Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
MIDWESTONE BANK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)CO MATT WALTER PO BOX 1700
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
IOWA CITY, IA52244
A Employer identification number

75-3023674
B Telephone number (see instructions)

(319) 356-5800
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$4,408,458J 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) 100,000
2 Check right arrow.............
3 Interest on savings and temporary cash investments 3,017 3,017  
4 Dividends and interest from securities... 138,092 138,092  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -31,689
b Gross sales price for all assets on line 6a 1,222,102
7 Capital gain net income (from Part IV, line 2)... 0
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........ 209,420 141,109  
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)....... Click to see attachment
List of Attached Documents:
// Content
3,170 1,585   1,585
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment
List of Attached Documents:
// Content
120 120   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 3,290 1,705   1,585
25 Contributions, gifts, grants paid....... 240,323 240,323
26 Total expenses and disbursements. Add lines 24 and 25 243,613 1,705   241,908
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -34,193
b Net investment income (if negative, enter -0-) 139,404
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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......... 128,471 147,665 147,665
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
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)....... 790,669 Click to see attachment
List of Attached Documents:
// Content
784,523 		1,412,920
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 2,948,270 Click to see attachment
List of Attached Documents:
// Content
2,899,797 		2,847,873
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,867,410 3,831,985 4,408,458
Liabilities 17 Accounts payable and accrued expenses..........    
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 right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 750,000 750,000
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 3,117,410 3,081,985
29 Total net assets or fund balances (see instructions)..... 3,867,410 3,831,985
30 Total liabilities and net assets/fund balances (see instructions). 3,867,410 3,831,985
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
3,867,410
2
Enter amount from Part I, line 27a .....................
2
-34,193
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,833,217
5
Decreases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
5
1,232
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,831,985
Form 990-PF (2023)
Form 990-PF (2023)
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 P    
b CAPITAL GAINS DIVIDENDS P    
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 1,213,765   1,253,791 -40,026
b 8,337     8,337
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       -40,026
b       8,337
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 -31,689
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  
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 right arrow 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) 1 1,938
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 1,938
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 1,938
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 4,098
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld .......... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,098
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 2,160
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow2,160 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrowIA
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 2023 or the taxable year beginning in 2023? 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
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 addressright arrowMIDWESTONEBANK.COM/AFOUNDATION.PHP
14
The books are in care ofright arrowMATT WALTER Telephone no.right arrow (319) 356-5800

Located atright arrowPO BOX 1700IOWA CITYIA ZIP+4right arrow52244
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
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
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
CHARLES N FUNK PRESIDENT
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
CHIP REEVES VICE PRESIDENT
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
MATT WALTER SECRETARY/TREASURER
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
LARRY D ALBERT DIRECTOR
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
LEN DEVAISHER DIRECTOR
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
PEGGY HUDSON DIRECTOR
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
KEVIN MONSON DIRECTOR
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
RUTH E STANOCH DIRECTOR
1.00 		0 0 0
PO BOX 1700
IOWA CITY,IA52244
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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.............right arrow0
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.........................right arrow0
Form 990-PF (2023)
Form 990-PF (2023)
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
4,078,256
b
Average of monthly cash balances.......................
1b
56,469
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
4,134,725
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
4,134,725
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
62,021
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
4,072,704
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
203,635
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
203,635
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
1,938
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
1,938
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
201,697
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
201,697
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
201,697
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
241,908
b
Program-related investments—total from Part VIII-B..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes...............................
2
 
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)....................
3a
 
b
Cash distribution test (attach the required schedule) .................
3b
 
4
Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4. .......
4
241,908
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 201,697
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 6,818
b From 2019...... 23,815
c From 2020......  
d From 2021...... 7,764
e From 2022...... 29,407
f Total of lines 3a through e ........ 67,804
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 241,908
a Applied to 2022, 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 2023 distributable amount..... 201,697
e Remaining amount distributed out of corpus 40,211
5 Excess distributions carryover applied to 2023. 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 5 108,015
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		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 2018 not
applied on line 5 or line 7 (see instructions) ... 		6,818
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		101,197
10 Analysis of line 9:
a Excess from 2019.... 23,815
b Excess from 2020....  
c Excess from 2021.... 7,764
d Excess from 2022.... 29,407
e Excess from 2023.... 40,211
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
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 right arrow
aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
bThe form in which applications should be submitted and information and materials they should include:
cAny submission deadlines:
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form 990-PF (2023)
Form 990-PF (2023)
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

