located atbulletPELLA CORPORATION 102 MAIN STREETPELLAIA ZIP+4bullet50219
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    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
    TIM YAGGI DIRECTOR
    0.05     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    CHARLES FARVER DIRECTOR
    0.05     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    JOHN BOLLMAN DIRECTOR
    0.05     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    ADAM FARVER CHAIRMAN
    0.05     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    KARMEN GARDNER SECRETARY
    5.00     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    AMY CHARTERS DIRECTOR
    0.05     		0 0 0
    102 MAIN STREET
    PELLA,IA50219
    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 (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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 VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    15,942,707
    b
    Average of monthly cash balances.......................
    1b
    997,271
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    16,939,978
    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
    16,939,978
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    254,100
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    16,685,878
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    834,294
    Part X
    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 IX, line 6..................
    1
    834,294
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    12,728
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,728
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    821,566
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    821,566
    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 XII, line 1 ...
    7
    821,566
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 821,566
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 776,938
    b From 2017...... 748,439
    c From 2018...... 942,413
    d From 2019...... 941,868
    e From 2020...... 252,119
    f Total of lines 3a through e ........ 3,661,777
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,698,948
    a Applied to 2020, 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 2021 distributable amount..... 821,566
    e Remaining amount distributed out of corpus 877,382
    5 Excess distributions carryover applied to 2021. 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 4,539,159
    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 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		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 2016 not
    applied on line 5 or line 7 (see instructions) ...     		776,938
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		3,762,221
    10 Analysis of line 9:
    a Excess from 2017.... 748,439
    b Excess from 2018.... 942,413
    c Excess from 2019.... 941,868
    d Excess from 2020.... 252,119
    e Excess from 2021.... 877,382
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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 e-mail address of the person to whom applications should be addressed:
    KARMEN GARDNER PELLA CORPORATION
    102 MAIN STREET
    PELLA,IA50219
    (641) 621-6224
    bThe form in which applications should be submitted and information and materials they should include:
    NO SPECIFIC FORM
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    LIMITED TO AREAS IN WHICH PELLA CORPORATION EMPLOYEES LIVE.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    24 HOURS FOR HANK INC
    PO BOX 2564
    SANDPOINT,ID83864     		  PC GENERAL OPERATIONS 100
    4-H CLUBS AFFILIATED 4-H ORGANIZATIONS
    PO BOX 69364
    BALTIMORE,MD21264     		  PC GENERAL OPERATIONS 50
    725 MINISTRIES
    313 MAPLE ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 18,000
    A HEINZ57 PET RESCUE AND TRANSPORT INC
    4002 ASH ST
    DE SOTO,IA50069     		  PC GENERAL OPERATIONS 400
    ADAMS COUNTY CHILDRENS ADVOCACY CENTER
    450 W MIDDLE ST
    GETTYSBURG,PA17325     		  PC GENERAL OPERATIONS 3,000
    ADAMS COUNTY SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
    11 GOLDENVILLE ROAD
    GETTYSBURG,PA17325     		  PC GENERAL OPERATIONS 1,000
    ADELPHI UNIVERSITY
    ONE SOUTH AVE
    GARDEN CITY,NY11530     		  PC GENERAL OPERATIONS 2,000
    AIR POWER MUSEUM INC
    22001 BLUEGRASS ROAD
    OTTUMWA,IA52501     		  PC GENERAL OPERATIONS 200
    ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION INC
    225 NORTH MICHIGAN AVE
    CHICAGO,IL60601     		  PC GENERAL OPERATIONS 1,175
    ALZHEIMERS NEW JERSEY INC
    425 EAGLE ROCK AVE
    ROSELAND,NJ07068     		  PC GENERAL OPERATIONS 25
    ALZHEIMERS TENNESSEE INC
    5801 KINGSTON PIKE
    KNOXVILLE,TN37919     		  PC GENERAL OPERATIONS 450
    AMERICAN CANCER SOCIETY INC
    3380 CHASTAIN MEADOWS
    KENNESAW,GA30144     		  PC GENERAL OPERATIONS 2,936
    AMERICAN CANCER SOCIETY-IOWA
    PO BOX 715
    DES MOINES,IA50303     		  PC GENERAL OPERATIONS 376
    AMERICAN DIABETES ASSOCIATION
    2451 CRYSTAL DRIVE
    ARLINGTON,VA22202     		  PC GENERAL OPERATIONS 600
    AMERICAN DIABETES ASSOCIATION - RIVERSIDE
    2060 CHICAGO AVE
    RIVERSIDE,CA92507     		  PC GENERAL OPERATIONS 200
    AMERICAN DIABETES ASSOCIATION INC
    2451 CRYSTAL DRIVE
    ARLINGTON,VA22202     		  PC GENERAL OPERATIONS 30
    AMERICAN FOUNDATION FOR SUICIDE PREVENTION
    199 WATER ST
    NEW YORK,NY10038     		  PC GENERAL OPERATIONS 50
    AMERICAN HEALTH ASSISTANCE FOUNDATION - ALZHEIMER'S DISEASE RESEARCH
    22512 GATEWAY CENTER DRIVE
    CLARKSBURG,MD20871     		  PC GENERAL OPERATIONS 30
    AMERICAN HEART ASSOCIATION - DALLAS
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		  PC GENERAL OPERATIONS 75
    AMERICAN HEART ASSOCIATION - MADISON
    2850 DAIRY DR 130
    MADISON,WI53718     		  PC GENERAL OPERATIONS 80
    AMERICAN HEART ASSOCIATION FDA JUMPHOOPS FOR HEART
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		  PC GENERAL OPERATIONS 50
    AMERICAN HEART ASSOCIATION INC
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		  PC GENERAL OPERATIONS 545
    AMERICAN LUNG ASSOCIATION IOWA
    490 CONCORDIA AVE
    ST PAUL,MN55103     		  PC GENERAL OPERATIONS 50
    AMERICAN RED CROSS
    431 18TH STREET NW
    WASHINGTON,DC20006     		  PC GENERAL OPERATIONS 175
    AMERICAN RED CROSS OF GREATER CHICAGO
    2200 W HARRISON ST
    CHICAGO,IL60612     		  PC GENERAL OPERATIONS 100
    AMERICAN RED CROSS OF SOUTH AND EASTERN IOWA
    317 7TH AVE
    CEDAR RAPIDS,IA52401     		  PC GENERAL OPERATIONS 25
    AMERICAN RED CROSS SERVING GREATER IOWA
    2116 GRAND AVE
    DES MOINES,IA50312     		  PC GENERAL OPERATIONS 480
    AMERICAN RED CROSS VENTURA
    836 CALLE PLANO
    CAMARILLO,CA93012     		  PC GENERAL OPERATIONS 103
    AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
    1300 WILSON BOULEVARD SUITE 600
    ARLINGTON,VA22209     		  PC GENERAL OPERATIONS 258
    ANDERSON ANIMAL SHELTER
    1000 S LA FOX ST
    ELGIN,IL60177     		  PC GENERAL OPERATIONS 400
    ANIMAL LIFELINE OF IOWA INC
    4521 SE 14TH ST
    DES MOINES,IA50320     		  PC GENERAL OPERATIONS 200
    ANIMAL RESCUE LEAGUE OF IOWA INCORPORATED
    5452 NE 22ND ST
    DES MOINES,IA50313     		  PC GENERAL OPERATIONS 971
    ANIMAL RESCUE OF CARROLL INC
    1721 E 10TH ST
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 2,200
    ARIZONA STATE UNIVERSITY FOR A NEW AMERICAN UNIVERSITY
    PO BOX 877705
    TEMPE,AZ85287     		  PC GENERAL OPERATIONS 60
    ARTHRITIS FOUNDATION INC
    205 N MICHIGAN AVE 2530
    CHICAGO,IL60601     		  PC GENERAL OPERATIONS 30
    ASPCA
    424 E 9TH ST
    NEW YORK,NY10128     		  PC GENERAL OPERATIONS 100
    AUDUBON COUNTY EARLY CHILDHOOD ORGANIZATION
    714 N DIVISION ST
    AUDUBON,IA50025     		  PC GENERAL OPERATIONS 300
    AUDUBON RECREATION FOUNDATION
    703 SOUTHSIDE AVE
    AUDUBON,IA50025     		  PC GENERAL OPERATIONS 1,000
    B THE LIGHT
    15 SOUTH MINNESOTA STREET
