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 07-01-2021 , and ending 06-30-2022
Name of foundation
TODD AND MARY HEISTAND FAMILY
FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)514 WALKER ST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WOODBINE, IA51579
A Employer identification number

46-1604788
B Telephone number (see instructions)

(712) 647-2041
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,251,182J 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) 1,495,000
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,046 1,046  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
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)....... Click to see attachment 6,585   6,585
12 Total. Add lines 1 through 11........ 1,502,631 1,046 6,585
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 42,400     42,400
15 Pension plans, employee benefits....... 3,286     3,286
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,250     1,250
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 475     475
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 29,474     29,474
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 76,885 0   76,885
25 Contributions, gifts, grants paid....... 1,404,466 1,404,466
26 Total expenses and disbursements. Add lines 24 and 25 1,481,351 0   1,481,351
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 21,280
b Net investment income (if negative, enter -0-) 1,046
c Adjusted net income (if negative, enter -0-)... 6,585
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............. 218,579 59,118 59,118
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet5,440
Less: allowance for doubtful accounts bullet   5,440 5,440 5,440
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.............. 193,893 360,937 360,937
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 838,707 Click to see attachment825,687 825,687
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) 1,256,619 1,251,182 1,251,182
Liabilities 17 Accounts payable and accrued expenses.......... 34,923 8,540
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment2,438 Click to see attachment2,104
23 Total liabilities (add lines 17 through 22)......... 37,361 10,644
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........... 1,219,258 1,240,538
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)..... 1,219,258 1,240,538
30 Total liabilities and net assets/fund balances (see instructions). 1,256,619 1,251,182
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,219,258
2
Enter amount from Part I, line 27a .....................
2
21,280
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
1,240,538
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,240,538
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.)
1a
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
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
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  
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  
3 Add lines 1 and 2........................... 3 15
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 15
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 15
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)
    bulletNE
    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 addressbulletWWW.HEISTANDFAMILYFOUNDATION.ORG
    14
    The books are in care ofbulletCARRIE MURDOCK Telephone no.bullet (712) 647-2041

    Located atbullet514 WALKER STWOODBINEIA ZIP+4bullet51579
    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
     
