Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 712,058 | 527,614 | 1,203,010 | 3,120,247 | 562,615 | 6,125,544 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 712,058 | 527,614 | 1,203,010 | 3,120,247 | 562,615 | 6,125,544 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 625,176 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 5,500,368 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 712,058 | 527,614 | 1,203,010 | 3,120,247 | 562,615 | 6,125,544 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 206,659 | 274,313 | 274,615 | 232,905 | 307,624 | 1,296,116 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 7,617,744 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | ARTICLES OF INCORPORATION WERE REVISED TO UPDATE THEIR TERMINOLOGY AND REFLECT CURRENT BEST PRACTICES. BYLAWS WERE REVISED TO REDUCED THE MINIMUM NUMBER OF DIRECTORS TO 14 AND TO CLARIFY VARIOUS AREAS, SUCH AS THE WORDING ON DIRECTORS TERMS OF OFFICE, THE FILLING OF VACANCIES, RESIGNATIONS, MEETING NOTICES, MANNER OF ACTING, MEETING BY CONFERENCE TELEPHONE, PRESUMPTION OF ASSENT AND COMPENSATION POLICIES. ALSO CLARIFIED THE TITLES AND TERMS OF OFFICERS AND THE STEPS NECESSARY TO REMOVE AN OFFICER. COMMITTEE MEMBERSHIP AND MEETING RULES WERE RESTRUCTURED TO MATCH THOSE OF THE BOARD. CLARIFICATION OF WHO CAN SIGN LEGAL DOCUMENTS AND ON RULES REGARDING LOANS, DEPOSIT, KEEPING OF BOOKS AND RECORDS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CHIEF EXECUTIVE WILL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE. THE FINANCE COMMITTEE WILL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION, AND THE FULL BOARD SHALL RECEIVE A COPY OF THE IRS FORM 990 IMMEDIATELY PRIOR TO THE DATE OF SUBMISSION FOR THEIR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY: ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS STATEMENT WILL ALLOW THE METH-WICK COMMUNITY, INC. TO IDENTIFY ANY CORPORATE, MEMBERSHIP OR OTHER RELATIONSHIPS OF THE INDIVIDUAL WHICH COULD BENEFIT THE PRIVATE INTEREST OF SUCH INDIVIDUAL OR RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENT IS REVIEWED BY THE CHAIR OF THE CORPORATION AND INSURANCE COMMITTEE. THE CHAIR WILL REPORT ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO THE BOARD OF DIRECTORS WITH THE INDIVIDUAL IN QUESTION GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS REGARDING THE POSSIBLE CONFLICT. THE BOARD WILL THEN DECIDE IF A CONFLICT OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMPENSATION POLICY: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE METH-WICK COMMUNITY, INC. HAS GENERAL OVERSIGHT OF THE YEARLY EVALUATION OF THE CHIEF EXECUTIVE OF THE ORGANIZATION AND IS THE AUTHORIZED BODY TO DETERMINE COMPENSATION ARRANGEMENTS FOR THE CHIEF EXECUTIVE. THE CHAIRPERSON OF THE BOARD WILL NOTIFY THE BOARD OF DIRECTORS OF THE ANNUAL EVALUATION AND SEEK THEIR INPUT ALONG WITH INPUT FROM THE SENIOR MANAGEMENT STAFF AND SELECTED RESIDENT REPRESENTATIVES. THE EVALUATION WILL BE CONDUCTED ON A TIMELY BASIS TO COINCIDE WITH THE ANNUAL BUDGETING PROCESS. THE EXECUTIVE COMMITTEE WILL: -ENSURE THAT THE COMPENSATION ARRANGEMENT IS APPROVED BY A COMMITTEE COMPOSED ENTIRELY OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. -OBTAIN APPROPRIATE DATA AS TO SALARY COMPARABILITY TO BE USED IN THE DECISION MAKING PROCESS. -ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION OF THE COMPENSATION PACKAGE. APPROPRIATE DATA FOR COMPARABILITY WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICE IN THE GEOGRAPHIC AREA OF THE ORGANIZATION; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PERSON. THE COMMITTEE WILL MEET INDEPENDENT OF THE CHIEF EXECUTIVE TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION AND IDENTIFIED PERFORMANCE GOALS. ONCE CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO THE ESTABLISHED OBJECTIVES. THE COMMITTEE AND/OR THE BOARD CHAIR WILL MEET WITH THE CHIEF EXECUTIVE TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS TO BE DISCUSSED AND DOCUMENTED AS WELL. THE COMMITTEE WILL PRESENT ITS FINDINGS AND RESULTING EXECUTIVE COMPENSATION PACKAGE TO THE FULL BOARD IN AN EXECUTIVE SESSION WITHOUT THE CHIEF EXECUTIVE PRESENT. SENIOR MANAGEMENT STAFF COMPENSATION PROCEDURE: THE CHIEF EXECUTIVE OF THE METH-WICK COMMUNITY, INC. HAS GENERAL OVERSIGHT OF THE YEARLY EVALUATION OF THE SENIOR MANAGEMENT STAFF OF THE ORGANIZATION AND IS THE AUTHORIZED BODY TO DETERMINE COMPENSATION ARRANGEMENTS FOR THE SENIOR MANAGEMENT STAFF. THE DIRECTOR OF HUMAN RESOURCES OF THE METH-WICK COMMUNITY WILL NOTIFY THE CHIEF EXECUTIVE OF THE NECESSARY ANNUAL EVALUATIONS. THE EVALUATIONS WILL BE CONDUCTED ON A TIMELY BASIS TO COINCIDE WITH THE ANNUAL BUDGETING PROCESS. THE CHIEF EXECUTIVE WILL: -ENSURE THAT THERE IS NO CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. -OBTAIN APPROPRIATE DATA AS TO SALARY COMPARABILITY TO BE USED IN THE DECISION MAKING PROCESS. -ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION OF THE COMPENSATION PACKAGE. APPROPRIATE DATA FOR COMPARABILITY WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICE IN THE GEOGRAPHIC AREA OF THE ORGANIZATION; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PERSON. THE CHIEF EXECUTIVE WILL MEET WITH THE SENIOR EXECUTIVE STAFF TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS TO BE DISCUSSED AND DOCUMENTED AS WELL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CHIEF EXECUTIVE OF THE METH-WICK COMMUNITY, INC. IS RESPONSIBLE FOR MAKING THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. THE GENERAL PUBLIC CAN REQUEST COPIES OF THESE DOCUMENTS BY CONTACTING THE CHIEF EXECUTIVE AT THE METH-WICK COMMUNITY, INC., 1224 13TH STREET NW, CEDAR RAPIDS, IA 52405. THE REQUEST CAN BE MADE IN PERSON OR IN WRITING. |
| Software ID: | |
| Software Version: |