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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 292,996 | 136,783 | 119,267 | 222,496 | 112,882 | 884,424 |
| 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 | 292,996 | 136,783 | 119,267 | 222,496 | 112,882 | 884,424 |
| 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) .. | 97,216 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 787,208 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 292,996 | 136,783 | 119,267 | 222,496 | 112,882 | 884,424 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 166,001 | 129,504 | 132,145 | 169,520 | 156,335 | 753,505 |
| 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.).. | 157,111 | 11,939 | 21 | 100 | 169,171 | |
| 11 | Total support. Add lines 7 through 10 | 1,807,100 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | SERVICE REVENUE - 2018 AMOUNT: $ 157,111. 2019 AMOUNT: $ 11,939. 2020 AMOUNT: $ 21. 2021 AMOUNT: $ 100. |
| SCHEDULE A, PART VI: | SERVICE REVENUE INCREASE IN 2018 IS DUE TO A MATERIAL GAIN ON THE SALE OF ASSETS. |
| SCHEDULE A, PART VI: | SERVICE REVENUE DECREASE IN 2020 IS DUE TO RENT NO LONGER BEING COLLECTED AS A RESULT OF A PROPERTY SALE. |
| 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 III, LINE 3 | THE NORTHWESTERN FOUNDATION WAS LIQUIDATED AS OF 6/30/2023 AND ALL ASSETS WERE DONATED TO THE UNIVERSITY OF NORTHWESTERN-ST. PAUL. THE FOUNDATION WAS OFFICIALLY DISSOLVED EFFECTIVE 9/29/2023. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF NORTHWESTERN FOUNDATION IS UNIVERSITY OF NORTHWESTERN - ST. PAUL, A MINNESOTA 501(C)(3) NONPROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FOUNDATION'S BOARD OF DIRECTORS IS ELECTED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER, UNIVERSITY OF NORTHWESTERN - ST. PAUL. AT ALL TIMES, A MAJORITY OF THE FOUNDATION'S BOARD OF DIRECTORS MUST BE COMPRISED OF INDIVIDUALS SERVING CONCURRENTLY ON THE BOARD OF DIRECTORS OF UNIVERSITY OF NORTHWESTERN - ST. PAUL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE POWER AND RIGHT TO APPROVE OR REJECT OR CONSENT WITH RESPECT TO THE FOLLOWING MATTERS: 1. ADOPTION AND IMPLEMENTATION OF ANNUAL OPERATING AND CAPITAL BUDGETS. 2. CAPITAL EXPENDITURES IN EXCESS OF $75,000. 3. SALE OR TRANSFER OF ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. 4. INCURRENCE OF DEBT. 5. COMPENSATION OF OFFICERS. 6. ADOPTION AND MODIFICATION OF EMPLOYEE BENEFIT PLANS. 7. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER. 8. AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS. 9. APPROVAL OF DIRECTORS SERVING ON THE FOUNDATION'S BOARD OF DIRECTORS WHICH ARE SELECTED BY THE SOLE MEMBER WITH INPUT FROM THE FOUNDATION'S BOARD OF DIRECTORS. 10. REMOVAL OF DIRECTORS ON THE FOUNDATION'S BOARD OF DIRECTORS. 11. APPROVAL OF INVESTMENT POLICY STATEMENT (IPS) THAT EFFECTIVELY SUPERVISES, MONITORS AND EVALUATES FOUNDATION AND UNIVERSITY INVESTMENT ASSETS. 12. FINAL APPROVAL OF THE CORPORATION'S PROPOSED STRATEGIC PLANS AND ANY MATERIAL MODIFICATION TO APPROVED STRATEGIC PLANS. 13. ALL DECISIONS RELATED TO THE INCURRENCE OF LIENS, AND/OR INDEBTEDNESS (INCLUDING, WITHOUT LIMITATION, ANY CAPITAL LEASES). 14. APPROVAL OF THE ALIENATION, MORTGAGE, PLEDGE OR ENCUMBRANCE OF ANY REAL ESTATE OWNED BY THE CORPORATION. 15. APPROVAL OF ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION, OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS, OR ANY ACQUISITION, OR MERGER OR CONSOLIDATION WITH ANY OTHER PERSON OR ENTITY. 16. APPROVAL OF ANY MATERIAL TRANSACTION (E.G., A CLINIC ACQUISITION), EXCEPT TO THE EXTENT THAT SUCH TRANSACTION IS SPECIFICALLY IDENTIFIED IN A STRATEGIC PLAN APPROVED BY THE SOLE MEMBER. 17. APPROVAL OF ANY PROPOSED DISSOLUTION, LIQUIDATION AND WINDING-UP OF THE CORPORATION. 18. APPROVAL OF THE DECLARATION BY THE CORPORATION OF ANY EVENT OF BANKRUPTCY, INSOLVENCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM CREDITORS OF THE CORPORATION. 19. APPROVAL OF ANY ACTION THAT MIGHT JEOPARDIZE THE TAX-EXEMPT STATUS OF THE CORPORATION AND/OR THE SOLE MEMBER. 20. APPROVAL OF THE CREATION OF ANY ORGANIZATIONAL DOCUMENTS (AND AMENDMENTS THERETO) FOR ANY SUBSIDIARY OR AFFILIATED ENTITY, JOINT VENTURE, AFFILIATION OR SIMILAR ARRANGEMENT. |
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE FORM 990 WAS PROVIDED TO THE FOUNDATION'S MANAGEMENT TEAM FOR A DETAIL REVIEW AFTER ALL CHANGES WERE MADE AND QUESTIONS ANSWERED. A FINAL COPY OF THE FORM 990 WAS THEN REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | NORTHWESTERN FOUNDATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FOR BOARD MEMBERS, THE MATERIAL FACTS AS TO A CONTRACT OR TRANSACTION AND AS TO THE DIRECTOR'S INTEREST MUST BE FULLY DISCLOSED OR KNOWN TO THE FOUNDATION'S BOARD OF DIRECTORS PRIOR TO APPROVAL OF SUCH CONTRACT OR TRANSACTION, AND THE INTERESTED DIRECTOR MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AND MAY NOT VOTE. IF AN EMPLOYEE HAS ANY INFLUENCE OVER TRANSACTIONS, PURCHASES, CONTRACTS, OR LEASES INVOLVING A CONFLICT OF INTEREST OR IF THE EMPLOYEE'S RELATIONSHIP WITH SUCH ORGANIZATION COULD REASONABLY BE PERCEIVED AS CONFLICTING WITH THE INTERESTS OF NORTHWESTERN FOUNDATION, THE EMPLOYEE IS REQUIRED TO DISCLOSE THE RELATIONSHIP TO AN OFFICER AS SOON AS POSSIBLE SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES. ALL PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -22,629. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
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