     
    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
    TODD R HEISTAND PRESIDENT/DI
    000.00     		0 0 0
    514 WALKER AVENUE
    WOODBINE,IA51579
    CARRIE J MURDOCK SECRETARY/DI
    000.00     		0 0 0
    1400 QUAY AVENUE
    WOODBINE,IA51579
    RANDY COENEN TREASURER/DI
    000.00     		0 0 0
    24 7TH STREET
    WOODBINE,IA51579
    MARY J HEISTAND DIRECTOR
    000.00     		0 0 0
    514 WALKER AVENUE
    WOODBINE,IA51579
    MINDY K CROOK DIRECTOR
    000.00     		0 0 0
    702 WALKER AVENUE
    WOODBINE,IA51579
    KASSEY A BARTELS DIRECTOR
    000.00     		0 0 0
    43 9TH STREET
    WOODBINE,IA51579
    MATTHEW T HEISTAND DIRECTOR
    000.00     		0 0 0
    3400 180TH STREET
    WOODBINE,IA51579
    MICHAEL D MATEJKA DIRECTOR
    000.00     		0 0 0
    10250 REGENCY CIRCLE SUITE 525
    OMAHA,NE681149625
    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  
    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.............bullet  
    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 DIRECT CONTRIBUTION TO SINC FOUNDATION. THIS NON-PROFIT PROVIDES EDUCATION, FINANCIAL SERVICES AND FUNDRAISING ASSISTANCE TO 501(C)3 ENTITIES IN SOUTHWEST IOWA. 600,000
    2 DIRECT CONTRIBUTION TO MICAH HOUSE. THIS NON-PROFIT EDUCATES AND EMPOWERS KIDS AND FAMILIES TO CREATE A SAFE, HEALTHY,SUCCESSFUL AND CONNECTED COMMUNITY IN AN EFFORT TO BREAK THE CYCLE OF POVERTY. 52,500
    3 DIRECT CONTRIBUTION TO OMAHA BY DESIGN. THIS NON- PROFIT ENGAGES, EDUCATES AND ADVOCATES FOR EXCELLENCE IN PEOPLE-CENTERED URBAN DESIGN AND POLICY. 50,000
    4 DIRECT CONTRIBUTION TO AMIGOS OF COSTA RICA. THIS NON- PROFIT FOUNDATION PROMOTES COSTA RICA'S SUSTAINABLE DEVELOPMENT BY SUPPORTING INNOVATIVE PROJECTS AND STRATEGIC ALLIANCES. 48,616
    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 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    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
    29,785
    b
    Average of monthly cash balances.......................
    1b
    34,555
    c
    Fair market value of all other assets (see instructions)................
    1c
    802,412
    d
    Total (add lines 1a, b, and c).........................
    1d
    866,752
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    866,752
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    13,001
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    853,751
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    42,688
    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
    42,688
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    15
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    15
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    42,673
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    42,673
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    42,673
    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 42,673
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 452,220
    b From 2017...... 934,792
    c From 2018...... 461,615
    d From 2019...... 676,901
    e From 2020...... 640,734
    f Total of lines 3a through e ........ 3,166,262
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,481,351
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2021 distributable amount..... 42,673
    e Remaining amount distributed out of corpus 1,438,678
    5 Excess distributions carryover applied to 2021.    
    (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 4,604,940
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		452,220
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		4,152,720
    10 Analysis of line 9:
    a Excess from 2017.... 934,792
    b Excess from 2018.... 461,615
    c Excess from 2019.... 676,901
    d Excess from 2020.... 640,734
    e Excess from 2021.... 1,438,678
    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:
    CARRIE MURDOCK
    514 WALKER ST
    WOODBINE,IA51579
    (712) 647-2041
    NONE
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN LETTER
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE EXCEPT THE REQUESTING ORGANIZATION BE A TAX EXEMPT ENTITY.
    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
    AMIGOS OF COSTA RICA
    PO BOX 748
    WEST CHESTER,PA19380     		  PC OPERATAING PURPOSES 48,616
    BETHLEHEM HOUSE
    2301 S 15TH STREET
    OMAHA,NE68108     		  PC OPERATING PURPOSES 7,500
    BIG BROTHERS BIG SISTERS MIDLANDS
    10831 OLD MILL ROAD
    OMAHA,NE68154     		  PC OPERATING EXPENSES 10,000
    BOYS & GIRLS CLUBS MIDLANDS
    2610 HAMILTON STREET
    OMAHA,NE68131     		  PC OPERATING EXPENSES 30,000
    BOYS TOWN
    14100 CRAWFORD STREET
    BOYS TOWN,NE68010     		  PC OPERATING EXPENSES 25,000
    CAROLE'S HOUSE OF HOPE
    7815 HARNEY STREET
    OMAHA,NE68114     		  PC OPERATING EXPENSES 25,000
    CASA OF DOUGLAS COUNTY NEBRASKA
    2412 ST MARYS AVENUE
    OMAHA,NE68105     		  PC OPERATING EXPENSES 15,000
    CHARIOTS 4 HOPE
    2101 WOOLWORTHAVE
    OMAHA,NE68108     		  PC OPERATING PURPOSES 5,000
    CHI HEALTH FOUNDATION
    12809 WEST DODGE ROAD
    OMAHA,NE68154     		  PC OPERATING EXPENSE 5,000
    CHILDREN'S HOSPITAL & MED CENTER
    8401 W DODGE RD
    OMAHA,NE68114     		  PC OPERATING PURPOSES 15,000
    CHILDREN'S RESPITE CARE CENTER
    5321 S 138TH STREET
    OMAHA,NE68137     		  PC OPERATING EXPENSES 15,000
    COMPLETELY KIDS
    2566 ST MARYS AVENUE
    OMAHA,NE68105     		  PC GRANT 15,000