ARENACO CVB

1512 7TH STREET
CORALVILLE,IA52241 		N/A PC GENERAL OPERATING FUND 5,000

ARTREACH ST CROIX

224 NORTH 4TH STREET
STILLWATER,MN55082 		N/A PC REPAIRS AND RENOVATIONS TO MOBILE ART GALLERY 2,500

BCLUW MIDDLE SCHOOL

704 COMMERCIAL STREET
UNION,IA50258 		N/A PC GENERAL OPERATING FUND 4,532

BENTON COUNTY FAIR BOARD

1801 2ND AVENUE
VINTON,IA52349 		N/A PC GENERAL OPERATING FUND 2,500

BOBCAT LEGACY FOUNDATION INC

10556 SKYLARK DRIVE
PEOSTA,IA52068 		N/A PC INSTALLATION OF NEW TURF FIELD AT WEST DUBUQE HIGH IN EPWORTH, IA 5,000

BUR OAK LAND TRUST

PO BOX 2523
IOWA CITY,IA522442523 		N/A PC GENERAL OPERATING FUND 2,500

BUTLER COUNTY FAIR

PO BOX 151
ALLISON,IA50602 		N/A PC GENERAL OPERATING FUND 3,334

CAER FOOD SHELF

12621 ELK LAKE ROAD NW
ELK RIVER,MN55330 		N/A PC GRANT TOWARD PURCHASE OF NEW FREEZER FOR KIDS WEEKEND CAER PACKAGE PROGRAM 4,000

CEDAR FALLS SCHOOLS FOUNDATION

602 MAIN STREET
CEDAR FALLS,IA50613 		N/A PC "JUMP IN" SUPPORT 3,333

CHILDRENS CANCER CONNECTION

5701 GREENDALE ROAD
JOHNSTON,IA50131 		N/A PC GENERAL OPERATING FUND 2,500

CITY HOPE FOUNDATION

550 DIVISION STREET
BURLINGTON,IA52601 		N/A SO I GENERAL OPERATING FUND 4,000

CITY OF FARLEY

PO BOX 246
FARLEY,IA52046 		N/A GOV GENERAL OPERATING FUND 2,500

CITY OF PELLA

825 BROADWAY STREET
PELLA,IA50219 		N/A GOV GENERAL OPERATING FUND 5,000

COMMUNITY CRISIS SERVICES AND FOOD BANK

1121 GILBERT CT
IOWA CITY,IA52240 		N/A PC PURCHASE OF SPECIALIZED MOBILE FOOD PANTRY VEHICLE 5,000

COMMUNITY FOUNDATION OF GREATER DES MOINES

1915 GRAND AVENUE
DES MOINES,IA50309 		N/A PC SIGOURNEY COMMUNITY PAVILION FUND 3,333

COMMUNITY FOUNDATION OF JOHNSON COUNTY

501 12TH AVENUE STE 102
CORALVILLE,IA52241 		N/A PC NORTH LIBERTY CENTENNIAL NEXT STAGE CHARITABLE GIVING FUND 5,000

CONRAD CHAMBER MAIN STREET INC

204 E CENTER
CONRAD,IA50621 		N/A PC GENERAL OPERATING FUND 4,500

CORALVILLE COMMUNITY FOOD PANTRY

PO BOX 5523
CORALVILLE,IA52241 		N/A PC GENERAL OPERATING FUND 4,000

CROSSROADS INC

1424 HOUSER STREET
MUSCATINE,IA52761 		N/A PC CAPITAL IMPROVEMENTS TO THE CROSSROADS/SENIOR RESOURCES ADULT DAY CENTER 2,500

DOMESTIC VIOLENCE INTERVENTION PROGRAM FOUNDATION

1105 S GILBERT COURT STE 300
IOWA CITY,IA52240 		N/A PC GENERAL OPERATING FUND 4,166

DUBUQUE MUSEUM OF ART

701 LOCUST STREET
DUBUQUE,IA52001 		N/A PC GENERAL OPERATING FUND 10,000

ENDEAVORS ADULT DEVELOPMENT CENTER

101 150TH STREET
BALSAM LAKE,WI54810 		N/A PC FOR SECURITY IMPROVEMENTS TO THE ENDEAVORS ADULT DEVELOPMENT CENTER 2,000

FRANCONIA SCULPTURE PARK

29836 ST CROIX TRAIL
SHAFER,MN55074 		N/A PC PURCHASE, INSTALLATION, AND DESIGN OF ELECTRICAL VEHICLE CHARGING STATION 2,500