    NEW ULM,MN56073     		  PC GENERAL OPERATIONS 500
    BALDWIN WALLACE UNIVERSITY
    275 EASTLAND RD
    BEREA,OH44017     		  PC GENERAL OPERATIONS 1,000
    BARTH SYNDROME FOUNDATION INC
    2005 PALMER AVE
    LARCHMONT,NY10538     		  PC GENERAL OPERATIONS 1,000
    BEMIDJI STATE UNIVERSITY ALUMNI AND FOUNDATION
    1500 BIRCHMONT DR NE
    BEMIDJI,MN56601     		  PC GENERAL OPERATIONS 3,000
    BETHANY CHRISTIAN SERVICES INC
    3131 FERNBROOK LN N
    PLYMOUTH,MN55447     		  PC GENERAL OPERATIONS 740
    BETHEL UNIVERSITY
    3900 BETHEL DR
    BETHEL,MN55112     		  PC GENERAL OPERATIONS 800
    BIG BROTHERS BIG SISTERS OF AMERICA
    2505 N ROCKY POINT DRIVE
    TAMPA,FL33607     		  PC GENERAL OPERATIONS 511
    BIG BROTHERS BIG SISTERS OF CENTRAL IOWA INC
    9051 SWANSON BLVD
    CLIVE,IA50325     		  PC GENERAL OPERATIONS 600
    BIG BROTHERS BIG SISTERS OF MCHENRY COUNTY INC
    630 N IL ROUTE 31
    CRYSTAL LAKE,IL60012     		  PC GENERAL OPERATIONS 25
    BLESSING-RIEMAN COLLEGE OF NURSING
    3609 N MARX DRIVE
    QUINCY,IL62305     		  PC GENERAL OPERATIONS 2,000
    BLUEGRASS MUSIC ASSOCIATION OF IOWA
    102 E WALNUT ST
    DRAKESVILLE,IA52552     		  PC GENERAL OPERATIONS 100
    BOY SCOUTS OF AMERICA
    PO BOX 152079
    IRVING,TX75015     		  PC GENERAL OPERATIONS 4,250
    BOY SCOUTS OF AMERICA - WEST TN COUNCIL
    1995 HOLLYWOOD DR
    JACKSON,TN38305     		  PC GENERAL OPERATIONS 2,000
    BOYS & GIRLS CLUBS OF CENTERAL IOWA INC
    1421 WALKER ST
    DES MOINES,IA50316     		  PC GENERAL OPERATIONS 200
    BRADLEY UNIVERSITY
    1501 W BRADLEY AVE
    PEORIA,IL61625     		  PC GENERAL OPERATIONS 2,000
    BRIGHTFOCUS FOUNDATION
    22512 GATEWAY CENTER DRIVE
    CLARKSBURG,MD20871     		  PC GENERAL OPERATIONS 30
    BY DEGREES FOUNDATION
    5016 PARK DR
    DES MOINES,IA50321     		  PC GENERAL OPERATIONS 2,000
    CALLOWAY COUNTY HIGH SCHOOL
    2108 COLLEGE FARM ROAD
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 2,800
    CALLOWAY COUNTY PRESCHOOL CENTER
    2106 COLLEGE FARM ROAD
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 1,000
    CALLOWAY COUNTY SCHOOLS FOUNDATION INC
    2110 COLLEGE FARM RD
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 126
    CALVIN COLLEGE
    3201 BURTON ST SE
    GRAND RAPIDS,MI49546     		  PC GENERAL OPERATIONS 100
    CAMP COURAGEOUS OF IOWA
    12007 190TH ST
    MONTICELLO,IA52310     		  PC GENERAL OPERATIONS 100
    CARINGBRIDGE
    2750 BLUE WATER ROAD
    EAGAN,MN55121     		  PC GENERAL OPERATIONS 30
    CARLETON COLLEGE
    ONE NORTH COLLEGE STREET
    NORTHFIELD,MN55057     		  PC GENERAL OPERATIONS 2,000
    CARROLL ACTION SHOOTING SPORTS INC
    23278 250TH ST
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 1,600
    CARY CHRISTIAN CENTER INC
    154 COTTONWOOD ST
    CARY,MS39054     		  PC GENERAL OPERATIONS 200
    CASCADIA TECHNICAL ACADEMY SKILLS CENTER
    12200 NE 28TH ST
    VANCOUVER,WA98682     		  PC GENERAL OPERATIONS 3,167
    CATHOLIC COUNCIL FOR SOCIAL CONCERN INC
    601 GRAND AVE
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 500
    CEDAR VALLEY HOSPICE INC
    900 TOWER PARK DR
    WATERLOO,IA50701     		  PC GENERAL OPERATIONS 250
    CENTRAL COLLEGE
    812 UNIVERSITY ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 241,975
    CHESAPEAKE BAY FOUNDATION INC
    6 HERNDON AVE
    ANNAPOLIS,MD21403     		  PC GENERAL OPERATIONS 100
    CHILDREN AND FAMILIES OF IOWA
    1111 UNIVERSITY AVE
    DES MOINES,IA50314     		  PC GENERAL OPERATIONS 225
    CHILDRENS CANCER RESEARCH FUND
    7301 OHMS LN
    MINNEAPOLIS,MN55439     		  PC GENERAL OPERATIONS 1,499
    CHILDRENS HOME & AID SOCIETY OF ILLINOIS
    200 WEST MONROE ST
    CHICAGO,IL60606     		  PC GENERAL OPERATIONS 2,500
    CHILDRENS HOSPITAL COLORADO
    13123 E 16TH AVE
    AURORA,CO80045     		  PC GENERAL OPERATIONS 100
    CHRIST THE KING CATHOLIC CHURCH
    5029 ZENITH AVE S
    MINNEAPOLIS,MN55410     		  PC GENERAL OPERATIONS 400
    CHRISTIAN OPPORTUNITY CENTER
    1553 BROADWAY ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,325
    CITY OF GLIDDEN
    P O BOX 349
    GLIDDEN,IA51443     		  PC GENERAL OPERATIONS 1,500
    CITY OF PELLA
    825 BROADWAY ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 23,200
    CITY OF SHENANDOAH IOWA
    400 W SHERIDAN AVENUE
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 100
    CLARK COUNTY FOOD BANK
    6502 NE 47TH AVE
    VANCOUVER,WA98661     		  PC GENERAL OPERATIONS 500
    CLAY FEATHERS INC
    26321 IA 141
    COON RAPIDS,IA50058     		  PC GENERAL OPERATIONS 7,000
    COLBY COLLEGE
    4000 MAYFLOWER HILL DR
    WATERVILLE,ME04901     		  PC GENERAL OPERATIONS 2,000
    COLUMBUS COLLEGE OF ART & DESIGN
    60 CLEVELAND AVE
    COLUMBUS,OH43215     		  PC GENERAL OPERATIONS 2,000
    COMIC RELIEF INC
    28 LIBERTY STREET 35TH
    NEW YORK,NY10005     		  PC GENERAL OPERATIONS 25
    COMMUNITY FDN OF GREATER DES MOINES
    1915 GRAND AVE
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 6,900
    COMMUNITY FOOD PANTRY OF SHENANDOAH IA AND SURROUNDING AREA INC
    1209 5TH AVE
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 200
    CONCEPTION SEMINARY COLLEGE
    37174 STATE HWY VV
    CONCEPTION,MO64433     		  PC GENERAL OPERATIONS 100
    CONCERNS OF POLICE SURVIVORS
    846 OLD SOUTH 6
    CAMDENTON,MO65020     		  PC GENERAL OPERATIONS 225
    CORNERSTONE CHURCH
    150 EXECUTIVE PARK BLVD
    SAN FRANCISCO,CA94134     		  PC GENERAL OPERATIONS 12,000
    CROHNS COLITIS FOUNDATION OF AMERICA - NYC CHAPTER
    733 THIRD AVENUE
    NEW YORK,NY10017     		  PC GENERAL OPERATIONS 53
    CROSSROADS OF PELLA
    712 UNION ST APT 301
    PELLA,IA50219     		  PC GENERAL OPERATIONS 6,580
    CROWN BROADCASTING COMPANY
    304 OSKALOOSA ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 375
    CRYSTAL LAKES FIRE INFORMATION RESOURCE EDUCATION AND SAFETY CORP
    PO BOX 113
    RED FEATHER LAKES,CO80545     		  PC GENERAL OPERATIONS 100
    CYSTIC FIBROSIS FOUNDATION
    4550 MONTGOMERY AVE
    BETHESDA,MD20814     		  PC GENERAL OPERATIONS 150
    CYSTIC FIBROSIS FOUNDATION - MINNESOTA CHAPTER
    100 N 6TH ST
    MINNEAPOLIS,MN55403     		  PC GENERAL OPERATIONS 2,500
    DAKOTA STATE UNIVERSITY FOUNDATION
    2ND ST NE
    MADISON,SD57042     		  PC GENERAL OPERATIONS 2,000
    DAV CHARITABLE SERVICE TRUST
    860 DOLWICK DRIVE
    ERLANGER,KY41018     		  PC GENERAL OPERATIONS 40
    DENISON COMM SCHOOL DISTRICT
    819 NORTH 16TH ST
    DENISON,IA51442     		  PC GENERAL OPERATIONS 2,150
    DES MOINES AREA COMMUNITY COLLEGE FOUNDATION
    2006 S ANKENY BLVD
    ANKENY,IA50023     		  PC GENERAL OPERATIONS 5,750
    DES MOINES AREA RELIGIOUS COUNCIL
    100 ARMY POST ROAD
    DES MOINES,IA50315     		  PC GENERAL OPERATIONS 55
    DISABLED AMERICAN VETERANS CHARITABLE SERVICE TRUST
    860 DOLWICK DRIVE
    ERLANGER,KY41018     		  PC GENERAL OPERATIONS 125
    DORDT UNIVERSITY INCORPORATED
    700 7TH ST NE
    SIOUX CENTER,IA51250     		  PC GENERAL OPERATIONS 20,061
    DRAKE UNIVERSITY
    2507 UNIVERSITY AVE
    DES MOINES,IA50311     		  PC GENERAL OPERATIONS 7,305
    DUCKS UNLIMITED INC
    ONE WATERFOWL WAY
    MEMPHIS,TN38120     		  PC GENERAL OPERATIONS 3,263
    EAST MARSHALL BOOSTER CLUB
    PO BOX 419
    LE GRAND,IA50142     		  PC GENERAL OPERATIONS 1,550
    EASTERN KENTUCKY UNIV FOUNDATION INC
    521 LANCASTER AVE
    RICHMOND,KY40475     		  PC GENERAL OPERATIONS 2,000
    ED THOMAS FAMILY FOUNDATION INC
    PO BOX 536
    PARKERSBURG,IA50665     		  PC GENERAL OPERATIONS 200
    EDDYVILLE COMMUNITY FOUNDATION INC
    PO BOX 518
    EDDYVILLE,IA52553     		  PC GENERAL OPERATIONS 750
    EDDYVILLE PARENT TEACHER ORGANIZATION
    702 VANCE STREET
    EDDYVILLE,IA52553     		  PC GENERAL OPERATIONS 600
    EL PROGRAMA HISPANO CATOLICO
    333 SE 223RD AVE
    GRESHAM,OR97030     		  PC GENERAL OPERATIONS 10,000
    EPILEPSY ASSOCIATION
    1600 UNIVERSITY AVE W
    ST PAUL,MN55104     		  PC GENERAL OPERATIONS 5,000
    EPILEPSY FOUNDATION OF AMERICA
