2023-10-13T10:48:14-05:00 2022-12-31 420794029 DENMAN & COMPANY LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2022-01-01 421331493 ELLIPSIS FOUNDATION ELLI 5152433459 PO BOX 39 JOHNSTON IA 50131 CHRISTINE KOEPPLIN CEO 5152763473 2023-10-13 1 CHRISTINE KOEPPLIN 999009999 0 JEFFEREY ROY P01951847 5152258400 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X CHRIS KOEPPLIN PO BOX 39 JOHNSTON IA 50131 3875518 0 X HTTPS://WWW.ELLIPSISIOWA.ORG/ X 1988 IA TO ASSIST & BENEFIT ELLIPSIS, INC. IN CARRYING OUT ITS MISSION. 19 19 0 0 0 0 104399 2946194 0 0 549836 271316 0 0 654235 3217510 103540 239988 0 0 0 0 6196 0 0 36580 43588 146316 283576 507919 2933934 5799261 7376195 56418 306051 5742843 7070144 THE PURPOSE OF THE FOUNDATION IS TO MANAGE AND ACCEPT CONTRIBUTIONS FROM THE PUBLIC AND TO USE SUCH FUNDS AND INCOME TO ASSIST AND BENEFIT ELLIPSIS, A NON-PROFIT ORGANIZATION. IT IS OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES. 0 0 239988 239988 TO ASSIST AND BENEFIT ELLIPSIS. 239988 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JAMIE BUSSELL 5152763473 7225 NW 58TH STREET PO BOX 39 JOHNSTON IA 50131 CHRIS KOEPPLIN CHIEF EXECUTIVE OFFICER 2.00 38.00 X 0 161711 15202 MIKE PAVON CHIEF OPERATING OFFICER 2.00 38.00 X 0 135759 15038 JAMIE BUSSELL CAO & CFO 2.00 38.00 X 0 116366 22408 TRAVIS SHEETS PRESIDENT 2.00 X X 0 0 0 DOUG PEARSON VICE-PRESIDENT 2.00 X X 0 0 0 BRAD WINTERBOTTOM SECRETARY 2.00 X X 0 0 0 SHANE ZIMMERMAN TREASURER 2.00 X X 0 0 0 LAURA ALLEN DIRECTOR 2.00 X 0 0 0 DON BLUMENTHAL DIRECTOR 2.00 X 0 0 0 TIM CRAWFORD DIRECTOR 2.00 X 0 0 0 TRAVIS ETCHISON DIRECTOR 2.00 X 0 0 0 JOANNE LASRADO DIRECTOR 2.00 X 0 0 0 PAUL KRUSE DIRECTOR 2.00 X 0 0 0 MICK LOVELL DIRECTOR 2.00 X 0 0 0 MARK LYONS DIRECTOR 2.00 X 0 0 0 MARK MERFELD DIRECTOR 2.00 X 0 0 0 RICH SCHAPPERT DIRECTOR 2.00 X 0 0 0 PAUL SCHLUETER DIRECTOR 2.00 X 0 0 0 JILL SMITH DIRECTOR 2.00 X 0 0 0 JANE STURTZ DIRECTOR 2.00 X 0 0 0 DERECK TREBILCOCK DIRECTOR 2.00 X 0 0 0 AMY WILLIAMS DIRECTOR 2.00 X 0 0 0 0 413836 52648 0 0 1 0 0 2941194 5000 2946194 233957 233957 695367 658008 37359 37359 37359 3217510 0 0 271316 239988 239988 43588 43588 283576 239988 43588 0 5321861 5531691 477400 1844504 5799261 7376195 9191 5735 47227 300316 56418 306051 X 1789480 4136474 3953363 2933670 5742843 7070144 5799261 7376195 X 2933934 -1278373 -328260 X X 0 1 X 1 0 X X 1 ELLIPSIS 420680439 7 1 239988 0 1 239988 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 65354 65354 98031 15000 15000 16339 16339 24509 5799261 2946194 -1435323 239988 7070144 5153884 75977 709520 103540 36580 5799261 5052802 100341 776354 775613 5153884 4188105 38748 888561 62612 5052802 4063466 457397 -236626 71457 24675 4188105 0.63342 0.34101 0.02557 1 0 0 BENEFICIAL INTEREST IN NET ASSETS OF COMMUNITY FOUNDATION OF GREATER DSM 1844504 1844504 DUE TO ELLIPSIS 300316 300316 X PART V, LINE 4: TO PRESERVE THE ORIGINAL VALUE OF THE FUNDS CONTRIBUTED IN PERPETUITY. THE EARNINGS ARE USED ACCORDING TO DONOR STIPULATIONS, WHICH INCLUDE MENTAL HEALTH AND PERSONAL NEEDS AS WELL AS SPECIAL ACTIVITIES OF YOUTH IN OUR PROGRAMS, STAFF COMPENSATION, YOUTH AWARDS AND TO ASSIST YOUTH HOMES OF MID-AMERICA IN ITS OPERATION OF ITS PROGRAMS AND PURPOSES. PART X, LINE 2: THE ORGANIZATIONS ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE ORGANIZATIONS ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. 0 ELLIPSIS INC PO BOX 39 JOHNSTON IA 50131 420680439 501(C)(3) 239988 0 GENERAL SUPPORT 1 X X X 0 0 0 0 0 0 0 0 0 CHRIS KOEPPLIN CHIEF EXECUTIVE OFFICER 0 161711 0 0 0 0 0 6426 0 8776 0 176913 0 0 MIKE PAVON CHIEF OPERATING OFFICER 0 134357 0 1402 0 0 0 5440 0 9598 0 150797 0 0 FORM 990, PART VI, SECTION B, LINE 11B INTERNAL AFFAIRS COMMITTEE WILL REVIEW THE 990 AND PRESENT TO BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD MEMBERS AND MANAGEMENT STAFF ANNUALLY FILL OUT CONFLICT OF INTEREST DISCLOSURE FORMS IN WRITING AND SUBMIT THEM TO THE EXECUTIVE DIRECTOR. THE RESULTS ARE TABULATED AND SHARED WITH THE BOARD AT ONE OF THEIR REGULAR BOARD MEETINGS. WHEN AN INDIVIDUAL HAS AN APPARENT CONFLICT OF INTEREST, THE TRUSTEE, OFFICER, BOARD MEMBER OR EMPLOYEE, IN ADDITION TO MAKING THE REQUIRED DISCLOSURE, ABSTAINS FROM MAKING MOTIONS, VOTING, AND EXECUTING AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION AND COMPARABILITY DATA WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND THE FULL BOARD AND WAS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE AT GUIDESTAR.ORG WITH A FREE MEMBERSHIP. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE AT GUIDESTAR.ORG WITH A FREE MEMBERSHIP. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST -328,260. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. ELLIPSIS PO BOX 39 JOHNSTON IA 50131 420680439 TO PROVIDE COUNSELING & TREATMENT TO TROUBLED YOUTH AND FAMILIES. IA 501(C)(3) 170(B)(1)(A)(VI) N/A 0 0 1 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 ELLIPSIS B 239988 BOOK VALUE ELLIPSIS D 300316 CASH LOAN ELLIPSIS C 2941194 BOOK VALUE