FRIENDS OF THE WILLOW RIVER AND KINNICKINNIC STATE PARKS

1034 COUNTY ROAD A
HUDSON,WI54016 		N/A PC GENERAL OPERATING FUND 4,000

HALLIE Q BROWN COMMMUNITY CENTER

270 N KENT STREET
SAINT PAUL,MN55102 		N/A PC GENERAL OPERATING FUND 2,500

HEARTHSTONE MINISTRY OF WESLEY LIFE LLC

5508 NW 88TH STREET
JOHNSTON,IA50131 		N/A PC GENERAL OPERATING FUND 3,333

HUDSON HOCKEY ASSOCIATION

1820 HANLEY ROAD
HUDSON,WI54016 		N/A PC GENERAL OPERATING FUND 3,125

HUDSON HOSPITAL FOUNDAITON

405 STAGELINE ROAD
HUDSON,WI54016 		N/A PC GENERAL OPERATING FUND 5,000

ICCSD FOUNDATION

1900 MORNINGSIDE DRIVE
IOWA CITY,IA52445 		N/A PC RENOVATING IOWA CITY HIGH SCHOOL GYMNASIUM 5,000

JEFFERSON COUNTY KIDS

101 N COURT STREET
FAIRFIELD,IA52556 		N/A PC GENERAL OPERATING FUND 3,000

JUNIOR ACHIEVEMENT OF EASTERN IOWA

324 3RD ST STE 200
CEDAR RAPIDS,IA52401 		N/A SO II MOBILE WALLS/BOOTHS FOR JA BIZTOWN PROGRAM 5,000

KEOKUK COUNTY EXPOSITION INC

22400 220TH AVENUE
SIGOURNEY,IA52591 		N/A PC CONSTRUCTION OF NEW SHOWERING FACILITY AT KEOKUK COUNTY FAIRGROUNDS 3,500

MAGNUS VETERANS FOUNDATION

16861 NORTH DIAMOND LAKE ROAD 110
DAYTON,MN55327 		N/A PC GENERAL OPERATING FUND 3,333

MAHASKA COUNTY HISTORICAL SOCIETY

2211 NELSON LANE
OSKALOOSA,IA52577 		N/A PC NELSON PIONEER FARM AND MUSEUM 5,000

MAHASKA FUTURE VIEW

222 FIRST AVE EAST
OSKALOOSA,IA52577 		N/A PC GENERAL OPERATING FUND 6,667

MAHASKA YMCA AND EARLY CHILDHOOD DEVELOPMENT

124 1ST AVE EAST
OSKALOOSA,IA52577 		N/A PC GENERAL OPERATING FUND 6,000

MARION PUBLIC LIBRARY FOUNDATION

1064 7TH AVENUE
MARION,IA52302 		N/A PC GENERAL OPERATING FUND 3,333

MIRACLES IN MOTION THERAPEUTIC EQUESTRIAN CENTER

2049 120TH STREET NW
SWISHER,IA52338 		N/A PC CONSTRUCTION OF VOLUNTEER CNETER AND MAINTENANCE SHED 2,500

NATIONAL MISSISSIPPI RIVER MESEUM AND AQUARIUM

350 EAST 3RD STREET
DUBUQUE,IA52001 		N/A PC GENERAL OPERATING FUND 5,000

NORTHEAST COUNCIL BOY SCOUTS OF AMERICA

PO BOX 732
DUBUQUE,IA52004 		N/A PC NEW CAMPSITE AT CAMP KLAUS IN GREELEY, IA 3,333

NORTHEAST IOWA SCHOOL OF MUSIC

2728 ASHBURY ROAD
DUBUQUE,IA52001 		N/A PC GENERAL OPERATING FUND 2,500

ONE CITY UNITED

907 INDEPENDENCE AVENUE
WATERLOO,IA50703 		N/A PC GENERAL OPERATING FUND 3,333

OSCEOLA HIGH

1111 OAK RIDGE DRIVE
OSCEOLA,WI54020 		N/A PC VIDEO SCOREBOARD ANCHOR PARTNERSHIP 5,000

PANIRA HEALTH CARE INC

4975 EAST TAMIAMI TRAIL
NAPLES,FL34113 		N/A PC EXPAND PANIRA FREE CLINIC 5,000

PELLA COMMUNITY FOUNDATION

818 WASHINGTON STREET
PELLA,IA50219 		N/A PC SPIRIT OF PELLA SUPPORT 3,750

PRESTON'S STATION HISTORIC DISTRICT

402 13TH STREET
BELLE PLAINE,IA52208 		N/A PC RESTORATION AND PRESERVATION OF DISTRICT STATION AND MOTEL 5,000

RETRIEVING FREEDOM INC

1152 - 230TH STREET