    3540 CRAIN HIGHWAY
    BOWIE,MD20716     		  PC GENERAL OPERATIONS 100
    EVANGEL UNIVERSITY
    1111 N GLENSTONE AVE
    SPRINGFIELD,MO65802     		  PC GENERAL OPERATIONS 2,000
    EVERYBODY WINS-IOWA INC
    901 WALNUT ST
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 1,000
    FACING HISTORY AND OURSELVES INC
    89 SOUTH STREET
    BOSTON,MA02111     		  PC GENERAL OPERATIONS 13,430
    FAIR HAVEN MEMORIAL GARDEN INC
    2328 JESUP DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,000
    FAITH BAPTIST BIBLE COLLEGE
    1900 NW FOURTH ST
    ANKENY,IA50023     		  PC GENERAL OPERATIONS 2,000
    FAMILIES FIRST OF PELLA
    PO BOX 807
    PELLA,IA50219     		  PC GENERAL OPERATIONS 4,600
    FAMILIES OF SMA
    925 BUSSE ROAD
    ELK GROVE,IL60007     		  PC GENERAL OPERATIONS 100
    FAMILY CRISIS CENTERS INC
    PO BOX 295
    SIOUX CENTER,IA51250     		  PC GENERAL OPERATIONS 2,500
    FAMILY PROMISE OF GREATER DES MOINES
    4114 ALLISON AVE
    DES MOINES,IA50310     		  PC GENERAL OPERATIONS 200
    FARRAGUT FIRE AND RESCUE ASSOCIATION
    PO BOX 60
    FARRAGUT,IA51639     		  PC GENERAL OPERATIONS 1,150
    FATHER FLANAGANS BOYS HOME
    975 OKLAHOMA ST
    OVIEDO,FL32765     		  PC GENERAL OPERATIONS 300
    FEED THE CHILDREN INC
    333 NORTH MERIDIAN AVENUE
    OKLAHOMA CITY,OK73101     		  PC GENERAL OPERATIONS 250
    FELLOWSHIP BIBLE CHURCH
    1000 A AVE W
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 600
    FELLOWSHIP OF CHRISTIAN ATHLETES
    8701 LEEDS ROAD
    KANSAS CITY,MO64129     		  PC GENERAL OPERATIONS 750
    FIELDS FOR OUR FUTURE INC
    PO BOX 838
    PELLA,IA50219     		  PC GENERAL OPERATIONS 1,100
    FIRST REFORMED CHURCH OF SIOUX CENTER IOWA
    160 10TH ST SE
    SIOUX CENTER,IA51250     		  PC GENERAL OPERATIONS 5,000
    FLORIDA UNITED METHODIST CHILDRENS HOME INC
    51 CHILDRENS WAY
    ENTERPRISE,FL32725     		  PC GENERAL OPERATIONS 500
    FOCUS ON THE FAMILY
    8605 EXPLORER DR
    COLORADO SPRINGS,CO80920     		  PC GENERAL OPERATIONS 221
    FOOD BANK OF IOWA
    2220 E 17TH ST
    DES MOINES,IA50316     		  PC GENERAL OPERATIONS 4,890
    FOOD BANK OF SOUTHERN IOWA INC
    225 S BENTON
    OTTUMWA,IA52501     		  PC GENERAL OPERATIONS 1,000
    FOREVER HOME DOG RESCUE
    60 WEDGEWOOD DRIVE
    SOUTH ELGIN,IL60177     		  PC GENERAL OPERATIONS 102
    FREEDOM FOR YOUTH MINISTRIES
    2301 HICKMAN RD
    DES MOINES,IA50310     		  PC GENERAL OPERATIONS 100
    FRIENDS OF KATAHDIN WOODS AND WATERS
    PO BOX 18177
    PORTLAND,ME04112     		  PC GENERAL OPERATIONS 3,675
    FRIENDS OF NACHUSA GRASSLANDS
    8772 S LOWDEN RD
    FRANKLIN GROVE,IL61031     		  PC GENERAL OPERATIONS 200
    FRIENDS OF THE NEAL SMITH NATIONAL WILDLIFE REFUGE
    PO BOX 114
    PRAIRIE CITY,IA50228     		  PC GENERAL OPERATIONS 30
    FRIENDS OF THE PUBLIC RADIO ARIZONA
    2323 W 14TH ST
    TEMPE,AZ85281     		  PC GENERAL OPERATIONS 95
    FRIENDS OF THE AUDITORIUM
    714 13TH ST
    WORTHINGTON,MN56187     		  PC GENERAL OPERATIONS 500
    FRIENDS OF THE CALLOWAY COUNTY PUBLIC LIBRARY
    710 MAIN ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 350
    FRIENDS OF THE CARNEGIE-VIERSEN PUBLIC LIBRARY OF PELLA IOWA
    603 MAIN ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,435
    FRIENDS OF WEBB SHADLE MEMORIAL LIBRARY
    301 W DALLAS ST
    PLEASANTVILLE,IA50225     		  PC GENERAL OPERATIONS 120
    FRIENDSHIP HOME FOUNDATION
    714 N DIVISION ST
    AUDUBON,IA50025     		  PC GENERAL OPERATIONS 1,000
    FURRY FRIENDS REFUGE
    1211 GRAND AVE
    WEST DES MOINES,IA50265     		  PC GENERAL OPERATIONS 25
    GALLANTFEW INC
    PO BOX 1157
    ROANOKE,TX76262     		  PC GENERAL OPERATIONS 100
    GENESIS GARDEN
    307 E CARROLL ST
    MACOMB,IL61455     		  PC GENERAL OPERATIONS 3,000
    GENESIS INC
    1166 SANTA FE DR
    DENVER,CO80204     		  PC GENERAL OPERATIONS 500
    GEORGETOWN UNIVERSITY
    2115 WISCONSIN AVE NW STE 601
    WASHINGTON,DC20007     		  PC GENERAL OPERATIONS 3,000
    GIRL SCOUTS OF GREATER IOWA
    10715 HICKMAN RD
    URBANDALE,IA50322     		  PC GENERAL OPERATIONS 500
    GIVE KIDS THE WORLD INC
    210 SOUTH BASS ROAD
    KISSIMMEE,FL34746     		  PC GENERAL OPERATIONS 100
    GLIDDEN AREA FIREFIGHTERS ASSOCIATION
    530 E 5TH ST
    GLIDDEN,IA51443     		  PC GENERAL OPERATIONS 140
    GOLDEN GOOSE CLUB INC
    2011 S 7TH ST
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 2,040
    GRAFTON TOWNSHIP FOOD PANTRY
    PO BOX 1074
    HUNTLEY,IL60142     		  PC GENERAL OPERATIONS 60
    GRAND CANYON UNIVERSITY
    3300 W CAMELBACK RD
    PHOENIX,AZ85017     		  PC GENERAL OPERATIONS 750
    GRAND THEATER FOUNDATION
    212 E ROBINSON ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 250
    GRAND VALLEY STATE UNIVERSITY
    1 CAMPUS DRIVE
    ALLENDALE,MI49401     		  PC GENERAL OPERATIONS 2,000
    GRAND VIEW CHRISTIAN SCHOOL FOUNDATION INC
    2905 NE 46TH AVE
    DES MOINES,IA50317     		  PC GENERAL OPERATIONS 4,750
    GRAND VIEW UNIVERSITY
    1200 GRANDVIEW AVE
    DES MOINES,IA50316     		  PC GENERAL OPERATIONS 4,000
    GRAVES COUNTY HIGH SCHOOL
    1220 EAGLES WAY
    MAYFIELD,KY42066     		  PC GENERAL OPERATIONS 500
    GREATER SHENANDOAH FOUNDATION
    PO BOX 279
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 1,900
    GREATER SHENAHDOAH HISTORICAL SOCIETY
    800 W SHERIDAN AVE
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 100
    HABITAT FOR HUMANITY INTERNATIONAL INC
    322 W LAMAR ST
    AMERICUS,GA31709     		  PC GENERAL OPERATIONS 2,200
    HABITAT FOR HUMANITY OF MARION COUNTY
    114 W ROBINSON ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 230
    HAWKEYE WRESTLINE CLUB
    308 E BURLINGTON ST
    IOWA CITY,IA52240     		  PC GENERAL OPERATIONS 1,453
    HELPING SERVICES FOR YOUTH FAMILIES INC
    PO BOX 372
    DECORAH,IA52101     		  PC GENERAL OPERATIONS 1,000
    HISTORIC PELLA TRUST INC
    PO BOX 1
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,550
    HOOVER PRESIDENTIAL FOUNDATION
    127 W MAIN ST
    WEST BRANCH,IA52358     		  PC GENERAL OPERATIONS 5,000
    HOPE HAVEN INCORPORATED
    1800 19TH STREET
    ROCK VALLEY,IA51247     		  PC GENERAL OPERATIONS 50
    HOPE MINISTRIES
    5075 UNIVERSITY SUITE B
    PLEASANT HILL,IA50327     		  PC GENERAL OPERATIONS 5,979
    HOSPICE OF THE VALLEY
    1510 E FLOWER ST
    PHOENIX,AZ85014     		  PC GENERAL OPERATIONS 100
    HOUSE OF REFUGE INC
    6935 E WILLIAMS FIELD RD
    MESA,AZ85212     		  PC GENERAL OPERATIONS 21,325
    HUMANE SOCIETY OF CALLOWAY COUNTY
    607 POPLAR ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 100
    HUMANE MCDONOUGH COUNTY INC
    TOWER RD OFF HIGHWAY 67 N
    MACOMB,IL61455     		  PC GENERAL OPERATIONS 3,000
    HUMANE SOCIETY OF THE UNITED STATES
    1255 23RD STREET NW SUITE 450
    WASHINGTON,DC20037     		  PC GENERAL OPERATIONS 25
    HUMBLE HEROES FOUNDATION
    PO BOX 220
    CENTERVILLE,IA52544     		  PC GENERAL OPERATIONS 1,600
    INDIAN HILLS COMMUNITY COLLEGE
    525 GRANDVIE AVE
    OTTUMWA,IA52501     		  PC GENERAL OPERATIONS 3,750
    INDIAN HILLS COMMUNITY COLLEGE FOUNDATION
    525 GRANDVIEW - BLDG ONE
    OTTUMWA,IA52501     		  PC GENERAL OPERATIONS 2,500
    INDIANA TOWNSHIP FIRE DEPARTMENT
    PO BOX 491
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 1,700
    INTERFAITH COMMUNITY SERVICES
    550 WEST WASHINGTON AVENUE
    ESCONDIDO,CA92025     		  PC GENERAL OPERATIONS 1,000
    IOWA ARCHITECHURAL FOUNDATION
    CAPITAL SQUARE 400 LOCUST ST
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 1,500
    IOWA ASSOCIATION OF BUSINESS AND INDUSTRY FOUNDATION
    400 E COURT AVE STE 100
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 10,000
    IOWA BICYCLE COALITION
    PO BOX 5562
    CORALVILLE,IA52241     		  PC GENERAL OPERATIONS 50
    IOWA CENTRAL COMMUNITY COLLEGE
    ONE TRITON CIR
    FORT DODGE,IA50501     		  PC GENERAL OPERATIONS 1,500
    IOWA COLLEGE FOUNDATION
    505 5TH AVE STE 1034
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 10,000
