Mary F Lotz Charitable Foundation in Adel, Iowa (IA)

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Mary F Lotz Charitable Foundation
Employer Identification Number (EIN)461655476
Name of OrganizationMary F Lotz Charitable Foundation
In Care of NameJames E Van Werden
Address1009 Main St, Adel, IA 50003-1454
SubsectionCharitable Organization
Ruling Date06/2014
DeductibilityContributions are deductible
FoundationPrivate non-operating foundation
OrganizationTrust
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$500,000 to $999,999
Income$500,000 to $999,999
Filing Requirement990 - Not required to file (all other)
Asset Amount$769,671
Amount of Income$803,055
Form 990 Revenue Amount$803,055
National Taxonomy of Exempt Entities (NTEE)Human Services - Multipurpose and Other: Senior Continuing Care Communities


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Amount of income in 2013: $803,055
This organization: 

 $803,055
Other organizations performing similar types of work: 

 $551,043

Assets in 2013: $769,671
This organization: 

 $769,671
Other organizations performing similar types of work: 

 $1,169,520

Expenses in 2013: $33,384
This organization: 

 $33,384
Other organizations performing similar types of work: 

 $625,210

Income to expenses ratio in 2013: 24.1
This organization: 

 24.1
Other organizations performing similar types of work: 

 1.1

Grants share in income in 2013: 92.7%
This organization: 

 92.7%
Other organizations performing similar types of work: 

 0.3%

Financial snapshot for 2013 ($)