WAVERLY,IA50677 		N/A PC GENERAL OPERATING FUND 5,000

RISE SCHOOL OF DENVER

4901 E EASTMAN AVE
DENVER,CO80222 		N/A PC GENERAL OPERATING FUND 5,000

RIVERSIDE THEATRE

308 E NURLINGTON ST 304
IOWA CITY,IA52240 		N/A PC GENERAL OPERATING FUND 5,000

RURAL COMMUNITY FOOD PANTRY

13406 BLACK HILLS RD
DYERSVILLE,IA52040 		N/A PC GENERAL OPERATING FUND 5,000

ST CROIX FALLS COMMUNITY SCHOOLS

740 MAPLE DRIVE
ST CROIX FALLS,WI54024 		N/A PC ATHLETIC DEPARTMENT SUPPORT 1,500

STONEHILL FRANCISCAN SERVICES

3485 WINDSOR AVENUE
DUBUQUE,IA52001 		N/A PC GENERAL OPERATING FUND 12,000

TANAGER

2309 C STREET SW
CEDAR RAPIDS,IA52404 		N/A PC CAMP EXPANSION PROJECT 3,334

THE CARNEGIE MUSEUM FOUNDATION OF JEFFERSON COUNTY

PO BOX 502
FAIRFIELD,IA52556 		N/A PC GENERAL OPERATING FUND 5,000

TRI-STATE CHRISTIAN SCHOOL

5025 SARATOGA RD
DUBUQUE,IA52002 		N/A PC BUIDING RENOVATIONS FOR TRI-STATE CHRISTIAN SCHOOL ELEMENTARY SCHOOL 3,334

U OF I CENTER FOR ADVANCEMENT

ONE WEST PARK ROAD
IOWA CITY,IA52244 		N/A PC GENERAL OPERATING FUND 3,750

WEST LIBERTY COMMUNITY SCHOOL FOUNDATION

1103 N ELM STREET
WEST LIBERTY,IA52776 		N/A PC GENERAL OPERATING FUND 2,500

WILLIAM PENN UNIVERSITY

201 TRUEBLOOD AVENUE
OSKALOOSA,IA52577 		N/A PC RENOVATIONS OF AUDITORIUM 5,000
Total .................................right arrow 3a 240,323
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
Form 990-PF (2023)
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 ........... 		    14 3,017  
4 Dividends and interest from securities ....     14 138,092  
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 -31,689  
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) .. 0 109,420 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
109,420
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
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
2023
Name of the organization
MIDWESTONE BANK FOUNDATION
 
Employer identification number

75-3023674
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
MIDWESTONE BANK FOUNDATION
  		Employer identification number
75-3023674
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
MIDWESTONE BANK
 
PO BOX 1700
 
IOWA CITY, IA52244

$ 100,000


(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) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
MIDWESTONE BANK FOUNDATION
  		Employer identification number

75-3023674
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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
MIDWESTONE BANK FOUNDATION
  		Employer identification number

75-3023674
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
MIDWESTONE BANK FOUNDATION
EIN:
75-3023674
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING/TAX PREP FEES 3,170 1,585   1,585