    IOWA ENGINEERING FOUNDATION INC
    1080 JORDAN CREEK PARKWAY
    WEST DES MOINES,IA50266     		  PC GENERAL OPERATIONS 500
    IOWA HEALTH FOUNDATION
    1415 WOODLAND AVENUE NO E-200
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 1,200
    IOWA LAKES COMMUNITY COLLEGE
    19 S 7TH ST
    ESTHERVILLE,IA51334     		  PC GENERAL OPERATIONS 750
    IOWA NATURAL HERITAGE FOUNDATION
    505 5TH AVE
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 715
    IOWA PBS FOUNDATION
    6450 CORPORATE DR
    JOHNSTON,IA50131     		  PC GENERAL OPERATIONS 288
    IOWA PUBLIC RADIO INC
    2111 GRAND AVE STE 100
    DES MOINES,IA50312     		  PC GENERAL OPERATIONS 320
    IOWA PUBLIC TELEVISION FOUNDATION
    PO BOX 6400
    JOHNSTON,IA50131     		  PC GENERAL OPERATIONS 340
    IOWA SPECIAL OLYMPICS INC
    551 SE DOVETAIL ROAD
    GRIMES,IA50111     		  PC GENERAL OPERATIONS 700
    IOWA STATE FAIR FOUNDATION
    PO BOX 57130
    DES MOINES,IA50317     		  PC GENERAL OPERATIONS 48,500
    IOWA STATE UNIVERISTY
    2221 WANDA DALEY DR ROOM 1560
    AMES,IA50011     		  PC GENERAL OPERATIONS 37,000
    IOWA STATE UNIVERSITY FOUNDATION
    2505 UNIVERSITY BLVD
    AMES,IA50010     		  PC GENERAL OPERATIONS 15,450
    IOWA WESTERN COMMUNITY COLLGE
    2700 COLLEGE RD
    COUNCIL BLUFFS,IA51503     		  PC GENERAL OPERATIONS 750
    IZAAK WALTON LEAGUE OF AMERICA INC
    2359 GUYANOGA RD
    PENN YAN,NY14527     		  PC GENERAL OPERATIONS 100
    JASPER COMMUNITY FOUNDATION
    PO BOX 924
    NEWTON,IA50208     		  PC GENERAL OPERATIONS 500
    JDRF INTERNATIONAL GREATER IOWA CHAPTER
    4515 FLEUR DR UNIT 203
    DES MOINES,IA50321     		  PC GENERAL OPERATIONS 1,372
    JOPPA
    2326 EUCLID AVE
    DES MOINES,IA50310     		  PC GENERAL OPERATIONS 300
    JOURNEY CHURCH
    4409 121ST ST
    URBANDALE,IA50323     		  PC GENERAL OPERATIONS 1,200
    JUMP FOR KIDS
    404 WASHINGTON ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 350
    KALAMAZOO COLLEGE
    1200 ACADEMY ST
    KALAMAZOO,MI49006     		  PC GENERAL OPERATIONS 3,000
    KANSAS STATE UNIVERSITY
    919 MID CAMPUS DR N
    MANHATTAN,KS66506     		  PC GENERAL OPERATIONS 2,000
    KELLANS KINGDOM
    1206 AMY AVE
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 100
    KENDALL COUNTY REBELS
    3531B RT 47
    YORKVILLE,IL60560     		  PC GENERAL OPERATIONS 1,100
    KENNESAW STATE UNIVERSITY FOUNDATION INC
    1000 CHASTAIN ROAD NO 9101
    KENNESAW,GA30144     		  PC GENERAL OPERATIONS 2,000
    KETTERING UNIVERSITY
    1700 UNIVERSITY AVE
    FLINT,MI48504     		  PC GENERAL OPERATIONS 2,000
    KIDS HOPE USA INC
    201 W WASHINGTON AVE
    ZEELAND,MI49464     		  PC GENERAL OPERATIONS 300
    KNOXVILLE AREA COMMUNITY HOSPITAL FOUNDATION
    1002 S LINCOLN ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 25,000
    KNOXVILLE AREA COMMUNITY THEATRE INC
    217 S 2ND STREET
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 50
    KNOXVILLE BOOSTER CLUB
    1811 W MADISON ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 1,425
    KNOXVILLE MUSIC BOOSTERS INC
    PO BOX 403
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 875
    KNOXVILLE PANTHER SCHOLARSHIP FOUNDATION
    PO BOX 302
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 1,300
    KNOXVILLE SENIOR CENTER
    308 E MONTGOMERY ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 12,000
    KNOXVILLE SHOOTING TEAM INC
    1221 132ND PL
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 800
    KNOXVILLE TOWNSHIP FIRE RESCUE ASSOCIATION
    102 W MAIN ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 600
    KNOXVILLE VOLUNTEER RESERVE POLICE DEPARTMENT
    305 S 3RD ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 750
    KUEMPER CATHOLIC SCHOOL FOUNDATION INC
    116 S EAST ST
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 25,000
    LASELL UNIVERSITY
    1844 COMMONWEALTH AVE
    NEWTON,MA02466     		  PC GENERAL OPERATIONS 2,000
    LEUKEMIA AND LYMPHOMA SOCIETY INC
    2700 WESTOWN PKWY
    WEST DES MOINES,IA50256     		  PC GENERAL OPERATIONS 150
    LIBERTY UNIVERSITY
    1971 UNIVERSITY BLVD
    LYNCHBURG,VA24515     		  PC GENERAL OPERATIONS 2,000
    LIL WILDCAT EDUCATION CENTER INC
    616 N IDAHO ST
    GLIDDEN,IA51443     		  PC GENERAL OPERATIONS 50,000
    LITTLE LEAGUE BASEBALL INC
    539 US ROUTE 15 HWY
    WILLIAMSPORT,PA17701     		  PC GENERAL OPERATIONS 1,500
    LORAS COLLEGE
    1450 ALTA VISTA ST
    DUBUQUE,IA52001     		  PC GENERAL OPERATIONS 5,000
    LOVE INC OF MAHASKA COUNTY
    408 S 11ST ST
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 800
    L-S COMMUNITY EDUCATION FOUNDATION
    PO BOX 210
    SULLY,IA50251     		  PC GENERAL OPERATIONS 1,025
    LUTHERAN CHURCH OF HOPE
    925 JORDAN CREEK PKWY
    WEST DES MOINES,IA50266     		  PC GENERAL OPERATIONS 1,800
    MAHASKA COUNTY COMMUNITY EMERGENCY RESPONSE TEAM
    214 HIGH AVE EAST
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 1,200
    MAHASKA COUNTY HISTORICAL SOCIETY
    PO BOX 578
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 1,000
    MAHASKA COUNTY YMCA
    414 N 3RD ST
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 50,000
    MAHASKA FUTUREVIEW INC
    222 1ST AVE E
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 600
    MAHASKA HOSPITAL FOUNDATION
    1229 C AVE E
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 250
    MAIN STREET COON RAPIDS
    123 3RD AVE S
    COON RAPIDS,IA50058     		  PC GENERAL OPERATIONS 750
    MAIN STREET GETTYSBURG INC
    59 E HIGH ST
    GETTYSBURG,PA17325     		  PC GENERAL OPERATIONS 25,000
    MAIN STREET YOUTH CENTER INC
    513 S 4TH ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 1,250
    MAKE-A-WISH FOUNDATION OF AMERICA
    1702 E HIGHLAND SUITE 400
    PHOENIX,AZ85016     		  PC GENERAL OPERATIONS 448
    MANUFACTURING INSTITUTE
    733 10TH ST NW
    WASHINGTON,DC20001     		  PC GENERAL OPERATIONS 2,552
    MARCH OF DIMES IOWA CHAPTER
    PO BOX 18819
    ATLANTA,GA31126     		  PC GENERAL OPERATIONS 30
    MARINE TOYS FOR TOTS FOUNDATION
    18251 QUANTICO GATEWAY DRIVE
    TRIANGLE,VA22172     		  PC GENERAL OPERATIONS 100
    MARION COUNTY HISTORICAL SOCIETY
    PO BOX 21600
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 1,425
    MARION COUNTY HUMANE SOCIETY
    PO BOX 655
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 675
    MARSHALL COUNTY BAND BOOSTERS
    PO BOX 824
    BENTON,KY42025     		  PC GENERAL OPERATIONS 500
    MARSHALL COUNTY HIGH SCHOOL
    416 HIGH SCHOOL RD
    BENTON,KY42025     		  PC GENERAL OPERATIONS 500
    MCDONOUGH COUNTY UNITED WAY
    440 N LAYFAYETTE ST
    MACOMB,IL61455     		  PC GENERAL OPERATIONS 1,000
    MEALS FROM THE HEARTLAND
    357 LINCOLN ST
    WEST DES MOINES,IA50265     		  PC GENERAL OPERATIONS 5,725
    MELCHER-DALLAS EMERGENCY RESPONSE ASSOCATION
    PO BOX 548
    MELCHER DAL,IA50163     		  PC GENERAL OPERATIONS 500
    MICHIGAN STATE UNIVERSITY
    220 TROWBRIDGE RD
    EAST LANSING,MI48824     		  PC GENERAL OPERATIONS 4,000
    MID SIOUX OPPORTUNITY INC
    418 S MARION ST
    REMSEN,IA51050     		  PC GENERAL OPERATIONS 2,500
    MID-AMERICA REFORMED SEMINARY
    229 SEMINARY DR
    DYER,IN46311     		  PC GENERAL OPERATIONS 1,300
    MINNESOTA BRAIN INJURY ALLIANCE
    2277 MN 36
    ROSEVILLE,MN55113     		  PC GENERAL OPERATIONS 1,000
    MISD FOUNDATION FOR EXCELLENCE INC
    PO BOX 1417
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 1,000
    MOODY BIBLE INSTITUTE OF CHICAGO
    820 N LA SALLE ST
    CHICAGO,IL60610     		  PC GENERAL OPERATIONS 500
    MORNINGSIDE UNIVERSITY
    1501 MORNINGSIDE AVE
    SIOUX CITY,IA51106     		  PC GENERAL OPERATIONS 2,000
    MOUNT MERCY UNIVERSITY
    1330 ELMHURST DR NE
    CEDAR RAPIDS,IA52402     		  PC GENERAL OPERATIONS 2,000
    MOVEMBER FOUNDATION
    PO BOX 2040
    SANTA MONICA,CA90406     		  PC GENERAL OPERATIONS 25
    MURRAY ART GUILD INC
    500 N 4TH ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 200
    MURRAY HIGH SCHOOL
