Civic Intelligence

First Western Bank and Trust Employee Flexible Benefits Trust

990 • Fiscal year 2017 • EIN 36-3812613

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 11, 2018

PO Box 1090Minot, ND 58702

(701) 857-7150

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

38th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

39th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Net Margin

24th percentile

-6.5%

Higher net margin than 24% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

96th percentile

$388,072

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 21.5% of source-year revenue.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Asset Growth

7th percentile

-37%

Faster asset growth than 7% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

52nd percentile

4.2%

Faster revenue growth than 52% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$196,018

Down $116,804 (-37%) from 2016

Net Assets

Down

$196,018

Down $116,804 (-37%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue

Up

$1,805,921

Up $72,839 (+4.2%) from 2016

Expenses

Up

$1,923,129

Up $191,004 (+11%) from 2016

Net Income

Down

-$117,208

Down $118,165 (-12347%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$300K$200K$100K$0Assets 2010: $99,716Liabilities 2010: $0Net Assets 2010: $99,7162010Assets 2011: $57,364Liabilities 2011: $0Net Assets 2011: $57,3642011Assets 2012: $106,695Liabilities 2012: $0Net Assets 2012: $106,6952012Assets 2013: $158,533Liabilities 2013: $0Net Assets 2013: $158,5332013Assets 2014: $264,848Liabilities 2014: $0Net Assets 2014: $264,8482014Assets 2015: $310,885Liabilities 2015: $0Net Assets 2015: $310,8852015Assets 2016: $312,822Liabilities 2016: $0Net Assets 2016: $312,8222016Assets 2017: $196,018Liabilities 2017: $0Net Assets 2017: $196,0182017

Highlighted filing

2017

Assets$196,018
Liabilities$0
Net Assets$196,018

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MExpenses 2010: $894,1542010Expenses 2011: $987,0262011Expenses 2012: $1,065,4682012Revenue 2013: $1,252,924Expenses 2013: $1,201,086Net Income 2013: $51,8382013Revenue 2014: $1,430,909Expenses 2014: $1,324,594Net Income 2014: $106,3152014Revenue 2015: $1,643,295Expenses 2015: $1,595,575Net Income 2015: $47,7202015Revenue 2016: $1,733,082Expenses 2016: $1,732,125Net Income 2016: $9572016Revenue 2017: $1,805,921Expenses 2017: $1,923,129Net Income 2017: -$117,2082017

Highlighted filing

2017

Revenue$1,805,921
Expenses$1,923,129
Net Income-$117,208
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 11, 2018
Return Version
2017v2.3
Gross Receipts
$1,805,921
Mission and Program Overview

Mission

To provide employees of first western bank a medical reimbursement plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$312,822$196,018▼ $116,804
Cap Stk Tr Prin Current Funds$312,822$196,018▼ $116,804
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$312,822$196,018▼ $116,804
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$312,822$196,018▼ $116,804
Total Liabilities and Net Assets / Fund Balance$312,822$196,018▼ $116,804
Compensation and Service Providers

Employees

NameTitleOtherTotal
Richard CampbellPresident$69,840$69,840
Richard K AndersonDirector$54,400$54,400
Charles KramerDirector$14,400$14,400
Charles MorganDirector$14,400$14,400
Clayton FegleyDirector$14,400$14,400
Jon BackesDirector$14,400$14,400
Kathleen GaddieDirector$14,400$14,400
Mike FitzmauriceDirector$14,400$14,400
Val BruelsDirector$14,400$14,400
Ronald RauchenbergerDirector$8,400$8,400

Board Members and Trustees

NameTitle
Brenda FosterChairman
Jh Hoeven JrFormer Chairman
John H Hoeven IiiDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,800,500
Investment Income
$5,421
Other Revenue
$0
Change in Net Assets
$-117,208
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$1,923,129--$1,923,129
Total Functional Expenses$1,923,129$0$0$1,923,129
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Family relationship: j.h. Hoeven, jr and john h. Hoeven, iii

Form 990, Part VI, Section B, Line 11B

Form 990 is provided to the board of directors prior to filing.

Form 990, Part VI, Section B, Line 12C

The organization regularly monitors compliance with the conflict of interest policy by requiring officers, directors, trustees and other key employees to disclose at least annually any interest that could give rise to conflicts. The governing body reviews any conflicts.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents, conflict of interest policy and financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
First Western Bank and Trust
EIN
36-3812613
Phone
7018577150
Address
PO BOX 1090, MINOT, ND 58702

Signing Officer

Name
Brenda Foster
Title
President
Phone
7018577150
Signed
2018-10-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brenda Foster
Formed
1992
Legal Domicile
Nd
Voting Board Members
12
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Brady Martz & Associates Pc
Address
POST OFFICE BOX 848, MINOT, ND 58702-0848
Preparer
Daryl D Heizelman CPA
Phone
7018520196
Raw XML Appendix365 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FAMILY RELATIONSHIP: J.H. HOEVEN, JR AND JOHN H. HOEVEN, III
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION REGULARLY MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING OFFICERS, DIRECTORS, TRUSTEES AND OTHER KEY EMPLOYEES TO DISCLOSE AT LEAST ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS. THE GOVERNING BODY REVIEWS ANY CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0312822
IRS990/TotalAssetsEOYAmt0196018
IRS990/TotalAssetsGrp/BOYAmt0312822
IRS990/TotalAssetsGrp/EOYAmt0196018
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01923129
IRS990/TotalFunctionalExpensesGrp/TotalAmt01923129
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0312822
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0196018
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt01923129
IRS990/TotalProgramServiceRevenueAmt01800500
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01805921
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01805921
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0312822
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0196018
IRS990/TotReportableCompRltdOrgAmt0890897
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 1090
IRS990/USAddress/CityNm0MINOT
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058702
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BRENDA FOSTER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum07018577150
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-10-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FIRST WESTERN BANK AND TRUST
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0EMPLOYEE FLEXIBLE BENEFITS TRUST
ReturnHeader/Filer/BusinessNameControlTxt0FIRS
ReturnHeader/Filer/EIN0363812613
ReturnHeader/Filer/PhoneNum07018577150
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1090
ReturnHeader/Filer/USAddress/CityNm0MINOT
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058702
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId02FE766F06032B6E754C6E6A819DBBBCE308B09D8
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0E70387AD70651FD7D98C1AE6D047E235C79E2D49
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt024.230.153.18
ReturnHeader/FilingSecurityInformation/IPDt02018-10-11
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm008:23:30
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450310328
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BRADY MARTZ & ASSOCIATES PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0POST OFFICE BOX 848
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MINOT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0587020848
ReturnHeader/PreparerPersonGrp/PhoneNum07018520196
ReturnHeader/PreparerPersonGrp/PreparationDt02018-10-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DARYL D HEIZELMAN CPA
ReturnHeader/ReturnTs02018-10-16T13:37:29-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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