    FAMILY INC
    3501 HARRY LANGDON BLVD
    SUITE 150
    COUNCIL BLUFFS,IA51503     		  PC COMMUNITY SERVICES 25,000
    GIRLS INC
    2811 N 45TH STREET
    OMAHA,NE68104     		  PC GRANT 20,000
    GO BEYOND NEBRASKA
    PO BOX 641609
    OMAHA,NE68164     		  PC OPERATING EXPENSES 20,000
    HARRISON COUNTY PUBLIC HEALTH
    116 N 2ND AVENUE
    LOGAN,IA51546     		  PC LEARNING FOR LIFE PROGRAM 3,500
    HEART MINISTRY CENTER
    2222 BINNEY STREET
    OMAHA,NE68110     		  PC GRANT 20,000
    HEARTLAND FAMILY SERVICES
    2101 S 42ND STREET
    OMAHA,NE68105     		  PC NORTH OMAHA INTERGENERATIONAL FUND 38,600
    IMMIGRANT LEGAL CENTER
    4223 CENTER STREET
    OMAHA,NE68105     		  PC OPERATING EXPENSE 15,000
    KIDS CAN COMMUNITY CENTER
    4860 Q STREET
    OMAHA,NE68117     		  PC GRANT 35,000
    LATINO CENTER OF THE MIDLANDS
    4821 S 24TH STREET
    OMAHA,NE68107     		  PC GRANT 15,000
    MICAH HOUSE
    1415 AVENUE J
    COUNCIL BLUFFS,IA51501     		  PC OPERATING EXPENSES 52,500
    MOMMENTUM
    1225 N 53RD STREET
    OMAHA,NE68132     		  PC OPERATING EXPENSES 15,000
    NEBRASKA APPLESEED
    941 O STREET
    SUITE 920
    LINCOLN,NE68508     		  PC GRANT 10,000
    NEBRASKA CHILDREN'S HOME SOCIETY
    4939 SOUTH 118TH STREET
    OMAHA,NE68137     		  PC OPERATING EXPENSES 15,000
    NORTHSTAR FOUNDATION
    4242 NORTH 49TH AVENUE
    OMAHA,NE68104     		  PC GRANT 15,000
    OMAHA BY DESIGN
    6001 DODGE STREET
    OMAHA,NE68182     		  PC COMMUNITY BETTERMENT 50,000
    OMAHA CHILDRENS MUSEUM
    500 SOUTH 20TH STREET
    OMAHA,NE68102     		  PC OPERATING EXPENSES 10,000
    OMAHA HOME FOR BOYS
    4343 N 52ND STREET
    OMAHA,NE68104     		  PC GRANT 15,000
    PACE
    5105 S 27TH STREET
    OMAHA,NE68107     		  PC OPERATING EXPENSES 5,000
    PROJECT HARMONY CHILD ADVOCACY
    11949 Q STREET
    OMAHA,NE68137     		  PC GRANT 23,250
    REFUGEE EMPOWERMENT CENTER
    3610 DODGE STREET
    SUITE 100
    OMAHA,NE68131     		  PC OPERATING EXPENSE 10,000
    SAVINGS GRACE
    4611 S 96TH STREET
    SUITE 112
    OMAHA,NE68127     		  PC OPERATING EXPENSES 15,000
    SHARE MY SMILE
    44 HURON CIRCLE
    COUNCIL BLUFFS,IA51501     		  PC OPERATING EXPENSES 41,000
    SINC
    18502 VINTON STREET
    OMAHA,NE68130     		  PC GRANT 600,000
    SOUTHWEST IOWA FAMILIES INC
    215 E WASHINGTON
    CLARINA,IA51632     		  PC OPERATING EXPENSES 10,000
    TEAMMATES OF WOODBINE
    501 WEARE STREET
    WOODBINE,IA51579     		  PC COMMUNITY SERVICES 500
    THE LIFE HOUSE
    9100 F STREET
    SUITE 100
    OMAHA,NE68127     		  PC OPERATING EXPENSES 10,000
    THE SIMPLE FOUNDATION
    1120 S 101 STREET
    SUITE 320
    OMAHA,NE68124     		  PC OPERATING EXPENSES 30,000
    TOGETHER INC
    812 SOUTH 24TH STREET
    OMAHA,NE68108     		  PC OPERATING EXPENSES 15,000
    TOUCH OF GOLD
    6001 DODGE STREET
    OMAHA,NE68182     		  PC OPERATING EXPENSES 5,000
    WEST CENTRAL COMM ACTION AGENCYY
    1408 A HWY
    HARLAN,IA51537     		  PC OPERATING EXPENSES 5,000
    WINGS OF REFUGE
    PO BOX 562
    IOWA FALLS,IA50126     		  PC OPERATIONAL COSTS 3,000
    WOODBINE COMMUNITY FOOD BANK
    PO BOX 255
    WOODBINE,IA51579     		  PC OPERATING EXPENSES 500
    YOUTH EMERGENCY SERVICES
    ATTN MARY FRASER MEINTS
    2679 FARNAM STREET 205
    OMAHA,NE68131     		  PC GRANT 38,000
    YOUTH FOR GREATER GOOD
    4140 N 42ND
    OMAHA,NE68111     		  PC OPERATING EXPENSES 2,500
    Total .................................bullet 3a 1,404,466
    bApproved for future payment
    OMAHA HOME FOR BOYS
    4343 N 52ND STREET
    OMAHA,NE68104     		  PC GRANT 15,000
    YOUTH EMERGENCY SERVICES
    ATTN MARY FRASER MEINTS
    2679 FARNAM STREET 205
    OMAHA,NE68131     		  PC GRANT 30,000
    OMAHA CHILDRENS MUSEUM
    500 SOUTH 20TH STREET
    OMAHA,NE68102     		  PC OPERATING EXPENSES 10,000
    BOYS & GIRLS CLUBS MIDLANDS
    2610 HAMILTON STREET
    OMAHA,NE68131     		  PC OPERATING EXPENSES 15,000
    AMIGOS OF COSTA RICA
    PO BOX 748
    WEST CHESTER,PA19380     		  PC OPERATAING PURPOSES 25,000
    PROJECT HARMONY CHILD ADVOCACY
    11949 Q STREET
    OMAHA,NE68137     		  PC GRANT 10,000
    MICAH HOUSE
    1415 AVENUE J
    COUNCIL BLUFFS,IA51501     		  PC OPERATING EXPENSES 90,000
    HEARTLAND FAMILY SERVICES
    2101 S 42ND STREET
    OMAHA,NE68105     		  PC NORTH OMAHA INTERGENERATIONAL FUND 70,000
    WINGS OF REFUGE
    PO BOX 562
    IOWA FALLS,IA50126     		  PC OPERATIONAL COSTS 16,000
    Total .................................bullet 3b 281,000
    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 ...........     		        1,046
    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 ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aCONSTRUCTION INCOME     		        6,585
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..     7,631
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    7,631
    (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.)
    11A DIVIDENDS AND OTHER REVENUE IS USED TO FUND THE OPERATIONS OF THE 10 ACRE FRUIT TREE ORCHARD. THIS ORCHARD IS OPEN TO THE PUBLIC AND ENCOURAGES HEALTHY EATING AS STATED IN THE ORGANIZATIONS MISSION STATEMENT. THE DIVIDEND AND OTHER REVENUE IS ALSO USED TO HELP FUND PARTNERSHIP PROGRAMS WITH SCHOOLS FOSTERING JOB SKILL FUNDAMENTALS OF THE BUILDING CONSTRUCTION TRADE AS STATED IN THE ORGANIZATION'S MISSION STATEMENT.
    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

