2025-05-09T14:04:48-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990EZ 2023-07-01 474591148 TRINITY 1922 FOUNDATION TRIN 7014187142 PO BOX 5020 MINOT ND 58702 ROBIN NICHOLS INTERIM CFO 7014187142 2025-05-07 1 1 KURT BENNION CPA P01469618 4252506100 2025-04-15 2023 2025-03-06 01:10:19Z X N/A X X 50000 50000 50000 50000 405506 0 455506 405506 455506 405506 455506 0 0 405506 455506 X THE PURPOSE OF TRINITY 1922 FOUNDATION IS TO EXCLUSIVELY SUPPORT THE MISSION OF TRINITY HEALTH. THE GOAL OF THE TRINITY 1922 FOUNDATION IS TO PROMOTE AND SUPPORT THE AVAILABILITY AND QUALITY OF HEALTH CARE SERVICES IN WESTERN NORTH DAKOTA AND EASTERN MONTANA THROUGH PROVIDING HEALTHCARE GRANTS TO PATIENTS AND PROVIDERS IN THE AREA. 0 0 PATRICK HOLIEN CHAIR 0.50 0 0 0 STEVE LYSNE VICE CHAIR (UNTIL DEC. 2023) 0.50 0 0 0 CLARA SUE PRICE VICE CHAIR 0.50 0 0 0 KAREN KREBSBACH SECRETARY / TREASURER 0.50 0 0 0 ALISON FRYE ASSISTANT SECRETARY 0.50 0 0 0 BORGI BEELER DIRECTOR 0.50 0 0 0 JOHN COUGHLIN DIRECTOR 0.50 0 0 0 DAVID HOGUE DIRECTOR 0.50 0 0 0 SCOTT KNUTSON DIRECTOR 0.50 0 0 0 JOHN KUTCH DIRECTOR/TRINITY HEALTH CEO 0.50 0 0 0 BRENT MATTSON DIRECTOR 0.50 0 0 0 JEFFREY SATHER DIRECTOR 0.50 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROBIN NICHOLS PO BOX 5020 MINOT ND 58702 7014187142 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 4 TRINITY HOSPITALS 412002771 3 0 0 0 TRINITY KENMARE HOSPITAL 412002769 3 0 0 0 TRINITY HOMES 450404412 10 0 0 0 COMMUNITY AMBULANCE SERVICE OF MINOT 450363593 10 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A, LINE 1: THE GOVERNING DOCUMENTS OF TRINITY 1922 FOUNDATION LIST TRINITY HEALTH AS BEING THE SUPPORTED ORGANIZATION. TRINITY HEALTH IS THE PARENT ORGANIZATION FOR MULTIPLE 501(C)(3) ENTITIES, INCLUDING TRINITY HOSPITALS, TRINITY KENMARE HOSPITAL, TRINITY HOMES, AND COMMUNITY AMBULANCE SERVICE OF MINOT. THROUGH TRINITY HEALTH, THE TRINITY 1922 FOUNDATION SUPPORTS EACH OF THESE SUBSIDIARIES; THEREFORE, THE SUBSIDIARIES ARE LISTED AS SUPPORTED ORGANIZATIONS ON PART I, LINE 12. PART I, LINE 12G, COLUMN IV: TRINITY HOSPITALS IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY TRINITY HEALTH. PART I, LINE 12G, COLUMN IV: TRINITY KENMARE HOSPITAL IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY TRINITY HEALTH. PART I, LINE 12G, COLUMN IV: TRINITY HOMES IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY TRINITY HEALTH. PART I, LINE 12G, COLUMN IV: COMMUNITY AMBULANCE SERVICE OF MINOT IS NOT NAMED IN THE GOVERNING DOCUMENTS BECAUSE THE GOVERNING DOCUMENTS IDENTIFY TRINITY HEALTH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.