Revenue for 2013

Assets at the end of 2013

Expenses for 2013

Analysis of Revenue and Expenses (for 2013)
Revenue and expenses per booksNet investment incomeAdjusted net incomeDisbursements for charitable purposes (cash basis only)
Total revenue$803,055$58,534$0
Contributions, gifts, grants, etc., received$744,521
Interest on savings and temporary cash investments$34
Dividends and interest from securities$0
Gross rents$58,500
Gross sales price for all assets$0
Gross profit from sales of goods$0
Other income$0
Total expenses and disbursements$33,384$13,664$0$19,720
Compensation of officers, directors, trustees, etc.$0
Pension plans, employee benefits$0
Legal fees$20,120
Accounting fees$64
Interest$0
Depreciation$0
Occupancy$0
Travel, conferences, and meetings$0
Printing and publications$0
Total operating and administrative expenses$33,384$13,664$19,720
Contributions, gifts, grants paid$0
Excess of revenue over expenses and disbursements$769,671
Net investment income$44,870
Adjusted net income$0
Balance Sheets
2013
Book ValueFair Market Value
Total assets$769,671$769,671
Cash - non-interest-bearing$69,671
Investments-U.S. and state government obligations$0
Investments-corporate stock$0
Investments-corporate bonds$0
Investments-mortgage loans$0
Investments-other$0
Other assets$0
Total liabilities$1
Mortgages and other notes payable$0
Other liabilities$0
Total liabilities and net assets/fund balances$769,671
Capital Gains and Losses for Tax on Investment Income
2013
Capital gain net income$0
Net capital loss$0
Excise Tax Based on Investment Income
2013
Domestic foundations that meet the section 4940(e) requirements (for Reduced Tax on Net Investment Income)No
Tax based on investment income$897
Total credits and payments$486
Current year estimated tax payments and previous year's overpayment credited to current year$0
Exempt foreign organizations-tax withheld at source$0
Tax paid with application for extension of time to file (Form 8868)$486
Backup withholding erroneously withheld$0
Any penalty for underpayment of estimated tax$20
Tax due$431
Overpayment$0
Amount to be credited to next year's estimated tax$0
Statements Regarding Activities
2013
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?No
Has the foundation engaged in any activities that have not previously been reported to the IRS?No
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?No
Has the foundation filed a tax return on Form 990-T for this year?No
Was there a liquidation, termination, dissolution, or substantial contraction during the year?No
Has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate) of each state?Yes
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for current calendar year or the taxable year beginning in this year?No
Did any persons become substantial contributors during the tax year?No
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?No
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?Yes
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041No
Statements Regarding Activities for Which Form 4720 May Be Required
2013
During the year did the foundation (either directly or indirectly):
Engage in the sale or exchange, or leasing of property with a disqualified person?No
Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person?No
Furnish goods, services, or facilities to (or accept them from) a disqualified person?No
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?Yes
Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)?No
Agree to pay money or property to a government official?No
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?No
Did the foundation engage in a prior year in any of the acts, other than excepted acts, that were not corrected before the first day of the tax year beginning in this year?No
At the end of this tax year, did the foundation have any undistributed income for tax year(s) beginning before this year?No
Are there any years listed above 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?No
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year?No
Did the foundation have excess business holdings in this year 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?No
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?No
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 this year?No
During the year did the foundation pay or incur any amount to:
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?No
Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive?No
Provide a grant to an individual for travel, study, or other similar purposes?No
Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)?No
Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals?No
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?No
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?No
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?No
Minimum Investment Return
2013
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes$767,171
Net value of noncharitable-use assets$755,663
Minimum investment return$37,783
Distributable Amount
2013
Distributable amount$36,886
Undistributed Income
2013
Distributable amount for this year$36,886
Undistributed income for this year. This amount must be distributed in the next year$17,166
Private Operating Foundations (for 2010 - 2013)
2013201220112010Total
The lesser of the adjusted net income or the minimum investment return$0$0$0$0$0
Qualifying distributions made directly for active conduct of exempt activities$0$0$0$0$0
Value of all assets$0$0$0$0$0
Value of assets qualifying under section 4942(j)(3)(B)(i)$0$0$0$0$0
2/3 of minimum investment return$0$0$0$0$0
Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)$0$0$0$0$0
Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)$0$0$0$0$0
Gross investment income$0$0$0$0$0
Supplementary Information (for 2013)
Grants approved for future payment$0
Analysis of Income-Producing Activities (for 2013)
AmountRelated or exempt function income
Program service revenue
Fees and contracts from government agencies$0$0
Membership dues and assessments$0$0
Interest on savings and temporary cash investments$34$0
Dividends and interest from securities$0$0
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (for 2013)
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Transfers from the reporting foundation to a noncharitable exempt organization of:
CashNo
Other assetsNo
Other transactions:
Sales of assets to a noncharitable exempt organizationNo
Purchases of assets from a noncharitable exempt organizationNo
Rental of facilities, equipment, or other assetsNo
Reimbursement arrangementsNo
Loans or loan guaranteesNo
Performance of services or membership or fundraising solicitationsNo
Sharing of facilities, equipment, mailing lists, other assets, or paid employeesNo
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IdNameAddressStateEstablishedTotal Income
1Wind Crest Inc701 Maiden Choice Ln, Baltimore, MD 21228-5968MD2007-09$30,255,524
2Deerfield Retirement Community Inc100 E Grand Ave Ste 200, Des Moines, IA 50309-1835IA2003-04$11,836,498
3Bslc Ii15475 Gleneagle Dr, Colorado Spgs, CO 80921-2596CO2011-10$29,623,799
4Ashby Ponds Inc701 Maiden Choice Ln, Baltimore, MD 21228-5968MD2011-10$29,169,005
5The@mather1603 Orrington Avenue, Evanston, IL 60201-3841IL2007-07$23,656,648
6Sunnyside Citywide Home Care Services Inc43-31 39th Street, Long Island City, NY 11104-4316NY2002-01$22,493,845
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8Acacia Creek A Masonic Senior Living Community At Union City34400 Mission Blvd, Union City, CA 94587CA2007-06$13,057,428
9Timothy Place Nfp Park Place Christian Comm Elmhurst18601 North Creek Drive, Tinley Park, IL 60477IL2007-01$10,181,537
10Vmrc Foundation Inc1501 Virginia Ave, Harrisonburg, VA 22802-2452VA1980-12$10,155,874
11Area Residential Care Inc3355 Kennedy Cir, Dubuque, IA 52002-3860IA1969-02$9,346,010
12Complete Senior Care Inc1302 Main Street, Niagara Falls, NY 14301NY2008-07$9,264,882
13Cornerstone Senior Communities Of Remsen, Happy Siesta Care Center423 Roosevelt St, Remsen, IA 51050-1074IA2007-01$2,868,125
14Fountain View Assisted Living5501 Gordon Dr, Sioux City, IA 51106-2008IA2002-11$1,863,590
15Mary F Lotz Charitable Foundation1009 Main St, Adel, IA 50003-1454IA2014-06$803,055
16Heartwood Heights600 9th Ave N, Sibley, IA 51249-1012IA2000-06$451,397
17Residential Care Consortium LlcN 6th And Ave E, Council Bluffs, IA 51502IA2006-10$43,914
18Belmond Area Assisted Living315 5th Ave Se, Belmond, IA 50421IA1997-03$0
19Hope 4 Seniors1722 Spruce Hills Drive, Bettendorf, IA 52722IA2010-01$0
20Spring Lake Villas IncPO BOX 262, Corning, IA 50841-0262IA2012-04$0
Number of organizations performing similar types of work
Alaska2
Alabama13
Arkansas6
Arizona13
California66
Colorado16
Connecticut8
District of Columbia3
Florida43
Georgia39
Hawaii5
Iowa10
Idaho1
Illinois27
Indiana9
Kansas8
Kentucky8
Louisiana6
Massachusetts21
Maryland37
Maine4
Michigan34
Minnesota24
Missouri20
Mississippi6
Montana4
North Carolina22
North Dakota2
Nebraska3
New Hampshire5
New Jersey13
New Mexico2
Nevada7
New York47
Ohio33
Oklahoma8
Oregon11
Pennsylvania27
Rhode Island2
South Carolina12
South Dakota4
Tennessee18
Texas56
Utah2
Virginia18
Vermont1
Washington10
Wisconsin16
West Virginia3
Wyoming2
International5
Total762

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