    TY 2021 AccountingFeesSchedule
    Name:
    TODD AND MARY HEISTAND FAMILY
     
    FOUNDATION
    EIN:
    46-1604788
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 1,250     1,250

    TY 2021 InvestmentsOtherSchedule2
    Name:
    TODD AND MARY HEISTAND FAMILY
     
    FOUNDATION
    EIN:
    46-1604788
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BAIRD AT COST 29,789 29,789
    FUTURE FORWARD, LLC AT COST 795,898 795,898

    TY 2021 OtherExpensesSchedule
    Name:
    TODD AND MARY HEISTAND FAMILY
     
    FOUNDATION
    EIN:
    46-1604788
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    COMPUTER & SOFTWARE EXPENSE 434     434
    CONSULTING 1,025     1,025
    DUES, FEES & SUBSCRIPTIONS 1,104     1,104
    K-1 LOSS 14,049     14,049
    MEALS 473     473
    PROFESSIONAL FEES 9,500     9,500
    REPAIRS & MAINTENANCE 2,871     2,871
    SUPPLIES 18     18


    TY 2021 OtherIncomeSchedule2
    Name:
    TODD AND MARY HEISTAND FAMILY
     
    FOUNDATION
    EIN:
    46-1604788
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CONSTRUCTION INCOME 6,585   6,585


    TY 2021 OtherLiabilitiesSchedule
    Name:
    TODD AND MARY HEISTAND FAMILY
     
    FOUNDATION
    EIN:
    46-1604788
    Description Beginning of Year - Book Value End of Year - Book Value
    STATE WITHHOLDING 375 334
    PAYROLL LIABILITIES 2,027 1,770
    STATE UNEMPLOYMENT 36