    5440 SOUTH STATE STREET
    MURRAY,UT84107     		  PC GENERAL OPERATIONS 1,963
    MURRAY MIDDLE SCHOOL
    5102 S COMMERCE DR
    MURRAY,UT84107     		  PC GENERAL OPERATIONS 862
    MURRAY PRESCHOOL HEAD START
    208 S 13TH ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 1,000
    MURRAY STATE UNIVERSITY
    1375 CHESNUT ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 10,000
    MURRAY STATE UNIVERSITY FOUNDATION
    100 NASH HOUSE
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 1,500
    MURRAY TIGER BOOSTER CLUB INC
    305 N 4TH ST
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 325
    NATIONAL ALLIANCE ON MENTAL ILLNESS-IOWA INC
    3839 MERLE HAY RD STE 229
    DES MOINES,IA50310     		  PC GENERAL OPERATIONS 260
    NATIONAL CHILD SAFETY COUNCIL
    PO BOX 1368
    JACKSON,MI49204     		  PC GENERAL OPERATIONS 600
    NATIONAL MS SOCIETY
    2829 UNIVERSITY AVE SE
    MINNEAPOLIS,MN55414     		  PC GENERAL OPERATIONS 25,575
    NATIONAL PARK FOUNDATION
    1500 K STREET NW STE 700
    WASHINGTON,DC20005     		  PC GENERAL OPERATIONS 60
    NATIONAL PARKS CONSERVATION ASSOCIATION
    777 6TH STREET NW
    WASHINGTON,DC20001     		  PC GENERAL OPERATIONS 180
    NATURE CONSERVANCY
    1101 W RIVER PKWY
    MINNEAPOLIS,MN55415     		  PC GENERAL OPERATIONS 35
    NEW HOPE VILLAGE FOUNDATION
    PO BOX 887
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 500
    NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED
    201 EAST MARKET BOX 62
    NEW SHARON,IA50207     		  PC GENERAL OPERATIONS 625
    NEW WORLD SYMPHONY INC
    500 17TH STREET
    MIAMI BEACH,FL33139     		  PC GENERAL OPERATIONS 2,500
    NEWTON ATHLETIC BOOSTER CLUB
    PO BOX 414
    NEWTON,IA50208     		  PC GENERAL OPERATIONS 500
    NEWTON COMMUNITY THEATRE INC
    PO BOX 96
    NEWTON,IA50208     		  PC GENERAL OPERATIONS 250
    NEWTON SENIOR HIGH SCHOOL
    800 4TH ST E
    NEWTON,IA50208     		  PC GENERAL OPERATIONS 20,000
    NISHNA PRODUCTIONS INC
    103 N WALNUT ST
    GLENWOOD,IA51534     		  PC GENERAL OPERATIONS 250
    NORTH CENTRAL COLLEGE
    30 N BRAINARD ST
    NAPERVILLE,IL60540     		  PC GENERAL OPERATIONS 2,000
    NORTH MAHASKA EDUCATIONAL FOUNDATION INCORPORATED
    PO BOX 251
    NEW SHARON,IA50207     		  PC GENERAL OPERATIONS 200
    NORTHEN ILLINOIS FOOD BANK
    273 DEARBORN CT
    GENEVA,IL60134     		  PC GENERAL OPERATIONS 968
    NORTHERN ILLINOIS UNIVERSITY
    1425 W LINCOLN HWY
    DEKALB,IL60115     		  PC GENERAL OPERATIONS 1,000
    NORTHERN ILLINOIS UNIVERSITY FOUNDATION
    ALTGELD HALL 134
    DEKALB,IL60115     		  PC GENERAL OPERATIONS 500
    NORTHFIELD HEALTHY COMMUNITY INITIATIVE
    1651 JEFFERSON PKWY
    NORTHFIELD,MN55057     		  PC GENERAL OPERATIONS 100
    NORTHWEST IOWA COMMUNITY COLLEGE
    603 W PARK ST
    SHELDON,IA51201     		  PC GENERAL OPERATIONS 750
    NORTHWEST MISSOURI STATE UNIVERSITY
    800 UNIVERSITY DR
    MARYVILLE,MO64468     		  PC GENERAL OPERATIONS 6,000
    NORTHWESTERN COLLEGE
    101 7TH ST SW
    ORANGE CITY,IA51041     		  PC GENERAL OPERATIONS 9,750
    NORWALK AREA MINISTERIAL ASSOCIATION
    4380 WAKONDA DR
    NORWALK,IA50211     		  PC GENERAL OPERATIONS 250
    NORWALK ELEMENTARY PARENT TEACHER ORGANIZATION
    9210 HAPPY HOLLOW DR
    NORWALK,IA50211     		  PC GENERAL OPERATIONS 200
    OPEN DOOR REHABILITATION CENTER
    405 S WELLS ST
    SANDWICH,IL60548     		  PC GENERAL OPERATIONS 209
    OPTIMIST INTERNATIONAL FOUNDATION
    4494 LINDELL BLVD
    ST LOUIS,MO63108     		  PC GENERAL OPERATIONS 1,250
    OREGON FOOD BANK INC
    7900 NE 33RD DR
    PORTLAND,OR97211     		  PC GENERAL OPERATIONS 100
    OSKALOOSA INDIAN BOOSTER CLUB LTD
    PO BOX 524
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 275
    OSKALOOSA MIDDLE SCHOOL
    1704 N 3RD ST
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 1,000
    OTTUMWA BOXING CLUB INC
    1309 E MARY STREET
    OTTUMWA,IA52501     		  PC GENERAL OPERATIONS 2,000
    OUR HOUSE CHILD DEVELOPMENT CENTER
    1501 MUSTANG DR
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 100
    OXFAM AMERICA INC
    226 CAUSWAY ST
    BOSTON,MA02114     		  PC GENERAL OPERATIONS 45
    PALMER COLLEGE OF CHIROPRACTIC
    1000 N BRADY ST
    DAVENPORT,IA52803     		  PC GENERAL OPERATIONS 3,000
    PARALYZED VETERANS OF AMERICA
    801 EIGHTEENTH STREET NW
    WASHINGTON,DC20006     		  PC GENERAL OPERATIONS 100
    PAY IT FORWARD CHRISTMAS CHARITY INC
    1009 E AVE E
    ALBIA,IA52531     		  PC GENERAL OPERATIONS 2,500
    PCI ACADEMY
    1550 S 1ST AVE
    IOWA CITY,IA52240     		  PC GENERAL OPERATIONS 750
    PCM ATHLETIC BOOSTER CLUB
    400 EAST HWY 163
    MONROE,IA50170     		  PC GENERAL OPERATIONS 100
    PCM HIGH SCHOOL
    400 EAST HWY 163
    MONROE,IA50170     		  PC GENERAL OPERATIONS 12,000
    PEACE HOMESCHOOL GROUP INC
    835 197TH PL
    PELLA,IA50219     		  PC GENERAL OPERATIONS 1,000
    PEACE LUTHERAN CHURCH
    1000 E VERMEER ROAD
    PELLA,IA50219     		  PC GENERAL OPERATIONS 1,600
    PEDAL THE CAUSE
    9288 DIELMAN INDUSTRIAL DR
    SAINT LOUIS,MO63132     		  PC GENERAL OPERATIONS 200
    PELLA AMATEUR RADIO CLUB
    1109 FOUNTAIN VIEW DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 200
    PELLA ATHLETIC BOOSTER CLUB
    PO BOX 485
    PELLA,IA50219     		  PC GENERAL OPERATIONS 1,175
    PELLA CHRISTIAN GRADE SCHOOL
    216 LIBERTY ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 7,500
    PELLA CHRISTIAN HIGH SCHOOL SOCIETY
    300 EAGLE LN
    PELLA,IA50219     		  PC GENERAL OPERATIONS 3,500
    PELLA COMMUNITY AMBULANCE SERVICE
    PO BOX 385
    PELLA,IA50219     		  PC GENERAL OPERATIONS 25
    PELLA COMMUNITY DAY CARE CENTER
    215 MAIN ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 600
    PELLA COMMUNITY FOOD SHELF
    PO BOX 465
    PELLA,IA50219     		  PC GENERAL OPERATIONS 15,685
    PELLA COMMUNITY FOUNDATION
    PO BOX 112
    PELLA,IA50219     		  PC GENERAL OPERATIONS 60,100
    PELLA DOG PARK ASSOCIATION
    11 GINGER CREEK DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 100
    PELLA HISTORICAL SOCIETY
    PO BOX 145
    PELLA,IA50219     		  PC GENERAL OPERATIONS 32,415
    PELLA HOOPS CLUB
    2126 S FALLS DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,200
    PELLA HOSPITAL FOUNDATION
    404 JEFFERSON ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 576
    PELLA ODYSSEY OF THE MIND BOOSTER CLUB
    1016 EDGEWATER DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 400
    PELLA OPERA HOUSE COMMISSION
    611 FRANKLIN ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 1,175
    PELLA SHOOTERS CLUB
    1243 180TH ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 4,800
    PELLA SOCCER CLUB
    729 E 8TH ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 300
    PELLA SPORTS ACADEMY
    1025 MEADOW CREST DR
    PELLA,IA50219     		  PC GENERAL OPERATIONS 800
    PELLA SWIM CLUB
    PO BOX 832
    PELLA,IA50219     		  PC GENERAL OPERATIONS 900
    PENNSYLVANIA STATE UNIVERSITY
    201 OLD MAIN
    UNIVERSITY PARK,PA16802     		  PC GENERAL OPERATIONS 2,500
    PEOPLE FOR PAWS
    PO BOX 221
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 600
    PEORIA BALLET CO
    809 W DETWEILLER DR
    PEORIA,IL61615     		  PC GENERAL OPERATIONS 1,000
    PHEASANTS FOREVER INC
    1783 BUERKLE CIRCLE
    ST PAUL,MN55110     		  PC GENERAL OPERATIONS 2,000
    PINE REST CHRISTIAN MENTAL HEALTH SERVICES
    300 68TH STREET SE
    GRAND RAPIDS,MI49548     		  PC GENERAL OPERATIONS 500
    PINKY SWEAR FOUNDATION
    5555 W 78TH ST
    EDINA,MN55439     		  PC GENERAL OPERATIONS 300
    PLEASANT HILL SOCCER CLUB
    PO BOX 57265
    DES MOINES,IA57265     		  PC GENERAL OPERATIONS 200
    PLEASANTVILLE BETTERMENT ORGANIZATION
    406 JONES ST
    PLEASANTVILLE,IA50225     		  PC GENERAL OPERATIONS 25,000
    PLEASANTVILLE FFA ALUMNI
    PO BOX 4
    PLEASANTVILLE,IA50225     		  PC GENERAL OPERATIONS 700
    PLEASANTVILLE YOUTH INITIATIVE
    PO BOX 295
    PLEASANTVILLE,IA50225     		  PC GENERAL OPERATIONS 300
