Civic Intelligence

Pederson Trust Fund for the Benefit Of

EIN 39-6173790 • 501(c)3 • Tomah, WI

Profile

The Pederson Trust was established to provide permanent financial support to Tomah Memorial Hospital.

501 Gopher DrTomah, WI 54660

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

86th percentile

40%

Higher net margin than 86% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

71st percentile

15%

Faster asset growth than 71% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

6th percentile

-52%

Faster revenue growth than 6% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$919,127

Up $120,318 (+15%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$919,127

Up $120,318 (+15%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin86th percentile

Revenue

Down

$35,551

Down $39,029 (-52%) from 2023

Expenses

Up

$21,408

Up $2,542 (+13%) from 2023

Net Income

Down

$14,143

Down $41,571 (-75%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth71st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2010: $289,449Liabilities 2010: $0Net Assets 2010: $289,4492010Assets 2011: $303,300Liabilities 2011: $0Net Assets 2011: $303,3002011Assets 2012: $336,277Liabilities 2012: $0Net Assets 2012: $336,2772012Assets 2013: $419,654Liabilities 2013: $0Net Assets 2013: $419,6542013Assets 2014: $471,646Liabilities 2014: $0Net Assets 2014: $471,6462014Assets 2015: $445,328Liabilities 2015: $0Net Assets 2015: $445,3282015Assets 2016: $494,722Liabilities 2016: $0Net Assets 2016: $494,7222016Assets 2017: $584,913Liabilities 2017: $0Net Assets 2017: $584,9132017Assets 2018: $556,676Liabilities 2018: $0Net Assets 2018: $556,6762018Assets 2019: $684,127Liabilities 2019: $0Net Assets 2019: $684,1272019Assets 2020: $674,091Liabilities 2020: $0Net Assets 2020: $674,0912020Assets 2021: $821,457Liabilities 2021: $0Net Assets 2021: $821,4572021Assets 2022: $742,791Liabilities 2022: $0Net Assets 2022: $742,7912022Assets 2023: $798,809Liabilities 2023: $0Net Assets 2023: $798,8092023Assets 2024: $919,127Liabilities 2024: $0Net Assets 2024: $919,1272024

Highlighted filing

2024

Assets$919,127
Liabilities$0
Net Assets$919,127
Open 2024 Filing

Operations Trend

Revenue Growth6th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80K$60K$40K$20K$0Expenses 2010: $7,9502010Expenses 2011: $7,3512011Expenses 2012: $9,6332012Revenue 2013: $11,555Expenses 2013: $10,887Net Income 2013: $6682013Revenue 2014: $12,772Expenses 2014: $11,559Net Income 2014: $1,2132014Revenue 2015: $13,445Expenses 2015: $9,852Net Income 2015: $3,5932015Revenue 2016: $14,055Expenses 2016: $10,382Net Income 2016: $3,6732016Revenue 2017: $14,609Expenses 2017: $10,869Net Income 2017: $3,7402017Revenue 2018: $16,797Expenses 2018: $11,347Net Income 2018: $5,4502018Revenue 2019: $22,433Expenses 2019: $12,866Net Income 2019: $9,5672019Revenue 2020: $22,169Expenses 2020: $17,090Net Income 2020: $5,0792020Revenue 2021: $23,467Expenses 2021: $16,352Net Income 2021: $7,1152021Revenue 2022: $24,743Expenses 2022: $17,972Net Income 2022: $6,7712022Revenue 2023: $74,580Expenses 2023: $18,866Net Income 2023: $55,7142023Revenue 2024: $35,551Expenses 2024: $21,408Net Income 2024: $14,1432024

Highlighted filing

2024

Revenue$35,551
Expenses$21,408
Net Income$14,143
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$919,127
Liabilities
$0
Net assets
$919,127
Revenue
$35,551
Expenses
$21,408
Net income
$14,143
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.19$0.00$9.19$0.36$0.21$0.14
2023Detailed filing. Detailed filing data is available for this year.$7.99$0.00$7.99$0.75$0.19$0.56
2022Detailed filing. Detailed filing data is available for this year.$7.43$0.00$7.43$0.25$0.18$0.07
2021Detailed filing. Detailed filing data is available for this year.$8.21$0.00$8.21$0.23$0.16$0.07
2020Detailed filing. Detailed filing data is available for this year.$6.74$0.00$6.74$0.22$0.17$0.05
2019Detailed filing. Detailed filing data is available for this year.$6.84$0.00$6.84$0.22$0.13$0.10
2018Detailed filing. Detailed filing data is available for this year.$5.57$0.00$5.57$0.17$0.11$0.05
2017Detailed filing. Detailed filing data is available for this year.$5.85$0.00$5.85$0.15$0.11$0.04
2016Detailed filing. Detailed filing data is available for this year.$4.95$0.00$4.95$0.14$0.10$0.04
2015Detailed filing. Detailed filing data is available for this year.$4.45$0.00$4.45$0.13$0.10$0.04
2014Detailed filing. Detailed filing data is available for this year.$4.72$0.00$4.72$0.13$0.12$0.01
2013Detailed filing. Detailed filing data is available for this year.$4.20$0.00$4.20$0.12$0.11$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.36$0.00$3.36$0.10
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.03$0.00$3.03$0.07
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.89$0.00$2.89$0.08
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 22, 2025
Return Version
2024v5.2
Gross Receipts
$35,551
Mission and Program Overview

Mission

The Pederson Trust was established to provide permanent financial support to Tomah Memorial Hospital.

