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 | |||||
| (A)
UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE |
466000364 | 6 | Yes | 0 | 0 | |
|
Total 1
|
0 | 0 | ||||
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.") .. | ||||||
| 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 | ||||||
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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 | ||||||
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) |
||||
| 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) |
||||
| 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): |
|||||
| 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) |
||||
| 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. |
||||
|
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. |
||||
|
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 |
|---|
| Return Reference | Explanation |
|---|---|
| PART I, LINE 11G, COLUMN (V): | THE ORGANIZATION DOES NOT PROVIDE MONETARY SUPPORT TO THE SUPPORTED ORGANIZATION. INSTEAD, IT PROVIDES SEVERAL SERVICES WHICH ARE USED TO PROMOTE THE OVERALL GOAL OF RESEARCH, EDUCATION, AND ASSOCIATED PATIENT CARE. |
| PART IV, SECTION A, LINE 2: | UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE, THE SUPPORTED ORGANIZATION, IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS BECAUSE IT IS A STATE UNIVERSITY OPERATED UNDER THE STATE OF SOUTH DAKOTA. |
| PART IV, SECTION D, LINE 2 | THE DEAN OF UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE, THE SUPPORTED ORGANIZATION, IS A DIRECTOR ON THE GOVERNING BOARD FOR FUND FOR ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH (FAMER). ADDITIONALLY, THE DEAN APPOINTS AT LEAST ONE OTHER PERSON TO THE BOARD. CURRENTLY, THE APPOINTED PERSON IS THE PRESIDENT OF THE UNIVERSITY OF SOUTH DAKOTA (USD). UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE IS UNDER THE CONTROL OF USD. THE POSITION IS ONGOING. |
| PART IV, SECTION D, LINE 3: | AS A DIRECTOR FOR FAMER, THE DEAN OF THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE IS DIRECTLY INVOLVED IN INVESTMENT POLICIES, MAKING AND TIMING OF GRANTS, AND DIRECTING THE USE OF FAMER'S INCOME AND ASSETS. THE DEAN OF THE SUPPORTED ORGANIZATION ACTS AS THE PRESIDENT OF FAMER'S BOARD OF DIRECTORS AND HAS THE ABILITY TO VOTE ON ALL MATTERS PUT BEFORE THE BOARD. THE DEAN HAS APPOINTED THE PRESIDENT OF USD TO THE BOARD OF FAMER. THE USD PRESIDENT IS A VOTING MEMBER ON THE BOARD OF FAMER AND HAS THE ABILITY TO VOTE ON ALL MATTERS. |
| PART IV, SECTION E, LINE 2A: | THE PRIMARY GOALS OF THE SUPPORTED ORGANIZATION ARE RESEARCH, EDUCATION, AND ASSOCIATED PATIENT CARE. FAMER FURTHERS THESE GOALS AND THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATION BY ENGAGING IN CONTINUOUS ACTIVE MEDICAL EDUCATION AND RESEARCH, IMPROVING THE SUPPORTED ORGANIZATION'S TEACHING RESOURCES, RESEARCH RESOURCES, AND SERVICE OPPORTUNITIES, PROVIDING INSTRUCTION AND TRAINING OF STUDENTS, RESIDENTS AND FACULTY AT THE SUPPORTED ORGANIZATION, AND FURTHERING PROGRAMS OF MEDICAL DEVELOPMENT, EDUCATION, AND RESEARCH IN SOUTH DAKOTA. IN ADDITION, FAMER SOLICITS AND RECEIVES FUNDS AND PROPERTY TO BE USED FOR PROMOTING THE EDUCATION AND TRAINING OF MEDICAL PERSONNEL. |