    POLO PONY RESCUE INC
    34747 FLORENCELL AVE
    ACTON,CA93510     		  PC GENERAL OPERATIONS 100
    PORTLAND RESCUE MISSION
    PO BOX 3713
    PORTLAND,OR97208     		  PC GENERAL OPERATIONS 552
    PORTLAND YOUTHBUILDERS
    4816 SE 92ND AVE
    PORTLAND,OR97266     		  PC GENERAL OPERATIONS 25,000
    POWESHIEK ANIMAL LEAGUE SHELTER HUMANE SOCIETY
    4167 20TH ST
    GRINNELL,IA50112     		  PC GENERAL OPERATIONS 200
    PRAIRIE CITY RESCUE ASSOCIATION INC
    PO BOX 191
    PRAIRIE CITY,IA50228     		  PC GENERAL OPERATIONS 100
    PREGNANCY CARE CENTER INC
    PO BOX 282
    PELLA,IA50219     		  PC GENERAL OPERATIONS 358
    PUPPY JAKE FOUNDATION
    3101 104TH ST STE 2
    URBANDALE,IA50322     		  PC GENERAL OPERATIONS 350
    QUILTS OF VALOR FOUNDATION
    PO BOX 191
    WINTERSET,IA50273     		  PC GENERAL OPERATIONS 3,200
    RACER FOOTBALL ALUMNI ASSOCIATION LLC
    PO BOX 83
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 700
    RED ROCK LAKE ASSOCIATION INC
    109 E MAIN ST
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 50
    REGION XII DEVELOPMENT CORPORATION
    1009 EAST ANTHONY STEET
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 1,100
    REGIS UNIVERSITY
    3333 REGIS BOULEVARD
    DENVER,CO80221     		  PC GENERAL OPERATIONS 4,000
    RENSSELAER POLYTECHNIC INSTITUTE
    110 8TH ST
    TROY,NY12180     		  PC GENERAL OPERATIONS 5,000
    ROCHESTER UNIVERSITY
    800 WEST AVON ROAD
    ROCHESTER HILLS,MI48307     		  PC GENERAL OPERATIONS 750
    ROLLINS COLLEGE
    1000 HOLT AVE 2715
    WINTER PARK,FL32789     		  PC GENERAL OPERATIONS 2,000
    RONALD MCDONALD HOUSE CHARITIES OF CENTRAL IOWA INC
    1441 PLEASANT ST
    DES MOINES,IA50314     		  PC GENERAL OPERATIONS 80
    RONALD MCDONALD HOUSE CHARITIES OF SAN DIEGO INC
    2929 CHILDRENS WAY
    SAN DIEGO,CA92123     		  PC GENERAL OPERATIONS 575
    ROSE-HULMAN INSTITUTE OF TECHNOLOGY
    5500 WABASH AVENUE CM 21
    TERRE HAUTE,IN47803     		  PC GENERAL OPERATIONS 3,000
    RUTH HARBOR
    534 42ND ST
    DES MOINES,IA50312     		  PC GENERAL OPERATIONS 377
    SAINT LOUIS UNIVERSITY
    1 N GRAND BLVD
    ST LOUIS,MO63103     		  PC GENERAL OPERATIONS 2,000
    SALVATION ARMY METRO DIVISON
    5040 N PULASKI RD
    CHICAGO,IL60630     		  PC GENERAL OPERATIONS 100
    SALVATION ARMY NATIONAL CORP
    615 SLATERS LANE
    ALEXANDRIA,VA22314     		  PC GENERAL OPERATIONS 100
    SALVATION ARMY WESTERN DIVISION
    10755 BURT ST
    OMAHA,NE68114     		  PC GENERAL OPERATIONS 125
    SCHOLARSHIP AMERICA INC
    7900 INTERNATIONAL DR NO 500
    MINNEAPOLIS,MN55425     		  PC GENERAL OPERATIONS 17,500
    SECOND CHANCE DOG RESCUE
    4803 LISBON ST
    PROLE,IA50229     		  PC GENERAL OPERATIONS 400
    SECOND CHRISTIAN REFORMED CHURCH
    3015 NICHOLS ROAD
    KALAMAZOO,MI49004     		  PC GENERAL OPERATIONS 10,057
    SECOND HARVEST HEARTLAND
    7101 WINNETKA AVE N
    BROOKLYN PARK,MN55428     		  PC GENERAL OPERATIONS 100
    SECOND SENSE
    65 E WACKER PL
    CHICAGO,IL60601     		  PC GENERAL OPERATIONS 305
    SHENANDOAH HIGH SCHOOL
    1000 MUSTANG DR
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 4,000
    SHENANDOAH IOWA EDUCATION FOUNDATION
    PO BOX 351
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 1,960
    SHENANDOAH MEDICAL CENTER
    1 JACK FOSTER DRIVE
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 10,200
    SHENANDOAH MEDICAL CENTER FOUNDATION
    300 PERSHING AVE
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 650
    SHENANDOAH MIDDLE SCHOOL
    601 DR CREIGHTON CIR
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 500
    SHENANDOAH MUSIC ASSOCIATION
    1304 MITCHELL ST
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 250
    SHENANDOAH PUBLIC LIBRARY FOUNDATION
    201 E ELM STREET
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 100
    SHINING STARS THERAPEUTIC RIDING PROGRAM INC
    3175 OLD HARRISBURG RD
    GETTYSBURG,PA17325     		  PC GENERAL OPERATIONS 1,000
    SHRINERS HOSPITAL FOR CHILDREN - PORTLAND
    3101 SW SAM JACKSON PARK RD
    PORTLAND,OR97239     		  PC GENERAL OPERATIONS 1,333
    SHRINER'S HOSPITALS FOR CHILDREN
    2900 ROCKY POINT DRIVE
    TAMPA,FL33607     		  PC GENERAL OPERATIONS 255
    SHRINERS HOSPITALS FOR CHILDREN HOUSTON
    815 MARKET STREET
    HOUSTON,TX77030     		  PC GENERAL OPERATIONS 100
    SIDNEY HIGH SCHOOL
    2754 KNOX ROAD
    SIDNEY,IA51652     		  PC GENERAL OPERATIONS 150
    SIMPSON COLLEGE
    701 NORTH C STREET
    INDIANOLA,IA50125     		  PC GENERAL OPERATIONS 4,080
    SIOUX CENTER ATHLETIC BOOSTERS INC
    540 N MAIN AVE
    SIOUX CENTER,IA51250     		  PC GENERAL OPERATIONS 500
    SIOUX CENTER MUSIC BOOSTERS INC
    540 N MAIN AVE
    SIOUX CENTER,IA51250     		  PC GENERAL OPERATIONS 3,250
    SIOUX COUNTY CONSERVATION FOUNDATOIN
    4051 CHERRY AVE
    HAWARDEN,IA51023     		  PC GENERAL OPERATIONS 2,000
    SMOKE ON THE WATER
    1801 HAYES STREET
    NASHVILLE,TN37203     		  PC GENERAL OPERATIONS 500
    SOUTH DAKOTA STATE UNIVERSITY
    1451 STADIUM ROAD
    BROOKINGS,SD57007     		  PC GENERAL OPERATIONS 8,000
    SOUTH DAKOTA STATE UNIVERSITY FOUNDATION
    815 MEDARY AVE
    BROOKINGS,SD57006     		  PC GENERAL OPERATIONS 300
    SOUTHERN ILLINOIS UNIVERSITY FOUNDATION
    1235 DOUGLAS DR
    CARBONDALE,IL62901     		  PC GENERAL OPERATIONS 2,000
    SPASTIC PARAPLEGIA FOUNDATION INC
    PO BOX 1208
    FORSTON,GA31808     		  PC GENERAL OPERATIONS 50
    SPECIAL YOUTH CHALLENGE MINISTRIES OF NORTHWEST IOWA
    PO BOX 461
    SIOUX RAPIDS,IA50585     		  PC GENERAL OPERATIONS 1,000
    ST ANTHONY FOUNDATION
    311 SOUTH CLARK ST
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 1,100
    ST JUDE CHILDRENS RESEARCH HOSPITAL INC
    262 DANNY THOMAS PL
    MEMPHIS,TN38105     		  PC GENERAL OPERATIONS 2,629
    ST RITA SCHOOL FOR THE DEAF
    1720 GLENDALE MILFORD ROAD
    CINCINNATI,OH45215     		  PC GENERAL OPERATIONS 50
    STANTON COMM SCHOOL DISTRICT
    605 ELLIOTT ST
    STANTON,IA51573     		  PC GENERAL OPERATIONS 500
    STANTON FRIENDS
    PO BOX 42
    STANTON,IA51573     		  PC GENERAL OPERATIONS 500
    STANTON PTSO
    605 ELLIOTTT STREET
    STANTON,IA51573     		  PC GENERAL OPERATIONS 100
    STATE UNIVERSITY OF IOWA FOUNDATION
    1 W PARK RD
    IOWA CITY,IA52242     		  PC GENERAL OPERATIONS 50
    STEPHEN ANIMAL SHELTER FOUNDATION INC
    100 1ST AVE W
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 450
    STEPHEN SILLER TUNNEL TO TOWERS FOUNDATOIN
    2361 HYLAN BLVD
    STATEN ISLAND,NY10306     		  PC GENERAL OPERATIONS 5,325
    STEPPING STONES EARLY LEARNING CENTER INC
    300 PANTHER DR
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 5,250
    SUSAN G KOMEN BREAST CANCER FOUNDATION
    13770 NOEL RD UNIT 801889
    DALLAS,TX75380     		  PC GENERAL OPERATIONS 500
    TAYLOR UNIVERSITY
    236 W READE AVE
    UPLAND,IN46989     		  PC GENERAL OPERATIONS 2,000
    TEEN CHALLENGE OF THE MIDLANDS INC
    900 NORTH LEAGUE ROAD
    COLFAX,IA50054     		  PC GENERAL OPERATIONS 100
    THE CARTER CENTER INC
    435 JOHN LEWIS FREEDOM PARKWAY NE
    ATLANTA,GA30307     		  PC GENERAL OPERATIONS 35
    THE CENTRAL CLUB
    PO BOX 293
    PELLA,IA50219     		  PC GENERAL OPERATIONS 486
    THE COMMUNITY OF CONCERN INC
    322 W 3RD ST
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 2,025
    THE IRONMAN FOUNDATION INC
    3407 W DR MATIN LUTHER KING
    TAMPA,FL33607     		  PC GENERAL OPERATIONS 1,420
    THE LEUKEMIA LYMPHOMA SOCIETY - IOWA CHAPTER
    2700 WESTOWN PKWY
    WEST DES MOINES,IA50266     		  PC GENERAL OPERATIONS 350
    THE MCDONOUGH COUNTY GENEALOGICAL SOCIETY
    PO BOX 202
    MACOMB,IL61455     		  PC GENERAL OPERATIONS 300
    THE OHIO STATE UNIVERSITY
    2200 OLENTANGY RIVER RD
    COLUMBUS,OH43210     		  PC GENERAL OPERATIONS 2,000
    THE PURPLE MARTIN CONSERVATION ASSOCIATION
    301 PENINSULA DR
    ERIE,PA16505     		  PC GENERAL OPERATIONS 100
    THE SALVATION ARMY
    615 SLATERS LANE
    ALEXANDRIA,VA22314     		  PC GENERAL OPERATIONS 18,425