To provide support to Tomah Memorial Hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$798,809$919,127▲ $120,318
Investments in Publicly Traded Securities$767,132$887,944▲ $120,812
Savings and Temporary Cash Investments$31,677$31,183▼ $494
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$798,809$919,127▲ $120,318
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$798,809$919,127▲ $120,318
Total Liabilities and Net Assets / Fund Balance$798,809$919,127▲ $120,318
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
Greg GaarderChair
B Scott NicolVice Chair
Beth ArityDirector
Diana GerkeDirector
Jennifer Drexler DODirector
Tiffany Casper DODirector
Todd TorkelsonDirector
Wes RevelsDirector
Sue Playter-MubarakSecretary
Deb BuswellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$35,551
Other Revenue
$0
Change in Net Assets
$14,143
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$20,674
Other Expenses$734
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$20,674--$20,674
Other Expenses-$734-$734
Total Functional Expenses$20,674$734$0$21,408
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Tomah Memorial HospitalTomah, WI501(c)(3)To support Tomah Memorial Hospital in their mission of providing healthcare.$20,674
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
Lobbying 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 35% controlled entity
No
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 7A

“Officers of the Pederson Trust Fund board are appointed by Tomah Memorial Hospital as they serve in these positions on the Hospital's board. Trustees are the board members of Tomah Memorial Hospital.”

Form 990, Part VI, Section A, line 8B

“There are no other committees with authority to act on behalf of the board.”

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

“The Trustees are provided a copy of the 990 for review and approval before filing. The 990 is reviewed by the Chief Financial Officer of Tomah Memorial Hospital.”

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

“The Trustees of the Pederson Trust are required to comply with the conflict of interest policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust. The Trustees review the policies and if a conflict exists, the person involved must abstain from voting on the matter.”

Form 990, Part VI, Section C, line 19

“The Pederson Trust does not make its governing documents, conflict of interest policy or financial statements available to the public.”

Form 990, Part VI, Section B - Policies, Line 13:

“The Pederson Trust does not have an official whistleblower policy adopted; however, the Trustees of the Pederson Trust are required to comply with the whistleblower policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.”

Form 990, Part VI, Section B - Policies, Line 14:

“The Pederson Trust does not have an official document retention and destruction policy adopted; however, the Trustees of the Pederson Trust are required to comply with the document retention and destruction policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.”

Filing and Contact Details

Filer

Filer Name
Pederson Trust Fund for the Benefit of
EIN
39-6173790
Phone
6083740307
Address
501 Gopher Dr, Tomah, WI 54660

Signing Officer

Name
Greg Gaarder
Title
Chair of Board
Phone
6083740307
Signed
2025-09-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Greg Gaarder
Formed
1970
Legal Domicile
Wi
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
10

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Mayumi Stella
Phone
6122536500
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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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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
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IRS990ScheduleA/MajorityDirTrstSupportedOrgInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
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IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt020674
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Tomah Memorial Hospital
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt020674
IRS990/ScheduleBRequiredInd00
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt020674
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0To support Tomah Memorial Hospital in their mission of providing healthcare.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Tomah Memorial Hospital
IRS990ScheduleI/RecipientTable/RecipientEIN0390799566
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0321 Butts Avenue
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Tomah
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd054660
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Annually, the Pederson Trust distributes 75% of the investment income earned to Tomah Memorial Hospital. The Trustees of Pederson Trust are also board members of Tomah Memorial Hospital. Through this relationship the Trustees can confirm all grant funds are used for Tomah, Wisconsin and surrounding communities.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Officers of the Pederson Trust Fund board are appointed by Tomah Memorial Hospital as they serve in these positions on the Hospital's board. Trustees are the board members of Tomah Memorial Hospital.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1There are no other committees with authority to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Trustees are provided a copy of the 990 for review and approval before filing. The 990 is reviewed by the Chief Financial Officer of Tomah Memorial Hospital.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Trustees of the Pederson Trust are required to comply with the conflict of interest policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust. The Trustees review the policies and if a conflict exists, the person involved must abstain from voting on the matter.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Pederson Trust does not make its governing documents, conflict of interest policy or financial statements available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Pederson Trust does not have an official whistleblower policy adopted; however, the Trustees of the Pederson Trust are required to comply with the whistleblower policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The Pederson Trust does not have an official document retention and destruction policy adopted; however, the Trustees of the Pederson Trust are required to comply with the document retention and destruction policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B - Policies, Line 13:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B - Policies, Line 14:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Tomah Memorial Hospital
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0390799566
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(c)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Provision for health care services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0Line 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0501 Gopher Dr
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Tomah
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd054660
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0798809
IRS990/TotalAssetsEOYAmt0919127
IRS990/TotalAssetsGrp/BOYAmt0798809
IRS990/TotalAssetsGrp/EOYAmt0919127
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0734
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt020674
IRS990/TotalFunctionalExpensesGrp/TotalAmt021408
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0798809
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0919127
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt020674
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt035551
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt035551
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0798809
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0919127
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0501 Gopher Dr
IRS990/USAddress/CityNm0Tomah
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd054660
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Greg Gaarder
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chair of Board
ReturnHeader/BusinessOfficerGrp/PhoneNum06083740307
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-09-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Pederson Trust Fund for the Benefit of
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0Tomah Memorial Hospital
ReturnHeader/Filer/BusinessNameControlTxt0PEDE
ReturnHeader/Filer/EIN0396173790
ReturnHeader/Filer/PhoneNum06083740307
ReturnHeader/Filer/USAddress/AddressLine1Txt0501 Gopher Dr
ReturnHeader/Filer/USAddress/CityNm0Tomah
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd054660
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Eide Bailly LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0800 Nicollet Mall Ste 1300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Minneapolis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0554027033
ReturnHeader/PreparerPersonGrp/PhoneNum06122536500

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