TY 2023 InvestmentsCorpStockSchedule
Name:
MIDWESTONE BANK FOUNDATION
EIN:
75-3023674
Name of Stock End of Year Book Value End of Year Fair Market Value
APPLE INC 8,762 53,715
ABBOTT LABS 4,609 20,913
ACCENTURE PLC IRELAND SHS CLASS A 13,811 32,986
LYONDELLBASELL INDUSTRIES 7,028 7,131
ALLSTATE CORP 10,157 18,897
ANALOG DEVICES INC 5,609 6,950
AIR PRODS & CHEMS INC 7,195 6,845
APPLIED MATLS INC COM 7,891 21,879
AMERICAN TOWER CORP NEW COM 11,330 25,258
AMAZON COM INC COM 21,238 29,476
BOEING COMPANY 15,962 37,274
BECTON DICKINSON AND CO 13,885 21,945
BLACKROCK INC COMMON 12,188 24,354
BOSTON SCIENFTIFIC CORP COM 20,643 27,055
BLACKSTONE INC COM 18,386 24,089
BROADCOM LTD 11,232 59,161
THE CINGA GROUP 7,841 11,978
COSTCO WHSL CORP 14,392 35,644
SALESFORCE COM INC COM 20,049 32,366
CHIPOTKE MEXICAN GRILL INC 14,741 18,296
CISCO SYSTEMS INC 17,973 28,847
CORTEVA INC 16,739 16,389
CVS HEALTH CORPORATION COM 19,709 23,846
CHEVRON CORP 11,097 16,109
DOMINION RES INC 11,570 7,661
DANAHER CORP 5,166 13,880
DEER & CO 23,059 22,793
DISNEY WALT CO COM 24,109 19,503
DUKE ENERGY HOLDING 11,963 14,168
EMERSON ELEC CO 4,319 4,769
FED EX CORP 8,639 13,407
CORNING INC COM 12,712 11,114
GENERAL MOTORS CO 15,569 10,812
ALPHABET INC - CL C 7,677 48,339
GOLDMAN SACHS GROUP INC COM 12,955 21,989
HEWLETT PACKARD ENTERPRISE CO COM 13,063 14,925
HOME DEPOT INC COM 14,396 35,002
ILLINOIS TOOLWORKS 6,741 19,122
JOHNSON & JOHNSON 13,283 21,003
JP MORGAN CHASE 8,919 26,876
MARATHON OIL CORP COM 6,088 5,533
META PLATFORMS, INC 10,480 23,361
METLIFE INC COM 13,829 14,549
MICRON TECHNOLOGY INC 12,396 16,727
MICROSOFT CORP COM 13,387 56,782
MIDWESTONE FINL GROUP INC 39,014 47,093
MONDELEZ INTL INC 4,027 8,329
MORGAN STANLEY COM NEW 11,470 12,869
NETFLIX INC COM 8,456 17,528
NEXTERA ENERGY INC COM 9,718 7,167
ORACLE SYSTEMS CORP 12,963 28,993
O'REILLY AUTOMOTIVE 3,712 33,253
PEPSICO INCORPORATED 7,581 14,776
PIONEER NAT RES CO COM 13,957 15,517
PROCTER & GAMBLE 7,180 16,559
SERVICENOW INC COM 14,402 22,608
SCHWAB CHARLES CORP 11,313 16,512
T-MOBLIE US INC 10,750 11,864
UNITEDHEALTH GROUP INC COM 15,050 38,959
VALERO ENERGY CORP 8,440 17,940
VISA INC COM CL A 18,008 39,834
WALMART INC COM 14,027 22,386
WASTE MGMT INC DEL COM 11,668 17,015

TY 2023 InvestmentsOtherSchedule2
Name:
MIDWESTONE BANK FOUNDATION
EIN:
75-3023674
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
AMERICAN FDS EMERGING MKTS BD AT COST 93,753 97,893
COHEN & STEERS GLOBAL REALTY SHARES, INC CLASS I AT COST 29,287 27,512
FIDELITY INVT TR ADV EMRG FD CL Z AT COST 35,736 38,461
GOLDMAN SACHS TR EMGMKEQ INS AT COST 38,108 38,172
MFS INSTL INTL EQUITY FUND AT COST 126,626 146,783
MFS NEW DISCOVERY VALUE FUND CLASS I AT COST 48,632 52,040
AB SMALL CAP GROWTH FUND ADVISOR CLASS AT COST 68,663 52,505
T ROWE PRICE MID-CAP GROWTH FUND CLASS I AT COST 58,194 61,006
VICTORY SYCAMORE ESTABLISHED VALUE FUND CLASS I AT COST 55,965 61,867
BAIRD FDS INC AGGR BD FD INS AT COST 354,221 365,720
FEDERATED INSTL TR HI YIELD BD AT COST 99,766 99,255
LORD ABBETT SHORT DURATION INCOME FUND CLASS F AT COST 178,897 169,992
PIONEER MULTI-ASSET ULTRA SHORT INC FUND AT COST 120,682 120,373
PIMCO INCOME FUND AT COST 358,136 316,399
PIMCO INVESTMENT GRADE CORP BD AT COST 318,609 294,229
VANGUARD FIXED INCOME SECS GNMA FD ADMRL AT COST 309,991 291,351
VANGUARD FIXED INC SEC FD L TREASURY FD AT COST 119,998 117,978
VANGUARD FIXED INCOME SECS FD L AT COST 484,533 496,337

TY 2023 OtherDecreasesSchedule
Name:
MIDWESTONE BANK FOUNDATION
EIN:
75-3023674
Description Amount
INVESTMENT ADJUSTMENT 1,232


TY 2023 TaxesSchedule
Name:
MIDWESTONE BANK FOUNDATION
EIN:
75-3023674
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
FOREIGN TAX 120 120   0