    THE SHRINERS HOSPITAL FOR CHILDREN
    2900 N ROCKY POINT DR
    TAMPA,FL33607     		  PC GENERAL OPERATIONS 75
    THE SOUTHWEST IOWA THEATRE GROUPINCORPORATED
    PO BOX 212
    SHENANDOAH,IA51601     		  PC GENERAL OPERATIONS 11,125
    THE WESTERN THEOLOGICAL SEMINARY OF THE REFORMED CHURCH IN AMERICA
    101 E 13TH ST
    HOLLAND,MI49423     		  PC GENERAL OPERATIONS 750
    THORN
    1240 ROSECRANS AVE
    MANHATTON BEACH,CA90266     		  PC GENERAL OPERATIONS 379
    TISCH MULTIPLE SCLEROSIS RESEARCH CENTER OF NEW YORK INC
    521 W 57TH STREET
    NEW YORK,NY10019     		  PC GENERAL OPERATIONS 500
    TREES FOREVER INC
    80 WEST 8TH AVENUE
    MARION,IA52302     		  PC GENERAL OPERATIONS 75
    TRINITY CHRISTIAN COLLEGE ASSOCIATION
    6601 W COLLEGE DR
    PALOS HEIGHTS,IL60463     		  PC GENERAL OPERATIONS 4,450
    TWLOHA INC
    PO BOX 2203
    MELBOURNE,FL32902     		  PC GENERAL OPERATIONS 200
    UNION STREET PLAYERS
    712 UNION ST STE 202
    PELLA,IA50219     		  PC GENERAL OPERATIONS 150
    UNITED SERVICE ORGANIZATIONS INC
    PO BOX 96860
    WASHINGTON,DC20077     		  PC GENERAL OPERATIONS 100
    UNITED STATES NAVAL ACADEMY
    121 BLAKE ROAD
    ANNAPOLIS,MD21402     		  PC GENERAL OPERATIONS 4,000
    UNITED WAY OF CARROLL IOWA
    PO BOX 482
    CARROLL,IA51401     		  PC GENERAL OPERATIONS 500
    UNITED WAY OF CENTRAL IOWA
    1111 NINTH STREET
    DES MOINES,IA50314     		  PC GENERAL OPERATIONS 1,050
    UNITED WAY OF JASPER COUNTY
    312 IST AVE WEST
    NEWTON,IA50208     		  PC GENERAL OPERATIONS 150
    UNITED WAY OF MAHASKA COUNTY
    PO BOX 761
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 500
    UNITED WAY OF MARION COUNTY
    PO BOX 577
    KNOXVILLE,IA50138     		  PC GENERAL OPERATIONS 45,000
    UNITED WAY OF MOWER COUNTY INC
    111 MAIN STREET N
    AUSTIN,MN55912     		  PC GENERAL OPERATIONS 500
    UNITED WAY OF MURRAY CALLOWAY COUNTY INC
    PO BOX 526
    MURRAY,KY42071     		  PC GENERAL OPERATIONS 3,000
    UNIVERSITY OF ARKANSAS FOUNDATION INC
    535 W RESEARCH CENTER BLVD
    FAYETTEVILLE,AR72701     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF CENTRAL FLORIDA FOUNDATION INC
    12424 RESEARCH PKWY STE 140
    ORLANDO,FL32826     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF FLORIDA
    100 FARRIOR HALL
    GAINESVILLE,FL32611     		  PC GENERAL OPERATIONS 1,000
    UNIVERSITY OF IOWA
    108 CALVIN HALL
    IOWA CITY,IA52242     		  PC GENERAL OPERATIONS 20,000
    UNIVERSITY OF KENTUCKY
    410 ADMINISTRATION DR
    LEXINGTON,KY40506     		  PC GENERAL OPERATIONS 4,000
    UNIVERSITY OF MAINE
    5703 ALUMNI HALL
    ORONO,ME04469     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF MISSOURI
    230 JESSE HALL
    COLUMBIA,MO65211     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF NORTHERN IOWA
    1227 W 27TH ST
    CEDAR FALLS,IA50614     		  PC GENERAL OPERATIONS 30,000
    UNIVERSITY OF NORTHERN IOWA FOUNDATION
    204 COMMONS UNI
    CEDAR FALLS,IA50614     		  PC GENERAL OPERATIONS 1,000
    UNIVERSITY OF NORTHWESTERN-ST PAUL
    3003 SNELLING AVE N
    ST PAUL,MN55113     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF NORTHWESTERN-ST PAUL
    3003 SNELLING AVE N
    ST PAUL,MN55113     		  PC GENERAL OPERATIONS 200
    UNIVERSITY OF NOTRE DAME
    100 ECK CENTER
    NOTRE DAME,IN46556     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF NOTRE DAME DU LAC
    724 GRACE HALL
    NOTRE DAME,IN46556     		  PC GENERAL OPERATIONS 5,500
    UNIVERSITY OF TOLEDO
    2801 W BANCROFT ST
    TOLEDO,OH43606     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF WISCONSIN OSHKOSH FOUNDATION INC
    625 PEARL AVE
    OSHKOSH,WI54901     		  PC GENERAL OPERATIONS 2,000
    UNIVERSITY OF WISCONSIN-EAU CLAIRE FOUNDATION INC
    105 GARFIELD AVE
    EAU CLAIRE,WI54701     		  PC GENERAL OPERATIONS 2,000
    USO WORLD HEADQUARTERS-DC WASHINGTON
    PO BOX 96860
    WASHINGTON,DC20077     		  PC GENERAL OPERATIONS 100
    VAIL VOLUNTEER FIREMEN
    206 BERGEN ST
    VAIL,IA51465     		  PC GENERAL OPERATIONS 1,000
    VETERANS OF FOREIGN WARS FOUNDATION
    406 WEST 34TH STREET
    KANSAS CITY,MO64111     		  PC GENERAL OPERATIONS 50
    VICTORY MINISTRIES OF ALASKA INC
    PO BOX 875392
    WASILLA,AK99687     		  PC GENERAL OPERATIONS 1,000
    VOLKSWEG HIGH WATER TRAIL INC
    1706 W 3RD ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 100
    WELCOME HOME SOLDIER
    PO BOX 638
    ALBIA,IA52531     		  PC GENERAL OPERATIONS 2,500
    WELL RESOURCE CENTER
    419 E OSKALOOSA ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 11,035
    WESLEY RETIREMENT SERVICES INC
    5508 NW 88TH ST
    JOHNSTON,IA50131     		  PC GENERAL OPERATIONS 100,000
    WESLEYLIFE
    5508 NW 88TH ST
    JOHNSTON,IA50131     		  PC GENERAL OPERATIONS 600
    WEST KENTUCKY COMMUNITY AND TECHNICAL COLLEGE
    4810 ALBEN BARKLEY DR
    PADUCAH,KY42001     		  PC GENERAL OPERATIONS 750
    WESTERN IOWA TECH COMMUNITY COLLEGE FOUNDATION
    PO BOX 5199
    SIOUX CITY,IA51102     		  PC GENERAL OPERATIONS 1,500
    WESTERN KENTUCKY UNIVERSITY FOUNDATION
    292 ALUMNI AVENUE NO 305
    BOWLING GREEN,KY42101     		  PC GENERAL OPERATIONS 2,000
    WHEATON COLLEGE
    501 COLLEGE AVE
    WHEATON,IL60187     		  PC GENERAL OPERATIONS 2,000
    WILLIAM PENN UNIVERSITY
    201 TRUEBLOOD AVE
    OSKALOOSA,IA52577     		  PC GENERAL OPERATIONS 3,750
    WONDER SPELEN
    916 W 16TH ST
    PELLA,IA50219     		  PC GENERAL OPERATIONS 2,250
    WOUNDED WARRIOR PROJECT INC
    4899 BELFORT ROAD
    JACKSONVILLE,FL32256     		  PC GENERAL OPERATIONS 800
    YORK COLLEGE OF PENNSYLVANIA
    441 COUNTRY CLUB RD
    YORK,PA17403     		  PC GENERAL OPERATIONS 2,000
    YOUNG MENS CHRISTIAN ASSN
    111 W PARK ST
    FRANKLIN,PA16323     		  PC GENERAL OPERATIONS 25
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF GETTYSBURG PA
    909 FAIRFIELD RD
    GETTYSBURG,PA17325     		  PC GENERAL OPERATIONS 16,000
    YOUTH EMERGENCY SERVICES SHELTER OF IOWA
    918 SE 11TH ST
    DES MOINES,IA50309     		  PC GENERAL OPERATIONS 200
    YOUTH RACERS OF AMERICA INC
    4001 SE 34TH ST
    DES MOINES,IA50320     		  PC GENERAL OPERATIONS 150
    RETURNED CHECKS
    102 MAIN STREET
    PELLA,IA50219     		  PC GENERAL OPERATIONS -5,100
    Total .................................bullet 3a 1,698,948
    bApproved for future payment
    BILL LYNCH GRANT - LORAS COLLEGE ACCRUAL
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 ACCRUAL $5,000 2023 ACCRUAL $5,000 10,000
    GARY DECAMILLO SCHOLARSHIP ACCRUAL
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 ACCRUAL $5,000 5,000
    GRANTS
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 GRANTS ACCRUAL 573,350
    MATCHING GIFTS
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 MATCHING GIFTS ACCRUAL 126,447
    PELLA CORP EMPLOYEE SCHOLARSHIPS ACCRUAL
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 ACCRUAL $191,000 2023 ACCRUAL $118,000 2024 ACCRUAL $ 58,000 367,000
    PELLA DOLLARS FOR SCHOLARSHIPS (CHARLES S FARVER) ACCRUAL
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 ACCRUAL $12,000 2023 ACCRUAL $12,000 2024 ACCRUAL $12,000 36,000
    RUTH ANN MARSHALL SCHOLARSHIP (NEW WORLD) ACCRUAL
    102 MAIN STREET
    PELLA,IA50219     		  PC 2022 ACCRUAL $2,500 2023 ACCRUAL $2,500 2024 ACCRUAL $2,500 7,500
    Total .................................bullet 3b 1,125,297
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........     		         
    4 Dividends and interest from securities ....          
    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 ............     		    18 484,583  
    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) .. 0 975,711 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    975,711
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    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
    2021
    Name of the organization
    PELLA ROLSCREEN FOUNDATION
    C/O PELLA CORPORATION
    Employer identification number