| PART IV, SECTION E, LINE 2B: | IN ORDER TO KEEP ITS FACULTY CURRENT IN THE MEDICAL FIELD, WHICH IS NECESSARY FOR EDUCATING MEDICAL STUDENTS, THE SUPPORTED ORGANIZATION WOULD NEED TO ENGAGE IN THE ACTIVITIES THAT FAMER CONDUCTS WHICH WERE MENTIONED IN THE PREVIOUS PARAGRAPH. ALL OF THESE ACTIVITIES WOULD BE CONDUCTED BY THE SUPPORTED ORGANIZATION IF NOT FOR FAMER. |
| Software ID: | |
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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 2 | ALL CURRENT BOARD OF DIRECTORS EXCEPT MICHAEL KOCH AND ERIC LARSON ARE EMPLOYED BY THE UNIVERSITY OF SOUTH DAKOTA. SHEILA GESTRING IS THE PRESIDENT OF THE UNIVERSITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS SHALL CONSIST OF THE DEAN OF THE UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE, THE CHAIRPERSON OF EACH CLINICAL DEPARTMENT THAT HOLDS FUNDS IN FAMER, AND AN INDIVIDUAL APPOINTED BY THE DEAN. IF A VACANCY OCCURS IN THE BOARD OF DIRECTORS FOR ANY REASON, HIS OR HER SUCCESSOR SHALL BE APPOINTED BY THE DEAN. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE DISTRIBUTED ELECTRONICALLY TO THE GOVERNING BODY AT LEAST ONE WEEK PRIOR TO THE FILING DATE, AND REVIEWED IN DETAIL BY THE FINANCE & ADMINISTRATIVE SERVICES SPECIALIST, DIRECTOR OF FINANCE, AND DEAN OF THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY COVERS BOARD MEMBERS AND OFFICERS. AT THE BEGINNING OF EACH BOARD MEETING, MEMBERS AND OFFICERS ARE ASKED TO REVIEW THE AGENDA AND DISCLOSE ANY CONFLICTS RELATED TO THE MEETING TOPICS TO THE BOARD. WHEN ANY POSSIBLE CONFLICT OF INTEREST OF ANY MEMBER OF THE BOARD BECOMES RELEVANT TO ANY MATTER REQUIRING ACTION, THE MEMBER SHALL CALL IT TO THE ATTENTION OF THE BOARD, SHALL NOT VOTE ON SUCH MATTER, AND SHALL NOT ATTEMPT TO EXERT PERSONAL INFLUENCE IN CONNECTION THEREWITH. |
| FORM 990, PART VI, SECTION B, LINE 15 | MANAGEMENT DUTIES ARE DELEGATED TO THE FINANCE & ADMINISTRATIVE SERVICES SPECIALIST OF THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE (USDSSOM), A RELATED ORGANIZATION. THE ORGANIZATION RELIED ON USDSSOM TO DETERMINE COMPENSATION FOR THE FINANCE & ADMINISTRATIVE SERVICES SPECIALIST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | REIMBURSEMENT OF USD STAFF SALARY: PROGRAM SERVICE EXPENSES 174,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,608. OTHER: PROGRAM SERVICE EXPENSES 3,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,942. |
| FORM 990, PART XII, LINE 2C | THE ENTIRE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT PUBLIC ACCOUNTANT. |
| FORM 990, PART VII, SECTION A | 100% OF MICHELLE MASHLAN'S GROSS WAGES AND BENEFITS ARE PAID BY THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE, AND APPROXIMATELY 10% OF HER TIME IS DEVOTED TO HER POSITION AS TOP MANAGEMENT OFFICIAL AT FUND FOR ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. 100% OF ASHLEY BACOULIS' GROSS WAGES AND BENEFITS ARE PAID BY THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE, AND APPROXIMATELY 10% OF HER TIME IS DEVOTED TO HER POSITION AS TOP MANAGEMENT OFFICIAL AT FUND FOR ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. GROSS WAGES AND BENEFITS FOR THE OTHER OFFICERS AND DIRECTORS LISTED IN THE FORM 990 ARE NOT RELATED TO THEIR POSITIONS ON THE GOVERNING BODY OF FUND FOR ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. KOCH AND LARSON ARE EMPLOYED BY SANFORD HEALTH AND ARE BOTH PRACTICING PHYSICIANS. |
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