    23-7043881
    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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    PELLA ROLSCREEN FOUNDATION
    C/O PELLA CORPORATION         		Employer identification number
    23-7043881
    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
    PELLA CORPORATION
     
    102 MAIN STREET
     
    PELLA, IA50219

    		$ 2,000,000


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    PELLA ROLSCREEN FOUNDATION
    C/O PELLA CORPORATION         		Employer identification number

    23-7043881
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    PELLA ROLSCREEN FOUNDATION
    C/O PELLA CORPORATION         		Employer identification number

    23-7043881
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VANGUARD TOTAL BOND MARKET INDEX 2,545,422 2,545,422
    VANGUARD SHORT-TERM BOND INDEX 1,079,493 1,079,493
    GOLDMAN SACHS GLOBAL CORE FIXED INCOME FUND INSTITUTIONAL CLASS 2,165,551 2,165,551

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VANGUARD INSTITUTIONAL INDEX FUND 1,817,076 1,817,076
    VANGUARD MID CAP INDEX FUND 1,083,682 1,083,682
    VANGUARD SMALL CAP INDEX FUND 670,305 670,305
    BLACKROCK TOTAL RETURN FUND CLASS K 4,630,176 4,630,176
    EUROPACIFIC GROWTH FUND CLASS F3 855,956 855,956
    T. ROWE PRICE INTERNATIONAL DISCOVERY FD CL I 565,984 565,984

    TY 2021 OtherDecreasesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Description Amount
    INCRS IN UNRLZD LOSS IN MRKT VAL OF INVSTMNTS HELD FRM 12/31/20 TO 12/31/21 262,150


    TY 2021 OtherExpensesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WEBSITE EXPENSE 15,828 0   0
    CHECK CHARGES 993 0   0
    INTERNET SERVICES 400 0   0
    SUPPLIES 244 0   0
    SMARTERSELECT 3,000 0   0
    CANDID 4,000 0   0


    TY 2021 OtherIncreasesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Description Amount
    PRIOR YEAR EXPENSE ACCRUAL ADJUSTMENT 18,385


    TY 2021 OtherLiabilitiesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Description Beginning of Year - Book Value End of Year - Book Value
    ACCRUED EXCISE TAXES 28,969 12,728


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 60,000 60,000   0


    TY 2021 TaxesSchedule
    Name:
    PELLA ROLSCREEN FOUNDATION
     
    C/O PELLA CORPORATION
    EIN:
    23-7043881
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 12,730 0   0